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435700

registered interest
date	07/12/2015
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the number of GP surgeries that are failing to meet their obligations under regulation 15A of the National Health Service (Personal Medical Services Agreements) Regulations 2004, as amended, to establish and maintain a Patient Participation Group.
tabling member printed	Lord Harris of Haringey
uin	HL4275
answer	answer is ministerial correction date of answer 17/12/2015 answer text <p>NHS England is responsible for the assessment of general medical practices compliance with contractual requirements.</p><br /><p>NHS England operates an annual practice declaration to support its local teams assess contractual compliance. The annual declaration was amended this year to include key areas of enquiry in relation to the new responsibilities to establish and maintain a Patient Participation Group.</p><br /><p>The NHS (Personal Medical Services Agreements) Regulations contain steps which NHS England may take where a practice does not comply with the terms of the agreement. These include issuing a remedial notice and, if no action is taken as a result of this notice, a breach of contract notice which could result in NHS England withholding money, due under the agreement, or terminating the agreement.</p><br /><p>NHS England does not currently hold information nationally on the use of contractual sanctions. NHS England is developing its reporting systems to identify the number of breach notices issued periodically and to identify common themes associated with contractual non-compliance.</p> answering member printed Lord Prior of Brampton question first answered 17/12/2015 16:40:47 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2671 label Biography information for Lord Harris of Haringey

435701

registered interest
date	07/12/2015
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what arrangements are in place to ensure that the obligations under regulation 15A of the National Health Service (Personal Medical Services Agreements) Regulations 2004, as amended, to establish and maintain a Patient Participation Group are being met.
tabling member printed	Lord Harris of Haringey
uin	HL4276
answer	answer is ministerial correction date of answer 17/12/2015 answer text <p>NHS England is responsible for the assessment of general medical practices compliance with contractual requirements.</p><br /><p>NHS England operates an annual practice declaration to support its local teams assess contractual compliance. The annual declaration was amended this year to include key areas of enquiry in relation to the new responsibilities to establish and maintain a Patient Participation Group.</p><br /><p>The NHS (Personal Medical Services Agreements) Regulations contain steps which NHS England may take where a practice does not comply with the terms of the agreement. These include issuing a remedial notice and, if no action is taken as a result of this notice, a breach of contract notice which could result in NHS England withholding money, due under the agreement, or terminating the agreement.</p><br /><p>NHS England does not currently hold information nationally on the use of contractual sanctions. NHS England is developing its reporting systems to identify the number of breach notices issued periodically and to identify common themes associated with contractual non-compliance.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4277 question first answered 17/12/2015 16:41:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2671 label Biography information for Lord Harris of Haringey

435702

registered interest
date	07/12/2015
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what sanctions are available to NHS England to enforce the obligations under regulation 15A of the National Health Service (Personal Medical Services Agreements) Regulations 2004, as amended, to establish and maintain a Patient Participation Group, and what information they have about the use of such sanctions.
tabling member printed	Lord Harris of Haringey
uin	HL4277
answer	answer is ministerial correction date of answer 17/12/2015 answer text <p>NHS England is responsible for the assessment of general medical practices compliance with contractual requirements.</p><br /><p>NHS England operates an annual practice declaration to support its local teams assess contractual compliance. The annual declaration was amended this year to include key areas of enquiry in relation to the new responsibilities to establish and maintain a Patient Participation Group.</p><br /><p>The NHS (Personal Medical Services Agreements) Regulations contain steps which NHS England may take where a practice does not comply with the terms of the agreement. These include issuing a remedial notice and, if no action is taken as a result of this notice, a breach of contract notice which could result in NHS England withholding money, due under the agreement, or terminating the agreement.</p><br /><p>NHS England does not currently hold information nationally on the use of contractual sanctions. NHS England is developing its reporting systems to identify the number of breach notices issued periodically and to identify common themes associated with contractual non-compliance.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4276 question first answered 17/12/2015 16:41:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2671 label Biography information for Lord Harris of Haringey

435730

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 1 December (HL3716), what legal redress is available to patients denied access to mental health care by public health authorities that fail to comply with the provisions of the Health and Social Care Act 2012 on equal priority for mental and physical health.
tabling member printed	Lord Oates
uin	HL4305
answer	answer is ministerial correction date of answer 16/12/2015 answer text <p>The Government is committed to achieving parity of esteem between physical and mental health and we expect people to have access to appropriate care and treatment based on their needs. We have implemented the first waiting times for mental health to improve access to mental health services. If individuals are dissatisfied with the services they are receiving, they may raise their concerns using local complaints procedures and if necessary with the Parliamentary and Health Service Ombudsman.</p> answering member printed Lord Prior of Brampton question first answered 16/12/2015 14:26:16 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4549 label Biography information for Lord Oates

