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1014998

registered interest
date	26/11/2018
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	Surgery: Robotics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what safeguards are in place to ensure that robotic surgery for operations is adequately monitored.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195585
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Safeguards apply to all forms of surgery: it is the responsibility of the professionals involved to ensure that they operate to the right level of competence and of the organisations they work for to ensure that they have in place effective forms of supervision, learning and support.</p><p> </p><p>All robotic surgical systems are classed as medical devices and fall under the regulation of the Medical Device Directive.</p><p> </p><p>In addition, although the Care Quality Commission does not ordinarily enquire about different types of surgical technique during its inspections, it does look at arrangements, systems and processes and governance that a provider has in place to ensure care and treatment is safe, effective, responsive, caring and well-led.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/12/2018 17:34:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1014999

registered interest
date	26/11/2018
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	Bladder 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 many people have had bladder cancer in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195586
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The following table outlines the number of new diagnoses of bladder cancer in each of the last five years for which data are available.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Males</p></td><td><p>Females</p></td><td><p>Total</p></td></tr><tr><td><p>2012</p></td><td><p>6,554</p></td><td><p>2,491</p></td><td><p>9,045</p></td></tr><tr><td><p>2013</p></td><td><p>6,473</p></td><td><p>2,457</p></td><td><p>8,930</p></td></tr><tr><td><p>2014</p></td><td><p>6,346</p></td><td><p>2,302</p></td><td><p>8,648</p></td></tr><tr><td><p>2015</p></td><td><p>6,231</p></td><td><p>2,361</p></td><td><p>8,592</p></td></tr><tr><td><p>2016</p></td><td><p>6,111</p></td><td><p>2,326</p></td><td><p>8,437</p></td></tr></tbody></table><p>Source: Cancer registration statistics, England; 2016: Final</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/datasets/cancerregistrationstatisticscancerregistrationstatisticsengland" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/conditionsanddiseases/datasets/cancerregistrationstatisticscancerregistrationstatisticsengland</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/12/2018 11:23:24 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1015000

registered interest
date	26/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Perinatal Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Minister for the Cabinet Office, how many still-births there have been in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195587
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p><strong><em> </em></strong></p><p>The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.</p> answering member constituency Norwich North answering member printed Chloe Smith question first answered 03/12/2018 16:16:47 answering member 1609 label Biography information for Chloe Smith attachment 1 file name PQ 195587.pdf title UKSA response
tabling member	4131 label Biography information for Jim Shannon

1015001

registered interest
date	26/11/2018
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	Depressive Illnesses
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 people (a) under 30, (b) between 30 and 60 and (c) over 60 and who are (i) male and (ii) female and have had depression and anxiety in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195588
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>This information is not available in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/12/2018 14:20:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1015002

registered interest
date	26/11/2018
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	Drugs: Counterfeit Manufacturing
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 tackle the provision and sale of fake medicines.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195589
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>In the United Kingdom, strict regulatory controls govern the sale, supply, manufacture, distribution and advertising of medicinal products.</p><p> </p><p>Although no fatalities in the UK have been attributed to a falsified medicine sourced from the UK regulated supply chain, the potential threat to patient health is recognised and taken seriously across Government.</p><p> </p><p>No incidents of a falsified medicine reaching a patient through the regulated supply chain have been recorded since 2009. However, if such an incidence occurs, the Medicines and Healthcare products Regulatory Agency (MHRA) has strategies in place to ensure immediate and proportionate action is taken, including a thorough investigation and withdrawal of the medicines from circulation.</p><p> </p><p>The majority of illegal activity involving medicines takes place online and MHRA efforts to tackle this are focussed both on the supply and demand. The MHRA has arrangements in place with Border Force to seize illegally imported medicines on entry into the UK and works with the Internet service industry to close websites operating outside of legal requirements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/12/2018 14:17:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1015003

registered interest
date	26/11/2018
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	Sepsis
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 incidence of sepsis in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195590
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>NHS England and NHS Improvement jointly chair the national cross system sepsis board. The board membership includes representatives from a number of statutory organisations, Royal Colleges, expert clinicians and the UK Sepsis Trust. In September 2017, the board published the second sepsis action plan setting out a range of actions to improve the incidence, recognition and treatment of sepsis.</p><p> </p><p>The plan focuses on reducing the incidence of sepsis highlighting the importance of infection prevention, especially for groups at higher risk of developing sepsis, and the availability of immunisation programmes. In addition, there are actions to raise awareness of sepsis, both through the commissioning of services and through education materials developed by Health Education England and the Royal College of General Practitioners.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/12/2018 17:33:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1015004

registered interest
date	26/11/2018
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	Epidermolysis Bullosa
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 people with Epidermolysis Bullosa in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195591
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Epidermolysis Bullosa (EB) is a rare condition with an estimated 1/17,000 children born with the condition in the United Kingdom. We estimate that there are currently 5,000 people living with the condition.</p><p> </p><p>Due to the way data is collected, the exact number of EB diagnoses is difficult to ascertain. Finished admission episodes (FAE) data for England show that in the financial year of 2013-14, 313 patients received a primary diagnosis of EB. In the following years 244 (2014-15), 360 (2015-16), 346 (2016-167) and 349 (2017-18) patients, respectively, received a primary diagnosis of EB. A FAE is the first period of admitted patient care under one consultant within one healthcare provider. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/12/2018 11:25:05 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1015005

registered interest
date	26/11/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Gangs: Crime
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what steps he is taking to tackle Albanian crime gangs in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	195592
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>There are at least 4,600 Organised Crime Groups operating in the UK. A small proportion are foreign national groups, such as those with connections to Albania and the Western Balkans. In its National Strategic Assessment, published in May 2018, the NCA assessed that Organised Crime Groups with links to the Western Balkans dominate the wholesale cocaine market in the UK.</p><p>The Government’s response to the threat posed by these groups is set out in the Serious and Organised Crime Strategy launched in November 2018.</p> answering member constituency Wyre and Preston North answering member printed Mr Ben Wallace question first answered 05/12/2018 16:52:26 answering member 1539 label Biography information for Mr Ben Wallace
tabling member	4131 label Biography information for Jim Shannon

1012274

registered interest
date	22/11/2018
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Reoffenders: Sentencing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what assessment he has made of the effectiveness of sentences involving parole in addressing reoffending.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	194631
answer	answer is ministerial correction date of answer 30/11/2018 answer text <p>In most cases a standard determinate sentence will be imposed by the court and such offenders will serve the first half of their sentence in prison and the second half in the community on licence. Under the Offender Rehabilitation Act 2014 we extended supervision on licence to approximately 40,000 offenders each year who are released from short custodial sentences who did not previously receive statutory support from probation after release. Providing supervision and support to this group of offenders – which includes some of the most prolific individuals, who are often leading chaotic lives – is the right thing to do if we are to reduce reoffending.</p><p> </p><p>In cases where an offender has been convicted of a sexual or violence offence, the court may impose an indeterminate sentence or, where an offender is considered “dangerous”, an extended determinate sentence. Indeterminate sentenced prisoners are released on licence at the discretion of the Parole Board, whilst some extended sentenced prisoners may also be released at the Board’s discretion. The Parole Board may only direct the release of an offender if satisfied they do not pose a risk to the safety of the public.</p><p> </p><p>Offenders on licence must comply with a strict set of conditions. If any offender breaches their licence conditions, they are liable to be recalled immediately to prison. However, the aim is always to support offenders to complete their licence successfully.</p> answering member constituency South East Cambridgeshire answering member printed Lucy Frazer question first answered 30/11/2018 16:05:38 answering member 4517 label Biography information for Lucy Frazer previous answer version 88312 answering member constituency South East Cambridgeshire answering member printed Lucy Frazer answering member 4517 label Biography information for Lucy Frazer
tabling member	4131 label Biography information for Jim Shannon

1012281

registered interest
date	22/11/2018
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	Vitamins
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 guidance his Department has issued to GPs on advising patients to increase their intake of vitamins.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	194632
answer	answer is ministerial correction date of answer 30/11/2018 answer text <p>Public Health England has not issued any recent guidance to general practitioners on advising patients to increase their intake of vitamins.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/11/2018 11:01:12 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon