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825683

registered interest
date	19/01/2018
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	Wirral University Teaching Hospital NHS Foundation Trust: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients at Wirral University Teaching Hospital NHS Foundation Trust were treated in A&E within one hour of their arrival at that hospital in the most recent quarter for which data is available.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	123751
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The count and proportion of unplanned accident and emergency (A&amp;E) attendances at Wirral University Teaching Hospitals NHS Foundation Trust with a treatment duration of up to and including one hour is shown in the table below. Also shown is the count and proportion of unplanned A&amp;E attendances at the trust with a duration to the conclusion of treatment of up to and including one hour. The data for both of these counts is for the period 1 July 2017 and 30 September 2017 and is provisional.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Attendances</p></td><td><p>Percentages</p></td></tr><tr><td><p>Duration to treatment (up to and including one hour)</p></td><td><p>9,390</p></td><td><p>39.6%</p></td></tr><tr><td><p>Duration to conclusion of treatment or attendance (up to and including one hour)</p></td><td><p>2,877</p></td><td><p>12.1%</p></td></tr></tbody></table><p><br></p><table><tbody><tr><td><p>Total A&amp;E attendances</p></td><td><p>23,695</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics, NHS Digital</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/01/2018 13:54:06 answering member 4095 label Biography information for Steve Barclay
tabling member	478 label Biography information for Lord Field of Birkenhead

825820

registered interest
date	19/01/2018
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	Care Homes: Inspections
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 the Government is taking to improve the way local authorities and the Care Quality Commission (a) coordinate inspections of and (b) share information on care homes classed as (i) requiring improvement and (ii) inadequate.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123887
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>In October 2017 the Care Quality Commission reported 80% of adult social care providers had been rated as good or outstanding. However, when standards fall below those rightly expected by care home residents and their families, it is right that information is shared across the system. The Department is working with the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care. This includes actions to improve information collection and sharing and to support organisations to improve care services.</p><p> </p><p>The Care Quality Commission has provided the following response:</p><p> </p><p>There are a range of meetings by which the Care Quality Commission and local authorities share information. There are also protocols, and requirements that exist to coordinate between the Care Quality Commission and local authorities. For Inadequate or Requires Improvement services, if the Care Quality Commission take certain enforcement action, such as issuing a notice of proposal or a notice of decision, there is a requirement to share notices with the Association of Directors of Social Care Service and other relevant partners such as clinical commissioning groups.</p><p> </p><p>The Care Quality Commission inspectors regularly communicate with staff in local authorities as part of their everyday routine engagement, which informs inspection planning and whether risk needs to be escalated, or if joint visits are required.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:17:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825821

registered interest
date	19/01/2018
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	Care Homes: Standards
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 the Government is taking to improve the regulation and oversight of the performance of care homes; and if he will make a statement.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123888
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Care Act 2014 placed duties on local authorities to shape their local markets to ensure all adult social care service users have a choice of high quality services. The Department is working with the Care Quality Commission and partners across the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care.</p><p> </p><p>The Care Quality Commission has provided the following response:</p><p> </p><p>The Care Quality Commission introduced an updated inspection methodology from 1 November for adult social care services, including care homes. The new methodology took into account learning from the inspection and rating of these services from October 2014 onwards as well as undertaking a public consultation in 2017.</p><p> </p><p>Changes introduced include more proportionate and targeted inspections; a stronger regulatory focus on services rated as requires improvement, using enforcement powers to require providers to take action when they need to improve; improvements in identifying, monitoring and responding to risks; developing and sharing information from providers, collected online, as a single shared view of quality; and on reporting, making reports clearer and more informative, including reference to serious incidents.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:23:08 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825822

registered interest
date	19/01/2018
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	Care Homes: Inspections
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what (a) bodies and (b) processes there are to review the joint performance of the Care Quality Commission and Clinical Commissioning Groups on care home inspections.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123889
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>There are no existing bodies or processes which review the joint performance of the Care Quality Commission and clinical commissioning groups on care home inspections. The Department is working with the Care Quality Commission, NHS England and partners across the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:24:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825425

registered interest
date	18/01/2018
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	Pharmacy
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 effectiveness of the General Pharmaceutical Council's enforcement of standards for registered pharmacy premises; whether he has made an assessment of the effect of failure to apply such standards to pharmacy owners rather than only pharmacy professionals on the safety of patients; and if he will make a statement.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	123566
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Department has not made any assessment of the effectiveness of the General Pharmaceutical Council (GPhC) as a regulator of pharmacy professionals and pharmacy premises. The Professional Standards Authority, which in its review of the GPhC’s performance in 2016-2017, found that the GPhC had met all of the standards for good regulation, including all of the standards for fitness to practise.</p><p> </p><p>Standards to safeguard the health, safety and wellbeing of patients and the public are set by the GPhC. It is important to note that there are very different legal frameworks for upholding these standards and how the regulator deals with these for pharmacy premises as compared to pharmacy professionals. 87% of the pharmacies inspected by the GPhC in 2016-17 were meeting all of the standards it sets. Any pharmacy not achieving all of the standards is required by the GPhC to implement an action plan to improve the services they provide. In this period the GPhC agreed 469 action plans with pharmacies to ensure they improved the services they provide, and 99% of them made the necessary improvements so that they were meeting all of the standards. In the same period 140 cases were made affecting an individual pharmacy professional’s registration.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 123567 question first answered 23/01/2018 17:21:47 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron

825426

registered interest
date	18/01/2018
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	Pharmacy
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 whether the failure to apply sanctions for standards for pharmacy premises has resulted in a disproportionate number of individual pharmacist registrants who have been held to account for professional standards which may have been impacted by the working environment created by pharmacy owners; and if he will make a statement.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	123567
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Department has not made any assessment of the effectiveness of the General Pharmaceutical Council (GPhC) as a regulator of pharmacy professionals and pharmacy premises. The Professional Standards Authority, which in its review of the GPhC’s performance in 2016-2017, found that the GPhC had met all of the standards for good regulation, including all of the standards for fitness to practise.</p><p> </p><p>Standards to safeguard the health, safety and wellbeing of patients and the public are set by the GPhC. It is important to note that there are very different legal frameworks for upholding these standards and how the regulator deals with these for pharmacy premises as compared to pharmacy professionals. 87% of the pharmacies inspected by the GPhC in 2016-17 were meeting all of the standards it sets. Any pharmacy not achieving all of the standards is required by the GPhC to implement an action plan to improve the services they provide. In this period the GPhC agreed 469 action plans with pharmacies to ensure they improved the services they provide, and 99% of them made the necessary improvements so that they were meeting all of the standards. In the same period 140 cases were made affecting an individual pharmacy professional’s registration.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 123566 question first answered 23/01/2018 17:21:47 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron

825447

registered interest
date	18/01/2018
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	Health Services: Weather
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 has had discussions with (a) hospice directors and (b) commissioning bodies on the use and capacity of hospices as part of the NHS Winter Resilience Plan.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123588
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>In July 2017, every local area was asked to develop plans to meet winter pressures. This included working with all local partners to consider issues such as demand and capacity, effective discharge and planning for peaks in demand. This local planning may have included consideration on the use and capacity of hospices depending on local circumstances.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 14:36:13 answering member 4095 label Biography information for Steve Barclay
tabling member	4637 label Biography information for James Frith

825448

registered interest
date	18/01/2018
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	NHS: Crimes of Violence
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 healthcare staff have been physically attacked or assaulted at (a) University Hospital Coventry and (b) other healthcare provider settings in Coventry.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	123589
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>In 2015/16, the number of staff physically attacked or assaulted at:</p><p>- University Hospital Coventry was 194 involving medical factors<sup>1</sup> and 59 not involving medical factors; and</p><p>- In other healthcare provider settings in Coventry<sup>2</sup>, the number was 3,355 involving medical factors and 277 not involving medical factors.</p><p> </p><p>Employers from across the National Health Service will collect data on physical assaults, and working alongside local police are responsible for protecting their staff. The Department is working with NHS England and NHS Improvement on new arrangements to support NHS and primary care employers to “…take vigorous and immediate action against those who abuse or attack the people who work for and make our NHS”.</p><p> </p><p>Notes:</p><p><sup>1</sup>Assaults involving medical factors are the number of physical assaults where the perpetrator did not know what they were doing, or did not know what they were doing was wrong due to medical illness, mental ill health, severe learning disability or treatment administered.</p><p> </p><p><sup>2</sup>The data, extracted from NHS Protect’s “Reported Physical Assaults data for 2015/16 for healthcare settings in Coventry includes University Hospitals Coventry and Warwickshire NHS Trust, Coventry and Warwickshire Partnership NHS Trust and West Midlands Ambulance Trust. Some of the trusts geographical areas cover more than just Coventry.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 14:31:17 answering member 4095 label Biography information for Steve Barclay
tabling member	308 label Biography information for Mr Jim Cunningham

825454

registered interest
date	18/01/2018
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	Carillion: West Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the value is of NHS contracts with Carillion in (a) West Midlands and (b) Coventry.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	123595
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>Carillion is part of a Private Finance Initiative (PFI) consortium currently contracted by Sandwell and West Birmingham Hospitals NHS Trust to undertake the £342 million building project for the new acute hospital on the Queen Elizabeth site in Birmingham and community facilities. NHS Improvement and the Department are working closely with Sandwell and West Birmingham Hospitals NHS Trust and their private sector partners to minimise the impact of the Carillion liquidation and any resulting delay to completion.</p><p> </p><p>There are processes in place in the event of the administration or liquidation of a contractor part way through a build and the PFI companies and their lenders are now in active engagement. There is planning in place to ensure the delay is as minimal as possible.</p><p> </p><p>In addition to the NHS Trust, Carillion provide maintenance services to three NHS LIFT Companies in the region (LIFT Birmingham and Solihull; LIFT Sandwell; and LIFT Dudley) which provide a total of 20 primary care centres and facilities. The NHS LIFT Companies have their own contingency plans in place to source these maintenance services from other companies.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 14:40:36 answering member 4095 label Biography information for Steve Barclay
tabling member	308 label Biography information for Mr Jim Cunningham

825482

registered interest
date	18/01/2018
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	Influenza: Vaccination
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 NHS England on the quadrivalent flu vaccine; and what guidance NHS England has issued to GPs on prescribing that vaccine given its comparatively higher cost than the trivalent vaccine.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	123621
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The seasonal flu immunization programme is part of the National Health Service public health functions agreement. more commonly referred to as the Section 7A agreement discussed and agreed annually between the Department and NHS England.</p><p> </p><p>General Practitioners (GPs) and pharmacies are responsible for ordering and purchasing flu vaccines for the adult seasonal flu programme (eligible individuals aged 18 years and over) directly from manufacturers. The 2017/18 annual flu letter, published by the Department, Public Health England (PHE), and NHS England in March 2017 has information on vaccine supply and ordering and includes a table of vaccines that would be available for the 2017/18 flu immunisation programme. This letter is sent to all GP practices. In addition, clinical advice on seasonal flu vaccines is published in Immunisation against infectious disease (‘The Green Book’ ) by PHE. This was updated in October 2017.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/01/2018 17:22:52 answering member 4067 label Biography information for Steve Brine
tabling member	1588 label Biography information for Barbara Keeley