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1105573

	registered interest
	date	27/03/2019
	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	NHS: Brexit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance has been given to the NHS on responding to freedom of information requests on contingency planning for the UK leaving the EU; and whether that guidance is published.
	tabling member constituency	Bury South
	tabling member printed	Mr Ivan Lewis
	uin	237618
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The Freedom of Information Act 2000 provides a right of access to a wide range of information held by public authorities, including the National Health Service.</p><p> </p><p>The Parliamentary and Public Accountability Agreements Protocols in place between the Department and its arm’s length bodies cover best practice for responding to Freedom of Information (FOI) requests. This includes consulting with the Department where necessary and sets out that the Department’s FOI team will provide informal, impartial advice on relevant legislation and duties. However, the decision as to whether a request falls under a relevant exemption and whether or not the information should be released remains with NHS England and Improvement.</p><p> </p><p>The Department expects to publish the latest Protocol for Public and Parliamentary Accountability on GOV.UK in due course.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/04/2019 11:01:52 answering member 1585 label Biography information for Stephen Hammond
	tabling member	441 label Biography information for Mr Ivan Lewis

1105574

	registered interest
	date	27/03/2019
	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	Urinary Tract Infections: 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 assessment he has made of the effectiveness of the gold-standard urinary tract infections test kit used by the NHS.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	237733
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The phrase global or gold standard test is sometimes used to refer to dipstick strip, which are available in home kits, and urine culture tests for urinary tract infection (UTI). The way in which laboratories determine if a UTI is present involves screening tests to look for human cells/blood/protein in the urine, which can be done by machines or using dipsticks, followed by culturing urine to determine if UTI pathogens are present and in sufficient numbers. This second stage process relies on bacterial media/culture techniques and is usually not a specific ‘kit’. If a pathogen is present then the third stage is to determine the antibiotic susceptibility profile of the bacteria.</p><p> </p><p>Guidance on identification and treatment of UTI has been published for different age groups and clinical settings. The National Institute for Health and Care Excellence have published guidance for under 16s at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg54" target="_blank">https://www.nice.org.uk/guidance/cg54</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/04/2019 11:13:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1105572

	registered interest
	date	27/03/2019
	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	NHS: 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 information his Department holds on analyses of the causes of medicine shortages in the UK.
	tabling member constituency	Bury South
	tabling member printed	Mr Ivan Lewis
	uin	237617
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>Medicines supply problems can occur for a number of reasons due to manufacturing difficulties, regulatory problems and problems with the supply of raw materials, or from issues which are related to the distribution of the product. The manufacture of medicines is complex and highly regulated, and materials and processes must meet rigorous safety and quality standards, so difficulties can arise for various reasons.</p><p> </p><p>The Department is responsible for the security of supply of medicines and ensuring continued access to medicines for all patients is a key priority. There is a team within the Department, which deals specifically with medicine supply issues arising both in the community and hospitals and receives regular information from the pharmaceutical industry about impending medicine supply issues. It works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England and others operating in the supply chain to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/04/2019 11:02:57 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	441 label Biography information for Mr Ivan Lewis

1105665

	registered interest
	date	27/03/2019
	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	Orthopaedics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many amputations were performed by the NHS in each year from 2014 to 2018.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL14854
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The following table shows a count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedures<sup>2</sup> of amputation for the years 2014/15 to 2017/18.</p><table><tbody><tr><td><p>Financial year</p></td><td><p>Total FCEs</p></td></tr><tr><td><p>2014-15</p></td><td><p>19,953</p></td></tr><tr><td><p>2015-16</p></td><td><p>20,356</p></td></tr><tr><td><p>2016-17</p></td><td><p>20,968</p></td></tr><tr><td><p>2017-18</p></td><td><p>21,330</p></td></tr></tbody></table><p><em>Source: </em>Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</li></ol><p> </p><ol start="2"><li>Number of episodes with a main or secondary procedure:</li></ol><p>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 05/04/2019 10:41:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1105667

	registered interest
	date	27/03/2019
	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	Thiomersal
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which vaccines prescribed by the NHS contain thimerosal.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL14855
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>None of the vaccines currently recommended for use as part of the United Kingdom routine immunisation programme contains the preservative thiomersal.</p><p>The safety of thiomersal-containing vaccines has been extensively evaluated in studies which have found no evidence to suggest thiomersal is associated with any serious or long-term risks. Such studies have mostly been in young children. The most recent assessment in the <em>Weekly epidemiological record</em> was undertaken by the World Health Organization in 2012, which advised that the available evidence strongly supports the safety of the use of thiomersal in vaccines where required. A copy of the 2012 <em>Weekly epidemiological record</em> is attached.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14856 question first answered 05/04/2019 10:32:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name WHO report.pdf title 2012 Weekly epidemiological record
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1105668

	registered interest
	date	27/03/2019
	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	Thiomersal
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when thimerosal was last tested for safety of use in patients (1) below 16, and (2) above 65, years old.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL14856
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>None of the vaccines currently recommended for use as part of the United Kingdom routine immunisation programme contains the preservative thiomersal.</p><p>The safety of thiomersal-containing vaccines has been extensively evaluated in studies which have found no evidence to suggest thiomersal is associated with any serious or long-term risks. Such studies have mostly been in young children. The most recent assessment in the <em>Weekly epidemiological record</em> was undertaken by the World Health Organization in 2012, which advised that the available evidence strongly supports the safety of the use of thiomersal in vaccines where required. A copy of the 2012 <em>Weekly epidemiological record</em> is attached.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14855 question first answered 05/04/2019 10:32:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name WHO report.pdf title 2012 Weekly epidemiological record
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger