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224004

registered interest
date	26/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support and guidance his Department and NHS England have made available to clinical commissioning groups to enable them to effectively commission services for smaller population groups.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	225646
answer	answer is ministerial correction date of answer 05/03/2015 answer text <p>NHS England has provided clear direction and support to clinical commissioning groups (CCGs) on their duties to have regard to reducing health inequalities. In the Forward View Into Action: Planning for 2015/16 it states: “Clinical Commissioning Groups (CCGs) should work with local government partners to set and share in 2015/16 quantifiable levels of ambition to reduce local health and healthcare inequalities and improve outcomes for health and wellbeing.”</p><p> </p><p> </p><p> </p><p>Additional guidance for commissioners on the equality and health inequalities duties and what this means in practice was issued within the supplementary information for commissioners, as part of the overall planning guidance for 2015/16.</p><p> </p><p> </p><p> </p><p>Furthermore, ‘Reducing Health Inequalities - Meeting our Duties’ regional workshops have been provided in 2014/15 for CCGs and their local partners. These workshops support CCGs, Health and Wellbeing Boards, and local authorities in their legal duties to reduce health inequalities.</p><p> </p><p> </p><p> </p><p>It is expected that in all commissioning activities CCGs will have regard to meeting legal duties on health inequalities including to reduce inequalities between patients in access to health services and the outcomes achieved, as outlined in Section14T of the Health and Social Care Act 2012.</p><p> </p><p> </p><p> </p><p>A copy of Forward View Into Action: Planning for 2015/16 and the supplementary information for commissioners is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS Forward View.pdf title Forward View Into Action: Planning for 2015/16 2 file name Planning guide for 2015-16.pdf title Supplementary information for commissioners question first answered 05/03/2015 17:08:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

222550

registered interest
date	20/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of income received by commissioning support units from clinical commissioning groups is spent supporting clinical commissioning groups in outsourcing NHS services.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	224600
answer	answer is ministerial correction date of answer 27/02/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/02/2015 14:38:23 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

178553

registered interest
date	09/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effects of the work of strategic clinical networks has had on (a) cancer outcomes and (b) quality of cancer services since April 2013.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	223751
answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>Strategic clinical networks (SCNs) bring together clinicians from across health care settings and the wider health and care system in 12 geographic areas across England. Their role is to make improvements in outcomes for complex patient pathways. They are structured around four core areas: maternity, children and young people; cardiovascular disease (renal, diabetes, cardiac, stroke); cancer; and mental health, dementia and neurological conditions. On cancer outcomes and the quality of cancer services, they have driven improvement in a variety of ways.</p><p> </p><p> </p><p> </p><p>In terms of tackling inequalities in health outcomes, SCNs have implemented local cancer general practitioner (GP) awareness campaigns and GP training to improve the detection of cancer. Wessex SCN bowel cancer screening uptake has risen by 5% to 60% in the last three years as a result of bringing together networks of experts to develop and share evidence-based best practice. Elsewhere, North East SCN continues to support improved cancer detection rates through planned care by increasing two week wait referrals through targeted GP cancer pathways awareness campaigns.</p><p> </p><p> </p><p> </p><p>They have also sought to improve access to the best treatment and outcomes for patients. For example, East Midlands SCN has spread best practice in upper gastrointestinal cancer services across the locality and streamlined care pathways by developing commissioning specifications. The South West SCN has worked with GPs and acute trusts to implement intensity modulated radiotherapy leading to an increase in patients receiving this more precise form of treatment from 4% in 2012-13 to 30% in 2013-14. The South East Coast SCN has brought together leaders from across the local health system to tackle waiting times. Since they began leading these improvement initiatives, trusts have seen a marked increase in 62 day cancer waiting times performance.</p><p> </p><p> </p><p> </p><p>Another important effect has been the improvement of quality standards. In 2013, the Greater Manchester Lancashire and South Cumbria SCN worked with the local health community to tackle low compliance (18.8%) of acute trust haematology cancer multi-disciplinary team standards against national standards. This resulted in a significantly higher level of compliance (67%) achieved by the development of robust clinical guidelines and patient pathways across the network. In addition, the Thames Valley SCN has worked with a wide range of stakeholders to reconfigure urology cancer pathways in order to comply with National Institute for Health and Care Excellence Improving Outcomes Guidance and improve patient experience scores.</p><p> </p><p> </p><p> </p><p>Through evaluation to support commissioning decisions, SCNs have often given clinical commissioning groups (CCGs) the tools to evaluate cancer outcomes for local populations to aid better decision making on patient services. West Midlands SCN developed a Cancer Dashboard which benchmarks performance by CCG, and Yorkshire and the Humber SCN commissioned a study of cancer diagnosis related to emergency presentation designed to build an evidence base to support improved diagnostic services.</p><p> </p><p> </p><p> </p><p>SCNs have also enabled participation by facilitating the involvement of patients and the public in the design of local healthcare services. The East of England SCN has worked to ensure that patients and carers are well-represented as partners on service improvement forums and steering groups, ensuring a continued focus on patient experience and on the outcomes that are most important to patients.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/02/2015 17:28:56 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

178321

registered interest
date	06/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS organisations came into being on 1 April 2013.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	223707
answer	answer is ministerial correction date of answer 23/02/2015 answer text <p>On the 1 April 2013, 211 clinical commissioning groups and NHS Property Services were established.</p><p> </p><p> </p><p> </p><p>171 organisations have been abolished following the implementation of the Health and Social Care Act 2012.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/02/2015 15:34:18 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

177518

registered interest
date	03/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 2 February 2014 to Question 222307, when his Department next plans to meet the manufacturers of the MenB vaccine; and by what date he expects negotiations with those manufacturers to be concluded.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	223086
answer	answer is ministerial correction date of answer 10/02/2015 answer text <p>The Department met with the manufacturer of the meningococcal B vaccine, Bexsero<sup>®</sup> on 30 January 2015 and will be meeting again shortly. The negotiations for the supply of Bexsero<sup>®</sup> at a cost-effective price will be completed as soon as possible.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/02/2015 16:07:55 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

176916

registered interest
date	30/01/2015
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, what steps he has taken to ensure that his Department's 2015-16 tariff proposals do not affect patient access and waiting times.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	222783
answer	answer is ministerial correction date of answer 09/02/2015 answer text <p>The 2015/16 tariff proposals are developed and published by Monitor, who under the 2012 Health and Social Care Act are the legally responsible organisation. Monitor’s impact assessment for 2015/16 National Tariff proposal sets out the likely impact on the quality of healthcare provided in England.</p><p> </p><p> </p><p> </p><p>As part of their contracts, commissioners should agree with providers a suitable set of quality measures and targets that can provide a timely indication of clinical outcomes and patient experience. These measures should reflect a broad definition of quality, including clinical outcomes, patient experience and safety.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/02/2015 17:38:16 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

176110

registered interest
date	27/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the work of the Joint Committee on Vaccination and Immunisation concerning the meningitis B vaccine as an NHS treatment; and if he will make a statement.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	222307
answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>We have accepted the recommendation of the Joint Committee on Vaccination and Immunisation that a national routine meningococcal B (MenB) immunisation programme for infants should be introduced to protect against MenB disease, subject to the vaccine being procured at a cost-effective price.</p><p> </p><p> </p><p> </p><p>The Department is continuing negotiations with the manufacturer to seek supply of the MenB vaccine, Bexsero<sup>® </sup>at a cost-effective price.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 09:57:21 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

175108

registered interest
date	21/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what contingency plans he has for hospitals in Greater Manchester failing to meet the Government's A&E target.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221480
answer	answer is ministerial correction date of answer 27/01/2015 answer text <p>The Government has made £700 million – the highest ever figure – available to the National Health Service specifically to help with winter pressures, and to support emergency departments.</p><p> </p><p> </p><p> </p><p>Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities and NHS trusts to implement local winter initiatives to ensure performance is maintained and patients continue to receive high quality healthcare.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester, £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/01/2015 15:00:02 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

174220

registered interest
date	16/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
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 ensure that hospitals in Greater Manchester meet the Government's A&E waiting time target.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221094
answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/01/2015 13:51:02 question first ministerially corrected 23/01/2015 14:02:22 answering member 3918 label Biography information for Jane Ellison previous answer version 39987 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439
tabling member	1506 label Biography information for Andrew Gwynne

174221

registered interest
date	16/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Greater Manchester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with local authorities in Greater Manchester on increased attendances in A&E over the winter and delayed discharges.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221095
answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>My Rt. hon. Friend the Secretary of State meets NHS England on a weekly basis and discusses a wide range of topics, including accident and emergency (A&amp;E) performance data. Monitor, the Care Quality Commission, and the NHS Trust Development Authority also have oversight of trust A&amp;E performance, and are involved in these meetings.</p><p> </p><p> </p><p> </p><p>On the back of a strong economy the Government has made £700 million – the highest ever figure – available to the NHS specifically to help with winter pressures. The first tranche of this money was made available earlier than ever.</p><p> </p><p> </p><p> </p><p>Local plans to spend this money provide for nearly 8,800 extra staff and almost 6,500 extra beds. Over £25 million is going towards increasing access to general practitioners (GPs), including later and weekend appointments. £50 million will help ambulance services meet rising demand for emergency cases and a separate fund of £250 million will support an extra 100,000 operations so people can be seen quicker and before they need to be admitted as an emergency case.</p><p> </p><p> </p><p> </p><p>This money will also support a range of local initiatives to improve urgent and emergency care including seven day pharmacy services, improvements to NHS 111 and GP out of hours services, short stay units for elderly patients and improvements to hospital discharge processes.</p><p> </p><p> </p><p> </p><p>Across Greater Manchester £30 million has been provided with local plans for this to fund over 70 doctors, 300 nurses and 200 extra beds. Clinical commissioning groups in Greater Manchester, as system leaders, are working with NHS England and local partners including local authorities to implement local winter initiatives.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/01/2015 13:51:02 question first ministerially corrected 23/01/2015 14:02:55 answering member 3918 label Biography information for Jane Ellison previous answer version 39989 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439
tabling member	1506 label Biography information for Andrew Gwynne