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1145062

registered interest
date	05/09/2019
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: Employment
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 ensure adequate staffing levels in the social care sector in the event that the UK leaves the EU without a withdrawal agreement.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	287614
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government hugely values the contribution of the 104,000 European Union staff who work in the social care sector. The Prime Minister has made it clear that we not only want them to stay, but also to feel welcomed and encouraged to do so. The EU Settlement Scheme has now fully opened, is free and will allow EU nationals employed in the social care sector to secure their long-term status in the United Kingdom.</p><p>The Department continues to monitor and analyse overall staffing levels across both the health and social care sectors and we have been monitoring leaver and joiner rates of European Union staff on a regular basis since the 2016 referendum. We are not complacent and have plans in place to ensure there will continue to be enough staff to deliver the high-quality services on which the public relies.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/09/2019 16:12:57 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

1144596

registered interest
date	04/09/2019
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	Alzheimer's Disease: Diagnosis
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 early detection of Alzheimer's disease.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	286747
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Alzheimer's disease is the most common type of dementia in the United Kingdom.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved and exceeded nationally. Our focus now is on reducing the variation in local diagnosis rates and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>For example, the ‘Implementation guide and resource pack for dementia care’ published in July 2017 sets out key recommendations on how services should be configured to provide good quality diagnosis and post-diagnostic care for people with dementia and their carers. It includes key roles and activity in primary care and memory assessment services to facilitate an accurate and timely diagnosis of dementia, while ensuring access to appropriate support following diagnosis. The resource pack is available at the following link:</p><p><a href="https://www.england.nhs.uk/mental-health/dementia/implementation-guide-and-resource-pack-for-dementia-care/" target="_blank">https://www.england.nhs.uk/mental-health/dementia/implementation-guide-and-resource-pack-for-dementia-care/</a></p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/09/2019 16:15:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1144654

registered interest
date	04/09/2019
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	East Lancashire Hospitals NHS Trust
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 had with East Lancashire Hospitals NHS Trust on preparations for the UK leaving the EU without a deal.
tabling member constituency	Hyndburn
tabling member printed	Graham P Jones
uin	286709
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Department is working with its partners across Government, arm’s length bodies, local authorities, industry and the wider health and care system to ensure that all relevant parties are prepared for exiting the European Union. The quality and safety of patient care is paramount in our preparedness plans.</p><p> </p><p>The Department, alongside NHS England and NHS Improvement, is ensuring that there is regular communication with frontline National Health Service organisations and stakeholders in the health and social care sector regarding EU Exit preparations. NHS England will be holding EU Exit Roadshows in the lead up to 31 October building on the regular communication that the Department and NHS England has with the frontline.</p><p> </p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:56:31 answering member 4021 label Biography information for Chris Skidmore
tabling member	3999 label Biography information for Graham P Jones

1144675

registered interest
date	04/09/2019
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	Cervical Cancer: Screening
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 make it easier for women with a physical disability to access cervical screening services.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	286726
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS England is continuously investing in initiatives to help ensure equality of access to screening and, through the public health functions agreement (S7a), NHS England aims to improve public health outcomes and reduce inequalities.</p><p>General practitioner practices are required to ensure that their premises are suitable for the delivery of essential and where appropriate additional services, and that they are sufficient to meet the reasonable needs of its patients, including those with disabilities. This involves making any reasonable adjustments necessary or making alternative arrangements such as referral to a specialist screening provider or undertaking the procedures in another setting that is more suitable given any limitations to a patient’s mobility. Where a patient requires specialist equipment, clinical staff will ensure that patients have access to its use in a safe environment.</p><p>As part of the NHS Long Term Plan, NHS England asked Sir Mike Richards to lead a review of the current cancer screening programmes. The review will be finalised in autumn 2019 and will make recommendations to further improve the delivery of the screening programmes, including the cervical screening. The Department will take forward the findings of the review once published.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 14:54:25 answering member 4380 label Biography information for Jo Churchill
tabling member	4046 label Biography information for Bridget Phillipson

1144677

registered interest
date	04/09/2019
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: Capital Investment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much capital funding has been (a) allocated to and (b) spent by (i) NHS foundation trusts and (ii) NHS trusts per capita in each of the last five years.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	286728
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>National Health Service capital expenditure by NHS providers is funded in large part through their ability to generate income via trading activity with Commissioners. This internally generated financing is supplemented by Departmental financing in the form of repayable capital loans and Public Dividend Capital (PDC) for specific strategic initiatives, for example sustainability and transformation partnerships funding; for investment to address pressures on urgent and emergency care over the winter period or for investment in strategic technology fields.</p><p>Details of these investments can be found in the annual report ‘Financial Assistance under Section 40 of the National Health Service Act 2006’, which is published alongside the Department’s Annual Report. This can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/dhsc-annual-report-and-accounts-2018-to-2019" target="_blank">https://www.gov.uk/government/publications/dhsc-annual-report-and-accounts-2018-to-2019</a></p><p>The following table provides detail of the outturn Capital Departmental Expenditure Limit (CDEL) for foundation trusts and NHS trusts over the past five years.</p><p>It is not possible to provide this information ‘per capita’ as there is no fixed population or geographical boundary for any given hospital trust.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014-15</p></td><td><p>2015-16</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td></tr><tr><td><p>Foundation Trust CDEL Outturn Expenditure (£,000s)</p></td><td><p>1,925,555</p></td><td><p>1,795,693</p></td><td><p>1,815,837</p></td><td><p>2,061,023</p></td><td><p>2,380,091</p></td></tr><tr><td><p>NHS Trust CDEL Outturn Expenditure (£,000s)</p></td><td><p>1,381,276</p></td><td><p>1,146,203</p></td><td><p>1,049,501</p></td><td><p>1,002,017</p></td><td><p>1,551,799</p></td></tr><tr><td><p>Total NHS Provider CDEL Outturn Expenditure (£,000s)</p></td><td><p>3,306,831</p></td><td><p>2,941,896</p></td><td><p>2,865,338</p></td><td><p>3,063,040</p></td><td><p>3,931,890</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:54:15 answering member 4021 label Biography information for Chris Skidmore
tabling member	4073 label Biography information for Dr Sarah Wollaston

1144679

registered interest
date	04/09/2019
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: Capital Investment
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 bids for capital spending (a) his Department, (b) NHS England and (c) NHS Improvement have (i) accepted and (ii) fully funded in each of the last five years; and what the total value was of those bids in each of those years.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	286730
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The number of bids received by the Department and NHS England and NHS Improvement for capital spending are not held centrally and could only be obtained at disproportionate cost.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 09/09/2019 14:55:14 answering member 4021 label Biography information for Chris Skidmore
tabling member	4073 label Biography information for Dr Sarah Wollaston

1144683

registered interest
date	04/09/2019
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	Sugar: Consumption
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish an update on progress made on the Sugar Reduction Programme.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	286674
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The publication date for the second progress report for the sugar reduction programme is yet to be agreed.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 15:02:06 answering member 4380 label Biography information for Jo Churchill
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1144685

registered interest
date	04/09/2019
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: Drugs
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 publish a list of medicines that are (a) not currently available and (b) in short supply in (i) the West Midlands and (ii) England and Wales.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	286675
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Department receives regular reports from the pharmaceutical industry about issues which may potentially interrupt the supply of medicines that may affect United Kingdom patients and uses a host of tools to help mitigate and manage any issues. From January this year, it became a mandatory requirement that pharmaceutical companies must report this information to us in a timely manner.</p><p>The Department shares regular updates about impending and current medicine supply issues directly with the National Health Service and the devolved administrations and communicates with other networks including patient groups where appropriate. These communications include information about mitigation actions and management plans to ensure affected patients can be managed appropriately. The Department does not share this information publicly.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 15:01:14 answering member 4380 label Biography information for Jo Churchill
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

1144689

registered interest
date	04/09/2019
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 average waiting time for an appointment to see a GP in (a) England and Wales and (b) Coventry.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	286633
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The most recent data on the time between booking an appointment with a general practice and having the appointment (in days) for Coventry and Rugby Clinical Commissioning Group (CCG) as well as for England are presented in the following table as the average over the 12 months from August 2018 to July 2019.</p><p>The data is taken from the NHS Digital publication ‘Appointments in General Practice’. This is a new experimental data collection which is still being refined and improved.</p><p>It should be noted that the ‘time from booking to appointment’ refers only to the time elapsed between the successful booking of an appointment and the appointment actually taking place. The data 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><table><tbody><tr><td><p> </p></td><td><p>Coventry and Rugby CCG</p></td><td><p>England</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>Distribution of average time elapsed between booking an appointment and the appointment taking place, August 2018 to July 2019</p></td></tr><tr><td><p>Same Day</p></td><td><p>47%</p></td><td><p>42%</p></td></tr><tr><td><p>1 Day</p></td><td><p>7%</p></td><td><p>7%</p></td></tr><tr><td><p>2 to 7 Days</p></td><td><p>21%</p></td><td><p>20%</p></td></tr><tr><td><p>8 to 14 Days</p></td><td><p>12%</p></td><td><p>14%</p></td></tr><tr><td><p>15 to 21 Days</p></td><td><p>6%</p></td><td><p>8%</p></td></tr><tr><td><p>22 or more</p></td><td><p>7%</p></td><td><p>10%</p></td></tr><tr><td><p>Total</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td></tr></tbody></table><p><br> Notes:</p><ol><li>There are several factors that drive the time from a booking to an appointment. This includes appointment availability at the practice, patient availability, the urgency of the appointment and general practitioner (GP) advice.</li><li>The data does not differentiate between emergency and routine appointments in general practice.</li><li>The data does not include any information about the patients or clinical information.</li><li>The data in the response includes appointments with all healthcare professional types, including GPs and other practice staff.</li><li>Not all practices in England are included in the appointments in general practice publication, meaning the total number of appointments is not known.</li><li>Same day and next day bookings are of particular interest so are presented here separately. Further bookings are presented grouped by weeks.</li><li>The number of appointments that have already happened is provided as recorded in participating practices in England. The data presented only contains information which was captured on the GP practice systems. This limits the activity reported on and does not represent all work happening within a primary care setting.</li></ol><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 15:11:04 answering member 4380 label Biography information for Jo Churchill
tabling member	308 label Biography information for Mr Jim Cunningham

1144690

registered interest
date	04/09/2019
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	Tomography: Thames Valley
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 timescale is for installing permanent PET-CT facilities in the Thames Valley area.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	286861
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS England, InHealth and Oxford University Hospitals NHS Foundation Trust (OUH) have now agreed a formal partnership arrangement, setting out how they will provide PET-CT scanners across the Thames Valley area.</p><p>It creates new and additional services for patients who need these important services across the Thames Valley provided by InHealth while sustaining the PET-CT scanning service on the Churchill site provided by the OUH.</p><p>The new sites will use modern mobile scanners, with the aim of putting in place permanent facilities in the longer term. A timescale for this has not yet been agreed.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 15:00:04 answering member 4380 label Biography information for Jo Churchill
tabling member	4656 label Biography information for Layla Moran