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1127468

registered interest
date	20/05/2019
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	Health Professions: Recruitment
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 he is taking to increase the number of (a) school nurses and (b) health visitors.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	256319
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>From April 2013, local authorities have been responsible for public health locally, including commissioning public health services for school aged children in their areas. In October 2015 responsibility for zero to five commissioning was also transferred to local authorities.</p><p>It is therefore for local authorities to assess the health needs of their populations and commission the appropriate health visiting and school nursing services and workforce, based around local needs.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/05/2019 16:45:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1127486

registered interest
date	20/05/2019
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: Brexit
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 officials in his Department have been seconded away from their normal duties to work on the UK's withdrawal from the EU; and what effect that secondment of staff has had on the effectiveness of his Department.
tabling member constituency	Tottenham
tabling member printed	Mr David Lammy
uin	256204
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>The number of individuals who have been transferred or seconded to work in preparations for the United Kingdom to leave the European Union in other Government departments is not recorded.</p><p>Across the Department, staff are working on a range of policy areas related to EU Exit. Communications, analytical and legal staff also provide advice as required. Staff may have been redistributed within their directorates to support or undertake work which involves preparations for EU Exit. Officials may also have reprioritised their work to include EU Exit work, whilst remaining in their primary roles.</p><p>The Department is continually reviewing workforce plans, reprioritising and assessing changing needs, including identification and cessation of non-priority work where appropriate. The Civil Service as a whole is working to ensure that EU Exit implementation is carried out to a high standard, without impacting public service delivery across the whole of Government.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/05/2019 13:40:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	206 label Biography information for Mr David Lammy

1127499

registered interest
date	20/05/2019
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	Nusinersen
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has held with (a) NICE, (b) NHS England and (c) Biogen on a Managed Access Agreement for SMA treatment Spinraza.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256254
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256255 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1127500

registered interest
date	20/05/2019
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 Institute for Health and Care Excellence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when NICE will publish the outcome of the NICE Evaluation Committee meeting held on 6 March 2019.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	256255
answer	answer is ministerial correction date of answer 29/05/2019 answer text <p>Discussions about managed access agreements for technologies undergoing assessment by the National Institute for Health and Care Excellence (NICE) are rightly held between NHS England as an independent body and the manufacturer concerned. Departmental officials play no role in such discussions, but are in regular contact with NICE and NHS England colleagues about a range of issues, including progress in discussions about a potential managed access agreement for Spinraza (nusinersen) for the treatment of spinal muscular atrophy. Ministers have also held meetings with Biogen, NICE and NHS England on a number of occasions, at which the availability of Spinraza was discussed.</p><p> </p><p>NHS England and NICE have made stakeholders and the public aware of the outcome of its appraisal committee meeting of 8 May and NICE is now able to recommend the use of Spinraza for NHS patients in England, subject to a managed access agreement agreed between NHS England and Biogen which makes Spinraza available to children with the most severe form of spinal muscular atrophy available with immediate effect. NICE’s Appraisal Committee’s considerations and recommendations will be contained in the final appraisal document which will be published in due course, with final guidance expected in June 2019.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 256254 question first answered 29/05/2019 10:38:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	1538 label Biography information for Rosie Cooper

1127515

registered interest
date	20/05/2019
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	Pathology: Vacancies
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 he is taking to tackle the shortage of pathologists that can carry out post-mortem examinations for coroners.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	256258
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Most post-mortem examinations are carried out by pathologists who specialise in histopathology. However, post-mortems are not a requirement of the Certificate of Completion of Training in histopathology, therefore, the number of histopathologists who are qualified to carry out post-mortem examinations for coroners is not held centrally.</p><p>Overall, in January 2019, there were 1,206 full time equivalent (FTE) consultant histopathologists in the National Health Service in England. This represents a 10% (119 FTE) increase compared to January 2010.</p><p>Health Education England has committed to attract and retain more histopathologists by 2021 as part of its Cancer Workforce Plan for England published in December 2017. In 2019, 100% of specialist histopathology training places were filled.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256259 question first answered 23/05/2019 14:54:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4109 label Biography information for Jeremy Lefroy

1127516

registered interest
date	20/05/2019
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	Pathology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of pathologists available to conduct post-mortem examinations for coroners.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	256259
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>Most post-mortem examinations are carried out by pathologists who specialise in histopathology. However, post-mortems are not a requirement of the Certificate of Completion of Training in histopathology, therefore, the number of histopathologists who are qualified to carry out post-mortem examinations for coroners is not held centrally.</p><p>Overall, in January 2019, there were 1,206 full time equivalent (FTE) consultant histopathologists in the National Health Service in England. This represents a 10% (119 FTE) increase compared to January 2010.</p><p>Health Education England has committed to attract and retain more histopathologists by 2021 as part of its Cancer Workforce Plan for England published in December 2017. In 2019, 100% of specialist histopathology training places were filled.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256258 question first answered 23/05/2019 14:54:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4109 label Biography information for Jeremy Lefroy

1127528

registered interest
date	20/05/2019
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	Hospices: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to additional funding for children’s palliative care announced in the NHS Long-Term Plan, whether he plans to allocate additional funding to children’s hospices in England in 2019-20.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	256338
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256339 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4637 label Biography information for James Frith

1127529

registered interest
date	20/05/2019
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	Hospices: Finance
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 he is taking to ensure the financial sustainability of charitable hospices.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	256339
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding clinical commissioning groups (CCGs) who commit to increase their investment in local children’s palliative and end of life care services.</p><p> </p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCGs in children’s palliative and end of life care services. This will enable match funding payments made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p>With regards to financial sustainability of hospices, these are primarily charity-funded but receive some statutory funding from CCGS for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 256338 question first answered 23/05/2019 10:16:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4637 label Biography information for James Frith

1127539

registered interest
date	20/05/2019
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	Older People: Abuse
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 is taking steps to bring forward legislative proposals to reduce the abuse of older people in social care; and if he will make a statement.
tabling member constituency	Bridgend
tabling member printed	Mrs Madeleine Moon
uin	256269
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>The Government has no plans to bring forward legislation to reduce the abuse of older people in social care.</p><p>The Government is committed to preventing and reducing the risk of harm to people in vulnerable situations.</p><p>The Care Act 2014 statutory guidance states that local authorities should ensure that the services they commission are safe, effective and of high quality. Where it is suspected that an individual may be at risk of abuse or neglect local authorities have a duty to carry out proportionate enquiries.</p><p>Regulated providers have a key role in safeguarding adults. All professions are subject to employer checks and controls and employers in the health and care sector must satisfy themselves regarding the skills and competence of their staff and the Care Quality Commission monitors how well providers are doing this.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:21:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1490 label Biography information for Mrs Madeleine Moon

1127557

registered interest
date	20/05/2019
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: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Chancellor of the Exchequer in advance of the spending review on increasing funding for social care services.
tabling member constituency	Birmingham, Ladywood
tabling member printed	Shabana Mahmood
uin	256277
answer	answer is ministerial correction date of answer 23/05/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has regular discussions with the Chancellor of the Exchequer on a variety of issues.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2019 10:26:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3914 label Biography information for Shabana Mahmood