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809129

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	903036
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

809126

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	What estimate he has made of the number of patients with Erythropoietic Protoporphyria.
	tabling member constituency	Newport East
	tabling member printed	Jessica Morden
	uin	903031
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>In 2016/17 there were 54 National Health Service admissions in England with a primary diagnosis of Erythropoietic Protoporphyria.</p><p> </p><p>Whilst the numbers of people with a particular rare disease can be very small, 3.5 million people in the United Kingdom have a rare disease. We know, as with the hon. Member’s constituent, that these diseases can have a heart-breaking impact on a person’s health.</p><p> </p><p>That‘s why the UK is committed to building on our position as a world-leader in the diagnosis and treatment of rare diseases.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:07:30 answering member 4067 label Biography information for Steve Brine
	tabling member	1548 label Biography information for Jessica Morden

807191

	registered interest
	date	15/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the commercial agreement announced by NHS England on 9 November 2017, what the timetable is for NICE to issue final guidance on Perjeta (pertuzumab) in combination with Herceptin (trastuzumab) and docetaxel for HER2 positive metastatic or locally recurrent unresectable breast cancer.
	tabling member constituency	North Warwickshire
	tabling member printed	Craig Tracey
	uin	119837
	answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>The timetable for the National Institute for Health and Care Excellence’s (NICE) guidance on Perjeta (pertuzumab) in combination with Herceptin (trastuzumab) and docetaxel for HER2 positive metastatic or locally recurrent unresectable breast cancer is still to be confirmed. Perjeta remains available to new and existing National Health Service patients through the Cancer Drugs Fund pending NICE’s final guidance.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/12/2017 11:38:14 answering member 4067 label Biography information for Steve Brine
	tabling member	4509 label Biography information for Craig Tracey

804559

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the NHS England document, Next Steps on the Five Year Forward View published in March 2017, what recent progress the NHS has made on meeting the objective for an extra 5,000 people to survive cancer over the next two years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	118761
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>Earlier and faster diagnosis is key to improving survival rates and NHS England is investing over £200 million over the next two years in cancer services to encourage local areas to find new and innovative ways to diagnose cancer earlier, improve the care for those living with cancer and ensure each cancer patient gets the right care for them. The Government has also committed £130 million for new technology and equipment to ensure patients have access to the best and latest radiotherapy treatment.</p><p> </p><p>Survival rates from cancer in England are at a record high, and since 2010 rates of survival from cancer have increased year-on-year. The decrease in cancer deaths means that around 7,000 people are alive today who would not have been had things stayed the same. One year survival rates for the period 2017-19 will be available in 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:30:05 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

805229

	registered interest
	date	12/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to NHS England's press release of 28 July 2016 entitled World Hepatitis Day: a chance to reflect on achievements to date and redouble efforts, what discussions his Department has had with NHS England on developing more innovative, longer-term proposals for the treatment of hepatitis C.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	118901
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Following a procurement process that concluded in September 2017, NHS England has secured further improvements in pricing of hepatitis C treatments, including through an innovative ‘pay per cure’ approach. NHS England’s detailed work to design an innovative, longer-term approach to hepatitis C treatment procurement has continued and it is anticipated that this will be shared with suppliers early in 2018.</p><p> </p><p>NHS England spent in excess of £200 million on direct acting antivirals for hepatitis C in 2016-17 and is funding access to new hepatitis C treatments in accordance with guidance from the National Institute for Health and Care Excellence, apportioned to local Operational Delivery Networks based on estimated local health needs.</p><p> </p><p>NHS England is planning a sustainable roll out of treatment which will complete the treatment of 71,000 individuals between 2015/16 and 2020/21.</p><p> </p><p>Commercial and contractual activity undertaken by NHS England is already securing reduced prices to allow expanded treatment rates within available resources.</p><p> </p><p>Various initiatives are underway in England to improve awareness and case finding, re-engagement and linkage to care, especially in drug services, primary care, prisons and accident and emergency centres recognising the challenges inherent in a pathway where there are multiple commissioners and providers and budgetary constraints.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:27:51 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

806468

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescription Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which prescription drugs increased proportionately the most in cost to the public purse in each of the last 10 years for which data is available.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	119544
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The information requested is presented in the table below.</p><p> </p><p>Prescription medicines have only been included where there was prescribing in both 2006 and 2016. The medicines have been ranked on the highest average annual increase from 2006 to 2016 and the top five drugs are shown at presentation level.</p><p> </p><p>Where the Net Ingredient Cost (NIC) is shown to be £0.00, this is in fact rounded and the true figure is between £0.00 and £0.01 which is calculated by dividing the NIC by quantity.</p><p> </p><p>Top five medicines with the largest average annual percentage increase, 2006-16, for NIC per quantity</p><table><tbody><tr><td><p>Drug name</p></td><td><p>NIC 2006</p></td><td><p>NIC 2016</p></td><td><p>Average annual percentage change, 2006 - 16</p></td></tr><tr><td><p>Hydrogen Peroxide Ear Drops 1.5%</p></td><td><p>£0.02</p></td><td><p>£33.28</p></td><td><p>111.1</p></td></tr><tr><td><p>Potassium Permanganate Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£1.11</p></td><td><p>102.5</p></td></tr><tr><td><p>Proflavine Solution 0.1%</p></td><td><p>£0.00</p></td><td><p>£0.42</p></td><td><p>80.1</p></td></tr><tr><td><p>Sodium Chloride Solution 0.9%</p></td><td><p>£0.00</p></td><td><p>£0.36</p></td><td><p>73.6</p></td></tr><tr><td><p>Bismuth Subgallate Suppository 300mg</p></td><td><p>£0.14</p></td><td><p>£32.97</p></td><td><p>72.9</p></td></tr></tbody></table><p>Source: Prescription Cost Analysis</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:25:29 answering member 4067 label Biography information for Steve Brine
	tabling member	534 label Biography information for Chris Ruane

804397

	registered interest
	date	11/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Education: Vegetables
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Department for Health has issued guidance to people about increasing their vegetable intake.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	118532
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The Government recommends eating at least five portions of a variety of fruit and vegetables a day as part of a healthy balanced diet.</p><p> </p><p>This is reflected through a variety of communications including the Eatwell Guide - Public Health England’s catering guidance, available at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/healthier-and-more-sustainable-catering-a-toolkit-for-serving-food-to-adults" target="_blank">https://www.gov.uk/government/publications/healthier-and-more-sustainable-catering-a-toolkit-for-serving-food-to-adults</a></p><p> </p><p>The Government’s 5 A Day campaign through the Change4Life campaign and the NHS Choices website.</p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:39:38 answering member 4067 label Biography information for Steve Brine
	tabling member	338 label Biography information for Keith Vaz

805292

	registered interest
	date	12/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Advertising
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether it is his policy to allow GP practices to undertake advertising campaigns.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	118964
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Providing information to patients is an important part of general practice as this enables patients to understand the services available.</p><p> </p><p>Currently, there is no national guidance around the advertising of general practitioner (GP) services. However, the joint Royal College of General Practitioners and General Practitioners Committee guidance states that information about GP medical services must be factual and verifiable. The guidance also states GP practices must not make unjustifiable claims about the quality or outcomes of their services in any information they provide to patients. They must not put pressure on people to use a service, for instance, by arousing ill-founded fears for their future health. The guidance further states that the information provided by a practice should avoid making comparisons with others.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:23:13 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

805283

	registered interest
	date	12/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether it is his policy to allow GP practices to exclude patients from their register on the basis of pregnancy, age, substance dependence or complexity?
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	118955
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Under the terms of their contracts, general practitioner (GP) practices must have reasonable grounds to remove a patient from their practice list which do not relate to the patient’s race, gender, social class, age, religion, sexual orientation, appearance, disability or medical condition.</p><p> </p><p>If a patient feels that the decision to remove them from their list relates to any of these conditions, they may raise a complaint with NHS England. It is the role of NHS England to ensure GP practices meet the terms of their contract.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:05:32 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

806455

	registered interest
	date	14/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP at Hand: Homelessness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether homeless people are able to register with the GP at hand service.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	119531
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>Homeless patients are entitled to register with GP at Hand, in the same way as with any other general practitioner (GP) practice, using a temporary address, which may be a friend’s address or a day centre. The practice may also use the practice address to register homeless patients if they wish.</p><p> </p><p>GP at Hand offer traditional general medical services to patients registered with them. The enhanced model they are implementing now focuses on a digital first service through the use of a mobile app which is provided by Babylon Health. Due to the digital element of the service, GP at Hand may not be suitable for all patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/12/2017 16:28:20 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders