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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

1005996

registered interest
date	13/11/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Home Shopping: Taxation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what assessment his Department has made of the potential merits of using revenue from the online sales tax to support high streets.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190887
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Budget 2018 announced Our Plan for the High Street, a support package worth £1.5 billion that aims to help high streets and town centres in England to evolve and adapt to changing consumer demands.</p><p> </p><p>This support includes a two-year business rates cut of one third to the bills of small retailers, a £675m Future High Streets Fund to support high streets to evolve, and planning reforms.</p><p> </p><p>The measures apply to England. The UK Government is providing Barnett consequential funding to the Devolved Administrations so that they may offer similar support if they wish.</p>At the Budget, the government announced a Digital Services Tax. This is not a tax on online sales but a tax on the revenues of certain digital business activities which derive value from UK users. answering member constituency Central Devon answering member printed Mel Stride question first answered 21/11/2018 15:17:24 answering member 3935 label Biography information for Mel Stride
tabling member	4131 label Biography information for Jim Shannon

1006028

registered interest
date	13/11/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Treasury: Brexit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, how many non-disclosure agreements his Department has made in relation to preparations for the UK leaving the EU.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	190947
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Government has non-disclosure agreements with some private sector organisations. Confidentiality requirements are a common element of contractual obligations and are used by departments to protect commercial considerations; to reflect the sensitive nature of some discussions; and to facilitate conversations that otherwise may not have been able to take place, due to concerns around sensitive information.</p><p> </p><p>As part of the UK’s withdrawal from the EU, HM Treasury and the UK Government as a whole continue to engage with a wide range of stakeholders.</p> answering member constituency Salisbury answering member printed John Glen question first answered 21/11/2018 14:54:03 answering member 4051 label Biography information for John Glen
tabling member	4656 label Biography information for Layla Moran

1006090

registered interest
date	13/11/2018
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Personal Independence Payment: Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, pursuant to the Answer of 8 November to Question 187017 on Personal Independence Payment: Cancer, how many people with (a) leukaemia, (b) myeloma, (c) Hodgkin's lymphoma and (d) non-Hodgkin's lymphoma have (i) applied for personal independence payment and (ii) unsuccessfully appealed a decision not to award personal independence payment.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	190873
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Since Personal Independence Payment (PIP) was introduced up to June 2018, there have been:</p><p>(a) 5,780 decisions for people with a primary disabling condition of leukaemia. There were 90 appeals against disallowances, 30 of which were unsuccessful.</p><p>(b) 3,430 decision for people with a primary disabling condition of myeloma. There were 30 appeals against disallowances, fewer than five of which were unsuccessful.</p><p>(c) 2,680 decisions for people with a primary disabling condition of Hodgkin’s lymphoma. There were 40 appeals against disallowances, 10 of which were unsuccessful.</p><p>(d) 4,240 decisions for people with a primary disabling condition of non-Hodgkin’s lymphoma. There were 70 appeals against disallowance, 30 of which were unsuccessful.</p><p> </p><p>The data at (a) to (d) has been rounded to the nearest 10. The number of decisions does not include people who applied for PIP but withdrew their application before their initial assessment.</p><p> </p><p>Since PIP was introduced 3.5m decisions have been made up to June 2018, of these 9% have been appealed and 4% have been overturned.</p><p> </p><p>The table below puts these figures in the context of the total number of disallowances and appeals. Numbers are rounded to the nearest 10. # denotes fewer than 5. Components of this answer and the answer to PQ187017 may not sum to totals due to rounding.</p><p>The number of decisions does not include people who applied for PIP but withdrew their application before their initial assessment.</p><p> </p><p> </p><p>PIP decisions, disallowances and appeals up to June 2018</p><table><tbody><tr><td><p> </p></td><td><p>(a) leukaemia</p></td><td><p>(b) myeloma</p></td><td><p>(c) Hodgkin’s lymphoma</p></td><td><p>(d) non-Hodgkin’s lymphoma</p></td></tr><tr><td><p>Number of decisions</p></td><td><p>5,780</p></td><td><p>3,430</p></td><td><p>2,680</p></td><td><p>4,240</p></td></tr><tr><td><p>Number of disallowances</p></td><td><p>1,040</p></td><td><p>350</p></td><td><p>490</p></td><td><p>680</p></td></tr><tr><td><p>Number of appeals against disallowances</p></td><td><p>90</p></td><td><p>30</p></td><td><p>40</p></td><td><p>70</p></td></tr><tr><td><p>Number of disallowances maintained at appeal</p></td><td><p>30</p></td><td><p>#</p></td><td><p>10</p></td><td><p>30</p></td></tr></tbody></table><p> </p><p> </p><p>Not all Tribunal appeals will relate to the outcome of the PIP assessment, but other aspects of the PIP process. The appeals may include decisions which are changed at mandatory reconsideration, and where the claimant continues to appeal for a higher PIP award, are then changed again at tribunal appeal.</p><p> </p><p> </p><p>Data is based on primary disabling condition as recorded on the PIP computer systems. Claimants may often have multiple disabling conditions upon which the decision is based but only the primary condition is shown in these statistics.</p> answering member constituency Truro and Falmouth answering member printed Sarah Newton question first answered 21/11/2018 15:06:31 answering member 4071 label Biography information for Sarah Newton
tabling member	4056 label Biography information for Nic Dakin

1006094

registered interest
date	13/11/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	UK Trade with EU: Customs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what assessment he has made of the potential effect on SMEs in Kent of making customs declarations for the first time in the event that the UK leaves the EU without a deal.
tabling member constituency	Sevenoaks
tabling member printed	Sir Michael Fallon
uin	190735
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Government remains confident of agreeing a mutually advantageous deal with the EU. However, we understand that if in the unlikely event that the UK leaves without a deal, customs declarations will become a new obligation for UK-EU trade which could affect many small and medium sized businesses.</p><p> </p><p>HMRC continues to engage with businesses and their representative trade bodies and undertakes further specific engagement to understand how they will be affected by these new obligations. HMRC has written to 145,000 traders over the VAT threshold who currently only trade with the EU to help them plan for a no deal scenario. Alongside this, HMT and HMRC are supporting the intermediaries sector to expand ahead of March 19, so that they can provide services to SMEs.</p> answering member constituency Central Devon answering member printed Mel Stride question first answered 21/11/2018 15:09:33 answering member 3935 label Biography information for Mel Stride
tabling member	88 label Biography information for Sir Michael Fallon

1006152

registered interest
date	13/11/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Debt Collection: Regulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, whether his Department has plans amend the regulation of debt collection agencies.
tabling member constituency	North Cornwall
tabling member printed	Scott Mann
uin	190922
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Government continually monitors the regulation of sectors to ensure good outcomes for consumers. Financial Conduct Authority (FCA) regulation of debt collection agencies (DCAs) provides strong protections for consumers.</p><p> </p><p>DCAs under FCA regulation have to comply with the FCA’s high-level principle to treat customers fairly, as well as offer appropriate forbearance and signpost individuals to free and impartial debt advice should a consumer be in default, or in arrears difficulty.</p> answering member constituency Salisbury answering member printed John Glen question first answered 21/11/2018 14:34:17 answering member 4051 label Biography information for John Glen
tabling member	4496 label Biography information for Scott Mann

1006165

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	Learning Disability: Community Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the October 2015 Government document Building the Right Support: A national implementation plan to develop community services and close inpatient facilities, how much money has accrued to the public purse from changes in the number of beds for people with learning disabilities and autism; and what proportion of that amount has been reallocated to local authorities.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	190870
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>As set out in ‘Building the Right Support’, any funding released by the transfer of patients from inpatient to community-based or other models of care will be reinvested in those better alternatives to hospital.</p><p> </p><p>In 2018/19, NHS England’s specialised commissioning function has transferred £53 million of funds, previously allocated to secure in-patient care, to Transforming Care Partnerships (TCPs) so that they can support new individual support packages for the patients discharged, or invest in new community services.</p><p> </p><p>NHS England does not collect data on clinical commissioning group (CCG) funding which has been reinvested into community-based care.</p><p> </p><p>TCPs continue to develop their funding arrangements between their constituent CCGs and local authorities, and NHS England is currently collecting data on these arrangements. This information will help in assessing how much NHS funding is planned to be transferred to local authorities via pooled budgets and/or funding transfers under section 256 of the NHS Act 2006 so that the shared ambition of the Transforming Care programme can be realised.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:45:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

1006192

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	NHS Property Services: Buildings
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the total number of assets managed by NHS Property Service.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	190761
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS Property Services has 2,959 properties. The properties are broken down in the following regions:</p><p> </p><p>North West – 533 properties</p><p>East – 468 properties</p><p>South East – 459 properties</p><p>North Central – 357 properties</p><p>London – 347 properties</p><p>West Midlands – 289 properties</p><p>South West – 287 properties</p><p>North East – 219 properties</p><p>Total – 2,959 properties</p><p> </p><p>The number and split of assets managed by NHS Property Services is the same as the number of properties at 2,959. There are no further assets that NHS Property Services manage.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 190762 190767 question first answered 21/11/2018 14:50:24 answering member 1585 label Biography information for Stephen Hammond
tabling member	338 label Biography information for Keith Vaz