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676039

registered interest
date	20/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will estimate the (a) set-up and (b) training costs of the Selective Internal Radiation Therapy procedure.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	61023
answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>Commissioning through Evaluation is an innovative programme, established by NHS England, to gather new evidence on treatments that are currently not routinely funded by the National Health Service but nonetheless show significant potential promise for the future.</p><p> </p><p>Selective Internal Radiation Therapy (SIRT) has not been routinely funded by the NHS in England due to the currently limited evidence base on the clinical and cost effectiveness of the procedure. If new evidence becomes available and NHS England determines that SIRT should be made routinely available in the NHS in the future, it would formally assess any implementation requirements (including training, mandatory standards for commissioned centres etc.) at that point as part of the associated Commissioning Plan.</p><p> </p><p>SIRT is available via Individual Funding Requests.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 61051 61052 question first answered 30/01/2017 15:55:12 answering member 4080 label Biography information for David Mowat
tabling member	4133 label Biography information for Andrew Bridgen

676050

registered interest
date	20/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to provide funding to ensure that patient treatment is not affected during the assessment period for Selective Internal Radiation Therapy in the Commissioning through Evaluation process.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	61052
answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>Commissioning through Evaluation is an innovative programme, established by NHS England, to gather new evidence on treatments that are currently not routinely funded by the National Health Service but nonetheless show significant potential promise for the future.</p><p> </p><p>Selective Internal Radiation Therapy (SIRT) has not been routinely funded by the NHS in England due to the currently limited evidence base on the clinical and cost effectiveness of the procedure. If new evidence becomes available and NHS England determines that SIRT should be made routinely available in the NHS in the future, it would formally assess any implementation requirements (including training, mandatory standards for commissioned centres etc.) at that point as part of the associated Commissioning Plan.</p><p> </p><p>SIRT is available via Individual Funding Requests.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 61023 61051 question first answered 30/01/2017 15:55:12 answering member 4080 label Biography information for David Mowat
tabling member	4133 label Biography information for Andrew Bridgen

676052

registered interest
date	20/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Beds
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what analysis the Department has undertaken to assess the reasons for the time taken between a patient being cleared to be discharged from hospital and that discharge taking place.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	61053
answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>A delayed transfer of care from acute or non-acute care occurs when a patient is ready to depart from such care and is still occupying a bed. A patient is ready for transfer when both a clinical decision and a multi-disciplinary team decision has been made that the patient is ready for transfer, and the patient is safe to discharge or transfer.</p><p>NHS England publishes data at:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/</a></p><p>on the number of patients delayed on the last Thursday of each month and the total delayed days during the month for all patients delayed throughout the month. These data show the agency responsible for the delay (National Health Service, local authority, or both), and the reason for the delay.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 30/01/2017 13:49:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4133 label Biography information for Andrew Bridgen

676054

registered interest
date	20/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what criteria NHS England uses to reach a decision on whether a procedure is included in the Commissioning through Evaluation process.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	61051
answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>Commissioning through Evaluation is an innovative programme, established by NHS England, to gather new evidence on treatments that are currently not routinely funded by the National Health Service but nonetheless show significant potential promise for the future.</p><p> </p><p>Selective Internal Radiation Therapy (SIRT) has not been routinely funded by the NHS in England due to the currently limited evidence base on the clinical and cost effectiveness of the procedure. If new evidence becomes available and NHS England determines that SIRT should be made routinely available in the NHS in the future, it would formally assess any implementation requirements (including training, mandatory standards for commissioned centres etc.) at that point as part of the associated Commissioning Plan.</p><p> </p><p>SIRT is available via Individual Funding Requests.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 61023 61052 question first answered 30/01/2017 15:55:12 answering member 4080 label Biography information for David Mowat
tabling member	4133 label Biography information for Andrew Bridgen

670794

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of patients who used accident and emergency services in England were not registered with a GP or primary care provider; and how many of those patients were non-UK nationals in each year from 2010 to 2015.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	59288
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>The attached document shows the following information:</p><p> </p><p>- Total count of Unplanned A&amp;E Attendances in each year</p><p>- A count of attendances where the patient GP Practice has been recorded as V81997 - No registered GP Practice, broken down by the Commissioning Region of residence of the patient for each year.</p><p> </p><p>This data does not represent the number of patients, as an individual may have more than one attendance at accident and emergency in any given period.</p><p> </p><p>Please be aware of the following when interpreting the data:</p><p>The Commissioning Region of residence is derived from the patient’s postcode of home address. A default value can be used to identify records where the patient is not normally resident in the United Kingdom. Where the postcode recorded is invalid or left blank the Commissioning Region will be recorded as Unknown.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 18/01/2017 13:51:05 answering member 4080 label Biography information for David Mowat attachment 1 file name PQ59288 attached document.xlsx title PQ59288 attached file
tabling member	4133 label Biography information for Andrew Bridgen

