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997124

registered interest
date	29/11/2018
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	Housing: 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 steps he is taking to promote public awareness of the the effect on people's health of poor quality indoor environments.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	184965
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Public Health England (PHE) raises public awareness of the impacts of indoor air pollution by supporting activities that aim to change behaviour, such as the annual Clean Air Day, and is working with health partners, such as the National Institute for Health and Care Excellence, World Health Organization and Allergy UK, to improve the evidence on the health impacts of poor indoor air quality which will enhance advice to the public. PHE also promotes awareness about carbon monoxide through the use of blog posts, press releases and social media updates.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 16:28:25 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005983

registered interest
date	13/11/2018
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	Hospitals: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence his Department holds on the effect on the quality of care of fines levied as a result of hospitals breaching targets; and whether he is taking steps to ensure that such fines do not detract from the provision of care to potentially affected populations.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190930
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>All providers of National Health Service-funded healthcare services are expected to meet a range of national standards, other operational standards and quality requirements. These are set out in the NHS Standard Contract along with the consequences of breaches of these. In many cases, the consequence would be a financial sanction.</p><p> </p><p>Since April 2016, most NHS providers agreeing to meet financial control targets as part of the sustainability funding programme are exempt from such sanctions. However, any revenue withheld is reinvested in the local healthcare system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:47:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005984

registered interest
date	13/11/2018
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: Standards
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 potential effectiveness of quality incentive schemes in improving the quality of care to patients.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190931
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Several different quality incentive schemes operate in the National Health Service.</p><p> </p><p>The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.</p><p> </p><p>The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.</p><p> </p><p>CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:43:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4657 label Biography information for Anneliese Dodds

1005985

registered interest
date	13/11/2018
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	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to ensure that the proposed whole population annual budget for Integrated Care Provider contracts does not create (a) incentives to underbid to obtain contracts and (b) other perverse incentives.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190932
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England launched a 12 week public consultation on the proposed contracting arrangements for integrated care providers (ICPs) on 3 August 2018 which concluded on 26 October. More information is available at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/" target="_blank">https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/</a></p><p> </p><p>NHS England will publish a response to the consultation following full consideration of responses and feedback.</p><p> </p><p>The consultation documents provide more detail about NHS England’s current proposals for ICPs, including the proposed integrated budget.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:48:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005631

registered interest
date	12/11/2018
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	Blood Cancer
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the level of spending on treatment for and research into blood cancer in other countries compared to the UK.
tabling member printed	Lord Mendelsohn
uin	HL11402
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>NHS England does not hold information on the level of spending on blood cancer treatment in other countries.</p> answering member printed Lord O'Shaughnessy question first answered 26/11/2018 13:00:38 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4286 label Biography information for Lord Mendelsohn

1005632

registered interest
date	12/11/2018
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: Expenditure
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 5 November (HL10893), what data they hold on on the amount spent by the NHS on (1) treatment, and (2) drugs for different health conditions.
tabling member printed	Lord Mendelsohn
uin	HL11403
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>The information is not collected centrally in the format requested.</p><p>NHS Improvement collect and publish reference costs data which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year rather than the total amount spent on treatment.</p><p>As a subset of these reference costs, data is collected about high cost drugs only.</p> answering member printed Lord O'Shaughnessy question first answered 26/11/2018 13:01:30 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4286 label Biography information for Lord Mendelsohn

1005664

registered interest
date	12/11/2018
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	Electronic Cigarettes
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 potential effectiveness of encouraging people who smoke to switch to vaping to help them stop smoking.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190458
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government has consistently highlighted that quitting smoking and nicotine use is the best way to improve health. E-cigarettes are not risk free. However, the evidence is increasingly clear that vaping is significantly less harmful to health than smoking tobacco and can be particularly useful in supporting smokers to quit, especially when combined with stop smoking services.</p><p> </p><p>In the Tobacco Control Plan for England, published in July 2017, the Government committed Public Health England (PHE) to annually updating their evidence report on e-cigarettes and other novel nicotine delivery systems until the end of Parliament in 2022. PHE’s latest report was published on the 6 February 2018 and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf</a></p><p> </p><p>PHE’s most recent evidence review argues that e-cigarette use, alone or in combination with licensed medication and behavioural support from a stop smoking service, appears to be helpful in the short term, and that e-cigarettes have contributed to tens of thousands of additional quitters in England.</p><p> </p><p>The PHE evidence review concluded that “to date there have been no identified health risks of passive vaping to by-standers”. PHE have produced guidance for organisations on developing appropriate vaping policies for public places and workplaces, which should be evidence based and support smokers to quit whilst managing any identified risks.</p><p> </p><p>The Government is committed to reducing public health harms caused by smoking. PHE retain responsibility for the provision of information regarding vaping, e-cigarettes and other nicotine delivery systems to protect public health; and have committed to include messages about the relative safety of e-cigarettes within quit smoking campaigns such as the annual Stoptober campaign.</p><p> </p><p>PHE continue to provide advice on quitting smoking, highlighting the potential role of e-cigarettes in doing so. PHE’s latest Health Matters blog, Stop Smoking: What works? Provides advice to smokers on different quitting options, including e-cigarettes as well as nicotine replacement therapy and prescription medicines. This is available at the following link:</p><p> </p><p><a href="https://publichealthmatters.blog.gov.uk/category/health-matters/" target="_blank">https://publichealthmatters.blog.gov.uk/category/health-matters/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190459 190460 190462 190463 question first answered 20/11/2018 15:19:05 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005665

registered interest
date	12/11/2018
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	Smoking
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 comparative assessment he has made of the effect on health of (a) smoking and (b) vaping.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190459
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government has consistently highlighted that quitting smoking and nicotine use is the best way to improve health. E-cigarettes are not risk free. However, the evidence is increasingly clear that vaping is significantly less harmful to health than smoking tobacco and can be particularly useful in supporting smokers to quit, especially when combined with stop smoking services.</p><p> </p><p>In the Tobacco Control Plan for England, published in July 2017, the Government committed Public Health England (PHE) to annually updating their evidence report on e-cigarettes and other novel nicotine delivery systems until the end of Parliament in 2022. PHE’s latest report was published on the 6 February 2018 and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf</a></p><p> </p><p>PHE’s most recent evidence review argues that e-cigarette use, alone or in combination with licensed medication and behavioural support from a stop smoking service, appears to be helpful in the short term, and that e-cigarettes have contributed to tens of thousands of additional quitters in England.</p><p> </p><p>The PHE evidence review concluded that “to date there have been no identified health risks of passive vaping to by-standers”. PHE have produced guidance for organisations on developing appropriate vaping policies for public places and workplaces, which should be evidence based and support smokers to quit whilst managing any identified risks.</p><p> </p><p>The Government is committed to reducing public health harms caused by smoking. PHE retain responsibility for the provision of information regarding vaping, e-cigarettes and other nicotine delivery systems to protect public health; and have committed to include messages about the relative safety of e-cigarettes within quit smoking campaigns such as the annual Stoptober campaign.</p><p> </p><p>PHE continue to provide advice on quitting smoking, highlighting the potential role of e-cigarettes in doing so. PHE’s latest Health Matters blog, Stop Smoking: What works? Provides advice to smokers on different quitting options, including e-cigarettes as well as nicotine replacement therapy and prescription medicines. This is available at the following link:</p><p> </p><p><a href="https://publichealthmatters.blog.gov.uk/category/health-matters/" target="_blank">https://publichealthmatters.blog.gov.uk/category/health-matters/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190458 190460 190462 190463 question first answered 20/11/2018 15:19:05 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005666

registered interest
date	12/11/2018
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	Electronic Cigarettes
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 make people who smoke aware of the effects on public health of vaping.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190460
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government has consistently highlighted that quitting smoking and nicotine use is the best way to improve health. E-cigarettes are not risk free. However, the evidence is increasingly clear that vaping is significantly less harmful to health than smoking tobacco and can be particularly useful in supporting smokers to quit, especially when combined with stop smoking services.</p><p> </p><p>In the Tobacco Control Plan for England, published in July 2017, the Government committed Public Health England (PHE) to annually updating their evidence report on e-cigarettes and other novel nicotine delivery systems until the end of Parliament in 2022. PHE’s latest report was published on the 6 February 2018 and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/684963/Evidence_review_of_e-cigarettes_and_heated_tobacco_products_2018.pdf</a></p><p> </p><p>PHE’s most recent evidence review argues that e-cigarette use, alone or in combination with licensed medication and behavioural support from a stop smoking service, appears to be helpful in the short term, and that e-cigarettes have contributed to tens of thousands of additional quitters in England.</p><p> </p><p>The PHE evidence review concluded that “to date there have been no identified health risks of passive vaping to by-standers”. PHE have produced guidance for organisations on developing appropriate vaping policies for public places and workplaces, which should be evidence based and support smokers to quit whilst managing any identified risks.</p><p> </p><p>The Government is committed to reducing public health harms caused by smoking. PHE retain responsibility for the provision of information regarding vaping, e-cigarettes and other nicotine delivery systems to protect public health; and have committed to include messages about the relative safety of e-cigarettes within quit smoking campaigns such as the annual Stoptober campaign.</p><p> </p><p>PHE continue to provide advice on quitting smoking, highlighting the potential role of e-cigarettes in doing so. PHE’s latest Health Matters blog, Stop Smoking: What works? Provides advice to smokers on different quitting options, including e-cigarettes as well as nicotine replacement therapy and prescription medicines. This is available at the following link:</p><p> </p><p><a href="https://publichealthmatters.blog.gov.uk/category/health-matters/" target="_blank">https://publichealthmatters.blog.gov.uk/category/health-matters/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190458 190459 190462 190463 question first answered 20/11/2018 15:19:06 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005667

registered interest
date	12/11/2018
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	Electronic Cigarettes
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 July 2018 report of the Science and Technology Committee on E-cigarettes HC 505, what assessment he has made of the potential effectiveness of urgently reviewing the policies of local stop smoking services on vape products.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190461
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Department does not monitor the policies of local stop smoking services. Therefore no such assessment has been made.</p><p> </p><p>The Government is committed to keeping the evidence on e-cigarettes under review. Public Health England will continue to publish an annual review of the evidence base, and reflect that emerging evidence base in advice to local services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 15:16:26 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon