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1089497

registered interest
date	15/03/2019
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Vienna Convention on the Law of Treaties
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, if he will publish the legal position on Article 62 of the Vienna Convention on the Law of Treaties.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	233032
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>In the event of an unforeseen and fundamental change in circumstances, international law accepts that a state can withdraw from or terminate a treaty. This principle of customary law is reflected in Article 62 of the Vienna Convention on the Law of Treaties and Article 62 of the Vienna Convention on the Law of Treaties between States and International Organizations or between International Organizations.</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan question first answered 19/03/2019 16:28:08 answering member 343 label Biography information for Sir Alan Duncan
tabling member	4668 label Biography information for Rachel Maclean

1082223

registered interest
date	05/03/2019
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	Hormone Replacement Therapy
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 amount of HRT that was (a) prescribed and (b) dispensed in England and Wales in 2017-18.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	228786
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>NHS Digital does not hold the data in the format requested. Data is not collected centrally on prescriptions written but not dispensed. Therefore no such estimate has been made. NHS Digital holds data on prescription items of female sex hormones and their modulators written in the United Kingdom and dispensed in the community in England for the period requested, via an FP10 prescription form, which is available in the following table.</p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>British National Formulary (BNF) Code</p></td><td><p>BNF sub-paragraph name</p></td><td><p>Number of Items</p></td></tr><tr><td><p>2017/18</p></td><td><p>BNF 6.4.1.1</p></td><td><p>Oestrogens and Hormone Replacement Therapy (HRT)</p></td><td><p>2,591,408</p></td></tr><tr><td><p>2017/18</p></td><td><p>BNF 6.4.1.2</p></td><td><p>Progestogens and Progesterone Receptor Modulators</p></td><td><p>683,594</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis, NHS Digital</p><p> </p><p>Notes:</p><ol><li>Data is provided for female sex hormones and their modulators, listed in the BNF paragraph 6.4.1, split by BNF subparagraphs 6.4.1.1 Oestrogens and Hormone Replacement Therapy and 6.4.1.2 Progestogens and Progesterone Receptor Modulators.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data: on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes.</li><li>NHS Digital has no access to data for medicines dispensed in Wales.</li></ol> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 12:32:31 answering member 4067 label Biography information for Steve Brine
tabling member	4668 label Biography information for Rachel Maclean

1082279

registered interest
date	05/03/2019
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	Surgery: Alexandra Hospital Redditch
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he expects a decision will be made on the commissioning of a prostate surgery robotic unit at the Alexandra Hospital in Redditch.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	228787
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>There are some significant changes in the new service specification for Specialised Kidney, Bladder and Prostate cancer services for adults which was published on 25 February 2019. The publication can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/02/Specialised-kidney-bladder-and-prostate-cancer-services-adults.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/02/Specialised-kidney-bladder-and-prostate-cancer-services-adults.pdf</a></p><p> </p><p>These changes are based on the latest clinical evidence to ensure NHS England deliver the best outcomes to our patients. NHS England is required to review the provision of specialised kidney, bladder and prostate cancer services for adults across the West Midlands to ensure compliance. This review will include the provision of robotic prostatectomy as it is part of the kidney, bladder and prostate cancer service.</p><p> </p><p>This will mean that, in conjunction with the West Midland Cancer Alliance, specialised commissioners will undertake a programme of work to develop a new commissioning framework for these services over the next 12 months that ensures compliance with the new service specification. Following this, NHS England will be able to work with trusts and local populations to implement the new model across the West Midlands.</p><p> </p><p>No decision about robotic services in Worcester will be made until this review is complete to ensure that robotic surgery is commissioned appropriately.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 12:28:02 answering member 4067 label Biography information for Steve Brine
tabling member	4668 label Biography information for Rachel Maclean

1037230

registered interest
date	07/01/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Post-mortems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, whether the Chief Coroner has plans to issue new guidance on second post-mortems.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	206042
answer	answer is ministerial correction date of answer 14/01/2019 answer text <p>I understand that the Chief Coroner intends to issue guidance on second post-mortems later this year.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 14/01/2019 13:26:29 answering member 4362 label Biography information for Edward Argar
tabling member	4668 label Biography information for Rachel Maclean

1029163

registered interest
date	20/12/2018
answering body	Department for International Trade
answering dept id	202
answering dept short name	International Trade
answering dept sort name	International Trade
hansard heading	Aerospace Industry: Trade Promotion
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to promote aerospace exports.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	908328
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The UK’s Aerospace businesses are among the most innovative in the world, they turned over more than £35 billion last year and exported 85% of everything produced.</p><p> </p><p>Our teams across the UK and in 108 countries around the world use every opportunity to take the industry to even greater heights.</p> answering member constituency Beverley and Holderness answering member printed Graham Stuart question first answered 20/12/2018 13:37:10 answering member 1482 label Biography information for Graham Stuart
tabling member	4668 label Biography information for Rachel Maclean

934888

registered interest
date	05/07/2018
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Electric Vehicles: Charging Points
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to improve the charging infrastructure for electric vehicles.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	906286
answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>My hon. Friend is right to focus on charging points. We have a large charging point network, and we are rapidly expanding it. As she knows, we have just announced a local charging infrastructure fund of £400 million. A lot of work is being done with local authorities, and I encourage my hon. Friend to work with us to develop further charging points in her area.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman question first answered 05/07/2018 14:11:25 answering member 3991 label Biography information for Jesse Norman
tabling member	4668 label Biography information for Rachel Maclean

928681

registered interest
date	21/06/2018
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Ministry of Justice: Procurement
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what steps (a) his Department and (b) Her Majesty's Courts and Tribunals Service are taking to ensure externally provided services are (i) competitively tendered and (ii) secure value for money.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	156491
answer	answer is ministerial correction date of answer 26/06/2018 answer text <p>The MoJ is subject to the Public Contract Regulations 2015. The Regulations set out clear parameters on when goods and services need to be procured through competitive tenders. The MoJ fully comply with the Regulations.</p><p> </p><p>The MoJ is subject to the Managing Public Money guidance. The guidance set out clear principles for investment decisions, including maximisation of value for money. The MoJ Accounting Officer fully complies with the guidance principles and reports any exception as stated by the guidance. For competitive tenders, when practical, the MoJ awards contracts to the most economically advantageous or lowest priced tender to secure value for money.</p> answering member constituency Penrith and The Border answering member printed Rory Stewart question first answered 26/06/2018 09:25:16 answering member 4137 label Biography information for Rory Stewart
tabling member	4668 label Biography information for Rachel Maclean

923381

registered interest
date	13/06/2018
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	Menopause
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 improve the training GPs receive on the treatment of menopausal symptoms and the prescription of hormone replacement therapy.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	153438
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>General practitioners are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence (NICE), to ensure that they can continue to provide high quality care to all patients. NICE published a guideline on the diagnosis and management of menopause in November 2015 that includes recommendations on the prescribing of hormone replacement therapy.</p><p> </p><p>All United Kingdom-registered doctors are expected to meet the professional standards set out in the General Medical Council’s (GMC) ‘Good Medical Practice’. In 2012 the GMC introduced revalidation which supports doctors in regularly reflecting on how they can develop or improve their practice, gives patients confidence doctors are up to date with their practice and promotes improved quality of care by driving improvements in clinical governance.</p><p> </p><p>The training curricula for postgraduate trainee doctors is set by the relevant medical Royal College and has to meet the standards set by the GMC. While curricula do not necessarily highlight specific conditions for doctors to be aware of, they instead emphasise the skills and approaches that a doctor must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/06/2018 16:11:42 answering member 4067 label Biography information for Steve Brine
tabling member	4668 label Biography information for Rachel Maclean

909120

registered interest
date	21/05/2018
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Debt Collection: Enforcement
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, when HM Courts and Tribunals Service plans to announce the results of the tender process on the provision of enforcement services for debt collecting companies.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	146346
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>The preferred option and business case is progressing through the final governance stages. Inevitably a contract of this complexity requires a robust procurement and approvals process, as it is important to make sure that the best possible solution is chosen for HM Courts and Tribunals Service.</p> answering member constituency South East Cambridgeshire answering member printed Lucy Frazer question first answered 24/05/2018 16:02:31 answering member 4517 label Biography information for Lucy Frazer
tabling member	4668 label Biography information for Rachel Maclean

872556

registered interest
date	27/03/2018
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Post-mortems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, if he will review the value and purpose of secondary post-mortems.
tabling member constituency	Redditch
tabling member printed	Rachel Maclean
uin	134370
answer	answer is ministerial correction date of answer 04/04/2018 answer text <p>The Ministry of Justice is not proposing to review second post-mortem examinations.</p><p> </p><p>Coroners are independent judicial office holders and the way they carry out their judicial functions is a matter for them.</p> answering member constituency South East Cambridgeshire answering member printed Lucy Frazer question first answered 04/04/2018 15:20:54 answering member 4517 label Biography information for Lucy Frazer
tabling member	4668 label Biography information for Rachel Maclean