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771500

	registered interest
	date	16/10/2017
	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 his Department has made of the effect of the proposed requirement for clinical commissioning groups (CCGs) to go through an individual funding request before each patient is able to access bariatric surgery on (a) patient health and (b) capacity of CCGs to respond to that requirement.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	107834
	answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>There is no national requirement for clinical commissioning groups (CCGs) to go through an individual funding request process before each patient is able to access bariatric surgery. The implementation and operation of CCG commissioning policies is a matter for individual CCGs to determine.</p><p> </p><p>NHS England has therefore made no formal assessment of this proposed requirement on CCGs.</p><p> </p><p>The National Institute for Health and Care Excellence Clinical Guidelines 43 (updated November 2014) is clear about which groups of individuals bariatric surgery can benefit, with both clinical and cost effectiveness demonstrated, and attendance at Tier 3 services required first. Tier 3 covers multidisciplinary weight management services which are normally commissioned by CCGs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/10/2017 10:09:30 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

771344

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Innovative Medicines and Medical Technology Review
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when he plans to implement the recommendations of the Accelerated Access Review, published on 24 October 2016.
	tabling member constituency	Wigan
	tabling member printed	Lisa Nandy
	uin	107744
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The Government and its partners are carefully considering the recommendations in the Accelerated Access Review. A response will be published shortly, where we will outline plans for improving patient access to transformative treatments at a price the National Health Service can afford.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 14:29:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4082 label Biography information for Lisa Nandy

771522

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lumacaftor/ivacaftor
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what support his Department is giving to promote further negotiations between NICE, NHS England and the drug manufacturer Vertex on access to Orkambi for people with cystic fibrosis.
	tabling member constituency	Wigan
	tabling member printed	Lisa Nandy
	uin	107793
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>It is for Vertex, NHS England and the National Institute for Health and Care Excellence to enter into negotiations on this matter and we are pleased to note that discussions are on-going to explore possible options for making Orkambi available to National Health Service patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 14:31:37 answering member 4067 label Biography information for Steve Brine
	tabling member	4082 label Biography information for Lisa Nandy

771528

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many over-65s in (a) Southampton, (b) Portsmouth and (c) England have a long-term physical health condition.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	108039
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>Data is not available in the format requested.</p><p> </p><p>Over 15 million children, adults and older people in England live with at least one long-term condition, such as diabetes, epilepsy or asthma.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 108037 question first answered 24/10/2017 10:51:38 answering member 4067 label Biography information for Steve Brine
	tabling member	4478 label Biography information for Royston Smith

771530

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how his Department defines a long-term health condition.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	108040
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>A long-term health condition (LTC) can be defined as a condition that cannot be cured but can be managed through the use of medication and/or therapy.</p><p> </p><p>This is how LTC are defined by NHS Choices; further information can be found here:</p><p><a href="http://www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdf" target="_blank">www.nhs.uk/Livewell/workplacehealth/Documents/ChronicConds_LineManagers_Factsheet_A4.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 10:55:20 answering member 4067 label Biography information for Steve Brine
	tabling member	4478 label Biography information for Royston Smith

771531

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Illnesses: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many over-65s in (a) Southampton, (b) Portsmouth and (c) England have a long-term health condition.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	108037
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>Data is not available in the format requested.</p><p> </p><p>Over 15 million children, adults and older people in England live with at least one long-term condition, such as diabetes, epilepsy or asthma.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 108039 question first answered 24/10/2017 10:51:38 answering member 4067 label Biography information for Steve Brine
	tabling member	4478 label Biography information for Royston Smith

771520

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Greater London
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent estimate he has made of the GP to patient ratio for (a) Enfield Clinical Commissioning Group and (b) other clinical commissioning groups in London; and if he will make an assessment of the adequacy of those GP to patient ratios.
	tabling member constituency	Enfield North
	tabling member printed	Joan Ryan
	uin	107810
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The requested information is contained in the table below. There is no recommended ratio of general practitioners (GPs) to patients, recognising the differing needs of the registered patients of GP practices. GP practices plan and utilise their workforce to best meet the needs of their patients.</p><table><tbody><tr><td><p> </p></td><td><p>Patients per GP</p></td></tr><tr><td><p>NHS Enfield Clinical Commissioning Group (CCG)</p></td><td><p>1,434</p></td></tr><tr><td><p>NHS Barking and Dagenham CCG</p></td><td><p>1,787</p></td></tr><tr><td><p>NHS Barnet CCG</p></td><td><p>1,448</p></td></tr><tr><td><p>NHS Bexley CCG</p></td><td><p>1,528</p></td></tr><tr><td><p>NHS Brent CCG</p></td><td><p>1,478</p></td></tr><tr><td><p>NHS Bromley CCG</p></td><td><p>1,472</p></td></tr><tr><td><p>NHS Camden CCG</p></td><td><p>1,143</p></td></tr><tr><td><p>NHS City and Hackney CCG</p></td><td><p>1,286</p></td></tr><tr><td><p>NHS Croydon CCG</p></td><td><p>1,510</p></td></tr><tr><td><p>NHS Ealing CCG</p></td><td><p>1,610</p></td></tr><tr><td><p>NHS Greenwich CCG</p></td><td><p>1,622</p></td></tr><tr><td><p>NHS Hounslow CCG</p></td><td><p>1,535</p></td></tr><tr><td><p>NHS Hammersmith and Fulham CCG</p></td><td><p>1,401</p></td></tr><tr><td><p>NHS Haringey CCG</p></td><td><p>1,458</p></td></tr><tr><td><p>NHS Harrow CCG</p></td><td><p>1,415</p></td></tr><tr><td><p>NHS Havering CCG</p></td><td><p>1,677</p></td></tr><tr><td><p>NHS Hillingdon CCG</p></td><td><p>1,760</p></td></tr><tr><td><p>NHS Islington CCG</p></td><td><p>1,414</p></td></tr><tr><td><p>NHS Kingston CCG</p></td><td><p>1,432</p></td></tr><tr><td><p>NHS Lambeth CCG</p></td><td><p>1,244</p></td></tr><tr><td><p>NHS Lewisham CCG</p></td><td><p>1,543</p></td></tr><tr><td><p>NHS Merton CCG</p></td><td><p>1,494</p></td></tr><tr><td><p>NHS Newham CCG</p></td><td><p>1,609</p></td></tr><tr><td><p>NHS Redbridge CCG</p></td><td><p>1,728</p></td></tr><tr><td><p>NHS Richmond CCG</p></td><td><p>1,424</p></td></tr><tr><td><p>NHS Southwark CCG</p></td><td><p>1,631</p></td></tr><tr><td><p>NHS Sutton CCG</p></td><td><p>1,457</p></td></tr><tr><td><p>NHS Tower Hamlets CCG</p></td><td><p>1,219</p></td></tr><tr><td><p>NHS Waltham Forest CCG</p></td><td><p>1,648</p></td></tr><tr><td><p>NHS Wandsworth CCG</p></td><td><p>1,317</p></td></tr><tr><td><p>NHS West London CCG</p></td><td><p>1,462</p></td></tr><tr><td><p>NHS Central London (Westminster) CCG</p></td><td><p>1,382</p></td></tr></tbody></table><p> </p><p>Source: NHS Digital</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 11:04:47 answering member 4067 label Biography information for Steve Brine
	tabling member	166 label Biography information for Joan Ryan

771521

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Denton and Reddish
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time for a GP appointment was in Denton and Reddish constituency in the latest period for which figures are available.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	107776
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The requested information is not held centrally. Information on the average waiting time for general practitioner (GP) appointments at local and national level is not collected or held centrally.</p><p> </p><p>The GP Patient Survey, published by NHS England, asks respondents how long it took for them to see a GP or a nurse after contacting their practice. The full set of survey releases can be found here:</p><p><a href="https://gp-patient.co.uk/surveys-and-reports" target="_blank">https://gp-patient.co.uk/surveys-and-reports</a></p><p>The Government is committed to improving access to general practice. By 2020, everyone will have access to routine evening and weekend appointments.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 11:00:37 answering member 4067 label Biography information for Steve Brine
	tabling member	1506 label Biography information for Andrew Gwynne

771498

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Transport
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that people aged over 65 have adequate transport to and from routine hospital appointments.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	107872
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>Non-emergency patient transport services (PTS) are available for patients that meet certain criteria, including but not limited to those who are aged over 65 and satisfy one or more of the criteria outlined in the document Eligibility Criteria for Patient Transport Services.</p><p> </p><p>A patient’s eligibility for PTS should be determined either by a healthcare professional or by non-clinically qualified staff who are both clinically supervised and/or working within locally agreed protocols or guidelines, and employed by the National Health Service or working under contract for the NHS.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 10:56:36 answering member 4067 label Biography information for Steve Brine
	tabling member	151 label Biography information for Tom Brake

771526

	registered interest
	date	16/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons the Cost-Effectiveness Methodology for Immunisation Programmes and Procurements working group's report into vaccine cost effectiveness has not been published.
	tabling member constituency	Bristol East
	tabling member printed	Kerry McCarthy
	uin	108067
	answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The Cost Effectiveness Methodology for Immunisation Policy and Procurement (CEMIPP) report is technically complex with potential implications that could extend beyond immunisation. This report has been referred to the Appraisal Alignment Working Group (AAWG) for its analytical view.</p><p> </p><p>It is important not to pre-empt AAWG’s considerations but to give them the time they need to consider the CEMIPP report, reflect on subsequent research, and to report back to ministers on the analytical elements of the report.</p><p> </p><p>The AAWG is due to report back to ministers later in the year.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 10:53:14 answering member 4067 label Biography information for Steve Brine
	tabling member	1491 label Biography information for Kerry McCarthy