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750163

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Repairs and Maintenance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has carried out to ensure that the proposed £1,000 financial assistance offered to GP practices which accept the full repairing lease contract will be sufficient to cover the legal and survey work associated with those leases.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4033
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4036 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750164

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Finance
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 review the Carr-Hill funding formula for GP practices with atypical populations.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4034
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England recognises that atypical practices with a significantly skewed patient population will not necessarily have their workload reflected through the Carr-Hill Formula. It is for this reason that NHS England is exploring the additional demands on atypical practices, testing out in the first instance, the experiences of practices that serve university populations, practices with significant number of non-English speaking patients, and practices operating within remote or isolated areas.</p><p> </p><p>Commissioner guidance was published in December 2016 and further analysis of the workload implications is being undertaken.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/07/2017 11:47:14 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750165

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Service Charges
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 effect of increased service charges on GP surgeries which lease their buildings from NHS Property Services.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4035
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England confirmed the introduction of the market rent model, applying the property sector’s standard method of charging, to the National Health Service in January 2016. It was part of a long-planned move across the public sector to improve utilisation and value for money in property occupancy by putting publicly-owned property on a level with privately-owned alternatives.</p><p> </p><p>The Department agrees that understanding the real cost of running public service buildings has benefits for tenants and the wider NHS:</p><p> </p><p>- It helps the NHS understand the true cost of occupation and reflect these transparently;</p><p>- It informs decisions about the best location for services and investment; and</p><p>- It drives better and more efficient use of space.</p><p>Customer invoices should be based on accurate property information. This includes the precise amount of space used, as well as reflecting an assessment of the facilities provided for that space, e.g. cleaning, reception services and maintenance. This data was not always available in predecessor Primary Care Trust or Strategic Health Authority records.</p><p>NHS Property Services owns only a small proportion of general practitioner (GP) surgeries in England and its approach is consistent with the way those with private sector landlords are treated. The company has endeavoured to improve the quality of its property data and to negotiate and agree lease terms with customers, providing them with the assurance they require. Transparently agreeing precise occupancy details is one reason why some GPs, are</p><p>seeing their costs increase, while others have seen a reduction. NHS Property Services recognises a requirement from its customers to explain any billing changes fully and accurately. It shares their wish to make invoicing totally transparent and is focussed on this quality improvement work.</p><p> </p><p>Within the Premises Cost Direction 2013 under sections 46 and 47 there is the facility for the GP to apply to NHS England for transitional funding related to large increases to service charges.</p><p> </p><p>It is only by improved understanding of the true costs that better informed decisions about the best location for NHS services can be made, as well as also encouraging the most efficient use of NHS space – both of which are important elements of securing best value for taxpayers from the health service estate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:44:17 answering member 1542 label Biography information for Philip Dunne
tabling member	4433 label Biography information for Thangam Debbonaire

750166

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Repairs and Maintenance
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 effect on GP funding of the proposed full repairing leases offered to GP surgeries.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4036
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4033 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750167

registered interest
date	10/07/2017
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, what discussions he has had with the leaders of the (a) review of neonatal services and (b) Maternity Transformation Programme to ensure that their work plans are co-ordinated to ensure continuity of care for mothers whose babies are admitted to neonatal care.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4054
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health has not met with leaders of the Maternity Transformation Programme (MTP) or neonatal review to discuss continuity of care in neonatal services. The neonatal review, conducted by NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group, reports progress of the review into neonatal services to the MTP Board, as the review forms part of the overall MTP.</p><p> </p><p>The review focuses on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles. The findings of the neonatal review will inform the development and delivery of Local Maternity Plans, with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:28:05 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

750168

registered interest
date	10/07/2017
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, what the remit is of the review of neonatal services; and whether that remit includes the tariff for (a) neonatal and (b) transitional care.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4053
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>Better Births, the report of the National Maternity Review, recommended that a dedicated review of neonatal services should be taken forward, in light of its findings and their potential implications for the provision of neonatal care. Within that context, NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group are undertaking a review of neonatal services under the auspices of the Maternity Transformation Programme. The review is focusing on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles.</p><p> </p><p>The findings will inform the development and delivery of Local Maternity System Plans with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p><p> </p><p>The neonatal service review has a number of work streams including a pricing work stream. This involves the development of a pricing model to support the baby across the whole care pathway including transitional care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 4055 question first answered 13/07/2017 09:16:01 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

750171

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to publish the (a) consultation on improving social care and (b) green paper on social care funding.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	3910
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Government will work to address the challenges of social care for our ageing population, bringing forward proposals for consultation to build widespread support. We are committed to listening to people’s views on how to reform the social care system, to ensure it is sustainable for current and future generations and that the quality of care improves.</p><p> </p><p>We will provide further details on the next steps on social care in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/07/2017 09:17:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	304 label Biography information for Mr Roger Godsiff

750172

registered interest
date	10/07/2017
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, to what extent the Maternity Transformation Programme is considering the tariff for transitional care as part of its review of the maternity tariff.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4055
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>Better Births, the report of the National Maternity Review, recommended that a dedicated review of neonatal services should be taken forward, in light of its findings and their potential implications for the provision of neonatal care. Within that context, NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group are undertaking a review of neonatal services under the auspices of the Maternity Transformation Programme. The review is focusing on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles.</p><p> </p><p>The findings will inform the development and delivery of Local Maternity System Plans with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p><p> </p><p>The neonatal service review has a number of work streams including a pricing work stream. This involves the development of a pricing model to support the baby across the whole care pathway including transitional care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 4053 question first answered 13/07/2017 09:16:01 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

750173

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Severe Combined Immunodeficiency
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to introduce mandatory screening for severe combined immunodeficiency disorder at birth.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	3908
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The UK National Screening Committee (UK NSC) reviewed the evidence for screening for severe combined immunodeficiency disorder at its 23 June 2017 meeting. The screening recommendation for this and other conditions discussed at the meeting will be published six weeks after the meeting and will be available on the UK NSC’s website.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 11:59:32 answering member 1542 label Biography information for Philip Dunne
tabling member	4036 label Biography information for Luciana Berger

750174

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to (a) publicise adolescent mental health issues on the internet and (b) support the prevention of adolescent mental health issues arising from social media.
tabling member constituency	Cheltenham
tabling member printed	Alex Chalk
uin	3922
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The Government works with the online sector and other stakeholders to address the impact of potentially harmful content online given that online harms can have a negative effect on individual's mental health.</p><p>The Department has invested:</p><p>- £3 million in MindEd, an online training platform for professionals working with children and young people to recognise when a child needs mental health support; and</p><p>- £12 million between 2016-20 in Time to Change to challenge mental health stigma, which has reached 750,000 children and young people through social marketing campaigns and improved attitudes of over 4.1 million people in England.</p><p>Public Health England has also launched Rise Above, a website to build emotional resilience in young people to help deal with the pressures of growing up, including mental health.</p><p>The Government expect websites, including social media companies, to respond quickly to reports of harmful content/abusive behaviour on their networks.</p><p>The joint Department of Health and Department of Education Green Paper on children and young people’s mental health will consider action to minimise the risks social media poses, whilst maximising its benefits. Work has started on the Department of Digital, Culture, Media and Sport led cross-Government internet safety strategy which will give us the opportunity to consider issues of online safety for children and young people. We are considering how this will be taken forward under the Digital Charter.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/07/2017 13:37:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4481 label Biography information for Alex Chalk