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1039003

	registered interest
	date	10/01/2019
	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	Epilepsy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to exclude epilepsy medications from the Serious Shortage Protocol for medicines; and if he will make a statement.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	207181
	answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>Any serious shortage protocol would be developed with and signed off by clinicians. Only if clinicians deem it appropriate, an alternative quantity, strength, pharmaceutical form or medicine can be dispensed in line with the protocol. Each protocol would clearly set out what action can be taken by the retail pharmacy, under what circumstances, for which patients and during which period.</p><p> </p><p>Protocols for therapeutic or generic equivalents will not be suitable for all medicines and patients. For example, they would not be suitable for treatments where the medicines that are prescribed need to be prescribed by brand for clinical reasons, for example anti-epilepsy medicines. In these cases, patients would always be referred back to the prescriber for any decision about their treatment before any therapeutic or generic alternative is supplied.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2019 16:16:17 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

1039026

	registered interest
	date	10/01/2019
	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 his Department has made of the current uptake of winter 2018-19's influenza vaccination among those who are eligible for free treatment.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	207188
	answer	answer is ministerial correction date of answer 15/01/2019 answer text <p>Influenza vaccine coverage is closely monitored, with publication of weekly and monthly reports throughout the flu season. In addition, Public Health England publishes an annual report on gov.uk in the spring with finalised data on vaccine uptake.</p><p> </p><p>The following table shows the latest available data on the uptake of the influenza vaccine amongst eligible groups for 2018/19:</p><p> </p><table><tbody><tr><td><p>Patient Group</p></td><td><p>2018/19 (%)</p></td></tr><tr><td><p>Patients aged 65 years or older</p></td><td><p>69.9</p></td></tr><tr><td><p>Patients aged six months to under 65 years in risk groups (excluding pregnant women without other risk factors)</p></td><td><p>45.1</p></td></tr><tr><td><p>Pregnant women (including those in risk groups)</p></td><td><p>43.8</p></td></tr><tr><td><p>Patients aged two years old (including those in risk groups)</p></td><td><p>41.9</p></td></tr><tr><td><p>Patients aged three years old (including those in risk groups)</p></td><td><p>43.5</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Weekly vaccine uptake data snapshot for week one (week ending 6 January 2019)</li><li>Data is provisional and from a sample of 97.2% of all automated general practitioner (GP) practices participating in the 2018/19 sentinel GP Flu survey. The data for the two and three year olds is from a sample of 97.4% of all automated GP practices participating in the 2018/19 sentinel Childhood flu GP</li><li>Source: <a href="https://www.gov.uk/government/statistics/weekly-national-flu-reports-2018-to-2019-season" target="_blank">https://www.gov.uk/government/statistics/weekly-national-flu-reports-2018-to-2019-season</a></li><li>Source: <a href="https://www.gov.uk/government/statistics/weekly-national-flu-reports-2017-to-2018-season" target="_blank">https://www.gov.uk/government/statistics/weekly-national-flu-reports-2017-to-2018-season</a></li></ol> answering member constituency Winchester answering member printed Steve Brine question first answered 15/01/2019 16:07:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

1045947

	registered interest
	date	22/01/2019
	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 his Department has made of the merits of funding the free influenza vaccine for social care staff.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	211142
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>Flu vaccination of social care workers is recommended to protect staff, protect vulnerable users and to contribute to resilience of the health and social care system in the winter, including prevention of outbreaks in care homes.</p><p> </p><p>In October 2017, NHS England announced additional funding to support vaccination of frontline social care staff working in residential and care homes and in the community and offering direct care to vulnerable people. The 2017/18 NHS seasonal flu programme offered by general practices and community pharmacy was extended to include frontline social care staff. This was continued in 2018/19 and extended to frontline health and care staff working in the voluntary managed hospice sector. This scheme is intended to complement, not replace, any established occupational health schemes that employers have in place to offer the flu vaccination to their workforce.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/01/2019 17:08:11 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

1045948

	registered interest
	date	22/01/2019
	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 his Department has made of the merits of monitoring influenza vaccination uptake among social care staff.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	211143
	answer	answer is ministerial correction date of answer 28/01/2019 answer text <p>Frontline social care workers should be provided with influenza vaccine by their employer, with some staff able to access vaccination from their general practitioner or community pharmacy in a scheme funded by NHS England. Collecting comprehensive uptake data at a national level would be challenging. Most social care organisations do not have appropriate systems in place either to deliver influenza vaccine or collect uptake information and there are a large number of organisations, many independent, in the sector.</p><p> </p><p>In 2016/17, Public Health England undertook a pilot data collection in a sample of 320 care homes across England with a response rate of 51%. 70% of responding care homes do not have systems in place to collect data on staff influenza vaccination. In addition, only 38% of the responding care homes in the study sample provided data on vaccine uptake despite considerable local follow-up.</p><p> </p><p>For the 2018/19 season, NHS England is collecting data on the number of social care workers that access vaccination through the scheme they fund for some staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/01/2019 17:19:13 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

1054755

	registered interest
	date	04/02/2019
	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	NHS: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he has received representations on patient anxieties about access to medicines including for epilepsy and depression; and what plans the Government has for communication on the availability of such medicines.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	216146
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>Medicines shortages are an ongoing issue that the Department manages constantly. The Department receives a wide range of representations regarding the availability of medicines on a regular basis.</p><p> </p><p>The Department’s Medicines Supply Team has well established procedures to deal with medicine shortages and works closely with all stakeholders to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p><p> </p><p>Every shortage is different. The decision to communicate, and type of communication, will depend on a number of factors. We work closely with all stakeholders in these situations to provide advice on management options and to consider how best to communicate a supply problem to those affected. Where necessary, we will engage with relevant patient groups regarding specific medicine shortages, including, for example, several epilepsy patient groups.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/02/2019 17:29:16 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

1061086

	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	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 process NICE will use to scope for the review of the NICE appraisal methodology; and whether the issue of combination treatments will be considered within scope.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	221614
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is in the process of planning how to conduct its scoping of the review of the methods for technology appraisal and highly specialised technologies evaluations. Scoping will involve industry and other relevant stakeholders, including patient organisations. Additional detail and more information will be made available on the NICE website in due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:24:51 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

850289

	registered interest
	date	26/02/2018
	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	Obesity
	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 hospital admissions there have been for patients with a primary diagnosis of obesity in each of the last three years; and if he publish that information by (a) sex and (b) age group.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	129857
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>NHS Digital has provided a count of finished admission episodes<sup>1</sup> (FAEs) with a primary diagnosis<sup>2</sup> of obesity, tabulated by sex and age group, for the financial years between 2014-15 and 2016-17<sup>3</sup>. This information is provided in the table below.</p><p> </p><table><tbody><tr><td colspan="7"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>2014-15</p></td><td colspan="2"><p>2015-16</p></td><td colspan="2"><p>2016-17</p></td></tr><tr><td><p>Age</p></td><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td></tr><tr><td><p>0-9</p></td><td><p>80</p></td><td><p>104</p></td><td><p>98</p></td><td><p>94</p></td><td><p>107</p></td><td><p>122</p></td></tr><tr><td><p>10-19</p></td><td><p>219</p></td><td><p>273</p></td><td><p>235</p></td><td><p>321</p></td><td><p>311</p></td><td><p>365</p></td></tr><tr><td><p>20-29</p></td><td><p>130</p></td><td><p>575</p></td><td><p>124</p></td><td><p>638</p></td><td><p>129</p></td><td><p>654</p></td></tr><tr><td><p>30-39</p></td><td><p>325</p></td><td><p>1,216</p></td><td><p>297</p></td><td><p>1,321</p></td><td><p>358</p></td><td><p>1,486</p></td></tr><tr><td><p>40-49</p></td><td><p>637</p></td><td><p>1,952</p></td><td><p>686</p></td><td><p>2,089</p></td><td><p>699</p></td><td><p>2,066</p></td></tr><tr><td><p>50-59</p></td><td><p>676</p></td><td><p>1,669</p></td><td><p>674</p></td><td><p>1,956</p></td><td><p>807</p></td><td><p>2,045</p></td></tr><tr><td><p>60-69</p></td><td><p>382</p></td><td><p>690</p></td><td><p>386</p></td><td><p>798</p></td><td><p>441</p></td><td><p>824</p></td></tr><tr><td><p>70-79</p></td><td><p>64</p></td><td><p>155</p></td><td><p>83</p></td><td><p>161</p></td><td><p>112</p></td><td><p>201</p></td></tr><tr><td><p>80-89</p></td><td><p>20</p></td><td><p>47</p></td><td><p>27</p></td><td><p>51</p></td><td><p>25</p></td><td><p>58</p></td></tr><tr><td><p>90+</p></td><td><p>-</p></td><td><p>5</p></td><td><p>-</p></td><td><p>4</p></td><td><p>-</p></td><td><p>6</p></td></tr><tr><td><p>Unknown</p></td><td><p>6</p></td><td><p>24</p></td><td><p>14</p></td><td><p>25</p></td><td><p>10</p></td><td><p>26</p></td></tr></tbody></table><p><br>Source: Hospital Episode Statistics (HES), NHS Digital</p><p>Notes:</p><p> </p><p><sup>1</sup>A FAE is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the period.</p><p> </p><p><sup>2</sup>The primary diagnosis is the first of up to 20 diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>3</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/03/2018 15:47:16 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

850290

	registered interest
	date	26/02/2018
	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	Obesity
	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 hospital bed days were used by patients with obesity-related conditions in each of the last three years; and if he will publish that information by (a) sex and (b) age group.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	129858
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>NHS Digital has provided a count of the number of hospital bed days<sup>1</sup> for finished admission episodes<sup>2</sup> with a primary diagnosis<sup>3</sup> of obesity, tabulated by sex and age band, for the financial years between 2014-15 and 2016-17<sup>4</sup>. This information is provided in the table below.</p><p> </p><table><tbody><tr><td colspan="7"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>2014-15</p></td><td colspan="2"><p>2015-16</p></td><td colspan="2"><p>2016-17</p></td></tr><tr><td><p>Age</p></td><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td></tr><tr><td><p>0-9</p></td><td><p>45</p></td><td><p>94</p></td><td><p>62</p></td><td><p>48</p></td><td><p>69</p></td><td><p>58</p></td></tr><tr><td><p>10-19</p></td><td><p>83</p></td><td><p>290</p></td><td><p>193</p></td><td><p>171</p></td><td><p>91</p></td><td><p>271</p></td></tr><tr><td><p>20-29</p></td><td><p>1,278</p></td><td><p>1,076</p></td><td><p>250</p></td><td><p>992</p></td><td><p>284</p></td><td><p>1,143</p></td></tr><tr><td><p>30-39</p></td><td><p>612</p></td><td><p>2,578</p></td><td><p>803</p></td><td><p>2,242</p></td><td><p>1,479</p></td><td><p>2,810</p></td></tr><tr><td><p>40-49</p></td><td><p>1,665</p></td><td><p>4,224</p></td><td><p>1,555</p></td><td><p>4,442</p></td><td><p>1,296</p></td><td><p>3,825</p></td></tr><tr><td><p>50-59</p></td><td><p>2,012</p></td><td><p>4,093</p></td><td><p>1,813</p></td><td><p>5,026</p></td><td><p>1,970</p></td><td><p>4,236</p></td></tr><tr><td><p>60-69</p></td><td><p>1,732</p></td><td><p>2,803</p></td><td><p>1,364</p></td><td><p>2,861</p></td><td><p>1,616</p></td><td><p>3,190</p></td></tr><tr><td><p>70-79</p></td><td><p>757</p></td><td><p>1,853</p></td><td><p>561</p></td><td><p>1,634</p></td><td><p>690</p></td><td><p>1,797</p></td></tr><tr><td><p>80-89</p></td><td><p>168</p></td><td><p>707</p></td><td><p>236</p></td><td><p>740</p></td><td><p>368</p></td><td><p>823</p></td></tr><tr><td><p>90+</p></td><td><p>16</p></td><td><p>109</p></td><td><p>4</p></td><td><p>22</p></td><td><p>67</p></td><td><p>57</p></td></tr><tr><td><p>Unknown</p></td><td><p>10</p></td><td><p>42</p></td><td><p>17</p></td><td><p>43</p></td><td><p>72</p></td><td><p>147</p></td></tr></tbody></table><p> </p><p><br>Source: Hospital Episode Statistics (HES), NHS Digital</p><p>Notes:</p><p> </p><p><sup>1</sup>Episode duration is calculated as the difference in days between the episode start date and the episode end date, where both are given. Episode duration is based on finished consultant episodes (FCE) and only applies to ordinary admissions, i.e. day cases are excluded (unless otherwise stated).</p><p> </p><p><sup>2</sup>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p><sup>3</sup>The primary diagnosis is the first of up to 20 diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>4</sup>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/03/2018 15:42:17 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

