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420822

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Legal Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of his Department's budget is spent on legal fees and damages.
tabling member constituency	Warrington South
tabling member printed	David Mowat
uin	901477
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Departmental Group spend on legal fees is captured in the Annual Report and Accounts for 2014-15. The Departmental Group spend on legal fees is separately identified under Legal Fees in Other Administration Costs,<del class="ministerial"> £61,159k</del> <ins class="ministerial">£61.159 million </ins>and Programme Costs <del class="ministerial">£128,642k,</del> <ins class="ministerial">£128,642 million </ins>totalling <del class="ministerial">£189,801k.</del><ins class="ministerial">£189,801 million.</ins></p><p>The majority of the Core Department’s spend on legal fees is captured as part of ‘Other’ spend under ‘Other Administration Costs’, ‘Programme Costs’ and in “Consultancy services”. The Annual Report and Accounts is available at:</p><p><a href="https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2014-to-2015" target="_blank">https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2014-to-2015</a></p><p>It is intended that from the 2015-16 financial year, spend on legal fees for the core Department will be discussed separately in the accounts.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/10/2015 16:48:38 question first ministerially corrected 14/10/2015 14:55:18 answering member 3918 label Biography information for Jane Ellison previous answer version 23237 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	4080 label Biography information for David Mowat

416385

registered interest
date	04/09/2015
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by what indicators he plans to use to assess the improvement of Trusts receiving support from the Emergency Care Improvement Programme.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	8995
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p><del class="ministerial">Public Health England has developed a campaign to raise awareness of the symptom of breathlessness which ran as a local pilot in Oldham and Rochdale from 24 February – 23 March 2014 and as a regional pilot in the East of England 2 February – 1 March 2015.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">The Breathlessness campaign aims to encourage those with inappropriate breathlessness (breathlessness that is disproportionate to the level of activity undertaken i.e. at rest or on minimal exertion) to go and see their general practitioner (GP). It is primarily aimed at earlier diagnosis of heart and lung disease, including chronic obstructive pulmonary disease, with scope to reduce premature mortality and to improve the quality of life of those living with these conditions. The key message of the campaign is “If you get out of breath doing things that you used to be able to do, see your GP. Getting out of breath could be a sign of heart or lung disease. Finding it early makes it more treatable, so don’t ignore it, tell your doctor”.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">Evaluation of the regional pilot is still underway, although early findings from follow-up in-depth interviews with a sample of local GPs and pharmacists and pre and post awareness tracking research among the public, are positive.</del></p><p> </p><p> </p><p><ins class="ministerial"> <p> </p><p><ins class="ministerial">The Emergency Care Improvement Programme (ECIP) is a clinically led programme that will offer practical help and support to the 27 urgent and emergency care systems across England that are under the most pressure. </ins></p><p> </p><p><ins class="ministerial"> </ins></p><p> </p><p><ins class="ministerial">The progress of trusts taking part in ECIP will be measured by monitoring improvements in their accident and emergency (A&amp;E) four hour waiting time standard, along with patient outcome and experience indicators. The urgent and emergency care systems taking part in this programme were selected based on performance against the A&amp;E four hour standard in 2014/15 and Q1 of 2015/16 alongside discussions with regional teams from NHS England, Monitor and the Trust Development Authority.</ins></p><p><ins class="ministerial"> </ins></p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 15:55:26 question first ministerially corrected 14/09/2015 17:19:34 answering member 3918 label Biography information for Jane Ellison previous answer version 21204 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

178160

registered interest
date	05/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many admissions to hospital with a (a) primary and (b) secondary diagnosis of coronary heart disease per head of population there were in (i) each clinical commissioning group and its predecessor organisation and (ii) England in each of the last 10 years.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	223598
answer	answer is ministerial correction date of answer 12/02/2015 answer text <p>The following tables show the number of admissions to hospital with a primary and secondary diagnosis of coronary heart disease by primary care trust of treatment for the years 2004/05 to 2012/13; by clinical commissioning group of treatment for 2013/14 and for England as a whole.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/02/2015 15:52:16 question first ministerially corrected 12/02/2015 16:09:16 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Hospital Admissions data.xlsx title No. of adnissions - CHD previous answer version 45133 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	204 label Biography information for Paul Burstow

176781

registered interest
date	29/01/2015
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, whether joint committees of NHS England and clinical commissioning groups are permitted to deviate from national service specifications for specialised services.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	222695
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>NHS England is the accountable commissioner and budget holder for all specialised services as set out in The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the Manual for prescribed specialised services providing further detail.</p><p> </p><p> </p><p> </p><p>NHS England has achieved significant progress in developing a set of nationally consistent service standards and commissioning policies, which ensure equity of access to high quality services across the board. Those standards and policies will continue to apply for those specialised services which are to be collaboratively commissioned by NHS England and clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England is currently in the process of agreeing the guidance on the collaborative commissioning arrangements which will be in place from 1 April 2015.</p><p> </p><p> </p><p> </p><p>NHS England has clarified that where there are collaboratively commissioned services, NHS England will retain the full financial risk for these services for 2015/16. NHS England has advised us that there will be further work conducted over the next year to advise on the range of specialised services for which NHS England should remain the accountable commissioner and budget holder for 2016/17 and future years.</p><p> </p><p> </p><p> </p><p>Copies of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and the Manual for prescribed specialised services are attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name nhs-england-and-ccg-regulations.pdf title Regulations NHS Commissioning Board & CCGs 2 file name pss-manual.pdf title Manual prescribed specialised services question first answered 03/02/2015 15:09:14 question first ministerially corrected 03/02/2015 15:20:37 answering member 3918 label Biography information for Jane Ellison previous answer version 42619 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

176783

registered interest
date	29/01/2015
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, when NHS England will publish details of the co-commissioning of specialised services.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	222693
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>NHS England is the accountable commissioner and budget holder for all specialised services as set out in The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the Manual for prescribed specialised services providing further detail.</p><p> </p><p> </p><p> </p><p>NHS England has achieved significant progress in developing a set of nationally consistent service standards and commissioning policies, which ensure equity of access to high quality services across the board. Those standards and policies will continue to apply for those specialised services which are to be collaboratively commissioned by NHS England and clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England is currently in the process of agreeing the guidance on the collaborative commissioning arrangements which will be in place from 1 April 2015.</p><p> </p><p> </p><p> </p><p>NHS England has clarified that where there are collaboratively commissioned services, NHS England will retain the full financial risk for these services for 2015/16. NHS England has advised us that there will be further work conducted over the next year to advise on the range of specialised services for which NHS England should remain the accountable commissioner and budget holder for 2016/17 and future years.</p><p> </p><p> </p><p> </p><p>Copies of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and the Manual for prescribed specialised services are attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name nhs-england-and-ccg-regulations.pdf title Regulations NHS Commissioning Board & CCGs 2 file name pss-manual.pdf title Manual prescribed specialised services question first answered 03/02/2015 15:09:14 question first ministerially corrected 03/02/2015 15:21:10 answering member 3918 label Biography information for Jane Ellison previous answer version 42620 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

176784

registered interest
date	29/01/2015
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, whether NHS England will remain the sole budget-holder and accountable commissioner for all specialised services.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	222694
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>NHS England is the accountable commissioner and budget holder for all specialised services as set out in The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the Manual for prescribed specialised services providing further detail.</p><p> </p><p> </p><p> </p><p>NHS England has achieved significant progress in developing a set of nationally consistent service standards and commissioning policies, which ensure equity of access to high quality services across the board. Those standards and policies will continue to apply for those specialised services which are to be collaboratively commissioned by NHS England and clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England is currently in the process of agreeing the guidance on the collaborative commissioning arrangements which will be in place from 1 April 2015.</p><p> </p><p> </p><p> </p><p>NHS England has clarified that where there are collaboratively commissioned services, NHS England will retain the full financial risk for these services for 2015/16. NHS England has advised us that there will be further work conducted over the next year to advise on the range of specialised services for which NHS England should remain the accountable commissioner and budget holder for 2016/17 and future years.</p><p> </p><p> </p><p> </p><p>Copies of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and the Manual for prescribed specialised services are attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name nhs-england-and-ccg-regulations.pdf title Regulations NHS Commissioning Board & CCGs 2 file name pss-manual.pdf title Manual prescribed specialised services question first answered 03/02/2015 15:09:14 question first ministerially corrected 03/02/2015 15:23:29 answering member 3918 label Biography information for Jane Ellison previous answer version 42621 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

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

174223

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 he has had with Monitor, the Care Quality Commission and NHS England on hospitals in Greater Manchester which have not met the Government's A&E waiting time target.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	221081
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 14:02:44 answering member 3918 label Biography information for Jane Ellison previous answer version 39988 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439
tabling member	1506 label Biography information for Andrew Gwynne

168663

registered interest
date	08/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women were referred onwards to other care pathways after it was determined that they were being coerced into seeking an abortion in the last year for which records are available.
tabling member constituency	Calder Valley
tabling member printed	Craig Whittaker
uin	217763
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Department does <ins class="ministerial">not </ins>hold this information.</p><p> </p><p> </p><p> </p><p>We take the issue of coercion seriously and staff working in abortion clinics are experienced and highly skilled in discussing sensitive issues with women and identifying whether there is any coercion or other risks to the woman.</p><p> </p><p> </p><p> </p><p>Women who present for an abortion will always have the opportunity to speak to a health professional on their own at some point during the consultation. Pathways should be in place to refer women to specialised services if coercion is identified.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 15/12/2014 16:55:05 question first ministerially corrected 15/12/2014 17:10:17 answering member 3918 label Biography information for Jane Ellison previous answer version 33588 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	3940 label Biography information for Craig Whittaker