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1007767

registered interest
date	15/11/2018
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	Nusinersen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress NHS England, Biogen and NICE have made in discussions on a managed access agreement for the use of Spinraza for the treatment of spinal muscular dystrophy.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	191928
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is currently developing technology appraisal guidance for the National Health Service on the use of Spinraza (nusinersen) for the treatment of spinal muscular atrophy (SMA).</p><p> </p><p>NICE is in discussion with Biogen (the company that manufactures Spinraza) to determine if there are any commercial flexibilities that could support the company in putting forward a cost-effective price in order for NICE to recommend use of the drug as a clinically and cost-effective use of NHS resources.</p><p> </p><p>NHS England has published an Interim Policy Statement determining the circumstances in which existing patients will be supported to access Spinraza through the Expanded Access Programme (EAP) scheme sponsored by Biogen. The policy statement enables existing patients with type 1 SMA to access Spinraza in advance of NICE’s guidance, although the company has now withdrawn the EAP for newly diagnosed patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:13:09 answering member 4067 label Biography information for Steve Brine
tabling member	4249 label Biography information for Anne Marie Morris

1007777

registered interest
date	15/11/2018
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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will introduce a secondary support package covering breast cancer care to include (a) access to a dedicated clinical nurse specialist, (b) an assessment of physical and emotional needs at (i) diagnosis and (ii) through treatment and referral and (c) signposting to tailored, specialist support services.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	191871
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The NHS Cancer Programme is working to improve access to cancer nurse specialists (CNSs) for all cancer patients when they need it, including those with secondary breast cancer.</p><p> </p><p>We are committed to rolling out the recovery package to every cancer patient by 2020. The recovery package is a set of four interventions designed to help patients and clinicians assess a patient’s holistic needs, including physical and emotional needs, at appropriate time points through their cancer journey, as needs do change especially when a person is diagnosed with secondary cancer. A personalised care and support plan to meets these needs should be agreed, ensuring signposting and referral to the right support and care services is made, and also helping to empower patients to independently manage their own health, with advice and support.</p><p> </p><p>NHS England is committed to giving more patients access to a CNS or other specialist from diagnosis onwards to guide them through treatment options and ensure they receive appropriate information and support. In their first Cancer Workforce Plan, which was published in December 2017, Health Education England committed to supporting the expansion of CNSs by developing national competencies and a clear route into training. This will ensure that every patient has access to a CNS or other support worker by 2021.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:20:10 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead

1007778

registered interest
date	15/11/2018
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	Suicide: LGBT+ People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that the suicide prevention strategy addresses the needs of LGBT people.
tabling member constituency	Rotherham
tabling member printed	Sarah Champion
uin	191933
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>In July 2018, the Government Equalities Office published a report titled ‘Improving LGBT lives: Government action since 2010’ which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lgbt-lives-government-action-since-2010" target="_blank">https://www.gov.uk/government/publications/improving-lgbt-lives-government-action-since-2010</a></p><p> </p><p>That report made a commitment that the Government will take action to improve mental healthcare for LGBT people and, as part of this, the Department will work with the Government Equalities Office to implement elements of its LGBT Action Plan through the National Suicide Prevention Strategy. We will set this work out in a Cross-Government Suicide Prevention Workplan which will be published shortly.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/11/2018 11:25:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4267 label Biography information for Sarah Champion

1007786

registered interest
date	15/11/2018
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	Parkinson's Disease: Mental Health Services
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 people with Parkinson’s disease accessed Improving Access to Psychological Therapies services; what the average waiting time was for a person with Parkinson’s disease from referral to first appointment; and what the recovery rate was for people with Parkinson’s disease following completion of that treatment in 2016-17.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	191900
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>This information is not held centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/11/2018 11:19:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3957 label Biography information for Martin Vickers

1007816

registered interest
date	15/11/2018
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	Compulsorily Detained Psychiatric Patients: West Midlands
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 he has made of the effect of the Independent Review of the Mental Health Act on the rate of detentions under the Mental Health Act 1983 in Birmingham and Solihull Clinical Commissioning Group.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	191976
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The Independent Review of the Mental Health Act will report before the end of the year. The Government will consider its findings and respond in due course. The Review will make recommendations to Government for how it should improve the Act, including considering what changes might be needed to reduce the number of detentions under the Act, but the Review itself was not commissioned to have a direct influence on legislation or practice.</p><p> </p><p>We have therefore made no assessment on the effect of the Independent Review of the Mental Health Act on the rate of detentions under the Mental Health Act 1983.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191977 192127 question first answered 23/11/2018 11:17:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4603 label Biography information for Preet Kaur Gill

1007817

registered interest
date	15/11/2018
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	Mental Health Act 1983 Independent Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timescale is for his Department to respond to the recommendations of the Independent Review of the Mental Health Act.
tabling member constituency	Birmingham, Edgbaston
tabling member printed	Preet Kaur Gill
uin	191977
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The Independent Review of the Mental Health Act will report before the end of the year. The Government will consider its findings and respond in due course. The Review will make recommendations to Government for how it should improve the Act, including considering what changes might be needed to reduce the number of detentions under the Act, but the Review itself was not commissioned to have a direct influence on legislation or practice.</p><p> </p><p>We have therefore made no assessment on the effect of the Independent Review of the Mental Health Act on the rate of detentions under the Mental Health Act 1983.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191976 192127 question first answered 23/11/2018 11:17:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4603 label Biography information for Preet Kaur Gill

1007853

registered interest
date	15/11/2018
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	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 progress has been made on creating a system whereby patient evidence can be considered as part of the specialised commissioning relative prioritisation process.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	191991
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Patients and the public already have the opportunity to submit peer reviewed, published evidence as part of the clinical commissioning policy and services specification development process and to comment on draft commissioning policies and service specifications during public consultation. An engagement report which summarises the views submitted is considered by the Clinical Priorities Advisory Group as part of their deliberations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:14:05 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

1007868

registered interest
date	15/11/2018
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	Health Services: Veterans
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to page 18 paragraph 4 of HM Government publication, The Strategy For Our Veterans, published in November 2018, what steps he is taking to ensure that all veterans enjoy a state of positive physical and mental health and wellbeing, enabling them to contribute to wider aspects of society; and what amount of funding he has allocated to the 2028 outcome.
tabling member constituency	North Durham
tabling member printed	Mr Kevan Jones
uin	191890
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The Strategy for our Veterans and a Consultation Paper were published on 14 November and debated in Parliament on 15 November. The Consultation Paper seeks public views to inform how the Government will implement the strategy. Following conclusion of the consultation period in February 2019, implementation plans will be developed by each relevant service provider, along with individual costings which will fall across Government. Once implementation options have been agreed, the resource required to implement the Strategy for our veterans will be agreed between Ministerial Covenant and Veterans Board members, which includes the Chief Secretary to the Treasury.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/11/2018 11:20:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1438 label Biography information for Mr Kevan Jones

1006931

registered interest
date	14/11/2018
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	Carbon Monoxide: Poisoning
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to educate the public on (a) the dangers of carbon monoxide and (b) seek to prevent further deaths and injuries from such poisoning; and if he will make a statement.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	191294
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Public Health England (PHE) raises public awareness of the impacts of carbon monoxide (CO) pollution by supporting activities that aim to change behaviour, such as the annual Clean Air Day. PHE is also working with health partners for example, the National Institute for Health and Care Excellence to improve the evidence on the health impacts of poor indoor air quality which will enhance advice to the public.</p><p> </p><p>PHE promotes awareness about CO through the use of blog posts, press releases and social media updates. PHE produces a number of materials, which are issued over the winter period, and provide information on, and warnings of the dangers of CO poisoning to help prevent potential injury or death. This includes the Cold Weather Plan, updated in October 2018. This is shared and promoted through all channels including all local authorities and National Health Service organisations and can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/cold-weather-plan-cwp-for-england" target="_blank">https://www.gov.uk/government/publications/cold-weather-plan-cwp-for-england</a></p><p> </p><p>PHE published advice and guidance on social media to remind campers about the dangers of using barbeques inside tents and other enclosed spaces. An example of this can be viewed at the following link:</p><p> </p><p><a href="https://publichealthmatters.blog.gov.uk/2015/12/15/carbon-monoxide-the-silent-killer/" target="_blank">https://publichealthmatters.blog.gov.uk/2015/12/15/carbon-monoxide-the-silent-killer/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 191296 question first answered 22/11/2018 15:18:34 answering member 4067 label Biography information for Steve Brine
tabling member	411 label Biography information for Mr Barry Sheerman

1006934

registered interest
date	14/11/2018
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	Carbon Monoxide: Poisoning
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to increase awareness among GPs of the symptoms of carbon monoxide poisoning to improve the diagnostic process; and if he will make a statement.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	191295
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Public Health England has published guidance notes for general practitioners, emergency physicians and other medical professionals in England, to help diagnose and manage carbon monoxide poisoning in patients. These materials are available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/collections/carbon-monoxide-co" target="_blank">https://www.gov.uk/government/collections/carbon-monoxide-co</a></p><p> </p><p>At the end of every year, the Cross Government Group on Gas Safety and Carbon Monoxide Awareness (COCCG) publishes its annual report, which provides a summary of the work carried out by COCCG members of Government departments, devolved administrations and other governmental bodies over the year. This includes activities that support professionals, including medical professionals, on carbon monoxide recognition and diagnosis. The report is available at the following link:</p><p> </p><p><a href="http://www.hse.gov.uk/gas/domestic/cross-government-group.htm" target="_blank">http://www.hse.gov.uk/gas/domestic/cross-government-group.htm</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:15:37 answering member 4067 label Biography information for Steve Brine
tabling member	411 label Biography information for Mr Barry Sheerman