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1064112

	registered interest
	date	19/02/2019
	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	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, when the Government's commitment to double the number of places available for men on the PrEP Impact Trial will be rolled out at the Whitegate Health Centre in Blackpool.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	223523
	answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The HIV Pre-exposure Prophylaxis (PrEP) Impact trial that began in October 2017 was funded by NHS England to recruit 10,000 participants over a three-year study period. In 2018, the allocation of places was increased to 13,000 to take account of a surge in people taking part. On 30 January, the Secretary of State for Health and Social Care announced that the PrEP Impact trial would be expanded to 26,000 places. Work is underway with partners to take this forward. The PrEP Oversight Board has requested information on local capacity to make the additional places available and will review this shortly. After assessing their capacity to utilise any extra places, investigators in each site, including those in Blackpool, can request additional trial places.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/02/2019 16:16:50 answering member 4067 label Biography information for Steve Brine
	tabling member	465 label Biography information for Gordon Marsden

1091420

	registered interest
	date	19/03/2019
	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	Erasmus+ Programme
	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 has taken to secure EU healthcare benefits for UK students studying in the EU after September 2019 on the Erasmus+ programme in the event that the UK leaves the EU without a deal.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	234129
	answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>On 19 March 2019, I laid a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-03-19/HCWS1429/" target="_blank">HCWS1429</a>) on the Department’s plans for the continuity of reciprocal healthcare arrangements in the event we exit the European Union without a deal. This statement includes specific guidance for students and with regards to European Health Insurance Cards (EHICs).</p><p> </p><p>Discussions about EHICs, including for students, forms part of the broader negotiations with the European Commission and Member States about continued reciprocal healthcare arrangements.</p><p> </p><p>Subject to Parliament ratifying the Withdrawal Agreement, current reciprocal healthcare rights will continue during the implementation period until 31 December 2020. This includes EHICs for students.</p><p> </p><p>In a ‘no deal’ scenario, the United Kingdom Government has proposed to EU Member States that 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. The UK cannot unilaterally guarantee people’s healthcare cover if they live abroad, as this depends on decisions by Member States.</p><p> </p><p>Currently, students residing in the UK who are going on a placement abroad are entitled to a UK-issued EHIC to cover healthcare costs for the duration of their placement. We cannot guarantee that this will continue for all EU Member States in the event of a ‘no deal’ scenario where the existing arrangements are not extended.</p><p> </p><p>UK nationals living in or travelling to the EU should ensure they are taking the necessary steps to prepare including taking out comprehensive health insurance and ensuring they access up-to-date information on GOV.UK and NHS.UK at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/collections/overseas-living-in-guides" target="_blank">https://www.gov.uk/government/collections/overseas-living-in-guides</a></p><p> </p><p><a href="https://www.nhs.uk/using-the-nhs/healthcare-abroad/healthcare-when-travelling-abroad/travelling-in-the-european-economic-area-eea-and-switzerland/" target="_blank">https://www.nhs.uk/using-the-nhs/healthcare-abroad/healthcare-when-travelling-abroad/travelling-in-the-european-economic-area-eea-and-switzerland/</a></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 234130 question first answered 22/03/2019 15:24:21 answering member 1585 label Biography information for Stephen Hammond
	tabling member	465 label Biography information for Gordon Marsden

1091421

	registered interest
	date	19/03/2019
	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, what discussions he has had with (a) the Secretary of State for Education, (b) NHS executives and (c) the EU on the status of the EU health insurance card for UK students studying abroad from September 2019 in the event of the UK leaving the EU without a deal.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	234130
	answer	answer is ministerial correction date of answer 22/03/2019 answer text <p>On 19 March 2019, I laid a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-03-19/HCWS1429/" target="_blank">HCWS1429</a>) on the Department’s plans for the continuity of reciprocal healthcare arrangements in the event we exit the European Union without a deal. This statement includes specific guidance for students and with regards to European Health Insurance Cards (EHICs).</p><p> </p><p>Discussions about EHICs, including for students, forms part of the broader negotiations with the European Commission and Member States about continued reciprocal healthcare arrangements.</p><p> </p><p>Subject to Parliament ratifying the Withdrawal Agreement, current reciprocal healthcare rights will continue during the implementation period until 31 December 2020. This includes EHICs for students.</p><p> </p><p>In a ‘no deal’ scenario, the United Kingdom Government has proposed to EU Member States that 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. The UK cannot unilaterally guarantee people’s healthcare cover if they live abroad, as this depends on decisions by Member States.</p><p> </p><p>Currently, students residing in the UK who are going on a placement abroad are entitled to a UK-issued EHIC to cover healthcare costs for the duration of their placement. We cannot guarantee that this will continue for all EU Member States in the event of a ‘no deal’ scenario where the existing arrangements are not extended.</p><p> </p><p>UK nationals living in or travelling to the EU should ensure they are taking the necessary steps to prepare including taking out comprehensive health insurance and ensuring they access up-to-date information on GOV.UK and NHS.UK at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/collections/overseas-living-in-guides" target="_blank">https://www.gov.uk/government/collections/overseas-living-in-guides</a></p><p> </p><p><a href="https://www.nhs.uk/using-the-nhs/healthcare-abroad/healthcare-when-travelling-abroad/travelling-in-the-european-economic-area-eea-and-switzerland/" target="_blank">https://www.nhs.uk/using-the-nhs/healthcare-abroad/healthcare-when-travelling-abroad/travelling-in-the-european-economic-area-eea-and-switzerland/</a></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 234129 question first answered 22/03/2019 15:24:21 answering member 1585 label Biography information for Stephen Hammond
	tabling member	465 label Biography information for Gordon Marsden

