Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.<\/p>
<\/p>
NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE\u2019s Appraisal Committee\u2019s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"} } , "answeringMemberConstituency" : {"_value" : "South Ribble"} , "answeringMemberPrinted" : {"_value" : "Seema Kennedy"} , "dateOfAnswer" : {"_value" : "2019-05-29", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "256255"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-05-29T10:38:01.16Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Nusinersen"} , "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, what discussions his Department has held with (a) NICE, (b) NHS England and (c) Biogen on a Managed Access Agreement for SMA treatment Spinraza.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1538", "label" : {"_value" : "Biography information for Rosie Cooper"} } , "tablingMemberConstituency" : {"_value" : "West Lancashire"} , "tablingMemberPrinted" : [{"_value" : "Rosie Cooper"} ], "uin" : "256254"} , {"_about" : "http://data.parliament.uk/resources/1127500", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1127500/answer", "answerText" : {"_value" : "
Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.<\/p>
<\/p>
NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE\u2019s Appraisal Committee\u2019s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"} } , "answeringMemberConstituency" : {"_value" : "South Ribble"} , "answeringMemberPrinted" : {"_value" : "Seema Kennedy"} , "dateOfAnswer" : {"_value" : "2019-05-29", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "256254"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2019-05-29T10:38:01.217Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "National Institute for Health and Care Excellence"} , "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, when NICE will publish the outcome of the NICE Evaluation Committee meeting held on 6 March 2019.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1538", "label" : {"_value" : "Biography information for Rosie Cooper"} } , "tablingMemberConstituency" : {"_value" : "West Lancashire"} , "tablingMemberPrinted" : [{"_value" : "Rosie Cooper"} ], "uin" : "256255"} , {"_about" : "http://data.parliament.uk/resources/1127581", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1127581/answer", "answerText" : {"_value" : "
NHS England provided an update to the Health and Social Care Committee (HSCC) of the House of Commons on 23 May 2019, which can be found at the following link:<\/p>
https://www.parliament.uk/documents/commons-committees/Health/Correspondence/2017-19/19-05-23-NHS-England-update-availability-of-Orkambi-on-the-NHS.pdf<\/a><\/p> This update informed the HSCC that a revised and improved offer had been made to Vertex Pharmaceuticals. Discussions between Vertex, NHS England and the National Institute for Health and Care Excellence (NICE) are ongoing.<\/p> The Government fully supports NICE and NHS England in seeking to ensure access for patients to effective and innovative medicines at a price that represents value to the National Health Service, and expects companies to engage realistically with NHS England and NICE regarding pricing issues. Where companies engage positively and show appropriate flexibility, it is possible to find a way to enable access to important treatments in a way that is also cost effective for the NHS.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-29", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-29T11:10:57.947Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Cystic Fibrosis: Drugs"}
, "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, what the timetable is for the conclusion of negotiations between NHS England, NICE and Vertex on access to (a) Orkambi and (b) Symkevi for people with cystic fibrosis.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/478", "label" : {"_value" : "Biography information for Lord Field of Birkenhead"}
}
, "tablingMemberConstituency" : {"_value" : "Birkenhead"}
, "tablingMemberPrinted" : [{"_value" : "Frank Field"}
], "uin" : "256233"}
, {"_about" : "http://data.parliament.uk/resources/1127582", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127582/answer", "answerText" : {"_value" : " For financial years 2017/18, 2018/19 and 2019/20 the Food Standard Agency was allocated £30,900,000 cumulatively for preparations for the United Kingdom leaving the European Union.<\/p> <\/p> Food safety in Scotland is a devolved matter.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-23", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-23T15:06:37.53Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Food Standards Agency and Food Standards Scotland"}
, "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, how much additional funding has been allocated to (a) the Food Standards Agency and (b) Food Standards Scotland for preparations for the UK leaving the EU.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/491", "label" : {"_value" : "Biography information for Dame Angela Eagle"}
}
, "tablingMemberConstituency" : {"_value" : "Wallasey"}
, "tablingMemberPrinted" : [{"_value" : "Ms Angela Eagle"}
], "uin" : "256234"}
, {"_about" : "http://data.parliament.uk/resources/1127588", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127588/answer", "answerText" : {"_value" : " Lincolnshire Clinical Commissioning Group has received an application from the Glebe Practice regarding the proposed closure of its branch surgery in Skellingthorpe. It will be carrying out a public consultation and an equality impact assessment will be presented to the Primary Care Commissioning Committee prior to any decision being made.<\/p> When a general practitioner practice closes, patients are informed and advised to register at other local practices of their choice within the catchment area in which they live. In some instances, and in consultation with patients and patient groups, patients are allocated to other neighbouring practices with adequate capacity. Commissioners locally will work with their practices to ensure they are only allocated a volume of patients which they have capacity to manage appropriately and effectively.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-29", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-29T10:54:24.903Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Health Centres: Skellingthorpe"}
, "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, what assessment he has made of the effect of the planned closure of Skellingthorpe Health Centre on local provision of health services.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4664", "label" : {"_value" : "Biography information for Karen Lee"}
}
, "tablingMemberConstituency" : {"_value" : "Lincoln"}
, "tablingMemberPrinted" : [{"_value" : "Karen Lee"}
], "uin" : "256372"}
, {"_about" : "http://data.parliament.uk/resources/1127593", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127593/answer", "answerText" : {"_value" : " NHS Improvement publishes vacancy data for three staff groups; doctors, nurses and \u2018other staff\u2019. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.<\/p> <\/p> NHS Improvement does not specifically produce vacancy data for staff working in mammography or breast radiology at national, regional, county, constituency or hospital trust level.<\/p> The latest NHS Improvement report can be found in the following link:<\/p> https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-23", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "256288"}
, {"_value" : "256289"}
, {"_value" : "256290"}
, {"_value" : "256291"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-23T14:37:17.057Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Breast Cancer: 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, how many vacancies there are in (a) mammography and (b) breast radiology departments in England.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3936", "label" : {"_value" : "Biography information for Andrew Griffiths"}
}
, "tablingMemberConstituency" : {"_value" : "Burton"}
, "tablingMemberPrinted" : [{"_value" : "Andrew Griffiths"}
], "uin" : "256287"}
, {"_about" : "http://data.parliament.uk/resources/1127595", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127595/answer", "answerText" : {"_value" : " NHS Improvement publishes vacancy data for three staff groups; doctors, nurses and \u2018other staff\u2019. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.<\/p> <\/p> NHS Improvement does not specifically produce vacancy data for staff working in mammography or breast radiology at national, regional, county, constituency or hospital trust level.<\/p> The latest NHS Improvement report can be found in the following link:<\/p> https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-23", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "256287"}
, {"_value" : "256289"}
, {"_value" : "256290"}
, {"_value" : "256291"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-23T14:37:17.103Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Breast Cancer: 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, how many vacancies there are in (a) mammography and (b) breast radiology departments in each region.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3936", "label" : {"_value" : "Biography information for Andrew Griffiths"}
}
, "tablingMemberConstituency" : {"_value" : "Burton"}
, "tablingMemberPrinted" : [{"_value" : "Andrew Griffiths"}
], "uin" : "256288"}
, {"_about" : "http://data.parliament.uk/resources/1127596", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127596/answer", "answerText" : {"_value" : " NHS Improvement publishes vacancy data for three staff groups; doctors, nurses and \u2018other staff\u2019. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.<\/p> <\/p> NHS Improvement does not specifically produce vacancy data for staff working in mammography or breast radiology at national, regional, county, constituency or hospital trust level.<\/p> The latest NHS Improvement report can be found in the following link:<\/p> https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf<\/a><\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-05-23", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "256287"}
, {"_value" : "256288"}
, {"_value" : "256290"}
, {"_value" : "256291"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-05-23T14:37:17.167Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-05-20", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Breast Cancer: 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, how many vacancies there are in (a) mammography and (b) breast radiology departments by each county in England.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3936", "label" : {"_value" : "Biography information for Andrew Griffiths"}
}
, "tablingMemberConstituency" : {"_value" : "Burton"}
, "tablingMemberPrinted" : [{"_value" : "Andrew Griffiths"}
], "uin" : "256289"}
, {"_about" : "http://data.parliament.uk/resources/1127597", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1127597/answer", "answerText" : {"_value" : " NHS Improvement publishes vacancy data for three staff groups; doctors, nurses and \u2018other staff\u2019. These vacancy statistics are published for England and at the regional level of North, Midlands and East, London and South.<\/p> <\/p> NHS Improvement does not specifically produce vacancy data for staff working in mammography or breast radiology at national, regional, county, constituency or hospital trust level.<\/p> The latest NHS Improvement report can be found in the following link:<\/p>