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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

1010550

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	Allied Healthcare
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 effect on patient health and service provision in the event that Allied Healthcare cease operations.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	193422
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The interruption of care services can affect the wellbeing of users and their loved ones. Local authorities have a statutory duty, under the Care Act 2014, to temporarily meet the needs of individuals when their care provider is no longer able to carry on.</p><p> </p><p>The Local Government Association has said that councils have robust contingency plans in place to ensure people are safeguarded during the Allied Healthcare sale. As joint Government and sector guidance makes clear, these contingency plans should include giving people as much time as possible to make informed choices and transition to any new services in an orderly and calm way.</p><p> </p><p>Cross-Government contingency plans have been enacted, and officials are working closely with Allied Healthcare, local authorities and clinical commissioning groups to ensure as smooth a transition as possible.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/11/2018 14:01:16 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

1010551

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	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, in light of the Government's commitment that three in four of all cancers be diagnosed at Stage I or II by 2028, what estimate he has made of the proportion of cancer diagnoses for which staging data is currently available; and whether this includes all cancer diagnoses including rare and less common cancers.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	193386
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>In 2016 81.9% of cancers registered by the National Cancer Registration and Analysis Service had a complete stage at diagnosis recorded. This percentage includes all invasive cancers including rare and less common cancers, but excludes non-melanoma skin cancer.</p><p> </p><p>These data, along with data for other United Kingdom countries are published in the United Kingdom and Ireland Association of Cancer Registries (UKIACR). UKIACR Performance Indicators and can be viewed at the following link:</p><p> </p><p><a href="http://www.ukiacr.org/kpis" target="_blank">http://www.ukiacr.org/kpis</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2018 14:14:59 answering member 4067 label Biography information for Steve Brine
tabling member	1390 label Biography information for Mr John Baron

1010555

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	Prostate Cancer
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 changes in the rate of prostate cancer detection since publication of the report of the Prostate Cancer Audit in November 2014.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	193388
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>There has been no significant change in prostate cancer diagnosis rates between 2014 and 2016 (for which the latest data are available).</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2018 14:16:39 answering member 4067 label Biography information for Steve Brine
tabling member	1409 label Biography information for Mr Gregory Campbell

1010570

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	Domestic Waste: Health Hazards
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 12 October 2018 to Question 174604, whether he has made an assessment of the effect on public health of local authorities charging for the collection of garden waste.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	193362
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The Government has not carried out any assessments of the effect on public health of local authorities charging for garden waste collection. Local authorities are able to charge for garden waste collection and make local decisions on whether to levy a charge ideally in consultation with local residents.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:34:53 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1010592

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	Incinerators: Health Hazards
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 has (a) undertaken and (b) made an assessment of the outcomes of studies produced by other bodies of the effects on (a) air quality and (b) human health of different sized waste incinerators.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	193365
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Public Health England (PHE) funded the Small Area Health Statistics Unit, and King’s College London, to carry out a study to further extend the evidence base as to whether emissions from modern municipal waste incinerators affect human health.</p><p> </p><p>This study has considered municipal waste incinerators across England, Wales and Scotland, which varied in licensed throughput from 3,500 to 750,000 tonnes per year, and a number of which were located in urban areas.</p><p> </p><p>The study found that the amount of particulate matter people are exposed to from the emissions of different sized incinerators is very low.</p><p> </p><p>The first of a series of papers from this study was published on 22 November 2018. The paper ‘Fetal growth, stillbirth, infant mortality and other birth outcomes near UK municipal waste incinerators; retrospective population based cohort and case-control study’ is available to view at the following link:</p><p> </p><p><a href="https://www.sciencedirect.com/science/article/pii/S0160412018316398" target="_blank">https://www.sciencedirect.com/science/article/pii/S0160412018316398</a></p><p> </p><p>The paper found no evidence of a link between exposure to particulate matter emitted from modern municipal waste incinerators as modelled from emissions data, or living close to modern municipal waste incinerators, and infant mortality, low birth weight, still birth or the other birth outcomes investigated.</p><p> </p><p>Further papers are currently under review at peer-reviewed journals and will be published once this process is complete.</p><p> </p><p>PHE’s position remains that well run and regulated modern municipal waste incinerators are not a significant risk to public health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193366 question first answered 28/11/2018 17:36:37 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1010593

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	Incinerators: Health Hazards
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 has made an assessment of the effects on human health of waste incinerators situated in urban areas.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	193366
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Public Health England (PHE) funded the Small Area Health Statistics Unit, and King’s College London, to carry out a study to further extend the evidence base as to whether emissions from modern municipal waste incinerators affect human health.</p><p> </p><p>This study has considered municipal waste incinerators across England, Wales and Scotland, which varied in licensed throughput from 3,500 to 750,000 tonnes per year, and a number of which were located in urban areas.</p><p> </p><p>The study found that the amount of particulate matter people are exposed to from the emissions of different sized incinerators is very low.</p><p> </p><p>The first of a series of papers from this study was published on 22 November 2018. The paper ‘Fetal growth, stillbirth, infant mortality and other birth outcomes near UK municipal waste incinerators; retrospective population based cohort and case-control study’ is available to view at the following link:</p><p> </p><p><a href="https://www.sciencedirect.com/science/article/pii/S0160412018316398" target="_blank">https://www.sciencedirect.com/science/article/pii/S0160412018316398</a></p><p> </p><p>The paper found no evidence of a link between exposure to particulate matter emitted from modern municipal waste incinerators as modelled from emissions data, or living close to modern municipal waste incinerators, and infant mortality, low birth weight, still birth or the other birth outcomes investigated.</p><p> </p><p>Further papers are currently under review at peer-reviewed journals and will be published once this process is complete.</p><p> </p><p>PHE’s position remains that well run and regulated modern municipal waste incinerators are not a significant risk to public health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 193365 question first answered 28/11/2018 17:36:37 answering member 4067 label Biography information for Steve Brine
tabling member	252 label Biography information for Dr David Drew

1010609

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	Surgery: Children
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 improve treatment for children after surgery.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	193429
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Medical staff are responsible for the clinical care of the patient throughout their treatment. There are a basic set of expectations for nursing and medical care post-surgery which apply to children. For example, they must be anaesthetised by anaesthetists competent in its administration; be looked after by teams dedicated to their care, who have received the necessary training; and be cared for in an appropriate environment. This is all part of good quality care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:28:52 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

1010613

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	Social Services: Finance
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 has made an assessment of the implications for his policies of the November 2018 analysis by the County Councils Network entitled A Fair Future for Counties; and whether his Department has discussed that analysis with the Ministry for Housing, Communities and Local Government.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	193431
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>Funding for social care beyond 2019-20 will be considered in the round at the Spending Review next year. The Department has not yet made any specific assessment of the County Councils Network’s analysis. However, we will work closely with the Ministry for Housing, Communities and Local Government to consider all available evidence as part of the Spending Review process.</p><p> </p><p>The Green Paper will put forward our proposals for reforming the social care system to make it more sustainable.</p><p> </p><p>The Government has given councils access to almost £10 billion more adult social care funding from 2017-18 to 2019-20 to address the immediate pressures councils are facing.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/11/2018 14:12:29 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1010614

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	Mental Health Services
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 November 2018 report by Rethink entitled Right treatment, right time, whether he is taking steps to ensure that NHS England works with NHS Improvement and NHS Digital to develop the Mental Health Dashboard further to include operational data for people treated in secondary and community care under a mental health trust.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	193432
answer	answer is ministerial correction date of answer 23/11/2018 answer text <p>The Five Year Forward View for Mental Health Dashboard brings together key data from across mental health services to measure the performance of the National Health Service in delivering our plans as set out in the Mental Health Five Year Forward View. Indicators within the dashboard are intended to provide a high level overview of how the NHS is performing, alongside detail on how mental health services are funded and delivered.</p><p> </p><p>The content of the dashboard was recently reviewed to ensure that the measures within the dashboard are sufficiently robust to provide an accurate picture of mental health delivery across services and regions. NHS England is working with NHS Improvement and NHS Digital to improve operational data for people treated in secondary and community care and these measures will be included in the dashboard as soon as data quality demonstrates that it is appropriate to do so.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/11/2018 11:10:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger