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1023916

registered interest
date	12/12/2018
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	Air Ambulance Services
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 his Department is taking to support the operation of air ambulance services in the UK.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	201567
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>The Autumn Budget announced £10 million of capital funding to support air ambulance services. In addition to this, air ambulance charities work closely with National Health Service ambulance services, and often receive direct support in the form of clinical staff and equipment.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 12:26:58 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham

1023941

registered interest
date	12/12/2018
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	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 he has made of the robustness of supply chain networks for EU supplied (a) medicines, and (b) medical equipment in (i) England, (ii) Wales, (iii) Scotland and (iv) Northern Ireland over the next two years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	201579
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>The Government has now agreed the Withdrawal Agreement with the European Commission. As a consequence, the Department does not expect market access to medicines and medical products for the United Kingdom to change under the terms of that agreement during the implementation period, which will run from March 2019 until December 2020. The supply of medicines and medical products would remain unchanged during the implementation period.</p><p> </p><p>The Department does not expect to see significant changes to existing medicine and medical product supply chains or capacity in the intervening period. However, we will be monitoring this closely.</p><p> </p><p>As a responsible Government, we continue to prepare proportionately for all scenarios, including the unlikely outcome that we leave the European Union without a deal in March 2019.</p><p> </p><p>Our contingency planning covers the entire UK and has been developed in partnership with the devolved administrations. The public can be confident that the UK Government and the devolved administrations are working to ensure an aligned approach to achieving our objective of ensuring a seamless supply to patients throughout the UK should we leave the EU without a deal in March 2019.</p><p> </p><p>There are already teams within the Department that deal with medical supplies shortages arising both in the community and in hospitals. We have well-established operational levers and channels we use between ourselves, the Medicines and Health products Regulatory Agency and the National Health Service to mitigate supply issues.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:36:02 answering member 1585 label Biography information for Stephen Hammond
tabling member	534 label Biography information for Chris Ruane

1024051

registered interest
date	12/12/2018
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	Norfolk and Suffolk NHS Foundation Trust
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 Care Quality Commission report of November 2018, what recent assessment he has made of the adequacy of the Norfolk and Suffolk NHS Foundation Trust; and if he will make a statement.
tabling member constituency	Norwich South
tabling member printed	Clive Lewis
uin	201740
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>As a result of the findings of the Care Quality Commission’s (CQC) 28 November 2018 inspection report on Norfolk and Suffolk NHS Foundation Trust, the CQC’s Chief Inspector of Hospitals recommended that the Trust remains in special measures for quality reasons in order to make further improvements, and NHS Improvement has accepted this recommendation so that the Trust can continue to have access to a range of intensive support, such as a quality improvement director and an extensive buddying arrangement with East London NHS Foundation Trust a leading mental health Trust rated ‘Outstanding’ by the CQC.</p><p> </p><p>NHS Improvement has agreed several immediate actions with the Trust to improve patient safety and address the CQC’s concerns and is also working closely with the Trust, the CQC and the wider system to ensure that the right package of support is in place to deliver sustainable improvements.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:37:02 answering member 1585 label Biography information for Stephen Hammond
tabling member	4500 label Biography information for Clive Lewis

1024062

registered interest
date	12/12/2018
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	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS Trust leaders on planning for the UK leaving the EU without a deal.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	201741
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care regularly engages with stakeholders, agencies, arms-length bodies, and other Government Departments about European Union exit preparations.</p><p> </p><p>On 23 August 2018, the Secretary of State for Health and Social Care wrote to all National Health Service organisations, general practitioners, community pharmacies and other service providers.</p><p> </p><p>The letter set out what the health and care system needs to consider in the period leading up to March 2019, including:</p><p>- the continued supply of medical products in the event of no deal; and</p><p>- business continuity plans.</p><p> </p><p>The Secretary of State for Health and Social Care also wrote to health and care providers on 7 December 2018 to update them on the Government's preparations for a potential no-deal Brexit. The letter provides an update on what the health and care system needs to consider in the period leading up to March 2019. It includes plans relating to the continued supply of:</p><p>- medicines and vaccines;</p><p>- medical devices and clinical consumables;</p><p>- blood and other products of human origin; and</p><p>- non-clinical consumables, goods and services.</p><p> </p><p>The letter also contains information on the health and care workforce, research and clinical trials, and business continuity plans.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:39:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1024063

registered interest
date	12/12/2018
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	Drugs: Manufacturing Industries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with pharmaceutical companies on planning for the UK leaving the EU without a deal.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	201742
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>The Government has now agreed the Withdrawal Agreement with the European Commission. As a consequence, the Department does not expect market access to medicines for the United Kingdom to change under the terms of that agreement during the implementation period, which will run from March 2019 until December 2020.</p><p> </p><p>As a responsible Government, however, we continue to prepare proportionately for all scenarios, including the unlikely outcome that we leave the European Union without any deal in March 2019.</p><p> </p><p>On 23 August 2018, the Department wrote to all pharmaceutical companies that supply prescription only medicines and pharmacy medicines to the UK that come from, or via, the EU or European Economic Area (EEA) asking them to ensure a minimum of six weeks additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019.</p><p> </p><p>Since then, we have received very good engagement from industry who share our aims of ensuring continuity of medicines supply for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a no-deal Brexit.</p><p> </p><p>On 7 December, we wrote again to those companies to inform them of the Government’s updated border planning assumptions and planned response to those.</p><p> </p><p>We followed that up with a request for more detailed information about their current supply routes in order to support the rerouting of medicines required in a no deal scenario</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:42:37 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1024064

registered interest
date	12/12/2018
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	Department of Health and Social Care: Brexit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated to implementing contingency plans in the event that the UK leaves the EU without a deal.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	201743
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>We do not want or expect a no deal scenario. However, it is the duty of a responsible Government to continue to prepare for a range of potential outcomes, including the unlikely event of no deal. Extensive work to prepare for a no deal scenario, including contingency planning, has been under way for over two years and we are taking necessary steps to ensure the country continues to operate smoothly from the day we leave.</p><p> </p><p>The Autumn Budget 2018 confirmed an additional £500 million of cross-Government European Union exit funding for 2019/20 so that departments can continue to prepare effectively for exiting the EU. This means that the the Government will have invested over £4 billion in preparing for EU exit since 2016. This funding will help departments manage pressures and contingencies arising from EU exit preparations which fall in the 2019/20 financial year, as well as ensuring that the United Kingdom is prepared to seize the opportunities available when the UK leaves the EU.</p><p> </p><p>The Department is preparing for all eventualities and the resources available to support preparations are kept under constant review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:34:37 answering member 1585 label Biography information for Stephen Hammond
tabling member	4244 label Biography information for Jonathan Ashworth

1024068

registered interest
date	12/12/2018
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	Compulsorily Detained Psychiatric Patients
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 effect of the change in the number of detentions under the Mental Health Act 1983 on the overall costs of aftercare under section 117 of that Act.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	201620
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>Information on the costs of aftercare services provided under section 117 of the Mental Health Act 1983 is a matter for individual local authorities and clinical commissioning groups (CCGs) and is not collected centrally.</p><p> </p><p>The Government is concerned about rising numbers of detentions under the Act, which is why we requested an independent review, the final report of which was published earlier this month. The review’s report contains a number of recommendations on the administration of section 117 aftercare, including proposing national guidance on the division of funding between local authorities and CCGs.</p><p> </p><p>The Government has made no assessment of local CCG policies on this matter. We will be considering these recommendations in detail before responding in due course. The report of the independent review is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762206/MHA_reviewFINAL.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762206/MHA_reviewFINAL.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 201619 201621 201622 question first answered 17/12/2018 14:49:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1024074

registered interest
date	12/12/2018
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	Compulsorily Detained Psychiatric Patients
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much his Department spent on aftercare delivered under section 117 of the Mental Health Act 1983 in the most recent year for which data is available.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	201622
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>Information on the costs of aftercare services provided under section 117 of the Mental Health Act 1983 is a matter for individual local authorities and clinical commissioning groups (CCGs) and is not collected centrally.</p><p> </p><p>The Government is concerned about rising numbers of detentions under the Act, which is why we requested an independent review, the final report of which was published earlier this month. The review’s report contains a number of recommendations on the administration of section 117 aftercare, including proposing national guidance on the division of funding between local authorities and CCGs.</p><p> </p><p>The Government has made no assessment of local CCG policies on this matter. We will be considering these recommendations in detail before responding in due course. The report of the independent review is available at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762206/MHA_reviewFINAL.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/762206/MHA_reviewFINAL.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 201619 201620 201621 question first answered 17/12/2018 14:49:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1588 label Biography information for Barbara Keeley

1023180

registered interest
date	11/12/2018
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	Alcoholic Drinks: 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 the Government is taking to ensure that children are protected from the marketing of alcohol products.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	201158
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>The Government is committed to working with industry to address concerns over any irresponsible promotions, advertising and marketing relating to alcohol, particularly to ensure that children and young people are suitably protected. Advertising in the United Kingdom is regulated by the Advertising Standards Authority, the industry’s independent regulator, who enforces the Advertising Codes through a system of self-regulation and co-regulation with Ofcom. The Codes apply to all media, including broadcast and online, and set standards for accuracy and honesty to which advertisers are expected to adhere, including specific conditions on advertising to children, causing offence and social responsibility. The Codes currently state that alcohol advertising must not be targeted at people under 18 and “should not imply, condone or encourage immoderate, irresponsible or anti-social drinking.&quot;</p><p> </p><p>The Codes are regularly reviewed and updated to ensure they remain effective. The Portman Group also provides a Code to the alcohol industry on Naming and Packaging and Promotion of Alcoholic Drinks, which includes that drinks should not have a particular appeal to under-18s.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/12/2018 17:44:46 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

1023197

registered interest
date	11/12/2018
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	NHS: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of EU nationals recruited to work in the NHS in (a) Coventry, (b) West Midlands and (c) England in each year since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	201105
answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the headcount figures for the number of European Union national joiners to National Health Service trusts and CCGs in England, West Midlands and Coventry as at 30 June each year and the latest data available.</p><table><tbody><tr><td><p> </p></td><td><p>England</p></td><td><p>West Midlands Strategic Health Authority</p></td><td><p>Coventry</p></td></tr><tr><td><p>June 2010 - June 2011</p></td><td><p>6,101</p></td><td><p>321</p></td><td><p>22</p></td></tr><tr><td><p>June 2011 - June 2012</p></td><td><p>6,239</p></td><td><p>321</p></td><td><p>27</p></td></tr><tr><td><p>June 2012 - June 2013</p></td><td><p>8,061</p></td><td><p>397</p></td><td><p>24</p></td></tr><tr><td><p>June 2013 - June 2014</p></td><td><p>11,457</p></td><td><p>643</p></td><td><p>35</p></td></tr><tr><td><p>June 2014 - June 2015</p></td><td><p>13,667</p></td><td><p>822</p></td><td><p>47</p></td></tr><tr><td><p>June 2015 - June 2016</p></td><td><p>15,449</p></td><td><p>782</p></td><td><p>64</p></td></tr><tr><td><p>June 2016 - June 2017</p></td><td><p>12,720</p></td><td><p>687</p></td><td><p>83</p></td></tr><tr><td><p>August 2017 - August 2018</p></td><td><p>11,565</p></td><td><p>557</p></td><td><p>77</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital. Nationality is self reported.</p><p><em> </em></p><p>Joiners and leavers data shows people leaving or returning to active service, this would include those going on or returning from maternity leave or career break, for example. EU nationals may have been employed in the United Kingdom before joining the NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:38:18 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham