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1134110

	registered interest
	date	24/06/2019
	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	Influenza: Vaccination
	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 he has made of the (a) number of doses of flu vaccine required in winter 2019-20 and (b) proportion of those doses which will need to be sourced from outside the UK; and what plans he has in place to ensure the adequate supply of flu vaccine in the event that the UK leaves the EU without a deal on 31 October 2019.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	268344
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Flu vaccines for people aged 18 years and older are procured directly from manufacturers and suppliers by providers, based on their local assessment of need. The procurement and distribution of flu vaccines for the children’s aspect of the national flu programme is managed by Public Health England (PHE). Doses of flu vaccine for 2019/20 is estimated using end of season for 2018/19 that are published on GOV.UK at the following links:</p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019</a></p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019</a></p><p>Seasonal flu vaccines for 2019/20 are currently being manufactured and due for delivery to the market in the autumn. Vaccine production is a complex and multi-stage process, which will involve a touch-point outside of the United Kingdom.</p><p>Officials continuously monitor the flu vaccine supply landscape to enable timely and appropriate action to be taken in the event of supply issues.</p><p>The Department, PHE and NHS England are in regular discussion with the manufacturers to ensure they have appropriate contingency plans in place to prepare for a potential ‘no deal’ scenario.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:20:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1134244

	registered interest
	date	24/06/2019
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of the UK population suffer from rheumatoid arthritis.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	268363
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) estimates that there as many as 422,000 people affected in the whole of the United Kingdom.</p><p> </p><p>Whilst the exact cause of the condition is not known, the following risk factors can play a role in the development of the disease:</p><p>- age, as the condition is most commonly diagnosed between the ages of 40 and 60;</p><p>- sex, as the overall occurrence of condition is two to four times greater in women than men;</p><p>- smoking;</p><p>- obesity; and</p><p>- there is also some evidence to suggest genes are a factor.</p><p> </p><p>Information on the symptoms of rheumatoid arthritis, risk factors and the treatment of the condition can be found on the National Health Service website at the following link:</p><p> </p><p><a href="http://www.nhs.uk/conditions/rheumatoid-arthritis/causes/" target="_blank">www.nhs.uk/conditions/rheumatoid-arthritis/causes/</a></p><p> </p><p>The NICE guideline also provides information for clinicians on the diagnosis, treatment, care and support of patients with the condition. The guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ng100" target="_blank">www.nice.org.uk/guidance/ng100</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 268365 question first answered 02/07/2019 16:36:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	350 label Biography information for Sir John Hayes

1134250

	registered interest
	date	24/06/2019
	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	Rheumatoid Arthritis: 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, what steps his Department is taking to ensure that people, particularly those within the highest risk groups, are aware of the signs and symptoms of rheumatoid arthritis.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	268365
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) estimates that there as many as 422,000 people affected in the whole of the United Kingdom.</p><p> </p><p>Whilst the exact cause of the condition is not known, the following risk factors can play a role in the development of the disease:</p><p>- age, as the condition is most commonly diagnosed between the ages of 40 and 60;</p><p>- sex, as the overall occurrence of condition is two to four times greater in women than men;</p><p>- smoking;</p><p>- obesity; and</p><p>- there is also some evidence to suggest genes are a factor.</p><p> </p><p>Information on the symptoms of rheumatoid arthritis, risk factors and the treatment of the condition can be found on the National Health Service website at the following link:</p><p> </p><p><a href="http://www.nhs.uk/conditions/rheumatoid-arthritis/causes/" target="_blank">www.nhs.uk/conditions/rheumatoid-arthritis/causes/</a></p><p> </p><p>The NICE guideline also provides information for clinicians on the diagnosis, treatment, care and support of patients with the condition. The guideline can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/ng100" target="_blank">www.nice.org.uk/guidance/ng100</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 268363 question first answered 02/07/2019 16:36:41 answering member 4455 label Biography information for Seema Kennedy
	tabling member	350 label Biography information for Sir John Hayes

1134084

	registered interest
	date	24/06/2019
	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	Mechanical Thrombectomy
	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 he has to improve response times to recommendations for endovascular thrombectomy treatment for severe strokes which can be administered only within 24 hours.
	tabling member constituency	Cynon Valley
	tabling member printed	Ann Clwyd
	uin	268413
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In March 2018, NHS England published their policy document ‘Clinical Commissioning Policy Proposition: Mechanical thrombectomy for acute ischaemic stroke’ which outlines key recommendations for diagnosis, referral, and patient pathways for intervention, and treatment.</p><p>The document can be accessed at the following link:</p><p><a href="https://www.engage.england.nhs.uk/consultation/clinical-commissioning-consultation-may-2017/user_uploads/mechanical-thrombectomy-policy-proposition.pdf" target="_blank">https://www.engage.england.nhs.uk/consultation/clinical-commissioning-consultation-may-2017/user_uploads/mechanical-thrombectomy-policy-proposition.pdf</a></p><p>Stroke treatment outcomes are monitored by the Sentinel Stroke National Audit Programme against outcome measures for services which include:</p><p>- Time from onset to thrombectomy;</p><p>- Time from onset to arrival at thrombectomy centre;</p><p>- Time from arrival to arterial puncture; and</p><p>- Time from arterial puncture to thrombectomy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:34:57 answering member 4455 label Biography information for Seema Kennedy
	tabling member	553 label Biography information for Ann Clwyd

1134085

	registered interest
	date	24/06/2019
	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	Mechanical Thrombectomy
	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 he has in place to increase the number of specialists trained in endovascular thrombectomy treatment.
	tabling member constituency	Cynon Valley
	tabling member printed	Ann Clwyd
	uin	268414
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In England, Health Education England (HEE) is supporting NHS England’s National Stroke Programme to support the education and training of the healthcare workforce in England to deliver stroke care, and this includes increasing the number of medical professionals able to carry out mechanical thrombectomy procedures. The interim NHS People Plan committed to the development of a credential for mechanical thrombectomy, to support the delivery of the NHS Long Term Plan. HEE will work with the Royal College of Radiologists who are developing a medical credential, and work is expected to be completed later in 2019. The Royal College of Radiologists’ remit is throughout the United Kingdom.</p><p>Staff numbers, education and training in Wales, Northern Ireland and Scotland is a matter for each of the devolved administrations in that country.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 02/07/2019 16:31:22 answering member 4455 label Biography information for Seema Kennedy
	tabling member	553 label Biography information for Ann Clwyd

1134086

	registered interest
	date	24/06/2019
	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	Mechanical Thrombectomy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason endovascular thrombectomy treatment is provided 24/7 only at Stoke-on-Trent hospital and St George's hospital in London; and what steps he plans to take to widen the provision of that service.
	tabling member constituency	Cynon Valley
	tabling member printed	Ann Clwyd
	uin	268415
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS England is responsible for commissioning endovascular thrombectomy treatment in designated specialised neuroscience centres.</p><p>Endovascular thrombectomy treatment requires specialist skills to maintain standards of safety and effectiveness. As the number of trained specialist doctors and staff who deliver the service is very small, not all health trusts provide these services.</p><p>Services are being developed nationally in 24 neuroscience centres, with 22 centres currently providing a thrombectomy service. These centres are extending their service hours in a phased and safe way while they recruit and train the required specialists.</p><p>Currently there are two centres providing a full 24/7 service, a further six centres will provide 24/7 services by the end of 2019/20. Other centres are developing their services and teams to extend their services over the coming years.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 268416 question first answered 02/07/2019 16:33:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	553 label Biography information for Ann Clwyd

