The drug cost to the National Health Service for a one year supply of Apomorphine for a patient with Parkinson's Disease is estimated to be in the region of £5,300 and £9,000, based on the usual daily dose of 3 \u2013 30mg. However, the maximum daily is 100mg, so the annual cost for some patient\u2019s treatment may be higher.<\/p>
We have no estimate of the cost of manufacture. We are not aware of any particular issues relating to the manufacture of this drug. Pharmaceutical companies participate in either the voluntary pharmaceutical price regulation scheme (PPRS) or the statutory medicines price regulation scheme, both of which regulate the cost of medicines to the NHS. Products covered by the statutory scheme are subject to a 15% cut to their list price. Companies in the PPRS pay a percentage of sales to the Government when growth in NHS spending on medicines exceeds an agreed level. NHS purchasers may also negotiate discounts with pharmaceutical companies in addition to national price regulation.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2017-07-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-19T15:12:09.617Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-17", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Parkinson's Disease: Drugs"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "Her Majesty's Government how much the NHS pays for a one year supply of Apomorphine for a patient with Parkinson's Disease; how much they estimate it costs to manufacture a year's supply of that drug; what assessment they have made of the difficulties of manufacturing Apomorphine to clinical standards; and whether they intend to take any steps to reduce the cost of that drug to the NHS.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1879", "label" : {"_value" : "Biography information for Lord Lucas"} } , "tablingMemberPrinted" : [{"_value" : "Lord Lucas"} ], "uin" : "HL914"} , {"_about" : "http://data.parliament.uk/resources/751964", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/751964/answer", "answerText" : {"_value" : "
The Health Premium Incentive Scheme was a pilot exercise carried out in 2014/15. The Government currently has no plans to implement a similar scheme.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2017-07-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-19T15:06:37.503Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Airports: Air Pollution"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "Her Majesty's Government whether they have abandoned the Health Premium approach to funding part of the public health responsibilities of local government; and if so, why.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4181", "label" : {"_value" : "Biography information for Lord Beecham"} } , "tablingMemberPrinted" : [{"_value" : "Lord Beecham"} ], "uin" : "HL799"} , {"_about" : "http://data.parliament.uk/resources/751974", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/751974/answer", "answerText" : {"_value" : "
The Department does not hold this information.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2017-07-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-19T11:03:13.337Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "European Committee for Standardization"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "Her Majesty's Government how much funding was allocated in 2016\u201317 to treat alcohol addiction in prisons.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4321", "label" : {"_value" : "Biography information for Lord Farmer"} } , "tablingMemberPrinted" : [{"_value" : "Lord Farmer"} ], "uin" : "HL809"} , {"_about" : "http://data.parliament.uk/resources/751979", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/751979/answer", "answerText" : {"_value" : "
The Department does not hold this information.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2017-07-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-19T15:09:01.393Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Financial Services: Greater London"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "Her Majesty's Government how many individuals infected with blood contaminated by hepatitis C or HIV in the 1970s and 1980s remain alive.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4171", "label" : {"_value" : "Biography information for Lord Black of Brentwood"} } , "tablingMemberPrinted" : [{"_value" : "Lord Black of Brentwood"} ], "uin" : "HL814"} , {"_about" : "http://data.parliament.uk/resources/751130", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/751130/answer", "answerText" : {"_value" : "
There are currently no plans to develop a specific strategy for prisoners with dementia.<\/p>
<\/p>
The Challenge on Dementia 2020 sets out the Government\u2019s ambition to follow up timely diagnosis with greater access to support for people with dementia, increase public awareness and create more dementia friendly public and private organisations and communities across all settings.<\/p>
<\/p>
Health services in prisons are commissioned by NHS England and implementing specialist dementia services across appropriate prison settings is one of its commissioning intentions for 2017-18.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4545", "label" : {"_value" : "Biography information for Lord O'Shaughnessy"} } , "answeringMemberPrinted" : {"_value" : "Lord O'Shaughnessy"} , "dateOfAnswer" : {"_value" : "2017-07-19", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-19T15:10:13.453Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-12", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Religious Hatred"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "Her Majesty's Government whether they intend to prepare a strategy for prisoners with dementia; and if so, when it will be published.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/452", "label" : {"_value" : "Biography information for Lord Bradley"} } , "tablingMemberPrinted" : [{"_value" : "Lord Bradley"} ], "uin" : "HL727"} , {"_about" : "http://data.parliament.uk/resources/750528", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/750528/answer", "answerText" : {"_value" : "
It is the Government\u2019s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.<\/p>
<\/p>
The Government supports the inclusion of a review of surrogacy legislation in the Law Commission\u2019s 13th<\/sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.<\/p>"}
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], "questionText" : "Her Majesty's Government, further to the Written Answers by Nicola Blackwood MP on 8 March (HC66737) and by Philip Dunne MP on 27 June (HC510), whether a remedial order to allow single parents to apply for a parental order following surrogacy will be laid before Parliament after the summer recess; and if so, whether that order will operate retrospectively once approved.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2501", "label" : {"_value" : "Biography information for Baroness Barker"}
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, {"_about" : "http://data.parliament.uk/resources/750529", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/750529/answer", "answerText" : {"_value" : " It is the Government\u2019s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.<\/p> <\/p> The Government supports the inclusion of a review of surrogacy legislation in the Law Commission\u2019s 13th<\/sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.<\/p>"}
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], "questionText" : "Her Majesty's Government, in the light of the conclusion of the report by the Surrogacy UK Working Group on Surrogacy Law, Surrogacy in the UK: Myth bashing and reform, published in November 2015, whether they continue to support the inclusion of a review of the law on surrogacy in the Law Commission's 13th programme of law reform; and whether they will commit to their own review of the law on surrogacy if the Law Commission does not take this forward.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
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, {"_about" : "http://data.parliament.uk/resources/750534", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/750534/answer", "answerText" : {"_value" : " The Office for National Statistics publishes annual statistics on suicide registrations for the United Kingdom, including age-specific suicide rates by five-year age groups. A table attached provides statistics for suicides in people aged 10-14 and 15-19 in the UK between 1981 and 2015, the latest data available, is attached due to the size of the data.<\/p> <\/p> The Department leads delivery of the Cross-Government Suicide Prevention Strategy for England. Suicide prevention is a devolved matter in other UK countries.<\/p> <\/p> The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. The report identified ten common themes relating to suicides by people under 20 years of age:<\/p> <\/p> - family factors such as mental illness;<\/p> - abuse and neglect;<\/p> - bereavement and experience of suicide;<\/p> - bullying;<\/p> - suicide-related internet use;<\/p> - academic pressures, especially related to exams;<\/p> - social isolation or withdrawal;<\/p> - physical health conditions that may have social impact;<\/p> - alcohol and illicit drugs; and<\/p> - mental ill health, self-harm and suicidal ideas.<\/p> <\/p>"}
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, "title" : "Suicides in UK 1981-2015 10-19 year olds"}
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, {"_about" : "http://data.parliament.uk/resources/750552", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/750552/answer", "answerText" : {"_value" : " No central assessment has been made of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) clinical services established between 2004 and 2006. The commissioning of services for people with CFS/ME is a local matter, and the management of patients within such services is the responsibility of the commissioners, providers and clinicians responsible for their care. Clinical commissioning groups have a duty to exercise their functions effectively, efficiently and economically<\/p> <\/p> Since its publication in 2007, the National Institute for Health and Care Excellence (NICE) clinical guideline on the management of CFS/ME in adults and children, which set outs best practice on the care, treatment and support of people with the condition, has supported the local National Health Service in delivering services for people with the condition. The guidance recognises the challenges in managing a condition for which there is no definitive diagnostic test, no clear understanding of the causes and process of disease and no cure. The guidance is also clear that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. NICE is currently reviewing the guidance to ensure it reflects the latest available evidence and a decision regarding this matter is expected shortly.<\/p> There are no plans to set up an independent review of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) services. Services for patients with CFS/ME are supported by independent, evidence-based guidance produced by the National Institute for Health and Care Excellence on the diagnosis, treatment and support of patients with the condition. Commissioners should deliver services that meet the needs of local popuations. Assessments of service need for CFS/ME may be supported by the available population prevalence estimates as required.<\/p>"}
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], "questionText" : "Her Majesty's Government whether they have any plans to set up an independent review of ME/CFS services which includes an epidemiological study to establish the true incidence of ME/CFS in the population and the impact of the shortage of doctors trained in this specialism; and, if not, why not.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
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<\/p>"}
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], "questionText" : "Her Majesty's Government what assessment they have made of the chronic fatigue syndrome myalgic encephalomyelitis (ME/CFS) clinical services which were set up between 2004 and 2006; what proportion of patients accessing services recover from ME/CFS or show signs of improvement; and what assessment they have made of the value for money of these services.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
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