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809129
star this property registered interest false more like this
star this property date less than 2017-12-19more like thismore than 2017-12-19
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading NHS: Fees and Charges more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 903036 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-12-19more like thismore than 2017-12-19
star this property answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2017-12-19T17:09:22.15Zmore like thismore than 2017-12-19T17:09:22.15Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
770015
star this property registered interest false more like this
star this property date less than 2017-10-13more like thismore than 2017-10-13
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Clinical Commissioning Groups more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department is taking to ensure that clinical commissioning groups follow National Institute for Health and Care Excellence guidelines. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 107711 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-18more like thismore than 2017-10-18
star this property answer text <p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.</p><p> </p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.</p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2017-10-18T16:50:13.613Zmore like thismore than 2017-10-18T16:50:13.613Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
771500
star this property registered interest false more like this
star this property date less than 2017-10-16more like thismore than 2017-10-16
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Obesity: Surgery more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment his Department has made of the effect of the proposed requirement for clinical commissioning groups (CCGs) to go through an individual funding request before each patient is able to access bariatric surgery on (a) patient health and (b) capacity of CCGs to respond to that requirement. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 107834 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-19more like thismore than 2017-10-19
star this property answer text <p>There is no national requirement for clinical commissioning groups (CCGs) to go through an individual funding request process before each patient is able to access bariatric surgery. The implementation and operation of CCG commissioning policies is a matter for individual CCGs to determine.</p><p> </p><p>NHS England has therefore made no formal assessment of this proposed requirement on CCGs.</p><p> </p><p>The National Institute for Health and Care Excellence Clinical Guidelines 43 (updated November 2014) is clear about which groups of individuals bariatric surgery can benefit, with both clinical and cost effectiveness demonstrated, and attendance at Tier 3 services required first. Tier 3 covers multidisciplinary weight management services which are normally commissioned by CCGs.</p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2017-10-19T10:09:30.353Zmore like thismore than 2017-10-19T10:09:30.353Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
770016
star this property registered interest false more like this
star this property date less than 2017-10-13more like thismore than 2017-10-13
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Obesity: Surgery more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment he has made of the potential merits of NICE guidance on bariatric surgery (CG189). more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 107726 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-18more like thismore than 2017-10-18
star this property answer text <p>The National Institute for Health and Care Excellence (NICE) issued a clinical guideline on the identification, assessment and management of obesity in 2014 that makes recommendations on the use of bariatric surgery.</p><p> </p><p>NICE’s guideline recommends bariatric surgery as an option for people with obesity if all of the following criteria are fulfilled:</p><p> </p><p>- They have a body mass index of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight;</p><p>- All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss;</p><p>- The person has been receiving or will receive intensive management in a tier 3 service;</p><p>- The person is generally fit for anaesthesia and surgery; and</p><p>- The person commits to the need for long-term follow-up.</p><p> </p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2017-10-18T16:50:23.683Zmore like thismore than 2017-10-18T16:50:23.683Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
770014
star this property registered interest false more like this
star this property date less than 2017-10-13more like thismore than 2017-10-13
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Obesity: Surgery more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment he has made of the cost to the public purse of denying or delaying treatment for patients requiring bariatric surgery. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 107710 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-18more like thismore than 2017-10-18
star this property answer text <p>NHS England has not made an assessment of the cost or delaying treatment for patients requiring bariatric surgery.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission services which meet the needs of their local population. When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery. Treatment decisions should always be made by doctors based on patients’ clinical needs.</p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2017-10-18T16:48:44.517Zmore like thismore than 2017-10-18T16:48:44.517Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
820695
star this property registered interest false more like this
star this property date less than 2018-01-11more like thismore than 2018-01-11
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Cervical Cancer: Screening more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what the take-up rate for cervical screening in (a) England, (b) North Yorkshire and (c) York was in 2017. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 122113 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-01-16more like thismore than 2018-01-16
star this property answer text <p>The National Health Service Cervical Screening Programme measures coverage rather than uptake rate. NHS England is responsible for monitoring the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all age groups.</p><p> </p><p>Data are provided by NHS Digital and are available at:</p><p> </p><p><a href="https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage" target="_blank">https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage</a></p><p> </p><p>General practitioner/clinical commissioning group level coverage is available at:</p><p> </p><p><a href="http://digital.nhs.uk/catalogue/PUB24229" target="_blank">http://digital.nhs.uk/catalogue/PUB24229</a></p><p> </p><p>The percentage of coverage for each area requested as at the end of 2016-17 is: England 72.0%; North Yorkshire 78.1%; York 73.0%.</p> more like this
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2018-01-16T11:48:21.7Zmore like thismore than 2018-01-16T11:48:21.7Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter
964058
star this property registered interest false more like this
star this property date less than 2018-09-03more like thismore than 2018-09-03
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
star this property answering dept sort name Health and Social Care more like this
star this property hansard heading Respiratory System: Diseases more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential causal link between respiratory diseases and deprivation and its effect on levels of (a) chronic obstructive pulmonary disease, (b) cancer, (c) tuberculosis, (d) pneumonia, (e) pulmonary fibrosis and (f) asthma; and what steps he is taking to reduce any such inequalities relating to respiratory diseases. more like this
star this property tabling member constituency York Central more like this
star this property tabling member printed
Rachael Maskell more like this
unstar this property uin 169538 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2018-09-11more like thismore than 2018-09-11
star this property answer text <p>NHS England is committed to reducing health inequalities, and respiratory disease will be a clinical priority in the National Health Service long-term plan.</p><p> </p><p>Evidence shows that disadvantaged groups and areas of deprivation experience higher incidence rates of respiratory disease (such as chronic obstructive pulmonary disease and asthma). This is in part due to higher levels of smoking, exposure to higher levels of air pollution, poor housing conditions, early life experiences and exposure to occupational hazards.</p><p> </p><p>National programmes such as the Elective Care Programme, NHS RightCare and Getting It Right First Time are focussing on respiratory disease management and have outlined the benefits that improvements in this area can bring to patients.</p><p> </p><p>Cancer of the larynx and lung are more common in the 20% most deprived patients relative to the 20% more well off patients. Smoking and increased alcohol consumption, both risk factors for these cancers, are also more common amongst more deprived populations.</p><p> </p><p>NHS England is to pilot low dose CT scanning for lung cancer, focussing on those clinical commissioning groups with the highest lung cancer mortality and incidence. These pilots, together with the implementation of rapid diagnosis pathways for lung cancer will help to close the gap in inequalities.</p>
star this property answering member constituency Winchester remove filter
star this property answering member printed Steve Brine more like this
star this property question first answered
less than 2018-09-11T16:00:27.507Zmore like thismore than 2018-09-11T16:00:27.507Z
star this property answering member
4067
star this property label Biography information for Steve Brine more like this
star this property tabling member
4471
star this property label Biography information for Rachael Maskell remove filter