850291

	registered interest
	date	26/02/2018
	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	Alcoholic Drinks: Misuse
	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 alcohol attributable hospital admissions there have been in each of the last three years; and if he will publish that information by (a) sex and (b) age group.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	129859
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>Public Health England regularly publishes information showing the number of alcohol-related National Health Service hospital admissions in England in the Local Alcohol Profiles for England. The table below shows figures for the last three years based on primary and secondary diagnoses (broad measure):</p><table><tbody><tr><td><p> </p></td><td><p>Total</p></td><td><p>Male (all ages)</p></td><td><p>Female (all ages)</p></td></tr><tr><td><p>2016/17</p></td><td><p>1,135,710</p></td><td><p>732,790</p></td><td><p>402,920</p></td></tr><tr><td><p>2015/16</p></td><td><p>1,119,020</p></td><td><p>721,340</p></td><td><p>397,680</p></td></tr><tr><td><p>2014/15</p></td><td><p>1,078,810</p></td><td><p>695,360</p></td><td><p>383,450</p></td></tr></tbody></table><p> </p><p>This data, including a further breakdown by sex and age group is available at:</p><p> </p><p><a href="http://fingertips.phe.org.uk/documents/LAPE_Statistical_Tables_for_England_022018.xlsx" target="_blank">http://fingertips.phe.org.uk/documents/LAPE_Statistical_Tables_for_England_022018.xlsx</a></p><p> </p><p>NHS Digital will also publish this data in its annual Statistics on Alcohol 2018 report which is due to be published on 1 May.</p><p> </p><p>Data on the number of hospital bed days used by patients with alcohol-related conditions is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 129860 question first answered 01/03/2018 15:49:41 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb

850292

	registered interest
	date	26/02/2018
	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	Alcoholic Drinks: Misuse
	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 hospital bed days were used by patients with alcohol-related conditions in each of the last three years; and if he will publish that information by (a) sex and (b) age group.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	129860
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>Public Health England regularly publishes information showing the number of alcohol-related National Health Service hospital admissions in England in the Local Alcohol Profiles for England. The table below shows figures for the last three years based on primary and secondary diagnoses (broad measure):</p><table><tbody><tr><td><p> </p></td><td><p>Total</p></td><td><p>Male (all ages)</p></td><td><p>Female (all ages)</p></td></tr><tr><td><p>2016/17</p></td><td><p>1,135,710</p></td><td><p>732,790</p></td><td><p>402,920</p></td></tr><tr><td><p>2015/16</p></td><td><p>1,119,020</p></td><td><p>721,340</p></td><td><p>397,680</p></td></tr><tr><td><p>2014/15</p></td><td><p>1,078,810</p></td><td><p>695,360</p></td><td><p>383,450</p></td></tr></tbody></table><p> </p><p>This data, including a further breakdown by sex and age group is available at:</p><p> </p><p><a href="http://fingertips.phe.org.uk/documents/LAPE_Statistical_Tables_for_England_022018.xlsx" target="_blank">http://fingertips.phe.org.uk/documents/LAPE_Statistical_Tables_for_England_022018.xlsx</a></p><p> </p><p>NHS Digital will also publish this data in its annual Statistics on Alcohol 2018 report which is due to be published on 1 May.</p><p> </p><p>Data on the number of hospital bed days used by patients with alcohol-related conditions is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 129859 question first answered 01/03/2018 15:49:41 answering member 4067 label Biography information for Steve Brine
	tabling member	1439 label Biography information for Norman Lamb