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759718

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Primary Health Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the commissioning process for primary medical care services under circumstances where no prospective providers come forward.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	10064
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>NHS England has a statutory responsibility to ensure that all patients have access to high-quality primary medical care services and enters into contractual arrangements with a range of general practitioner providers to secure those services for the population of England.</p><p> </p><p>The commissioning process to secure services includes, where necessary, approaches to stimulate the provider market. These include engaging with patients and the public, and hosting provider events, working with professional representative groups and other key stakeholders. Options available to commissioners include:</p><p> </p><p>- Procurement through an Alternative Provider Medical Services contract, which allow the widest range of providers to bid for delivery;</p><p> </p><p>- Re-procurement through General Medical Services or Personal Medical Services contracts, which are contracts that can only be held by general practitioners or wider members of the National Health Service family; and</p><p> </p><p>- List dispersal in the case of generally small practices where there is reasonable provision from neighbouring practices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:07:42 answering member 4067 label Biography information for Steve Brine
tabling member	4449 label Biography information for Anna Turley

759719

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Centres: Marske by the Sea
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the effect of the closure of Marske Medical Centre on the costs of travel for patients who must travel further to access GP services.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	10065
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>South Tees Clinical Commissioning Group (CCG) made the decision to close Marske Medical Practice after four unsuccessful attempts find a new provider for the service. The practice therefore closed on 30 June 2017. The CCG continues to support patients following the closure and the great majority of them have re-registered with nearby practices, which have increased staffing levels to manage demand.</p><p> </p><p>At this stage the CCG has not assessed travel costs for patients who may need to travel further to see their general practitioner.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 12:39:29 answering member 4067 label Biography information for Steve Brine
tabling member	4449 label Biography information for Anna Turley

759725

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Benzodiazepines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what data his Department collected on benzodiazepine dependence relating to 2016.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	10122
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>Data specific to this question is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:28:10 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

759729

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cases of hospital and healthcare-acquired infections have been diagnosed by the NHS in England in each of the last 10 years.
tabling member constituency	Midlothian
tabling member printed	Danielle Rowley
uin	10303
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>Public Health England (PHE) publishes national statistics on four healthcare and hospital acquired infections; Clostridium difficile infections (CDI), Methicillin-resistant staphylococcus aureus (MRSA), methicillin sensitive staphylococcus aureus (MSSA) and Escherichia coli (E. coli).</p><p> </p><p> </p><p>The data from the last 10 years, where available, can be found in the Annual Epidemiological Commentary: Mandatory MRSA, MSSA and E. coli bacteraemia and C. difficile infection data 2016/17 available here:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/634675/Annual_epidemiological_commentary_2017.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/634675/Annual_epidemiological_commentary_2017.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 12:17:30 answering member 4067 label Biography information for Steve Brine
tabling member	4628 label Biography information for Danielle Rowley

759731

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting time was for cancer patients to receive radiotherapy treatment following their operations in each of the last 10 years.
tabling member constituency	Midlothian
tabling member printed	Danielle Rowley
uin	10301
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The information requested is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 12:40:58 answering member 4067 label Biography information for Steve Brine
tabling member	4628 label Biography information for Danielle Rowley

759737

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicines and Healthcare products Regulatory Agency: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the budget was of the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10224
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) for each of the last 10 years is shown in the following table. The majority of the Agency’s funding is from fees.</p><table><tbody><tr><td><p> </p></td><td><p>2016/7</p></td><td><p>2015/16</p></td><td><p>2014/15</p></td><td><p>2013/14</p></td><td><p>2012/13</p></td><td><p>2011/12</p></td><td><p>2010/11</p></td><td><p>2009/10</p></td><td><p>2008/09</p></td><td><p>2007/08</p></td></tr><tr><td><p>Page number[1]</p></td><td><p>88</p></td><td><p>81</p></td><td><p>86</p></td><td><p>80</p></td><td><p>56</p></td><td><p>42</p></td><td><p>44</p></td><td><p>51</p></td><td><p>52</p></td><td><p>35</p></td></tr><tr><td><p> </p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td></tr><tr><td><p>Total Trading Income</p></td><td><p>157,293</p></td><td><p>152,963</p></td><td><p>152,767</p></td><td><p>141,813</p></td><td><p>108,815</p></td><td><p>117,247</p></td><td><p>121,387</p></td><td><p>112,690</p></td><td><p>112,812</p></td><td><p>93,463</p></td></tr></tbody></table><p> </p><p>Information about the Agency’s funding is published in the Annual Report and Accounts.</p><p>The MHRA’s Annual Report and Accounts for each year is published on the Gov.UK website at:</p><p><a href="https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date" target="_blank">https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date</a></p><p>[1] Page number in the Annual Report and Accounts of the MHRA for each of the years since 2007/08</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:27:57 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759738

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicines and Healthcare products Regulatory Agency
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many products were seized by the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10225
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is the United Kingdom Regulatory Agency with responsibility for the regulation of medicinal products (for human use) and medical devices and also acts as the law enforcement authority with statutory powers including rights of entry, inspection and seizure of products.</p><p> </p><p>Medicinal products are not ordinary consumer goods and, consequently, there is strict legislative control on their sale, supply, manufacture and distribution. Medicines that do not comply with regulatory requirements pose potential health risks and once identified, either in the UK or at the UK border, are liable to detention and seizure.</p><p> </p><p>The tables below set out the number of units / doses seized yearly.</p><p>Seizures by MHRA on operational activities.</p><table><tbody><tr><td><p>OPS seizures</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2009-10</p></td><td><p>244,627</p></td></tr><tr><td><p>2010-11</p></td><td><p>528,769</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,383,495</p></td></tr><tr><td><p>2012-13</p></td><td><p>512,633</p></td></tr><tr><td><p>2013-14</p></td><td><p>266,545</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,079,570</p></td></tr><tr><td><p>2015-16</p></td><td><p>244,627</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,721,673</p></td></tr><tr><td><p>2017- date</p></td><td><p>285,649 *</p></td></tr><tr><td><p> </p></td><td><p>7,267,588</p></td></tr></tbody></table><p /><p>Note: *this figure is year to date</p><p> </p><p>Seizures made on Operation Pangea</p><p> </p><p>Operation Pangea is a global initiative targeting illegal online sales of medical products.</p><p> </p><table><tbody><tr><td><p>Pangea Seizures from Operation Pangea</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2007</p></td><td><p>100,000</p></td></tr><tr><td><p>2008</p></td><td><p>200,000</p></td></tr><tr><td><p>2009</p></td><td><p>334,000</p></td></tr><tr><td><p>2010</p></td><td><p>296,711</p></td></tr><tr><td><p>2011</p></td><td><p>94,806</p></td></tr><tr><td><p>2012</p></td><td><p>2,100,000</p></td></tr><tr><td><p>2013</p></td><td><p>3,700,000</p></td></tr><tr><td><p>2014</p></td><td><p>3,600,000</p></td></tr><tr><td><p>2015</p></td><td><p>6,200,000</p></td></tr><tr><td><p>2016</p></td><td><p>4,664,885</p></td></tr><tr><td><p>Seizures made by UK Border Force</p></td></tr><tr><td><p><table><tbody><tr><td><p>Seizures at UK Border</p></td><td><p>Units/doses</p></td></tr><tr><td><p>2013 – September 2017</p></td><td><p>21,641,816</p></td></tr></tbody></table></p></td><td><p> </p></td></tr></tbody></table><p> </p><p> </p><p>To combine, this represents total seizures of 50,199,806 to date.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:42:23 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759741

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his future plans are for the recruitment of GPs from overseas.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10228
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS England aims to recruit at least 2,000 doctors into general practice by 2020/21. This compares to an initial target of 500 doctors over the same period of time.</p><p> </p><p>In order to meet this target, NHS England is expanding its current recruitment programme of doctors from the European Economic Area (EEA) whose general practitioner (GP) training is recognised in the United Kingdom under European law and who already get automatic recognition to join the General Medical Council’s (GMC) GP register.</p><p> </p><p>NHS England is also establishing a Framework Agreement of International Recruitment Providers, to identify potential overseas doctors and support them through the recruitment process, and a GP international recruitment office to run the recruitment operation.</p><p> </p><p>Finally, the Royal College of General Practitioners is working with the GMC to review the curriculum, training and assessment processes for GPs trained outside the EEA, starting with Australia, to identify whether the GP registration process can be streamlined for those doctors whose training is seen as equivalent to the UK GP programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:44:27 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

759748

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Attendance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to review the sanctions available to GP practices against patients who repeatedly do not attend appointments.
tabling member constituency	Milton Keynes South
tabling member printed	Iain Stewart
uin	10282
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Constitution states that patients are responsible for keeping appointments or cancelling them within a reasonable time. At present there are no sanctions available for general practitioner practices to manage repeated failure to attend appointments. There are no plans at present to review this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:38:21 answering member 4067 label Biography information for Steve Brine
tabling member	4015 label Biography information for Iain Stewart

759345

registered interest
date	11/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure cancer waiting time targets are met.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	9750
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>The National Health Service is meeting six out of eight cancer waiting times standards (June 2017) including ensuring that 93% of patients are seen within two weeks of an urgent general practitioner referral and that 96% of patients receive their first treatment for cancer within 31 days of diagnosis. This is despite 970,000 more people being urgently referred in 2016/17 compared to 2009/10 - an increase of 108%.</p><p> </p><p>Achieving the 62-day cancer standard is a key objective in the Government’s Mandate to NHS England for 2017-18 and Next Steps on the NHS Five Year Forward View. NHS England and NHS Improvement are providing support and challenge to those trusts that need to improve their performance against this standard.</p><p> </p><p>NHS England has confirmed £200 million of transformation funding to improve cancer services over the next two years. This includes encouraging local areas to find new and innovative ways to diagnose cancer earlier.</p><p> </p><p>Cancer survival rates are at a record high and the NHS has estimated 7,000 more people are surviving cancer after successful NHS cancer treatment compared to three years ago.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 14:32:03 answering member 4067 label Biography information for Steve Brine
tabling member	4056 label Biography information for Nic Dakin