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1138381

	registered interest
	date	11/07/2019
	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	Genito-urinary Medicine
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to his announcement, Government review confirms local authorities will continue to commission public health services, published on 7 June 2019 and paragraph 2.4 of the NHS Long Term Plan, whether he plans to publish the proposals that formed as part of his Department’s review of the commissioning arrangements for sexual and reproductive health.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	276234
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care announced the outcome of the review, confirming that local authorities will continue to take the lead in commissioning sexual and reproductive health, school nursing and health visiting services, at his Royal Society of Medicine lecture on 6 June.</p><p> </p><p>The review consulted a range of stakeholders. Stakeholder forums were organised by the National Aids Trust and the Public Health Systems Group, to which many organisations were invited to express their views. Officials from the Department also met with a number of organisations, and the review received a number of written submissions.</p><p> </p><p>The forthcoming Prevention Green Paper will provide an opportunity for people to give us their views on more we can do to encourage local authorities and National Health Service bodies to work well together in commissioning health services.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 276235 276236 question first answered 19/07/2019 09:48:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4471 label Biography information for Rachael Maskell

1139007

	registered interest
	date	15/07/2019
	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	Propranolol: Somerset
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the adequacy of supply of the drug Actavis Propranolol in pharmacies in (a) North East Somerset and (b) Somerset.
	tabling member constituency	North East Somerset
	tabling member printed	Mr Jacob Rees-Mogg
	uin	277188
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Department is assured the supply of Actavis immediate release propranolol tablets is sufficient to meet normal demand. Actavis modified release propranolol capsules are currently unavailable. However, they are expected to be back in stock by the end of July and supplies of generic propranolol capsules are currently available from an alternative manufacturer. The Department does not have information on stock holding of propranolol at a local level.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:37:33 answering member 4455 label Biography information for Seema Kennedy previous answer version 129853 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4099 label Biography information for Sir Jacob Rees-Mogg

1138888

	registered interest
	date	15/07/2019
	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	Sickle Cell Diseases: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 May 2019 to Question 256313 on Sickle Cell Diseases, which services (a) NHS England, (b) clinical commissioning groups and (c) other public bodies commission for people with sickle cell disease; and what the per capita annual cost is of providing each of those services.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	277137
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>NHS England commissions specialised services for people living with sickle cell disease. These services are part of the specialised haemoglobinopathy services commissioned by NHS England across the country. NHS England spends over £60 million on sickle cell disease within these services annually - £60.4 million in 2017/18. Information about the services provided by individual clinical commissioning groups or other public bodies is not collected or held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:46:21 answering member 4455 label Biography information for Seema Kennedy previous answer version 129855 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	1533 label Biography information for Dame Diana Johnson

1138889

	registered interest
	date	15/07/2019
	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	Sickle Cell Diseases: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 May 2019 to Question 256313, which services (a) NHS England, (b) clinical commissioning groups and (c) other public bodies commission for sickle cell disease patients with (i) stroke, (ii) chronic kidney disease, (iii) end-stage renal disease and (iv) pulmonary hypertension; and what the annual per capita cost is of providing each of those services.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	277138
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>NHS England does not commission separate services for sickle cell patients with stroke, chronic kidney disease, end-stage renal disease or pulmonary hypertension and so cannot provide annual per capita costs. These services are commissioned on behalf of all patients that require them, which would include people living with sickle cell disease.</p><p>NHS England has recently undertaken a review of haemoglobinopathy services to ensure that patients living with conditions such as sickle cell disease are able to access the high-quality services they need for their condition across the country. NHS England is now commissioning a networked-based model of care for specialised haemoglobinopathy services which will included specialist haemoglobinopathy teams across the country, regional haemoglobinopathy coordination centres and a National Haemoglobinopathy Panel. The new model will enable advice to be provided to local clinicians on the management of patients with sickle cell disease 24 hours a day, seven days a week. Haemoglobinopathy coordination centres will organise and run networks for sickle cell disease, providing leadership and education for local services.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:45:39 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1533 label Biography information for Dame Diana Johnson

1138874

	registered interest
	date	15/07/2019
	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	Diabetes: Telemedicine
	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 promote the digital delivery of (a) structured education and (b) diabetes management services for people with (i) type 1 and (ii) type 2 diabetes.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277230
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277232 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129851 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle

1138875

	registered interest
	date	15/07/2019
	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	Diabetes: Telemedicine
	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 and what proportion of CCGs commission services to enable patients with (a) type 1 and (b) type 2 diabetes to access remote online consultations with healthcare professionals.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277231
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>NHS England does not collect this information.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:38:17 answering member 4455 label Biography information for Seema Kennedy previous answer version 129847 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle

1138876

	registered interest
	date	15/07/2019
	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	Diabetes: Advisory Services
	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 promote the use of coaching solutions to support patients with (a) type 1 diabetes and (b) type 2 diabetes manage their condition.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277232
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277230 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129850 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle

1138092

	registered interest
	date	10/07/2019
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Microgeneration
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what assessment he has made of the potential for microgeneration of electricity and heat to contribute to the goals of (a) decarbonisation and (b) net zero emissions by 2050.
	tabling member constituency	Feltham and Heston
	tabling member printed	Seema Malhotra
	uin	275754
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Government has supported the deployment over 6GW of small scale power generation, and we expect more to deploy now the Smart Export Guarantee has been announced.</p><p> </p><p>a) This contributes to the over 33% of power that comes from renewables and over 50% that comes from low carbon sources. Our low carbon power generation could need to increase four-fold by 2050.</p><p>b) Decarbonising the power sector is crucial to achieving a net-zero economy – what’s more, small scale generation, as discussed in the Smart Systems and Flexibility plan is an important part of a more flexible and decentralised future system. (<a href="http://www.gov.uk/government/publications/upgrading-our-energy-system-smart-systems-and-flexibility-plan" target="_blank">www.gov.uk/government/publications/upgrading-our-energy-system-smart-systems-and-flexibility-plan</a>).</p><p> </p><p>The generation of low carbon heat through technologies such as solar hot water, biomass, biomethane and heat pumps can all play an important role in decarbonising heat. These are all supported by the Renewable Heat Incentive. Through the Renewable Heat Incentive, the government is spending £2.8bn between 2018 and 2021 to incentivise the deployment of low carbon heating. (<a href="https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Frhi-mechanism-for-budget-management-estimated-commitments&amp;data=02%7C01%7Cpaul.chambers%40beis.gov.uk%7C0e662403256947479f4e08d709fc2afc%7Ccbac700502c143ebb497e6492d1b2dd8%7C0%7C0%7C636988850974629957&amp;sdata=4pWh0wADtAJzYuF0%2FwvyOxcSgqCglTFVK5%2Fpu79HcCo%3D&amp;reserved=0" target="_blank">https://www.gov.uk/government/publications/rhi-mechanism-for-budget-management-estimated-commitments</a>)</p><p>The Government made an assessment on the evidence on options to decarbonise heat in “Clean Growth – Transforming Heating” published in December 2018 (<a href="https://eur02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.gov.uk%2Fgovernment%2Fpublications%2Fheat-decarbonisation-overview-of-current-evidence-base&amp;data=02%7C01%7Cpaul.chambers%40beis.gov.uk%7C0e662403256947479f4e08d709fc2afc%7Ccbac700502c143ebb497e6492d1b2dd8%7C0%7C0%7C636988850974629957&amp;sdata=YgAaTgO2mHh6WjaNC6OmRzpsvw5XXtZNBc9Y73qIXz8%3D&amp;reserved=0" target="_blank">https://www.gov.uk/government/publications/heat-decarbonisation-overview-of-current-evidence-base</a>). There is no clear consensus on the best approaches to decarbonising heat at scale. Given the diversity of heat demand, no one solution can provide the best option for everyone – a mix of technologies and customer options will need to be available. We need to continue exploring and testing different approaches to heat decarbonisation. The Government has committed to publishing a heat roadmap by summer 2020 which will set out further details on plans for decarbonising heat.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 19/07/2019 08:18:02 answering member 4021 label Biography information for Chris Skidmore
	tabling member	4253 label Biography information for Seema Malhotra

1138808

	registered interest
	date	15/07/2019
	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	Addictions: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 8 July 2019 to Question 270772 on Addiction Services, what assessment he has made of the adequacy of the number of medically-staffed inpatient detoxification beds in England; and if he will make a statement.
	tabling member constituency	Central Suffolk and North Ipswich
	tabling member printed	Dr Dan Poulter
	uin	277157
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>No national assessment has been made of the adequacy of the number of medically-staffed inpatient detoxification beds in England. Local authorities are responsible for assessing local substance misuse need, and commissioning services to meet that need, including inpatient medically-staffed detoxification beds in England.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:46:52 answering member 4455 label Biography information for Seema Kennedy previous answer version 129854 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	3932 label Biography information for Dr Dan Poulter

1138906

	registered interest
	date	15/07/2019
	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	HIV Infection: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 273480 to Question 273480 on HIV Infection: Canterbury, what steps he is taking to ensure adequate funding for PrEP after September 2020.
	tabling member constituency	Canterbury
	tabling member printed	Rosie Duffield
	uin	277260
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The 36 month pre-exposure prophylaxis (PrEP) Impact Trial is scheduled to continue until autumn 2020. Work is now starting to consider future commissioning for PrEP after the Trial has ended, which includes consideration of funding options.</p><p>The PrEP Impact trial is managed by the Trial Sponsor. Recruitment to places in the Trial is managed locally by participating clinics. Information on why the Gate Clinic at Kent and Canterbury Hospital is not open to gay and bisexual men is not held centrally.</p><p>Following funding from NHS England to pay for extra PrEP drug and research costs and the Secretary of State’s announcement on 30 January that the number of places on the PrEP Impact Trial would be doubled to 26,000, expansion of the Trial is now underway across the country. Participation in the Trial is on a voluntary basis and it is for research clinics and local authorities to decide whether they wish to take part and the number of allocated places they can accept.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277261 277262 question first answered 19/07/2019 09:39:20 answering member 4455 label Biography information for Seema Kennedy previous answer version 129848 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4616 label Biography information for Rosie Duffield