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458913

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Pay
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 22 February 2016 to Question 27828, what the average change in the level of pay will be for those junior doctors not expected to experience a rise in earnings as a result of pay protection.
tabling member constituency	Lewisham East
tabling member printed	Heidi Alexander
uin	30426
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The average change in the level of pay for those junior doctors currently in Foundation programme of Specialty/Core Training Levels 1 and 2 receiving pay protection will be zero compared with their earnings on 31 October 2015. The exception to this will be the 1% of junior doctors receiving a band 3 payment for working in breach of the current contract. Junior doctors currently in Specialty Training level 3 and above will be paid according to the current contract terms until the end of transition.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/03/2016 17:28:59 answering member 3988 label Biography information for Ben Gummer
tabling member	4038 label Biography information for Heidi Alexander

458914

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the Government plans to make funding available to councils for care homes in addition to the two per cent council tax precept to cover costs arising from the increase in the national minimum wage.
tabling member constituency	Clacton
tabling member printed	Mr Douglas Carswell
uin	30413
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>Local authorities are responsible for commissioning adult social care services. Fee levels are agreed by local authorities and social care providers, reflecting local conditions. In setting fee levels, local authorities are obliged to consider the sustainability of their local social care market.</p><p>At the Spending Review, the Government made up to £3.5 billion extra available by 2019/20 to local authorities for adult social care through the social care precept and Better Care Fund. This will help give councils more flexibility to meet local priorities as they see fit.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/03/2016 15:31:15 answering member 1201 label Biography information for Alistair Burt
tabling member	1527 label Biography information for Mr Douglas Carswell

458916

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the difference is between NICE's clinical guidelines and its positive guidance; and what steps his Department is taking to make healthcare commissioners aware of when they may prescribe outside guidelines.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	30469
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The National Institute for Health and Care Excellence’s (NICE) clinical guidelines represent best practice, based on the available evidence, and are developed through wide consultation. They relate to a whole pathway of care and are not subject to the same legal funding requirement as NICE’s technology appraisals.</p><p> </p><p>NICE’s technology appraisal guidance makes recommendations on whether selected drugs and treatments represent a clinically and cost effective use of National Health Service resources. Commissioners are legally required to fund drugs and treatments recommended in NICE’s technology appraisal guidance within three months of its final guidance being issued.</p><p><strong> </strong></p><p>In the absence of positive guidance from NICE, it is for commissioners to make decisions on whether to fund this treatment based on an assessment of the available evidence. Prescribing decisions are made by clinicians, based on their patients’ individual clinical circumstances.</p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 30470 question first answered 14/03/2016 16:36:40 answering member 4020 label Biography information for George Freeman
tabling member	304 label Biography information for Mr Roger Godsiff

458917

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether clinical commissioning groups are permitted to prescribe medications which NICE does not recommend as cost effective.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	30470
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The National Institute for Health and Care Excellence’s (NICE) clinical guidelines represent best practice, based on the available evidence, and are developed through wide consultation. They relate to a whole pathway of care and are not subject to the same legal funding requirement as NICE’s technology appraisals.</p><p> </p><p>NICE’s technology appraisal guidance makes recommendations on whether selected drugs and treatments represent a clinically and cost effective use of National Health Service resources. Commissioners are legally required to fund drugs and treatments recommended in NICE’s technology appraisal guidance within three months of its final guidance being issued.</p><p><strong> </strong></p><p>In the absence of positive guidance from NICE, it is for commissioners to make decisions on whether to fund this treatment based on an assessment of the available evidence. Prescribing decisions are made by clinicians, based on their patients’ individual clinical circumstances.</p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 30469 question first answered 14/03/2016 16:36:40 answering member 4020 label Biography information for George Freeman
tabling member	304 label Biography information for Mr Roger Godsiff

458918

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Postnatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what comparative information his Department holds on the length of time women stay in health facilities after giving birth in the UK and other developed countries; and if he will commission a review into the process of discharging women from maternity wards.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	30456
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>We do not hold the comparative data requested.</p><p> </p><p>The length of stay in a maternity unit following delivery of a baby is a matter of clinical judgement of the professionals involved in the mother’s care. In line with the National Institute for Health and Care Excellence (NICE) guidelines on <em>Routine postnatal care of women and their bab</em>ies, this decision should be reached following discussion with the mother and take into account the health and well-being of the woman and her baby and the level of support available to her following discharge.</p><p> </p><p> </p><p>The Care Quality Commission 2015 survey of women’s experience of maternity care found that the length of time spent in hospital after giving birth for the majority of women in 2015 is 36% staying for one to two days after the delivery. 72% of women said the length of their hospital stay was ‘about right’. Full details of the survey can be found here:</p><p> </p><p><a href="http://www.cqc.org.uk/content/maternity-services-survey-2015" target="_blank">http://www.cqc.org.uk/content/maternity-services-survey-2015</a></p><p> </p><p> </p><p>We have no plans to commission a review of discharge procedures.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/03/2016 11:11:48 answering member 3988 label Biography information for Ben Gummer
tabling member	298 label Biography information for Steve McCabe

459031

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nabiximols
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 8 March 2016 to Question 29649, how patients whose clinical commissioning group has decided not to fund the provision of Sativex can access that medication.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	30531
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>Where a treatment is not routinely funded by a clinical commissioning group (CCG), the CCG is required to have systems in place to consider individual funding requests from clinicians who believe their patient would benefit from that treatment due to their clinical exceptionality.</p><p> </p><p>Patients also have the choice of being treated privately.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 14/03/2016 16:31:36 answering member 4020 label Biography information for George Freeman
tabling member	304 label Biography information for Mr Roger Godsiff

459032

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Quality Commission
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 adequacy of the resources allocated by the Government to the Care Quality Commission to carry out its inspection role; and what other sources of funding are available to that body.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	30532
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The Care Quality Commission (CQC) is funded from two sources: fee income, levied on the health and social care providers that it regulates; and Grant In Aid funding, allocated centrally, from the Department. As part of the annual business planning process, the Department and the CQC negotiate and agree the appropriate level of central Grant in Aid funding required by the CQC for the forthcoming reporting year. In the case of funding negotiations for 2016-17, discussions between the Department and the CQC and all of the Department’s arm’s length bodies (ALBs), will be taking into account the Department’s Spending Review settlement.</p><p> </p><p>Negotiations between the Department and the CQC are undertaken in the context of Government policy for all fee-setting regulators - that the full costs of their chargeable regulatory activities must be recovered through fees from providers. Where a fee is less than full cost, stakeholders including HM Treasury and the Department agree with ALBs a plan to comply with the requirements of Managing Public Money within a reasonable period. The CQC has been working and continues to work towards achieving Full Cost Recovery at the earliest opportunity. As the level of fee income received by the CQC increases, then the level of Grant in Aid funding from the Department will reduce.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/03/2016 17:15:49 answering member 3988 label Biography information for Ben Gummer
tabling member	4122 label Biography information for Alex Cunningham

459033

registered interest
date	09/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Sick Leave
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of officials in his Department took sick leave for reasons relating to stress in each of the last five years; and what proportion of total sick leave such sick leave was in each such year.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	30597
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The Department does not record working days lost that can be specifically attributed to stress-related conditions. We do record the number of working days lost covered by the broader absence reason “Mental Health” which includes depression, anxiety and stress related problems. Information is recorded for sickness absence as &quot;days lost&quot; not in terms of numbers of individual staff (headcount) on sickness absence. The table below presents the relevant information we do hold for the calendar years requested.</p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Days lost due to mental health absence (total days lost 12 month period)</p></td><td><p>Proportion of staff who had sick leave (all sickness)</p></td><td><p>Mental health absences as a proportion of total Absence</p></td></tr><tr><td><p>2011</p></td><td><p>1457.9</p></td><td><p>44%</p></td><td><p>15%</p></td></tr><tr><td><p>2012</p></td><td><p>1932.8</p></td><td><p>42%</p></td><td><p>22%</p></td></tr><tr><td><p>2013</p></td><td><p>1510.9</p></td><td><p>40%</p></td><td><p>17%</p></td></tr><tr><td><p>2014</p></td><td><p>2153.2</p></td><td><p>42%</p></td><td><p>24%</p></td></tr><tr><td><p>2015</p></td><td><p>2193.9</p></td><td><p>41%</p></td><td><p>28%</p></td></tr></tbody></table> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/03/2016 17:26:48 answering member 3918 label Biography information for Jane Ellison
tabling member	4244 label Biography information for Jonathan Ashworth

458525

registered interest
date	08/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cancer clinical nurse specialists were working in the NHS in the latest period for which figures are available.
tabling member constituency	Lewisham East
tabling member printed	Heidi Alexander
uin	30224
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The number of cancer clinical nurse specialists working in the National Health Service is not collected centrally.</p><p> </p><p>It is for local NHS organisations with their knowledge of the healthcare needs of their local population to invest in training for specialist skills and to deploy specialist nurses.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/03/2016 11:20:22 answering member 3988 label Biography information for Ben Gummer
tabling member	4038 label Biography information for Heidi Alexander

458536

registered interest
date	08/03/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Civil Servants
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 (a) Senior Civil Servants and (b) core policy civil servants are based in London.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	30312
answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>75% of Senior Civil Servants in the Department are based in London. Some Departmental team responsibilities are strictly policy matters and others may include, or exclusively involve, operational or corporate business activities. The Department does not impose an artificial distinction between ‘policy’ teams and operational or business teams as many teams will be active in both aspects of Government to varying degrees. The titles and topics covered by all the teams making up the Department can be found in the most recent Departmental organograms / structure charts at:</p><p> </p><p><a href="http://reference.data.gov.uk/gov-structure/organogram/?dept=dh" target="_blank">http://reference.data.gov.uk/gov-structure/organogram/?dept=dh</a></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/03/2016 17:33:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4473 label Biography information for Louise Haigh