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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

780519

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 for the HPV vaccination were classified as serious; and how many of those cases were reviewed to establish whether the patient had returned to full health in each of the last 12 months.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	110360
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 110248 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

776265

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Ear, Nose and Throat Conditions
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 with a primary diagnosis of an ENT condition in each month of (a) 2010-11, (b) 2011-12, (c) 2012-13, (d) 2013-14, (e) 2014-15, (f) 2015-16 and (g) 2016-17.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	108948
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>A count of unplanned accident and emergency (A&amp;E) attendances<sup>1</sup> resulting in an admission<sup>2</sup> and a primary diagnosis of ear, nose and throat (ENT) conditions<sup>3</sup>, for the financial years between 2010-11 and 2016-17<sup>4</sup> is in the table below.</p><p> </p><p>This is a count of hospital attendances resulting in admissions, not individual patients as the same person may have been admitted into a National Health Service hospital on more than one occasion.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>April</p></td><td><p>2,145</p></td><td><p>2,318</p></td><td><p>2,488</p></td><td><p>2,707</p></td><td><p>3,019</p></td><td><p>2,943</p></td><td><p>3,287</p></td></tr><tr><td><p>May</p></td><td><p>2,086</p></td><td><p>2,194</p></td><td><p>2,631</p></td><td><p>2,554</p></td><td><p>2,833</p></td><td><p>2,801</p></td><td><p>3,531</p></td></tr><tr><td><p>June</p></td><td><p>1,999</p></td><td><p>2,163</p></td><td><p>2,402</p></td><td><p>2,407</p></td><td><p>2,640</p></td><td><p>2,840</p></td><td><p>3,128</p></td></tr><tr><td><p>July</p></td><td><p>1,938</p></td><td><p>2,163</p></td><td><p>2,442</p></td><td><p>2,422</p></td><td><p>2,608</p></td><td><p>2,901</p></td><td><p>3,177</p></td></tr><tr><td><p>August</p></td><td><p>1,765</p></td><td><p>2,104</p></td><td><p>2,167</p></td><td><p>2,175</p></td><td><p>2,342</p></td><td><p>2,517</p></td><td><p>2,825</p></td></tr><tr><td><p>September</p></td><td><p>1,791</p></td><td><p>1,942</p></td><td><p>2,203</p></td><td><p>2,104</p></td><td><p>2,207</p></td><td><p>2,560</p></td><td><p>2,719</p></td></tr><tr><td><p>October</p></td><td><p>1,889</p></td><td><p>2,280</p></td><td><p>2,518</p></td><td><p>2,550</p></td><td><p>2,639</p></td><td><p>2,897</p></td><td><p>2,952</p></td></tr><tr><td><p>November</p></td><td><p>1,804</p></td><td><p>2,250</p></td><td><p>2,573</p></td><td><p>2,594</p></td><td><p>2,514</p></td><td><p>3,014</p></td><td><p>3,017</p></td></tr><tr><td><p>December</p></td><td><p>2,134</p></td><td><p>2,431</p></td><td><p>2,894</p></td><td><p>2,748</p></td><td><p>2,829</p></td><td><p>3,111</p></td><td><p>3,196</p></td></tr><tr><td><p>January</p></td><td><p>2,037</p></td><td><p>2,460</p></td><td><p>2,588</p></td><td><p>2,845</p></td><td><p>2,568</p></td><td><p>3,266</p></td><td><p>3,049</p></td></tr><tr><td><p>February</p></td><td><p>1,968</p></td><td><p>2,437</p></td><td><p>2,560</p></td><td><p>2,831</p></td><td><p>2,459</p></td><td><p>3,318</p></td><td><p>3,133</p></td></tr><tr><td><p>March</p></td><td><p>2,301</p></td><td><p>2,624</p></td><td><p>2,931</p></td><td><p>3,014</p></td><td><p>2,822</p></td><td><p>3,696</p></td><td><p>3,492</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>The following attendance category codes identify unplanned A&amp;E attendance</p><p>1 = First A&amp;E attendance</p><p>3 = Follow-up A&amp;E attendance – unplanned</p><p>9 = Not known</p><p><sup>2</sup>Attendance disposal 01 = Admitted to hospital bed / become a lodged patient of the same health care provider.</p><p><sup>3</sup>A&amp;E Diagnosis - The recording of the diagnosis field within the A&amp;E data set is not mandatory. It is not known to what extent changes over time are as a result of improvements in recording practice.</p><p>34 = ENT conditions</p><p><sup>4</sup>HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity occurring between 1 April 2012 and 31 March 2013.</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 31/10/2017 12:01:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4663 label Biography information for Ben Bradley

776266

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
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 with a primary diagnosis of a head injury in each month of (a) 2010-11, (b) 2011-12, (c) 2012-13, (d) 2013-14, (e) 2014-15, (f) 2015-16 and (g) 2016-17.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	108949
answer	answer is ministerial correction date of answer 31/10/2017 answer text <p>A count of unplanned accident and emergency (A&amp;E) attendances<sup>1</sup> resulting in an admission<sup>2</sup> and a primary diagnosis of head injury<sup>3</sup>, for the financial years between 2010-11 and 2016-17<sup>4</sup> is in the table below.</p><p> </p><p>This is a count of hospital attendances resulting in admissions, not individual patients as the same person may have been admitted into a National Health Service hospital on more than one occasion.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>April</p></td><td><p>3,490</p></td><td><p>3,580</p></td><td><p>3,466</p></td><td><p>3,350</p></td><td><p>3,531</p></td><td><p>3,701</p></td><td><p>3,639</p></td></tr><tr><td><p>May</p></td><td><p>3,696</p></td><td><p>3,816</p></td><td><p>3,896</p></td><td><p>3,575</p></td><td><p>3,780</p></td><td><p>3,840</p></td><td><p>4,023</p></td></tr><tr><td><p>June</p></td><td><p>3,284</p></td><td><p>3,617</p></td><td><p>3,522</p></td><td><p>3,636</p></td><td><p>3,884</p></td><td><p>3,972</p></td><td><p>3,762</p></td></tr><tr><td><p>July</p></td><td><p>3,488</p></td><td><p>3,947</p></td><td><p>3,723</p></td><td><p>3,837</p></td><td><p>4,026</p></td><td><p>4,186</p></td><td><p>3,945</p></td></tr><tr><td><p>August</p></td><td><p>3,447</p></td><td><p>3,782</p></td><td><p>3,858</p></td><td><p>3,884</p></td><td><p>3,897</p></td><td><p>3,997</p></td><td><p>4,233</p></td></tr><tr><td><p>September</p></td><td><p>3,521</p></td><td><p>3,851</p></td><td><p>3,837</p></td><td><p>3,697</p></td><td><p>3,851</p></td><td><p>4,102</p></td><td><p>3,978</p></td></tr><tr><td><p>October</p></td><td><p>3,351</p></td><td><p>3,927</p></td><td><p>3,743</p></td><td><p>3,609</p></td><td><p>3,750</p></td><td><p>4,073</p></td><td><p>4,107</p></td></tr><tr><td><p>November</p></td><td><p>3,016</p></td><td><p>3,761</p></td><td><p>3,389</p></td><td><p>3,740</p></td><td><p>3,603</p></td><td><p>3,634</p></td><td><p>3,623</p></td></tr><tr><td><p>December</p></td><td><p>2,815</p></td><td><p>3,912</p></td><td><p>3,344</p></td><td><p>3,719</p></td><td><p>3,379</p></td><td><p>3,494</p></td><td><p>3,720</p></td></tr><tr><td><p>January</p></td><td><p>3,023</p></td><td><p>3,379</p></td><td><p>3,186</p></td><td><p>3,589</p></td><td><p>3,221</p></td><td><p>3,482</p></td><td><p>3,293</p></td></tr><tr><td><p>February</p></td><td><p>2,925</p></td><td><p>3,166</p></td><td><p>2,981</p></td><td><p>3,397</p></td><td><p>2,932</p></td><td><p>3,150</p></td><td><p>3,158</p></td></tr><tr><td><p>March</p></td><td><p>3,303</p></td><td><p>3,679</p></td><td><p>3,264</p></td><td><p>4,054</p></td><td><p>3,584</p></td><td><p>3,503</p></td><td><p>3,640</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p>Notes:</p><p><sup>1</sup>The following attendance category codes identify unplanned A&amp;E attendances:</p><p>1 = First A&amp;E attendance</p><p>3 = Follow-up A&amp;E attendance – unplanned</p><p>9 = Not known</p><p><sup>2</sup>Attendance disposal 01 = Admitted to hospital bed / become a lodged patient of the same health care provider.</p><p><sup>3</sup>A&amp;E Diagnosis - The recording of the diagnosis field within the A&amp;E data set is not mandatory. It is not known to what extent changes over time are as a result of improvements in recording practice.</p><p>04 = Head injury</p><p><sup>4</sup>HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity occurring between 1 April 2012 and 31 March 2013.</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 31/10/2017 12:18:18 answering member 1542 label Biography information for Philip Dunne
tabling member	4663 label Biography information for Ben Bradley