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1007853

registered interest
date	15/11/2018
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
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 has been made on creating a system whereby patient evidence can be considered as part of the specialised commissioning relative prioritisation process.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	191991
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Patients and the public already have the opportunity to submit peer reviewed, published evidence as part of the clinical commissioning policy and services specification development process and to comment on draft commissioning policies and service specifications during public consultation. An engagement report which summarises the views submitted is considered by the Clinical Priorities Advisory Group as part of their deliberations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:14:05 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

997209

registered interest
date	29/10/2018
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: 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 healthcare charities will be able to submit evidence as part of the specialised commissioning relative prioritisation process later this year.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	185103
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Healthcare charities and other interested organisations have the opportunity to submit peer reviewed, published evidence, and to comment on draft clinical commissioning policies and service specifications that are being considered within the relative prioritisation process. They can do this either as a member of the policy working group, during stakeholder testing, or via a public consultation as per NHS England’s Specialised Commissioning Service Development Policy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 15:25:02 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

995615

registered interest
date	26/10/2018
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	Tuberous Sclerosis: Medical Treatments
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 ensure patients with refractory epilepsy related to tuberous sclerosis complex are able to access new medicines.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	184448
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Patients with tuberous sclerosis complex (TSC) have access to standard anti-epileptic drugs and whilst not licensed specifically for use in association with TSC, there is evidence that two thirds of patients will respond to treatment. A relatively new option specifically licensed for refractory epilepsy in TSC is everolimus (Votubia) which is due to be considered for prioritisation within the National Health Service in England in December as part of NHS England’s biannual relative prioritisation process for specialised services.</p><p> </p><p>The life sciences sector deal, published last autumn, will ensure that the next wave of breakthrough treatments, innovative medical research and technologies are created in Britain. A key part of the deal was our commitment to improving patient access to innovation through the implementation of the Accelerated Access Review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/11/2018 15:40:37 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

994541

registered interest
date	25/10/2018
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	Carers: Nottinghamshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on (a) respite care and (b) other practical support available to carers from local authorities in Nottinghamshire.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	183952
answer	answer is ministerial correction date of answer 01/11/2018 answer text <p>This information is not held centrally. Through the Government’s Better Care Fund, local areas set out plans which indicate the level of resource that will be dedicated to carer-specific support, including respite and carers’ breaks. The exact breakdown on spend for carers’ breaks is not collected centrally.</p><p> </p><p>Information covering other practical support available to carers from local authority’s is not held centrally, either. However, the Care Act 2014 introduced important new rights for carers, for the first time putting them on the same footing as the people for whom they care. Carers have legal rights to an assessment of, and support for, their needs where eligible. Local authorities also have a wider duty to offer information and advice to all carers, including signposting the carer to support available locally.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/11/2018 13:14:37 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4663 label Biography information for Ben Bradley

994558

registered interest
date	25/10/2018
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: Rheumatoid Arthritis
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 access to mental health services for people living with rheumatoid arthritis.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	183958
answer	answer is ministerial correction date of answer 02/11/2018 answer text <p>We recognise that living with a long-term condition, such as rheumatoid arthritis, can also have an impact upon a person’s mental wellbeing. The guideline Rheumatoid arthritis in adults: management, updated by the National Institute for Health and Care Excellence in 2018, sets out best practice in the diagnosis treatment care and support of people with rheumatoid arthritism. The guidance recommends that patients should be offered psychological interventions (for example, relaxation, stress management and cognitive coping skills to help them to adjust to living with their condition). Anyone suffering with a long-term condition who is suffering with their mental wellbeing should speak to their general practitioner in the first instance. The guidance can be accessed via the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ng100" target="_blank">https://www.nice.org.uk/guidance/ng100</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 02/11/2018 13:30:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4663 label Biography information for Ben Bradley

994559

registered interest
date	25/10/2018
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	Lung 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 steps he is taking to improve the (a) diagnosis and (b) treatment of lung cancer.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	183959
answer	answer is ministerial correction date of answer 02/11/2018 answer text <p>NHS England is extending targeted lung health checks to clinical commissioning groups with high mortality rates and high incidence of lung cancer. In Greater Manchester, introducing low dose CT health checks saw an almost five-fold reduction in stage 4 disease, with 80% of cancers diagnosed at an early stage.</p><p> </p><p>A new cancer diagnosis standard, designed to ensure that patients find out within 28 days whether or not they have cancer, will be introduced in 2020. NHS England has published guidance for lung cancer on how to speed up the start of the pathway, to meet this new standard and to maximise the number of patients who might benefit from potentially curative surgery. The National Health Service has been asked to implement this pathway in Refreshing NHS Plans for 2018/19 (annual planning guidance). Transformation funding was provided to Cancer Alliances in 2018/19 to ensure the pathway will be implemented across England. Guidance on the best practice timed diagnosis pathways is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/rapid-cancer-diagnostic-and-assessment-pathways/" target="_blank">https://www.england.nhs.uk/publication/rapid-cancer-diagnostic-and-assessment-pathways/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/11/2018 13:37:40 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

986382

registered interest
date	12/10/2018
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	Dental Services: Mansfield
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to increase the capacity of NHS dentistry services in Mansfield constituency.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	178533
answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Access to primary care dental services nationally remains high, in England 22.1 million adults were seen by dentist in the 24 month period ending 30 June 2018 and 6.9 million children were seen by a dentist in the 12 month period ending 30 June 2018.</p><p> </p><p>We are aware that there have been local recruitment difficulties in Mansfield which have resulted in some dental practices offering fewer appointments than usual. NHS England North Midlands advises it is working closely with providers to address these issues and ensure that access improves.</p><p> </p><p>NHS England is responsible for commissioning dental services. It has a legal duty to commission National Health Services dental services to meet the needs of the local population. NHS England should have arrangements in place to help patients who cannot find a local dentist that is accepting new patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 16:34:21 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

972319

registered interest
date	12/09/2018
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	Lung Diseases: Health Education
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 has taken to increase public awareness of the symptoms of (a) lung cancer and (b) respiratory conditions.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	174151
answer	answer is ministerial correction date of answer 10/10/2018 answer text <p>Public Health England’s Be Clear on Cancer campaigns raise the public’s awareness of signs and symptoms of cancer, and are an important step in diagnosing cancers earlier. The Be Clear on Cancer Respiratory Symptoms campaign aims to raise awareness of the symptoms of a persistent cough or inappropriate breathlessness as possible symptoms of lung disease, including cancer and encourages people to visit their doctor promptly. The campaign has run at a national level twice, in July to August 2016 and May to September 2017.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/10/2018 12:49:38 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

947306

registered interest
date	24/07/2018
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	Health Services and Social Services: East Midlands
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 are being taken to support the coordination and joining-up of the health and care systems in the East Midlands; and if he will make a statement.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	168086
answer	answer is ministerial correction date of answer 05/09/2018 answer text <p>Like all local areas, East Midlands local authorities and clinical commissioning groups have pooled budgets under the Better Care Fund (BCF) for the purposes of integrated care, and developed BCF plans according to their local needs.</p><p> </p><p>The BCF has encouraged collaborative working in local areas. Many local areas in East Midlands voluntarily pooled more BCF funds than required. Their local health and care leaders also indicated that the overall delivery of the BCF has improved joint working and integration of health and social care in their area.</p><p> </p><p>The Five Year Forward View set out a clear vision on how to close the gaps of the health and wellbeing of the population, the quality of care provided, and the finances and efficiencies of NHS services. Sustainability and transformation partnerships (STPs) and integrated care systems (ICSs) are the NHS’s chosen vehicle to deliver this vision. All local areas, including those in East Midlands, have already got their local plans and partnerships in place to achieve this. As STPs and ICSs continue to develop, we expect them to make more progress in integrating care across their area, bringing together organisations to provide more seamless and joined-up care for patients.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/09/2018 10:10:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4663 label Biography information for Ben Bradley

943873

registered interest
date	18/07/2018
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	Lumacaftor/ivacaftor
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 discussions he has had with (a) Vertex and (b) NHS England on access to Orkambi on the NHS.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	165702
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>It is the responsibility of NHS England, not the Government, to work together with Vertex to secure the best outcome for patients and a price for Orkambi that is fair and responsible.</p><p> </p><p>I and the Parliamentary Under-Secretary of State for Health (Lord O’Shaughnessy) wrote to Vertex in April, urging it to commit to pricing that is responsible and proportionate. I also re-iterated this message in the adjournment debate on 17 July, Official Report, columns 383-4.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/07/2018 15:50:43 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley