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1005983

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Hospitals: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence his Department holds on the effect on the quality of care of fines levied as a result of hospitals breaching targets; and whether he is taking steps to ensure that such fines do not detract from the provision of care to potentially affected populations.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190930
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>All providers of National Health Service-funded healthcare services are expected to meet a range of national standards, other operational standards and quality requirements. These are set out in the NHS Standard Contract along with the consequences of breaches of these. In many cases, the consequence would be a financial sanction.</p><p> </p><p>Since April 2016, most NHS providers agreeing to meet financial control targets as part of the sustainability funding programme are exempt from such sanctions. However, any revenue withheld is reinvested in the local healthcare system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:47:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005984

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential effectiveness of quality incentive schemes in improving the quality of care to patients.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190931
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Several different quality incentive schemes operate in the National Health Service.</p><p> </p><p>The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.</p><p> </p><p>The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.</p><p> </p><p>CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:43:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4657 label Biography information for Anneliese Dodds

1005985

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to ensure that the proposed whole population annual budget for Integrated Care Provider contracts does not create (a) incentives to underbid to obtain contracts and (b) other perverse incentives.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190932
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England launched a 12 week public consultation on the proposed contracting arrangements for integrated care providers (ICPs) on 3 August 2018 which concluded on 26 October. More information is available at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/" target="_blank">https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/</a></p><p> </p><p>NHS England will publish a response to the consultation following full consideration of responses and feedback.</p><p> </p><p>The consultation documents provide more detail about NHS England’s current proposals for ICPs, including the proposed integrated budget.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:48:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005987

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government has provided guidance to manufacturers on communicating the potential health benefits of their products to consumers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190883
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Government has not provided guidance to manufacturers on communicating the potential health benefits of their products provided through the NHS Supply Chain to consumers.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 16:47:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1005988

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Electronic Cigarettes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the implications are for his policies of the evidence from Public Health England and Cancer Research UK that one of the most effective ways to stop smoking is to use vape products.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190884
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government is committed to reducing public health harms caused by smoking and has consistently highlighted that quitting smoking and nicotine use is the best way to improve health. E-cigarettes are not risk free. However, the evidence is increasingly clear that vaping is significantly less harmful to health than smoking tobacco and can be particularly useful in supporting smokers to quit, especially when combined with stop smoking services.</p><p> </p><p>The most recent evidence report review from Public Health England, published on 6 February 2018, argues that e-cigarette use, alone or in combination with licensed medication and behavioural support from a stop smoking service appears to be helpful in the short-term, and that e-cigarettes have contributed to tens of thousands of additional quitters in England.</p><p> </p><p>The Department will continue to monitor the impact of regulation and policy on e-cigarettes and novel tobacco products in England, including evidence on safety, uptake, health impact and effectiveness of these products as smoking cessation aids, to inform our future policy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 15:10:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005989

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Electronic Cigarettes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the effectiveness of the regulation of non-nicotine liquid for vape products and nicotine shots.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190885
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Nicotine shots are regulated under the Tobacco and Related Products Regulation 2016 as they are a nicotine containing product. As shortfills do not contain nicotine when sold they are not regulated under the Tobacco and Related Products Regulations 2016 (TRPR), but are covered by General Product Safety Regulations.</p><p> </p><p>The Government is committed to conduct a review of the TRPR at a later date.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 15:08:46 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005990

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Female Genital Mutilation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment has been made of the effect of the legal duty to inform police of FGM on the rates of (a) disclosure of FGM and (b) medical treatment on the after-effects of FGM.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190934
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The decision by a patient to disclose female genital mutilation (FGM) to a healthcare professional is complex, and depends on many considerations. The FGM Mandatory Reporting duty (which applies only when the patient is under 18) is just one aspect of this.</p><p> </p><p>The Home Office amended the police Annual Data Requirement (ADR) to allow police forces the opportunity from April 2018 to record, on a voluntary basis, offences of FGM which were initially reported to the police under the FGM Mandatory Reporting Duty. Subject to data quality checks, we expect the first dataset under this new voluntary ADR collection to be published in late 2019.</p><p> </p><p>With this information in combination with the FGM Enhanced Dataset, published by NHS Digital, we will be able to consider whether there is evidence of impact of the FGM Mandatory Reporting duty.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/11/2018 14:58:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1005992

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Female Genital Mutilation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to tackle barriers to patient information being reported to the statutory database of people who have been subjected to FGM.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190936
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Female Genital Mutilation Enhanced Dataset is collected via the NHS Digital Clinical Audit Platform (CAP), which is an easy to use, intuitive, data submission tool that needs no specific training.</p><p> </p><p>NHS Digital has published clear guidance online to support National Health Service organisations to register to access CAP and to submit information on the system. In 2017, the process was simplified and streamlined to further support primary care practices to register on the CAP, and it was confirmed that the Senior Partner or Caldicott Guardian at a practice can submit the registration to access CAP.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/11/2018 14:59:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1006014

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Gambling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the effectiveness of the NHS in supporting people who have a gambling addiction.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	190799
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Many people with gambling problems will receive treatment from the National Health Service. There are a range of services available to problem gamblers, details of which can be found on the NHS Choices website at the following link:</p><p> </p><p><a href="http://www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspx" target="_blank">www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspx</a></p><p> </p><p>Specialist facilities are provided through industry funding. Central and North West London NHS Foundation Trust has a national problem gambling clinic which accepts referrals from all over the United Kingdom. Further details are available at the following link:</p><p> </p><p><a href="http://www.cnwl.nhs.uk/cnwl-national-problem-gambling-clinic/" target="_blank">http://www.cnwl.nhs.uk/cnwl-national-problem-gambling-clinic/</a></p><p> </p><p>The National Institute for Health and Care Excellence has been commissioned to explore developing a guideline on non-chemical addictions, including gambling, which will give support to clinicians seeking to support problem gamblers.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 15:11:33 answering member 4067 label Biography information for Steve Brine
tabling member	1198 label Biography information for Sir David Evennett

1006074

registered interest
date	13/11/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 24 October 2018 to Question 180245 on Prescription Drugs, for what reason his Department did not include individual testimony; and what proportion of the published evidence was submitted by pharmaceutical companies.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Cat Smith
uin	190913
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>‘Prescribed Medicines: An Evidence Review’ is a public health evidence review of the published evidence and available data. This process is distinct from a public inquiry so the inclusion of individual testimonies would not be appropriate.</p><p> </p><p>Public Health England (PHE) is aware of the importance and relevance of the experience of patients in understanding the issues. The review will give significant prominence to the patients’ experiences and examine existing service models through published research and other methods, for example analysis of annual reports of various withdrawal charities.</p><p> </p><p>The call for evidence was open to all parties, including pharmaceutical companies. The call for evidence has now closed. The National Guideline Centre (NGC) will provide details on the evidence submitted in their rapid evidence assessment report. The report is due in early 2019.</p><p> </p><p>A non-disclosure agreement was not made between PHE and the NGC in relation to the review of literature on prescribed medicines.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190914 question first answered 20/11/2018 15:07:46 answering member 4067 label Biography information for Steve Brine
tabling member	4436 label Biography information for Cat Smith