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1218199

registered interest
date	26/06/2020
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	Opioids
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 discussions he has had with the NICE on the (a) use of and (b) benefits of opioids.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	65118
answer	answer is ministerial correction date of answer 13/07/2020 answer text <p>The National Institute for Health and Care Excellence (NICE) recommends opioids for routine use where evidence supports this, such as in its guideline on palliative care for adults: strong opioids for pain relief [CG140].</p><p>NICE is currently developing a guideline on the safe prescribing and withdrawal management of prescribed drugs associated with dependence and withdrawal [GID-NG10141], which will consider opioids, and on chronic pain: assessment and management [GID-NG10069]. It also published guidance in April 2020 [NG163] recommending that the use of an opioid and benzodiazepine combination could be considered for some patients with COVID-19 to manage their symptoms.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 13/07/2020 15:04:49 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1218200

registered interest
date	26/06/2020
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	Bowel 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 plans he has to extend bowel cancer screening to people aged 50 and over.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	65119
answer	answer is ministerial correction date of answer 17/07/2020 answer text <p>In the NHS Long Term Plan, the Government committed to modernising the NHS Bowel Cancer Screening Programme to detect and treat more cancers earlier by lowering the starting age for bowel screening from 60 to 50, following the UK National Screening Committee’s recommendation in August 2018.</p><p>NHS England and NHS Improvement and Public Health England agree that a phased approach is required to safely introduce this change, allowing capacity and resources (financial, facilities and accredited workforce) to be built into the system. In light of the COVID-19 pandemic, NHS England and NHS Improvement are currently undertaking detailed modelling to assess endoscopy capacity and demand within the Bowel Cancer Screening Programme, which will inform decisions about the timing and implementation of the age extension.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 17/07/2020 12:43:58 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1218201

registered interest
date	26/06/2020
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	Scoliosis: Surgery
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 make robotic spinal surgery for scoliosis be available through the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	65120
answer	answer is ministerial correction date of answer 22/07/2020 answer text <p>Robotic spinal surgery for scoliosis is not currently commissioned by NHS England. NHS England has advised that this will be reviewed if there is an application presented by a clinical lead, with published evidence demonstrating its effectiveness. For a procedure or treatment to become more widely available for use in the National Health Service, high equality evidence on its efficacy, safety and cost-effectiveness would be needed.</p><p><strong> </strong></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 22/07/2020 17:13:05 answering member 4527 label Biography information for Helen Whately
tabling member	4131 label Biography information for Jim Shannon

1218202

registered interest
date	26/06/2020
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	Spinal Injuries: Medical Treatments
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 introduce evoke spinal chord stimulation technology for treatment of chronic back and leg pain through the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	65121
answer	answer is ministerial correction date of answer 22/07/2020 answer text <p>The commissioning of spinal cord stimulation (SCS) is the responsibility of clinical commissioning groups. The National Institute for Health and Care Excellence Technology Appraisal ‘Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin’ reviewed in 2014, recommends SCS as a treatment option for adults with chronic pain of neuropathic of ischaemic origin. The guidance is available at the following link:</p><p><a href="http://www.nice.org.uk/guidance/ta159" target="_blank">www.nice.org.uk/guidance/ta159</a></p><p>There are a wide range of SCS devices available, and centres can choose which type of device to implant. The Evoke device is available through the NHS Supply Chain.</p><p> </p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 22/07/2020 13:06:42 answering member 4527 label Biography information for Helen Whately
tabling member	4131 label Biography information for Jim Shannon

1218203

registered interest
date	26/06/2020
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	Kidney Diseases
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 tackle chronic kidney disease.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	65122
answer	answer is ministerial correction date of answer 06/07/2020 answer text <p>The National Institute for Health and Care Excellence guidance ‘Chronic kidney (CKD) disease in adults: assessment and management’, updated in January 2015, sets out best practice for clinicians in the diagnosis and management of CKD. The guidance covers monitoring for those patients at risk; pharmacological management and referral where appropriate. The guidance can be found at the following link:</p><p><a href="http://www.nice.org.uk/guidance/cg182" target="_blank">www.nice.org.uk/guidance/cg182</a></p><p> </p><p>In addition to putting in place evidence-based guidance to support clinicians to diagnose problems of the kidney, we are also working to detect people at risk of kidney disease. The NHS Health Check programme, which launched in 2008, is a universal and systematic programme for everyone between the ages of 40-74 years (not already on a chronic disease register) that assesses people’s health and risk of developing certain health problems. The NHS Health Check can successfully engage people with the greatest health needs, actively reducing health inequalities, and individuals having a check are more likely to be diagnosed with a disease and to receive behavioural or clinical management to help them reduce that risk or manage the health condition. Further information is available at the following link:</p><p><a href="https://www.healthcheck.nhs.uk/" target="_blank">https://www.healthcheck.nhs.uk/</a></p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 06/07/2020 16:46:13 answering member 4527 label Biography information for Helen Whately
tabling member	4131 label Biography information for Jim Shannon

