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750687

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Walk-in Centres: Closures
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many hospital walk-in centres have closed between 2010 and 2017.
	tabling member constituency	Hyndburn
	tabling member printed	Graham P Jones
	uin	4176
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>This information is not held centrally.</p><p> </p><p>NHS Improvement published a review of walk-in centres in 2014. This can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/nhs-walk-in-centre-services-in-england-review" target="_blank">https://www.gov.uk/government/publications/nhs-walk-in-centre-services-in-england-review</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 14:39:28 answering member 1542 label Biography information for Philip Dunne
	tabling member	3999 label Biography information for Graham P Jones

750853

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Batten Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in the UK are undergoing care and treatment for (a) all Neuronal Ceroid Lipofuscinosis diseases, (b) the CLN2 and (c) the CLN5 variants of that disease.
	tabling member constituency	Nottingham North
	tabling member printed	Alex Norris
	uin	4141
	answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>The support and care given to this group of people includes a range of treatments and supportive measures, including: anti-epileptic medication; physiotherapy; treatment for spasticity; and treatment for dystonia (including bracing and wheelchairs). Progressive feeding problems require speech and language management and gastrostomy insertion. Pain management is required for end of life care.</p><p> </p><p>Given the wide range of treatments and supportive measures, it is not possible to estimate the average annual cost of treating an individual with a Neuronal Ceroid Lipofuscinosis disease, especially since some of these costs will fall to NHS England and some to clinical commissioning groups.</p><p> </p><p>It is estimated that there are between 45 and 90 people undergoing care and treatment for all Neuronal Ceroid Lipofuscinosis diseases of whom between 19 and 38 have CLN2 and fewer than 10 have CLN5.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4139 4140 question first answered 18/07/2017 09:59:34 answering member 4067 label Biography information for Steve Brine
	tabling member	4641 label Biography information for Alex Norris

750754

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will estimate the amount accrued to the public purse of measures to recover the costs of using the NHS from overseas nationals in each of the (a) next and (b) last five years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	4443
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>The National Health Service is a national, not an international, service. This Government was the first to introduce tough measures to clamp down on migrants accessing free NHS care, including introducing the immigration health surcharge.</p><p> </p><p>The initiatives we have implemented have meant the income identified from visitors and migrants has trebled from £81 million in 2011/12 to £290 million in 2015/16, the last year for which final figures are available. Amounts identified in each of the past years are shown in the following table.</p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Aggregate identified cost recovery income</p></td></tr><tr><td><p> </p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>Aggregate £m</p></td><td><p>81</p></td><td><p>89</p></td><td><p>100</p></td><td><p>97</p></td><td><p>290</p></td></tr></tbody></table><p>The amounts identified for the 2016/17 financial year will be made available once NHS trusts and foundation trusts have published their annual accounts.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 14:37:50 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth

750857

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, on what date he plans to publish the proposed Green Paper on Social Care.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	4383
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>The Government will work to address the challenges of social care for our ageing population, bringing forward proposals for consultation to build widespread support. We are committed to listening to people’s views on how to reform the social care system, to ensure it is sustainable for current and future generations and that the quality of care improves.</p><p> </p><p>We will provide further details on the next steps on social care in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/07/2017 15:47:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4243 label Biography information for Dan Jarvis

750872

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Insulation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment has been made of the presence of flammable cladding on hospitals; what the timetable is for assessing all hospital buildings for the presence of such cladding; and if he will make a statement.
	tabling member constituency	Dewsbury
	tabling member printed	Paula Sherriff
	uin	4162
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>As part of the response to the tragic events at Grenfell Tower, actions have been implemented across the National Health Service to assess the risks of similar issues and ensure that the NHS estate is safe. The process of checking and testing the NHS’s estate is continuing.</p><p>Fire safety checks of NHS facilities are regularly undertaken in line with legislation and guidance. Hospitals are well prepared – each one has a tailored fire safety plan, which includes assessment of the provision of fire safety precautions including alarms and evacuation plans. But nothing is more important than the safety of patients and staff, so on a precautionary basis we asked all hospitals to conduct additional checks. Jim Mackey, Chief Executive of NHS Improvement instigated inspections by local fire and rescue services on 24 June 2017. All NHS trusts and foundation trusts were asked to carry out urgent fire safety checks following the Grenfell Tower fire. All NHS trusts have provided assurance that they have undertaken a fire risk assessment in the past 12 months.</p><p>As of 7 July, six trusts had been identified with buildings with aluminium composite material cladding, and they have therefore initiated additional fire safety precautions.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 16:50:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4426 label Biography information for Paula Sherriff

750756

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Psychiatry: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans his Department has to increase the number of psychiatrists employed by the NHS.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	4442
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>Health Education England is developing a mental health workforce plan, for publication later this year. This plan will set out how we ensure we have the staff, including psychiatrists, in place to deliver the Five Year Forward View for Mental Health.</p><p> </p><p>NHS Digital publishes data on National Health Service staff groups. The latest data for March 2017 shows that the number of full time equivalent doctors working in the Psychiatry group in the National Health Service is 8,732.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 14:46:18 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth

750926

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of drugs for the treatment and post-treatment needs of breast cancer patients contain lactose; and what provision is made for breast cancer patients who are intolerant or allergic to lactose.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4161
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>Lactose (milk sugar) is commonly used as a diluent in solid oral dosage forms such as tablets and capsules; however is rarely present in oral liquid presentations or parenteral dosage forms, such as injections. While no list of “lactose-free” medicines is maintained, the presence or absence of lactose in any licensed medicine, including those for breast cancer, can be readily identified.</p><p> </p><p>Where a medicine contains lactose, this is highlighted, together with the quantity of lactose, within the Summary of Product Characteristics. The package leaflet for that medicine will also highlight in qualitative terms whether the medicine contains lactose. The package leaflet is provided with each pack of medicine sold or dispensed in the United Kingdom.</p><p> </p><p>The British National Formulary, a standard medical text in the UK, advises that the lactose content in most medicines is too small to cause problems in most lactose-intolerant patients. However, in patients with severe lactose intolerance, lactose content should be determined before prescribing especially if they are taking several products containing lactose.</p><p> </p><p>Clinicians prescribe the medicines and drugs that are most appropriate for their patient, taking into account all relevant factors and guidance. The Medicines and Healthcare products Regulatory Agency, which is responsible for the regulation of medicines in the UK, will help prescribers to establish the availability of a lactose free version of any particular medicine.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/07/2017 15:49:05 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

750755

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Bullying
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he plans to take to reduce rates of staff bullying in the NHS.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	4441
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>The Government is committed to reducing staff bullying in the National Health Service. In 2016, the Government in partnership with the Social Partnership Forum, arm’s length bodies, NHS Employers and trade unions, launched the ‘Collective Call to Action’ with leaders across the National Health Service, pledging to making a difference by promoting supportive cultures where staff can flourish and problem behaviours, such as bullying, are tackled. The ‘Collective Call to Action’ invites all organisations to publish their plans and progress on tackling bullying so staff, patients and the public can hold them to account.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 16:44:58 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth

750790

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion: Northern Ireland
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government has taken to ensure that women resident in Northern Ireland seeking an abortion in mainland Britain are made aware of the risks involved in undergoing an abortion.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	4360
	answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>The Government is neutral on the subject of abortion legislation. Information on contracts held by clinical commissioning groups with independent abortion providers, including Marie Stopes International and the British Pregnancy Advisory Service is not collected centrally.</p><p> </p><p>No funding has been provided directly from the Department to either organisation which has been used for the purpose of campaigning.</p><p> </p><p>All women seeking abortion, including women travelling to England for an abortion from Northern Ireland, must be given impartial, accurate and evidence based information (orally and written) delivered neutrally, which includes what to expect during and after the abortion. Clinical guidance from the Royal College of Obstetricians and Gynaecologists ‘The Care of Women Requesting Induced Abortion (2011)’ states that “complications and risks should be discussed with women in a way that they can understand and should emphasise the overall safety of the procedure”.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 4444 question first answered 18/07/2017 14:16:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3958 label Biography information for Fiona Bruce

750789

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Down's Syndrome: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to ensure that people with Down’s syndrome do not feel discriminated against as a result of the introduction of non-invasive prenatal testing for Down’s syndrome.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	4359
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>Ministers held a series of stakeholder meetings in March 2017 to listen to the concerns of charity groups and other stakeholders, including The Nuffield Council on Bioethics to discuss their report on the ethics of non invasive prenatal tests (NIPT).</p><p> </p><p>Public Health England, is working with a range of stakeholders including the Down’s Syndrome Association, Support Organisation for Trisomy 13/18, the Down Syndrome Research Foundation and Antenatal Results and Choices, to update and develop information for expectant parents and information and training for healthcare professionals, in preparation for the roll out of NIPT as an additional option in the National Health Service Fetal Anomaly Screening Programme in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 14:44:56 answering member 1542 label Biography information for Philip Dunne
	tabling member	3958 label Biography information for Fiona Bruce