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Written Question
Elexacaftor/tezacaftor/ivacaftor
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 19 December 2023 to Question 7053 on Elexacaftor/tezacaftor/ivacaftor, what her Department's expected timetable is for when NICE will publish its final guidance on the use of ivacaftor–tezacaftor–elexacaftor for treating cystic fibrosis.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Question
Cystic Fibrosis: Medical Treatments
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what progress has been made on the new phase of NICE commercial negotiations in its multiple technology appraisal for treating cystic fibrosis; and when she expects the final guidance to be published.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Question
National Institute for Health and Care Excellence: Vertex
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the effectiveness of NICE's commercial negotiations with Vertex on NHS contracts.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Question
Cystic Fibrosis: Medical Treatments
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what her expected timeline is for publishing new NICE guidance on cystic fibrosis treatment.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Question
Cystic Fibrosis: Medical Treatments
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment she has made of the potential implications for her policies of NICE beginning a new phase of commercial negotiations in its multiple technology appraisal for treating cystic fibrosis.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

The Government wants National Health Service patients to benefit from effective treatments, in a way that represents value, and is fair to all parties. The National Institute of Health and Care Excellence (NICE) makes recommendations on whether medicines should be routinely funded by the NHS, based on an assessment of their costs and benefits. The NICE develops its recommendations independently based on an assessment of the available evidence, and through engagement with interested parties.

The NICE is currently developing guidance for the NHS on whether the disease modifying treatments Symkevi, Orkambi, and Kaftrio, which contains elexacaftor, tezacaftor and ivacaftor, should be routinely funded by the NHS. Following a recent consultation on its draft recommendations, the NICE has now reached a point in the process where it can pause guidance development to allow further commercial negotiations between NHS England and the company. An update on the anticipated date for the publication of final guidance will be provided by the NICE once timelines are confirmed.

NHS England has been able to reach commercial agreements with many companies for medicines being evaluated by the NICE, that have enabled the NICE to recommend them for NHS use.


Written Question
Vertex
Thursday 29th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if she will publish the minutes of her meetings with Vertex since November 2023.

Answered by Andrew Stephenson - Minister of State (Department of Health and Social Care)

No meetings have taken place between Vertex and Department ministers within this timeframe.


Written Question
Schools: Greater London
Wednesday 28th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department for Education:

To ask the Secretary of State for Education, how many and what proportion of schools in (a) Enfield North constituency, (b) the London Borough of Enfield and (c) London received school improvement grants in (i) 2010-2017 and (ii) 2017-2023; how many grants were received in each period; and what the total amount for each school was in each period.

Answered by Damian Hinds - Minister of State (Education)

Departmental records show that:

(a) In the Enfield North constituency, no schools received or benefited from specific school improvement grants between 2010 and 2017. Between 2017 and the end of December 2023, 11 schools (c.21%) received or benefited from those specific school improvement grants.

(b) In the London Borough of Enfield, four schools (c.3%) received or benefited from specific school improvement grants between 2010 and 2017. Between 2017 and the end of December 2023, 23 schools (c.19%) received or benefited from specific school improvement grants.

(c) In London, 157 schools (c.4%) and nine academy trusts received or benefited from specific school improvement grants between 2010 and 2017. Between 2017 and the end of December 2023, 290 schools (c.10%) and 35 academy trusts received or benefited from specific school improvement grants.


The following specific grants have been included in this analysis:

  • Regional Academy Growth fund (RAGF) 2016/2017
  • Multi-academy Trust Development and Improvement Fund (MDIF) 2018/2019
  • Trust Capacity Fund (TCaF) - 2019 to date
  • Strategic School Improvement Capital Budget (SSICB) - 2016 to date
  • Environmental Improvement Grant (EIG) - 2016 to date
  • Emergency Strategic Improvement Fund (ESIF) - 2017 to date
  • School Improvement offer (SI) - 2018 to 2020
  • Trust and School Improvement offer (TSI) – 2021 to date

The department has limited this analysis to state-funded schools or establishments. The department has also included grants allocated for sponsored academy conversions as a result of government intervention between 2010 to date, as well as grants for transferring academies between academy trusts between 2012 to date, because these grants may include elements for school improvement activities.

This analysis has been limited to these grants as they can be quantified for some of the time periods requested. The department's policy of retaining financial records for seven years limits access to data before the 2016/17 financial year. Older data included in this analysis may be incomplete. Other grants by the department may contribute less directly to wider school improvement. In addition, many of these and other grants are allocated via academy trusts or other organisations and so schools may benefit indirectly without being the designated recipient from the department. Finally, not all grant programs have been operational throughout the entire 2010 to 2023 period.

For a summary of the grants awarded, please refer to Tables 1a-1c attached. For detailed grant awards to schools, where available, please see attached Tables 2a-2c.


Written Question
Hypotension: Older People
Wednesday 28th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps her Department is taking to help improve treatment for individuals aged over 65 with low blood pressure in (a) Enfield North constituency, (b) the London Borough of Enfield, and (c) London.

Answered by Andrea Leadsom - Parliamentary Under-Secretary (Department of Health and Social Care)

Integrated care boards in London are responsible for arranging healthcare services that meet the needs of their local populations, including for patients over the age of 65 years old in the Enfield North Constituency, the London Borough of Enfield, and London.

The NHS Health Check, offered every five years to eligible people aged 40 to 74 years old, aims to prevent heart disease, stroke, type 2 diabetes and kidney disease, and some cases of dementia. People can also now have their blood pressure tested in many community pharmacies and over 7,500 pharmacies have delivered nearly two million blood pressure checks in just over two years, and we are working with NHS England to expand this service by investing up to £50 million over this and next year. In both services people will be referred to their general practice for further assessment and clinical treatment if required, including those with low blood pressure. Further information on the management of hypotension, low blood pressure, is available at the following website:

https://www.nhs.uk/conditions/low-blood-pressure-hypotension/


Written Question
Home Office: Public Relations
Wednesday 28th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Home Office:

To ask the Secretary of State for the Home Department, how much his Department spent on press and public relations in each financial year since 2019-20.

Answered by Chris Philp - Minister of State (Home Office)

Communications spend is set out in the annual report HO annual reports and accounts - GOV.UK (www.gov.uk). It is not possible to isolate spend on press and public relations.


Written Question
Police: Members
Wednesday 28th February 2024

Asked by: Feryal Clark (Labour - Enfield North)

Question to the Home Office:

To ask the Secretary of State for the Home Department, what guidance his Department issues to police forces on responding to correspondence from Members of Parliament.

Answered by Chris Philp - Minister of State (Home Office)

The Home Office does not provide guidance to police forces in relation to responding to correspondence.

Chief Constables and democratically elected Police and Crime Commissioners are responsible for ensuring that correspondence is handled in line with their internal policies and guidelines.