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714539

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much funding was allocated by the Government to pharmacies in each year from 1997-98 to 2016-17.
tabling member constituency	Barnsley East
tabling member printed	Michael Dugher
uin	69455
answer	answer is ministerial correction date of answer 05/04/2017 answer text <p>The current community pharmacy contractual framework and system of payments dates from 2005/06, with remuneration under those arrangements set out in the table below:</p><table><tbody><tr><td><p>Financial year</p></td><td><p>Remuneration budget (£ billion)</p></td></tr><tr><td><p>2005/06</p></td><td><p>1.8</p></td></tr><tr><td><p>2006/07</p></td><td><p>1.9</p></td></tr><tr><td><p>2007/08</p></td><td><p>1.9</p></td></tr><tr><td><p>2008/09</p></td><td><p>2.2</p></td></tr><tr><td><p>2009/10</p></td><td><p>2.5</p></td></tr><tr><td><p>2010/11</p></td><td><p>2.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>2.5</p></td></tr><tr><td><p>2012/13</p></td><td><p>2.5</p></td></tr><tr><td><p>2013/14</p></td><td><p>2.8</p></td></tr><tr><td><p>2014/15</p></td><td><p>2.8</p></td></tr><tr><td><p>2015/16</p></td><td><p>2.8</p></td></tr><tr><td><p>2016/17</p></td><td><p>2.7</p></td></tr></tbody></table><p> </p><p>The budget figures in the table only cover essential and advanced services, as commissioned centrally under the community pharmacy contractual framework. Community pharmacies are also commissioned locally to provide services, originally by primary care trusts and more recently by NHS England, clinical commissioning groups and local authorities. Information on the level of funding received by community pharmacies for those locally commissioned services is not held centrally.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 05/04/2017 10:21:25 answering member 4080 label Biography information for David Mowat
tabling member	3916 label Biography information for Michael Dugher

714543

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assurance process has been in place since clinical commissioning groups were established to ensure good governance and probity; and what assessment he has made of the effectiveness of those arrangements in the Liverpool area.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	69446
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>NHS England has a statutory duty to conduct an annual performance assessment of every clinical commissioning group (CCG). From 2013-16 this was through the CCG assurance framework. From 2016 this was replaced by the CCG improvement and assessment framework. These frameworks assessed whether CCGs had good governance arrangements.</p><p> </p><p>Liverpool CCG was rated good in the 2015-16 CCG assurance annual assessment. No probity issues have been raised for Liverpool CCG. It has received unqualified opinions in respect of probity and value for money from its external auditors each year.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 04/04/2017 13:08:44 answering member 4080 label Biography information for David Mowat
tabling member	1538 label Biography information for Rosie Cooper

714544

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with NHS England on improving the way that decisions about the funding of treatments are communicated to patient groups and the public.
tabling member constituency	Alyn and Deeside
tabling member printed	Mark Tami
uin	69492
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Patients and patient groups are involved at all stages of the decision making process around the funding of specialised treatments.</p><p> </p><p>Patients are involved in the policy working groups that develop policy propositions, as well the Clinical Reference Groups and National Programmes of Care board which collectively develop policies and which both have patient and public voice members. The Clinical Priorities Advisory Group (CPAG), which makes recommendations around prioritisation, also has an independent lay chair and members. Patients and patient groups can also register as stakeholders and will then be invited to comment on draft policies during stakeholder testing and public consultation. Registered stakeholders are kept informed of progress and are notified when final decisions are made. Patient groups can request a stakeholder surgery with NHS England at any point during the policy development process to raise any issues or concerns they may have.</p><p> </p><p>NHS England ensures that all newly adopted clinical commissioning policies and service specifications are published on its website, and simultaneously cascaded via local commissioning teams to relevant providers and clinical teams. This helps to ensure that patients receive up to date advice on the availability and funding of National Health Service specialised treatments pertinent to them during their clinical consultation.</p><p> </p><p>While the minutes of CPAG are not published, the key information that it used as the basis of its recommendation made on each clinical policy in 2016 was published when the 22 clinical policies went out to public consultation. The methodology used by CPAG to group the policies into five levels has also been published, as have the final recommendations.</p><p> </p><p>The Government has laid out its plans to improve transparency in Specialised Commissioning in its Treasury Minute in response to the 10th Report of the Public Accounts Committee, Session 2016-17, HC397.</p><p>Details of its response can be found at the following address from page 53:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf</a></p><p> </p><p>The CPAG is not a decision making body – it makes recommendations to NHS England on clinical priorities. Final decisions are made by the Specialised Services Commissioning Committee and the committee's decisions are reported to the NHS England Board and published as part of the Board Papers.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 69493 69494 question first answered 04/04/2017 13:38:27 answering member 4080 label Biography information for David Mowat
tabling member	1383 label Biography information for Mark Tami

714549

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will ask NHS England to make the minutes of the (a) Clinical Priorities Advisory Group and (b) Specialised Services Commissioning Committee publicly available.
tabling member constituency	Alyn and Deeside
tabling member printed	Mark Tami
uin	69493
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Patients and patient groups are involved at all stages of the decision making process around the funding of specialised treatments.</p><p> </p><p>Patients are involved in the policy working groups that develop policy propositions, as well the Clinical Reference Groups and National Programmes of Care board which collectively develop policies and which both have patient and public voice members. The Clinical Priorities Advisory Group (CPAG), which makes recommendations around prioritisation, also has an independent lay chair and members. Patients and patient groups can also register as stakeholders and will then be invited to comment on draft policies during stakeholder testing and public consultation. Registered stakeholders are kept informed of progress and are notified when final decisions are made. Patient groups can request a stakeholder surgery with NHS England at any point during the policy development process to raise any issues or concerns they may have.</p><p> </p><p>NHS England ensures that all newly adopted clinical commissioning policies and service specifications are published on its website, and simultaneously cascaded via local commissioning teams to relevant providers and clinical teams. This helps to ensure that patients receive up to date advice on the availability and funding of National Health Service specialised treatments pertinent to them during their clinical consultation.</p><p> </p><p>While the minutes of CPAG are not published, the key information that it used as the basis of its recommendation made on each clinical policy in 2016 was published when the 22 clinical policies went out to public consultation. The methodology used by CPAG to group the policies into five levels has also been published, as have the final recommendations.</p><p> </p><p>The Government has laid out its plans to improve transparency in Specialised Commissioning in its Treasury Minute in response to the 10th Report of the Public Accounts Committee, Session 2016-17, HC397.</p><p>Details of its response can be found at the following address from page 53:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf</a></p><p> </p><p>The CPAG is not a decision making body – it makes recommendations to NHS England on clinical priorities. Final decisions are made by the Specialised Services Commissioning Committee and the committee's decisions are reported to the NHS England Board and published as part of the Board Papers.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 69492 69494 question first answered 04/04/2017 13:38:27 answering member 4080 label Biography information for David Mowat
tabling member	1383 label Biography information for Mark Tami

714550

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Disclosure of Information
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he will take to improve the transparency of decisions made by (a) NHS England, (b) the Clinical Priorities Advisory Group and (c) the Specialised Services Commissioning Committee.
tabling member constituency	Alyn and Deeside
tabling member printed	Mark Tami
uin	69494
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Patients and patient groups are involved at all stages of the decision making process around the funding of specialised treatments.</p><p> </p><p>Patients are involved in the policy working groups that develop policy propositions, as well the Clinical Reference Groups and National Programmes of Care board which collectively develop policies and which both have patient and public voice members. The Clinical Priorities Advisory Group (CPAG), which makes recommendations around prioritisation, also has an independent lay chair and members. Patients and patient groups can also register as stakeholders and will then be invited to comment on draft policies during stakeholder testing and public consultation. Registered stakeholders are kept informed of progress and are notified when final decisions are made. Patient groups can request a stakeholder surgery with NHS England at any point during the policy development process to raise any issues or concerns they may have.</p><p> </p><p>NHS England ensures that all newly adopted clinical commissioning policies and service specifications are published on its website, and simultaneously cascaded via local commissioning teams to relevant providers and clinical teams. This helps to ensure that patients receive up to date advice on the availability and funding of National Health Service specialised treatments pertinent to them during their clinical consultation.</p><p> </p><p>While the minutes of CPAG are not published, the key information that it used as the basis of its recommendation made on each clinical policy in 2016 was published when the 22 clinical policies went out to public consultation. The methodology used by CPAG to group the policies into five levels has also been published, as have the final recommendations.</p><p> </p><p>The Government has laid out its plans to improve transparency in Specialised Commissioning in its Treasury Minute in response to the 10th Report of the Public Accounts Committee, Session 2016-17, HC397.</p><p>Details of its response can be found at the following address from page 53:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/565426/57448_Cm_9351_Treasury_Minutes_Accessible.pdf</a></p><p> </p><p>The CPAG is not a decision making body – it makes recommendations to NHS England on clinical priorities. Final decisions are made by the Specialised Services Commissioning Committee and the committee's decisions are reported to the NHS England Board and published as part of the Board Papers.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 69492 69493 question first answered 04/04/2017 13:38:27 answering member 4080 label Biography information for David Mowat
tabling member	1383 label Biography information for Mark Tami

714556

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Beds
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital bed days were lost in (a) Barnsley, (b) South Yorkshire and (c) the UK as a result of delays in discharging patients each year from 2010 to 2016.
tabling member constituency	Barnsley East
tabling member printed	Michael Dugher
uin	69375
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Data are collected on the total delayed days during each month for all patients delayed throughout the month. The total number of delayed days in each year between 2011/12 (the first full year for which data are available) and 2015/16, for Barnsley, South Yorkshire and England are shown in the table below. As health is a devolved issue, the number of delayed days in Scotland, Wales and Northern Ireland are not collected by NHS England.</p><p> </p><p><strong> </strong></p><p>Total number of delayed days in Barnsley, South Yorkshire and England</p><table><tbody><tr><td><p> </p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>Barnsley Local Authority</p></td><td><p>1,053</p></td><td><p>992</p></td><td><p>1,104</p></td><td><p>1,060</p></td><td><p>1,568</p></td></tr><tr><td><p>South Yorkshire<sup>1</sup></p></td><td><p>23,243</p></td><td><p>12,465</p></td><td><p>34,521</p></td><td><p>37,362</p></td><td><p>35,959</p></td></tr><tr><td><p>England</p></td><td><p>1,373,392</p></td><td><p>1,380,475</p></td><td><p>1,413,591</p></td><td><p>1,624,977</p></td><td><p>1,809,883</p></td></tr></tbody></table><p><strong> </strong></p><p>Source: NHS England, Delayed Transfers of Care Data</p><p> </p><p>Notes:</p><p><sup>1</sup>South Yorkshire includes Barnsley, Sheffield, Rotherham and Doncaster Local Authorities.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 04/04/2017 13:48:03 answering member 4080 label Biography information for David Mowat
tabling member	3916 label Biography information for Michael Dugher

714557

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Reorganisation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what meetings he has had with officials of his Department regarding the effect of sustainability and transformation plans in areas with a shortage of doctors in the last 12 months.
tabling member constituency	Barnsley East
tabling member printed	Michael Dugher
uin	69376
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>Sustainability and Transformation Plans are locally developed plans, and it is expected that individual areas will take account of local circumstances including any workforce shortages.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 04/04/2017 13:02:21 answering member 4080 label Biography information for David Mowat
tabling member	3916 label Biography information for Michael Dugher

714558

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Reorganisation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what criteria his Department is using to assess whether NHS sustainability and transformation plans have been the result of local community consultation.
tabling member constituency	Barnsley East
tabling member printed	Michael Dugher
uin	69377
answer	answer is ministerial correction date of answer 04/04/2017 answer text <p>As set out in the NHS Shared Planning Guidance, published in December 2015, the success of Sustainability and Transformation Plans (STPs) will depend on having an open, engaging, and iterative process that involves patients, carers, citizens, clinicians, local community partners including the independent and voluntary sectors, and local government through health and wellbeing boards.</p><p> </p><p>NHS England expects local engagement as part of the STP process, building where appropriate on existing engagement through health and wellbeing boards and other local arrangements. In September 2016 it issued guidance “engaging local people” to support STPs to do this, which can be found here:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf</a></p><p> </p><p>Where plans propose service changes, formal consultation will commence shortly in line with good practice and legislative requirements.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 04/04/2017 13:17:24 answering member 4080 label Biography information for David Mowat
tabling member	3916 label Biography information for Michael Dugher

714560

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders: Stem Cells
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the NHS has made of the potential merits of the use of stem cell technology to treat damaged Achilles tendons.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	69401
answer	answer is ministerial correction date of answer 31/03/2017 answer text <p>The Government continues to support research through a range of funding agencies into the therapeutic use of stem cells. Clinical trials are currently underway in the United Kingdom to test the potential of a number of therapies for damaged tendons including the use of stem cells. Before making this type of treatment available through the National Health Service it will be necessary to demonstrate that the treatment is both safe and effective.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 31/03/2017 10:43:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4131 label Biography information for Jim Shannon

714561

registered interest
date	28/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Legal Costs
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 (a) improve administrative efficiency and (b) reduce expenditure on legal costs.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	69402
answer	answer is ministerial correction date of answer 05/04/2017 answer text <p>The Spending Review settlement for Administration costs set out a trajectory for the Department and its arm's length bodies (excluding clinical commissioning groups) to deliver a 30% real terms (25% cash terms) saving by 2019-20.</p><p> </p><p>In order to meet this challenge the Department launched a change programme in February 2016 to both reduce in size and find more efficient ways of working while continuing to deliver on our priorities. As well as undertaking a restructuring exercise to reduce the number of permanent staff the change programme also includes projects to improve internal business processes, improvements in the use of technology to enable staff to work flexibly and the co-location of all London based staff in a single building.</p><p> </p><p>The Department’s arm’s length bodies have been allocated savings targets for administration costs across the Spending Review period and are working within their organisations to deliver these efficiencies.</p><p> </p><p>The Department calls on the Government Legal Department for almost all of its requirements for legal services. It currently has a budget of around £10 million which is set at the beginning of each financial year based on business planning for the work it expects to undertake in the year ahead. This process entails careful consideration as to the most effective use of this of this resource, bearing in mind the need to make efficiencies in line with the spending review targets set by HM Treasury.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 05/04/2017 10:16:10 answering member 4080 label Biography information for David Mowat
tabling member	4131 label Biography information for Jim Shannon