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770014

	registered interest
	date	13/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity: Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the cost to the public purse of denying or delaying treatment for patients requiring bariatric surgery.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	107710
	answer	answer is ministerial correction date of answer 18/10/2017 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> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:48:44 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

748189

	registered interest
	date	04/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Hospital Beds
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS beds were available for mental health patients in each of the last five years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	2925
	answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Information is not available in the format requested. NHS England publish quarterly data from all National Health Service organisations that operate beds that are open overnight or day only. This includes the number of mental illness beds. This data is available at the link below:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 16:32:28 answering member 4067 label Biography information for Steve Brine
	tabling member	1588 label Biography information for Barbara Keeley

754117

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what target (a) NHS Improvement and (b) Liverpool Clinical Commissioning Group have set for intended Care Quality Commission rating of services within the Liverpool core bundle (i) one year and (ii) two years after that bundle has been allocated.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	6185
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.</p><p> </p><p>NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.</p><p> </p><p>NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 6214 6227 question first answered 05/09/2017 14:15:41 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

754130

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps have been taken by (a) NHS Improvement and (b) Liverpool Clinical Commissioning Group to ensure that services specified within the Liverpool core bundle can be delivered safely within the planned recurrent funding envelope.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	6227
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.</p><p> </p><p>NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.</p><p> </p><p>NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 6185 6214 question first answered 05/09/2017 14:15:41 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

754131

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which organisations (a) NHS Improvement and (b) Liverpool Clinical Commissioning Group have contacted for a next stage conversation about the Liverpool core bundle; and why each of those providers was approached.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	6214
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>NHS Improvement, working alongside the Liverpool Clinical Commissioning Group (LCCG), has recently begun a new process to select a preferred provider for Liverpool Community Services National Health Service Trust. The recurrent funding envelope for delivery of these services is currently being determined by LCCG. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality (which includes safety) and strategic context.</p><p> </p><p>NHS Improvement have informed us that they, working with the LCCG, have set a target Care Quality Commission rating of Good for services within the first year, and Good or Outstanding for the second year.</p><p> </p><p>NHS Improvement and the LCCG have invited proposals from four providers within the Liverpool “Acting As One” arrangements. These providers have been approached as they are considered to have a reasonable prospect of making a viable business case. The organisations are: Aintree NHS Foundation Trust, Alder Hey NHS Foundation Trust, Mersey Care NHS Foundation Trust and The Royal Liverpool and Broadgreen NHS Trust.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 6185 6227 question first answered 05/09/2017 14:15:41 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

754736

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when he expects to appoint a provider of Liverpool community trust services; and what criteria are being used to identify that provider.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	6372
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>NHS Improvement has informed us a decision on the preferred provider is expected to be made by the end of September, and the transaction completed by 1 April 2018. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality and strategic context.</p><p> </p><p>The recurrent and non-recurrent funding envelope, as well as the duration of the non-recurrent funding, is currently being determined by the Liverpool Clinical Commissioning Group.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 6373 question first answered 05/09/2017 14:09:24 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

754737

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what accounts will be provided as (a) recurrent and (b) non-recurrent funding to the provider of Liverpool care services; and for how long non-recurrent funding is expected to be provided.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	6373
	answer	answer is ministerial correction date of answer 05/09/2017 answer text <p>NHS Improvement has informed us a decision on the preferred provider is expected to be made by the end of September, and the transaction completed by 1 April 2018. The criteria that will be used to assess the proposals cover the four key domains of financial sustainability, deliverability, clinical quality and strategic context.</p><p> </p><p>The recurrent and non-recurrent funding envelope, as well as the duration of the non-recurrent funding, is currently being determined by the Liverpool Clinical Commissioning Group.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 6372 question first answered 05/09/2017 14:09:24 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

758989

	registered interest
	date	08/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the level of cost improvement expected from the current Liverpool core bundle process.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	9669
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>NHS Improvement informs us that the income value of the Liverpool core bundle is the same in 2018/19 as 2017/18. Regarding provision of community services, the value of the contract for community health services in Liverpool for 2017/18 is £81.6 million. This matches the value of the contract for these services in 2016/17.</p><p> </p><p>NHS Improvement is currently going through a process to agree the future of Liverpool Community Health Trust, and it is anticipated that the bidders for the services will propose cost improvements.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:41:17 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

758990

	registered interest
	date	08/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Professions: Conditions of Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what rules or guidance he provides to health commissioning organisations on staff of those organisations taking up employment with other organisations from which the commissioning organisation had commissioned products or services.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	9670
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Clinical commissioning groups (CCGs) should take all reasonable steps to ensure that employees, committee members, contractors and others engaged under contract with them are aware of the requirement to inform the CCG if they are employed or engaged in, or wish to be employed or engaged in, any employment or consultancy work in addition to their work with the CCG (for example, in relation to new care model arrangements).</p><p> </p><p>The following principles and rules should be adhered to:</p><p> </p><p>- CCGs should require that individuals obtain prior permission to engage in outside employment, and reserve the right to refuse permission where it believes a conflict will arise which cannot be effectively managed;</p><p> </p><p>- Staff should declare any existing outside employment on appointment, and any new outside employment when it arises;</p><p> </p><p>- CCGs may also have legitimate reasons within employment law for knowing about outside employment of staff; even if this does not give rise to risk of a conflict. Nothing in this guidance prevents such enquiries being made.</p><p> </p><p>- CCGs should ensure that they have clear and robust organisational policies in place to manage issues arising from outside employment. In particular, it is unacceptable for pharmacy advisers or other advisers, employees or consultants to the CCG on matters of procurement to themselves be in receipt of payments from the pharmaceutical or devices sector.</p><p> </p><p> </p><p>- All CCGs have a statutory duty to follow this guidance and ensure that any person involved in making a decision on the contract award has no pecuniary interest. Guidance on managing conflicts of interest is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/06/revised-ccg-coi-guidance-jul-17.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/06/revised-ccg-coi-guidance-jul-17.pdf</a></p><p> </p><p>- All staff National Health Service terms and conditions of service is available at the following link:</p><p><a href="http://www.nhsemployers.org/employershandbook/afc_tc_of_service_handbook_fb.pdf" target="_blank">http://www.nhsemployers.org/employershandbook/afc_tc_of_service_handbook_fb.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:26:02 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

768100

	registered interest
	date	10/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Gambling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have received counselling or other treatment for an addiction to gambling in the last 12 months.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	106858
	answer	answer is ministerial correction date of answer 16/10/2017 answer text <p>The Department does not hold information on the numbers of people who have received counselling or other treatment for an addiction to gambling in the last 12 months.</p><p> </p><p>The Health Survey for England is a national survey and its stratified, random probability sample is designed to be representative of the population living in private households in England. Questions about gambling and problem gambling were included in the survey in 2015 and in 2012. The 2015 survey data were published in a report by the Gambling Commission, available at:</p><p> </p><p><a href="http://www.gamblingcommission.gov.uk/PDF/survey-data/Health-survey-results-England-2015.pdf" target="_blank">http://www.gamblingcommission.gov.uk/PDF/survey-data/Health-survey-results-England-2015.pdf</a></p><p> </p><p>The survey found that 0.9% of people aged 16+ were classified as problem gamblers using either the PGSI (Problem Gambling Severity Index) or the DSM-IV (Diagnostic and Statistic Manual-IV) screening instruments.</p><p> </p><p>Problem gambling can cause physical and mental health problems, including anxiety disorders and depression. The Improving Access to Psychological Therapies (IAPT) programme began in 2008 and has transformed treatment of adult anxiety disorders and depression in England. Over 900,000 people now access IAPT services each year, and the Five Year Forward View for Mental Health is committed to expanding services further, alongside improving quality. Although problem gambling is not listed amongst the provisional diagnosis categories that IAPT treats, IAPT practitioners would be able to treat common mental health disorders such as depression and anxiety which problem gamblers may present with.</p><p> </p><p>My Rt. Hon. Friends the Secretary of State for Health and the Secretary of State for Digital, Culture, Media and Sport have had no meetings to discuss this specific issue. Officials from the two departments have met to discuss the impact of problem gambling on several occasions.</p><p> </p><p>Problem gamblers can access services in primary care and secondary care including specialised mental health and addiction services. Any decisions on the commissioning of effective treatment services are the responsibility of local commissioners<strong>, </strong>based on an assessment of local need.</p><p> </p><p>There are a range of services available to problem gamblers, details of which can be found on the NHS Choices website at:</p><p> </p><p><a href="http://www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspx" target="_blank">www.nhs.uk/Livewell/addiction/Pages/gamblingaddiction.aspx</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 106859 106860 106863 106956 question first answered 16/10/2017 16:40:29 answering member 4067 label Biography information for Steve Brine
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest