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  • Alex Cunningham – 2015 Parliamentary Question to the Department of Health

    Alex Cunningham – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Alex Cunningham on 2015-11-10.

    To ask the Secretary of State for Health, what level of lead consumption his Department has defined as safe; and what evidence his Department has received on the mean level of lead in (a) game meat and (b) game meat shot with lead ammunition.

    Jane Ellison

    Government set up the independent Lead Ammunition Group in 2010 to provide advice on risks to wildlife and human health from lead shot game. The Government is considering the independent Lead Ammunition Group’s report on the effect of lead shot on human and wildlife health and will respond as soon as possible The Food Standards Agency (FSA) accepts the expert advice of the UK Committee on Toxicity and the European Food Safety Authority that it is not possible to set a safe level for exposure to lead from food. However, to better understand the potential risk to UK consumers the FSA produced a risk assessment in 2012 based on its survey data from 2007 of game meat samples; Veterinary Medicines Directorate data from the national surveillance scheme was also considered. The FSA risk assessment considered the potential levels of exposure to lead from lead shot game for adults, children and toddlers based on different levels of game meat consumption.

    This risk assessment led to FSA issuing targeted advice to frequent consumers of lead shot game in 2012, warning of the potential risks. The advice was promoted as especially important for vulnerable groups such as toddlers and children, pregnant women and women trying for a baby, as exposure to lead can harm the developing brain and nervous system. The FSA risk assessment was published along with this advice. The Government has not estimated the number of people who regularly consume game meat shot with lead.

    More generally, the FSA, works on behalf of the UK within the European Union to agree harmonised controls to reduce public exposure to lead in the food chain. EU maximum limits apply for lead in a range of foods and these are regularly reviewed by the EU Commission and member states. These maximum limits apply to all food produced in the EU or imported to the EU.

  • Alex Cunningham – 2015 Parliamentary Question to the Department of Health

    Alex Cunningham – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Alex Cunningham on 2015-11-10.

    To ask the Secretary of State for Health, what estimate he has made of the number of (a) healthy adults, (b) pregnant women and (c) children who regularly consume game meat shot with lead.

    Jane Ellison

    Government set up the independent Lead Ammunition Group in 2010 to provide advice on risks to wildlife and human health from lead shot game. The Government is considering the independent Lead Ammunition Group’s report on the effect of lead shot on human and wildlife health and will respond as soon as possible The Food Standards Agency (FSA) accepts the expert advice of the UK Committee on Toxicity and the European Food Safety Authority that it is not possible to set a safe level for exposure to lead from food. However, to better understand the potential risk to UK consumers the FSA produced a risk assessment in 2012 based on its survey data from 2007 of game meat samples; Veterinary Medicines Directorate data from the national surveillance scheme was also considered. The FSA risk assessment considered the potential levels of exposure to lead from lead shot game for adults, children and toddlers based on different levels of game meat consumption.

    This risk assessment led to FSA issuing targeted advice to frequent consumers of lead shot game in 2012, warning of the potential risks. The advice was promoted as especially important for vulnerable groups such as toddlers and children, pregnant women and women trying for a baby, as exposure to lead can harm the developing brain and nervous system. The FSA risk assessment was published along with this advice. The Government has not estimated the number of people who regularly consume game meat shot with lead.

    More generally, the FSA, works on behalf of the UK within the European Union to agree harmonised controls to reduce public exposure to lead in the food chain. EU maximum limits apply for lead in a range of foods and these are regularly reviewed by the EU Commission and member states. These maximum limits apply to all food produced in the EU or imported to the EU.

  • Thangam Debbonaire – 2015 Parliamentary Question to the Department of Health

    Thangam Debbonaire – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Thangam Debbonaire on 2015-11-10.

    To ask the Secretary of State for Health, what assessment he has made of the potential effect of the new junior doctors’ contract on patients’ safety.

    Ben Gummer

    The proposals are to introduce a safer, fairer contract for junior doctors that will help improve their training experience to better support patient care every day of the week.

    Our ambition for the National Health Service to be the safest healthcare system in the world is underpinned by reducing, not increasing, the number of hours junior doctors work each week. The new contract will include improved, legally (and contractually) enforceable safeguards – including that no junior doctor working full time will be expected to work on average more than 48 hours a week, unless they opt-out of the European Working Time Directive in which case it is maximum of an average 56 hours a week. The number of hours that can be worked in any single week by any junior will be limited to 72 (down from 91 currently) and there will be a limit of five consecutive long days or four consecutive nights.

    We will also bring the working hours and service delivery of junior doctors within the Care Quality Commission (CQC) inspection regime. Putting patients first is the responsibility of employers and staff. Juniors must feel confident that when they raise safety concerns they are listened to. Where doctors are asked to work in conditions that they believe are unsafe, including being asked to work patterns that put patient safety at risk, they will be asked to use the reporting mechanisms available to them (including alerting their line managers/clinical supervisors, reporting through the local incident reporting system which will upload to the National Reporting and Learning System) to raise the issue with both the board of their trust, and reporting data will be available for the CQC to use during inspections. We would expect trust boards to look at any such report and decide how to respond to it; and we would expect the CQC, when it carries out an inspection, to look at how the board has responded to this and other data reporting safety incidents and concerns.

  • Derek Thomas – 2015 Parliamentary Question to the Department of Health

    Derek Thomas – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Derek Thomas on 2015-11-10.

    To ask the Secretary of State for Health, whether assessing eye health is part of GPs’ standard patient health assessment.

    Alistair Burt

    The Government recognises that regular sight tests are an important measure in preventing avoidable sight loss.

    Free National Health Service sight tests are available to many, including children, people aged 60 and over, people on benefits and those people at particular risk of developing eye disease.

    We do not determine what should be included in health checks or consultation between general practitioners (GPs) and their patients. This is for GPs to decide, taking into account the individual needs of patients.

  • Steve McCabe – 2015 Parliamentary Question to the Department of Health

    Steve McCabe – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Steve McCabe on 2015-11-10.

    To ask the Secretary of State for Health, what powers local authorities have to restrict the growth of e-cigarette outlets.

    Jane Ellison

    The Department is not aware of any local authority powers to restrict retailers from selling e-cigarettes. From October, it became an offence in England and Wales to sell e-cigarettes to under-18s and for an adult to purchase an e-cigarette on their behalf. Scotland introduced a Bill in June 2015 which includes similar provisions. Northern Ireland is seeking to bring forward similar legislation within their jurisdiction.

  • Derek Thomas – 2015 Parliamentary Question to the Department of Health

    Derek Thomas – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Derek Thomas on 2015-11-10.

    To ask the Secretary of State for Health, what estimate he has made of the number of people who will have age-related macular degeneration by 2050.

    Alistair Burt

    The Department has made no estimate of the number of people likely to have age-related macular degeneration in 2050.

  • Philip Hollobone – 2015 Parliamentary Question to the Department of Health

    Philip Hollobone – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Philip Hollobone on 2015-11-10.

    To ask the Secretary of State for Health, if he will take steps to improve cancer outcomes for men.

    Jane Ellison

    The Government’s Mandate to NHS England sets out an ambition to make England one of the most successful countries in Europe at preventing premature deaths from all cancers, including prostate cancer and other cancers which affect men. Cancer indicators in the NHS Outcomes Framework and the Public Health Outcomes Framework will help NHS England to assess progress in improving cancer survival and mortality rates.

    The Independent Cancer Taskforce published its report, Achieving World-Class Cancer Outcomes: A Strategy for England 2015-2020, in July this year. NHS England is currently working with partners across the health system to determine how best to take forward the recommendations contained in the strategy.

    As part of putting in place a governance structure for delivery of the strategy, NHS England has appointed Cally Palmer as NHS National Cancer Director. She will lead the implementation of the strategy, as well as new cancer vanguards using outcomes-based commissioning to redesign care and patient experience.

  • Debbie Abrahams – 2015 Parliamentary Question to the Department of Health

    Debbie Abrahams – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Debbie Abrahams on 2015-11-10.

    To ask the Secretary of State for Health, what information is recorded for primary and secondary breast cancer by the Cancer Registry on (a) diagnosis dates, (b) stage at diagnosis, (c) age and (d) gender of person at diagnosis.

    Jane Ellison

    Public Health England (PHE) is responsible for collecting cancer data to support national cancer registration in England and recognises the importance of collecting data on recurrent breast cancer; however data on the number of people diagnosed with secondary breast cancer is not currently available. Pilot work undertaken in April 2012 in acute trusts has improved the reporting for breast cancer recurrence and metastasis to the National Cancer Registration Service (NCRS). In order to drive up data completeness for the submissions to the NCRS, monthly reports on data quality and completeness of the Cancer Outcomes and Services Dataset are made available to all acute providers.

    Since the completion of the pilot project the NCRS in PHE has been working with all acute National Health Service providers in England to improve the reporting of breast cancer recurrence. The collection of this particular item of data remains challenging because relapsed patients may represent in many different ways and through many referral routes.

    Further work is being scoped by NHS England and PHE based on the recommendation in the recent Independent Cancer Taskforce report to establish robust surveillance systems to collect this data on all cancers.

  • Debbie Abrahams – 2015 Parliamentary Question to the Department of Health

    Debbie Abrahams – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Debbie Abrahams on 2015-11-10.

    To ask the Secretary of State for Health, what information is recorded by the Cancer Registry on secondary breast cancer.

    Jane Ellison

    Public Health England (PHE) is responsible for collecting cancer data to support national cancer registration in England and recognises the importance of collecting data on recurrent breast cancer; however data on the number of people diagnosed with secondary breast cancer is not currently available. Pilot work undertaken in April 2012 in acute trusts has improved the reporting for breast cancer recurrence and metastasis to the National Cancer Registration Service (NCRS). In order to drive up data completeness for the submissions to the NCRS, monthly reports on data quality and completeness of the Cancer Outcomes and Services Dataset are made available to all acute providers.

    Since the completion of the pilot project the NCRS in PHE has been working with all acute National Health Service providers in England to improve the reporting of breast cancer recurrence. The collection of this particular item of data remains challenging because relapsed patients may represent in many different ways and through many referral routes.

    Further work is being scoped by NHS England and PHE based on the recommendation in the recent Independent Cancer Taskforce report to establish robust surveillance systems to collect this data on all cancers.

  • Luciana Berger – 2015 Parliamentary Question to the Department of Health

    Luciana Berger – 2015 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2015-11-10.

    To ask the Secretary of State for Health, how many female inpatient mental health beds there were on (a) Saturday 7 November 2015 and (b) Sunday 8 November 2015.

    Alistair Burt

    We do not hold this information centrally. However we know that there were beds available across the country the weekend in question. Where there are shortages of beds, we would expect trusts to respond appropriately to any increase in demand. Providers and commissioners work in collaboration to ensure that they secure the most appropriate beds or places as close to home as possible.

    The Government has made it clear that beds must always be available for those who need them. We have set out in our Mandate to NHS England that plans must be put in place to ensure no one in mental health crisis will be turned away.