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1002752

	registered interest
	date	06/11/2018
	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	Vaccination
	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 take steps with his EU counterparts to increase public confidence in vaccination.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	188714
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>Public Health England (PHE) works closely with colleagues across the European Union including the World Health Organization Regional Office for Europe to optimise public confidence in vaccination.</p><p> </p><p>PHE commissions two annual tracking surveys of attitudes to vaccination: the attitudes of parents of children aged under five years old, and the attitudes of parents and teenagers to vaccination to monitor confidence and inform programme development. Confidence in the programme in England is at very high levels and the vast majority of parents choose to have their children protected by vaccination.</p><p> </p><p>Further information on the attitudes to vaccination surveys are available to view at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/parental-attitudes-to-vaccination-in-young-children#annual-survey-2017" target="_blank">https://www.gov.uk/government/collections/parental-attitudes-to-vaccination-in-young-children#annual-survey-2017</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/11/2018 12:30:33 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

1003646

	registered interest
	date	09/11/2018
	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	Prescriptions: Fees and Charges
	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 penalty prescription charges have been issued in the last year for which figures are available.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	189548
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Between November 2017 and October 2018, the NHS Business Services Authority reports that it issued 1,288,364 prescription penalty charge notices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:36:21 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

1061083

	registered interest
	date	14/02/2019
	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	Allergies: Medical Equipment
	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 assessment he has made of the adequacy of the availability of EpiPens.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	221567
	answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Supplies of EpiPen and other adrenaline auto-injectors are currently available in volumes that are sufficient to meet historic United Kingdom requirements. The Department continues to work very closely with all the manufacturers of adrenaline auto-injectors and can confirm that the supply situation continues to improve going forward, with further deliveries expected over the coming weeks. All patients who require an adrenaline auto-injector should now be able to obtain a device from their pharmacy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/02/2019 08:20:28 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

746982

	registered interest
	date	29/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Measles: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the current immunisation rate for measles is; and what steps he is taking to improve coverage of that immunisation.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	2153
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Protection against measles is provided in the combination measles, mumps and rubella vaccine (MMR), offered to children at the age of one year, and three years four months but always remains available as a catch up vaccination.</p><p>The latest quarterly Cover of Vaccination Evaluated Rapidly uptake data can be found on the Public Health England (PHE) website, at:</p><p><a href="https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2016-to-2017-quarterly-data" target="_blank">https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2016-to-2017-quarterly-data</a></p><p> </p><p>England coverage of the first dose of MMR vaccine at five years continues to exceed the World Health Organization target of 95%.</p><p> </p><p>In November 2016 a measles and rubella elimination strategy group was established to oversee the development of a United Kingdom-wide Measles and Rubella elimination strategy.</p><p> </p><p>PHE and NHS England work closely with providers at a local level to target specific communities where uptake of the MMR vaccine is known to be poor, as well as widening access by commissioning a range of alternative providers to complement existing general practitioner activities and community health service delivered immunisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/07/2017 10:03:21 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

757680

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidelines his Department issues to hospitals and clinical commissioning groups on criteria for hip and knee replacements.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	8859
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>The Department does not issue guidance to hospitals or clinical commissioning groups (CCGs) on the criteria for access to particular clinical services. NHS England provides guidance to CCGs which are primarily responsible for commissioning services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence. CCGs should take national guidelines into account as they take commissioning decisions.</p><p>It is the role of the National Institute for Health and Care Excellence and NHS England (alongside other arm’s length bodies) to issue guidance to CCGs, based on the latest evidence and expertise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:20:29 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

757686

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Measles: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the immunisation rate is for measles; and what steps the Government is taking to improve measles immunisation coverage.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	8870
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Protection against measles is provided in the combination measles, mumps and rubella vaccine (MMR).</p><p>The latest <del class="ministerial">England</del> vaccine coverage figures <ins class="ministerial">for the United Kingdom</ins> (January to March 2017) show that uptake of one dose of MMR vaccine at two years was 91.7% and at five years was 95.4%, exceeding the World Health Organisation’s elimination target. Uptake of two MMR doses at five years was 88.1%.</p><p> </p><p>In November 2016, a measles and rubella elimination strategy group was established to oversee the development of a United Kingdom-wide Measles and Rubella elimination strategy. This strategy will focus on sustaining very high coverage of MMR in children below five years of age and on providing opportunities for MMR catch-up to older population groups at risk for measles and/or rubella. Public Health England (PHE) continues to work with others to supply information for health professionals and the public on the benefits and risks associated with MMR.</p><p> </p><p>PHE and NHS England work closely with providers at a local level to target specific communities where uptake of the MMR vaccine is known to be poor.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 15:11:29 question first ministerially corrected 15/09/2017 14:52:33 answering member 4067 label Biography information for Steve Brine previous answer version 11365 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

791004

	registered interest
	date	16/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time for a GP appointment was in (a) Warley constituency and (b) Sandwell Borough in each year between May 2010 and November 2017.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	113565
	answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>The average waiting time for a general practitioner (GP) appointment is not collected or held centrally. In the 2017 GP patient survey, 70.8% of respondents stated they “saw or spoke to someone at a time they wanted to or sooner”. The Government is committed to delivering routine weekend or evening appointments at either their own GP surgery or one nearby to all registered patients by March 2019.</p><p> </p><p>86 of the 88 practices in Sandwell and West Midlands Clinical Commissioning Group are participating in the Primary Care Commissioning Framework (PCCF) which is committed to the development of “primary care at scale”. In addition to all practices being open during normal opening hours, through the PCCF 100% of the clinical commissioning group population can also access GP appointments 6:30-8:30pm on weekdays and on Saturdays and Sundays at their own or a nearby practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:16:51 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar