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1082527

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Royston Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans the NHS has for the future of Royston Hospital; and if he will make a statement.
	tabling member constituency	North East Hertfordshire
	tabling member printed	Sir Oliver Heald
	uin	229074
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS Property Services, who own the Royston Hospital site, are working with the Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) and local Sustainability and Transformation Plan Estates Group colleagues with a review of options for Royston Hospital, including the potential to create a neighbourhood health and wellbeing centre. The review also includes the nearby Royston Health Centre. As part of this review, NHS Property Services and the CCG continue to work with local partners providing health services to determine the right level of services and the appropriate use of the existing estate options to support the needs of the people of Royston. No decisions have yet been made.</p><p> </p><p>The work with partners includes Addenbrookes Hospital who are looking to provide additional services from Royston Hospital.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 14/03/2019 17:07:13 answering member 1585 label Biography information for Stephen Hammond
	tabling member	69 label Biography information for Sir Oliver Heald

1082543

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Cancer: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he will take in the forthcoming workforce implementation plan to ensure that there are sufficient staff in the NHS to diagnose and treat cancer..
	tabling member constituency	Brighton, Pavilion
	tabling member printed	Caroline Lucas
	uin	229138
	answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017. HEE intended to publish a second phase, longer-term strategy that looked at the cancer workforce needs beyond 2021. This work was started and stakeholders from within the National Health Service and the charitable sector contributed to the early discussions. This work has since been superseded by publication of the NHS Long Term Plan in January 2019.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has subsequently commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce rapidly, including staff working on cancer, consider additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 12:41:00 answering member 4067 label Biography information for Steve Brine
	tabling member	3930 label Biography information for Caroline Lucas

1082557

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the proportion of eligible adults who have received (a) abdominal aortic aneurysm, (b) bowel, (c) breast and (d) cervical screening in (i) Lambeth CCG (ii) Southwark CCG and (iii) England in each year since 2015.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	229212
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Abdominal aortic aneurysm screening coverage for Lambeth Clinical Commissioning Group (CCG), Southwark CCG and England in each year since 2015/16 can be seen in the following table.</p><p> </p><p>Abdominal aortic aneurysm screening coverage for Lambeth CCG, Southwark CCG and England, 2015/16 to 2017/18.</p><table><tbody><tr><td><p> </p></td><td><p>2015/16 % (tested)</p></td><td><p>2016/17 % (tested)</p></td><td><p>2017/18 % (tested)</p></td></tr><tr><td><p>Lambeth CCG</p></td><td><p>61.0 (627)</p></td><td><p>67.5 (664)</p></td><td><p>53.3 (582)</p></td></tr><tr><td><p>Southwark CCG</p></td><td><p>58.8 (550)</p></td><td><p>73.4 (680)</p></td><td><p>45.9 (435)</p></td></tr><tr><td><p>England</p></td><td><p>79.9 (227,442)</p></td><td><p>81.1 (228,441)</p></td><td><p>80.8 (230,543)</p></td></tr></tbody></table><p>Notes:</p><ol><li>Sources:<a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2015-to-2016-data</a></li></ol><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2016-to-2017-data</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data" target="_blank">https://www.gov.uk/government/publications/abdominal-aortic-aneurysm-screening-2017-to-2018-data</a></p><p> </p><ol start="2"><li>Total number of people screened is provided in brackets.</li></ol><p> </p><ol start="3"><li>Coverage is the percentage of the eligible population that is successfully screened within the year plus three months:</li></ol><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/773136/NHS_AAA_screening_programme_standards_data_report_april_2017_to_march_2018.pdf</a></p><p> </p><p>Bowel cancer screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for bowel cancer screening is defined as the number of persons registered to a general practice who are screened adequately in the previous 30 months, which is the routine period in which bowel cancer screening takes place for an individual, divided by the number of eligible persons on the last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which an individual should attend for a bowel cancer screening.</p><p> </p><p>Breast screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for breast screening is defined as the number of women registered to a general practice screened adequately in the previous 36 months, which is the routine period in which breast screening takes place for an individual, divided by the number of eligible women on last day of the review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for breast screening.</p><p> </p><p>Cervical screening coverage for Lambeth CCG, Southwark CCG and England is attached. Coverage for cervical screening is defined as the number of women screened adequately in the previous 42 months (if aged 24-49) or 66 months (if aged 50-64) divided by the number of eligible women on last day of review period for this report data is taken in April 2015, 2016, 2017 and 2018. This captures the coverage for the eligible population over the standard period of time in which a woman should attend for cervical screening.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:30:38 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ229212 attached table.docx title PQ229212 attached table previous answer version 106920 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes

1082558

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the National Audit Office report entitled Investigation into the management of Health Screening, published 1 February 2019, what steps his Department is taking to ensure NHS screening laboratories are sufficiently staffed.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	229213
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>The National Health Service Long Term Plan sets out specific workforce actions developed by NHS Improvement and others to have positive impact for workforces, including the screening and diagnostic workforce. NHS Improvement and the Department will discuss these actions when the education and training budget for Health Education England is set in 2019. This includes a proposal to recruit an additional 1,500 clinical and diagnostic staff across seven priority specialisms between 2018 and 2021.</p><p> </p><p>With specific reference to the national cervical screening programme that includes NHS laboratories, the replacement of liquid based cytology with human papillomavirus (HPV) testing as the primary screen, has had a significant impact on the ability to maintain staff in the cervical screening programme’s laboratory workforce. The HPV pilot evaluation suggested that the need for a cytology workforce could reduce by as much as 85% when HPV testing is introduced as the primary screen during 2019.</p><p> </p><p>NHS England is undertaking a national procurement process to secure providers of laboratory services to deliver HPV primary screening across England. The outcome of the process will be known by the end of April 2019, with national coverage in place by December 2019.</p><p> </p><p>To maintain the service and accommodate current staffing levels a majority of existing HPV pilot sites and some non-pilot sites have already converted more of their cervical screening activity to HPV primary screening, freeing up cytology capacity.</p><p> </p><p>In addition, Professor Sir Mike Richards is leading a major review of national cancer screening programme pathways as part of the NHS Long Term Plan’s renewed drive to improve care and save lives. Professor Richards’ review is due to report in summer 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:00 answering member 4067 label Biography information for Steve Brine previous answer version 106922 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4510 label Biography information for Helen Hayes

1082564

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Food: Labelling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the results of the consultation on mandating calorie labelling in the out-of-home sector will be published.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	229218
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>I refer the hon. Member to the answer I gave to the hon. Member for South West Bedfordshire (Andrew Selous MP) on 23 January 2019 to Question <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2019-01-21/210542/" target="_blank">210542</a>.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:24:52 answering member 4067 label Biography information for Steve Brine previous answer version 106926 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4505 label Biography information for Peter Kyle

1082570

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Spinal Muscular Atrophy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that (a) nusinersen/Spinraza and (b) other life-saving drugs are made available for people with spinal muscular atrophy.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	229106
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The Government wants National Health Service patients to be able to benefit from effective new medicines in a way that represents value for money to the taxpayer. Through its technology appraisal and highly specialised technologies programmes, the National Institute for Health and Care Excellence (NICE) makes recommendations for the NHS on whether new medicines should be routinely funded by the NHS. NHS organisations are legally required to fund medicines recommended by NICE.</p><p> </p><p>NICE is currently developing technology appraisal guidance on the use of Spinraza for the treatment of spinal muscular atrophy. NICE was unable to recommend Spinraza as an effective use of NHS resources in its draft guidance published in August 2018. Discussions have since been taking place between the manufacturer of Spinraza, Biogen, and NHS England to explore whether there are commercial flexibilities that might enable NICE to recommend the drug as a clinically and cost-effective use of NHS resources. Biogen has now submitted a revised submission and a meeting of NICE’s independent Appraisal Committee took place on 6 March to consider the recommendations. Details from the meeting will made available on the NICE website in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 10:47:04 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

1082575

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Respite Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much funding allocated to councils for respite care has been accessed to date; and what steps his Department is taking to encourage carers to make use of that support.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	229090
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Since 2015, the National Health Service contribution to the Better Care Fund (BCF) has included funding to support the implementation of the Care Act 2014, including £130 million which has been made available each year for Carers’ Breaks via the NHS clinical commissioning groups (CCG) minimum contribution to the BCF.</p><p>Locally agreed between local authorities (LAs) and CCGs, joint BCF plans set out the level of resource that will be dedicated to carer-specific support, including carers’ breaks, and identify how the chosen methods for supporting carers will help to meet key outcomes. These BCF plans are agreed locally at Health and Wellbeing Board level as part of the BCF Assurance process, and funding is released under the premise that the requirements and conditions of the Fund are met. The local level allocation data is not readily available at a national level.</p><p>We recognise the importance of carers being able to take a break from their caring role. Through the Carers Action Plan, we have committed to promoting best practice for LAs, service providers and commissioners on carer breaks and respite care. In doing so this will support them to help carers to take a break by highlighting best practice and provide advice and information for carers seeking respite breaks.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/03/2019 17:10:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	394 label Biography information for Mr Clive Betts

1082576

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Care Workers: Registration
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the Government plans to introduce a requirement for social care workers in England to be registered.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	229091
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Care workers in England are subject to employer checks and controls including a Disclosure and Barring Service check. Since 2015, healthcare assistants and care support workers have been expected to achieve the care certificate before working unsupervised. This contains 15 standards setting out a common set of skills, knowledge and behaviours that are needed in order to provide safe, high quality and compassionate care.</p><p> </p><p>The Government is committed to a proportionate system of safeguards for the professionals who work in the health and care system. Statutory professional regulation should only be used in cases where the risks to the public cannot be mitigated in other ways. We have no plans to introduce a requirement for social care workers in England to be registered in England at this time.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/03/2019 17:07:02 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	394 label Biography information for Mr Clive Betts

1082577

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Care Workers: Registration
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department is planning on introducing a requirement for social care workers to register with Care Quality Commission.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	229092
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Care workers in England are subject to employer checks and controls including a Disclosure and Barring Service check. Since 2015, healthcare assistants and care support workers have been expected to achieve the care certificate before working unsupervised. This contains 15 standards setting out a common set of skills, knowledge and behaviours that are needed in order to provide safe, high quality and compassionate care.</p><p> </p><p>The Government is committed to a proportionate system of safeguards for the professionals who work in the health and care system. Statutory professional regulation should only be used in cases where the risks to the public cannot be mitigated in other ways. We have no plans to introduce a requirement for social care workers in England to be registered in England at this time.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/03/2019 18:14:04 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	394 label Biography information for Mr Clive Betts

1082590

	registered interest
	date	06/03/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 20 February 2019 to Question 222001, when Public Health England plans to undertake an independent academic review of heated tobacco products.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	229155
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>Under the Government’s Tobacco Control Plan for England, Public Health England (PHE) is committed to conducting an annual review of the evidence on e-cigarettes and other nicotine delivery systems until the end of the Parliament in 2022. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p><p> </p><p>The scope of these reviews includes heated tobacco products and PHE published an evidence review of e-cigarettes and heated tobacco products in February 2018. The review is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review" target="_blank">https://www.gov.uk/government/publications/e-cigarettes-and-heated-tobacco-products-evidence-review</a></p><p> </p><p>The Government currently has no plans to conduct a separate review of heated tobacco products outside of the programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/03/2019 18:31:49 answering member 4067 label Biography information for Steve Brine previous answer version 106923 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	1604 label Biography information for Mr Virendra Sharma