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1132035

	registered interest
	date	13/06/2019
	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	Primary Care Networks
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the requirements for primary care networks to engage with the local community will be.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264406
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p><ins class="ministerial"> <p><ins class="ministerial">Primary Care Networks (PCNs) are a new way for primary and community service organisations to work together. For PCNs to be successful they will need to work in partnership with local people and the communities they serve. Legal duties which currently apply to NHS service providers - including general practitioner practices - and commissioners around engagement and consultation will continue to be valid for PCNs.</ins></p></ins></p><p><del class="ministerial">NHS England and NHS Improvement, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England.</del></p><p><del class="ministerial">The commercial framework will support a single, transparent, robust and integrated pricing and market access process, and is being tested with and informed through consultation with stakeholders including the Association of the British Pharmaceutical Industry.</del></p><p><del class="ministerial">In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to outline progress on the development of the commercial framework. The consultation on the draft framework is anticipated to be launched in Quarter 3 2019 with consultation events to be held in Manchester and London, and implementation of the commercial framework is expected to follow.</del></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:34:05 question first ministerially corrected 19/06/2019 08:36:30 answering member 4455 label Biography information for Seema Kennedy previous answer version 123829 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1131994

	registered interest
	date	13/06/2019
	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	Ovarian Cancer: Contraceptives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the Royal College of Nursing on use of the contraceptive pill to reduce the chances of ovarian cancer.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	264404
	answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>No such discussions have taken place. Any treatment available on the National Health Service is in line with the appropriate clinical guidelines from the National Institute for Health and Care Excellence.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/06/2019 10:32:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4131 label Biography information for Jim Shannon

1132025

	registered interest
	date	13/06/2019
	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	Cannabis: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how and by whom medical cannabis was produced in the UK before its legalisation.
	tabling member constituency	Central Ayrshire
	tabling member printed	Dr Philippa Whitford
	uin	264425
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Prior to the change of the law on 1 November 2018, only cannabis-based products that had been given a marketing authorisation (product licence) by the medicines regulators, the Medicines and Healthcare products Regulatory Agency (MHRA) or European Medicines Agency could be prescribed. Before issuing a marketing authorisation the MHRA accesses all the available evidence on efficacy and safety arising out of pre-clinical research and clinical trials and evidence and information supplied by the manufacturer. The regulators also inspect the factory where the medicine is to be made, to make sure that supplies will be of a uniformly and consistently high standard.</p><p> </p><p>The following cannabis-based products and related products received a marketing authorisation in the United Kingdom/European Union before 1 November 2018:</p><p> </p><p>- Sativex - (produced by GW Pharmaceuticals) containing tetrahydrocannabinol (THC) and cannabidiol - holds a licence for spasticity in multiple sclerosis; and</p><p>- Nabilone - (multiple manufacturers) which contains a synthetic, non-natural cannabinoid which mimics THC, holds a marketing authorisation for nausea and vomiting caused by chemotherapy.</p><p> </p><p>In addition, Epidiolex (also produced by GW Pharmaceuticals from cannabis) for two severe forms of intractable epilepsy (Lennox-Gastaut Syndrome or Dravet Syndrome), is currently being considered for a marketing authorisation by the European Medicines Agency.</p><p> </p><p>The change in the law allows the prescription, by specialist doctors on the General Medical Council’s Specialist Register, of cannabis-based products that have not been through this rigorous process but that meet certain quality standards in cases where all licensed products have been considered and discounted and it is in the best interest of the patient. It also makes</p><p>it easier and will incentivise further research into the potential health benefits of cannabis-based products and the development of further licensed products for more routine use in the health service.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:31:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4385 label Biography information for Dr Philippa Whitford

1132026

	registered interest
	date	13/06/2019
	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	Anxiety: Young People
	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 number of young people (a) attending and (b) not attending university who suffer from anxiety.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	264317
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Through the Department of Education, we know that the Higher Education Statistics Agency reported that, in 2017/18, 24,815 UK resident entrants to higher education settings disclosed a diagnosed mental health condition such as anxiety. Robust data is not available to determine how much of this increase is down to increased disclosure resulting from reduced stigma, and how much is due to increased prevalence.</p><p>Any disclosure of diagnosed mental health conditions by higher education students to their institution is voluntary. The actual number of university students with diagnosed mental health conditions is therefore unknown.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:41:44 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	308 label Biography information for Mr Jim Cunningham

1132034

	registered interest
	date	13/06/2019
	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	Primary Care Networks: Rural Areas
	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 has carried out a rural proofing review of the implementation of primary care networks.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264405
	answer	answer is ministerial correction date of answer 21/06/2019 answer text <p>Recognising the specific circumstances faced by some rural practices, there are additional flexibilities. NHS England has explicitly allowed rurality as an exception for meeting the definition of a Primary Care Networks. As set out in the Network Contract Direct Enhanced Service (DES) (under paragraph 3.2) commissioners may waiver the 30,000 minimum population “where a PCN serves a natural community which has a low population density across a large rural and remote area”. Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf</a></p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 21/06/2019 11:16:38 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132036

	registered interest
	date	13/06/2019
	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	Primary Care Networks
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what criteria his Department plans to use to assess Primary Care Networks’ engagement with local communities.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264407
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>For Primary Care Networks (PCNs) to be successful they will need to work in partnership with local people and the communities they serve. NHS England does have a statutory duty to undertake an annual assessment of clinical commissioning groups’ (CCGs) performance, as part of the CCG Improvement and Assessment Framework (IAF). One of the indicators assessed is patient and community engagement. All NHS service providers, including general practitioner practices, have legal duties to engage with local authority health scrutiny about changes which may be considered substantial. These duties which currently apply to NHS service providers and commissioners around engagement and consultation will continue to be valid.</p><p>Further information on the IAF is available on the NHS England website at the following link:</p><p><a href="https://www.england.nhs.uk/commissioning/regulation/ccg-assess/" target="_blank">https://www.england.nhs.uk/commissioning/regulation/ccg-assess/</a></p><p>Results from the assessments are published on ‘MyNHS’ at the following link:</p><p><a href="https://www.nhs.uk/service-search/performance-indicators/organisations/ccg-year-end-2015-assurance-assessment" target="_blank">https://www.nhs.uk/service-search/performance-indicators/organisations/ccg-year-end-2015-assurance-assessment</a></p><p>The assessments made are in line with the document ‘Patient and public participation in commissioning health and care: statutory guidance for CCGs and NHS England’, which is at the following link:</p><p><a href="https://www.england.nhs.uk/publication/patient-and-public-participation-in-commissioning-health-and-care-statutory-guidance-for-ccgs-and-nhs-england/" target="_blank">https://www.england.nhs.uk/publication/patient-and-public-participation-in-commissioning-health-and-care-statutory-guidance-for-ccgs-and-nhs-england/</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 15:40:56 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132037

	registered interest
	date	13/06/2019
	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	Primary Care Networks: Rural Areas
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what population exceptions are in place for Primary Care Networks covering large rural and remote areas.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264408
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has allowed rurality as an exception for meeting the definition of a Primary Care Network (PCN). As set out in the Network Contract Direct Enhanced Service (under paragraph 3.2) commissioners may waiver the 30,000-minimum population “where a PCN serves a natural community which has a low population density across a large rural and remote area”.</p><p>Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:30:48 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132052

	registered interest
	date	13/06/2019
	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	Homeopathy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether representatives of his Department or Agencies attended the London international conference of the Homeopathic Research Institute on 14 - 17 June 2019; if his Department or agencies will make an assessment of the implications for their policies of papers presented at that conference; and if he will make a statement.
	tabling member constituency	Bosworth
	tabling member printed	David Tredinnick
	uin	264321
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>There was no representation made by the Department at this conference. The Department does not maintain a position on any particular complementary or alternative medicine treatments including homeopathy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:33:15 answering member 4455 label Biography information for Seema Kennedy
	tabling member	335 label Biography information for David Tredinnick

1132104

	registered interest
	date	13/06/2019
	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	MMR Vaccine
	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 correlation between falling rates of vaccination for measles, mumps and rubella and the increased incidence of those conditions.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264387
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>There has been an increase in cases of measles since the end of 2017 with close to 1,000 cases reported in 2018. However, the majority of these cases (628/966, 65%) are in individuals aged less than one year old and over 15 years i.e. those not in recently vaccinated age cohorts. Data is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018</a></p><p>An increase in mumps activity was observed in England in the first quarter (Q1) of 2019 with 795 laboratory confirmed mumps infections. Almost half (352/795, 44%) of the cases in Q1 were in unvaccinated individuals. This data can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf</a></p><p>The World Health Organization confirmed that the United Kingdom had eliminated rubella in 2015. Between 2013-18 there were only 10 laboratory confirmed cases in England. This data can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter" target="_blank">https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter</a></p><p>Nearly all these cases have been in individuals born abroad and were not eligible to receive rubella containing vaccine in United Kingdom.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:57:13 answering member 4455 label Biography information for Seema Kennedy previous answer version 123818 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4077 label Biography information for Emma Reynolds

1132105

	registered interest
	date	13/06/2019
	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	Suicide: Wolverhampton
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in the rate of suicide among men in Wolverhampton; and what steps he is taking to improve mental health services in the West Midlands.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264388
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The latest update on suicide prevention from the health scrutiny panel at City of Wolverhampton Council (June 2019), shows that 66 deaths were registered as suicides for the period of 2015-17 and 54 of these (82%) were male.</p><p> </p><p>In ‘Making Wolverhampton a Suicide Safer Community: Wolverhampton Suicide Prevention Strategy 2016–2020’, City of Wolverhampton Council has set the following aims to reduce suicides:</p><p> </p><p>- provide a multi-agency approach to suicide prevention across Wolverhampton;</p><p>- raise awareness of suicide, compelling organisations and the community to take positive action;</p><p>- upskill workforces through information and knowledge enabling them to better understand and respond to poor mental wellbeing and suicide ideation;</p><p>- influence services and policies so that suicide prevention is robustly considered and embedded in routine business; and</p><p>- provide a coordinated suicide support offer which can be accessed by services and communities.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:42:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4077 label Biography information for Emma Reynolds