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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

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

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

435880

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 Task Force
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the reasons are for the change in the publication date of the Mental Health Taskforce report to January 2016.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	18843
answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>The independent Mental Health Taskforce has committed to delivering a costed five year mental health strategy for the NHS. Following the important announcement in the Spending Review that the Government is investing an additional £600m in mental health during this period, in line with the priorities identified in the strategy, the Taskforce is now finalising its recommendations and supporting analysis to ensure these are robust. Their report is due to be ready for publication by NHS England in the New Year.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 15/12/2015 15:48:32 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

435886

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: Parents
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 all parents with a child admitted to a neonatal unit have access to psychological and bereavement support.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	18858
answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>The NHS locally is expected to ensure that appropriate facilities and services are in place to support parents following the illness or death of a newborn baby. NHS England’s Neonatal Critical Care Service Specification states that “the service will deliver the aim to improve both life expectancy and quality of life for newborn babies by:</p><p>- Delivering care in a family-centred way that seeks to minimise the physical and psychological impact of neonatal care on the baby and their family, for example by improving psychological outcomes and breastfeeding rates</p><p>- Providing an environment where parents are enabled to make informed decisions about treatment and become involved in the care of their baby / babies, thereby minimising the psychological trauma of premature or sick term babies.”</p><p>The MBRRACE-UK report on the confidential enquiry into term antepartum stillbirths, published on 19 November 2015, found a good standard of bereavement care documented as being given to parents immediately following birth. However, several areas for improvement were identified including the finding that there was wide variation in the availability of a specialist bereavement midwife, with only one third of case notes showing evidence of their involvement.</p><br /><p>Following that report, and following a debate in the House of Commons on 2 November, (<em>Official Report</em>, columns 844-852) the Department is looking at the number of bereavement suites around the country and will engage with the NHS to reaffirm the importance of putting into practice existing guidance on bereavement including through mandated accountability processes.</p><p>Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 15/12/2015 14:04:39 answering member 1201 label Biography information for Alistair Burt
tabling member	151 label Biography information for Tom Brake

435887

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	Disability: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to reduce the incidence of disability and long-term health problems among children born prematurely.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	18859
answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>On 13 November, the Government announced an ambitious campaign to halve the national rates of maternal deaths, stillbirths and neonatal deaths and brain injuries in babies by 2030. To help meet these aims, the Government will establish a £2.24 million fund to support trusts to buy cutting-edge monitoring or training equipment to improve safety.</p><br /><p>NHS England commissions Neonatal Care from 165 neonatal units which are organised and supported by 13 Operational Delivery Networks. These Networks have brought tangible benefits in helping to ensure that babies are delivered in the right place to receive specialist care when it is needed.</p><p>To support the provision of safe, high quality care for sick and premature babies and their families, NHS England’s Neonatal Critical Care Service Specification states that providers should ensure that expert and experienced staff treat sufficient numbers of cases to maintain a safe high quality service and move towards national standards. Clinical expertise is a key determinant of outcomes for these babies.</p><p>The National Institute of Health and Care Excellence published guidelines in November 2015 on the care of women at increased risk of or with symptoms and signs of preterm labour (before 37 weeks) and women having a planned preterm birth. It aims to reduce the risks of preterm birth for the baby and describes treatments to prevent or delay early labour and birth.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 15/12/2015 15:07:39 answering member 3988 label Biography information for Ben Gummer
tabling member	151 label Biography information for Tom Brake