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1132760

	registered interest
	date	18/06/2019
	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: Mental Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to help protect the mental health of NHS staff.
	tabling member constituency	Thornbury and Yate
	tabling member printed	Luke Hall
	uin	911417
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The NHS People Plan will develop a new offer for our people through which they will have voice and support including a focus on improved mental health.</p><p>This will build on progress implementing mental health standards in ‘Thriving at Work – a review of mental health and employers’, which have been included in NHS Standard Contracts and embedded in the National Health Service staff health and wellbeing framework.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 14:50:57 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4450 label Biography information for Luke Hall

1132761

	registered interest
	date	18/06/2019
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he has taken to prepare the NHS for the UK leaving the EU in October 2019.
	tabling member constituency	Argyll and Bute
	tabling member printed	Brendan O'Hara
	uin	911418
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>As a responsible government, we must continue to plan for every scenario. We continue to carefully review the implications of the latest extension to Article 50 on our no deal planning. We are working closely with partners across the health and care system, and stakeholders, to make detailed plans to ensure the continued supply of medicines and medical products and secure the future of our European Union health and care workforce.</p><p /><p /> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 911419 question first answered 18/06/2019 16:37:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4371 label Biography information for Brendan O'Hara

1132762

	registered interest
	date	18/06/2019
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he has taken to prepare the NHS for the UK leaving the EU in October 2019.
	tabling member constituency	Motherwell and Wishaw
	tabling member printed	Marion Fellows
	uin	911419
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>As a responsible government, we must continue to plan for every scenario. We continue to carefully review the implications of the latest extension to Article 50 on our no deal planning. We are working closely with partners across the health and care system, and stakeholders, to make detailed plans to ensure the continued supply of medicines and medical products and secure the future of our European Union health and care workforce.</p><p /><p /> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 911418 question first answered 18/06/2019 16:37:00 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4440 label Biography information for Marion Fellows

1132763

	registered interest
	date	18/06/2019
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to ensure NHS patient safety.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	911420
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy

1132764

	registered interest
	date	18/06/2019
	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	Cannabis: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	What progress the Government has made on making medical cannabis available to people who need it.
	tabling member constituency	Gower
	tabling member printed	Tonia Antoniazzi
	uin	911421
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The Government acted swiftly to change the law and those patients for whom it is clinically appropriate can be prescribed medicinal cannabis. It is a clinical decision whether to prescribe, and prescriptions of medicinal cannabis are available, and being issued where it is judged clinically appropriate for the patient.</p><p /><p /> answering member constituency West Suffolk answering member printed Matt Hancock question first answered 18/06/2019 16:50:49 answering member 4070 label Biography information for Matt Hancock
	tabling member	4623 label Biography information for Tonia Antoniazzi

1132765

	registered interest
	date	18/06/2019
	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	What recent discussions his Department has had with clinical commissioning groups on the Human Fertilisation and Embryology Authority’s guidance on fertility treatment.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	911423
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <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 Aauthority’s guidance for commissioners is a new tool to help them implement National Institute for Health and Care Excellence (NICE) Fertility guidelines and utilise the benchmark price for In Vitro Fertilisation.</p><p>I have written to all CCGs to promote the guidance and benchmark price, and encourage them to fully implement NICE Fertility Guideline recommendations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 15:21:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

1132766

	registered interest
	date	18/06/2019
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to improve social care.
	tabling member constituency	Thirsk and Malton
	tabling member printed	Kevin Hollinrake
	uin	911424
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Local authorities have a duty to ensure people receive appropriate care and support. We have given them access to up to £3.9 billion more dedicated funding for adult social care this year, and a further £410 million has been made available for adult and children’s services.</p><p>We will set out our plans to reform the social care system at the earliest opportunity to ensure it is sustainable for the future.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:02:18 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4474 label Biography information for Kevin Hollinrake

1132025

	registered interest
	date	13/06/2019
	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	Cannabis: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how and by whom medical cannabis was produced in the UK before its legalisation.
	tabling member constituency	Central Ayrshire
	tabling member printed	Dr Philippa Whitford
	uin	264425
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Prior to the change of the law on 1 November 2018, only cannabis-based products that had been given a marketing authorisation (product licence) by the medicines regulators, the Medicines and Healthcare products Regulatory Agency (MHRA) or European Medicines Agency could be prescribed. Before issuing a marketing authorisation the MHRA accesses all the available evidence on efficacy and safety arising out of pre-clinical research and clinical trials and evidence and information supplied by the manufacturer. The regulators also inspect the factory where the medicine is to be made, to make sure that supplies will be of a uniformly and consistently high standard.</p><p> </p><p>The following cannabis-based products and related products received a marketing authorisation in the United Kingdom/European Union before 1 November 2018:</p><p> </p><p>- Sativex - (produced by GW Pharmaceuticals) containing tetrahydrocannabinol (THC) and cannabidiol - holds a licence for spasticity in multiple sclerosis; and</p><p>- Nabilone - (multiple manufacturers) which contains a synthetic, non-natural cannabinoid which mimics THC, holds a marketing authorisation for nausea and vomiting caused by chemotherapy.</p><p> </p><p>In addition, Epidiolex (also produced by GW Pharmaceuticals from cannabis) for two severe forms of intractable epilepsy (Lennox-Gastaut Syndrome or Dravet Syndrome), is currently being considered for a marketing authorisation by the European Medicines Agency.</p><p> </p><p>The change in the law allows the prescription, by specialist doctors on the General Medical Council’s Specialist Register, of cannabis-based products that have not been through this rigorous process but that meet certain quality standards in cases where all licensed products have been considered and discounted and it is in the best interest of the patient. It also makes</p><p>it easier and will incentivise further research into the potential health benefits of cannabis-based products and the development of further licensed products for more routine use in the health service.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:31:54 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4385 label Biography information for Dr Philippa Whitford

1132026

	registered interest
	date	13/06/2019
	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	Anxiety: Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of young people (a) attending and (b) not attending university who suffer from anxiety.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	264317
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Through the Department of Education, we know that the Higher Education Statistics Agency reported that, in 2017/18, 24,815 UK resident entrants to higher education settings disclosed a diagnosed mental health condition such as anxiety. Robust data is not available to determine how much of this increase is down to increased disclosure resulting from reduced stigma, and how much is due to increased prevalence.</p><p>Any disclosure of diagnosed mental health conditions by higher education students to their institution is voluntary. The actual number of university students with diagnosed mental health conditions is therefore unknown.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:41:44 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	308 label Biography information for Mr Jim Cunningham

1132035

	registered interest
	date	13/06/2019
	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	Primary Care Networks
	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 requirements for primary care networks to engage with the local community will be.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264406
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p><ins class="ministerial"> <p><ins class="ministerial">Primary Care Networks (PCNs) are a new way for primary and community service organisations to work together. For PCNs to be successful they will need to work in partnership with local people and the communities they serve. Legal duties which currently apply to NHS service providers - including general practitioner practices - and commissioners around engagement and consultation will continue to be valid for PCNs.</ins></p></ins></p><p><del class="ministerial">NHS England and NHS Improvement, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England.</del></p><p><del class="ministerial">The commercial framework will support a single, transparent, robust and integrated pricing and market access process, and is being tested with and informed through consultation with stakeholders including the Association of the British Pharmaceutical Industry.</del></p><p><del class="ministerial">In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to outline progress on the development of the commercial framework. The consultation on the draft framework is anticipated to be launched in Quarter 3 2019 with consultation events to be held in Manchester and London, and implementation of the commercial framework is expected to follow.</del></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:34:05 question first ministerially corrected 19/06/2019 08:36:30 answering member 4455 label Biography information for Seema Kennedy previous answer version 123829 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132037

	registered interest
	date	13/06/2019
	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	Primary Care Networks: Rural Areas
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what population exceptions are in place for Primary Care Networks covering large rural and remote areas.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264408
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has allowed rurality as an exception for meeting the definition of a Primary Care Network (PCN). As set out in the Network Contract Direct Enhanced Service (under paragraph 3.2) commissioners may waiver the 30,000-minimum population “where a PCN serves a natural community which has a low population density across a large rural and remote area”.</p><p>Further information is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/network-contract-des-specification-2019-20-v1.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:30:48 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1132052

	registered interest
	date	13/06/2019
	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	Homeopathy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether representatives of his Department or Agencies attended the London international conference of the Homeopathic Research Institute on 14 - 17 June 2019; if his Department or agencies will make an assessment of the implications for their policies of papers presented at that conference; and if he will make a statement.
	tabling member constituency	Bosworth
	tabling member printed	David Tredinnick
	uin	264321
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>There was no representation made by the Department at this conference. The Department does not maintain a position on any particular complementary or alternative medicine treatments including homeopathy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:33:15 answering member 4455 label Biography information for Seema Kennedy
	tabling member	335 label Biography information for David Tredinnick

1132105

	registered interest
	date	13/06/2019
	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	Suicide: Wolverhampton
	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 assessment he has made of trends in the rate of suicide among men in Wolverhampton; and what steps he is taking to improve mental health services in the West Midlands.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264388
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>The latest update on suicide prevention from the health scrutiny panel at City of Wolverhampton Council (June 2019), shows that 66 deaths were registered as suicides for the period of 2015-17 and 54 of these (82%) were male.</p><p> </p><p>In ‘Making Wolverhampton a Suicide Safer Community: Wolverhampton Suicide Prevention Strategy 2016–2020’, City of Wolverhampton Council has set the following aims to reduce suicides:</p><p> </p><p>- provide a multi-agency approach to suicide prevention across Wolverhampton;</p><p>- raise awareness of suicide, compelling organisations and the community to take positive action;</p><p>- upskill workforces through information and knowledge enabling them to better understand and respond to poor mental wellbeing and suicide ideation;</p><p>- influence services and policies so that suicide prevention is robustly considered and embedded in routine business; and</p><p>- provide a coordinated suicide support offer which can be accessed by services and communities.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:42:26 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4077 label Biography information for Emma Reynolds

1132107

	registered interest
	date	13/06/2019
	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	Hospices: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of children's hospices in England; and what assessment he has made of the adequacy of support for hospices provided by his Department.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264389
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Information on the number of hospices which have closed in England since 2010 is not held.</p><p>There are currently around 223 registered independent hospices, and a very small number of public hospices run internally by National Health Service trusts. Around a quarter of these are children’s hospices. The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services.</p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCG in children’s palliative and end of life care services. This will enable match funding payments to be made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264390 question first answered 18/06/2019 14:49:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4077 label Biography information for Emma Reynolds

1132108

	registered interest
	date	13/06/2019
	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	Hospices: Children
	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 children's hospices have closed in England in each year since 2010; and in which regions of England were those hospices located.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264390
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Information on the number of hospices which have closed in England since 2010 is not held.</p><p>There are currently around 223 registered independent hospices, and a very small number of public hospices run internally by National Health Service trusts. Around a quarter of these are children’s hospices. The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGs) and the Government for providing local services. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p>As part of the NHS Long Term Plan, NHS England committed to increase its investment in children’s palliative care over the next five years by match funding CCGs who commit to increase their investment in local children’s palliative and end of life care services.</p><p>Subject to CCGs increasing investment, NHS England will match this by up to £7 million a year by 2023/24. This increase is in addition to the Children’s Hospice Grant, which provides an annual contribution of £11 million. NHS England is currently establishing financial reporting systems to monitor the baseline investment of CCG in children’s palliative and end of life care services. This will enable match funding payments to be made to CCGs where the investments are increased above the investment baseline in the previous year. As baselining will be ongoing through 2019/20, and therefore match funding will not be available in this year, NHS England will be increasing the children’s hospice grant to £12 million for this period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 264389 question first answered 18/06/2019 14:49:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4077 label Biography information for Emma Reynolds

1132140

	registered interest
	date	13/06/2019
	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	Voluntary Scheme for Branded Medicines Pricing and Access
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress NHS England has made on developing a commercial framework in relation to the Voluntary Pricing and Access Scheme for branded medicines.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264409
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England and NHS Improvement, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England.</p><p>The commercial framework will support a single, transparent, robust and integrated pricing and market access process, and is being tested with and informed through consultation with stakeholders including the Association of the British Pharmaceutical Industry.</p><p>In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to outline progress on the development of the commercial framework. The consultation on the draft framework is anticipated to be launched in Quarter 3 2019 with consultation events to be held in Manchester and London, and implementation of the commercial framework is expected to follow.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:39:17 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1131610

	registered interest
	date	12/06/2019
	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, how many patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers for (i) learning disabilities and (ii) autism services were rated as inadequate by the Care Quality Commission in each of the last three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263786
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:32:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1131611

	registered interest
	date	12/06/2019
	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	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 and Social Care, how many patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers providing services for children and young people with mental health conditions were rated as inadequate by the Care Quality Commission in each of the last three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263787
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:33:43 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1131616

	registered interest
	date	12/06/2019
	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: Legal Costs
	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 was money was spent by (a) NHS England, (b) NHS Trusts, (c) Health Education England and (d) NHS Improvement on the services of (a) Bevan Brittan, (b) Mills & Reeve, (c) DAC Beechcroft, (d) Hempsons, (e) Capsticks and (f) Hill Dickinson in relation to employment and whistleblower disputes in each of the last five years.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	263752
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The arm’s length bodies concerned do not collect information in a way that would enable them to answer this question in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:42:04 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1439 label Biography information for Norman Lamb

1131666

	registered interest
	date	12/06/2019
	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	Arthritis: 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 recent assessment he has made of the effectiveness of training for GPs in the early diagnosis of rheumatoid arthritis.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263716
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced 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>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263717 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

1131669

	registered interest
	date	12/06/2019
	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	Rheumatology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of access to specialist rheumatologists.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263717
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced 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>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263716 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

1131710

	registered interest
	date	12/06/2019
	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	Blood Cancer: Health Services
	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 people who have been diagnosed with blood cancer were offered a holistic needs assessment in (a) 2016, (b) 2017 and (c) 2018.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263851
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Data is currently being analysed on the number of Holistic Needs Assessments (HNAs) being recorded by National Health Service trusts. This data only became required from April 2018 as part of the Public Health England Cancer Outcomes and Services Dataset therefore figures from before this date will be incomplete. A baseline survey of NHS trusts for January to March 2017 indicated that around 30% of blood cancer patients are offered an HNA. Since then, Cancer Alliances have been rolling out HNA along with other personalised care interventions, therefore it is expected that this figure will now be higher.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:33:40 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131714

	registered interest
	date	12/06/2019
	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	Cancer: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what is routinely offered to patients as part of the holistic needs assessment to help provide emotional and psychological support during and after a cancer diagnosis and treatment.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263855
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>When a person has a Holistic Needs Assessments (HNA) they are asked to identify any concerns from a checklist which will normally include emotional, relationship and spiritual concerns. People can of course, raise concerns at any time with their general practitioner or hospital team, not just when an HNA is being done. This should lead to actions being agreed in a personalised care and support plan that includes appropriate action to support the person with their psychosocial or mental health needs. For example:</p><p>- Signposting a person to peer support or cancer ‘buddies’ through patient groups, online forums etc;</p><p>- Signposting a person to a cancer support centre such as Maggie’s or a Macmillan Information centre;</p><p>- Providing training in relaxation techniques, problem solving and coping strategies;</p><p>- Referring a person to professional support in the form of emotional and basic psychological support from a clinical nurse specialist, or counselling from a trained professional such as a clinical psychologist; and</p><p>- Referring a person to professional support in the form of services for more serious mental health needs.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:23:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131717

	registered interest
	date	12/06/2019
	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	Cancer: Children and Young People
	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 times on average children and young people have seen their GP before being diagnosed with (a) cancer and (b) blood cancer in each of the last five years.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263858
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263859 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131718

	registered interest
	date	12/06/2019
	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	Cancer: Children and Young People
	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 average stage is of (a) cancer and (b) blood cancer diagnosed in children and young people.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263859
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263858 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131729

	registered interest
	date	12/06/2019
	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: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the findings on children's mental and physical health in Poverty dynamics and health in late childhood in the UK: evidence from the Millennium Cohort Study, published by the British Medical Journal on June 11th 2019; and if he will make a statement.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	263746
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>There has been no current assessment of this report. The evidence is clear that income and physical and mental health outcomes are closely associated. The NHS Long Term Plan for the National Health Service, backed by an extra £33.9 billion a year in cash terms by 2023/24, puts prevention at its heart and early intervention is key. The Government is supporting this with an additional £2.3 billion a year to expand mental health services and help ensure 345,000 more children and young people under 25 receive mental health support by 2023/24. Tackling the root cause of poverty remains a priority for this Government and some families need more support. The Government is continuing to spend £95 billion a year on working-age benefits and provide free school meals to more than one million of the country’s most disadvantaged children.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:51:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1131767

	registered interest
	date	12/06/2019
	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	Speech and Language Therapy: Children
	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 page 7 of the June 2019 report of the Children’s Commissioner, We need to talk: access to speech and language therapy, what steps he is taking to ensure that health and education services jointly deliver support to prevent children from falling through the gaps between different providers of services in their area.
	tabling member constituency	Swansea West
	tabling member printed	Geraint Davies
	uin	263660
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Communication support particularly benefits from a joint commissioning approach. The NHS Long Term Plan recognises the importance of speech and language therapists and proposes that local areas design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>Since May 2016, Ofsted and the Care Quality Commission are inspecting local areas on the effectiveness with which clinical commissioning groups and local authorities work together in joint commissioning arrangements, to support the needs of children with special educational needs and disability, which would include their commissioning of therapies.</p><p>We are keen to work with the Children’s Commissioner’s Office on the issues of expenditure data.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 263661 question first answered 17/06/2019 15:35:26 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	155 label Biography information for Geraint Davies

1131768

	registered interest
	date	12/06/2019
	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	Speech and Language Therapy: Children
	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 page 7 of the June 2019 report of the Children’s Commissioner, We need to talk: access to speech and language therapy, what plans he has to tackle local variations in spending on speech and language therapy; and how that spending will be monitored by his Department.
	tabling member constituency	Swansea West
	tabling member printed	Geraint Davies
	uin	263661
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Communication support particularly benefits from a joint commissioning approach. The NHS Long Term Plan recognises the importance of speech and language therapists and proposes that local areas design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>Since May 2016, Ofsted and the Care Quality Commission are inspecting local areas on the effectiveness with which clinical commissioning groups and local authorities work together in joint commissioning arrangements, to support the needs of children with special educational needs and disability, which would include their commissioning of therapies.</p><p>We are keen to work with the Children’s Commissioner’s Office on the issues of expenditure data.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 263660 question first answered 17/06/2019 15:35:26 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	155 label Biography information for Geraint Davies

1131769

	registered interest
	date	12/06/2019
	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	Integrated Care Systems
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to issue guidance to local authorities on using the evidence in the March 2018 report Bercow: Ten Years On in their (a) Joint Health and Wellbeing Strategies and (b) contributions to Integrated Care Systems.
	tabling member constituency	Swansea West
	tabling member printed	Geraint Davies
	uin	263662
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>There are no current plans to issue such guidance to local authorities.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:28:39 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	155 label Biography information for Geraint Davies

1131779

	registered interest
	date	12/06/2019
	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	Sexually Transmitted Infections
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the correlation between reductions in public health funding and increases in rates of syphilis and gonorrhoea.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	263881
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Increases in rates of syphilis and gonorrhoea are likely to be due to a number of factors. These include increases in both the number of people attending sexual health services and the number of tests for sexually transmitted infections. Public Health England has advised that other factors include, better detection of infections and behavioural changes such as an increase in partner numbers and condomless anal intercourse, as well as, for some men who have sex with men, ‘chemsex’ and group sex facilitated by geosocial networking applications.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:30:37 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4510 label Biography information for Helen Hayes

1131780

	registered interest
	date	12/06/2019
	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	Genito-urinary Medicine
	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 produce a national sexual health strategy.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	263882
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:33:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4510 label Biography information for Helen Hayes

1131782

	registered interest
	date	12/06/2019
	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	Radioisotopes
	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 assessment he has made of the adequacy of (a) national and (b) regional supplies of radionuclide chemicals.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	263719
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The Department is not aware of any disruption to the supply of medical radionuclide chemicals (radioisotopes) at a national level. However, the Department does not hold information about the volume of any of medical radioisotopes that are currently available at a national or regional level.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:29:33 answering member 4455 label Biography information for Seema Kennedy
	tabling member	478 label Biography information for Lord Field of Birkenhead

1131826

	registered interest
	date	12/06/2019
	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	Dentistry: Vacancies
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate his Department has made of the number of vacancies for (a) dentists, (b) dental hygienists and (c) other staff in dental practices there were in (i) the UK, (ii) Hampshire and (c) Portsmouth in (A) 2018 and (B) the latest period for which figures are available.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	263902
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Information is not held on vacancies for dentists or dental hygienists or other staff working dental practices in England.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:28:04 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4653 label Biography information for Stephen Morgan

1131831

	registered interest
	date	12/06/2019
	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	Small Business Research Initiative Healthcare: Finance
	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 budget of the Small Business Research Initiative Healthcare was in each financial year since 2009-10.
	tabling member constituency	Salford and Eccles
	tabling member printed	Rebecca Long Bailey
	uin	263903
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The Small Business Research Initiative (SBRI) Healthcare has been the remit of NHS England since 2013 and the budget for SBRI Healthcare for the financial years since 2013/14 is shown in the following table. Records of the budgets prior to the programme being owned by NHS England are not held.</p><table><tbody><tr><td><p>2013/14</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><td><p>2019/20</p></td></tr><tr><td><p>£10 million</p></td><td><p>£20 million</p></td><td><p>£20 million</p></td><td><p>£12.9 million</p></td><td><p>£12.9 million</p></td><td><p>£17.9 million</p></td><td><p>£5.2 million</p></td></tr></tbody></table><p> </p><p>Note:</p><p>The figures relate to SBRI Healthcare and not SBRI budgets for other programmes. The difference in funding between 2018/19 and 2019/20 is due to a change in suppliers for the programme’s Programme Management function. This means extra funding was provided in 2018/19 to prepare for transition between suppliers, and a reduction in 2019/20 until the new supplier is fully established.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:16:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4396 label Biography information for Rebecca Long Bailey

1131833

	registered interest
	date	12/06/2019
	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: Billing
	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 invoices were sent to NHS patients as a result of proactive data sharing by the Home Office.
	tabling member constituency	Cardiff Central
	tabling member printed	Jo Stevens
	uin	263905
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The Department of Health and Social Care does not hold information on how many invoices were sent to National Health Service patients as a result of proactive data sharing by the Home Office.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/06/2019 14:54:43 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4425 label Biography information for Jo Stevens

1131214

	registered interest
	date	11/06/2019
	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	Prostate Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what forecast he has made of changes in the rates of prostate cancer in this Parliament.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	263083
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>No such forecast has been made. The age-standardised rate per 100,000 male population of newly diagnosed cases of prostate cancer rose from 149.5 in 2000 to 173.1 in 2017. This rise is largely due to the ageing population and the increase in prostate specific antigen testing.</p><p>Source: Office for National Statistics: Cancer registrations in England.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:27:13 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1409 label Biography information for Mr Gregory Campbell

1131221

	registered interest
	date	11/06/2019
	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	Mental Health Services: Children
	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 out of area placements for children and young people under the age of 18 NHS England has commissioned in in-patient mental health hospitals in each of the last three years where the length of stay for the patient has exceeded (a) one year, (b) two years and (c) three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263117
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Information on the length of stay for out of area placements is not collected centrally.</p><p>The length of stay of an individual patient is influenced by many factors. The aim is always to have as short a stay as possible in an in-patient setting with patients returning home and having support from community-based services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:50:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Barbara Keeley

1131269

	registered interest
	date	11/06/2019
	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	NHSX: Conditions of Employment and Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether civil servants transferring from his Department to NHSX received changes to (a) salaries and (b) terms and conditions of employment.
	tabling member constituency	East Dunbartonshire
	tabling member printed	Jo Swinson
	uin	263104
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>NHSX is a joint unit between the Department and NHS England. No staff have been transferred as NHSX is not a separate body. Departmental staff working in the joint unit remain on their existing salaries and terms and conditions of employment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:52:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1513 label Biography information for Jo Swinson

1131289

	registered interest
	date	11/06/2019
	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	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 and Social Care, how many child and adolescent mental health service beds there have been in the NHS in each month since 2015.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	263153
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information is not held in the format requested.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:46:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4244 label Biography information for Jonathan Ashworth

1131295

	registered interest
	date	11/06/2019
	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	Electronic Cigarettes: Children
	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 tackle underage vaping.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	263087
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The European Union’s Tobacco Product Directive (2014/40/EU) legislates for, amongst other matters, the regulation of electronic cigarettes. It has been transposed into United Kingdom law by the UK Tobacco and Related Products Regulations 2016. The legislation introduced measures to regulate e-cigarettes to reduce the risk of harm to children through rules on product safety, labelling and restrictions on advertising for electronic cigarettes.</p><p> </p><p>Furthermore, the Nicotine Inhaling Products (Age of Sale and Proxy Purchasing) Regulations 2015 makes it illegal to sell an electronic cigarette to any one aged under 18 years. Local trading standards have enforcement powers to take action on breaches of both sets of regulations.</p><p> </p><p>We continue to monitor the evidence and data on youth vaping. Public Health England’s latest e-cigarette evidence review published in February 2019 indicates regular youth use of electronic cigarettes remains low. The Government has also made a commitment to review the Tobacco and Related Products Regulations 2016 by May 2021, and the Nicotine Inhaling Products (Age of Sale and Proxy Purchasing) Regulations 2015 by May 2020.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 14:56:16 answering member 4455 label Biography information for Seema Kennedy
	tabling member	1436 label Biography information for Paul Farrelly

1131303

	registered interest
	date	11/06/2019
	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	Nurses: Career Development
	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 enable and support career options for older nurses in order to retain them in the workforce.
	tabling member constituency	Brent Central
	tabling member printed	Dawn Butler
	uin	263098
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>NHS Improvement and NHS Employers have been working in partnership to deliver a national programme of action to support National Health Service trusts to improve retention of the nursing and clinical workforce. This provides targeted support to trusts on key issues affecting retention, such as flexible working, supporting older workers, and development and career planning.</p><p>As part of the programme, NHS Improvement and NHS Employers have held specific workshops with trusts around flexible working and supporting older workers, and they continue to publish a range of case studies and tools on the online Retention Improvement Hub to support trusts to do this.</p><p>Health Education England launched a national nurse return-to-practice (RtP) programme in September 2014, which provides experienced nurses who have taken a break or retired with training and a route back into the NHS.</p><p>The RtP programme prepares nurses to return to the Nursing and Midwifery Council register, to enable them to take up posts in the NHS, care homes, primary care or other areas.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/06/2019 14:52:55 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1489 label Biography information for Dawn Butler

1131306

	registered interest
	date	11/06/2019
	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	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 and Social Care, with reference to section 3.5 of the NHS Operational Planning Guidance 2019-20, what steps his Department is taking to ensure the reduction in CCG administrative budgets does not mean that local areas miss the targets to improve children and young people’s mental health services as set out in the NHS Long Term Plan.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263118
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The NHS Long Term Plan commits to grow investment in mental health services faster than growth in the National Health Service budget overall for each of the next five years. This means mental health will receive a growing share of the NHS budget, worth in real terms at least a further £2.3 billion a year by 2023/24. Additionally, the NHS also commits that funding for children and young people’s mental health services will grow faster than both overall NHS funding and total mental health spending. This means that children and young people’s mental health services will for the first time grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall. The delivery of this commitment is supported by the annual Mental Health Investment Standard, which requires commissioners to allocate additional growth in funding for mental health.</p><p>The intention, also set out in the Long Term Plan, to make further efficiencies in NHS administrative costs is intended to ensure that an increasing share of the NHS budget is invested in frontline services by, amongst other things, simplifying costly and overly bureaucratic contracting processes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:47:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Barbara Keeley

1131341

	registered interest
	date	11/06/2019
	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
	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 full-time equivalent general practice clinical staff there were in (a) the NHS Sunderland Clinical Commissioning Group area, (b) the NHS England North (Cumbria and North East) region and (c) England in (i) 2016-17, (ii) 2017-18 and (iii) 2018-19.
	tabling member constituency	Houghton and Sunderland South
	tabling member printed	Bridget Phillipson
	uin	263139
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The data requested is available in the attached table.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:10:26 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name PQ263139 Bridget Phillipson Staff in Practices in Sunderland and North England Table.docx title Nurses and Direct Patient Care staff (FTE )16-19
	tabling member	4046 label Biography information for Bridget Phillipson

1131343

	registered interest
	date	11/06/2019
	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: Sunderland
	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 full time equivalent GP clinical staff there were in each GP practice in the NHS Sunderland Clinical Commissioning Group area in (a) 2016-17, (b) 2017-18 and (c) 2018-19.
	tabling member constituency	Houghton and Sunderland South
	tabling member printed	Bridget Phillipson
	uin	263140
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The data requested is available in the attached table.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:15:24 answering member 4455 label Biography information for Seema Kennedy attachment 1 file name PQ263140 Bridget Phillipson Staff in each Practice in Sunderland Table Final.docx title GP FTE clinical staff in NHS Sunderland CCG 16-19
	tabling member	4046 label Biography information for Bridget Phillipson

1131362

	registered interest
	date	11/06/2019
	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	Mental Health Services: Young People
	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 ensure cultural sensitivity in the provision of local mental health services for young people.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	263206
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The Government is committed to ensuring that all people who have a mental health need can access appropriate support when they need it and are treated sensitively and fairly. Commissioners are responsible for commissioning appropriate cultural provisions when planning services for their population, including children and young people.</p><p>Local transformation plans cover all local areas and are expected to make explicit how health inequalities are being addressed based on their Joint Strategic Needs Assessment.</p><p>The NHS Long Term Plan also sets out that more will be done to develop and imbed cultures of compassion, inclusion, and collaboration across the National Health Service. This will include developing programmes and interventions towards more diverse leadership to improve the experience of all staff and the population they serve.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:45:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4523 label Biography information for Catherine West

1131398

	registered interest
	date	11/06/2019
	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	Dental Services: Portsmouth
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the accessibility of dental services in Portsmouth for lower income families who do not own a car following the closure of three practices in that city.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	263248
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>NHS England has a legal duty to commission primary care National Health Service dental services to meet local needs, and as part of this duty completed a comprehensive service needs assessment of Portsmouth in 2017. Whilst the assessment did not specifically take transport into account, it did consider factors such as deprivation to understand the level of dental activity needed for the area. NHS England identified Portsmouth as an area requiring additional dental activity/capacity to meet patient needs, and as a result has put in place longer term plans to procure new dental services, as well as working with existing Portsmouth dentists to provide additional capacity in the area to treat patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263249 question first answered 17/06/2019 15:18:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4653 label Biography information for Stephen Morgan

1131399

	registered interest
	date	11/06/2019
	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	Dental Services: Portsmouth
	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 comparative assessment he has made of waiting times for dental practices in the Portsmouth area following Colosseum Dental’s closure of three practices in that city.
	tabling member constituency	Portsmouth South
	tabling member printed	Stephen Morgan
	uin	263249
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>NHS England has a legal duty to commission primary care National Health Service dental services to meet local needs, and as part of this duty completed a comprehensive service needs assessment of Portsmouth in 2017. Whilst the assessment did not specifically take transport into account, it did consider factors such as deprivation to understand the level of dental activity needed for the area. NHS England identified Portsmouth as an area requiring additional dental activity/capacity to meet patient needs, and as a result has put in place longer term plans to procure new dental services, as well as working with existing Portsmouth dentists to provide additional capacity in the area to treat patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263248 question first answered 17/06/2019 15:18:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4653 label Biography information for Stephen Morgan

1130872

	registered interest
	date	10/06/2019
	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	Mental Health Services: Contracts
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons NHS England decided that only NHS organisations can be the lead on contracts for specialised mental health services.
	tabling member constituency	Bristol South
	tabling member printed	Karin Smyth
	uin	262408
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has determined that provider collaboratives for specialised mental health, learning disability and autism services will be managed by a lead provider in their local area. The lead provider will be given delegated responsibility for managing the budget and patient pathway for specialised care for their local population.</p><p>They will be monitored and held to account via a contract with NHS England, which will retain ultimate accountability for the commissioning of these services. The lead provider will work in partnership with a collaborative of National Health Service and independent sector providers to deliver care locally to their population.</p><p>Although provider collaboratives will be led by an NHS organisation, independent providers can participate in provider collaboratives and enter into partnership agreements to support the effective and efficient delivery of NHS-funded care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:40:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4444 label Biography information for Karin Smyth

1130886

	registered interest
	date	10/06/2019
	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	Dementia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what comparative estimate his Department has made of the average cost of (a) caring for a dementia patient at home with care provided by family and (b) care provided in an in-patient setting.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	262230
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>The Department has made no such comparative estimate.</p><p>The average cost of caring for a dementia patient at home by family is not collected or reported centrally.</p><p>Data on the average cost of care provided in an in-patient setting is not available in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2019 13:33:32 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1130887

	registered interest
	date	10/06/2019
	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	Nurses: Training
	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 assessment his Department has made of the effect of the removal of bursaries for undergraduate nurses on the level of nursing places filled in each institution that provides such places.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	uin	262214
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>The education funding reforms, which came into force in 2017, unlocked the cap which constrained the number of pre-registration nursing, midwifery and allied health profession training places allowing more students to gain access to nurse degree training courses.</p><p> </p><p>Health Education Institutes (HEIs) are autonomous private institutions and are responsible for setting the number of training places they offer. It is for HEIs to work as part of their local health economy to secure training places.</p><p>The Department does not hold information on the level of pre-registration undergraduate nursing places filled at individual HEIs, compared with the number of places they made available in the given period.</p><p>The Office for Students publishes annual data on the number of entrants onto pre-registration nursing undergraduate nursing courses broken down by individual HEIs. Higher Education Students Early Statistics have published the 2018/19 data, which is available at the following link:</p><p> </p><p><a href="https://www.officeforstudents.org.uk/data-and-analysis/data-collection/get-the-heses-and-heifes-data/" target="_blank">https://www.officeforstudents.org.uk/data-and-analysis/data-collection/get-the-heses-and-heifes-data/</a></p><p> </p><p>The Department monitors student recruitment at a national level. The latest published data from the University and Colleges Admissions Service from February 2019 shows that there has been a 4.5% increase in applicants to nursing or midwifery courses at English universities when compared to this time last year in 2018. However, we know that there is further work to do with the education and healthcare sector to ensure that students continue to apply for these places.</p><p> </p><p>The NHS Long Term Plan set out the next step in our mission to make the National Health Service a world class employer and deliver the nursing workforce the NHS needs. To deliver on these commitments the NHS has published on 3 June 2019 an interim People Plan that sets out the action we will take now and over the long term to meet the challenges of nursing supply, including nursing undergraduate supply.</p><p>We recognise, however, that there is more to do which is why the NHS will publish a final People Plan soon after the conclusion of the Spending Review.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/06/2019 16:26:48 answering member 1585 label Biography information for Stephen Hammond
	tabling member	252 label Biography information for Dr David Drew