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1063910

registered interest
date	19/02/2019
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	Heart Diseases: Transplant Surgery
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 have had an operation for an artificial heart have been undertaken in the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	223052
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The information is not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:37:00 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1063914

registered interest
date	19/02/2019
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	Exercise
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent steps the NHS has taken to promote the health benefits of regular exercise.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	223054
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The Government recognises the health benefits of regular exercise. The Chief Medical Officer has commissioned an evidence based review of physical activity and health which will be published later this year. The ‘One You’ Campaign developed by Public Health England and the National Health Service provides information around a range of topics and provides the tools to encourage people to make better choices today that can have a huge influence on their health, and could prevent diseases such as type 2 diabetes, cancer and heart disease, and reduce the risk of suffering a stroke or living with dementia, disability and frailty in later life.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:38:06 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1063915

registered interest
date	19/02/2019
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	Kidneys
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 aged between 10 and 20 have had operations for kidney-stones in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	223055
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>Data is not available in the format requested.</p><p> </p><p>A count of finished admission episodes with a primary diagnosis of kidney stones and a main procedure for kidney stones, where the patient age was between 10 and 20 years (inclusive), for the years 2013-14 to 2017-18, is attached.</p><p> </p><p>The data should not be described as a count of people as the same person may have been admitted to hospital on one or more occasion.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/02/2019 11:06:42 answering member 1585 label Biography information for Stephen Hammond attachment 1 file name PQ223055 - data table format.xlsx title PQ223055 attached table
tabling member	4131 label Biography information for Jim Shannon

1063920

registered interest
date	19/02/2019
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	Rare Diseases: Drugs
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 make an assessment of the potential merits of implementing a UK-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions.
tabling member constituency	Berwickshire, Roxburgh and Selkirk
tabling member printed	John Lamont
uin	223060
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>We have no plans to assess the potential merits of implementing a United Kingdom-wide scheme for the purchase and distribution of expensive drugs and medical supplies that are used to treat rare conditions. It is for the National Health Service in England and the devolved administrations to make decisions in the best interest of their patients, including those with rare diseases, to ensure access to the medicines and medical supplies they need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2019 15:34:11 answering member 4067 label Biography information for Steve Brine
tabling member	4608 label Biography information for John Lamont

1063926

registered interest
date	19/02/2019
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	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether a qualified witness independent of the relevant clinical commissioning group is required to be involved in a patient's continuing healthcare assessment.
tabling member constituency	Solihull
tabling member printed	Julian Knight
uin	223076
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The National Framework for Continuing Healthcare requires that a multidisciplinary team (MDT) must assess whether an individual has a primary health need. This MDT must comprise at least two professionals who are from different healthcare professions, or one professional who is from a healthcare profession and one person who is responsible for assessing persons who may have needs for care and support under part 1 of the Care Act 2014.</p><p> </p><p>The MDT should usually include both health and social care professionals and, as far as is reasonably practicable, the clinical commissioning group (CCG) must consult with the relevant local authority before making any decision about an individual’s eligibility for NHS Continuing Healthcare. A local authority must, when requested to do so by a CCG, co-operate with the CCG in arranging for persons to participate in a MDT. In addition to this, the individual and, where appropriate, their representative should be enabled to play a central role in the assessment process.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 26/02/2019 12:07:47 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4410 label Biography information for Julian Knight

1063932

registered interest
date	19/02/2019
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	Pain: 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, with reference to the NHS Long Term Plan, what assessment he has made of the effect of developments in digital care on the provision of pain pathway services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223082
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223083 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1063933

registered interest
date	19/02/2019
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	Pain: 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 steps his Department is taking to prevent worsening chronicity of pain in people suffering from chronic pain.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223083
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223082 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1063954

registered interest
date	19/02/2019
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	Cannabis: Mental Health
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 his Department has made of links between cannabis use and mental health problems.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	223126
answer	answer is ministerial correction date of answer 27/02/2019 answer text <p>The Department has not made a specific assessment of the links between cannabis use and mental health problems but is aware that there is evidence that people who use cannabis have an increased risk of psychosis, linked to an increase in the concentration of THC (tetrahydrocannabinol) appearing in cannabis available in many countries. In 2017, Public Health England published guidance, ‘Better care for people with co-occurring mental health and alcohol/drug use conditions’ to inform the commissioning and provision of effective care for people with co-occurring mental health and alcohol/drug use conditions. It also has relevance for all other services that have contact with people with co-occurring conditions, including people experiencing mental health crisis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/02/2019 16:20:20 answering member 4067 label Biography information for Steve Brine
tabling member	350 label Biography information for Sir John Hayes

1063955

registered interest
date	19/02/2019
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	General Practitioners: Overseas Companies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of GP practices are administered by healthcare companies based abroad.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	223127
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>This information is not collected or held centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223130 question first answered 26/02/2019 15:35:55 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

1063958

registered interest
date	19/02/2019
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	General Practitioners: Overseas Companies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of GP consortia that are run for profit by overseas-based medical insurance firms.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	223130
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>This information is not collected or held centrally.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223127 question first answered 26/02/2019 15:35:55 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy