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  • Anne Main – 2016 Parliamentary Question to the Department of Health

    Anne Main – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Anne Main on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the potential effect of restricting advertising on e-cigarettes on people using tobacco products.

    Jane Ellison

    The best thing a smoker can do for their health is to quit smoking. We know that there are now over a million people who have completely replaced smoking with e-cigarettes and that the evidence indicates that they are significantly less harmful to health than smoking.

    Whilst the Government recognises the potential benefits of e-cigarettes, the quality of products on the market remains variable. It is right therefore that proportionate regulation is introduced to introduce minimum standards for safety and quality of all e-cigarettes and e-liquids and that information is provided to consumers so that they can make informed choices. This is the aim of the regulatory framework set out in the revised Tobacco Products Directive.

    The Impact Assessment that accompanied the Tobacco and Related Products Regulations 2016 assessed the expected impact of the advertising provisions on demand for e-cigarettes to be insubstantial. There is already a very high awareness of e-cigarettes and their role in replacing tobacco use amongst the public. The restrictions on advertising in certain media do not prevent businesses communicating, factually, directly to individual smokers or ex-smokers about their products, either in physical stores or internet pages under their control.

    The restrictions do not prevent the publication of independently compiled reviews or discussion between users and potential users in internet forums. A balance is therefore struck between reducing exposure of children to imagery and marketing of these products and providing sufficient information to smokers wishing to use these products to support them in quit attempts.

  • Lyn Brown – 2016 Parliamentary Question to the Department of Health

    Lyn Brown – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Lyn Brown on 2016-05-09.

    To ask the Secretary of State for Health, for what reasons NHS England is reconsidering its positioning on commissioning pre-exposure prophylaxis for HIV.

    Jane Ellison

    NHS England decided to reconsider its decision in relation to the commissioning of pre-exposure prophylaxis following questions concerning interpretation of powers to commission HIV prevention services being raised by some stakeholders.

  • Frank Field – 2016 Parliamentary Question to the Department of Health

    Frank Field – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Frank Field on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the potential effect of introducing cell-free DNA testing on the NHS on the number of women choosing to terminate their pregnancies.

    Jane Ellison

    There is a long established Fetal Anomaly Screening Programme (NHS FASP) that prospective parents can choose whether to participate in.

    The UK National Screening Committee (UK NSC) has recommended that non-invasive prenatal testing for Down’s syndrome should be introduced as an additional test into the NHS FASP as part of an evaluation. Ministers are currently considering this important recommendation from the UK NSC which would give pregnant women and their partners more accurate information and should reduce the number of women having to undergo unnecessary invasive testing which carries a risk of miscarriage.

    The UK NSC recommendation does not change the offer to prospective parents of participating in the programme, nor the options and choices available when testing identifies a fetus with Down’s, Edwards’ or Patau’s syndrome.

    Existing guidance from the Royal College of Obstetricians and Gynaecologists already makes it clear that women and their partners should receive appropriate information and support from a properly trained multidisciplinary team, who must adopt a supportive and non-judgemental approach regardless of whether the decision is to terminate or continue the pregnancy. This should include referral to other professional experts (including palliative care) and referral for counselling when this can help, as part of a co-ordinated package of care.

  • Fiona Bruce – 2016 Parliamentary Question to the Department of Health

    Fiona Bruce – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Fiona Bruce on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the implications for his policies on the introduction of cell-free DNA non-invasive prenatal testing of the finding of the report of the Pro-Life APPG, Abortion on the grounds of disability, published in July 2013, that many parents feel steered towards abortion on receiving a diagnosis of fetal abnormality and that they do not receive adequate information about other options.

    Jane Ellison

    There is a long established Fetal Anomaly Screening Programme (NHS FASP) that prospective parents can choose whether to participate in.

    The UK National Screening Committee (UK NSC) has recommended that non-invasive prenatal testing for Down’s syndrome should be introduced as an additional test into the NHS FASP as part of an evaluation. Ministers are currently considering this important recommendation from the UK NSC which would give pregnant women and their partners more accurate information and should reduce the number of women having to undergo unnecessary invasive testing which carries a risk of miscarriage.

    The UK NSC recommendation does not change the offer to prospective parents of participating in the programme, nor the options and choices available when testing identifies a fetus with Down’s, Edwards’ or Patau’s syndrome.

    Existing guidance from the Royal College of Obstetricians and Gynaecologists already makes it clear that women and their partners should receive appropriate information and support from a properly trained multidisciplinary team, who must adopt a supportive and non-judgemental approach regardless of whether the decision is to terminate or continue the pregnancy. This should include referral to other professional experts (including palliative care) and referral for counselling when this can help, as part of a co-ordinated package of care.

  • Jeff Smith – 2016 Parliamentary Question to the Department of Health

    Jeff Smith – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jeff Smith on 2016-05-09.

    To ask the Secretary of State for Health, how many students currently receive the NHS bursary in (a) England and (b) Manchester, Withington constituency.

    Ben Gummer

    The latest available figures provided by the NHS Business Services Authority show that there were 99,549 students attending a university in England who received an NHS Bursary payment in the financial year 2014/15. Of the students receiving an NHS Bursary payment, 48 provided their current address with a postcode in the Withington constituency of Greater Manchester.

  • Nic Dakin – 2016 Parliamentary Question to the Department of Health

    Nic Dakin – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nic Dakin on 2016-05-09.

    To ask the Secretary of State for Health, what estimate he has made of the number of patients in the UK with undiagnosed heart valve disease in the last year for which data is available.

    Jane Ellison

    NHS England is working with professionals across the healthcare system to look at ways in which services and outcomes for patients with heart valve disease can be improved further, for example, by encouraging practitioners to follow clinical guidelines.

    Service specifications and policy for the surgical and interventional treatment of heart valve disease are published by NHS England’s Cardiothoracic Clinical Reference Group. These define what NHS England expects to be in place in order for providers to offer evidence-based, safe and effective services. NHS England is working on the next iteration of the specifications, which will include important standards relating to mitral valve surgery.

    In addition, NHS England is holding a clinical summit on 15 June 2016, which will bring together cardiologists and cardiac surgeons to examine the issues relating to heart valve disease, including variation. Outputs from discussions will be used to inform the future commissioning approach within specialised commissioning.

    Information on the number of people with an undiagnosed heart valve condition is not collected centrally.

  • Jim Shannon – 2016 Parliamentary Question to the Department of Health

    Jim Shannon – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the potential contribution of public health nurses to delivering the prevention agenda in the NHS England Five Year Forward View.

    Ben Gummer

    Improving population health is the responsibility of every nurse and each has a role in working with individuals, communities and/or the population to prevent illness, protect health and promote wellbeing. The National Health Service Five Year Forward View (FYFV) sets out the need to close the health and wellbeing gap and radically upgrade prevention. The new framework for nurses, midwives and care staff in England, Leading Change, Adding Value, scheduled for publication later this month, sets out how these professionals will support delivery of the FYFV. There are 10 commitments in the framework, of which three are specifically related to population health and prevention.

    To support all health care professionals including nurses to provide evidence based preventative interventions and measure their impact, Public Health England will be launching a resource called All Our Health later this month.

  • Jim Shannon – 2016 Parliamentary Question to the Department of Health

    Jim Shannon – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the potential contribution of public health nursing to (a) improving the health of the population and preventing acute hospital admissions and (b) delivering the Government’s commitment to seven-day NHS services.

    Ben Gummer

    Improving population health is the responsibility of every nurse and they have a role in working with individuals, communities and/or the population to prevent illness, protect health and promote wellbeing. The National Health Service Five Year Forward View (FYFV) sets out the need to close the health and wellbeing gap, radically upgrade prevention as part of a drive to reduce acute hospital admissions, and deliver seven-day hospital services for patients with urgent or emergency care needs. The new framework for nurses, midwives and care staff in England, Leading Change, Adding Value, scheduled for publication later this month, sets out how these professionals will support delivery of the FYFV. There are 10 commitments in the framework, of which three specifically relate to population health and population health and prevention.

    To support all health care professionals including nurses to provide evidence based preventative interventions and measure their impact, Public Health England will be launching a resource called All Our Health later this month.

  • Jim Shannon – 2016 Parliamentary Question to the Department of Health

    Jim Shannon – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Jim Shannon on 2016-05-09.

    To ask the Secretary of State for Health, what assessment he has made of the effect of rising school rolls on the number of school nurse training places required.

    Jane Ellison

    In April 2014, Public Health England and the Department published guidance to commissioners for services to school aged children, Maximising the school nursing team contribution to the public health of school-aged children.

    Each year Health Education England (HEE) provide local and national forecasts of the supply that will arise over the next five years and use these forecasts to discuss with stakeholders whether this supply will match the system’s view of future demand including the extent to which any current shortages will be addressed. This analysis and discussion is then used to identify whether any changes are required to the volumes of training commissioned by HEE.

    Consideration of the impact of rising school rolls will feed into HEE’s planning, though the final training settlement for 2017/18 is under negotiation.

  • Luciana Berger – 2016 Parliamentary Question to the Department of Health

    Luciana Berger – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2016-05-09.

    To ask the Secretary of State for Health, what steps he is taking to ensure that the pricing rules set out in the national tariff guidance take into account the different costs bases of mental and physical healthcare.

    Alistair Burt

    NHS Improvement sets out local pricing rules in the national tariff which are designed to encourage commissioners and providers to set appropriate prices that reflect local conditions and priorities for services that do not have a national price. This includes mental health and community services.

    NHS Improvement is leading the cost transformation programme which aims to improve the quality and use of patient-level cost information for all National Health Service funded services. This information will have local and national benefits from helping inform commissioner and provider decision making to setting prices and rules in the national tariff.

    NHS Improvement has started the process for developing new costing standards for mental health and ambulance services. The draft costing standards for these services is expected to be published in 2017 and the final standards will be published in 2020.