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1146766

registered interest
date	27/09/2019
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	NHS: Drugs
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 National Audit Office's report, Exiting the EU: supplying the health and social care sectors, published on 27 September 2019, (a) for how long and (b) at what cost his Department is procuring a dedicated courier service for urgent medicines and supplies secured from manufacturers in the EU.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	291521
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products once we have left the EU.</p><p>The Express Freight Service is intended to provide access to an end-to-end solution able to deliver small consignments on a 24-hour basis with additional provision to move larger pallet quantities on a two-to-four-day basis. The initial contract length will be for one year, extendable by a further one year, with sufficient flexibility to end the contract earlier if required. The total estimated value of services provided to the Department over the one year period of the contract is £4 million. Users of the freight solution would be required to pay for any capacity they use.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 07/10/2019 16:45:49 answering member 4362 label Biography information for Edward Argar
tabling member	151 label Biography information for Tom Brake

1146772

registered interest
date	27/09/2019
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	NHS: Drugs
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 the (a) availability and (b) adequacy of stockpiles of (i) medicines, (ii) medical equipment and (iii) medical devices held by suppliers to prepare for the UK leaving the EU without a deal.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	291527
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products once we have left the EU.</p><p>The Department, as part of our EU exit preparations, is implementing a multi-layered approach to mitigate potential disruption to supply, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages. Further details can be found at the following link:</p><p><a href="https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans" target="_blank">https://www.gov.uk/government/news/medicines-and-medical-products-supply-government-updates-no-deal-brexit-plans</a></p> answering member constituency Charnwood answering member printed Edward Argar question first answered 07/10/2019 16:47:54 answering member 4362 label Biography information for Edward Argar
tabling member	151 label Biography information for Tom Brake

1146782

registered interest
date	27/09/2019
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	Catheters: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it remains the policy of the National Institute for Health and Care Excellence that intermittent self-catheterisation is the gold standard approach to safe and effective catheterisation.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	291563
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) develops guidelines for the National Health Service that are based on a thorough assessment of the available evidence and are developed through engagement with stakeholders, including public consultation. NICE guidelines describe best practice and healthcare professionals are expected to take them fully into account, but they do not override clinical judgement.</p><p>NICE has not published any specific guidance on self-catheterisation. It has published a number of guidelines that refer to catheterisation, including a guideline on healthcare-associated infections: prevention and control in primary and community care published in 2012.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 07/10/2019 16:37:56 answering member 4380 label Biography information for Jo Churchill
tabling member	1538 label Biography information for Rosie Cooper

1146783

registered interest
date	27/09/2019
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	Hospitals: Admissions
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 most common cause of unplanned admissions to hospitals in England is; and what steps he is taking to reduce the need for those admissions.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	291564
answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The most common cause of unplanned admissions from the most recent data available (2018/19) was for those with primary diagnosis of diseases of the digestive system.</p><p>As part of the NHS Long Term Plan there are five workstreams that underpin the Urgent and Emergency Care reform programme. As part of this programme steps taken to reduce the need for admissions have included Same Day Emergency Care which has increased the proportion of people who are not admitted overnight in an emergency. In addition NHS 111 has been enhanced, so that over 50% of people calling the service receive a clinical assessment over the phone and can be offered immediate clinical advice or be referred to the right clinician for a face to face consultation, thereby reducing the need for hospital admissions.</p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 08/10/2019 13:12:12 answering member 4362 label Biography information for Edward Argar
tabling member	1538 label Biography information for Rosie Cooper

1146784

registered interest
date	27/09/2019
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	Catheters: Research
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether any funds are being made available from the public purse for Southampton University's trial to compare mixed multi/single-use catheter management with single-use catheter management by intermittent catheter uses.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	291565
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Department funds research through the National Institute for Health Research. A trial to compare mixed multi/single-use catheter management with single-use catheter management for people with intermittent catheter use was funded by the Programme Grants for Applied Research programme in 2013 with a funding level of £2,374,857.</p><p>The project consists of several work packages, leading up to the clinical trial, including: identifying and describing how and why different catheters are selected/prescribed from different viewpoints; developing, testing and comparing methods of reusing, storing and lubricating catheters to identify the most effective, safe and practical technique; developing a questionnaire to measure quality of life of people using indwelling catheters (IC); identifying which symptoms relate to urine infection in IC users; and finally carrying out a clinical trial to determine the acceptability of different catheter designs and the effect on quality of life and infection.</p><p>The clinical trial was approved by the South Central, Hampshire A Research Ethics Committee on 12 July 2019 and by the Health Research Authority on 9 August 2019.</p><p>As ethical approval has only recently been granted, no participants have been recruited to the trial to date.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 291566 291567 question first answered 07/10/2019 14:54:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1538 label Biography information for Rosie Cooper

1146786

registered interest
date	27/09/2019
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	Catheters: Research
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which ethical committee gave consent to the Multicath study undertaken into reusable catheters by Professor Mandy Fader of Southampton University.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	291566
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Department funds research through the National Institute for Health Research. A trial to compare mixed multi/single-use catheter management with single-use catheter management for people with intermittent catheter use was funded by the Programme Grants for Applied Research programme in 2013 with a funding level of £2,374,857.</p><p>The project consists of several work packages, leading up to the clinical trial, including: identifying and describing how and why different catheters are selected/prescribed from different viewpoints; developing, testing and comparing methods of reusing, storing and lubricating catheters to identify the most effective, safe and practical technique; developing a questionnaire to measure quality of life of people using indwelling catheters (IC); identifying which symptoms relate to urine infection in IC users; and finally carrying out a clinical trial to determine the acceptability of different catheter designs and the effect on quality of life and infection.</p><p>The clinical trial was approved by the South Central, Hampshire A Research Ethics Committee on 12 July 2019 and by the Health Research Authority on 9 August 2019.</p><p>As ethical approval has only recently been granted, no participants have been recruited to the trial to date.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 291565 291567 question first answered 07/10/2019 14:54:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1538 label Biography information for Rosie Cooper

1146787

registered interest
date	27/09/2019
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	Catheters: Research
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 patients have been enrolled to use reusable catheters on the Multicath study undertaken by Professor Mandy Fader of Southampton University; and if he will make a statement.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	291567
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Department funds research through the National Institute for Health Research. A trial to compare mixed multi/single-use catheter management with single-use catheter management for people with intermittent catheter use was funded by the Programme Grants for Applied Research programme in 2013 with a funding level of £2,374,857.</p><p>The project consists of several work packages, leading up to the clinical trial, including: identifying and describing how and why different catheters are selected/prescribed from different viewpoints; developing, testing and comparing methods of reusing, storing and lubricating catheters to identify the most effective, safe and practical technique; developing a questionnaire to measure quality of life of people using indwelling catheters (IC); identifying which symptoms relate to urine infection in IC users; and finally carrying out a clinical trial to determine the acceptability of different catheter designs and the effect on quality of life and infection.</p><p>The clinical trial was approved by the South Central, Hampshire A Research Ethics Committee on 12 July 2019 and by the Health Research Authority on 9 August 2019.</p><p>As ethical approval has only recently been granted, no participants have been recruited to the trial to date.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 291565 291566 question first answered 07/10/2019 14:54:32 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1538 label Biography information for Rosie Cooper

1146794

registered interest
date	27/09/2019
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	Healthcare Safety Investigation Branch
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what criteria the Healthcare Safety Investigation Branch is required to meet in order to start an investigation.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	291586
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>The Healthcare Safety Investigation Branch (HSIB) conducts independent investigations of the most serious patient safety concerns in National Health Service funded care across England. Its purpose is to improve safety through effective and independent investigations that do not apportion blame or liability. HSIB has published a set of criteria for its national and maternity investigations.</p><p>For national investigations the main areas which HSIB consider when deciding whether to investigate an incident are:</p><p>- Outcome impact – the affect on the people involved, including physical and emotional harm; the impact on services and whether the incident has reduced the services ability to delivery safe, reliable care; and whether the public view has resulted in any loss of confidence in that area of healthcare;</p><p>- Systemic risk – any wider system risk associated with the safety issue, how common or widespread it may be and whether it spans different locations or areas of healthcare; how long it has taken to be recognised and whether concerns have already been raised; whether the safety issue can worsen or spread to other areas of healthcare; and</p><p>- Learning potential – HSIB will always consider the potential to learn from an incident, leading to positive changes and improving patient safety across the healthcare system.</p><p>The main areas which HSIB follow for maternity investigations are:</p><p>The Royal College of Obstetrics and Gynaecologists’ ‘Each Baby Counts’ criteria, which include all babies who are at least 37 weeks gestation born following labour who have one of the following outcomes:</p><p>- Intrapartum stillbirth (where the baby was thought to be alive at the start of labour but was born with no sign of life);</p><p>- early neonatal death (where the baby died within the first week of life from any cause);</p><p>- severe brain injury diagnoses; and</p><p>- maternal deaths (death of a woman whilst pregnant or within 42 days of the end of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes).</p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 07/10/2019 14:27:53 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4418 label Biography information for Justin Madders

1146823

registered interest
date	27/09/2019
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	Import Controls: Animal Feed and Food
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 capacity of UK Border Force to manage high risk food and feed that does not enter through a Border Inspection Post or Designated Point of Entry in the event that the UK leaves the EU without a withdrawal agreement.
tabling member constituency	Cities of London and Westminster
tabling member printed	Mark Field
uin	291549
answer	answer is ministerial correction date of answer 07/10/2019 answer text <p>Third country high-risk food and feed consignments transiting the European Union destined for the United Kingdom will need to enter the UK at ports with the required facilities, such as Border Inspection Posts (BIP) and Designated Points of Entry (DPE) to undertake required controls. Following detailed analysis to determine the possible number of such transits, there is sufficient existing capacity at UK ports with those facilities to undertake all relevant import controls.</p><p>The importation of high-risk feed and foods that are not pre-notified to a port with a BIP or DPE or enter a port without a BIP or DPE are illegal imports and as such are subject to Border Force control.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 07/10/2019 16:39:39 answering member 4380 label Biography information for Jo Churchill
tabling member	1405 label Biography information for Mark Field

1146451

registered interest
date	26/09/2019
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	NHS: Fees and Charges
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 letter from Lord O’Shaughnessy to the hon. Member for Sheffield Central on 21 December 2017, what progress the Government has made on its review of upfront charging and extending charges to out-of-hospital care and care providers by non-NHS organisations.
tabling member constituency	Sheffield Central
tabling member printed	Paul Blomfield
uin	291392
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>As part of the review of the 2017 Amendment Regulations, the Department engaged with a number of external stakeholders and received evidence from over 60 organisations and individuals. The findings of this review were announced in the Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-12-12/HCWS1174/" target="_blank">HCWS1174</a>) laid by the then Minister of State for Health (Stephen Hammond MP) on 12 December 2018.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/10/2019 11:13:48 answering member 4362 label Biography information for Edward Argar
tabling member	4058 label Biography information for Paul Blomfield