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1134823

registered interest
date	26/06/2019
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	NHS: Staff
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 final NHS people plan will be published.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269718
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The interim People Plan was published on 3 June 2019. It sets out the actions the National Health Service will take now and over the long term to meet the challenges of supply, reform, culture and leadership.</p><p>A final People Plan will be published soon after the conclusion of the 2019 as intended Spending Review.</p><p>This final Plan will then be kept under regular review and updated on an annual basis, as part of the NHS taking a more open and collaborative approach to people issues.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 05/07/2019 09:32:54 answering member 1585 label Biography information for Stephen Hammond
tabling member	4056 label Biography information for Nic Dakin

1134863

registered interest
date	26/06/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Tax Avoidance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, how many people with closed tax years are affected by the 2019 Loan Charge.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269719
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The information you have requested is not available. HMRC are working through the settlement process with those Disguised Remuneration users who came forward to settle their tax affairs before 5 April 2019.</p><p> </p><p>Scheme users who chose not to repay the outstanding loan, or agree a settlement with HMRC, by 5 April 2019, are now liable for the loan charge and should report it as part of their 2018-19 tax liability.</p><p> </p><p>To date, no promoters of disguised remuneration (DR) schemes have been convicted of criminal offences related to DR schemes as such. There are no criminal offences specific to the promotion of mass marketed tax avoidance schemes but HMRC may conduct a criminal investigation into an individual’s actions when, for example, reliance is placed on a false or altered document, or if the material facts are misrepresented. In May, six individuals were arrested on suspicion of promoting fraudulent loan charge arrangements.</p><p> </p><p>Since the formation of HMRC’s Fraud Investigation Service on 1 April 2016, more than 20 individuals have been convicted for offences relating to arrangements which have been promoted and marketed as tax avoidance schemes, resulting in over 100 years in custodial sentences. A significant number of avoidance scheme promoters are currently under criminal investigation by HMRC.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman grouped question UIN 269723 question first answered 05/07/2019 09:18:01 answering member 3991 label Biography information for Jesse Norman
tabling member	4056 label Biography information for Nic Dakin

1134875

registered interest
date	26/06/2019
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	Genomics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, who will hold responsibility for adding new tests to the National Genomic Test Directory.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269720
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269721 269722 question first answered 05/07/2019 09:26:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134876

registered interest
date	26/06/2019
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	Cancer: 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 the cost is of a single whole genome sequencing test for (a) blood cancers and (b) other cancer types.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269721
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269720 269722 question first answered 05/07/2019 09:26:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134877

registered interest
date	26/06/2019
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	Genomics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what role will genomic multi-disciplinary teams play in whole genome sequencing.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269722
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The National Genomic Test Directory outlines which genomic tests are commissioned by the National Health Service in England, the technology by which they are available, and the patients who will be eligible to access to a test. The Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as whole genome sequencing. As the price of whole genome sequencing falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients. More information on the Directory is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/national-genomic-test-directories/" target="_blank">https://www.england.nhs.uk/publication/national-genomic-test-directories/</a></p><p> </p><p>There is considerable variation in the reported costs of genomic analysis. For Genomics England, during the 100,000 Genomes project, these were in order of £2,500 per cancer patient. This included sequencing both the patient’s normal genome and their tumour, as well as the running costs of undertaking both the sequencing and bioinformatics for analysis and interpretation.</p><p>Health Education England established the Genomics Education Programme to support NHS staff to build the knowledge, skills and experience to deliver a whole genome sequencing service. This programme is being embedded into organisations to enable long-term sustainability of the multi-disciplinary clinical workforce.</p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 269720 269721 question first answered 05/07/2019 09:26:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1134878

registered interest
date	26/06/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Tax Avoidance: Convictions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, how many criminal convictions there have been of promoters of loan schemes subject to the 2019 Loan Charge.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	269723
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>The information you have requested is not available. HMRC are working through the settlement process with those Disguised Remuneration users who came forward to settle their tax affairs before 5 April 2019.</p><p> </p><p>Scheme users who chose not to repay the outstanding loan, or agree a settlement with HMRC, by 5 April 2019, are now liable for the loan charge and should report it as part of their 2018-19 tax liability.</p><p> </p><p>To date, no promoters of disguised remuneration (DR) schemes have been convicted of criminal offences related to DR schemes as such. There are no criminal offences specific to the promotion of mass marketed tax avoidance schemes but HMRC may conduct a criminal investigation into an individual’s actions when, for example, reliance is placed on a false or altered document, or if the material facts are misrepresented. In May, six individuals were arrested on suspicion of promoting fraudulent loan charge arrangements.</p><p> </p><p>Since the formation of HMRC’s Fraud Investigation Service on 1 April 2016, more than 20 individuals have been convicted for offences relating to arrangements which have been promoted and marketed as tax avoidance schemes, resulting in over 100 years in custodial sentences. A significant number of avoidance scheme promoters are currently under criminal investigation by HMRC.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman grouped question UIN 269719 question first answered 05/07/2019 09:18:01 answering member 3991 label Biography information for Jesse Norman
tabling member	4056 label Biography information for Nic Dakin