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1138609

	registered interest
	date	12/07/2019
	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	Health Services: Autism and Learning Disability
	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 the NHS Long Term Plan Implementation Framework: system support offer, what his timescale is for completing the national review of Care Treatment Review policies.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276531
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>The timescale for completing the national review of Care Treatment Review policy is by spring 2020.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/07/2019 15:25:05 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138610

	registered interest
	date	12/07/2019
	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	Health Services: Autism and Learning Disability
	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 the NHS Long Term Plan Implementation Framework: system support offer, whether the quality assurance framework to strengthen existing oversight arrangements for autistic people and people with learning disabilities will be mandatory; and what funding local authorities and CCGs will receive to ensure they can follow that framework.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276532
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>All commissioners in England have a responsibility to assure themselves of the quality of the services that they commission. The Quality Assurance Framework and Commissioning for Quality Toolkit provide support and guidance for commissioners to undertake this appropriately, in line with their responsibilities. Annex A of the Long Term Plan for the National Health Service sets out the funding which has been allocated to support the commitments in the Long-Term Plan and the previous requirements from the Five Year Forward View, in addition to the published five-year clinical commissioning group allocations.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/07/2019 15:16:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138639

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 take steps to reduce waiting times for autism assessments for adults.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276605
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276606 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138640

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 take steps with NHS England to implement a waiting time standard for autism diagnosis in the CCG Improvement and Assessment Framework in order to tackle regional differences.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276606
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138641

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 make it his policy to work with NHS England to establish autism diagnosis waiting times standards for each (a) sustainability and transformation partnership and (b) integrated care system.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276607
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276606 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138685

	registered interest
	date	12/07/2019
	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	IVF
	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 made an assessment of the (a) financial, (b) emotional and (c) medical implications for couples experiencing infertility problems of IVF services being decommissioned by clinical commissioning groups.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	276551
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276552 276556 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4378 label Biography information for Colleen Fletcher

1138686

	registered interest
	date	12/07/2019
	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	IVF
	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 steps his Department has take to ensure equity of access to IVF treatment throughout England.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	276552
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276556 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4378 label Biography information for Colleen Fletcher

1138691

	registered interest
	date	12/07/2019
	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	IVF
	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 prevent clinical commissioning groups from decommissioning IVF services.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	276556
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276552 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4378 label Biography information for Colleen Fletcher

1138387

	registered interest
	date	11/07/2019
	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	Carers
	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 the NHS Long Term Plan implementation framework, how many people have carer passports; and what targets have been set to increase the adoption of those passports.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276173
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Section 2.33 of NHS England’s Long Term Plan states:</p><p>“We will continue to identify and support carers, particularly those from vulnerable communities. Carers are twice as likely to suffer from poor health compared to the general population, primarily due to a lack of information and support, finance concerns, stress and social isolation. Quality marks for carer-friendly GP practices, developed with the Care Quality Commission (CQC), will help carers identify GP services that can accommodate their needs. We will encourage the national adoption of carer's passports, which identify someone as a carer and enable staff to involve them in a patient’s care, and set out guidelines for their use based on trials in Manchester and Bristol. These will be complemented by developments to electronic health records that allow people to share their caring status with healthcare professionals wherever they present.”</p><p> </p><p>There is currently no data on the number of Carer Passports nationally and the use of theses passports is variable across the country and across different health, care and community settings.</p><p> </p><p>Work commissioned by the Department and carried out by Carers UK and Carers Trust, led to the development of a carer passport resource. The Carer Passport resource is available at the following link:</p><p><a href="https://carerspassports.uk/" target="_blank">https://carerspassports.uk/</a></p><p>This provides information on existing passport frameworks and support for the development of carer passports across a range of settings. As part of NHS England’s commitments, we will be supporting the use of these passports and promoting this through the implementation of our Quality Markers in Primary Care (launched in June), ongoing development work with sustainability and transformation partnership and integrated care system localities and as an extension of work already in progress following the response to John’s Campaign within secondary care settings. More information about John’s Campaign is available at the following link:</p><p><a href="https://johnscampaign.org.uk/#/" target="_blank">https://johnscampaign.org.uk/#/</a></p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/07/2019 16:25:50 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1138388

	registered interest
	date	11/07/2019
	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	NHS: Training
	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 the NHS Long Term Plan implementation framework system support offer, how many of the 75,000 staff to be trained on personalised care approaches will work in (a) autism and learning disability and (b) mental health services.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	276174
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Professionals working in autism, learning disability and mental health will have access to training on personalised care approaches. The exact number to be trained will be determined locally based on staffing levels and local needs.</p><p>The Care Act 2014 places responsibilities on local authorities in England to promote their local care markets. They are required to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p>Local authorities are expected to understand and articulate likely future demand for services in their area; engage with care providers to understand the likely supply of services; provide signals to the market of their intent; and as needed, intervene in the market to stimulate change and innovation in providers to better meet the needs of people and communities.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276177 question first answered 16/07/2019 16:23:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley