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921846

registered interest
date	11/06/2018
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	Personal Health Budgets
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many patients are currently in receipt of an NHS personal health budget; and what was the total cost of that scheme for each of the last three years for which figures are available.
tabling member printed	Lord Turnberg
uin	HL8535
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>28,040 individuals were in receipt of a personal health budget as of 2017-18 Q4.</p><p>In terms of the total cost of personal health budgets for each of the last three years, these figures are not held centrally, as it is clinical commissioning groups who have the duty to commission and deliver personal health budgets.</p><p>Personal health budgets use existing National Health Service money that would already have been spent on an individual, in a different way that meets the individual’s identified health needs. Evidence suggests that at worst, personal health budgets are cost-neutral, whilst demonstrating an ability to improve outcomes and enhance quality of life.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:45:29 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2537 label Biography information for Lord Turnberg

921946

registered interest
date	11/06/2018
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 and Social Services: West Sussex
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 is being made on the joining up of the Health and Care systems in West Sussex.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	152029
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Like all local areas, West Sussex local authorities and clinical commissioning groups have pooled budgets under the Better Care Fund (BCF) for the purposes of integrated care, and developed BCF plans according to their local needs. All local areas, including West Sussex, have approved BCF plans in place for the current BCF round (2017/18 and 2018/19).</p><p> </p><p>The BCF has incentivised collaborative working in local areas. West Sussex, like many other local areas, voluntarily pooled more BCF funds than required. Their local health and care leaders also indicated that the overall delivery of the BCF has improved joint working and integration of health and social care in their area.</p><p> </p><p>The National Health Service and local authorities in Sussex and East Surrey are also in the process of developing their Sustainability and Transformation Partnership, which is committed to closer joint working between health and social care.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2018 10:54:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	116 label Biography information for Lord Soames of Fletching

921998

registered interest
date	11/06/2018
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: 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 steps his Department has taken to prepare for setting up a UK medicines agency in the event that the UK cannot remain part of the European Medicines Agency after the UK leaves the EU.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	152064
answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>From 30 March 2019, the United Kingdom will no longer be a Member of the European Union. However, under the terms of the implementation period agreement regulatory standards and market access for all medicines will continue on current terms.</p><p> </p><p>Common rules will remain in place and the UK may continue to participate in EU agencies and bodies where the presence of the UK is necessary and is in the interests of the EU, or where the discussion concerns acts addressed to the UK and its citizens. The exact nature of this participation will be a matter for further discussion.</p><p> </p><p>Regarding the future relationship, the Prime Minister's Mansion House speech outlined that we will explore the terms on which the UK could remain part of the European Medicines Agency. The Government recognises the importance of a close and cooperative relationship between the UK and EU in the field of medicines regulation. We are committed to engaging in these negotiations in good faith with the aim of moving swiftly to the substantive discussions for our future relationship. While it would not be appropriate to pre-judge the outcome of the negotiations, we will discuss with the EU and Member States how best to continue cooperation in medicines regulation.</p><p> </p><p>With regard to a UK medicines agency, the UK already has such a body, in the national regulator for medicines, the Medicines and Healthcare products Regulatory Agency (MHRA), with over 30 years’ experience licensing new medicines. Indeed, the vast majority of medicines - around 90%- on the UK market received a national, UK licence issued by the MHRA.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2018 14:26:10 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1397 label Biography information for Hywel Williams

922023

registered interest
date	11/06/2018
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	Carers: Mental 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 assessment his Department has made of the trends the the level of (a)health and (b) wellbeing of unpaid carers; and what plans his Department has put in place to support carers with poor mental health.
tabling member constituency	Liverpool, Walton
tabling member printed	Dan Carden
uin	152277
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>NHS Digital’s Personal Social Services Survey of Adult Carers in England is a national survey that seeks opinions of carers aged 18 or over supported by local authorities. In 2016/17 a question was added to the survey to examine the impact on carers’ health.</p><p> </p><p>Results showed that nearly 20% of carers reported that in the last 12 months, their health had been adversely affected by their caring role and made an existing condition worse.</p><p> </p><p>The carers survey asks a range of questions linked to carers’ wellbeing. Its main overarching measure of wellbeing is carer-reported quality of life. In 2016-17, carer-reported quality of life score was 7.7 out of 12 in England. This is calculated by combining individual responses to six questions asked in the survey on occupation, control, personal care, safety, social participation and encouragement and support of carers. This measure has been falling over time from 8.1 in 2012-13, to 7.9 in 2014-15 to 7.7 in 2016-17.</p><p> </p><p>The Department will monitor these figures as a time series develops in future years.</p><p> </p><p>The Government is committed to continuing to support carers to provide care as they would wish, and to do so in a way that supports their own health and wellbeing, employment and other life chances. On 5 June, the Government published the Carers Action Plan which sets out a cross-Government programme of targeted work to support carers over the next two years.</p><p> </p><p>National Health Service mental health services are available for people with poor mental health, including carers, with the Improving Access to Psychological Therapies (IAPT) programme providing treatment for adult anxiety disorders and depression in England. One IAPT service for in North Somerset has helped more than 500 carers with therapy and support since launching three years ago.</p><p> </p><p>The Carers Action Plan highlights further activity that the Department and its arm’s length bodies are putting in place to improve support for carers who need support with their mental health. This includes Public Health England’s intention to run a national public mental health campaign to help people become informed about factors that may influence their mental health, including being a carer, as well as the recent Green Paper, Transforming Children and Young People’s Mental Health, which was published in December 2017 and which recognises the mental health needs of young carers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2018 11:42:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4651 label Biography information for Dan Carden

922024

registered interest
date	11/06/2018
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	Carers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has plans to improve the the provision of support available to unpaid carers; and if he will make a statement.
tabling member constituency	Liverpool, Walton
tabling member printed	Dan Carden
uin	152278
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>The Government is committed to continuing to value, recognise and support carers to provide care in a way that supports their own health and wellbeing.</p><p> </p><p>On 5 June, the Department published the Carers Action Plan, which sets out a cross-Government programme of targeted work to support carers over the next two years. It puts a focus on practical actions to support carers and gives visibility to the work already underway or planned within Government, showing how the Government will seek to build accessible carer friendly communities and public services, promote innovative local projects and support carers to stay in work.</p><p> </p><p>This is an essential step towards realising the Government’s commitment to supporting carers own health and wellbeing, employment and other life chances. There will also be a clear focus on carers in the forthcoming Adult Social Care Green Paper.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/06/2018 10:26:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4651 label Biography information for Dan Carden

922085

registered interest
date	11/06/2018
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 Illness: Relatives
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 age is used as part of the definition of nearest relative under Section 26(3) of the Mental Health Act 1983.
tabling member constituency	North West Durham
tabling member printed	Laura Pidcock
uin	152292
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>Section 26 of the Mental Health Act 1983 establishes a hierarchy of people that may be identified as a person’s nearest relative when that person is detained under the Act.</p><p> </p><p>The nearest relative role is important in that it provides a safeguard for people who are detained and ensures that the person’s family has a statutory role in their care.</p><p> </p><p>The provision for the elder or eldest of a specific type of person, for example the detained person’s eldest son or daughter, to be identified as nearest relative, is to make sure that it is clear which person should be given this responsibility.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2018 10:19:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4665 label Biography information for Laura Pidcock

922120

registered interest
date	11/06/2018
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	Obesity: Children
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 ensure that the new childhood obesity plan includes steps to increase the promotion and marketing of fruit and vegetables.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	152094
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Chapter two of our world-leading childhood obesity plan will set out ambitious actions that we believe will make a real difference. We will be in a position to say more shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/06/2018 11:12:25 answering member 4067 label Biography information for Steve Brine
tabling member	1521 label Biography information for Mrs Sharon Hodgson

919918

registered interest
date	08/06/2018
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
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 budget is of the prevention concordat for better mental health programme; and how much has been spent to date on that programme.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	151404
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>Data is not collected in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/06/2018 11:19:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1439 label Biography information for Norman Lamb

919932

registered interest
date	08/06/2018
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	Speech and Language Disorders: Children
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 (a) NHS England, (b) NHS Improvement, (c) Health Education England and (d) the Care Quality Commission on the recommendations of I CAN and the Royal College of Speech and Language Therapists’ report, Bercow: Ten Years On, published on 20 March 2018.
tabling member constituency	Taunton Deane
tabling member printed	Rebecca Pow
uin	151438
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Officials from NHS England, the Department for Education and the Department for Health and Social Care, who are in regular contact on policy to support children with speech, language and communication needs, have been in discussion as to how best to respond to the recommendations of ‘Bercow: Ten Years On’, and will be engaging with all relevant organisations to develop a response.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/06/2018 10:50:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4522 label Biography information for Rebecca Pow

919955

registered interest
date	08/06/2018
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: Foreign Nationals
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 (a) costs recovered from foreign nationals who have received NHS treatment and (b) cost to the public purse of health tourism in each of the last three years.
tabling member constituency	Heywood and Middleton
tabling member printed	Liz McInnes
uin	151430
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>It is not possible to provide an estimate of the cost recovered of treating foreign nationals who have received National Health Service treatment as patient nationality is not reported by NHS provider trusts.</p><p> </p><p>The Department does not hold information on the cost to the public purse of health tourism.</p><p> </p><p>However income identified from chargeable overseas visitors, including European Economic Area (EEA) and non-EEA nationals for NHS services for the subsequent years can be found in the table below which is also published in the NHS trusts and NHS foundation trusts annual accounts.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td></tr><tr><td><p>Income from Chargeable Overseas Patients (£'000)</p></td><td><p>46,797</p></td><td><p>69,246</p></td><td><p>81,402</p></td></tr><tr><td><p>Income from other European Union states for treatment of their citizens (£'000)</p></td><td><p>50,045</p></td><td><p>58,572</p></td><td><p>86,066</p></td></tr></tbody></table><p><br>Source: 2015-16 and 2016-17 NHS trust and foundation trust annual accounts</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 13/06/2018 14:14:28 answering member 4095 label Biography information for Steve Barclay
tabling member	4342 label Biography information for Liz McInnes