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781408

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Fatigue Syndrome: Health Education
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to raise awareness of myalgic encephalomyelitis among (a) healthcare professionals and (b) the general public.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	110590
	answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>There is information readily available on chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) for both healthcare professionals and the general public via NHS Choices website. Further information is also provided in the National Institute for Health and Care Excellence (NICE) clinical guidance which can be found via their website. This information is provided in formats suitable for both professionals and the public. Both the NHS Choices and NICE guidance can be found at the following links:</p><p><a href="http://www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/" target="_blank">www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/</a></p><p><a href="http://www.nice.org.uk/guidance/cg53" target="_blank">www.nice.org.uk/guidance/cg53</a></p><p>On 20 September 2017, NICE announced plans to undertake a full review of the guidance to ensure it reflects the latest available evidence.</p><p>Education and training is also an important feature in building the awareness of clinical professionals. In terms of education and training, the General Medical Council sets out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate and Royal Medical Colleges, such as the Royal College of General Practitioners (RCGP) set the standards for postgraduate medical education in general practice. General practice is where most patients with CFS/ME are likely to be managed, and the condition is identified as a key area of clinical knowledge in the RCGP Applied Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>Once fully qualified, clinicians are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by NICE.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:07:53 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

781409

	registered interest
	date	31/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Fatigue Syndrome: Health Education
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans his Department has to mark International Awareness Day for Chronic Immunological and Neurological Diseases on 12 May 2018.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	110595
	answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>There are no specific plans at this point.</p><p> </p><p>NHS England’s Long Term Conditions Unit works with partners such as voluntary sector organisations (including those with a remit on chronic disease) to synchronise communications activity in line with many annual awareness days. The NHS England media team may also provide support through social media to maximise the reach of established campaigns.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:11:15 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

800571

	registered interest
	date	04/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neuromuscular Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the (a) extent and (b) effect on patient care of variation in specialist services for multiple sclerosis and Parkinson's among clinical commissioning groups in England.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	117192
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117193 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

800572

	registered interest
	date	04/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neuromuscular Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the potential for improved specialist services for multiple sclerosis and Parkinson's delivering significant savings for the NHS; and if he will make a statement.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	117193
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117192 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

156640

	registered interest
	date	19/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the duties relating to adult social care currently carried out by local authorities that could be transferred to charities in order to increase efficiency and quality of care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215170
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Under the Care Act, from April 2015 local authorities will have the power to delegate nearly all of their adult care and support functions, except for some powers and duties around safeguarding, integration, and charging.</p><p> </p><p> </p><p> </p><p>The statutory guidance on delegation, published in October 2014, sets out how this will allow local authorities to work more efficiently and innovatively, including with charities, and provide better quality care and support to local populations. The guidance also notes that many external organisations may have specialist expertise or capacity that could mean delegation is the best approach.</p><p> </p><p><strong> </strong></p><p> </p><p>When a local authority delegates any of its functions, it retains ultimate responsibility for the carrying out of that function.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/11/2014 12:40:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

166004

	registered interest
	date	25/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance his Department provides to local authorities on adjudication of disputes over who is responsible for the care of an individual.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215807
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Department has issued comprehensive guidance - <em>“Ordinary Residence: Guidance on the identification of the ordinary residence of people in need of community care services, England”</em>. This guidance provides information and advice for local authorities on determining ordinary residence for people requiring local community care services. The guidance also includes information on the process with which to refer a dispute to the Secretary of State.</p><p> </p><p> </p><p> </p><p>The latest guidance (published October 2013) is attached to this reply.</p><p> </p><p> </p><p> </p><p>Under the Care Act 2014 new statutory guidance will come into force in April 2015.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 16:11:09 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Ordinary Residence- October 2013.pdf title Ordinary Residence- October 2014
	tabling member	4079 label Biography information for Julian Sturdy

