{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z&_metadata=all", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?AnswerDate=2019-07-01&min-answer.questionFirstAnswered.=2019-06-12T16%3A43%3A21.37Z", "items" : [{"_about" : "http://data.parliament.uk/resources/1134983", "AnsweringBody" : [{"_value" : "Department for Education"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1134983/answer", "answerText" : {"_value" : "

We are committed to ensuring more effective support for children and young people with speech, language and communication needs (SLCN). Ministers from the Department for Education (DfE) regularly meet with local government to discuss issues relating to special educational needs and disabilities (SEND), including SLCN.<\/p>

<\/p>

On 20 May 2019, we held the first SEND ministerial roundtable meeting between ministers from the DfE, Department for Health and Social Care (DHSC) and key SEND stakeholders to help inform future SEND policy. We will also be using these meetings to help inform the SEND System Leadership Board which aims to improve joint working and strategic commissioning for all children and young people with SEND, including those with SLCN.<\/p>

<\/p>

On 20 June 2019, the government issued a letter to I CAN and The Royal College of Speech and Language Therapists. That letter responded to the Bercow One Year Anniversary update report, and was co-signed by ministers from the DfE, DHSC and the Ministry of Justice. The letter reaffirms our commitment to supporting children and young people with SLCN, and sets out the key action the government is taking to address SLCN. A copy of the letter will be placed in the Libraries of both Houses.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4113", "label" : {"_value" : "Biography information for Nadhim Zahawi"} } , "answeringMemberConstituency" : {"_value" : "Stratford-on-Avon"} , "answeringMemberPrinted" : {"_value" : "Nadhim Zahawi"} , "dateOfAnswer" : {"_value" : "2019-07-05", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-05T09:36:56.92Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "60"} , "answeringDeptShortName" : {"_value" : "Education"} , "answeringDeptSortName" : {"_value" : "Education"} , "date" : {"_value" : "2019-07-01", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Speech and Language Therapy: Children"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Education, with reference the June 2019 report of the Children\u2019s Commissioner, We need to talk: access to speech and language therapy, if he will meet with the Local Government Association to discuss the implications for his Department's policies of the findings of that report.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/155", "label" : {"_value" : "Biography information for Geraint Davies"} } , "tablingMemberConstituency" : {"_value" : "Swansea West"} , "tablingMemberPrinted" : [{"_value" : "Geraint Davies"} ], "uin" : "269599"} , {"_about" : "http://data.parliament.uk/resources/1135166", "AnsweringBody" : [{"_value" : "Treasury"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135166/answer", "answerText" : {"_value" : "

The current voluntary payment scheme for share fishermen was introduced to help customers with an uncertain earning pattern to save towards their income tax liability, which is accounted for and paid via the annual self-assessment (SA) process. The scheme is supported by Barclays, operating special bank accounts, from which HMRC can periodically withdraw funds.<\/p>

These arrangements no longer meet banking regulations. There has also been very low take-up of the voluntary payment scheme, so HMRC are working with Barclays to review what services can be offered to share fishermen in future, taking into account developments in the income tax self-assessment process and wider tax administration as well as the payment options available to other taxpayers.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3991", "label" : {"_value" : "Biography information for Jesse Norman"} } , "answeringMemberConstituency" : {"_value" : "Hereford and South Herefordshire"} , "answeringMemberPrinted" : {"_value" : "Jesse Norman"} , "dateOfAnswer" : {"_value" : "2019-07-05", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-05T09:47:58.22Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "14"} , "answeringDeptShortName" : {"_value" : "Treasury"} , "answeringDeptSortName" : {"_value" : "Treasury"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Share Fishermen: Taxation"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Chancellor of the Exchequer, whether people participating in the Share Fisherman Scheme will be able to continue to participate in the scheme for the length of their working lives.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4657", "label" : {"_value" : "Biography information for Anneliese Dodds"} } , "tablingMemberConstituency" : {"_value" : "Oxford East"} , "tablingMemberPrinted" : [{"_value" : "Anneliese Dodds"} ], "uin" : "270381"} , {"_about" : "http://data.parliament.uk/resources/1135167", "AnsweringBody" : [{"_value" : "Department for Work and Pensions"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135167/answer", "answerText" : {"_value" : "

There is no need to wait for a Universal Credit payment, as 100 per cent advances are available from day one of a claim. Advance payments are simply an advance of entitlement, meaning that by month 12 of a claim, a claimant would normally have received exactly the same Universal Credit regardless of whether they had an advance or not.<\/p>

<\/p>

Furthermore, frequency of payment should not affect the total amount of Universal Credit paid over the course of a year. Whilst legacy benefits were paid in two-weekly arrears, Universal Credit is paid in monthly arrears to help reduce welfare dependency by mirroring the world of work, where currently around 70 per cent of tax credit claimants are paid monthly or four weekly.<\/p>

<\/p>

We know that claimants are currently not getting all the entitlements for which they are eligible on legacy benefits. Requiring claimants to make a new Universal Credit claim will ensure that people will not miss out on any entitlements. This will result in an additional £2.4 billion going to 700,000 families who currently do not take up their full benefit entitlement.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4014", "label" : {"_value" : "Biography information for Sir Alok Sharma"} } , "answeringMemberConstituency" : {"_value" : "Reading West"} , "answeringMemberPrinted" : {"_value" : "Alok Sharma"} , "dateOfAnswer" : {"_value" : "2019-07-05", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-05T13:04:00.89Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "29"} , "answeringDeptShortName" : {"_value" : "Work and Pensions"} , "answeringDeptSortName" : {"_value" : "Work and Pensions"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Universal Credit"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Work and Pensions, what assessment she has made of the effect of the (a) wait for payment and (b) monthly payment of universal credit on the number of weeks of benefit paid annually to claimants compared with the number they were paid under their legacy benefits.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3976", "label" : {"_value" : "Biography information for Chris Williamson"} } , "tablingMemberConstituency" : {"_value" : "Derby North"} , "tablingMemberPrinted" : [{"_value" : "Chris Williamson"} ], "uin" : "270345"} , {"_about" : "http://data.parliament.uk/resources/1135173", "AnsweringBody" : [{"_value" : "Home Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135173/answer", "answerText" : {"_value" : "

A new industry voluntary Contingent Reimbursement Model Code for Authorised Push Payment Scam was introduced on 28 May 2019.<\/p>


Customers of those payment service providers that are signatories are protected under the Code from this date. At the outset of the design of the Code, the steering group stated that it will only apply to APP scams occurring after its implementation.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1539", "label" : {"_value" : "Biography information for Mr Ben Wallace"} } , "answeringMemberConstituency" : {"_value" : "Wyre and Preston North"} , "answeringMemberPrinted" : {"_value" : "Mr Ben Wallace"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T15:43:30.23Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "1"} , "answeringDeptShortName" : {"_value" : "Home Office"} , "answeringDeptSortName" : {"_value" : "Home Office"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Electronic Funds Transfer: Fraud"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for the Home Department, what recent discussions his Department has had with banks on the retrospective application of the Authorised Push Payment Scams voluntary code.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4572", "label" : {"_value" : "Biography information for Chris Elmore"} } , "tablingMemberConstituency" : {"_value" : "Ogmore"} , "tablingMemberPrinted" : [{"_value" : "Chris Elmore"} ], "uin" : "270386"} , {"_about" : "http://data.parliament.uk/resources/1135174", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135174/answer", "answerText" : {"_value" : "

We are aware of recent concerning reports describing conditions for children in US detention facilities. The US Congress passed a Bill on 27 June providing emergency funding, including humanitarian support, in part to help address those conditions. We will continue to monitor the situation, though immigration policy in the US is of course a matter for the US Government, just as immigration policy in the UK is decided by the British Government.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/343", "label" : {"_value" : "Biography information for Sir Alan Duncan"} } , "answeringMemberConstituency" : {"_value" : "Rutland and Melton"} , "answeringMemberPrinted" : {"_value" : "Sir Alan Duncan"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "270327"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T15:24:06.8Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "16"} , "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"} , "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "USA: Detention Centres"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Foreign and Commonwealth Affairs, if he will make representations to his US counterpart on (a) the human rights of (i) children and (ii) others held without provision of (A) soap, (B) toothbrushes and (C) beds in the US-run border detention centres on the US-Mexican border and (b) closing those centres; and if he will make a statement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/3930", "label" : {"_value" : "Biography information for Caroline Lucas"} } , "tablingMemberConstituency" : {"_value" : "Brighton, Pavilion"} , "tablingMemberPrinted" : [{"_value" : "Caroline Lucas"} ], "uin" : "270324"} , {"_about" : "http://data.parliament.uk/resources/1135179", "AnsweringBody" : [{"_value" : "Department for Transport"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135179/answer", "answerText" : {"_value" : "

It is a matter for the independent regulator, the Office of Rail and Road (ORR), to assess the effectiveness of NR\u2019s maintenance activity and its impact on the performance of the rail network. ORR reports every six months on its assessment of how Network Rail is performing in the \u201cNetwork Rail Monitor\u201d, which is available on the ORR\u2019s website at ORR.gov.uk.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/3996", "label" : {"_value" : "Biography information for Andrew Jones"} } , "answeringMemberConstituency" : {"_value" : "Harrogate and Knaresborough"} , "answeringMemberPrinted" : {"_value" : "Andrew Jones"} , "dateOfAnswer" : {"_value" : "2019-07-03", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-03T09:06:25.33Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "27"} , "answeringDeptShortName" : {"_value" : "Transport"} , "answeringDeptSortName" : {"_value" : "Transport"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Railways: Repairs and Maintenance"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Transport, what assessment he has made of the effectiveness of Network Rail's emergency maintenance on the rail network in the past five years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4510", "label" : {"_value" : "Biography information for Helen Hayes"} } , "tablingMemberConstituency" : {"_value" : "Dulwich and West Norwood"} , "tablingMemberPrinted" : [{"_value" : "Helen Hayes"} ], "uin" : "270388"} , {"_about" : "http://data.parliament.uk/resources/1135182", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135182/answer", "answerText" : {"_value" : "

During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:<\/p>

- Seriously ill children likely to have a rare genetic disorder;<\/p>

- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and<\/p>

- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS \u2013 children with cancer, sarcoma and acute myeloid leukaemia.<\/p>

<\/p>

WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.<\/p>

Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.<\/p>

WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:<\/p>

<\/p>

https://www.england.nhs.uk/publication/national-genomic-test-directories/<\/a><\/p>

<\/p>

The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.<\/p>

The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.<\/p>

<\/p>

<\/strong><\/p>

<\/strong><\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2019-07-05", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "270282"} , {"_value" : "270283"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-05T09:24:02.73Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Genomics: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, which diagnostic tests will whole genome sequencing replace, particularly for blood cancers.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/394", "label" : {"_value" : "Biography information for Mr Clive Betts"} } , "tablingMemberConstituency" : {"_value" : "Sheffield South East"} , "tablingMemberPrinted" : [{"_value" : "Mr Clive Betts"} ], "uin" : "270281"} , {"_about" : "http://data.parliament.uk/resources/1135183", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135183/answer", "answerText" : {"_value" : "

During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:<\/p>

- Seriously ill children likely to have a rare genetic disorder;<\/p>

- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and<\/p>

- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS \u2013 children with cancer, sarcoma and acute myeloid leukaemia.<\/p>

<\/p>

WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.<\/p>

Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.<\/p>

WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:<\/p>

<\/p>

https://www.england.nhs.uk/publication/national-genomic-test-directories/<\/a><\/p>

<\/p>

The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.<\/p>

The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.<\/p>

<\/p>

<\/strong><\/p>

<\/strong><\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2019-07-05", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "270281"} , {"_value" : "270283"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-07-05T09:24:02.807Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-06-27", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Genetics: Screening"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, whether the National Genomic Test Directory directly replaces the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/394", "label" : {"_value" : "Biography information for Mr Clive Betts"} } , "tablingMemberConstituency" : {"_value" : "Sheffield South East"} , "tablingMemberPrinted" : [{"_value" : "Mr Clive Betts"} ], "uin" : "270282"} , {"_about" : "http://data.parliament.uk/resources/1135184", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1135184/answer", "answerText" : {"_value" : "

During 2019, the National Health Service will begin to offer whole genome sequencing (WGS) as part of clinical care for:<\/p>

- Seriously ill children likely to have a rare genetic disorder;<\/p>

- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and<\/p>

- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS \u2013 children with cancer, sarcoma and acute myeloid leukaemia.<\/p>

<\/p>

WGS will only replace existing diagnostic tests once the testing is demonstrated to be clinically safe to replace existing diagnostic testing. Initially, existing diagnostic testing will continue to be performed alongside WGS testing where clinically appropriate. This will continue until WGS is able to fully support clinical decision making within clinically appropriate timescales.<\/p>

Current testing for blood cancers includes a number of diagnostic tests, the current expectation is that WGS will not be used to replace tests that require very fast turnaround times (under 24 hours) or high sensitivity.<\/p>

WGS and non-WGS testing that will be available as part of clinical care is outlined in the National Genomic Test Directory at the following link:<\/p>

<\/p>

https://www.england.nhs.uk/publication/national-genomic-test-directories/<\/a><\/p>

<\/p>

The UK Genetic Testing Network (UKGTN) published the NHS Directory of Genetic Disorders/Genes for Diagnostic Testing, which evaluated and recommended genetic tests for rare and inherited disorders for the National Health Service across the UK. However, there was not an equivalent for cancer genomic testing. The National Genomic Test Directory specifies which genomic tests are commissioned by the NHS in England, the technology by which they are available, and the patients who will be eligible to access to a test.<\/p>

The National Genomic Test Directory will be updated on an annual basis and NHS England will implement a clear and transparent process, supported by a Clinical and Scientific Expert Panel, to determine which tests are available within the NHS. This will include reviewing any tests that may be retired or replaced by more modern technology, such as WGS. As the price of WGS falls and the clinical evidence improves, we envisage that it will be extended to more conditions and therefore more patients.<\/p>

<\/p>

<\/strong><\/p>

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It is not possible to determine, based on the currently available evidence, whether there is a safe level of exposure to particulate matter PM0.1, PM1 or PM2.5.<\/p>

<\/p>

However, the World Health Organization has developed air quality guidelines for air pollutants. These guidelines can be viewed at the following link:<\/p>

https://apps.who.int/iris/bitstream/handle/10665/69477/WHO_SDE_PHE_OEH_06.02_eng.pdf;jsessionid=2BA71982F81800529E1DDB3FDC4838D7?sequence=1<\/a><\/p>

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