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582510

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast 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 reduce the number of women dying as a result of breast cancer.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	46247
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>The independent Cancer Taskforce published its report, <em>Achieving World-Class Cancer Outcomes: A Strategy for England 2015-2020</em>, in July 2015, recommending improvements across the cancer patient pathway, including for breast cancer. An implementation plan, <em>Achieving World-Class Cancer Outcomes: Taking the strategy forward</em>, was published on 12 May 2016 and we hope to see great progress as it is delivered.</p><p> </p><p>Earlier diagnosis makes it more likely that patients will receive effective treatments. We have committed to implementing recommendation 24 of the report that by 2020, everyone referred with a suspicion of cancer will receive either a definitive diagnosis or the all-clear within four weeks. This standard will be underpinned by investment of up to £300 million more in diagnostics each year by 2020.</p><p> </p><p>On breast cancer specifically, the cancer strategy recommended that we:</p><p> </p><p>- ensure that chemo-prevention is being used appropriately to reduce the risk of developing breast cancers, particularly in younger women at high risk of developing cancer;</p><p>- commission the National Institute for Health and Care Excellence to develop updated guidelines for adjuvant treatment for breast cancer, including the use of bisphosphonates and aromatase inhibitors to prevent secondary cancers in women previously treated for early stage breast cancer;</p><p>- ensure that all patients treated for cancer are given advice on how best to manage their risk level and ensure that the risk of developing secondary cancers is reduced, as well as ensuring that there is a fast and efficient route back into treatment for patients who suffer recurrence; and</p><p>- ensure that, by 2020, the 280,000 people diagnosed with cancer every year will benefit from a tailored recovery package. The packages will be individually designed to help each person, live well beyond cancer, including psychological and social support for those whose cancer recurs, or who live for a long time with cancer or its consequences, as is often the case in women with secondary breast cancer.</p><p> </p><p>We have also run two national Be Clear on Cancer campaigns in 2014 and 2015 to raise awareness of the symptoms of breast cancer in women aged over 70. The campaigns targeted women over 70 because the disease is often diagnosed at a later stage in this age group. Breast screening for asymptomatic cancer saves an estimated 1,300 lives a year in the United Kingdom. A major randomised controlled trial is testing whether extending breast screening to women aged 47-49 and 71-73 will save more lives. Over 2 million women have been randomised into the trial, and results are expected in the early 2020s.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 12:26:14 answering member 4080 label Biography information for David Mowat
tabling member	4433 label Biography information for Thangam Debbonaire

581629

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their response to the paper presented to members of the Ethical Medicines Industry Group on 5 September, stating that new drugs and treatments can be made available to UK patients more quickly once the UK has left the EU; and what preparations they are making to ensure that the UK can more rapidly approve medicines once the UK has left the EU.
tabling member printed	Lord Blencathra
uin	HL1768
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>Nothing will change overnight as a result of the European Union referendum decision.</p><p>The United Kingdom remains a member of the EU until Article 50 negotiations have concluded. EU law continues to apply and ongoing compliance with EU law is considered important in facilitating orderly transition, for negotiating purposes, and to offer certainty in the meantime. As long as the UK is subject to EU law, the present arrangements remain in place.</p> answering member printed Lord Prior of Brampton question first answered 15/09/2016 11:42:01 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	497 label Biography information for Lord Blencathra

581998

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Slaughterhouses: Licensing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will ask the Foods Standards Agency to review the licence granted for BHM Food Group Ltd to operate an abattoir in Boosbeck.
tabling member constituency	Middlesbrough South and East Cleveland
tabling member printed	Tom Blenkinsop
uin	45945
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>BHM Food Group Ltd are no longer approved to operate as a slaughterhouse. They remain conditionally approved as a cutting plant and minced meat establishment. A third and final approval assessment will be conducted by 11 November 2016 to check their compliance against all relevant requirements of food law. If they have not met all these requirements their application for full approval will be refused.</p><p> </p><p>The Food Standards Agency is aware of concerns raised by local residents regarding the environmental impact of a slaughterhouse sited within the village of Boosbeck. However, the Agency is not the competent authority for environmental hygiene matters which inform planning consent. Both of these roles (Environmental Health and Planning) are fulfilled by the local authority.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 15/09/2016 14:28:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4037 label Biography information for Tom Blenkinsop

582022

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease: Diagnosis
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 improve GP training for the diagnosis of Lyme disease.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	46078
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. The GMC has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice. This includes recognising and treating Lyme disease.</p><p> </p><p>The training curriculum for general practitioners (GPs) is written by the Royal College of General Practitioners (RCGP), and has to meet the standards set by the GMC. Whilst the RCGP curriculum does not highlight specific conditions for GPs to be aware of, it instead emphasises the skills and approaches that a GP must develop in order to ensure accurate and timely diagnoses and treatment plans for their patients.</p><p> </p><p>GPs have responsibility for maintaining their continuing professional development, ensuring that they can provide high quality care to all patients.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 15/09/2016 07:54:36 answering member 1542 label Biography information for Philip Dunne
tabling member	1591 label Biography information for Tim Farron

582023

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Broadband
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GP surgeries do not have access to a high-speed broadband internet connection in each region.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	46076
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>NHS Digital does not keep records on the availability of high-speed broadband at all general practice (GP) sites. However NHS Digital does have records for broadband services provided by the Department to GP sites through the BT N3 arrangements.</p><p>Across England, some 6,021 GP sites receive broadband services through the National Health Service N3 connection arrangements; of these 6,010 GP sites are defined as high speed (i.e. 512 kilobits per second or greater).</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 15/09/2016 14:40:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1591 label Biography information for Tim Farron

582024

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has plans to improve the quality of Lyme disease tests.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	46077
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>The National Health Service and Public Health England (PHE) use well established validated diagnostic tests for Lyme disease that are highly reproducible between laboratories. International External Quality Assurance schemes are in place to ensure consistency between different tests centres.</p><p> </p><p>However, Lyme disease is a complex infection; we recognise that there are real challenges in diagnosis and we are further strengthening the evidence base. Commercial manufacturers and international academic groups have research programmes into improved tests. PHE continuously reviews new Lyme serology tests and will validate and implement new tests if appropriate.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 15/09/2016 14:31:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1591 label Biography information for Tim Farron

582027

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Suicide: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many deaths by suicide have been recorded in England among children aged under 18 within one month of being released from youth custody in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	46008
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>This information is not held centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46007 question first answered 15/09/2016 16:26:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4036 label Biography information for Luciana Berger

582029

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Children
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 encourage a greater awareness of the (a) symptoms, (b) diagnosis, (c) research, (d) treatment and (e) support for the families of children affected by cancer.
tabling member constituency	Dumfries and Galloway
tabling member printed	Richard Arkless
uin	45983
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>Improving awareness and early diagnosis of cancer is a priority for this Government, and was clearly highlighted in the report Achieving World-Class Cancer Outcomes (2015) by the Independent Cancer Taskforce. Earlier diagnosis makes it more likely that patients will receive effective treatments. We have committed to implementing recommendation 24 of the report that by 2020, everyone referred with a suspicion of cancer will receive either a definitive diagnosis or the all-clear within four weeks. This standard will be underpinned by investment of up to £300 million more in diagnostics each year by 2020.</p><p> </p><p>In order to continue to support general practitioners (GPs) to identify patients whose symptoms may indicate cancer and urgently refer them as appropriate, the National Institute for Health and Care Excellence (NICE) published an updated suspected cancer referral guideline in June 2015. The guideline, ‘Suspected cancer: recognition and referral’ includes new recommendations for childhood cancers. NICE also addressed generally, non-site specific symptoms of concern in children and young people, recommending that GPs should take into account the insight and knowledge of parents and carers when considering making a referral for suspected cancer.</p><p> </p><p>The Department’s National Institute for Health Research operates the UK Clinical Trials Gateway: <a href="http://www.ukctg.nihr.ac.uk" target="_blank">www.ukctg.nihr.ac.uk</a>. This publicly available website pulls through information about clinical trials and other research from several different United Kingdom registers, including research on childhood cancers.</p><p> </p><p>Over the last four decades there have been major advances in the development of successful treatment strategies for childhood cancers, and much of this has been due to the use of standardised protocols in clinical trials and centralisation of care. NICE Improving Outcomes Guidance for Children and Young People serves to assist National Health Service trusts in planning, commissioning and organising services for children and young people with cancer. It recommends, among other things, that all care must be provided in age-appropriate facilities. The treatment children receive will depend on the type of cancer they have, and the most common treatments include surgery to remove the tumour, chemotherapy and radiotherapy to destroy cancer cells, and stem cell and bone marrow transplants. In 2012, the Government provided £250 million to build two proton beam therapy centres in England (at University College London Hospital NHS Foundation Trust and The Christie NHS Foundation Trust in Manchester), the first of which will be fully operational in 2018.</p><p> </p><p>The Government is working closely with cancer charities to ensure children get the support they need during and after their treatment. Last year we announced everyone diagnosed with cancer in England will benefit from an individually tailored recovery package by 2020, a key recommendation by the independent Cancer Taskforce. The recovery package, developed by Macmillan Cancer Support, will signpost people to rehabilitation and financial support services to help with the costs of cancer.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 12:34:34 answering member 4080 label Biography information for David Mowat
tabling member	4387 label Biography information for Richard Arkless

582031

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors were employed in (a) Liverpool and (b) England in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	46005
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>NHS Digital provides information on the number of nursing, midwifery and health visiting staff employed in the National Health Service in England.</p><p>The following table shows the number of full time equivalent health visitors directly employed in NHS organisations in Liverpool and England between May 2010 and May 2016.</p><p>The table does not include data for health visitors employed by organisations such as local authorities that do not use the Electronic Staff Record but do provide NHS-funded services.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 15/09/2016 14:29:48 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ46005 health visitors table.xlsx title PQ46005 health visitors table
tabling member	4036 label Biography information for Luciana Berger

582032

registered interest
date	12/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prisoners: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many prisoners in (a) Merseyside and (b) London spent more than six weeks in prison in-patient units for (i) mental and (ii) physical health conditions in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	46006
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>This information is not held centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 15/09/2016 16:27:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4036 label Biography information for Luciana Berger