659697

registered interest
date	15/12/2016
answering body	Department for Business, Energy and Industrial Strategy
answering dept id	201
answering dept short name	Business, Energy and Industrial Strategy
answering dept sort name	Business, Energy and Industrial Strategy
hansard heading	Renewable Heat Incentive Scheme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what plans the Government has to continue the Renewable Heat Incentive.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	57891
answer	answer is ministerial correction date of answer 23/12/2016 answer text <p>In the 2015 Autumn Statement the government announced continued funding for the Renewable Heat Incentive (RHI) schemes, with the budget rising to £1.15bn by 2020/21. Reforms to the RHI were announced on Wednesday 14<sup>th</sup> December 2016, which are designed to ensure that the RHI focuses on long-term decarbonisation, offers better value for money and protects consumers, supports supply chain growth.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman question first answered 23/12/2016 09:38:29 answering member 3991 label Biography information for Jesse Norman
tabling member	4133 label Biography information for Andrew Bridgen

652350

registered interest
date	05/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Vitamin B12
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 for routine screening for vitamin B12 deficiency in pregnancy.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	56168
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The UK National Screening Committee (UK NSC) has not reviewed the evidence for screening pregnant women for vitamin B12 deficiency. Following a review of the UK NSC in 2014/15 the UK NSC is now carrying out a call for new screening proposals. Information on how to submit a screening proposal to the UK NSC is available on their website:</p><p> </p><p><a href="https://www.gov.uk/government/publications/uk-nsc-evidence-review-process/appendix-d-how-to-submit-a-proposal-to-the-uk-nsc" target="_blank">https://www.gov.uk/government/publications/uk-nsc-evidence-review-process/appendix-d-how-to-submit-a-proposal-to-the-uk-nsc</a></p><p> </p><p>Information on vitamin B12 deficiency is available on the NHS Choices website and can be accessed using the following link:</p><p> </p><p><a href="http://www.nhs.uk/Conditions/Anaemia-vitamin-B12-and-folate-deficiency/Pages/Symptoms.aspx" target="_blank">http://www.nhs.uk/Conditions/Anaemia-vitamin-B12-and-folate-deficiency/Pages/Symptoms.aspx</a></p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 13/12/2016 16:36:00 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4133 label Biography information for Andrew Bridgen

652352

registered interest
date	05/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vitamin B12
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 education for health professionals on screening, diagnosis and effective individual treatment for Vitamin B12 deficiency; and whether his Department has plans to include serum B12 in full blood count screening.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	56179
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The diagnosis and treatment for B12 deficiencies is well established and reported in the British Committee for Standards in Haematology (BCSH) guidance document, ‘Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders’. The guidance was last updated in May 2014 and can be found at the following link:</p><p><a href="http://onlinelibrary.wiley.com/doi/10.1111/bjh.12959/epdf" target="_blank">http://onlinelibrary.wiley.com/doi/10.1111/bjh.12959/epdf</a></p><p> </p><p> </p><p>The BCSH provides up to date advice to both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease by the production of evidence-based guidelines. The Committee operates independently of Department and NHS England and produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. It would be for the BCSH, not the Department, to consider whether any adjustments to current best practice, were needed.</p><p> </p><p>A full blood count is not intended as a diagnosis tool for specific health conditions. The test assesses a number of different components in the blood, including red blood cell count, haemoglobin levels and platelet levels and is designed to help a clinician assess the overall health of the patient as part of the overall clinical picture. However, the test often gives important clues to specific conditions and this can help doctors to reach a diagnosis, alongside any other tests or investigations the doctor thinks necessary. For example, it can detect anaemia, which is symptom of B12 deficiency.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 13/12/2016 16:33:22 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4133 label Biography information for Andrew Bridgen

628138

registered interest
date	03/11/2016
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	Clean Air Zones: Finance
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 funding and resources the Government has made available to cities that have been mandated to establish a clean air zone; and how much such funding she plans to contribute towards health awareness campaigns on those zones.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	51811
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>In addition to committing £2bn to support greener transport initiatives since 2011, Defra has allocated funding to help five cities in England outside London implement Clean Air Zones and meet new burdens associated with implementing the zones.</p><p>On 6 October this year the Government launched its Air Quality Grant for 2016-17, which will be at least £3m - significantly larger than the last three years. This is in recognition of the urgent need to support action on air quality and deliver the Government’s commitment to comply with the legal air pollution standards in the shortest time possible.</p><p>Defra also works closely with the Department for Health, Public Health England, and their advisors the Committee on the Medical Effects of Air Pollutants. Health awareness campaigns in the five cities outside London will be for the local authorities to decide on, based on their understanding of local needs.</p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey question first answered 08/11/2016 17:54:17 answering member 4098 label Biography information for Dr Thérèse Coffey
tabling member	4133 label Biography information for Andrew Bridgen

628140

registered interest
date	03/11/2016
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Italy: Overseas Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what recent discussions he has had with the Italian government on resolving discrimination amongst the lettori.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	51789
answer	answer is ministerial correction date of answer 10/11/2016 answer text <p>The Government has continued to press the Italian government to end the unacceptable discrimination against the Lettori (UK and foreign lecturers in Italy). The Prime Minister, my Rt Hon. Friend the Member for Maidenhead (Mrs May) and the Foreign Secretary, my Rt Hon. Friend the Member for Uxbridge and South Ruislip (Mr Johnson) raised this issue with their Italian counterparts in July and September.</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan question first answered 10/11/2016 16:43:49 answering member 343 label Biography information for Sir Alan Duncan
tabling member	4133 label Biography information for Andrew Bridgen