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1041209

registered interest
date	14/01/2019
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	University Hospitals Bristol NHS Foundation Trust: Liothyronine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they plan to take to lift the ban on the prescription of liothyronine (T3) by University Hospital Bristol in contradiction of the advice given by NHS England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL12791
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>NHS England is working closely with clinical commissioning groups (CCGs) on the prescribing of liothyronine to support them with the implementation of guidance for CCGs on items which should not be routinely prescribed in primary care. The Department has not had specific discussions with NHS England or made an assessment on these issues.</p><p>CCGs are expected to have regard to national guidance, and are responsible for developing their own local approaches to its implementation taking into account local priorities and needs. CCGs set the policy which governs what hospitals and trusts implement, therefore the prescription of liothyronine at University Hospital Bristol and Musgrove Park Hospital in Taunton is a matter for those CCGs.</p><p>This guidance for CCGs on items which should not be routinely prescribed in primary care includes recommendations on the use of liothyronine in line with the British Thyroid Association, who advise that a small proportion of patients treated with levothyroxine continue to suffer with symptoms despite adequate biochemical correction. In these circumstances,</p><p>where levothyroxine has failed and in line with this guidance, endocrinologists providing NHS services may recommend liothyronine for individual patients after a carefully audited trial of at least three months duration of the drug.</p><p>Further guidance on the prescribing of liothyronine has been published by the Regional Medicines Optimisation Committee. The aim of the guidance is to make best practice on the prescribing of liothyronine clearer. A copy of <em>Guidance – Prescribing of Liothyronine</em> is attached.</p> answering member printed Baroness Manzoor grouped question UIN HL12792 HL12793 HL12794 question first answered 22/01/2019 16:17:24 answering member 4289 label Biography information for Baroness Manzoor attachment 1 file name RMOC-Liothyronine-Guidance-v2.0-final-1.pdf title RMOC liothyronine guidance
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1039558

registered interest
date	11/01/2019
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	General Practitioners: Digital Technology
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 page 6 of the NHS Long-Term Plan, whether the right of every patient to have an online digital GP consultation will be added to the NHS constitution.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207577
answer	answer is ministerial correction date of answer 18/01/2019 answer text <p>To date, no decision has been taken to whether the right of every patient to have an online general practitioner consultation will be added to the NHS Constitution. The ultimate decision about what is included in the NHS Constitution rests with the Department and may be subject to parliamentary agreement.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2019 12:23:54 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

1039559

registered interest
date	11/01/2019
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	General Practitioners: Digital Technology
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 page 6 of the NHS Long-Term Plan, what estimate has he made of the proportion of online GP consultations that will be carried out by private providers that do not currently provide NHS services.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	207578
answer	answer is ministerial correction date of answer 18/01/2019 answer text <p>To date, no estimate has been made. The proportion will depend on the preferences of patients and the extent to which existing providers of primary care take up the opportunity to offer online general practitioner consultations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/01/2019 12:19:43 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

1039562

registered interest
date	11/01/2019
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	Cancer: Immunotherapy
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 he has made of the number of patients who have (a) used Immunotherapy treatments under the NHS and (b) had Immunotherapy treatments ended after two years in each of the last five years.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	207581
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 15:07:29 answering member 4067 label Biography information for Steve Brine
tabling member	4253 label Biography information for Seema Malhotra

1039587

registered interest
date	11/01/2019
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, pursuant to the Answer of 10 January to Question 205797 on Department of Health and Social Care: Brexit, when his Department plans to publish the data transparency releases referred to in that answer.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	207543
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>All spending over £25,000 is published in line with current guidance on a quarterly basis.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/01/2019 16:29:10 answering member 1585 label Biography information for Stephen Hammond
tabling member	151 label Biography information for Tom Brake

1039590

registered interest
date	11/01/2019
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: Training
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 involve people with learning disabilities and autism in the development of mandatory training for NHS staff.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	207559
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>We will shortly consult on proposals for mandatory learning disability and autism training to ensure that staff working in health and social care understand the needs of people with learning disabilities and autism and have the skills to provide them with the most effective care and support. Officials have worked with people with lived experience of learning disabilities and autism to develop the consultation proposals.</p><p> </p><p>We want to hear a range of views, including those from people with a learning disability or autism and their families, and in line with Cabinet Office principles on consultation, we will tailor the consultation to meet the needs and preferences of different groups, including the provision of consultation documents in alternative formats.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/01/2019 12:21:26 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1436 label Biography information for Paul Farrelly

1039594

registered interest
date	11/01/2019
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 money his Department has allocated for preparations for the UK leaving the EU without a deal to date; how much of that funding has been made by way of ministerial direction; and for what functions that funding has been allocated.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	207547
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>At Autumn Budget 2017, HM Treasury made an additional £3 billion of funding available over the next two years – £1.5 billion in each year – so that departments and the devolved administrations can continue to prepare effectively for European Union exit.</p><p> </p><p>That is in addition to the £700 million previously made available to prepare for EU exit at Autumn Budget 2016.</p><p> </p><p>In the Spring Statement on 13 March 2018, my Rt. hon. Friend the Chief Secretary to the Treasury (Elizabeth Truss MP) laid a Written Ministerial Statement, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statements/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=HCWS540" target="_blank">HCWS540</a>, setting out the full Departmental allocations of the £1.5 billion for 2018/19.</p><p> </p><p>HM Treasury approved £21.1 million of funding for the Department of Health and Social Care’s preparations for EU exit in 2018/19, including planning for ‘no deal’. Spend against this allocation for 2018/19 will be included in the 2018/19 financial accounts in due course.</p><p> </p><p>The Autumn Budget 2018 confirmed an additional £500 million of cross-Government funding for 2019/20, meaning 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 we leave the EU. The Department of Health and Social Care has been allocated £50 million from this budget, as set out in the Chief Secretary’s Written Ministerial Statement <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statements/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=HCWS1205" target="_blank">HCWS1205</a>, laid before Parliament on the 19 December 2018.</p><p> </p><p>No written ministerial direction for expenditure on contingency planning for ‘no deal’ has been sought by the Accounting Officer for the Department.</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 16/01/2019 12:40:06 answering member 1585 label Biography information for Stephen Hammond
tabling member	207 label Biography information for Sir Vince Cable

1039611

registered interest
date	11/01/2019
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	Prisons: Alcoholic Drinks and 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 recent assessment he has made of the number of prisoners who have reported a drug or alcohol misuse problem upon arrival at prison in the latest period for which figures are available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	207567
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>Data on alcohol and drug misuse treatment in prisons and other secure settings is available from Public Health England’s national drug treatment monitoring system (NDTMS). The 2016-17 NDTMS report shows that there were 59,258 adults in contact with drug and alcohol treatment services within secure settings. Most of these (55,721) were in prisons, but there were also 3,015 in young offender institutions and 522 in immigration and removal centres. This report can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/statistics/substance-misuse-treatment-in-secure-settings-statistics-2016-to-2017" target="_blank">https://www.gov.uk/government/statistics/substance-misuse-treatment-in-secure-settings-statistics-2016-to-2017</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/01/2019 17:22:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

1039613

registered interest
date	11/01/2019
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	Social Services: Disability
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 the forthcoming social care green paper will address social care provision for adults of working age with a disability.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	207569
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>The Green Paper will cover care and support for adults of all ages, and incorporate insights from the joint work the Department of Health and Social Care has done with the Ministry of Housing, Communities and Local Government on working age adults with care and support needs.</p><p> </p><p>The joint work undertaken by the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government last year engaged widely with stakeholders; including local authorities, providers, national charities and system partners as well as people with lived experience, family members and organisations run by disabled people such as DRUK and Inclusion London. Officials have also collated and reviewed existing reports and evidence previously produced by voluntary sector organisations and other partners as part of this work.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/01/2019 12:25:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	534 label Biography information for Chris Ruane

1038905

registered interest
date	10/01/2019
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	Neural Tube Defects
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many babies have been born in England with neural tube defects, such as spina bifida, in the last five years for which figures are available.
tabling member printed	Baroness Corston
uin	HL12742
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>Public Health England contributes to the European Surveillance of Congenital Anomalies (EUROCAT), which reports on congenital anomaly statistics by country.</p><p>The numbers of babies born with neural tube defects from 2012 to 2016 are displayed in the attached table, due to the size of the data. Data for 2017 and 2018 are not currently available. Validated data for 2017 will be available from April 2019.</p> answering member printed Baroness Manzoor question first answered 22/01/2019 16:13:47 answering member 4289 label Biography information for Baroness Manzoor attachment 1 file name HL12742 table formatted.docx title HL12742 table formatted
tabling member	215 label Biography information for Baroness Corston