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1136633

	registered interest
	date	03/07/2019
	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	NHS: Staff
	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 his Department has made of the effect of the UK leaving the EU without a deal on his Department’s ability to bring forward and implement the NHS Workforce Plan.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	272719
	answer	answer is ministerial correction date of answer 08/07/2019 answer text <p>The NHS interim People Plan was published on 3 June 2019, it puts staff at the heart of National Health Service policy and delivery and sets out a shared vision and the actions the NHS will take now and over the long term to meet the challenges of supply, reform, culture and leadership. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>This is a priority which the Government is committed to delivering regardless of the manner in which we exit the European Union.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/07/2019 14:37:28 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1135522

	registered interest
	date	28/06/2019
	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	Medical Treatments Abroad: British Nationals Abroad
	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 UK citizens residing in the EU receive free healthcare under the S1 scheme.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	270693
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>As at 26 June 2019, there were 151,529 United Kingdom-insured people residing in a European Union country, excluding Ireland, who had an active registered entitlement under the S1 scheme and are eligible for UK-funded healthcare. As S1 certificates are not issued for Ireland, the exact number of people receiving UK-funded healthcare within the EU is not held by the Government or its arm’s length bodies.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:30:28 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1135524

	registered interest
	date	28/06/2019
	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	Medical Treatments Abroad: British Nationals Abroad
	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 UK citizens visiting Spain and Portugal will have to take to prove that they are entitled to healthcare under the bilateral agreements on healthcare rights for UK citizens in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	270695
	answer	answer is ministerial correction date of answer 03/07/2019 answer text <p>The Government of Spain has offered to continue to maintain the existing arrangements for reciprocal healthcare in the event that the United Kingdom leaves the European Union without a deal. This includes access to treatment that becomes necessary during the course of a visit to Spain.</p><p><br> This means that in Spain, UK-issued European Health Insurance Cards (EHICs) or the equivalent would continue to be accepted as proof of UK cover in a ‘no deal’ scenario. The UK EHIC or its equivalent would need to be presented with a valid passport. It is important to note that UK EHICs will be accepted in Spain for 21 months after EU exit.</p><p><br> The Government of Portugal’s ‘no deal’ unilateral offer is only extended to UK nationals. This means that other nationals, including EU citizens, resident in the UK who presently enjoy UK EHIC cover would be fully charged for accessing public healthcare when they visit Portugal. Only UK passports, and not UK EHICs, would be accepted as providing proof of UK cover. The unilateral offer covers the period from exit day until 31 December 2020.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/07/2019 15:31:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1134110

	registered interest
	date	24/06/2019
	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	Influenza: Vaccination
	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 (a) number of doses of flu vaccine required in winter 2019-20 and (b) proportion of those doses which will need to be sourced from outside the UK; and what plans he has in place to ensure the adequate supply of flu vaccine in the event that the UK leaves the EU without a deal on 31 October 2019.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	268344
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Flu vaccines for people aged 18 years and older are procured directly from manufacturers and suppliers by providers, based on their local assessment of need. The procurement and distribution of flu vaccines for the children’s aspect of the national flu programme is managed by Public Health England (PHE). Doses of flu vaccine for 2019/20 is estimated using end of season for 2018/19 that are published on GOV.UK at the following links:</p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019</a></p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019</a></p><p>Seasonal flu vaccines for 2019/20 are currently being manufactured and due for delivery to the market in the autumn. Vaccine production is a complex and multi-stage process, which will involve a touch-point outside of the United Kingdom.</p><p>Officials continuously monitor the flu vaccine supply landscape to enable timely and appropriate action to be taken in the event of supply issues.</p><p>The Department, PHE and NHS England are in regular discussion with the manufacturers to ensure they have appropriate contingency plans in place to prepare for a potential ‘no deal’ scenario.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 27/06/2019 15:20:53 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1132476

	registered interest
	date	17/06/2019
	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	Health Services: Reciprocal Arrangements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the Government will extend the commitment to reimburse EU Member States for the cost of providing healthcare to UK nationals in the event that the UK leaves the EU without a deal and until the UK has secured a reciprocal healthcare agreement with the respective member state which provides for the reimbursement of costs.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	265407
	answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>The United Kingdom Government has proposed to European Union Member States that, in a no-deal scenario, we should maintain the existing healthcare arrangements until 31 December 2020, with the aim of minimising disruption to UK nationals’ and EU citizens’ healthcare provision. This is subject to negotiations, which are ongoing. For UK nationals that live in EU Member States, the UK cannot unilaterally guarantee the continuation of current arrangements, as this depends on decisions by Member States.</p><p>Individuals are always responsible for ensuring they have sufficient healthcare insurance. Anyone who is living, working or studying in EU Member States should check the country specific guidance on GOV.UK and NHS.UK for updates.</p><p><br> The UK Government has committed to fund healthcare for UK nationals (and others for whom the UK is responsible) who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/06/2019 10:29:30 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1130460

	registered interest
	date	06/06/2019
	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	Influenza: Vaccination
	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 level of uptake of the most recent flu vaccine.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	261072
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>Cumulative influenza vaccine uptake is collected and evaluated by Public Health England (PHE) nationally and locally. The 2018 to 2019 season included the extension of the childhood programme to all those aged nine rising to 10 years old as well as the phased delivery of the newly licensed adjuvanted vaccine for those aged 65 and over.</p><p>The national school-age vaccination programme achieved the highest levels of vaccine uptake since it started (60.8%, 2,461,563/4,051,698 in 2018/19, compared to 59.5% in 2017/18 1,998,538/3,360,997). Vaccine uptake for the pre-school children’s influenza vaccine programme has also increased further compared to previous seasons. The following table shows uptake figures for 2018/19 and 2017/18.</p><p>Uptake in adult target groups was similar or slightly lower compared to recent seasons and further work is needed to identify underpinning reasons so that uptake can be improved.</p><p>Comparison of flu uptake in groups vaccinated in general practice.</p><table><tbody><tr><td><p>Group</p></td><td><p>2018/19</p></td><td><p>2017/18</p></td></tr><tr><td><p>65 and over</p></td><td><p>72.0% 7,260,596/10,087,873/-</p></td><td><p>72.9% 7,309,125/10,032,613</p></td></tr><tr><td><p>At risk</p></td><td><p>48.0% 3,276,592/6,820,919</p></td><td><p>49.7% 3,353,724/6,742,316</p></td></tr><tr><td><p>Pregnant</p></td><td><p>45.2% 293,359/649,233</p></td><td><p>47.0% 318,057/676,159</p></td></tr><tr><td><p>Two and three year olds combined</p></td><td><p>44.9% 593706/1,322,663</p></td><td><p>44.0% 585791/1,330,150</p></td></tr></tbody></table><p> </p><p>Source: <a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804889/Seasonal_influenza_vaccine_uptake_in_GP_patients_1819.pdf</a></p><p> </p><p>The frontline health care workers with direct patient care saw the highest uptake since the programme started in 2002/3 (70.3% in 2018/19 738488/1,051,038).</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/06/2019 12:54:11 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1129141

	registered interest
	date	03/06/2019
	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	Animal Products: Labelling
	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 his Department has made of the costs which will be accrued as a result of the cost of changing stamps bearing the UK's ISO mark for animal products from EC to GB if the UK leaves the EU.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	258880
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>As part of preparations for leaving the European Union, the Food Standards Agency (FSA) has taken steps to change the United Kingdom’s health and identification marks so that products of animal origin can continue to be exported to the EU and non-EU countries, should the UK leave the EU in a no deal situation.</p><p>FSA operational staff apply the health mark, sometimes referred to as the health stamp to meat carcases to indicate that the product has been inspected and passed fit for human consumption. The FSA has procured and distributed new health marks to all its operational staff located in England and Wales at an approximate cost of £50,000.</p><p>Further guidance on the form of the new health and identification mark is publicly available on the FSA’s website at the following link:</p><p><a href="https://www.food.gov.uk/business-guidance/eu-exit-changes-to-health-and-identification-marks" target="_blank">https://www.food.gov.uk/business-guidance/eu-exit-changes-to-health-and-identification-marks</a></p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 11/06/2019 15:33:20 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake

1126557

	registered interest
	date	14/05/2019
	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	Department of Health and Social Care: Sick Leave
	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 officials in his Department took sick leave for reasons relating to stress in the last 12 months; what proportion that leave was of total sick leave taken in his Department; and what the cost was to his Department of officials taking sick leave over that period.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	254066
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The number of employees in the Department from 1 April 2018 to 31 March 2019 who were absent due to mental health reasons, including stress was 46, this represented 3% of the total workforce. The proportion of sickness absence related to mental health reasons, including stress, was 22% of the overall sickness absence for the Department for the same time period.</p><p> </p><p>The estimated cost to the Department from 1 April 2018 to 31 March 2019 for employees taking sickness absence, is estimated at £936,927.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2019 10:28:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	151 label Biography information for Tom Brake

1126132

	registered interest
	date	13/05/2019
	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	Department of Health and Social Care: Brexit
	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 staff in his Department who were transferred or seconded to work (a) in other departments or (b) on other departmental briefs on preparations for the UK to leave the EU, have since returned to his Department.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	253461
	answer	answer is ministerial correction date of answer 21/05/2019 answer text <p>The number of individuals who have been transferred or seconded to work in preparations for the United Kingdom to leave the European Union in other government departments is not recorded. Though we keep a record of Department of Health and Social Care members of staff who are out on loan or secondment, we do not record whether they are going to work on EU Exit. As of 23 April 2019, the Department has a total of 80 employees who are either out on loan or on secondment.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/05/2019 11:16:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1125623

	registered interest
	date	09/05/2019
	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	Cannabis: 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 steps his Department is taking to (a) increase public consultation on the creation of interim guidance for medicinal cannabis and (b) ensure patient and health professional organisations are engaged in the Department’s working group on medicinal cannabis.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	252465
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>The Department does not have a standing working group on medicinal cannabis. It has, however, held a number of engagement events with representatives of patients and health professionals in relation to this policy.</p><p>The National Institute for Health and Care Excellence (NICE) has been commissioned to update and replace interim clinical guidelines on the prescribing of cannabis-based products for medicinal use by October 2019. NICE has consulted with a wide range of stakeholders on the draft scope of the guidelines, including a stakeholder workshop held on 6 November 2018, which was attended by patient and health professional organisations. NICE is expected to issue a public consultation on draft guidelines, which will commence in summer 2019. Anyone interested in this topic, who wants to be involved in the consultation process, can register as a stakeholder at www.nice.org.uk by searching “GID-NG10124”.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 14/05/2019 15:25:08 answering member 4455 label Biography information for Seema Kennedy
	tabling member	151 label Biography information for Tom Brake