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1132599

	registered interest
	date	17/06/2019
	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	Out-patients: Attendance
	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 the cost to the public purse of missed (a) GP and (b) hospital appointments.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	265416
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>Information surrounding the cost of missed general practitioner and hospital appointments is not collected or held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 09:32:08 answering member 4455 label Biography information for Seema Kennedy
	tabling member	253 label Biography information for Mr Laurence Robertson

1132403

	registered interest
	date	17/06/2019
	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	Lumacaftor/ivacaftor
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what contingency plans his Department has put in place in the event that Vertex declines NHS England’s latest offer for the supply of Orkambi.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	265417
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>NHS England is leading the negotiations with Vertex and has made a revised and improved offer to Vertex that would provide immediate funding for Orkambi, and Symkevi in advance of assessment by the National Institute for Health and Care Excellence (NICE), and expanded access to Kalydeco which is already funded on the National Health Service for certain patients.</p><p>The Government fully supports NICE and NHS England in seeking to ensure access for patients to effective and innovative medicines at a price that represents value to the NHS, and it is not for Ministers to intervene in this process. The Department’s approach remains to urge Vertex to accept NHS England’s generous offer, but we will explore other options to ensure patients can access treatments as soon as possible.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 265418 question first answered 20/06/2019 09:33:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	298 label Biography information for Steve McCabe

1132404

	registered interest
	date	17/06/2019
	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	Lumacaftor/ivacaftor: Clinical Trials
	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 potential merits of launching a large scale clinical trial of the generic version of Orkambi.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	265418
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>NHS England is leading the negotiations with Vertex and has made a revised and improved offer to Vertex that would provide immediate funding for Orkambi, and Symkevi in advance of assessment by the National Institute for Health and Care Excellence (NICE), and expanded access to Kalydeco which is already funded on the National Health Service for certain patients.</p><p>The Government fully supports NICE and NHS England in seeking to ensure access for patients to effective and innovative medicines at a price that represents value to the NHS, and it is not for Ministers to intervene in this process. The Department’s approach remains to urge Vertex to accept NHS England’s generous offer, but we will explore other options to ensure patients can access treatments as soon as possible.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 265417 question first answered 20/06/2019 09:33:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	298 label Biography information for Steve McCabe

1132431

	registered interest
	date	17/06/2019
	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	Pharmacy Integration Fund
	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 current balance of the pharmacy integration fund is; and what initiatives have been supported by that fund since its inception.
	tabling member constituency	Rother Valley
	tabling member printed	Sir Kevin Barron
	uin	265429
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>NHS England and NHS Improvement are awaiting the completion of the annual audit of its accounts, therefore no final figure is currently available for the balance of the Pharmacy Integration Fund (PhIF). The PhIF has supported a range of initiatives, including:</p><p>- Recruitment and training of pharmacists to support integrated urgent care services, offering patients and care staff direct access to clinical advice and care from pharmacists;</p><p>- Putting pharmacists and pharmacy technicians into the multi-disciplinary teams delivering enhanced health in care homes, to support medicines optimisation for people who live in care homes;</p><p>- The development of an urgent medicines supply service. This connects people who contact NHS 111 for urgent access to medicines with local community pharmacies who are able to dispense, and redirects demand out of general practitioner out of hours services, and/or accident and emergency departments;</p><p>- The piloting of a minor illness service, which enables people who contact NHS 111 to get urgent care and advice from a local community pharmacy for a range of common illness complaints; and</p><p>- Providing leadership training for the profession to support them to work effectively with their partners in the emerging integrated care systems, with a focus on delivering the range of benefits of medicines optimisation.</p><p>Further information can be found on NHS England’s website and accessed via the following link:</p><p><a href="https://www.england.nhs.uk/primary-care/pharmacy/pharmacy-integration-fund/" target="_blank">https://www.england.nhs.uk/primary-care/pharmacy/pharmacy-integration-fund/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 14:13:14 answering member 4455 label Biography information for Seema Kennedy
	tabling member	392 label Biography information for Sir Kevin Barron

1132424

	registered interest
	date	17/06/2019
	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	Skin Cancer
	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 reduce the number of cases of melanoma.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	265456
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>On 16 June 2014, a local pilot campaign launched in Devon, Cornwall and Somerset to raise awareness of the signs of skin cancer. It encouraged people to tell their doctor if they noticed any unusual or persistent changes to their skin. It ran until 27 July 2014 and included adverts in the press and on local radio, as well as some direct mail to the target group.</p><p> </p><p>Skin Cancer awareness month is an annual awareness campaign that takes place every May. The campaign aims to raise awareness of the dangers of unprotected sun exposure and educate the public about the ways to help prevent skin cancer.</p><p>The Sunbeds (Regulation) Act 2010 came into force in April 2011 in England and Wales to prohibit under-18s from using sunbeds.</p><p> </p><p>Public Health England (PHE) contributed to the revision of the World Health Organization publication “Artificial tanning devices - Public health interventions to manage sunbeds”, which was published in 2017. PHE advises that sunbeds emit ultraviolet radiation, which can cause tanning and sunburn.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 14:14:40 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1132580

	registered interest
	date	17/06/2019
	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	Arthritis: Mental 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, with reference to NICE Guideline CG91, what steps he is taking to ensure that people with rheumatoid arthritis have access to (a) cognitive behavioural therapy and (b) other appropriate psychological interventions.
	tabling member constituency	Lincoln
	tabling member printed	Karen Lee
	uin	265613
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) Guidance ‘Rheumatoid Arthritis in Adults: management’, published in July 2018, sets out best practice on the diagnosis, treatment, care support of people living with the condition. The guidance recommends patients with rheumatoid arthritis (RA) are managed by a multidisciplinary team and have access to non-pharmacological management including physiotherapy, occupational therapy and psychological support. Psychological interventions (for example, relaxation, stress management and cognitive coping skills) can be used to help adults with RA adjust to living with their condition. NICE has also published guidance on ‘Depression in adults with a chronic physical health problem: recognition and management’, which provides advice and guidance for the appropriate use of cognitive behavioural therapy in the management of a long-term condition. Both sets of guidance can be found via the following links:</p><p><a href="http://www.nice.org.uk/guidance/ng100" target="_blank">www.nice.org.uk/guidance/ng100</a></p><p><a href="http://www.nice.org.uk/guidance/cg91" target="_blank">www.nice.org.uk/guidance/cg91</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:01:38 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4664 label Biography information for Karen Lee

1132552

	registered interest
	date	17/06/2019
	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	Dental Services: Bradford
	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 14 June to Question 261175 on Dental Services: Bradford, how many out of hours NHS dentists were available in (a) Shipley constituency and (b) Bradford district each day in April 2019.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	265474
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The data is not held in the format requested.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:06:01 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1565 label Biography information for Sir Philip Davies

1132421

	registered interest
	date	17/06/2019
	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	Body Modification: Training
	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 businesses offering tattooing or piercings possess the appropriate training and qualifications.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	265460
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>Local authorities are responsible for regulating and monitoring businesses offering cosmetic body piercing, including ear piercing, permanent tattooing, semi-permanent skin colouring (micropigmentation, semi-permanent make-up and temporary tattooing), electrolysis and acupuncture. Although there is no formal qualification needed for someone to practise in any of these vocations, all LAs require those providing tattooing or piercing to be licensed. Whilst the licensing process will not be dependent upon qualifications held by the operator, they would be required to be competent in methods of cleansing and sterilising of equipment.</p><p>We consider this is an area where progress can be most quickly and effectively made by practitioners, their organisations, industry bodies, training bodies and enforcement authorities working together to agree on suitable standards of good practice and competency.</p><p>Under the Health and Safety at Work Act 1974 and the Management of Health and Safety at Work Regulations 1999, piercing and tattoo businesses have a legal duty to protect the health of employees and persons other than their employees, who may be affected by the practices. This information is available at the following link:</p><p><a href="http://www.hse.gov.uk/legislation/hswa.htm" target="_blank">http://www.hse.gov.uk/legislation/hswa.htm</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:09:45 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1132490

	registered interest
	date	17/06/2019
	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	Chronic Fatigue Syndrome: 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 is taking to ensure the adequacy of provision of local (a) services and (b) for people with Chronic Fatigue Syndrome.
	tabling member constituency	Huddersfield
	tabling member printed	Mr Barry Sheerman
	uin	265433
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>As with the vast majority of National Health Service care, the design and delivery of services for people with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is the responsibility of local clinical commissioning groups.</p><p> </p><p>The National Institute for Health and Care Excellence guideline ‘Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children’, published in 2007, sets out best practice for clinicians and commissioners in the diagnosis, treatment and support of patients with CFS/ME. The guidance can be found at the following link:</p><p><a href="http://www.nice.org.uk/guidance/cg53" target="_blank">www.nice.org.uk/guidance/cg53</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:11:40 answering member 4455 label Biography information for Seema Kennedy
	tabling member	411 label Biography information for Mr Barry Sheerman

1132458

	registered interest
	date	17/06/2019
	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	Smoking: Health Education
	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 findings by Public Health England that e-cigarettes are around 95 per cent less harmful to health than traditional cigarettes are reaching the target audience; and if he will make a statement.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	265444
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>The Government is committed to helping people to quit smoking by permitting innovative technologies that minimise the risk of harm, and through maximising the availability of safer alternatives to smoking. Public Health England continues to provide smokers and the public with clear, evidence based and accurate information on the relative harm of nicotine, e-cigarettes, other nicotine delivery systems and smoked tobacco, to enable informed decision-making. There were over 2.5 million e-cigarettes users in England in 2017, an increase from 1.6 million in 2014. Over half of those using e-cigarettes have quit smoking for good. Adult smoking prevalence in England is at its lowest level on record at 14.9%.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 25/06/2019 16:13:22 answering member 4455 label Biography information for Seema Kennedy
	tabling member	474 label Biography information for Mr Nigel Evans