435745

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government under what circumstances, if any, a resident of Northern Ireland who seeks an abortion in Great Britain is required to pay for the operation.
tabling member printed	Lord Rogan
uin	HL4320
answer	answer is ministerial correction date of answer 17/12/2015 answer text <p>Health is a devolved matter. Residents of Northern Ireland are entitled to access abortion services in England but, in general, they must make their own private arrangements for so doing.</p> answering member printed Lord Prior of Brampton question first answered 17/12/2015 16:35:47 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2478 label Biography information for Lord Rogan

435869

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Parkinson's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what safeguards he plans to put in place to ensure that the proposed £22 billion NHS efficiency savings do not adversely affect the quality of services to people with Parkinson's disease.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	18914
answer	answer is ministerial correction date of answer 10/12/2015 answer text <p>The Government has committed to invest an additional £10 billion in the National Health Service over this Parliament. Efficiency and high quality care go hand-in-hand; cutting waste and safer care are integral to ensuring better outcomes at a lower cost. The efficiencies the NHS needs to find are linked to the challenge of continued improvements in care across all services, including for people with Parkinson’s disease.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/12/2015 16:52:40 answering member 3918 label Biography information for Jane Ellison
tabling member	3924 label Biography information for Yasmin Qureshi

435870

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what comparative assessment he has made of the ability of local authorities in the (a) poorest and (b) richest areas in England to meet their social care spending needs through a two per cent council tax charge.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	18915
answer	answer is ministerial correction date of answer 10/12/2015 answer text <p>The Government recognises that councils have varying capacity to raise money through council tax. My right hon. Friend, the Secretary of State for Communities and Local Government will shortly publish for consultation the provisional local government finance settlement for 2016-17. This will include proposed changes to rebalance support, including to those authorities with social care responsibilities, by taking into account the main resources available to councils, including council tax.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 10/12/2015 13:21:29 answering member 1201 label Biography information for Alistair Burt
tabling member	3924 label Biography information for Yasmin Qureshi

435871

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Baby Care Units: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure there are enough neonatal nurses to enable neonatal units to meet markers of good practice 2.2.5, 2.2.6 and 2.2.7 in the Toolkit for High Quality Neonatal Services, published by the NHS and his Department in October 2009.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	18902
answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>A key standard set out within NHS England’s service specification for specialised neonatal critical care is that hospitals trusts who do not meet the staffing levels recommended by the British Association of Perinatal Medicine, must be working towards an agreed plan with their respective Regional Specialised Commissioning Teams to meet and maintain the nurse staffing levels in line with the Department’s Toolkit for High Quality Neonatal Services.</p><br /><p>The increasing demand for neonatal care has resulted in additional challenges for some trusts in meeting the recommended nurse to patient ratios. However, 71 (54%) of the 131 neonatal critical care services now meet required staffing ratios and NHS England Regional Specialised Services Commissioning Teams continue to work with their respective hospital trusts to improve this situation.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 18901 question first answered 15/12/2015 15:12:44 answering member 3988 label Biography information for Ben Gummer
tabling member	151 label Biography information for Tom Brake

435872

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Muscular Dystrophy: Hydrotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to improve access for patients with muscular dystrophy to hydrotherapy services.
tabling member constituency	Chesham and Amersham
tabling member printed	Mrs Cheryl Gillan
uin	18884
answer	answer is ministerial correction date of answer 10/12/2015 answer text <p>NHS England is responsible for commissioning specialised neurological services, which includes services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care, which sets out what providers must have in place to offer evidence-based, safe and effective services. The specification can be found at the following link:</p><p>www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</p><br /><p>Specialised neuromuscular care may include referral to local physiotherapy, hydrotherapy or rehabilitation if appropriate, however the commissioning of hydrotherapy services is a matter for local clinical commissioning groups. There are no plans to conduct a national review of hydrotherapy provision.</p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 19246 question first answered 10/12/2015 17:17:24 answering member 4020 label Biography information for George Freeman
tabling member	18 label Biography information for Dame Cheryl Gillan

435873

registered interest
date	07/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Baby Care Units: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure there are enough neonatal nurses who have completed accredited training in specialised neonatal care to enable neonatal units to meet marker of good practice 2.2.3 in the Toolkit for High Quality Neonatal Services, published by the NHS and his Department in October 2009.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	18901
answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>A key standard set out within NHS England’s service specification for specialised neonatal critical care is that hospitals trusts who do not meet the staffing levels recommended by the British Association of Perinatal Medicine, must be working towards an agreed plan with their respective Regional Specialised Commissioning Teams to meet and maintain the nurse staffing levels in line with the Department’s Toolkit for High Quality Neonatal Services.</p><br /><p>The increasing demand for neonatal care has resulted in additional challenges for some trusts in meeting the recommended nurse to patient ratios. However, 71 (54%) of the 131 neonatal critical care services now meet required staffing ratios and NHS England Regional Specialised Services Commissioning Teams continue to work with their respective hospital trusts to improve this situation.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 18902 question first answered 15/12/2015 15:12:44 answering member 3988 label Biography information for Ben Gummer
tabling member	151 label Biography information for Tom Brake