171625

	registered interest
	date	18/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Vulnerable Adults
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that appropriate support systems are in place for older vulnerable people and people with dementia.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	219537
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>We are committed to ensuring that older vulnerable adults and their carers receive the best possible support in all settings through the Proactive Care Programme, and by ensuring all people aged 75 and over have a named general practitioner (GP) with overall responsibility for their care, providing continuity and oversight of their care. People living with dementia will benefit from this patient focused care.</p><p> </p><p> </p><p> </p><p>From April 2015, councils and the National Health Service will pool £5.3 billion of their local budgets under the Better Care Fund. This will require local authorities and the NHS to work together, and engage local partners, including voluntary sector organisations. It is expected that local areas will use some of this to improve care for people with dementia, such as providing access to dementia advisors, reminiscence services and counselling.</p><p> </p><p> </p><p> </p><p>Dementia is a key priority for this Government which is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>Since the launch of the Challenge, we have made significant progress across all three strands of the challenge including:</p><p> </p><p> </p><p> </p><p>- on 28 February 2014, the Secretary of State for Health announced his ambition for improving dementia care and support for people with dementia, their family and carers. This signalled the importance of a tailored plan of care as part of a package of high quality, personalised dementia care and support;</p><p> </p><p> </p><p> </p><p>- in the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed;</p><p> </p><p> </p><p> </p><p>- the Dementia Care and Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families;</p><p> </p><p> </p><p> </p><p>- on 1 April, we put in place a new Dementia Directed Enhanced Service which has had over 80% take up by GPs to reward practices for facilitating timely diagnosis and support for people with dementia;</p><p> </p><p> </p><p> </p><p>- on 22 May, we launched the Dementia Roadmap web based navigation aid with the Royal College of General Practitioners to assist primary care staff effectively support patients, families and carers at the time of diagnosis and throughout the dementia journey; and</p><p> </p><p> </p><p> </p><p>- on 10 September 2014, NHS England published a new Dementia Toolkit aimed at helping GPs make a more timely diagnosis and what they can do in terms of vital post-diagnostic support.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:48:20 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

171629

	registered interest
	date	18/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Civil Society
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that the charitable sector can play an increased role in adult social care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	219521
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The Government appreciates that voluntary sector organisations make a substantial contribution to the delivery of high quality local health and social care services. Their unique understanding of local communities often means that they are better placed than others to reach those vulnerable and sometimes hard to reach groups. They have a strong track-record of designing, providing and supporting services based on insight into clients’ needs, and are often well placed to respond flexibly to those needs.</p><p> </p><p> </p><p> </p><p>The Department provides over £125 million of grant funding per year to the Voluntary, Community and Social Enterprise (VCSE) sector to help deliver better health and social care outcomes. This includes the Third Sector Investment Fund which offers grants to the voluntary and community sector to support the development of the sector, build capacity and promote innovation across health and care.</p><p> </p><p> </p><p> </p><p>The Department also has a long history of working with the sector to develop policy. For example, the development of legislation and the regulations and guidance for the Care Act 2014 were produced in collaboration with expert reference groups including a broad range of VCSE organisations.</p><p> </p><p> </p><p> </p><p>The Care Act also gives local authorities flexibility to delegate most of their care and support functions under the Act to another body, although the local authority will retain overall responsibility for the fulfilment of the function. Such delegation can include the voluntary sector where appropriate. In recognition of the important role of the VCSE sector in adult social care, the Act also gives local authorities a new duty to promote a diverse provider market.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:54:31 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

172226

	registered interest
	date	06/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Learning Disability and Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure the recommendations of the report by Sir Stephen Bubb, entitled, Winterbourne View - Time for Change are being implemented as soon as possible.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	219904
	answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>NHS England and the Department of Health are considering the report’s recommendations in the context of the ongoing, system-wide Transforming Care programme, convened in response to events at Winterbourne View Hospital. NHS England will respond to the report by Sir Stephen Bubb in early 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 13/01/2015 15:31:30 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

657934

	registered interest
	date	13/12/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to help ensure that appointment waiting times at child and adolescent mental health services in England are being reduced.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	57397
	answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Department does not currently collect information on waiting times for all child and adolescent mental health services.</p><p> </p><p>However, we have introduced the first ever access and waiting time standards for mental health. Standards on waiting times for early intervention in psychosis are already in place and encompass children and young people aged 14 or over. Standards for eating disorders services, targeted at children and young people, were published in August 2015 and will come into effect on 1 April 2017.</p><p> </p><p>In addition, NHS Digital has begun publishing experimental data from the Data Set setting out the waiting times of children and young people between referral and second contact. NHS England has also set aside a fund of £25 million to reduce waiting times backlogs and asked clinical commissioning groups to set out the steps they will make, using that fund, to reduce any waiting lists during 2016-17.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57398 question first answered 19/12/2016 15:19:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4079 label Biography information for Julian Sturdy