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678526

registered interest
date	25/01/2017
answering body	Department for Communities and Local Government
answering dept id	7
answering dept short name	Communities and Local Government
answering dept sort name	Communities and Local Government
hansard heading	Public Health: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Communities and Local Government, what assessment his Department has made of the effect of devolution of the public health grant and 100 per cent business rates retention on local authorities' delivery of the public health outcomes framework from 2018-19.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	61774
answer	answer is ministerial correction date of answer 02/02/2017 answer text <p>By the end of the Parliament, local government will retain 100 per cent of taxes raised locally, giving councils control of around an additional £12.5 billion of business rates to spend on local services. Councils have long campaigned for this move towards local self-sufficiency. In order that these reforms are revenue neutral, local authorities will have £12.5 billion of additional responsibilities delegated to them. We consulted last Summer on these reforms, including on which additional functions should be delegated, and had over 450 responses. My officials are currently considering all responses and we will publish a summary of the responses and our proposals for the broad way forward in due course.</p><p>If public health responsibilities were to be resourced through retained business rates, then this would change the funding mechanism by which the resource is supplied to local authorities, but would not change the legal requirements on local authorities to improve public health.</p><p>The legislative framework for public health would remain, including regulations mandating particular services. If public health responsibilities were to be resourced through retained business rates then the Government would also consider whether any adjustments to this framework are necessary, and if required the Government would consult on any proposed changes.</p> answering member constituency Nuneaton answering member printed Mr Marcus Jones grouped question UIN 61637 61687 61691 question first answered 02/02/2017 14:40:08 answering member 4024 label Biography information for Mr Marcus Jones
tabling member	4429 label Biography information for Mr William Wragg

678533

registered interest
date	25/01/2017
answering body	Department for Communities and Local Government
answering dept id	7
answering dept short name	Communities and Local Government
answering dept sort name	Communities and Local Government
hansard heading	Public Health: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Communities and Local Government, pursuant to the Answer of 1 December 2016 to Question HL3395, if the Government will hold a public consultation on the effect on future arrangements for public health funding of Government proposals on business rate retention by local authorities.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	61637
answer	answer is ministerial correction date of answer 02/02/2017 answer text <p>By the end of the Parliament, local government will retain 100 per cent of taxes raised locally, giving councils control of around an additional £12.5 billion of business rates to spend on local services. Councils have long campaigned for this move towards local self-sufficiency. In order that these reforms are revenue neutral, local authorities will have £12.5 billion of additional responsibilities delegated to them. We consulted last Summer on these reforms, including on which additional functions should be delegated, and had over 450 responses. My officials are currently considering all responses and we will publish a summary of the responses and our proposals for the broad way forward in due course.</p><p>If public health responsibilities were to be resourced through retained business rates, then this would change the funding mechanism by which the resource is supplied to local authorities, but would not change the legal requirements on local authorities to improve public health.</p><p>The legislative framework for public health would remain, including regulations mandating particular services. If public health responsibilities were to be resourced through retained business rates then the Government would also consider whether any adjustments to this framework are necessary, and if required the Government would consult on any proposed changes.</p> answering member constituency Nuneaton answering member printed Mr Marcus Jones grouped question UIN 61687 61691 61774 question first answered 02/02/2017 14:40:08 answering member 4024 label Biography information for Mr Marcus Jones
tabling member	4429 label Biography information for Mr William Wragg

678536

registered interest
date	25/01/2017
answering body	Department for Communities and Local Government
answering dept id	7
answering dept short name	Communities and Local Government
answering dept sort name	Communities and Local Government
hansard heading	Non-domestic Rates: Public Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Communities and Local Government, what discussions he has had with the Secretary of State for Health on the potential effect on local authorities conduct of statutory duties and public health responsibilities of the Government's proposals for 100 per cent business rates retention from 2018-19 and the devolution of the public health grant.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	61687
answer	answer is ministerial correction date of answer 02/02/2017 answer text <p>By the end of the Parliament, local government will retain 100 per cent of taxes raised locally, giving councils control of around an additional £12.5 billion of business rates to spend on local services. Councils have long campaigned for this move towards local self-sufficiency. In order that these reforms are revenue neutral, local authorities will have £12.5 billion of additional responsibilities delegated to them. We consulted last Summer on these reforms, including on which additional functions should be delegated, and had over 450 responses. My officials are currently considering all responses and we will publish a summary of the responses and our proposals for the broad way forward in due course.</p><p>If public health responsibilities were to be resourced through retained business rates, then this would change the funding mechanism by which the resource is supplied to local authorities, but would not change the legal requirements on local authorities to improve public health.</p><p>The legislative framework for public health would remain, including regulations mandating particular services. If public health responsibilities were to be resourced through retained business rates then the Government would also consider whether any adjustments to this framework are necessary, and if required the Government would consult on any proposed changes.</p> answering member constituency Nuneaton answering member printed Mr Marcus Jones grouped question UIN 61637 61691 61774 question first answered 02/02/2017 14:40:08 answering member 4024 label Biography information for Mr Marcus Jones
tabling member	4429 label Biography information for Mr William Wragg

678540

registered interest
date	25/01/2017
answering body	Department for Communities and Local Government
answering dept id	7
answering dept short name	Communities and Local Government
answering dept sort name	Communities and Local Government
hansard heading	Non-domestic Rates: Public Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Communities and Local Government, what assessment his Department has made of the potential effect of its proposals for 100 per cent business rates retention and devolution of the public health grant on the capacity of local authorities to work to reduce health inequalities from 2018-19.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	61691
answer	answer is ministerial correction date of answer 02/02/2017 answer text <p>By the end of the Parliament, local government will retain 100 per cent of taxes raised locally, giving councils control of around an additional £12.5 billion of business rates to spend on local services. Councils have long campaigned for this move towards local self-sufficiency. In order that these reforms are revenue neutral, local authorities will have £12.5 billion of additional responsibilities delegated to them. We consulted last Summer on these reforms, including on which additional functions should be delegated, and had over 450 responses. My officials are currently considering all responses and we will publish a summary of the responses and our proposals for the broad way forward in due course.</p><p>If public health responsibilities were to be resourced through retained business rates, then this would change the funding mechanism by which the resource is supplied to local authorities, but would not change the legal requirements on local authorities to improve public health.</p><p>The legislative framework for public health would remain, including regulations mandating particular services. If public health responsibilities were to be resourced through retained business rates then the Government would also consider whether any adjustments to this framework are necessary, and if required the Government would consult on any proposed changes.</p> answering member constituency Nuneaton answering member printed Mr Marcus Jones grouped question UIN 61637 61687 61774 question first answered 02/02/2017 14:40:08 answering member 4024 label Biography information for Mr Marcus Jones
tabling member	4429 label Biography information for Mr William Wragg

662957

registered interest
date	20/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection: Clinical Trials
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the announcement by NHS England of 4 December 2016 on a large-scale clinical trial of pre-exposure prophylaxis (PrEP) for HIV prevention, how his Department plans to review progress during that trial; whether his Department plans to publish interim results of that trial; and whether his Department plans to fully commission PrEP before the end of the trial in the event that preliminary evidence shows it to be (a) effective at reducing HIV transmission, (b) cost effective and (c) affordable.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	58399
answer	answer is ministerial correction date of answer 09/01/2017 answer text <p>NHS England and Public Health England are working to finalise the clinical trial protocol and trial governance. This will determine the appropriate research framework for reviewing progress during the trial and publication of interim results. This will also clarify the amount and duration of drug used for pre-exposure prophylaxis (PrEP).</p><p> </p><p>Decisions concerning future commissioning will be taken once answers to the key outstanding questions become available, such as what may be the extent of PrEP uptake by those at high HIV-risk and the duration of use.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 09/01/2017 16:32:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg

662958

registered interest
date	20/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection: Clinical Trials
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the announcement by NHS England of 4 December 2016 on a large-scale clinical trial of pre-exposure prophylaxis for HIV prevention, whether the reference to 10,000 people over three years means 10,000 people for up to three years each.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	58400
answer	answer is ministerial correction date of answer 09/01/2017 answer text <p>The clinical trial protocol of HIV pre-exposure prophylaxis (PrEP) is not yet finalised and one of the areas the trial is intended to investigate is the duration of PrEP for those at highest risk.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 09/01/2017 16:31:22 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg

659591

registered interest
date	15/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, with reference to the announcement by NHS England of 4 December 2016 for a large scale clinical trial of pre-exposure prophylaxis for HIV prevention, what steps he plans to take to ensure that high risk groups not in regular contact with sexual health and genito-urinary medicine clinics access that trial.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	57772
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The arrangements for the clinical trial on pre-exposure prophylaxis are being developed between NHS England and Public Health England. Issues around reaching high risk groups and eligibility criteria will be addressed as part of that planning.</p><p> </p><p>NHS England will take steps to monitor the impact of the trial on costs of antiretroviral drugs for post exposure prophylaxis.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57773 57774 question first answered 20/12/2016 09:33:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg

659592

registered interest
date	15/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, with reference to the announcement by NHS England of 4 December 2016 for a large scale clinical trial of pre-exposure prophylaxis (PrEP) for HIV prevention, if he will make it his policy to monitor the prescriptions rates of post-exposure prophylaxis after sexual exposure (PEPSE) during the three year PrEP trial in order to assess the effect of increased PrEP use on (a) the demand for PEPSE and other post-exposure prophylaxis and (b) the effect on costs to the NHS of potential changes in PEPSE and other post-exposure prophylaxis prescriptions.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	57773
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The arrangements for the clinical trial on pre-exposure prophylaxis are being developed between NHS England and Public Health England. Issues around reaching high risk groups and eligibility criteria will be addressed as part of that planning.</p><p> </p><p>NHS England will take steps to monitor the impact of the trial on costs of antiretroviral drugs for post exposure prophylaxis.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57772 57774 question first answered 20/12/2016 09:33:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg

659593

registered interest
date	15/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, with reference to the announcement by NHS England of 4 December 2016 for a large scale clinical trial of pre-exposure prophylaxis (PrEP) for HIV prevention, what the eligibility criteria will be for people to enrol on that trial.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	57774
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The arrangements for the clinical trial on pre-exposure prophylaxis are being developed between NHS England and Public Health England. Issues around reaching high risk groups and eligibility criteria will be addressed as part of that planning.</p><p> </p><p>NHS England will take steps to monitor the impact of the trial on costs of antiretroviral drugs for post exposure prophylaxis.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57772 57773 question first answered 20/12/2016 09:33:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg

659594

registered interest
date	15/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, with reference to the announcement by NHS England of 4 December 2016 for a large scale clinical trial of pre-exposure prophylaxis for HIV prevention, what (a) his estimate is of the total number of people judged to be at high risk of HIV transmission and (b) steps he plans to take in the event that more people seek access to the trial than the 10,000 planned participants announced.
tabling member constituency	Hazel Grove
tabling member printed	William Wragg
uin	57784
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>Based on data covering HIV testing and sexually transmitted infections in men who have sex with men using genito-urinary medicine services, Public Health England has estimated the number at risk of HIV transmission to be around 13,000. The role of the clinical trial is to improve estimates of clinical need.</p><p> </p><p>The clinical trial protocol is being finalised which will confirm the number of people who can be enrolled.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 20/12/2016 09:29:43 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4429 label Biography information for Mr William Wragg