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100020

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what progress has been made on improving access to GPs.
	tabling member constituency	Weaver Vale
	tabling member printed	Graham Evans
	uin	905556
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Prime Minister’s £50 million Challenge Fund is currently improving general practitioner access for over two million patients across England. This includes offering evening and weekend appointments, as well as better use of technology, such as telehealth, to look after patients. By January, 7.5 million patients will be covered.</p><p> </p><p> </p><p> </p><p>And, we have recently announced another £100 million of funding for next year to improve access for even more patients.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:48:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4081 label Biography information for Lord Evans of Rainow

100022

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	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 promote patient choice.
	tabling member constituency	Stroud
	tabling member printed	Neil Carmichael
	uin	905559
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>We are committed to patients having greater choice and control over their healthcare, as this can help drive up standards and improve patient care.</p><p> </p><p> </p><p> </p><p>We believe that patient empowerment is vital to the National Health Service in the 21st century. This Government is committed to continuing to develop digital platforms to enable this to happen, such as My NHS and the NHS e-Referral Service.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2014 16:00:56 answering member 4020 label Biography information for George Freeman
	tabling member	4104 label Biography information for Neil Carmichael

93235

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, which NHS trusts (a) employ and (b) do not employ an Overseas Visitor Manager.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210341
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The information on National Health Service trusts who employ or do not employ an Overseas Visitor Manager is not held centrally.</p><p> </p><p> </p><p> </p><p>In its guidance to the NHS, the Department strongly recommends that relevant NHS bodies have a designated person/s to oversee the implementation of the Charging Regulations. This person may or may not hold the title of ‘Overseas Visitors Manager.’ However, NHS trusts are responsible for recruiting their own workforce and the decision as to whether to employ a designated Overseas Visitor Manager rests with them.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 210342 question first answered 21/10/2014 16:14:35 answering member 3918 label Biography information for Jane Ellison
	tabling member	116 label Biography information for Lord Soames of Fletching

93236

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what steps he is taking to ensure that every NHS trust employs an Overseas Visitor Manager.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210342
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The information on National Health Service trusts who employ or do not employ an Overseas Visitor Manager is not held centrally.</p><p> </p><p> </p><p> </p><p>In its guidance to the NHS, the Department strongly recommends that relevant NHS bodies have a designated person/s to oversee the implementation of the Charging Regulations. This person may or may not hold the title of ‘Overseas Visitors Manager.’ However, NHS trusts are responsible for recruiting their own workforce and the decision as to whether to employ a designated Overseas Visitor Manager rests with them.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 210341 question first answered 21/10/2014 16:14:35 answering member 3918 label Biography information for Jane Ellison
	tabling member	116 label Biography information for Lord Soames of Fletching

93237

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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, what steps he is taking to ensure that those patients referred by a GP to a hospital for treatment who are not eligible for free secondary care are identified and appropriately charged.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	210343
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department is working to develop and implement a comprehensive package of measures to support the National Health Service to correctly identify patients who should be charged for their healthcare.</p><p> </p><p> </p><p> </p><p>We have worked to encourage better communication between secondary care providers and general practitioners (GPs) once a chargeable patient has been identified. A toolbox for NHS Overseas Visitor Managers was published online in September 2014 that provided support materials on charging. This also includes template letters to enable providers to notify GPs if one of their patients is deemed chargeable.</p><p> </p><p> </p><p> </p><p>The NHS cost recovery programme is also focusing on engagement with GPs and primary care providers to help them understand the charging rules. We will also encourage better dialogue between primary and secondary care providers to ensure a process of early identification and appropriate charging.</p><p> </p><p> </p><p> </p><p>The Cost Recovery Team’s Implementation Plan (published July 2014) identified several strategies for cost recovery from European Economic Area (EEA) member states and non-EEA chargeable patients, which include:</p><p> </p><p>- The EEA incentive – launched on 1 October 2014</p><p> </p><p>- The non-EEA incentive and sanction – expected to go live in April 2015</p><p> </p><p>- The non-EEA health surcharge - expected to go live in April 2015.</p><p> </p><p> </p><p> </p><p>As outlined in the Government’s response to the public consultation (published December 2013), in the interest of public health, the Department has no intention of making GP and nurse consultations in primary care chargeable for patients who would not otherwise be eligible for free NHS treatment. This includes people who are illegally here in the United Kingdom or on temporary visitor visas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 210344 210345 question first answered 21/10/2014 16:20:09 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	116 label Biography information for Lord Soames of Fletching

93242

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Exercise
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the proportion of the population of (a) England and Wales and (b) Havering which is not getting the recommended amount of exercise per week.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210364
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Health Survey for England 2012, shows that in England 33% of men and 45% of women (aged 16 and over) are not meeting the Chief Medical Officers’ (CMOs) guidelines for physical activity for adults. This survey also shows that for Boys and Girls aged 5-15 years 79% and 84% respectively are not meeting the physical activity guidelines for this age group of at least 60 minutes per day. Data for Wales is a matter for the Welsh Government.</p><p> </p><p> </p><p> </p><p>The Active People Survey (2012), shows 34% of adults (aged 16 and over) in Havering are not achieving the CMOs guidelines for physical activity.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:18:22 answering member 3918 label Biography information for Jane Ellison
	tabling member	1447 label Biography information for Andrew Rosindell

93248

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ebola
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions has he had with his European counterparts on the threat of Ebola to Europe.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210361
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>My Rt. Hon. Friend the Secretary of State and his ministerial colleagues are involved in ongoing engagement with their European counterparts. I attended a health ministers meeting on Ebola in Brussels on 16 October, to discuss increasing European precautions against the Ebola outbreak, and was involved in the Foreign and Commonwealth Office’s pledging conference ‘Defeating Ebola in Sierra Leone’ (which took place in London on 2 October), which brought together Ministers and officials from Europe and the rest of the world.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, the Secretary of State’s senior officials have been fully engaged in the international effort against Ebola and are regularly in discussion and bilateral conversations with their European counterparts at all levels, particularly through the Eropean Union Health Security Committee.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:04:03 answering member 3918 label Biography information for Jane Ellison
	tabling member	1447 label Biography information for Andrew Rosindell

93254

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Foetal Alcohol Spectrum Disorder
	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 adequacy of current commissioning arrangements for treating foetal alcohol syndrome and foetal alcohol spectrum disorder; and if he will assess the merits of establishing a national service commissioned by NHS England for those conditions.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	210443
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Health and Social Care Act 2012 sets out criteria for nationally commissioned services that National Health Service England and the NHS Commissioning Board need to consider when commissioning specialised services. Services for the treatment of Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorder do not fall within these.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence Antenatal Care guideline includes recommendations for doctors and midwives on the advice they should give to pregnant women about drinking alcohol, and we would expect that Clinical Commissioning Groups have regard to their guidelines when commissioning services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:05:21 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

93274

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Walk-in Centres
	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 increase the number of walk-in centres.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210467
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Since 2007, the local National Health Service has been responsible for NHS walk-in-centres. It is for local clinical commissioners to determine the pattern of local services and where walk-in-centres fit within this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:02:20 answering member 3918 label Biography information for Jane Ellison
	tabling member	1447 label Biography information for Andrew Rosindell

93275

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent steps he has taken to reduce hospital accident and emergency waiting times.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210522
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Accident and emergency departments are measured against a standard that at least 95% of patients should be admitted, transferred or discharged within four hours of arrival.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In the face of rising demand, this standard was met in the first quarter (April to June) of 2014-15, with performance at 95.1%, but narrowly missed in the second quarter (July to September) with performance at 94.98%</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>An additional £400 million funding has been made available to ensure local urgent and emergency care services are sustainable and ready for the pressures of winter. A range of other steps will relieve demand on accident and emergency departments by improving access to services outside of hospitals and improving the flow of patients through and out of hospitals. These include extending opening hours for general practice, a £3.8 billion Better Care fund for the National Health Service and local authorities to invest in joined up health and social services from April 2015, the NHS 111 service signposting people to primary and community settings where appropriate, the ambulance service resolving more calls without taking people to accident and emergency departments, and increasing accident and emergency workforce capacity. In the longer term, a review of urgent and emergency care services is looking at the way the NHS responds to and receives emergency patients to hospital, to ensure a sustainable system for the future.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:13:14 answering member 3918 label Biography information for Jane Ellison
	tabling member	1447 label Biography information for Andrew Rosindell