1104735

	registered interest
	date	25/03/2019
	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	General Practitioners: Blackpool
	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 number of people attending (a) A&E facilities at the Blackpool Acute Hospitals Trust and (b) Walk-in facilities in Blackpool between June 2018 and January 2019 who could have been seen as a non-emergency appointment.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	236308
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The information is not available in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/03/2019 12:10:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	465 label Biography information for Gordon Marsden

1122875

	registered interest
	date	24/04/2019
	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	Primodos
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons his Ministers declined to meet with members of the All Party Parliamentary Group on hormone pregnancy tests to discuss the scientific review set up to consider the effects of the drug primodos on pregnant women.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	246933
	answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>In November 2017 the Expert Working Group established by the Commission on Human Medicines to review hormone pregnancy tests concluded that the available evidence did not support a causal association with adverse pregnancy outcomes. At that time the Government made a commitment to evaluate carefully any new evidence. In February 2018 the Government asked Baroness Cumberlege to undertake a review into patients’ concerns and how these were responded to, and to advise what further action may be required.</p><p>Since then, a new ad hoc Expert Group of the Commission on Human Medicines has been convened to consider the recent meta-analysis published by Heneghan et al. of clinical studies. An independent review of this publication is also being conducted in parallel by the European Medicines Agency via a formal referral under European Union legal provisions. Both of these scientific reviews are ongoing and the conclusions will be made public when complete, likely in May.</p><p>While the review by Baroness Cumberlege into what further action may be required in the case of hormone pregnancy tests is ongoing, and pending the findings of the scientific reviews of <em>Heneghan et al.</em>, the Government considers that it would be premature to have a further meeting with the All Party Parliamentary Group.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/04/2019 13:37:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	465 label Biography information for Gordon Marsden

1122876

	registered interest
	date	24/04/2019
	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	Primodos
	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 robustness of procedures to avoid conflicts of interest in the setting up of the Expert Working group led by the Medicines and Healthcare Products Agency on the effects of the drug primodos on pregnant women.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	246934
	answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency has a clearly defined, published policy on conflicts of interest for members of its scientific advisory committees and groups. This policy has been in place for a number of years and defines the level of participation of experts in the Commission on Human Medicines (CHM) and its Expert Groups.</p><p>Prior to being appointed to the CHM Expert Working Group (EWG) on Hormone Pregnancy Tests, all those invited to participate were required to complete and sign a declaration of interests form. At each meeting, experts were asked to declare any new interests. Experts with declared interests were precluded from participating in the EWG’s decision-making. Specific consideration was given to any concerns raised during the review and, in one case, led to one invited expert stepping down from the group before any scientific data were reviewed, even though the interest (a consultancy) had lapsed. All declared interests have been published.</p><p>In relation to the terms of reference of the EWG, an association between Hormone Pregnancy Tests and birth defects had long been the subject of debate, but the nature of any association remained uncertain. The EWG was formed specifically to review all the available evidence on the possible association between Hormone Pregnancy Tests during pregnancy and birth defects and reach a conclusion as to whether or not it supported a causal association. The terms of reference of the Expert Working Group on Hormone Pregnancy Tests defined the scope of the review, not the conclusion of the group, and did not change.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 246935 question first answered 02/05/2019 11:23:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	465 label Biography information for Gordon Marsden

1122877

	registered interest
	date	24/04/2019
	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	Primodos
	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 his (a) Ministers and (b) officials have had with the (i) Medicines and Healthcare Regulatory Agency and (ii) members of the Expert Working Group on the review of hormone pregnancy tests (primodos) on why that Working Group changed the terms for that review from looking for an association to looking for a causal link as to the effect of the drugs concerned on the women it was given to.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	246935
	answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency has a clearly defined, published policy on conflicts of interest for members of its scientific advisory committees and groups. This policy has been in place for a number of years and defines the level of participation of experts in the Commission on Human Medicines (CHM) and its Expert Groups.</p><p>Prior to being appointed to the CHM Expert Working Group (EWG) on Hormone Pregnancy Tests, all those invited to participate were required to complete and sign a declaration of interests form. At each meeting, experts were asked to declare any new interests. Experts with declared interests were precluded from participating in the EWG’s decision-making. Specific consideration was given to any concerns raised during the review and, in one case, led to one invited expert stepping down from the group before any scientific data were reviewed, even though the interest (a consultancy) had lapsed. All declared interests have been published.</p><p>In relation to the terms of reference of the EWG, an association between Hormone Pregnancy Tests and birth defects had long been the subject of debate, but the nature of any association remained uncertain. The EWG was formed specifically to review all the available evidence on the possible association between Hormone Pregnancy Tests during pregnancy and birth defects and reach a conclusion as to whether or not it supported a causal association. The terms of reference of the Expert Working Group on Hormone Pregnancy Tests defined the scope of the review, not the conclusion of the group, and did not change.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 246934 question first answered 02/05/2019 11:23:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	465 label Biography information for Gordon Marsden

1104733

	registered interest
	date	25/03/2019
	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	General Practitioners: Blackpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average waiting time for patients to see their GP in the Blackpool NHS Clinical Commissioning Group has been for non-emergency appointments (a) between June and September 2018, (b) between October and December 2018, (c) in January 2019 and (d) in February 2019.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	236307
	answer	answer is ministerial correction date of answer 29/03/2019 answer text <p>A table showing the time between booking an appointment with a general practice and having the appointment (in days) for Blackpool Clinical Commissioning Group (CCG) for June – September 2018 (inclusive), October – December 2018 (inclusive) and January 2018 only is attached. There are seasonal variations in the general practitioner (GP) appointment data therefore a 12-month average (February 2018-January 2019) is also presented. NHS Digital’s ‘Appointments in General Practice’ data is published monthly with a two-month time lag. Data covering February 2019 will be published on the NHS Digital website on 4 April 2019 and will include a regional breakdown by sub-region, sustainability and transformation partnership and CCG.</p><p>It is not possible to differentiate the time between booking an appointment and having the appointment by healthcare professional, therefore the data includes appointments with GPs and other practice staff. The appointments data does not differentiate between emergency and routine appointments in general practice and the ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 29/03/2019 14:52:49 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name PQ236307 wait times blackpool table.docx title PQ236307 attached information previous answer version 110766 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	465 label Biography information for Gordon Marsden

1148042

	registered interest
	date	02/10/2019
	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 Improvement
	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 NHS Improvement on its progress in implementing the Kirkup governance report, published in February 2018.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	293469
	answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>NHS Improvement set out its response to the recommendations in the Kirkup report into issues at Liverpool Community Health NHS Trust in a paper to its Board on 22 March 2018. This was followed by a further paper to the NHS Improvement Board of 24 May 2018 providing an update on actions taken in response to the recommendations of the report. Both papers have been placed in the public domain and can be accessed at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/09/Response_to_recommendations_review_Liverpool_Community_Health_NHS_Trust.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/09/Response_to_recommendations_review_Liverpool_Community_Health_NHS_Trust.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/09/BM1831_Kirkup_update.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/09/BM1831_Kirkup_update.pdf</a></p><p> </p><p>The Interim People Plan, published by NHS England and Improvement in June 2019, sets out firm commitments for improving the leadership culture in the National Health Service and for strengthening the management and development of talent. A key associated initiative is the co-creation of an NHS Leadership Compact, by which to establish the cultural values and behaviours expected to be demonstrated by senior NHS leaders and the support and development they should expect to receive.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 07/10/2019 16:23:18 answering member 4362 label Biography information for Edward Argar
	tabling member	465 label Biography information for Gordon Marsden

1148022

	registered interest
	date	02/10/2019
	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 Trusts: Public Appointments
	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 paragraph 6.1 of the Report of the Liverpool Community Health Independent Review by Dr Bill Kirkup, published in January 2018, what steps NHS Improvement has taken to implement the recommendation that when approving Trust Board appointments, NHS Improvement should take note of the level of experience of appointees and level of risk in the Trust and should ensure a system of support and mentorship for Board members where indicated.
	tabling member constituency	Blackpool South
	tabling member printed	Gordon Marsden
	uin	293465
	answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>NHS Improvement set out its response to the recommendations in the Kirkup report into issues at Liverpool Community Health NHS Trust in a paper to its Board on 22 March 2018. This was followed by a further paper to the NHS Improvement Board of 24 May 2018 providing an update on actions taken in response to the recommendations of the report. Both papers have been placed in the public domain and can be accessed at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/09/Response_to_recommendations_review_Liverpool_Community_Health_NHS_Trust.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/09/Response_to_recommendations_review_Liverpool_Community_Health_NHS_Trust.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/09/BM1831_Kirkup_update.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/09/BM1831_Kirkup_update.pdf</a></p><p> </p><p>The Interim People Plan, published by NHS England and Improvement in June 2019, sets out firm commitments for improving the leadership culture in the National Health Service and for strengthening the management and development of talent. A key associated initiative is the co-creation of an NHS Leadership Compact, by which to establish the cultural values and behaviours expected to be demonstrated by senior NHS leaders and the support and development they should expect to receive.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 07/10/2019 16:23:37 answering member 4362 label Biography information for Edward Argar
	tabling member	465 label Biography information for Gordon Marsden