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891313

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Social Services: Hemsworth
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the adequacy of social care capacity in the Hemsworth constituency.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	137913
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>Commissioning social care is a matter for local authorities who are best placed to understand the needs of local people and communities, and how best to meet them. This includes understanding local needs for residential and nursing care home beds. For this reason, the Care Act 2014 placed duties on local authorities to shape their local markets so that there is an adequate supply of provision which ensures all adult social care service users have a choice of high quality services.</p><p> </p><p>Hemsworth constituency is in Wakefield local authority. Wakefield’s number of care home beds has been stable at around 2,800 over the past five years, whilst its number of domiciliary care agencies has grown by around 25%.</p><p> </p><p>The Government has given councils access to up to £9.4 billion more dedicated funding for social care over three years. The action we have taken means that overall, councils are able to increase spending on adult social care in real terms for each of the three years from 2017/18.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/05/2018 14:18:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	410 label Biography information for Jon Trickett

891452

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Department of Health and Social Care: Diaries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many page views there were of his Department's Ministerial diaries in each of the last 12 months.
tabling member constituency	Hemsworth
tabling member printed	Jon Trickett
uin	137923
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>Between 30 June 2017 and 29 April 2018, the Department’s data on external Ministerial meetings on Gov.uk was viewed on 802 occasions.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/05/2018 11:52:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	410 label Biography information for Jon Trickett

891463

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what targets have for the 2018-19 mandate to NHS England to increase the proportion of people identified as likely to be in their last year of life.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	138089
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>In the 2017-18 Mandate to NHS England we asked for the identification of metrics to assess quality and choice in end of life care. As a result, we will shortly have in place a new indicator to measure the proportion of people with three or more emergency admissions in their final 90 days of life, which will help us assess how well patients with end of life care needs are being supported by local health and care services out of hospital and in the community. The 2017-18 objective was met and therefore did not feature in the 2018-19 Mandate.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period. Further work will also be undertaken to develop indicators that will enable NHS England to scrutinise the effectiveness of local health economies in delivering choice and quality in end of life care.</p><p> </p><p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p> </p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 138090 138091 138092 question first answered 01/05/2018 14:23:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4598 label Biography information for Mohammad Yasin

891467

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has made on the commitment in the mandate to NHS England for 2017-18 to identify metrics to assess quality and choice in end of life care.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	138090
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>In the 2017-18 Mandate to NHS England we asked for the identification of metrics to assess quality and choice in end of life care. As a result, we will shortly have in place a new indicator to measure the proportion of people with three or more emergency admissions in their final 90 days of life, which will help us assess how well patients with end of life care needs are being supported by local health and care services out of hospital and in the community. The 2017-18 objective was met and therefore did not feature in the 2018-19 Mandate.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period. Further work will also be undertaken to develop indicators that will enable NHS England to scrutinise the effectiveness of local health economies in delivering choice and quality in end of life care.</p><p> </p><p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p> </p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 138089 138091 138092 question first answered 01/05/2018 14:23:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4598 label Biography information for Mohammad Yasin

891469

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason the commitment to identify metrics to assess quality and choice in end of life care in the Government's mandate to NHS England for 2017-18 was not included in the Government's mandate to NHS England for 2018-19.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	138091
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>In the 2017-18 Mandate to NHS England we asked for the identification of metrics to assess quality and choice in end of life care. As a result, we will shortly have in place a new indicator to measure the proportion of people with three or more emergency admissions in their final 90 days of life, which will help us assess how well patients with end of life care needs are being supported by local health and care services out of hospital and in the community. The 2017-18 objective was met and therefore did not feature in the 2018-19 Mandate.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period. Further work will also be undertaken to develop indicators that will enable NHS England to scrutinise the effectiveness of local health economies in delivering choice and quality in end of life care.</p><p> </p><p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p> </p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 138089 138090 138092 question first answered 01/05/2018 14:23:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4598 label Biography information for Mohammad Yasin

891472

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	National Survey of Bereaved People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, for what reason the National Survey of Bereaved people was discontinued; and whether he has plans to collect that data by a different method.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	138092
answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>In the 2017-18 Mandate to NHS England we asked for the identification of metrics to assess quality and choice in end of life care. As a result, we will shortly have in place a new indicator to measure the proportion of people with three or more emergency admissions in their final 90 days of life, which will help us assess how well patients with end of life care needs are being supported by local health and care services out of hospital and in the community. The 2017-18 objective was met and therefore did not feature in the 2018-19 Mandate.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period. Further work will also be undertaken to develop indicators that will enable NHS England to scrutinise the effectiveness of local health economies in delivering choice and quality in end of life care.</p><p> </p><p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p> </p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 138089 138090 138091 question first answered 01/05/2018 14:23:22 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4598 label Biography information for Mohammad Yasin

891516

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
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 and Social Care, what steps his Department is taking to monitor the performance of clinical commissioning groups by incorporating patient experience and perspective for NHS Continuing Health Care.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	138015
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>Clinical commissioning groups (CCGs) have a responsibility to engage with their local populations and seek patient views.</p><p> </p><p>NHS England has assurance mechanisms in place to understand CCG compliance with the National Framework for NHS Continuing Healthcare. NHS Continuing Healthcare has been part of mainstream assurance processes since 2016/17 by being included in the CCG Improvement and Assessment Framework. NHS England local teams use an assurance tool, Continuing Healthcare Assurance Tool, to assess CCGs’ compliance with the NHS England Operating Model for NHS Continuing Healthcare. NHS England is collecting benchmarking data at the CCG level on requests for local resolution for NHS Continuing Healthcare.</p><p> </p><p>More broadly, the work of NHS England is focused on delivering better health services for our patients and the public and it is essential that this is based on a good understanding of what is important to them. NHS England and CCGs have legal duties as to public involvement and consultation in provision of health services and NHS England recently refreshed its statutory guidance for CCGs regarding patient and public participation, in consultation with local Healthwatch organisations. This guidance can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/05/patient-and-public-participation-guidance.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/05/patient-and-public-participation-guidance.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:42:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

891517

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to include a public consultation in his Department's review of the Decision Support Tool for NHS Continuing Health Care, published in March 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	138016
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The updated National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care and associated assessment tools, including the NHS Continuing Healthcare Decision Support Tool, was published on 1 March 2018, and will be implemented on 1 October 2018.</p><p> </p><p>This update to the National Framework followed an extensive period of external engagement with stakeholders, across the National Health Service, local authorities, and patient representative groups.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:43:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

891518

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Spinal Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 April 2018 to Question 136434 on spinal injuries, what steps his Department is taking to submit the fully costed breakdown of the £855 million in efficiency savings from the NHS Continuing Health Care budget as recommended in paragraph 5 of the 13th Report of the Public Accounts Committee, NHS Continuing Healthcare Funding, HC 455, published on 17 January 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	138017
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The Government published its response to the Public Accounts Committee January 2018 report and recommendations on NHS Continuing Healthcare Funding in March 2018.</p><p> </p><p>Continuing Healthcare expenditure (after efficiencies) is forecast to increase over the period to 2020/21, and the identified efficiency opportunity is not predicated on changes to the National Framework in respect of eligibility or on limiting the care packages available.</p><p> </p><p>How any efficiency is delivered in practice will be determined by clinical commissioning groups (CCGs) locally, consistent with their statutory duties and national guidance in respect of access to Continuing Healthcare. National modelling based on variations in Continuing Healthcare expenditure and practice suggests the following notional efficiency opportunities in 2020/21, amounting to circa £855 million, which it is anticipated will inform local commissioning decisions:</p><p> </p><p>- NHS England working with the Department to provide clarity around the National Framework and improving the way CCGs deliver the National Framework. This includes interventions such as improved data and benchmarking information and reducing the number of Continuing Healthcare assessments in an acute hospital setting – (circa £361 million);</p><p>- Improving the commissioning of care packages – (circa £122 million);</p><p>- Improving Continuing Healthcare processes including the supporting of staff with training and development – (circa £79 million); and</p><p>- CCGs locally delivered improvement initiatives – (circa £293 million).</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:38:07 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

891519

registered interest
date	25/04/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of external agencies running care packages for those receiving NHS Continuing Health Care on a) the standard of care provided and (b) the consideration of the patient's needs.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	138018
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>Clinical commissioning groups (CCGs) are the organisation responsible for commissioning care, based on an individual’s assessed needs and providing assurance at a local level that the quality of care meets those needs. Furthermore the Care Quality Commission also has a responsibility for setting the standards for registration and taking appropriate actions if standards are not maintained.</p><p> </p><p>NHS England has a responsibility to assure compliance with the National Framework for NHS Continuing Healthcare, and have assurance mechanisms in place. NHS Continuing Health Care has been part of mainstream assurance processes since 2016/17 by being included in the CCG Improvement and Assessment Framework. NHS England local teams use an assurance tool, Continuing Healthcare Assurance Tool, to assess CCGs’ compliance with the NHS England Operating Model for NHS Continuing Healthcare.</p><p> </p><p>NHS England is working closely with the CCGs to ensure standardisation of the Continuing Healthcare processes which includes the development of tools to support effective commissioning.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/04/2018 15:35:33 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron