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780469

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Slaughterhouses: CCTV
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on (a) the number and (b) which slaughterhouses do not have comprehensive CCTV installed on their premises.
tabling member constituency	North West Norfolk
tabling member printed	Sir Henry Bellingham
uin	110364
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>In May 2016 the Food Standards Agency carried out a CCTV survey in all 278 operating slaughterhouses in England and Wales.</p><p> </p><p>The results from this survey showed:</p><p> </p><p>- 102 out of 207 red meat slaughterhouses (49.3%) and 50 out of 71 white meat slaughterhouses (70.4%) had some form of CCTV in use for animal welfare purposes.</p><p> </p><p>In respect of which slaughterhouses do not have comprehensive CCTV installed on its premises, this information is commercially sensitive and cannot be released.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 11:53:02 answering member 4067 label Biography information for Steve Brine
tabling member	1441 label Biography information for Lord Bellingham

780491

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Respiratory System: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients were admitted via accident and emergency departments in each month of the last six financial years with (a) asthma, (b) bronchitis and (c) bronchiolitis were aged (i) under one, (ii) one to four, (iii) five to nine, (iv) 10 to 14, (v) 15 to 19 and (vi) 20 to 24.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	110457
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p>The information is not collected in the format requested.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 06/11/2017 15:30:49 answering member 1542 label Biography information for Philip Dunne
tabling member	4122 label Biography information for Alex Cunningham

780492

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to recognised local authority mental health services as a key service alongside the NHS and to ensure that the statutory functions of local authority mental health services are adequately funded.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	110445
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p>Local authorities (LAs) have a statutory duty to take the steps that they decide are appropriate to improve the physical and mental health of the people in their areas. It is for individual LAs to identify and address the particular needs of their population. Many of the services they arrange have the potential to benefit mental health and wellbeing, including drug and alcohol misuse treatment. LAs will receive £16 billion over the current five-year spending review period to fund their health improvement activity.</p><p> </p><p>Local authorities also have statutory responsibilities to do with the Mental Health Act. The Care Quality Commission monitors the operation of the Act, and reports to Parliament each year on its findings. The Independent Review of the Mental Health Act will also examine current practice and look at how the Act is working for patients, and how it can be improved.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/11/2017 16:25:10 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

780493

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to improve the sharing of medical records between medical institutions and trusts for mental health service users.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	110444
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Government recognises that appropriate and timely sharing of data is essential to improving care, treatment and support for service users. We are committed to ensuring the health and social care system in England realises the benefits of sharing data in a safe, secure and legal way.</p><p> </p><p>Government policy has outlined the importance of sharing data between organisations at a local level. The Department has worked with the Centre of Excellence for Information Sharing to understand the factors which impact on information sharing in mental health crisis care.</p><p> </p><p>Challenges around transferring patient notes and records between different organisations and care settings are recognised and will be addressed, in part, by the move from paper records to electronic systems for recording and sharing patient information.</p><p> </p><p>‘Information: To Share or not to share? The Information Governance Review’ (2013) created a duty on National Health Service trusts to share information. NHS trusts have to demonstrate in their annual information governance return how they are fulfilling this duty.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/11/2017 17:11:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

780495

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Hospital Beds
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that (a) there are sufficient psychiatric beds to meet demand and (b) out-of-area placements are avoided.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	110274
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p><strong></strong></p><p>My Rt. hon. Friend the Secretary of State for Health is committed to ensuring that patients with mental health conditions can receive treatment as close as possible to where they live. Inappropriate out of area placements are unacceptable and the Government has set a target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>To support the delivery of this ambition, in October 2016 the Government put in place the first data collection to secure much-needed national transparency on the number of patients that are sent out of their local area for acute inpatient treatment.</p><p> </p><p>NHS England is using this new data to support local health systems to develop and deliver trajectories to eliminate inappropriate out of area placements.</p><p> </p><p>More than £400 million has been made available for investment in mental health crisis resolution home treatment teams over the next four years, enabling them to provide 24/7 crisis response and intensive home treatment as a genuine alternative to admission where appropriate.</p><p> </p><p>Shared learning and best-practice advice on reducing out of area placements through improved system capacity management will be included in acute care commissioning guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/11/2017 11:42:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

780496

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Papillomavirus: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many Yellow Cards submitted to the Medicines and Healthcare Products Regulatory Agency on the HPV vaccination have been classified as serious in the last three years.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	110248
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) encourages anyone to report a suspected adverse reaction (ADR) to a vaccine or medicine through the Yellow Card Scheme:</p><p> </p><p><a href="http://www.mhra.gov.uk/yellowcard" target="_blank">www.mhra.gov.uk/yellowcard</a></p><p>A Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine or medicine may have been the cause. Such reports are kept under continual review to identify potential new risks.</p><p> </p><p>Between 31 October 2014 – 30 October 2017 a total of 649 serious suspected adverse reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA) via the Yellow Card Scheme (data run date: 1 November 2017). In this three year period, at least 1 million doses of HPV vaccine were administered in the United Kingdom.</p><p> </p><p>A breakdown of UK serious suspected spontaneous ADR reports received via the Yellow Card Scheme beween 31 October 2014 – 30 October 2016 by brand and year received is shown in the following table.</p><p> </p><table><tbody><tr><td><p>HPV Vaccine</p></td><td><p>Number of serious reports</p></td></tr><tr><td><p>HPV brand unspecified</p></td><td><p>181</p></td></tr><tr><td><p>Cervarix</p></td><td><p>64</p></td></tr><tr><td><p>Gardasil</p></td><td><p>390</p></td></tr><tr><td><p>Gardasil 9</p></td><td><p>18</p></td></tr><tr><td><p>Total</p></td><td><p>649</p></td></tr></tbody></table><p> </p><p>Source: MHRA sentinel database for adverse reactions</p><p> </p><p>Notes:</p><p> </p><p>The total number of reports received by vaccine brand is not equal to the totals in the table above as some reports included more than one HPV vaccine brand.</p><p> </p><p>The MHRA has received a total of 3,159 serious suspected adverse reaction reports associated with HPV vaccine (data run date 1 November 2017).</p><p> </p><p>All serious reports received via the Yellow Card Scheme are reviewed based on the details received from the reporter. Follow up letters may be sent for missing information such as vaccine brand name, batch number, medical history, results of investigations, diagnoses and details of outcome.</p><p> </p><p>The Commission on Human Medicines has thoroughly reviewed the safety of HPV vaccines and concluded that the evidence does not support a link between HPV vaccination and the development of chronic illnesses.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 110360 question first answered 07/11/2017 11:31:40 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

780497

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with Cabinet colleagues on the potential merits of introducing a cap on care costs for older people.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	110249
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Government will work to address the challenges of social care for our ageing population, bringing forward proposals for consultation to build widespread support. We are committed to listening to people’s views on how to reform the social care system, to ensure it is sustainable for current and future generations and that the quality of care improves.</p><p> </p><p>Ageing and care issues span a number of areas for which different Departments have policy responsibility, which is why the Cabinet Office will continue to coordinate this work through its next phase, working closely with HM Treasury and the Departments of Health, Communities and Local Government, Work and Pensions, and Business, Energy and Industrial Strategy.</p><p> </p><p>We will consult on options which will include a capital floor and an absolute limit on the amount people who can be asked to pay, and are keen to hear different views on the cap, both its level and design.</p><p> </p><p>We will provide further details on the next steps on social care in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 110250 question first answered 07/11/2017 17:09:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4109 label Biography information for Jeremy Lefroy

780498

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what timeline he plans to consult on and publish a Green Paper on adult social care.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	110250
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>The Government will work to address the challenges of social care for our ageing population, bringing forward proposals for consultation to build widespread support. We are committed to listening to people’s views on how to reform the social care system, to ensure it is sustainable for current and future generations and that the quality of care improves.</p><p> </p><p>Ageing and care issues span a number of areas for which different Departments have policy responsibility, which is why the Cabinet Office will continue to coordinate this work through its next phase, working closely with HM Treasury and the Departments of Health, Communities and Local Government, Work and Pensions, and Business, Energy and Industrial Strategy.</p><p> </p><p>We will consult on options which will include a capital floor and an absolute limit on the amount people who can be asked to pay, and are keen to hear different views on the cap, both its level and design.</p><p> </p><p>We will provide further details on the next steps on social care in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 110249 question first answered 07/11/2017 17:09:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4109 label Biography information for Jeremy Lefroy

780510

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to NHS England's publications Biological Medicines Commissioning Framework published on 12 September 2017 and What is a Biosimilar Medicine published on 24 September 2015, what steps he has taken to ensure that patients in England will have the right to an informed discussion and consultation with their clinician before a decision is made to switch them from their existing biologic treatment to a biosimilar treatment.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	110267
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>NHS England is clear that treatment decisions should always be made first on the basis of clinical judgement and through shared decision making with individual patients. Where a decision is taken to switch a patient from their existing biologic treatment to a biosimilar treatment, strong safeguards are required to ensure that patients who have responded well to existing medicine are closely monitored to ensure efficacy and safety.</p><p> </p><p>NHS England is working closely with patient groups to develop patient material which will help patients to have informed discussions with a clinician. NHS England met with a number of patient groups in August 2017 to discuss biosimilar medicines and is committed to continuing a collaborative working relationship. NHS England recognises patient groups have an important role to play as advocates for biosimilar medicines and in the process, provide peer to peer support for patients.</p><p> </p><p>NHS England is also working with NHS Choices to ensure the availability of biosimilars related information to support patients to make informed decisions about switching, and help patients understand what biosimilar medicines are. NHS Choices are updating their current biological medicine content to align with NHS England's commissioning framework.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 17:16:36 answering member 4067 label Biography information for Steve Brine
tabling member	1583 label Biography information for Ms Lyn Brown

780511

registered interest
date	30/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Travel
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which tickets for journeys he took which are set out out in the transparency release, entitled Ministerial gifts, hospitality, travel and external meetings: April to June 2017, published on 13 October 2017, were (a) first, (b) business, (c) economy or (d) any other class.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	110174
answer	answer is ministerial correction date of answer 06/11/2017 answer text <p>Both journeys undertaken by my Rt. hon. Friend the Secretary of State for Health were in economy class.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 06/11/2017 11:19:17 answering member 1542 label Biography information for Philip Dunne
tabling member	410 label Biography information for Jon Trickett