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1012269

registered interest
date	22/11/2018
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	Public Health: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding has been allocated to local authorities for the local authority public health grant in each year between 2014 and 2020.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	194695
answer	answer is ministerial correction date of answer 30/11/2018 answer text <p>The information requested is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Public Health Grant Allocation (£ billion)</p></td></tr><tr><td><p>2013/14</p></td><td><p>2.663</p></td></tr><tr><td><p>2014/15</p></td><td><p>2.795</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>3.031</p></td></tr><tr><td><p>2016/17</p></td><td><p>3.387</p></td></tr><tr><td><p>2017/18<sup>2</sup></p></td><td><p>3.304</p></td></tr><tr><td><p>2018/19</p></td><td><p>3.219</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1</sup>Funding public health services for children aged 0-5 was transferred from the NHS to local authorities from October 2015.</p><p><sup>2</sup>Includes funding retained by the Greater Manchester local authority as part of a business rate retention pilot not allocated as grant.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/11/2018 11:20:57 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1010543

registered interest
date	20/11/2018
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	Public Health: Finance
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 percentage change has been in (a) total funding for NHS England and (b) the local authority public health grant in each year since 2014.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	193486
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The local authority public health grant provides funding for health services delivered through local authorities. However it is not the entirety of the funding nor spend for public health services. For example, in addition to the grant there is circa £1.2 billion ringfenced for NHS national public health services within the NHS mandate figures, as well as other Departmental expenditure on vaccines and on grant in aid to Public Health England.</p><p> </p><p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2014:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England funding increase %</p></td><td><p>Public health grant increase %</p></td></tr><tr><td><p>2014-15</p></td><td><p>3.6%</p></td><td><p>5.0%</p></td></tr><tr><td><p>2015-16</p></td><td><p>3.3%</p></td><td><p>24%*</p></td></tr><tr><td><p>2016-17</p></td><td><p>5.4%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017-18</p></td><td><p>3.6%</p></td><td><p>-2.5%**</p></td></tr><tr><td><p>2018-19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p><br>Notes:</p><p>* End year allocation for 2015-16 including the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 - 5.</p><p>** Figures from 2017-18 includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p><p> </p><p>The total Department of Health and Social Care Departmental Expenditure Limit for 2018-19 was £128.4 billion. 2.5 % was allocated to the local authority public health grant in 2018-19.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193487 question first answered 28/11/2018 17:38:47 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1010544

registered interest
date	20/11/2018
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	Public Health: Finance
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 the health and social care budget was allocated to the local authority public health grant in 2018-19.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	193487
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The local authority public health grant provides funding for health services delivered through local authorities. However it is not the entirety of the funding nor spend for public health services. For example, in addition to the grant there is circa £1.2 billion ringfenced for NHS national public health services within the NHS mandate figures, as well as other Departmental expenditure on vaccines and on grant in aid to Public Health England.</p><p> </p><p>The following table shows the percentage change in total funding for NHS England and the local authority public health grant in each year since 2014:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England funding increase %</p></td><td><p>Public health grant increase %</p></td></tr><tr><td><p>2014-15</p></td><td><p>3.6%</p></td><td><p>5.0%</p></td></tr><tr><td><p>2015-16</p></td><td><p>3.3%</p></td><td><p>24%*</p></td></tr><tr><td><p>2016-17</p></td><td><p>5.4%</p></td><td><p>-2.2%</p></td></tr><tr><td><p>2017-18</p></td><td><p>3.6%</p></td><td><p>-2.5%**</p></td></tr><tr><td><p>2018-19</p></td><td><p>4.6%</p></td><td><p>-2.6%</p></td></tr></tbody></table><p><br>Notes:</p><p>* End year allocation for 2015-16 including the transfer in October 2015 of funding from NHS England to local authorities for commissioning services for children aged 0 - 5.</p><p>** Figures from 2017-18 includes funding retained by 10 Greater Manchester local authorities as part of a business rate pilot, not allocated via a grant.</p><p> </p><p>The total Department of Health and Social Care Departmental Expenditure Limit for 2018-19 was £128.4 billion. 2.5 % was allocated to the local authority public health grant in 2018-19.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193486 question first answered 28/11/2018 17:38:47 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

1003650

registered interest
date	09/11/2018
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	Antimicrobials: Drug Resistance
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 paragraph 6.10 of the UK Five Year Antimicrobial Resistance Strategy 2013 to 2018, published in September 2013, when he plans to publish the evaluation report.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	189732
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The United Kingdom Five Year Antimicrobial Resistance Strategy (2013-18) contained a commitment to assess the effectiveness of its implementation plan at the end of the five-year period. The Department commissioned the London School of Hygiene and Tropical Medicine to undertake a full evaluation of the strategy’s implementation.</p><p> </p><p>The evaluation is nearing completion. A final draft report will be submitted to the Department shortly and will be sent out for independent peer-review. The completed report will be put in the public domain next year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:27:51 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

964161

registered interest
date	03/09/2018
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	Alcoholic Drinks: Minimum Unit Prices
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 his Department has made on the review of the evidence for minimum unit pricing for alcohol in England announced on 8 May 2018.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	169474
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The United Kingdom Government is commissioning Public Health England to carry out a scientific review into the impact of minimum unit pricing following its introduction in Scotland. The precise scope and timing of outputs from the review are still under consideration.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 16:20:11 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

964853

registered interest
date	03/09/2018
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	Cancer: Diagnosis
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 findings of the recent National Cancer Diagnosis Audit with respect to improving the process for diagnosing cancer in children and young people.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	169476
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The National Cancer Diagnosis Audit (NCDA) provides useful insight into the process of diagnosis of cancer. This report has been shared with the relevant NHS England Clinical Reference Groups (CRG) and will influence the work of the CRGs in improving clinical pathways and services.</p><p>No specific assessment has been made of the NCDA in relation to time taken to diagnose lymphoma and other haematological cancers or with respect to improving the process for diagnosing cancer in children and young people. However, it will be helpful in informing the current work on revising service specifications for children and young people.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 169477 question first answered 11/09/2018 14:17:10 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

964854

registered interest
date	03/09/2018
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	Blood Cancer: Diagnosis
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 findings of the recent National Cancer Diagnosis Audit with respect to improving the time taken to diagnose (a) lymphoma and (b) other haematological cancers.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	169477
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The National Cancer Diagnosis Audit (NCDA) provides useful insight into the process of diagnosis of cancer. This report has been shared with the relevant NHS England Clinical Reference Groups (CRG) and will influence the work of the CRGs in improving clinical pathways and services.</p><p>No specific assessment has been made of the NCDA in relation to time taken to diagnose lymphoma and other haematological cancers or with respect to improving the process for diagnosing cancer in children and young people. However, it will be helpful in informing the current work on revising service specifications for children and young people.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 169476 question first answered 11/09/2018 14:17:10 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

964855

registered interest
date	03/09/2018
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	Blood Cancer: Medical Records
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 have been taken by his Department to ensure accurate and complete collection of cancer registry data for (a) lymphoma and (b) other haematological cancers.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	169478
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>The National Cancer Registration and Analysis Service (NCRAS) is part of Public Health England, and collects information on all people diagnosed with cancer in England. This includes all lymphomas and haematological cancers. NCRAS has a comprehensive system of data feedback to hospitals, enabling them to review the data they have submitted and make any corrections. This system is supported by a dedicated Data Liaison team, who visit hospital staff and work with clinical systems providers to help maintain high quality data submissions, while minimising burden on the system.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 14:38:18 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

942883

registered interest
date	17/07/2018
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	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 4 July 2018 to Question 159060 on the systematic reviews on the diagnosis, treatment, transmission and prevention of Lyme disease, if his Department will publish a response to those reviews identifying which of the recommendations of those reviews the Government is taking forward; what steps the Government is taking to implement those recommendations; and what the timetable is for the implementation of those recommendations.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	165063
answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>The Department commissioned four independent separate systematic reviews of all relevant literature on the diagnosis, treatment, transmission and prevention of Lyme disease.</p><p> </p><p>The four systematic reviews were completed and published in December 2017 which assessed the existing evidence. They do not make recommendations and the Department is not planning to publish a response. The Department is aware of the findings which were intended to clarify the existing evidence base on Lyme disease and are publicly available to the research community, all research funders and the public.</p><p> </p><p>We are investing over £1 billion a year in health research through the National Institute for Health Research (NIHR). The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics: research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research on Lyme disease including those that reflect the conclusions of the systematic reviews as part of its regular processes. All applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/07/2018 15:25:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4433 label Biography information for Thangam Debbonaire

927752

registered interest
date	20/06/2018
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: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department is monitoring the (a) number, (b) nature and (c) outcomes of calls to the breast cancer screening helpline; and if he will make a statement.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	155842
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Public Health England has provided regular updates to Ministers on the helpline and the latest number of calls to the helpline at 20 June 2018 is 53,167. Some calls have required a range of different follow-up actions including conversations with clinical specialists, details of previous screens to be checked and arrangements for a further screen to be made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 27/06/2018 13:37:56 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire