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1088721

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, what plans his Department has to ensure the integration of local authority-commissioned public health services within the new Primary Care Networks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232537
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October</ins> 2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:05 answering member 4067 label Biography information for Steve Brine previous answer version 108779 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088722

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, what plans his Department has to ensure the integration of (a) sexual and reproductive health services and (b) contraception provision within the new Primary Care Networks.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232538
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October </ins>2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:21 answering member 4067 label Biography information for Steve Brine previous answer version 108780 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088723

registered interest
date	14/03/2019
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	Primary Care Networks
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published on 31 January 2019, whether the new Network Contract DES will require Primary Care Networks to collaborate with local authorities in delivering integrated care to local populations.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232539
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>Primary Care Networks (PCNs) are collaborations between general practitioner (GP) practices and a range of other local providers, typically serving a population of between 30,000 and 50,000. The Network Contract Direct Enhanced Service payment for PCNs is in final development and will be published in due course.</p><p> </p><p>It is expected that PCNs should engage with local authorities as a key local partner in the delivery of integrated health and care services in order to support the objectives in the NHS Long Term Plan.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October</ins> 2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:38:30 question first ministerially corrected 08/04/2019 09:35:13 answering member 4067 label Biography information for Steve Brine previous answer version 108781 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1088724

registered interest
date	14/03/2019
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	Primary Health Care: Females
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 NHS England’s document, Investment and evolution: A five-year framework for GP contract reform to implement the NHS Long Term Plan, published 31 January 2019, whether his Department has plans to introduce a national service specification for women’s health including a focus on (a) sexual and reproductive health and (b) contraception.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	232540
answer	answer is ministerial correction date of answer 19/03/2019 answer text <p>The recently published 2019/20 general practitioner (GP) Contract announced seven national service specifications that will be developed for the new Primary Care Networks:</p><p>- Structured Medications Review and Optimisation;</p><p>- Enhanced Health in Care Homes, to implement the vanguard model;</p><p>- Anticipatory Care requirements for high need patients typically experiencing several long term conditions, joint with community services;</p><p>- Personalised Care, to implement the NHS Comprehensive Model;</p><p>- Supporting Early Cancer Diagnosis;</p><p>- Cardiovascular Disease Prevention and Diagnosis; and</p><p>- Tackling Neighbourhood Inequalities.</p><p> </p><p>There are no current plans for an additional service specification on women’s health, as we would expect the health needs of all patients, including women, to be a key consideration in each of the seven service specifications. In addition, under the General Medical Services contract, GP practices must provide essential services that include the provision of appropriate ongoing treatment and care to all of their patients and onward referral where appropriate.</p><p> </p><p>From <del class="ministerial">April</del> <ins class="ministerial">October </ins>2019, contraception services will no longer be an Additional Service under the Regulations governing the General Medical Services contract but will become part of Essential Services for GP contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/03/2019 16:36:54 question first ministerially corrected 08/04/2019 09:34:51 answering member 4067 label Biography information for Steve Brine previous answer version 108777 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1061227

registered interest
date	14/02/2019
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	General Practitioners: Oxford
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 trends in the level of GP appointment waiting times in Oxford.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	221835
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The proportion of general practitioner (GP) appointments by date and time between booking date and appointment date in Oxford Clinical Commissioning Group for the months November 2017 to December 2018 is presented in the attached table. The data on GP appointments are from a new data collection and are still experimental i.e. the data and collection method are still being refined and improved. NHS Digital’s data on ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions. Other factors that drive the time from a booking to an appointment include appointment availability at the practice, patient availability, the urgency of the appointment and GP advice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:24:06 question first ministerially corrected 21/02/2019 10:24:53 answering member 4067 label Biography information for Steve Brine attachment 1 file name 221835 formatted table.docx title GP appointments Oxford CCG previous answer version 103151 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ221587 attached tables.docx title PQ221835 attached table
tabling member	4657 label Biography information for Anneliese Dodds

1060650

registered interest
date	13/02/2019
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	Accident and Emergency Departments: Greater London
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 help achieve the 95 per cent four hour A&E waiting time target in (a) Lewisham borough and (b) London.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	220972
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS Improvement is working closely with Lewisham and Greenwich NHS Trust to achieve delivery of the 95% four hour accident and emergency (A&amp;E) standard. Several steps are in place to support the Trust, including monthly oversight meetings between NHS Improvement’s senior leadership team and the Trust’s chief executive team to review performance; provision of NHS Improvement staff for on-site support to review long-stay patients and discharge those who are medically fit to be discharged; and work with mental health providers and the London Ambulance Service to support appropriate placement of mental health patients as well as improve patient handover performance. The Trust also received £500,000 of capital to develop and open a crisis café at the University Hospital Lewisham site, to help prevent avoidable mental health attendances at A&amp;E.</p><p>There are multiple actions underway to support reductions in waiting times for patients in London Emergency Departments. The London Urgent and Emergency Care programme and the Emergency Care Intensive Support Team provide dedicated expertise and support to several trusts<ins class="ministerial"><sup>1</sup></ins>. In addition, circa £26 million of extra capital investment was allocated to trusts across London to increase beds, emergency department capacity, same day emergency care and acute mental health services ahead of winter.</p><p> </p><p><ins class="ministerial"><sup>1</sup>Lewisham and Greenwich, Kings’ College Hospital, Hillingdon, London North West, Imperial, Barking Havering and Redbridge, Barts, Whittingdon, North Middlesex and University College London Hospital.</ins></p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 15:18:21 question first ministerially corrected 21/02/2019 16:45:31 answering member 1585 label Biography information for Stephen Hammond previous answer version 103655 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
tabling member	4491 label Biography information for Vicky Foxcroft

1059040

registered interest
date	11/02/2019
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	Public Health: Disinformation
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 has taken to tackle public health misinformation on social media platforms.
tabling member constituency	Belfast North
tabling member printed	Nigel Dodds
uin	219328
answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>The Department ensures that all official information is badged appropriately with the Government crest; National Health Service branding or associated public health campaign branding, to reinforce its credibility. Any misinformation detected is dealt with on a case by case basis depending on the level of impact it could have on public health.</p><p> </p><p>We are working closely with the Department for Culture, Media and Sport on their white paper on Online Harms. <ins class="ministerial">Information on the upcoming white paper and Government Communication Service’s existing advice </ins><del class="ministerial">The Government Communications Service has also recently published a toolkit ‘RESIST’ to assist government communicators in tackling disinformation which my Department will utilise. These documents</del> can be viewed at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/news/new-laws-to-make-social-media-safer" target="_blank">https://www.gov.uk/government/news/new-laws-to-make-social-media-safer</a></p><p><ins class="ministerial"><a href="https://gcs.civilservice.gov.uk/news/5-trends-in-leading-edge-communications/" target="_blank">https://gcs.civilservice.gov.uk/news/5-trends-in-leading-edge-communications/</a></ins></p><p><del class="ministerial"><a href="https://gcs.civilservice.gov.uk/guidance/evaluation/tools-and-resources/" target="_blank">https://gcs.civilservice.gov.uk/guidance/evaluation/tools-and-resources/</a></del></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/02/2019 17:11:47 question first ministerially corrected 27/03/2019 11:27:29 answering member 4067 label Biography information for Steve Brine previous answer version 103142 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1388 label Biography information for Lord Dodds of Duncairn

1041754

registered interest
date	15/01/2019
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	NHS: Members' Constituency Work
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will issue instruction to NHS England that signed authority from a patient is not required for the NHS to progress an inquiry from an hon. Member pursuing a case on behalf of a constituent; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	208761
answer	answer is ministerial correction date of answer 21/01/2019 answer text <p>There has been no change in policy with regards to obtaining consent of a patient for the purposes of an inquiry or investigation and therefore Ministers have not been consulted.</p><p> </p><p>If a National Health Service body is to disclose patient information held by it in order to progress an inquiry from a hon. Member<ins class="ministerial"> on behalf of a constituent</ins>, <ins class="ministerial">there are circumstances in which the body may provide patient information to a Member of Parliament without the Member evidencing the explicit consent of the patient, so long as that information is provided in accordance with the requirements set out in paragraph 24 of Schedule 1 to the Data Protection Act 2018</ins><del class="ministerial">it must obtain the consent of the patient before doing so</del>. An inquiry or an investigation will almost certainly require the disclosure by the NHS body of information relating to the constituent as patient.</p><p> </p><p>The NHS body must be content that there is a legal basis under the General Data Protection Regulation/Data Protection Act for processing patient information (i.e. disclosing and sharing it for the purposes of the investigation). This is easier to satisfy if it is clear the patient has consented to the hon. Member making investigations on their behalf.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/01/2019 15:10:03 question first ministerially corrected 12/02/2019 12:32:10 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 96339 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	432 label Biography information for Helen Jones

1027267

registered interest
date	17/12/2018
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	HIV Infection: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when all sites selected for the pre-exposure prophylaxis impact trial will be open to participant recruitment.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	202736
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The 10,000 places allocated to the Pre-Exposure Prophylaxis Impact Trial undertaken across England were determined on the basis of the numbers likely to address the study objectives. The figure was revised upwards to 13,000 in 2018. Any further increase in trial numbers would need to be considered against the likelihood that the trial objectives would not be met or revised objectives are felt to be necessary.</p><p> </p><p><ins class="ministerial">Of the current 152 sites that expressed an interest in taking part,</ins><del class="ministerial">All planned</del> 140 trial sites have now opened. The current overview of the site status can be seen on the trial website at the following link:</p><p> </p><p><a href="https://www.prepimpacttrial.org.uk/join-the-trial" target="_blank">https://www.prepimpacttrial.org.uk/join-the-trial</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2018 13:02:31 question first ministerially corrected 23/01/2019 12:03:23 answering member 4067 label Biography information for Steve Brine previous answer version 93031 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

1015215

registered interest
date	26/11/2018
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	Mental Health Services: Nurses
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 paediatric mental health nurses were employed by the NHS in each month since May 2010.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	195575
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p><del class="ministerial">NHS England has recently announced plans to enable consistent national availability of the Freestyle Libre Flash Glucose Monitoring device according to published guidance.</del></p><p><del class="ministerial">Clinical commissioning groups (CCGs) can purchase any available blood glucose monitoring which has been approved for sale on the open market. The availability of AccuChek Expert, Dexcom G6 and Eversense XL products is a matter for CCGs who are primarily responsible for commissioning diabetes services, to meet the requirements of their population. In doing so, they need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and consider national guidelines. NHS England engages with technology companies developing products that may be of significant benefit to those with diabetes to seek to increase their availability to patients where appropriate.</del></p><p><del class="ministerial">The Department does not collate data on the number of patients using these devices nationally or by clinical commissioning group.</del></p><p><ins class="ministerial"> <p><ins class="ministerial">NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</ins></p><p><ins class="ministerial">The attached table shows the number of paediatric mental health nurses who work in National Health Service trusts and CCGs in England as at the last day of each specified month from May 2010 to July 2018 (latest available), full time equivalent.</ins></p><p><ins class="ministerial">Paediatric mental health nurses include qualified nurses &amp; health visitors within the care settings 'Community Mental Health' and 'Other Mental Health', with Tertiary Areas of Work 'Child and Adolescent Psychiatry' and 'Child Psychotherapy'.</ins></p><p><ins class="ministerial">The Area of Work reproduced here is that submitted by individual NHS organisations and has not been subject to the types of validation procedures undertaken by NHS Digital in relation to many other data items used in official publications. As such, these figures should be treated with a degree of caution.</ins></p></ins></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/11/2018 17:31:38 question first ministerially corrected 21/12/2018 11:38:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ195575 - table of paedeatric mental health nurses.docx title Number of paediatric mental health nurses 2010-18 previous answer version 88202 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ195575 - table of paedeatric mental health nurses.docx title Number of paediatric mental health nurses 2010-18
tabling member	1588 label Biography information for Barbara Keeley