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760025

registered interest
date	13/09/2017
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, in the light of the guidance issued by NHS England to clinical commissioning groups in May stating that all areas of the country should have a system in place from September to ensure that all new GP referrals are subject to clinical peer review, how they define such reviews.
tabling member printed	Lord McColl of Dulwich
uin	HL1581
answer	answer is ministerial correction date of answer 21/09/2017 answer text <p>Clinical peer reviews are a simple way for general practitioners (GPs) to support each other and help patients get the best care, from the right person at the right time, without having to make unnecessary trips to hospital. More than half of clinical commissioning groups (CCGs) have already implemented some form of clinical peer review system and the NHS England guidance will help ensure best practice is shared to the remaining local commissioners.</p><p> </p><p>There is flexibility in how local CCGs and their GPs implement prospective internal clinical peer review, but it should see GPs reviewing each other’s new referrals to provide constructive feedback in a safe learning environment. Delivering prospective internal peer review will help ensure that all patients get access to the optimum care pathway. It should not be established as an approval process and the referring GP retains responsibility for the patient and makes the final decision.</p> answering member printed Lord O'Shaughnessy question first answered 21/09/2017 12:09:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1892 label Biography information for Lord McColl of Dulwich

760026

registered interest
date	13/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Judicial Review
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many legal cases have been filed against the Department of Health about public health matters in each of the last five years; and how many are currently in progress.
tabling member printed	Lord McColl of Dulwich
uin	HL1582
answer	answer is ministerial correction date of answer 21/09/2017 answer text <p>The Department and the Government Legal Department do not categorise cases as specifically relating to ‘public health’. According to Government Legal Department records, the approximate total number of judicial review cases brought against the Department in each of the last five years is shown in the following table. 42 cases are recorded as active as of 15 September 2017.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of cases brought</p></td></tr><tr><td><p>2012/13</p></td><td><p>26</p></td></tr><tr><td><p>2013/14</p></td><td><p>16</p></td></tr><tr><td><p>2014/15</p></td><td><p>22</p></td></tr><tr><td><p>2015/16</p></td><td><p>25</p></td></tr><tr><td><p>2016/17</p></td><td><p>28</p></td></tr><tr><td><p>Total</p></td><td><p>117</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Data from the Government Legal Department.</p> answering member printed Lord O'Shaughnessy question first answered 21/09/2017 12:10:21 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1892 label Biography information for Lord McColl of Dulwich

759586

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have established the cross-agency expert group on viral hepatitis to provide strategic direction and advice around hepatitis C and other viral hepatitis, as announced in March.
tabling member printed	Baroness Randerson
uin	HL1556
answer	answer is ministerial correction date of answer 20/09/2017 answer text <p>With the support of the Department and the Chief Medical Officer, Public Health England (PHE) has established a national cross-agency expert group, the National Strategic Group on Viral Hepatitis, to provide strategic direction and advice around all types of viral hepatitis, including hepatitis C. It will provide advice to PHE, the Department, NHS England and to the wider health system. The new group is committed to working towards the World Health Organization goal to eliminate viral hepatitis as a major public health threat and brings together partner organisations to improve health services, minimise the number of new infections and reduce the health consequences of viral hepatitis for people in England. A priority is addressing the cross-system operational barriers in case finding and treatment capacity.</p> answering member printed Lord O'Shaughnessy question first answered 20/09/2017 13:22:49 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4230 label Biography information for Baroness Randerson

759716

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Anorexia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many diagnosed cases of anorexia there have been among people aged under 30 in the last three years.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	10053
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The information requested is shown in the table.</p><p> </p><p>Count of finished admission episodes (FAEs)<sup>1</sup> with a primary diagnosis<sup>2</sup> of anorexia<sup>3</sup> , where the patient age was under 30 years, 2013-14 to 2015-16.</p><p> </p><table><tbody><tr><td colspan="2"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Year</p></td><td><p>FAEs</p></td></tr><tr><td><p>2013-14</p></td><td><p>1,854</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,832</p></td></tr><tr><td><p>2015-16</p></td><td><p>1,803</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><sup>1</sup>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><p><sup>2</sup>Primary diagnosis</p><p>The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p><sup>3</sup> International Classification of Diseases ICD-10 Codes</p><p>The following ICD-10 codes classify anorexia:</p><p>F50.0 Anorexia nervosa</p><p>F50.1 Atypical anorexia nervosa</p><p> </p><p>Source: HES, NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/10/2017 11:13:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1409 label Biography information for Mr Gregory Campbell

759717

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
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 5 September 2017 to Question 6776, what steps his Department will take to include the recommendations of the national neonatal review due to publish its initial report in September 2017 for consultation in the Local Maternity System Plans which must be in place by October 2017; and what the timetable is for incorporating those recommendations in the period between publication of that review and the putting in place of those plans.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	10021
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Neonatal Critical Care Review has this month, set out initial themes and recommendations supported by detailed data packs at Neonatal Care level and Local Maternity Systems level. The Local Maternity System Plans are being incorporated into local planning arrangements.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:53:38 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

759718

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Primary Health Care
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 effectiveness of the commissioning process for primary medical care services under circumstances where no prospective providers come forward.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	10064
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>NHS England has a statutory responsibility to ensure that all patients have access to high-quality primary medical care services and enters into contractual arrangements with a range of general practitioner providers to secure those services for the population of England.</p><p> </p><p>The commissioning process to secure services includes, where necessary, approaches to stimulate the provider market. These include engaging with patients and the public, and hosting provider events, working with professional representative groups and other key stakeholders. Options available to commissioners include:</p><p> </p><p>- Procurement through an Alternative Provider Medical Services contract, which allow the widest range of providers to bid for delivery;</p><p> </p><p>- Re-procurement through General Medical Services or Personal Medical Services contracts, which are contracts that can only be held by general practitioners or wider members of the National Health Service family; and</p><p> </p><p>- List dispersal in the case of generally small practices where there is reasonable provision from neighbouring practices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/10/2017 11:07:42 answering member 4067 label Biography information for Steve Brine
tabling member	4449 label Biography information for Anna Turley

759720

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Procurement
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 13 July 2017 to Question 3138, if he will publish the constituent costs which make up the sum referred to as the forecast costs for the set-up of the new NHS Intelligent Client Coordinator body.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10085
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The constituent activities underpinning the forecast cost for the setup of the new NHS Intelligent Client Coordinator body can be categorised into Design, Build, and Support (time limited) activities. As one provider has been selected to undertake these activities through a competitive process, the associated costs are commercially sensitive and therefore cannot be publicly disclosed.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:57:50 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

759722

registered interest
date	12/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
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 12 July 2017 to Question 2509, on health services: reciprocal arrangements, if he will provide the data referred to for 2016-17.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	10089
answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The figures for the United Kingdom’s claims against European Economic Area (EEA) member states and Switzerland for medical costs for 2016/17 are attached.</p><p> </p><p>As stated in the response to Question 2509, under European Union Regulations, other European Economic Area (EEA) countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law. This includes UK nationals insured in another EEA country or Switzerland. In the same way, the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under EU law, irrespective of nationality.</p><p> </p><p>The European Health Insurance Card (EHIC) will cover any necessary treatment – including pre-existing medical conditions and routine maternity care - until the holder returns home.</p><p> </p><p>It is not possible to separate out claims to other EEA countries from the UK solely linked to EHIC usage. Claims by, and to, the UK for treatment relating to EHICs, are included in a larger category which also includes pre-authorised planned treatments and coverage for posted and frontier workers. It should be noted that Member States, including the UK, can submit claims up to 18 months in arrears so claims for any 12 month period do not necessarily reflect treatment provided in that period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:15:50 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ10089 attached table.xlsx title PQ10089 attached table
tabling member	4418 label Biography information for Justin Madders

759723

registered interest
date	12/09/2017
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 abortion-related complications have occurred at clinics run by (a) the British Pregnancy Advisory Service and (b) Marie Stopes International in each year from July 2015 to July 2017.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	10119
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The number of abortions with complications, by provider, for England and Wales residents from July 2015 to December 2016 is set out in the following table:</p><p> </p><table><tbody><tr><td colspan="3"><p>Number of procedures with a complication</p></td></tr><tr><td><p>July 2015 to June 2016</p></td><td><p>July 2016 to December 2016</p></td><td><p>Total: July 2015 to December 2016</p></td></tr><tr><td><p>British Pregnancy Advisory Service</p></td><td><p>3</p></td><td><p>1</p></td><td><p>4</p></td></tr><tr><td><p>Marie Stopes International</p></td><td><p>5</p></td><td><p>12</p></td><td><p>17</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>Complications include haemorrhage, uterine perforation and/or sepsis and are those reported up to the time of discharge from the place of termination.</p><p>Data is not available for 2017.</p><p> </p><p>The number of abortions, by provider, for England and Wales residents from 2011 to 2016 is set out below:</p><p> </p><table><tbody><tr><td><p>British Pregnancy Advisory Service</p></td><td><p>Marie Stopes International</p></td></tr><tr><td><p>2011</p></td><td><p>53,028</p></td><td><p>54,105</p></td></tr><tr><td><p>2012 <sup>1</sup></p></td><td><p>55,522</p></td><td><p>54,982</p></td></tr><tr><td><p>2013</p></td><td><p>55,261</p></td><td><p>57,542</p></td></tr><tr><td><p>2014</p></td><td><p>56,847</p></td><td><p>57,633</p></td></tr><tr><td><p>2015</p></td><td><p>57,699</p></td><td><p>60,670</p></td></tr><tr><td><p>2016</p></td><td><p>60,896</p></td><td><p>59,685</p></td></tr></tbody></table><p> </p><p>Note:</p><p><sup>1</sup> Figures for 2012 have been estimated, due to missing clinic information.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10120 question first answered 09/10/2017 11:05:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

759724

registered interest
date	12/09/2017
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 abortions (a) Marie Stopes International and (b) the British Pregnancy Advisory Service carried out in each year from 2011 to 2016.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	10120
answer	answer is ministerial correction date of answer 09/10/2017 answer text <p>The number of abortions with complications, by provider, for England and Wales residents from July 2015 to December 2016 is set out in the following table:</p><p> </p><table><tbody><tr><td colspan="3"><p>Number of procedures with a complication</p></td></tr><tr><td><p>July 2015 to June 2016</p></td><td><p>July 2016 to December 2016</p></td><td><p>Total: July 2015 to December 2016</p></td></tr><tr><td><p>British Pregnancy Advisory Service</p></td><td><p>3</p></td><td><p>1</p></td><td><p>4</p></td></tr><tr><td><p>Marie Stopes International</p></td><td><p>5</p></td><td><p>12</p></td><td><p>17</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>Complications include haemorrhage, uterine perforation and/or sepsis and are those reported up to the time of discharge from the place of termination.</p><p>Data is not available for 2017.</p><p> </p><p>The number of abortions, by provider, for England and Wales residents from 2011 to 2016 is set out below:</p><p> </p><table><tbody><tr><td><p>British Pregnancy Advisory Service</p></td><td><p>Marie Stopes International</p></td></tr><tr><td><p>2011</p></td><td><p>53,028</p></td><td><p>54,105</p></td></tr><tr><td><p>2012 <sup>1</sup></p></td><td><p>55,522</p></td><td><p>54,982</p></td></tr><tr><td><p>2013</p></td><td><p>55,261</p></td><td><p>57,542</p></td></tr><tr><td><p>2014</p></td><td><p>56,847</p></td><td><p>57,633</p></td></tr><tr><td><p>2015</p></td><td><p>57,699</p></td><td><p>60,670</p></td></tr><tr><td><p>2016</p></td><td><p>60,896</p></td><td><p>59,685</p></td></tr></tbody></table><p> </p><p>Note:</p><p><sup>1</sup> Figures for 2012 have been estimated, due to missing clinic information.</p><p> </p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10119 question first answered 09/10/2017 11:05:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce