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759737

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medicines and Healthcare products Regulatory Agency: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the budget was of the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10224
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) for each of the last 10 years is shown in the following table. The majority of the Agency’s funding is from fees.</p><table><tbody><tr><td><p> </p></td><td><p>2016/7</p></td><td><p>2015/16</p></td><td><p>2014/15</p></td><td><p>2013/14</p></td><td><p>2012/13</p></td><td><p>2011/12</p></td><td><p>2010/11</p></td><td><p>2009/10</p></td><td><p>2008/09</p></td><td><p>2007/08</p></td></tr><tr><td><p>Page number[1]</p></td><td><p>88</p></td><td><p>81</p></td><td><p>86</p></td><td><p>80</p></td><td><p>56</p></td><td><p>42</p></td><td><p>44</p></td><td><p>51</p></td><td><p>52</p></td><td><p>35</p></td></tr><tr><td><p> </p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td></tr><tr><td><p>Total Trading Income</p></td><td><p>157,293</p></td><td><p>152,963</p></td><td><p>152,767</p></td><td><p>141,813</p></td><td><p>108,815</p></td><td><p>117,247</p></td><td><p>121,387</p></td><td><p>112,690</p></td><td><p>112,812</p></td><td><p>93,463</p></td></tr></tbody></table><p> </p><p>Information about the Agency’s funding is published in the Annual Report and Accounts.</p><p>The MHRA’s Annual Report and Accounts for each year is published on the Gov.UK website at:</p><p><a href="https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date" target="_blank">https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date</a></p><p>[1] Page number in the Annual Report and Accounts of the MHRA for each of the years since 2007/08</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:27:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

759738

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medicines and Healthcare products Regulatory Agency
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many products were seized by the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10225
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is the United Kingdom Regulatory Agency with responsibility for the regulation of medicinal products (for human use) and medical devices and also acts as the law enforcement authority with statutory powers including rights of entry, inspection and seizure of products.</p><p> </p><p>Medicinal products are not ordinary consumer goods and, consequently, there is strict legislative control on their sale, supply, manufacture and distribution. Medicines that do not comply with regulatory requirements pose potential health risks and once identified, either in the UK or at the UK border, are liable to detention and seizure.</p><p> </p><p>The tables below set out the number of units / doses seized yearly.</p><p>Seizures by MHRA on operational activities.</p><table><tbody><tr><td><p>OPS seizures</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2009-10</p></td><td><p>244,627</p></td></tr><tr><td><p>2010-11</p></td><td><p>528,769</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,383,495</p></td></tr><tr><td><p>2012-13</p></td><td><p>512,633</p></td></tr><tr><td><p>2013-14</p></td><td><p>266,545</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,079,570</p></td></tr><tr><td><p>2015-16</p></td><td><p>244,627</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,721,673</p></td></tr><tr><td><p>2017- date</p></td><td><p>285,649 *</p></td></tr><tr><td><p> </p></td><td><p>7,267,588</p></td></tr></tbody></table><p /><p>Note: *this figure is year to date</p><p> </p><p>Seizures made on Operation Pangea</p><p> </p><p>Operation Pangea is a global initiative targeting illegal online sales of medical products.</p><p> </p><table><tbody><tr><td><p>Pangea Seizures from Operation Pangea</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2007</p></td><td><p>100,000</p></td></tr><tr><td><p>2008</p></td><td><p>200,000</p></td></tr><tr><td><p>2009</p></td><td><p>334,000</p></td></tr><tr><td><p>2010</p></td><td><p>296,711</p></td></tr><tr><td><p>2011</p></td><td><p>94,806</p></td></tr><tr><td><p>2012</p></td><td><p>2,100,000</p></td></tr><tr><td><p>2013</p></td><td><p>3,700,000</p></td></tr><tr><td><p>2014</p></td><td><p>3,600,000</p></td></tr><tr><td><p>2015</p></td><td><p>6,200,000</p></td></tr><tr><td><p>2016</p></td><td><p>4,664,885</p></td></tr><tr><td><p>Seizures made by UK Border Force</p></td></tr><tr><td><p><table><tbody><tr><td><p>Seizures at UK Border</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2013 – September 2017</p></td><td><p>21,641,816</p></td></tr></tbody></table></p></td><td><p> </p></td></tr></tbody></table><p> </p><p> </p><p>To combine, this represents total seizures of 50,199,806 to date.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:42:23 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

759741

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Migrant Workers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his future plans are for the recruitment of GPs from overseas.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10228
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS England aims to recruit at least 2,000 doctors into general practice by 2020/21. This compares to an initial target of 500 doctors over the same period of time.</p><p> </p><p>In order to meet this target, NHS England is expanding its current recruitment programme of doctors from the European Economic Area (EEA) whose general practitioner (GP) training is recognised in the United Kingdom under European law and who already get automatic recognition to join the General Medical Council’s (GMC) GP register.</p><p> </p><p>NHS England is also establishing a Framework Agreement of International Recruitment Providers, to identify potential overseas doctors and support them through the recruitment process, and a GP international recruitment office to run the recruitment operation.</p><p> </p><p>Finally, the Royal College of General Practitioners is working with the GMC to review the curriculum, training and assessment processes for GPs trained outside the EEA, starting with Australia, to identify whether the GP registration process can be streamlined for those doctors whose training is seen as equivalent to the UK GP programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:44:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

760897

	registered interest
	date	14/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sustainability and Transformation Partnerships
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the legal status is of an sustainability and transformation partnership board decision.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	105315
	answer	answer is ministerial correction date of answer 10/10/2017 answer text <p>Sustainability and transformation partnerships (STPs) are not statutory organisations, and do not have legal status or legal duties.</p><p> </p><p>Each STP footprint is convened by a senior leader who has agreed to chair and lead the meetings on behalf of their peers. Each footprint has agreed to its own governance and representation, and all bodies represented on the STP have agreed to abide by its decision making process.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2017 12:41:53 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

732957

	registered interest
	date	27/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accountable Care Organisations: Private Sector
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of the proposed accountable care systems will involve the private sector.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	1501
	answer	answer is ministerial correction date of answer 04/07/2017 answer text <p>On 15 June NHS England's Chief Executive, Simon Stevens, announced nine areas that would begin the process of becoming an Accountable Care System.</p><p> </p><p>It is for Accountable Care Systems to determine how the private sector is involved within their area. However, no private sector organisation is on the governing bodies of any of the prospective Accountable Care Systems, or any of the Sustainability and Transformation Partnerships.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/07/2017 10:57:13 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

748571

	registered interest
	date	05/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sustainability and Transformation Partnerships: Consultants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Answer of 26 April 2017 to Question 71179, if he will require all sustainability and transformation partnerships to publish the total amount paid to private consultants for providing advice.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	3067
	answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>NHS England do not plan to require Sustainability and Transformation Partnership (STP) areas to publish the total amount paid to companies who advise and/or support the delivery of improved health and social care.</p><p> </p><p>It is for each STP area to decide where they may need support or advice from external organisations and normal value for money rules apply. However, all partners within each STP area need to be disciplined about keeping costs as low as possible as they work to alleviate pressures on the National Health Service, and improve patient care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/07/2017 09:14:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

750180

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to renew the NHS Outcomes Framework for 2017-18.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	3827
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>There are no plans to change the current set of indicators used for the NHS Outcomes Framework for 2017-18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/07/2017 11:43:55 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

753496

	registered interest
	date	18/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Life Expectancy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the future trends in life expectancy.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	5808
	answer	answer is ministerial correction date of answer 21/07/2017 answer text <p>The Office for National Statistics (ONS) has responsibility for estimating life expectany – both historical trends and future estimates. The Department uses the data that is produced by this source.</p><p> </p><p>The ONS produces an `Expectation of Life, Principal Projection, England’ data-set. This provides past and projected expectations of life from the most recent (2014 based) life table. Life tables describe the course of mortality throughout the life cycle. Period and cohort life tables are produced biennially based on assumptions for future mortality from the national population projections and are available at the following link:</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/lifeexpectancies/bulletins/pastandprojecteddatafromtheperiodandcohortlifetables/2014baseduk1981to2064" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/lifeexpectancies/bulletins/pastandprojecteddatafromtheperiodandcohortlifetables/2014baseduk1981to2064</a></p><p>Life expectancy is higher now than it has ever been for both men and women, and is generally increasing in most areas – including deprived ones.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/07/2017 12:40:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

731744

	registered interest
	date	22/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sustainability and Transformation Partnerships
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he has undertaken a national risk assessment of the sustainability and transformation plan process.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	615
	answer	answer is ministerial correction date of answer 28/06/2017 answer text <p>NHS England and NHS Improvement do not intend to undertake a national risk assessment of Sustainability and Transformation plan process. Local areas are in the best position to make an assessment on risk within their Sustainability and Transformation Partnerships (STPs).</p><p> </p><p>All STPs are required to follow the four tests of service reconfiguration when making any substantial change to a footprint, including consulting with their local community when necessary, which helps to mitigate against any risk.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/06/2017 16:05:28 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

731738

	registered interest
	date	22/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sustainability and Transformation Partnerships
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, through what mechanism sustainability and transformation plans will be made accountable to their local communities.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	688
	answer	answer is ministerial correction date of answer 29/06/2017 answer text <p>Sustainability and Transformation Partnerships (STPs) are not statutory organisations, but a new way for the National Health Service and local government to work together. The individual organisations that make up the STPs remain accountable to their local communities, including for these activities performed as part of the STP. When there are proposals to substantially change services, the STP has a duty to consult with their local community. There are longstanding rules to ensure this. NHS Improvement and NHS England are providing resources and guidance to further strengthen the local accountability of STPs, as the NHS and local government work together to develop sensible, deliverable plans.</p><p> </p><p>Additionally, the Department and NHS England will shortly be publishing a STP dashboard and assessment of STP performance. Local communities can use this as a mechanism for holding the local NHS to account.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 29/06/2017 11:11:09 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders