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535260

registered interest
date	11/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions Ministers of his Department have had with their counterparts in other departments on the NHS England Five Year Forward View since the publication of that paper in February 2016.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	42420
answer	answer is ministerial correction date of answer 14/07/2016 answer text <p>We welcomed the recommendations of the Mental Health Five Year Forward View and are working with colleagues across Whitehall to embed these into our work programmes. We liaise regularly with other Government departments in developing our policies.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/07/2016 07:45:47 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

535261

registered interest
date	11/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eyesight: Plymouth Sutton and Devonport
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will encourage Northern, Eastern and Western Devon Clinical Commissioning Group to commission a minor eye conditions service in Plymouth, Sutton and Devonport constituency.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Oliver Colvile
uin	42406
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>General practitioners (GPs), working with secondary care consultants, nurses and lay members, are best placed to co-ordinate the commissioning of high quality care for their patients. They ensure that commissioning decisions are underpinned by clinical insight and knowledge of local health care needs.</p><p> </p><p>Clinical commissioning groups (CCGs) have the freedom and autonomy to take responsibility for meeting the needs of local patients and the public by working closely with secondary care, other health and care professionals and with community partners to design joined up services. As such, while CCGs are led by primary care professionals, they are also guided by the expertise of other local clinicians.</p><p> </p><p>The current commissioning arrangements encourage innovation by placing commissioning with those who know patients best and are aware of the latest clinical evidence and technological advances in health and care.</p><p> </p><p>NHS England advises that Northern, Eastern and Western Devon CCG have no imminent plans to commission a specific minor eye conditions service at this time. CCGs are also able to commission services from local optometrists to provide treatment for minor eye conditions if they feel that is necessary to meet local needs.</p><p> </p><p>Those concerned they may have a minor eye condition can visit their GP, optical practice or pharmacy.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/07/2016 16:59:56 answering member 1201 label Biography information for Alistair Burt
tabling member	4022 label Biography information for Oliver Colvile

535263

registered interest
date	11/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he took the decision to undertake an impact assessment for the purposes of the Public Sector Equality Duty of the changes to the budget for community pharmacy in 2016-17; and when work on that assessment commenced.
tabling member constituency	Barnsley East
tabling member printed	Michael Dugher
uin	42405
answer	answer is ministerial correction date of answer 14/07/2016 answer text <p>The proposals for community pharmacy in 2016/17 and beyond that were published on 17 December 2015 were considered against my Rt. hon. Friend the Secretary of State for Health’s duties, which include the Public Sector Equality Duty. An impact assessment has been developed during the consultation period and the Department is committed to publishing the impact assessment alongside any Drug Tariff determination.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/07/2016 08:20:13 answering member 1201 label Biography information for Alistair Burt
tabling member	3916 label Biography information for Michael Dugher

535267

registered interest
date	11/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the finding in the King's Fund report, entitled Deficits in the NHS 2016, published on 11 July 2016, that NHS providers and commissioners ended 2015-16 with a deficit of £1.85 billion, what steps he is taking to reduce that aggregate deficit.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	42447
answer	answer is ministerial correction date of answer 14/07/2016 answer text <p>It is clear that the National Health Service faces a significant challenge, and this is why we are investing the additional £10 billion the NHS has said it needs to implement its own plan for the future, with £6 billion frontloaded by the end of this year.</p><p> </p><p>We have introduced tough new financial controls to cut down on waste in the NHS - including introducing caps for agency staff and management consultants, and introducing central procurement rules. In 2016-17, we have introduced a £1.8 billion Sustainability and Transformation Fund to support providers to move to a financially sustainable footing. We will be providing intensive support to the most challenged NHS organisations through the new special measures programme.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/07/2016 08:25:04 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

535270

registered interest
date	11/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: Internet
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to review the health impact of prescribing from online pharmacies; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	42439
answer	answer is ministerial correction date of answer 14/07/2016 answer text <p>As health professionals, online prescribers are regulated by their respective professional regulator. The General Medical Council (GMC) expects all doctors to take account of its guidance on remote prescribing and relevant clinical and other guidelines, regardless of how they prescribe.</p><p> </p><p>Doctors working independently or in private practice, including on-line prescribers, with a business based in England, are regulated by the Care Quality Commission (CQC), if they provide a regulated activity and are within scope of the CQC registration. They are required to provide people with safe, effective, caring, responsive and well-led care.</p><p> </p><p>Online pharmacies, like other registered pharmacies, are regulated by the General Pharmaceutical Council (GPhC) and are required to comply with the GPhC’s standards for registered pharmacies. Pharmacists and pharmacy technicians, working in online pharmacies, are also regulated by the GPhC and must comply with the GPhC’s standards of conduct, ethics and performance.</p><p> </p><p>The Department has not recently reviewed on-line prescribing.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/07/2016 08:26:41 answering member 1201 label Biography information for Alistair Burt
tabling member	432 label Biography information for Helen Jones

533871

registered interest
date	08/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress has been made in reducing GP waiting times.
tabling member constituency	South Antrim
tabling member printed	Danny Kinahan
uin	42256
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>There is no national standard for waiting to see a general practitioner (GP) and data on waiting times is not collected centrally. To implement the Government’s commitment to transform GP access however, £175 million has been invested in the Prime Minister’s GP Access Fund to test improved and innovative access to GP services. Across the two waves of the Access Fund, there are 57 schemes covering over 2,500 practices and 18 million patients – a third of the population – have benefited from improved access and transformational change at local level. This includes more appointments being made available, especially at times more convenient for patients, such as weekday evenings and weekends. It also includes different approaches like telephone consultations and better use of the wider primary care workforce (such as Advanced Nurse Practitioners, pharmacists, the voluntary sector, physiotherapists and paramedics) to deliver improved access to patients. These approaches have helped release local GP capacity and more appropriately matched the needs of patients with the most appropriate professional to care for them. In addition to Access Fund sites, other clinical commissioning groups may offer local initiatives for improving access to GPs.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/07/2016 16:58:41 answering member 1201 label Biography information for Alistair Burt
tabling member	4381 label Biography information for Danny Kinahan

533872

registered interest
date	08/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to announce the rate for the NHS-funded nursing care for residents of care homes in 2016-17.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	42252
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>Mazars LLP were appointed to carry out an independent review of the costs of nursing care by a registered nurse. Mazars’ report[1] recommends that the National Health Service-funded nursing care rate should be £156.25 – 40% higher than the 2015/16 rate. The Government has taken on board Mazars’ recommendation, meaning the rates paid by clinical commissioning groups for eligible care home residents assessed to require the help of a registered nurse are now as follows:</p><p> </p><p>― standard rate - £156.25 per week; and</p><p>― higher rate - £215.04 per week (this is only relevant for those people who were already on the higher rate in 2007 when the single band was introduced).</p><p><strong> </strong></p><p>These rates will be backdated to 1 April 2016 for individuals who were in receipt of NHS-funded Nursing Care from that time and paid on an interim basis whilst regional variation and the element of the rate for staff working on an agency basis are reviewed.</p><p> </p><p> </p><p> </p><p>[1] <a href="http://www.mazars.co.uk/Home/Our-Sectors/Public-Services/Health/NHS-Funded-Nursing-Care-Review" target="_blank">http://www.mazars.co.uk/Home/Our-Sectors/Public-Services/Health/NHS-Funded-Nursing-Care-Review</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 42251 question first answered 13/07/2016 15:33:42 answering member 1201 label Biography information for Alistair Burt
tabling member	4510 label Biography information for Helen Hayes

533874

registered interest
date	08/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will investigate the reasons for the delay in agreeing the rate for NHS-funded nursing care for residents of care homes in 2016-17.
tabling member constituency	Dulwich and West Norwood
tabling member printed	Helen Hayes
uin	42251
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>Mazars LLP were appointed to carry out an independent review of the costs of nursing care by a registered nurse. Mazars’ report[1] recommends that the National Health Service-funded nursing care rate should be £156.25 – 40% higher than the 2015/16 rate. The Government has taken on board Mazars’ recommendation, meaning the rates paid by clinical commissioning groups for eligible care home residents assessed to require the help of a registered nurse are now as follows:</p><p> </p><p>― standard rate - £156.25 per week; and</p><p>― higher rate - £215.04 per week (this is only relevant for those people who were already on the higher rate in 2007 when the single band was introduced).</p><p><strong> </strong></p><p>These rates will be backdated to 1 April 2016 for individuals who were in receipt of NHS-funded Nursing Care from that time and paid on an interim basis whilst regional variation and the element of the rate for staff working on an agency basis are reviewed.</p><p> </p><p> </p><p> </p><p>[1] <a href="http://www.mazars.co.uk/Home/Our-Sectors/Public-Services/Health/NHS-Funded-Nursing-Care-Review" target="_blank">http://www.mazars.co.uk/Home/Our-Sectors/Public-Services/Health/NHS-Funded-Nursing-Care-Review</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 42252 question first answered 13/07/2016 15:33:42 answering member 1201 label Biography information for Alistair Burt
tabling member	4510 label Biography information for Helen Hayes

533599

registered interest
date	07/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Anxiety: Females
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce anxiety disorder in women under 35.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	42124
answer	answer is ministerial correction date of answer 11/07/2016 answer text <p>Improving Access to Psychological Therapies (IAPT) services treat common mental health conditions, including anxiety. More than 3.5 million adults have entered the IAPT programme since its inception in 2008. Of that 3.5 million, over 2.1 million have completed treatment and over 725,000 are in recovery and more than 100,000 people have moved off sick pay and benefits.</p><p> </p><p>We have introduced waiting times standards to ensure better access to IAPT so that 75% of people referred to IAPT receive treatment within six weeks and 95% receive treatment within 18 weeks.</p><p> </p><p>In January 2016, the Government announced almost £1 billion of additional investment for mental health, which included £290 million of new investment over the next five years to provide mental healthcare for perinatal care.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/07/2016 15:24:54 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

533609

registered interest
date	07/07/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the long-term health costs associated with the increase in the number of dental extractions in children under the age of 10 in the last four years.
tabling member constituency	Bradford South
tabling member printed	Judith Cummins
uin	42185
answer	answer is ministerial correction date of answer 13/07/2016 answer text <p>The tables below shows 1) the number of courses of treatment (CoT) for children age 10 and under in Primary Dental Care which included an extraction and 2) the number of Finished Consultant Episodes (FCEs) for children aged 10 and under including an extraction due to tooth decay.</p><p> </p><p>During the same period, the population for children age 10 and under rose from 6.9 million to 7.3 million. The figures suggest the total rise in extractions and therefore increases in health costs are broadly in line with the increase in population of this age group over the same period.</p><p>1)</p><table><tbody><tr><td><p>Financial year</p></td><td><p>(CoT) Extractions per 100,000</p></td><td><p>Primary Care (CoT)</p></td><td><p>Population</p></td><td><p>change</p></td></tr><tr><td><p>2014/15</p></td><td><p>3211.0</p></td><td><p>234,704</p></td><td><p>7,309,300</p></td><td><p>-8,274</p></td></tr><tr><td><p>2013/14</p></td><td><p>3380.7</p></td><td><p>242,978</p></td><td><p>7,187,200</p></td><td><p>9,186</p></td></tr><tr><td><p>2012/13</p></td><td><p>3317.0</p></td><td><p>233,792</p></td><td><p>7,048,300</p></td><td><p>718</p></td></tr><tr><td><p>2011/12</p></td><td><p>3376.9</p></td><td><p>233,074</p></td><td><p>6,902,100</p></td><td><p> </p></td></tr></tbody></table><p><em>Source:</em> NHS Business Services Authority, extract from FP17 form clinical data set information 2011/12 – 2014/15</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>2)</p><table><tbody><tr><td><p>Financial year</p></td><td><p>FCE Extractions per 100,000</p></td><td><p>FCEs</p></td><td><p>Population</p></td><td><p>change</p></td></tr><tr><td><p>2014/15</p></td><td><p>462.2</p></td><td><p>33,781</p></td><td><p>7,309,300</p></td><td><p>1040</p></td></tr><tr><td><p>2013/14</p></td><td><p>455.5</p></td><td><p>32,741</p></td><td><p>7,187,200</p></td><td><p>1466</p></td></tr><tr><td><p>2012/13</p></td><td><p>443.7</p></td><td><p>31,275</p></td><td><p>7,048,300</p></td><td><p>514</p></td></tr><tr><td><p>2011/12</p></td><td><p>445.7</p></td><td><p>30,761</p></td><td><p>6,902,100</p></td><td><p> </p></td></tr></tbody></table><p><em>Source:</em> Health and Social Care Information Centre, Hospital Episode Statistics 2011/12 – 2014/15</p><p> </p><p> </p><p>However, the Government is serious about improving oral health for children. Initiatives to improve oral health include targeted interventions in ten high needs areas and reform of the dental contract to focus on prevention.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/07/2016 09:41:59 answering member 1201 label Biography information for Alistair Burt
tabling member	4391 label Biography information for Judith Cummins