1217268

registered interest
date	24/06/2020
answering body	Northern Ireland Office
answering dept id	21
answering dept short name	Northern Ireland
answering dept sort name	Northern Ireland
hansard heading	Terrorism: Northern Ireland
house id	1
legislature	25259 pref label House of Commons
question text	What recent discussions he has had with the Northern Ireland Executive on support for implementing the payment scheme for victims of the Troubles.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	903639
answer	answer is ministerial correction date of answer 24/06/2020 answer text <p>I have written to - and had meetings with - the First and deputy First Minister on this issue and will continue to engage with the Executive as a matter of urgency to try and unblock progress.</p><p> </p><p>My officials have been offering support to assist the Executive Office in making progress on implementation.</p><p> </p><p>Victims have waited too long already and we will continue to prioritise supporting the Executive’s delivery of this scheme. The current framework provides a fair, balanced and proportionate basis for helping those who suffered most throughout the Troubles. It is therefore imperative that Sinn Féin enable the scheme to move forward by agreeing with all the other parties and designating a department.</p> answering member constituency Great Yarmouth answering member printed Brandon Lewis question first answered 24/06/2020 15:20:14 answering member 4009 label Biography information for Sir Brandon Lewis
tabling member	4131 label Biography information for Jim Shannon

1217416

registered interest
date	24/06/2020
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: 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 assessment he has made of the potential merits of providing free training in practice management to qualified dentists who are yet to run their own practice.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	64187
answer	answer is ministerial correction date of answer 21/07/2020 answer text <p>Health Education England is responsible for coordinating and quality assuring training places for postgraduate dental training.</p><p>Dental Foundation Training (DFT) consists of supervised practice in primary care and aims to prepare foundation dentists to be independent practitioners within general dental practice.</p><p>The DFT curriculum covers the principles of staff recruitment and employment legislation, risk assessment in the workplace, maintenance of patients’ information, records and of equipment for dental practice. This is an integral part of the DFT programme delivered through day sessions and education supervisor dedicated tutorials.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 21/07/2020 10:42:58 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1217417

registered interest
date	24/06/2020
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	Alcoholic Drinks: Age
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with Cabinet colleagues on taking steps to raise awareness of under age drinking.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	64188
answer	answer is ministerial correction date of answer 13/07/2020 answer text <p>Public Health England (PHE) is working with other Government departments to help prevent young people from developing alcohol and drug problems. This includes supporting investment in programmes which have a positive impact on young people, giving them the confidence, resilience and risk management skills to resist drug use.</p><p>PHE’s Rise Above, an online resilience building resource aimed at 11 to 16-year-olds, provides resources to help young people develop skills to make positive choices for their health, including alcohol use. The Rise Above website can be accessed at the following link:</p><p><a href="https://riseabove.org.uk/" target="_blank">https://riseabove.org.uk/</a></p><p>PHE’s FRANK website and helpline provides impartial, reliable and confidential information and advice about drugs and provides resource for young people, parents and concerned others. The FRANK website can be accessed at the following link:</p><p><a href="https://www.talktofrank.com/" target="_blank">https://www.talktofrank.com/</a></p><p>The Department for Education’s statutory guidance ‘Relationships education, relationships and sex education and health education’ will become mandatory in September 2020. Through this, education on drugs, alcohol and tobacco will become compulsory at state-funded primary and secondary schools. The statutory guidance is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education" target="_blank">https://www.gov.uk/government/publications/relationships-education-relationships-and-sex-education-rse-and-health-education</a></p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 13/07/2020 15:46:09 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1217418

registered interest
date	24/06/2020
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	Hospitals: Alcoholic Drinks
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 alcohol-related hospital admissions.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	64189
answer	answer is ministerial correction date of answer 13/07/2020 answer text <p>As part of the NHS Long Term Plan, NHS England and NHS Improvement, with support from Public Health England (PHE), is helping acute hospitals with the highest rates of alcohol harm to establish or improve specialist alcohol care teams.</p><p> </p><p>PHE is supporting work to increase opportunities for the earlier detection of alcohol-related liver disease in people drinking at or above high-risk levels. This includes working with NHS England and NHS Improvement on a new commissioning for quality and innovation (CQUIN) scheme to incentivise increased cirrhosis and fibrosis tests for alcohol dependent patients in acute and mental health services.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 13/07/2020 15:49:55 answering member 4380 label Biography information for Jo Churchill
tabling member	4131 label Biography information for Jim Shannon

1217419

registered interest
date	24/06/2020
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	Pre-eclampsia: Diagnosis
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 diagnose earlier the symptoms of pre-eclampsia in pregnant women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	64190
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>The Saving Babies’ Lives care bundle recommends the use of available algorithms to identify women at risk for pre-eclampsia. National Institute for Health and Care Excellence guidance, recommending treatment with aspirin from the first to the third trimester of pregnancy for women at risk of pre-eclampsia and associated preterm birth is in place.</p><p>In 2019, the Accelerated Access Collaborative (which brings together industry, Government, regulators, patients and the National Health Service to accelerate the introduction of ground-breaking new treatments and diagnostics) began supporting implementation of a new Placental Growth Factor Blood test which can indicate whether a woman has the disease and whether they will need delivery soon.</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 30/06/2020 16:51:21 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4131 label Biography information for Jim Shannon