1134087

	registered interest
	date	24/06/2019
	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	Mechanical Thrombectomy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason not all health trusts provide endovascular thrombectomy treatment.
	tabling member constituency	Cynon Valley
	tabling member printed	Ann Clwyd
	uin	268416
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>NHS England is responsible for commissioning endovascular thrombectomy treatment in designated specialised neuroscience centres.</p><p>Endovascular thrombectomy treatment requires specialist skills to maintain standards of safety and effectiveness. As the number of trained specialist doctors and staff who deliver the service is very small, not all health trusts provide these services.</p><p>Services are being developed nationally in 24 neuroscience centres, with 22 centres currently providing a thrombectomy service. These centres are extending their service hours in a phased and safe way while they recruit and train the required specialists.</p><p>Currently there are two centres providing a full 24/7 service, a further six centres will provide 24/7 services by the end of 2019/20. Other centres are developing their services and teams to extend their services over the coming years.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 268415 question first answered 02/07/2019 16:33:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	553 label Biography information for Ann Clwyd

1134028

	registered interest
	date	24/06/2019
	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	Testicular Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how rates of testicular cancer diagnosis in the UK compare with ratse in other G20 countries over the last five years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	268427
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Age-adjusted rates within the G20 for testicular cancer vary from 0.6 to 10.1 per 100,000 over the last five years. The United Kingdom value is 7.1 per 100,000. There are differences in data recording across the world which will at least partly account for the range of values seen.</p><p>The estimated incidence of testicular cancer in the G20 group in 2018 is published by the International Agency for Research on Cancer Global Cancer Observatory project. This can be viewed at the following link:</p><p><a href="http://gco.iarc.fr/" target="_blank">http://gco.iarc.fr/</a></p><p>Data for the European Union, based on the EU 28 countries, is available at the European Cancer Information System at the following link:</p><p><a href="https://ecis.jrc.ec.europa.eu/" target="_blank">https://ecis.jrc.ec.europa.eu/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:19:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1134030

	registered interest
	date	24/06/2019
	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	Diabetes: Preventive Medicine
	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 NHS Diabetes Prevention Programme.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	268428
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>A first progress report covering early implementation of the programme, including numbers of referrals and uptake in its first year, was published as a short report in Diabetic Medicine and is available at the following link:</p><p><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562" target="_blank">https://onlinelibrary.wiley.com/doi/full/10.1111/dme.13562</a></p><p>The analyses show that referral numbers and percentage uptake are in excess of prior modelled values. Characteristics of attendees also suggest that the programme is reaching those who are both at greater risk of developing type 2 diabetes and who typically access healthcare less effectively.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:22:24 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1134097

	registered interest
	date	24/06/2019
	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: Children
	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 he has made of the number of children under the age of 16 that smoke who smoke in each year since 2003.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	268429
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The smoking prevalence among regular smokers aged 11-15 years has been falling since 2002. The most recent estimate was 3% in 2016, down from 9% in 2003 as presented in the following table:</p><table><tbody><tr><td><p>Year</p></td><td><p>Smoking prevalence (%)</p></td></tr><tr><td><p>2003</p></td><td><p>9</p></td></tr><tr><td><p>2004</p></td><td><p>9</p></td></tr><tr><td><p>2005</p></td><td><p>9</p></td></tr><tr><td><p>2006</p></td><td><p>9</p></td></tr><tr><td><p>2007</p></td><td><p>6</p></td></tr><tr><td><p>2008</p></td><td><p>6</p></td></tr><tr><td><p>2009</p></td><td><p>6</p></td></tr><tr><td><p>2010</p></td><td><p>5</p></td></tr><tr><td><p>2011</p></td><td><p>5</p></td></tr><tr><td><p>2012</p></td><td><p>4</p></td></tr><tr><td><p>2013</p></td><td><p>3</p></td></tr><tr><td><p>2014</p></td><td><p>3</p></td></tr><tr><td><p>2015</p></td><td><p>-*</p></td></tr><tr><td><p>2016</p></td><td><p>3</p></td></tr></tbody></table><p>Note: *No data available as the survey changed from annual to every two years.</p><p>Source: NHS Digital – Smoking, drinking and drug use in young people survey.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:24:00 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell