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917326

registered interest
date	05/06/2018
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	Genetics: Screening
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 (a) his Department and (b) Public Health England have made of the role of (i) genetic testing and (ii) population level genomic data to improve public health.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150116
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The United Kingdom National Screening Committee recently recommended that the use of Non-Invasive Prenatal Testing should be evaluated as an additional screening test in the antenatal screening programme for Down’s syndrome, Edwards’ syndrome and Patau syndrome. In addition to this, the use of next generation sequencing is currently being evaluated in the diagnostic pathway for babies found to be screen positive for cystic fibrosis.</p><p> </p><p>From October 2018, the National Health Service’s Genomic Medicine Service will, for the first time, be supported by a comprehensive directory of genomic tests for specified cancers and rare diseases that encompasses the entire testing repertoire from Whole Genomic Sequencing to tests for single genes, molecular markers and other functional genomic tests.</p><p> </p><p>This National Genomic Test Directory will be updated on an annual basis to keep pace with scientific and technological advances with a systematic review process in place to ensure continued value through the co-ordinated replacement of older tests with new and emerging approaches.</p><p> </p><p>The Test Directory will be updated annually, following advice from an expert scientific and clinical committee that will be established to operate in accordance with NHS England’s specialised services commissioning processes.</p><p> </p><p>The Chief Medical Officer for England’s annual report ‘Generation Genome’ provided a comprehensive overview of the role of clinical genomic testing and is being taken forward via the Minister-chaired National Genomics Board.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2018 15:36:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

917327

registered interest
date	05/06/2018
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	Genetics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether there are plans in place to undertake a localised population-based genetic research study in England; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150117
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The United Kingdom has a strong history of conducting cohort studies of this kind. The Department’s National Institute for Health Research welcomes funding applications for research into any aspect of human health, including localised population-based genetic research studies. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 12/06/2018 13:53:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

917328

registered interest
date	05/06/2018
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	Genetics: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of rolling out population-wide genetic testing for mutations in the BRCA1 or BRCA2 genes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150118
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>In the Cancer Strategy for England, the independent Cancer Taskforce recommended that all women with non-mucinous epithelial ovarian cancer should be offered testing for BRCA1/BRCA2 at the point of diagnosis, and that all women under the age of 50 diagnosed with breast cancer should be offered testing for BRCA1/BRCA2 at the point of diagnosis.</p><p> </p><p>Testing women at the point of diagnosis can ensure access to the most relevant treatment and enable family members to understand their own risk and take preventative action where appropriate.</p><p> </p><p>As part of the National Health Service’s new Genomic Medicine Service, NHS England will publish a Test Directory to specify the genetic and genomic testing available in the NHS in England. The Test Directory will encompass the entire genetic and genomic testing repertoire, from Whole Genomic Sequencing to large panel tests and tests for single genes.</p><p> </p><p>The Test Directory will be updated annually, following advice from an expert scientific and clinical committee that will be established to operate in accordance with NHS England’s specialised services commissioning processes.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2018 15:36:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

917329

registered interest
date	05/06/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Asylum
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, if he will make training on how to assess asylum applications on the grounds of religious persecution compulsory for his Department's asylum caseworkers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150119
answer	answer is ministerial correction date of answer 08/06/2018 answer text <p>We are committed to delivering an asylum process that is sensitive to the needs of the claimants so that sufficient information can be obtained to facilitate fair and sustainable decisions on asylum claims. All interviewing and decision making personnel receive extensive training on interviewing and considering asylum claims, and must follow published Home Office policy guidance when conducting screening and substantive asylum interviews and considering asylum claims<em>.</em></p><p>Specialist training to assist decision making staff consider asylum claims based upon religious persecution is currently being developed and will be rolled out to staff as soon as possible.</p> answering member constituency Romsey and Southampton North answering member printed Caroline Nokes question first answered 08/06/2018 11:26:30 answering member 4048 label Biography information for Caroline Nokes
tabling member	4131 label Biography information for Jim Shannon

917330

registered interest
date	05/06/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Refugees
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what steps he is taking to ensure that vulnerability on religious grounds is adequately assessed by his Department when determining resettlement needs.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150120
answer	answer is ministerial correction date of answer 08/06/2018 answer text <p>With regards to resettlement, the UK works according to the humanitarian principles of impartiality and neutrality which means that we do not take into consideration the ethno-religious origins of people requiring assistance as we resettle solely on the basis of needs, identified by the United Nations High Commissioner for Refugees (UNHCR).</p><p>UNHCR is the internationally recognised and mandated agency for dealing with refugees. It has a global presence and 65 years’ experience in handling refugee crises. UNHCR is uniquely placed to help the UK authorities identify and refer vulnerable refugees who would benefit from resettlement in this country.</p><p>The seven vulnerability criteria used by the UNHCR are Legal and or Physical Protection Needs; Survivors of Torture and/or Violence; Medical Needs; Women and Girls at Risk; Family Reunification; Children and Adolescents at Risk and Lack of Foreseeable Alternative Durable Solutions. Individuals are not specifically identified for resettlement based on their religion or ethnicity but members of minority communities may well meet one of the other vulnerability criteria set out by UNHCR.</p><p>We are working with UNHCR and other partners to intensify their outreach to groups that might otherwise be reluctant to register for fear of stigma or discrimination and unaware of the safe space and options available to them. This includes all religious minorities.</p> answering member constituency Romsey and Southampton North answering member printed Caroline Nokes question first answered 08/06/2018 11:48:43 answering member 4048 label Biography information for Caroline Nokes
tabling member	4131 label Biography information for Jim Shannon

917331

registered interest
date	05/06/2018
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	Cancer Drugs Fund
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether discussions have taken place between NHS England and the pharmaceutical industry on the ongoing review of the operation of the Cancer Drugs Fund.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150121
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>We have been informed by NHS England that regular meetings are held with the Association of the British Pharmaceutical Industry where the Cancer Drugs Fund is discussed.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:22:00 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917332

registered interest
date	05/06/2018
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	Breast Cancer: Screening
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 invest in the mammography workforce to improve the rate and level of breast-screening provision.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150122
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>Health Education England published its first ever Cancer Workforce Plan in December 2017, which commits to the expansion of capacity and skills. This includes investing in 300 reporting radiographers by 2021 to support an increase in the capacity for earlier diagnosis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:22:49 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917333

registered interest
date	05/06/2018
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: Innovation
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 products for the accelerated access pathway have now been selected; and when an announcement on such products is planned.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150123
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>We are currently in the process of appointing a new chair for the Accelerated Access Collaborative (AAC). Following this appointment, the AAC will meet to launch the Accelerated Access Pathway and will consider the first group of products as part of their discussions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:22:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917334

registered interest
date	05/06/2018
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	HIV Infection: 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 progress has been made to date on the Pre-Exposure Prophylaxis Impact Trial.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150124
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>As of the 1 June 2018, 7,406 participants are enrolled on the trial. Information on participating clinics and enrollment status is regularly updated on the Pre-Exposure Prophylaxis Impact Trial website, available at the following link:</p><p> </p><p><a href="https://www.prepimpacttrial.org.uk/join-the-trial" target="_blank">https://www.prepimpacttrial.org.uk/join-the-trial</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:24:59 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

917335

registered interest
date	05/06/2018
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	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made a recent assessment of the level of migrant access to HIV services; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	150125
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>Data are not collected in the requested format as information on country of birth has not historically been captured for people accessing HIV care.</p><p> </p><p>Public Health England is currently in the process of validating country of birth data reported from the new HIV and AIDS Reporting System.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:35:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon