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1138126

registered interest
date	10/07/2019
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	Parkinson's Disease: Nurses
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 Parkinson's disease nurse specialists employed by the NHS; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	275660
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>There are no post-registration requirements for a Registered Nurse to become a Parkinson’s nurse. Therefore, local integrated care systems will be responsible for ensuring they have the necessary numbers of Parkinson’s (and other specialist) nurses to meet the needs of their local population.</p><p>The NHS interim People Plan was published on 3 June 2019, it puts staff at the heart of National Health Service policy and delivery and recognises the current shortage of nurses as the most urgent challenge facing the health system.</p><p>It calls for action to be taken now to make the NHS the best place to work, by reforming the culture and leadership and ensuring all staff (including nurses) feel supported and valued, in an effort to increase workforce recruitment and retention.</p><p>The interim Plan proposes to increase the number of newly qualified NHS nurses, support and retain existing nurses, provide nurses with every opportunity to return to work, and bring in nurses from abroad. It commits to delivering 5,000 additional clinical placements for nursing students, 7,500 further Nursing Associates, increasing undergraduate supply and broadening routes into nursing.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 15/07/2019 15:53:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	253 label Biography information for Mr Laurence Robertson

1138130

registered interest
date	10/07/2019
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	Cancer: Health Services
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 employ more staff working on cancer (a) prevention, (b) diagnosis and (c) treatment in the NHS after 2021; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	275661
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The interim NHS People Plan, published on 3 June 2019, puts the workforce at the heart of the National Health Service and will ensure we have the staff needed to deliver high quality care. A final People Plan will be published soon after the conclusion of the 2019 Spending Review.</p><p>The Cancer Workforce Plan for England, published in December 2017 by Health Education England (HEE), set out plans to expand capacity and skills in the cancer workforce, including targeting additional training support for seven priority professions which are key to cancer prevention, diagnosis and treatment, such as clinical radiology, histopathology, oncology and diagnostic and therapeutic radiography. HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications of further development of cancer services. This work will inform the final People Plan.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 15/07/2019 16:39:13 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson

1134440

registered interest
date	25/06/2019
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	Cataracts: Surgery
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 average cost to the NHS is of carrying out a cataract operation.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	268959
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>Latest published data – for 2017-18 – shows that the average unit cost to the National Health Service of carrying out a cataract operation is £803.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:37:02 answering member 1585 label Biography information for Stephen Hammond
tabling member	253 label Biography information for Mr Laurence Robertson

1133001

registered interest
date	18/06/2019
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: Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding was allocated from the public purse to (a) children's and (b) other hospices in each of the last five years for which figures are available.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	266073
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>Children’s hospices receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. The amount of funding is locally determined, and NHS England does not centrally collect data on this.</p><p>Children’s hospices receive around 15% from National Health Service sources. NHS England manages the Children’s Hospice Grant, which is awarded and administered annually. The grant is a contribution towards the operating costs of the hospices, not core funding for NHS services, for which the statutory responsibility resides with local commissioners.</p><p>The following table shows the amount awarded under the Children’s Hospice Grant in the past five years.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Grant amount awarded</p></td></tr><tr><td><p>2015/16</p></td><td><p>£11,000,000.00</p></td></tr><tr><td><p>2016/17</p></td><td><p>£11,000,000.00</p></td></tr><tr><td><p>2017/18</p></td><td><p>£11,000,000.00</p></td></tr><tr><td><p>2018/19</p></td><td><p>£11,000,000.00</p></td></tr><tr><td><p>2019/20</p></td><td><p>£12,000,000,00</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p>As set out in the NHS Long Term Plan, NHS England committed to increase its contribution to children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services; including children’s hospices. 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 baseline contribution of £11 million. NHS England estimates that full match funding should more than double the additional NHS support from £11 million to a combined total of £25 million a year by 2023/24.</p><p> </p><p>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 to be 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>Regarding adult hospices, these receive approximately 30% of their overall funding from NHS sources.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/06/2019 15:25:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	253 label Biography information for Mr Laurence Robertson

1133003

registered interest
date	18/06/2019
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	Bereavement Counselling
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 services available to people to help them cope with bereavement; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	266074
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>Bereavement services are provided in a number of ways across the National Health Service, social care and the voluntary sector.</p><p>Clinical commissioning groups commission and enable access to bereavement services locally as part of high quality, compassionate and person-centred care. For instance, anyone who feels that they need support following the death of someone they know, can either self-refer, or be referred, to an Improving Access to Psychological Therapies service for a clinical assessment of their needs. If appropriate, treatment should be offered in line with National Institute for Health and Care Excellence guidance.</p><p>To support commissioners, the Government is working with NHS England and the voluntary sector to identify exemplar bereavement care pathways.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/06/2019 16:46:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	253 label Biography information for Mr Laurence Robertson

1132599

registered interest
date	17/06/2019
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	Out-patients: Attendance
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 cost to the public purse of missed (a) GP and (b) hospital appointments.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	265416
answer	answer is ministerial correction date of answer 20/06/2019 answer text <p>Information surrounding the cost of missed general practitioner and hospital appointments is not collected or held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/06/2019 09:32:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson

1126508

registered interest
date	14/05/2019
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	Cystic Fibrosis: Drugs
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 progress has been made on making (a) Orkambi and (b) Symkevi available on the NHS for people diagnosed with cystic fibrosis; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	254113
answer	answer is ministerial correction date of answer 20/05/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) and NHS England are leading the dialogue with Vertex Pharmaceuticals on access to their portfolio of cystic fibrosis medicines, including Orkambi and Symkevi.</p><p>NHS England has proposed an offer that would represent the largest ever commitment of its kind in the history of the National Health Service - in the region of £500 million over five years - and would provide immediate access for patients to all Vertex licensed medicines in advance of assessment by NICE. The Government fully supports the approach that NICE and NHS England are adopting. It is crucial that patients have access to the most effective and innovative medicines at a price that represents value to the NHS.</p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care held a meeting on 11 March with all the parties to discuss how best to reach a deal so that people with cystic fibrosis and their families can benefit as soon as possible. Vertex, NICE and NHS England subsequently met on Thursday 21 March and have agreed to continue discussions.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 20/05/2019 16:00:42 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson

1125258

registered interest
date	08/05/2019
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	Ovarian Cancer
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 reduce the incidence of ovarian cancer; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	251890
answer	answer is ministerial correction date of answer 13/05/2019 answer text <p>Prevention is a key focus of the NHS Long Term Plan, which sets out plans to tackle risk factors for cancer such as obesity, alcohol consumption and smoking. This will have a significant impact on improving health, including for those who are at risk of developing ovarian cancer. Over the next 10 years the National Health Service will extend the use of molecular diagnostic testing and routine offering genomic testing to all patients with cancer for whom it would be of clinical benefit.</p><p>From 2019 we will start the roll-out of new Rapid Diagnostic Centres across the country to upgrade and bring together the latest diagnostic equipment and expertise, building on 10 models piloted with Cancer Research UK, which have focused on diagnosing cancers where patients often present with non-specific symptoms, often the case with ovarian cancer, and may go to their general practitioner many times before being sent for tests, such as blood and stomach cancers.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 13/05/2019 15:44:05 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson

1125259

registered interest
date	08/05/2019
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	Ovarian Cancer
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 improve the treatment of ovarian cancer; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	251891
answer	answer is ministerial correction date of answer 13/05/2019 answer text <p>The NHS Cancer Programme is committed through the NHS Long Term Plan to improve access to treatments for all cancer patients and reduce health inequalities. Cancer Alliances are working with local sustainability and transformation partnerships and integrated care systems to reduce variation on patient outcomes and experience.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 13/05/2019 15:43:12 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson

1122732

registered interest
date	24/04/2019
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: 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 recent estimate he has made of the time taken to obtain non-emergency GP appointments in (a) England and (b) Gloucestershire; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	246920
answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>The time between booking an appointment with a general practice and having the appointment (in days) for the practices where data is currently collected in Gloucestershire Clinical Commissioning Group is presented in the following table for the last available published date, February 2019. A 12- month average from March 2018-February 2019 has also been presented along with a comparison to the average across all appointments in England. NHS Digital’s ‘Appointments in General Practice’ data is published monthly with a two-month time lag.</p><p>The appointments data does not differentiate between emergency and routine appointments in general practice and the ‘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.</p><p>The data on general practitioner (GP) appointments are from a new data collection and are still experimental therefore the data and collection method are still being refined and improved. Whilst these early datasets published by NHS Digital do not yet represent a comprehensive picture, they are an important key step in understanding pressures on primary care. NHS England, NHS Digital and the government are working closely with GPs to understand how the data on GP appointments can be refined to improve the overall picture of primary care activity.</p><p> </p><p><strong> </strong></p><table><tbody><tr><td><p> </p></td><td><p>Gloucestershire</p></td><td><p>England</p></td><td><p>Gloucestershire</p></td><td><p>England</p></td></tr><tr><td><p>Time between booking an appointment with a general practice and having the appointment (days)</p></td><td colspan="2"><p>February 2019</p></td><td colspan="2"><p>March 2018 to February 2019</p></td></tr><tr><td><p>Same Day</p></td><td><p>38.3%</p></td><td><p>42.3%</p></td><td><p>37.5%</p></td><td><p>42.2%</p></td></tr><tr><td><p>One Day</p></td><td><p>6.2%</p></td><td><p>6.8%</p></td><td><p>6.5%</p></td><td><p>6.8%</p></td></tr><tr><td><p>Two to Seven Days</p></td><td><p>19.2%</p></td><td><p>19.8%</p></td><td><p>20.0%</p></td><td><p>20.1%</p></td></tr><tr><td><p>Eight to 14 Days</p></td><td><p>15.4%</p></td><td><p>14.4%</p></td><td><p>14.8%</p></td><td><p>13.8%</p></td></tr><tr><td><p>15 to 21 Days</p></td><td><p>9.1%</p></td><td><p>7.6%</p></td><td><p>8.6%</p></td><td><p>7.4%</p></td></tr><tr><td><p>22 to 28 Days</p></td><td><p>6.4%</p></td><td><p>5.1%</p></td><td><p>6.4%</p></td><td><p>5.0%</p></td></tr><tr><td><p>More than 28 Days</p></td><td><p>5.4%</p></td><td><p>4.0%</p></td><td><p>6.3%</p></td><td><p>4.7%</p></td></tr><tr><td><p>Total</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td></tr></tbody></table><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 29/04/2019 14:41:03 answering member 4455 label Biography information for Seema Kennedy
tabling member	253 label Biography information for Mr Laurence Robertson