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1002730

registered interest
date	06/11/2018
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	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many flu vaccines were distributed free of charge to (a) 65-year-olds and over and (b) at-risk groups in the last five years; and how many vaccines are planned for distribution in (i) 2018 and (ii) 2019.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	188782
answer	answer is ministerial correction date of answer 12/11/2018 answer text <p>Data on the number of flu vaccines distributed in the last five years are not available in the format requested.</p><p> </p><p>Data on the number of vaccines planned for distribution are also not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/11/2018 17:21:48 answering member 4067 label Biography information for Steve Brine
tabling member	1579 label Biography information for Mary Creagh

989518

registered interest
date	17/10/2018
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Medical Equipment: Waste Disposal
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, pursuant to the Answer of 15 October 2018 to Question 177254 on Medical equipment: waste disposal, how many of the 155 permitted healthcare waste sites in England are hospitals.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	180685
answer	answer is ministerial correction date of answer 24/10/2018 answer text <p>Of the 155 permitted healthcare waste sites in England, 16 are located at hospitals.</p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 24/10/2018 10:41:03 answering member 4098 label Biography information for Dr Thérèse Coffey
tabling member	1579 label Biography information for Mary Creagh

984500

registered interest
date	09/10/2018
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Clinical Waste
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, how many clinical waste operators there are in the UK.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	177254
answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>Waste policy is a devolved matter and Defra only holds the information requested for England.</p><p> </p><p>There are currently 155 permitted healthcare waste sites in England, run by an estimated 70 operators and subsidiaries. This includes 24 facilities which are permitted for the incineration of healthcare waste, run by 12 different operators.</p><p> </p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 15/10/2018 10:50:42 answering member 4098 label Biography information for Dr Thérèse Coffey
tabling member	1579 label Biography information for Mary Creagh

984501

registered interest
date	09/10/2018
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Clinical Waste
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, how many (a) unannounced and (b) announced inspections the Environment Agency have undertaken at clinical waste operators in the UK in each of the last five years.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	177255
answer	answer is ministerial correction date of answer 15/10/2018 answer text <p>The Environment Agency (EA) uses a range of methods to monitor waste site compliance, including audits, data reviews, and site inspections.</p><p> </p><p>The table below shows the number of checks which the EA has undertaken for healthcare waste sites in England in each of the last four years. The EA does not centrally record numbers of announced and unannounced inspections, however the majority of inspections are unannounced.</p><p> </p><p>Information for 2014 is not included because a new system for recording checks was introduced in 2015 and earlier information is not centrally recorded.</p><p> </p><table><tbody><tr><td><p><strong>Year</strong></p></td><td><p><strong>Total no. of checks:</strong></p></td><td><p><strong>Of which site visits:</strong></p></td></tr><tr><td><p>2015</p></td><td><p>249</p></td><td><p>110</p></td></tr><tr><td><p>2016</p></td><td><p>261</p></td><td><p>119</p></td></tr><tr><td><p>2017</p></td><td><p>287</p></td><td><p>132</p></td></tr><tr><td><p>2018 (year to date)</p></td><td><p>267</p></td><td><p>186</p></td></tr></tbody></table> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 15/10/2018 10:45:22 answering member 4098 label Biography information for Dr Thérèse Coffey
tabling member	1579 label Biography information for Mary Creagh

983077

registered interest
date	08/10/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Peter Pickering
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, whether he plans to share with the victims and their families the results of recent inquiries by West Yorkshire Police into crimes that Peter Pickering may have committed.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176141
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Police forces are independent of government and Ministers are not able to intervene in police investigations. Such matters are for the Chief Constable concerned to consider.</p> answering member constituency Ruislip, Northwood and Pinner answering member printed Mr Nick Hurd question first answered 16/10/2018 14:57:57 answering member 1561 label Biography information for Mr Nick Hurd
tabling member	1579 label Biography information for Mary Creagh

983168

registered interest
date	08/10/2018
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Food: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what recent assessment he has made of the adequacy of labelling for non-prepackaged fresh food.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176143
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>We take the provision of information to consumers extremely seriously and it is essential that all UK consumers have complete trust in the food they are eating.</p><p>Defra is working closely with the Food Standards Agency and the Department for Health and Social Care to urgently review our approach to food labelling with the aim of strengthening the current allergen labelling framework. We are also holding talks with the Devolved Administrations to see what approach they may wish to take, as this is a devolved matter.</p> answering member constituency Macclesfield answering member printed David Rutley question first answered 11/10/2018 15:52:38 answering member 4033 label Biography information for David Rutley
tabling member	1579 label Biography information for Mary Creagh

983172

registered interest
date	08/10/2018
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	Adrenaline Auto-injectors: Shortages
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 tackle the global shortage of epinephrine auto-injectors.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176145
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The Department is working very closely with all the manufacturers of adrenaline auto-injectors, the Medicines and Healthcare Regulatory products Regulatory Agency, NHS England, and others to try to resolve these issues and improve the situation as quickly as possible. The overall supply situation is expected to improve by the end of 2018.</p><p> </p><p>We issued comprehensive guidance on 28 September 2018, with input from National Health Service allergy experts. The guidance was cascaded to general practitioners, clinical commissioning groups and other healthcare professionals to help explain the issue and to advise on clinical and supply management during this time.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 176146 question first answered 11/10/2018 16:32:09 answering member 4067 label Biography information for Steve Brine
tabling member	1579 label Biography information for Mary Creagh

983173

registered interest
date	08/10/2018
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	Adrenaline Auto-injectors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has issued guidance to clinical commissioning groups and general practitioners on the use of epinephrine auto-injectors; and if he will make a statement.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176146
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The Department is working very closely with all the manufacturers of adrenaline auto-injectors, the Medicines and Healthcare Regulatory products Regulatory Agency, NHS England, and others to try to resolve these issues and improve the situation as quickly as possible. The overall supply situation is expected to improve by the end of 2018.</p><p> </p><p>We issued comprehensive guidance on 28 September 2018, with input from National Health Service allergy experts. The guidance was cascaded to general practitioners, clinical commissioning groups and other healthcare professionals to help explain the issue and to advise on clinical and supply management during this time.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 176145 question first answered 11/10/2018 16:32:09 answering member 4067 label Biography information for Steve Brine
tabling member	1579 label Biography information for Mary Creagh

983174

registered interest
date	08/10/2018
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	Allergies: Medical Equipment
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) the Medicines and Healthcare products Regulatory Agency have made on the adequate needle length for an adrenalin autoinjector to deliver a dose.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176147
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for licensing of medicines and undertook a review in 2014 into adrenaline auto-injectors, which included consideration of adrenaline auto-injector needle length to treat anaphylaxis. This concern was subsequently taken forward by the MHRA as part of a wider European safety review which reported in 2015. One conclusion from the European review was that studies in human volunteers were required for each brand of adrenaline auto-injector in order to evaluate the rate and extent of adrenaline uptake into the bloodstream. Brands available in the United Kingdom are Epipen, Jext and Emerade. A full evaluation will be undertaken when results from all currently marketed products are available, anticipated to be by end 2019.</p><p> </p><p>An additional legal requirement following the European safety review was that the exposed needle length for the respective devices should be included in the product information to inform the healthcare professional and patient. This has been implemented for all adrenaline auto-injector products sold throughout Europe.</p><p> </p><p>Other recommendations from the European review included improved training and educational materials for patients, carers and healthcare professionals and further improvements to the product information. This has been implemented for all adrenaline auto-injector products sold in the UK.</p> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 16/10/2018 13:55:25 answering member 4070 label Biography information for Matt Hancock
tabling member	1579 label Biography information for Mary Creagh

983376

registered interest
date	08/10/2018
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	Influenza: 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 guidance his Department has issued to Clinical Commissioning Groups on the provision of flu vaccinations for people over the age of 70.
tabling member constituency	Wakefield
tabling member printed	Mary Creagh
uin	176148
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p><strong>N</strong>HS England wrote to clinical commissioning groups (CCGs) in February 2018 informing them of the recommended flu vaccines for the 2018/19 season which included the recommendation that adjuvanted trivalent flu vaccine (aTIV) should be used for those aged 65 years and over. A copy of NHS England’s letter is attached.</p><p>A further letter and guidance was sent to practices, community pharmacies and CCGs in August 2018 to support programme planning, which are available at the following links:</p><p><a href="https://www.england.nhs.uk/publication/flu-vaccinations-for-2018-and-planning-flu-clinics-letter-from-david-geddes/" target="_blank">https://www.england.nhs.uk/publication/flu-vaccinations-for-2018-and-planning-flu-clinics-letter-from-david-geddes/</a></p><p><a href="https://www.england.nhs.uk/publication/flu-vaccination-programme-delivery-guidance-2018-19/" target="_blank">https://www.england.nhs.uk/publication/flu-vaccination-programme-delivery-guidance-2018-19/</a></p><p>In September 2018, further guidance to support local planning of delivery of the flu programme for those aged over 65 years was issued. This is available at the following link:</p><p><a href="https://www.england.nhs.uk/publication/local-actions-to-ensure-ativ-is-offered-to-individuals-aged-65-years-and-over/" target="_blank">https://www.england.nhs.uk/publication/local-actions-to-ensure-ativ-is-offered-to-individuals-aged-65-years-and-over/</a></p><p>There is also further information in Public Health England publications including the Annual flu letter and ‘Inactivated influenza vaccine: information for healthcare practitioners’, which are available at the following links:</p><p><a href="https://www.gov.uk/government/publications/national-flu-immunisation-programme-plan" target="_blank">https://www.gov.uk/government/publications/national-flu-immunisation-programme-plan</a></p><p><a href="https://www.gov.uk/government/publications/inactivated-influenza-vaccine-information-for-healthcare-practitioners" target="_blank">https://www.gov.uk/government/publications/inactivated-influenza-vaccine-information-for-healthcare-practitioners</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/10/2018 16:27:42 answering member 4067 label Biography information for Steve Brine attachment 1 file name Vaccine ordering for 2018-19 influenza season CCG 05022018.pdf title Vaccine_ordering_for_2018-19_influenza_season
tabling member	1579 label Biography information for Mary Creagh