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1603419

registered interest
date	13/03/2023
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	Shellfish: EU Law
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 review by Seafish entitled Review of the application of the Official Control Regulations for shellfish, published June 2021, what assessment he has made of the implications for his policies of that review's findings; and what progress has been made by the Food Standards Agency on implementing the Review's recommendations.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	163883
answer	answer is ministerial correction date of answer 20/03/2023 answer text <p>The Food Standards Agency (FSA) has assessed the recommendations set out in the Seafish Review and in collaboration with shellfish stakeholders has prioritised those considered workable within the existing legal framework. Proposals which require legislative change are not considered feasible at the present time. To date, the FSA has introduced two new criteria for handling high results, updated protocols to confirm that appropriately validated alternative test methods can be used for official control purposes and communicated that local authorities can delegate official control sampling to third parties.</p><p>The FSA is also working on further revisions to its approaches, including reviewing the timeframe for resampling and reopening production areas after high results. This work is complex and takes time. It is imperative that any changes introduced ensure continued food safety and maintain the confidence of consumers and trading partners.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 20/03/2023 16:22:33 answering member 4679 label Biography information for Neil O'Brien
tabling member	4762 label Biography information for Anthony Mangnall

1542207

registered interest
date	15/11/2022
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: 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 recent steps his Department has taken to provide support for children's mental health in rural communities.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	87992
answer	answer is ministerial correction date of answer 21/11/2022 answer text <p>Integrated care boards (ICBs) are responsible for ensuring appropriate provision to meet the health and care needs of local populations. Adjustments are made in the core ICB allocations formula to allow for variation in the costs of providing health care between rural and urban areas.</p><p> </p><p> </p><p>The NHS Long Term Plan commits to investing an additional £2.3 billion a year in mental health services by 2023/24. This increased investment will improve access to mental health services, including in rural communities. By 2023/24, a further 345,000 children and young people will be able to access National Health Service-funded mental health support. In 2021/22, we provided an additional £79 million to allow a further 22,500 more children and young people to access community health services and accelerate the coverage of mental health support teams in schools and colleges. These teams are now available for 26% of pupils and will increase to nearly 400 teams for approximately 35% of pupils by April 2023.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 21/11/2022 15:11:14 answering member 4492 label Biography information for Maria Caulfield
tabling member	4762 label Biography information for Anthony Mangnall

1524732

registered interest
date	20/10/2022
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	Dementia: Diagnosis
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 she is taking to help reduce disparities in dementia diagnosis rates between Integrated Care Systems.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	68010
answer	answer is ministerial correction date of answer 07/11/2022 answer text <p>NHS England has commissioned the Office for Health Improvement and Disparities’ Dementia Intelligence Network to investigate the underlying variation in dementia diagnosis rates in targeted areas in England. This includes the assessment of underlying population characteristics such as rurality, ethnicity, and age to provide context for variation and enable targeted investigation and provision of support locally.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 07/11/2022 12:46:32 answering member 4527 label Biography information for Helen Whately
tabling member	4762 label Biography information for Anthony Mangnall

1455987

registered interest
date	30/03/2022
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	Bovine Tuberculosis: Vaccination
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 extend free TB vaccinations to include all those that work with bovines.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	150266
answer	answer is ministerial correction date of answer 19/04/2022 answer text <p>Based on the current available evidence, there are no plans to extend free Bacillus Calmette–Guérin (BCG) vaccinations to all those who work with bovines. BCG vaccination against tuberculosis (TB) is not usually recommended for people aged over 16 years old, unless the risk of exposure is high. BCG vaccination can be offered to veterinary staff and staff, such as abattoir workers, who handle animals or animal materials which could be infected with TB.</p><p>Under these current criteria in the Green Book, a very small subset of farmers may be eligible for the BCG vaccination. Their eligibility for TB vaccination should be based on an individual risk assessment. Those eligible would access the vaccine through a private occupational health provider and may seek further advice from the National Farmers Union. Non-National Health Service providers can charge for this service.</p><p>Under the Control of Substances Hazardous to Health Regulations (COSHH), all new employees, including farmers, should undergo a pre-employment health assessment, which should include a review of immunisation needs. The COSHH risk assessment will indicate which pathogens staff are exposed to in their workplace, such as bovine TB. Staff considered to be at risk of exposure to pathogens should be offered routine pre-exposure immunisation as appropriate. This decision should also take into account the safety and efficacy of available vaccines. Staff not considered to be at risk need not routinely be offered immunisation, although post-exposure prophylaxis may occasionally be indicated.</p> answering member constituency Erewash answering member printed Maggie Throup question first answered 19/04/2022 12:14:48 answering member 4447 label Biography information for Maggie Throup
tabling member	4762 label Biography information for Anthony Mangnall

1383050

registered interest
date	29/11/2021
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 Blood and Transplant: Artificial Intelligence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the NHS Blood and Transplant algorithm which decides how organs are allocated has been updated since the new drug Trikafta was introduced for cystic fibrosis sufferers.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	83490
answer	answer is ministerial correction date of answer 09/12/2021 answer text <p>NHS Blood and Transplant has a selection and allocation policy for each organ, ensuring a transparent process to balance reducing mortality on waiting lists and matching donor lungs with recipients to provide the best outcome for all listed patients. The algorithm is not dependent on the primary disease and patients are only placed on the transplant list after maximal therapy.</p><p>NHS Blood and Transplant’s Lung Advisory Group would regard a trial of Trikafta (Kaftrio) as an important pre-referral step and most cystic fibrosis physicians would prescribe this prior to the referral of patients for transplantation.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 09/12/2021 13:51:41 answering member 4492 label Biography information for Maria Caulfield
tabling member	4762 label Biography information for Anthony Mangnall

1238902

registered interest
date	29/09/2020
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	Minor Injuries Units
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 reopen town-based minor injuries units that were closed in the initial response to the covid-19 outbreak.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	97042
answer	answer is ministerial correction date of answer 08/10/2020 answer text <p>In response to the COVID-19 outbreak, a number of type 3 and 4 services have been temporarily closed or reconfigured due to a number of issues related to the outbreak. For example, reduction in footfall, requirement to redeploy staff due to system pressures elsewhere or sites unable to comply with social distancing guidelines.</p><p>Taking into consideration pressures associated with the COVID-19 outbreak, the re-opening and reconfiguration of services is being led locally and reviewed on an ongoing basis, supported by NHS England and NHS Improvement regions.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 08/10/2020 16:05:00 answering member 4362 label Biography information for Edward Argar
tabling member	4762 label Biography information for Anthony Mangnall

1220984

registered interest
date	06/07/2020
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	Vaccination
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 vaccination rates in areas of the UK where they are below the national average.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	69701
answer	answer is ministerial correction date of answer 05/08/2020 answer text <p>Public Health England and NHS England and NHS Improvement are undertaking a range of actions to improve vaccination coverage across all the routine immunisation programmes in England. This includes targeted initiatives where rates are below the national average, informed by data that identifies underserved populations, as well as improvements being rolled out nationally, such as improved access to appointments, better communication with the public, and additional training for healthcare professionals.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 05/08/2020 10:32:48 answering member 4380 label Biography information for Jo Churchill
tabling member	4762 label Biography information for Anthony Mangnall

1216413

registered interest
date	22/06/2020
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	Vaccination: Disinformation
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 tackle disinformation about vaccinations.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	62629
answer	answer is ministerial correction date of answer 21/07/2020 answer text <p>We take the issue of disinformation and misinformation about vaccines extremely seriously and are working across Government to tackle this. There is high confidence in the routine vaccine programmes, and we know that the National Health Service rightfully remains the most trusted source of information on immunisation. However, the influence of anti-vaccine misinformation on vaccine uptake rates is hard to quantify, so we are working to address this with colleagues from the Department for Digital, Culture, Media and Sport and Public Health England.</p><p>The Department continues to work closely with Public Health England and with NHS England and NHS Improvement to promote the positive value of vaccines in social media campaigns.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 21/07/2020 12:39:38 answering member 4380 label Biography information for Jo Churchill
tabling member	4762 label Biography information for Anthony Mangnall

1216419

registered interest
date	22/06/2020
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	Pharmacy: Rural Areas
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 assessment he has made of the trends in the level of (a) closures and (b) reduction in the opening hours of rural pharmacies; and what assessment he has made of the effect on access to pharmacy services of reductions in the level of public transport services.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	62635
answer	answer is ministerial correction date of answer 07/07/2020 answer text <p>Whilst the Department does not track closures of rural pharmacies, we track the closure of those pharmacies that are more than a mile from their next nearest pharmacy. Since 2017, there have been 18, with no discernible trend in the closures. No assessment has been made of reduced opening hours or the effect of any reduction in public transport on access. NHS England and NHS Improvement closely monitor closures to ensure that National Health Service pharmaceutical services continue to be provided. Depending on the area, this maybe through other pharmacies that patients can access in the area, dispensing doctors and/or distance selling pharmacies.</p><p>The Government also paid for a medicines delivery service for people while shielding and, during the peak of the pandemic, enabled pharmacies to close to the public for two hours a day to help deal with the increased number of telephone calls, for advice on health and medicines, from the public, who preferred not to visit the pharmacy in person.</p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 07/07/2020 11:50:44 answering member 4380 label Biography information for Jo Churchill
tabling member	4762 label Biography information for Anthony Mangnall

1200560

registered interest
date	04/06/2020
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: Coronavirus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if the Government will allow the reopening of dental practices in line with the reopening of non-essential shops as covid-19 restrictions are eased.
tabling member constituency	Totnes
tabling member printed	Anthony Mangnall
uin	55042
answer	answer is ministerial correction date of answer 08/07/2020 answer text <p>To meet the Government social distancing measures and to contain the spread of COVID-19 all routine dentistry was suspended at the start of the pandemic.</p><p>NHS England and NHS Improvement announced on 28 May that National Health Service dentistry outside urgent care centres could begin to gradually restart from 8 June where practices assess that they have the necessary personal protective equipment and infection prevention and control. The aim is to increase levels of service as fast as is compatible with maximising safety.</p><p>A copy of the letter that was published can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Urgent-dental-care-letter-28-May.pdf" target="_blank">https://www.england.nhs.uk/coronavirus/wp-content/uploads/sites/52/2020/03/Urgent-dental-care-letter-28-May.pdf</a></p><p>We still expect all NHS dental practices to provide urgent telephone advice and triage. Dentists are giving urgent advice remotely and, if needed, prescriptions for painkillers or antibiotics. All urgent face to face treatment that is clinically necessary will still be available for patients who are triaged by their dentist or NHS 111 into one of over 600 urgent dental centres set up by NHS England and NHS Improvement.</p><p>To support dentists and teams to reopen safely NHS England and NHS Improvement and the Chief Dental Officer have published a standard operating procedure covering the recovery transition.</p><p>This can be found at the following link:</p><p><a href="https://www.england.nhs.uk/coronavirus/publication/dental-standard-operating-procedure-transition-to-recovery/" target="_blank">https://www.england.nhs.uk/coronavirus/publication/dental-standard-operating-procedure-transition-to-recovery/</a></p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 08/07/2020 15:54:08 answering member 4380 label Biography information for Jo Churchill
tabling member	4762 label Biography information for Anthony Mangnall