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1006994

	registered interest
	date	14/11/2018
	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	AAT Deficiency
	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 take steps to make available intravenous alpha-1 augmentation therapy through the NHS to treat alpha-1.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	191306
	answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England is engaging with the National Institute for Health and Care Excellence (NICE) on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe alpha1 antitrypsin deficiency. NICE has not yet published final guidance and recently consulted on its draft guidance.</p><p> </p><p>NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee. Once NICE guidance is received, NHS England will then consider the commissioning implications in consultation with the Specialised Respiratory Clinical Reference Group.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:37:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

1006995

	registered interest
	date	14/11/2018
	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	AAT Deficiency
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans a NHS service for alpha-1 to improve patients' access to coordinated multi-disciplinary clinical expertise, which was approved by the Department's Prescribed Specialised Services Advisory Group in March 2016, to commence.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	191307
	answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Specialised Respiratory Clinical Reference Group (CRG) is maintaining an oversight of the need to develop a service specification and selection of providers to offer specialised expertise and management advice for patients diagnosed with alpha1 antitrypsin deficiency (AATD).</p><p> </p><p>The CRG has recommended that NHS England wait until it is clear on the outcome of the National Institute for Health and Care Excellence (NICE) Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD [ID856] until this development is taken forward.</p><p> </p><p>NICE has not yet published final guidance and recently consulted on its draft guidance. NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:39:19 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

506760

	registered interest
	date	08/04/2016
	answering body	Women and Equalities
	answering dept id	31
	answering dept short name	Women and Equalities
	answering dept sort name	Women and Equalities
	hansard heading	Age: Discrimination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Minister for Women and Equalities, what assessment she has made of the effectiveness of the enforcement of age discrimination legislation in respect of people seeking employment.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	33177
	answer	answer is ministerial correction date of answer 18/04/2016 answer text <p>Age is a protected characteristic in the Equality Act 2010. Where differential treatment because of age cannot be objectively justified, this will constitute unlawful age discrimination both in employment and in the provision of goods and services. Enforcement of the Act’s employment provisions is undertaken by Employment Tribunals, to which a person must make a claim if they feel that they have been discriminated against because of age.</p><p>Prior to an Employment Tribunal claim, conciliation services are provided by the Advisory, Conciliation and Arbitration Services (Acas). According to the Employment tribunal statistics, 1,087 age discrimination claims were made to Employment Tribunals in 2014/15. 70% (761) of these claims were either withdrawn or successfully conciliated by Acas without the need for a full hearing. The Acas process is intended to enable employers and employees to resolve disputes without the need for a full Employment Tribunal hearing.</p><p>The Equality and Human Rights Commission’s enforcement powers under the Equality Act 2006 apply to age discrimination as they do to other protected characteristics.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/04/2016 12:46:50 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

882311

	registered interest
	date	13/04/2018
	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	Alfie Evans
	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 the standard of care at Alder Hey Children's Hospital in respect of Alfie Evans.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	135412
	answer	answer is ministerial correction date of answer 19/04/2018 answer text <p>The Care Quality Commission (CQC) rated Alder Hey Children’s Hospital as good overall following an inspection in June 2015. A responsive inspection was carried out in April and May 2017 but this did not alter the hospital’s current overall rating.</p><p> </p><p>The CQC regulates and assesses all providers of regulated activities by looking at five domains – whether they are safe, effective, caring, responsive to people’s needs and well-led. Alder Hey Children’s Hospital was rated as good under the safe, effective, responsive and well led domains and outstanding for caring.</p><p> </p><p>It is not appropriate for the Department to comment on the specific circumstances relating to individual cases.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/04/2018 11:13:17 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

786796

	registered interest
	date	10/11/2017
	answering body	Department for Work and Pensions
	answering dept id	29
	answering dept short name	Work and Pensions
	answering dept sort name	Work and Pensions
	hansard heading	Department for Work and Pensions: Correspondence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Work and Pensions, if he will provide details of any available freepost addresses for correspondence to be sent to his Department.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	112282
	answer	answer is ministerial correction date of answer 15/11/2017 answer text <p>There are currently 1045 DWP freepost addresses available. Please find a list of these addresses attached.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/11/2017 17:18:23 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name 112282 DWP freepost address list v1.xlsx title DWP Freepost Address List
	tabling member	478 label Biography information for Lord Field of Birkenhead

772350

	registered interest
	date	17/10/2017
	answering body	Department for Work and Pensions
	answering dept id	29
	answering dept short name	Work and Pensions
	answering dept sort name	Work and Pensions
	hansard heading	Department for Work and Pensions: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Work and Pensions, how many companies supplying goods and services to his Department, or contracted to deliver services on behalf of his Department, have been identified as avoiding their tax liabilities in the UK.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	108267
	answer	answer is ministerial correction date of answer 23/10/2017 answer text <p>In line with the requirements of the Public Contracts Regulations 2015 DWP uses a range of selection and exclusion criteria to avoid awarding contracts to unsuitable suppliers.</p><p>The mandatory exclusion criteria includes any supplier convicted of the common law offence of &quot;cheating the Revenue&quot; and/or &quot;fraudulent evasion&quot;. Suppliers with a relevant conviction are excluded from the competition.</p><p>Suppliers will also be excluded where the Department has evidence of a breach of obligations relating to the payment of taxes or social security contributions which has been established by a judicial or administrative decision in accordance with UK law.</p><p>The discretionary exclusion criteria includes the option to exclude a supplier where the Department can demonstrate by appropriate means that a supplier is in breach of obligations relating to the payment of taxes or social security contributions (in lieu of a formal judicial or administrative decision).</p><p>DWP Standard Terms &amp; Conditions also include provisions that require suppliers to notify the Department of any Occasions of Tax Non-Compliance or any litigation they are involved with that is connected to any Occasion of Tax Non-Compliance.</p><p>The Department can terminate the contract in the event that the supplier:</p><ul><li>Has misrepresented Occasions of Tax Non-Compliance in its warranty to the Department</li><li>Fails to notify the Department of an Occasion of Tax Non-Compliance</li><li>Fails to provide details of acceptable mitigation of an Occasion of Tax Non-Compliance.</li></ul><p>The Department does not keep a central record of suppliers who are excluded from procurement competitions due to avoiding or evading tax liabilities. In fact suppliers are encouraged to self-regulate by deselecting themselves from the competition when they become aware of the exclusion criteria.</p><p>The Department does not keep a central record of suppliers who report Occasions of Tax Non-Compliance during the lifetime of the contract. These are addressed by the contract manager in each case in accordance with the Terms &amp; Conditions of the contract.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/10/2017 14:14:35 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

820796

	registered interest
	date	11/01/2018
	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	Department of Health and Social Care: Carers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has a carer's policy for its employees; and what other steps his Department has taken to support employees with caring responsibilities.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	122214
	answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>The Department has a carers policy for staff who work in the Department.</p><p> </p><p>The Department recognises that care responsibilities are not static and is committed to supporting staff who have caring responsibilities away from the workplace. The caring commitments of staff may be long or short term.</p><p> </p><p>Other steps taken to support employees with caring responsibilities:</p><p> </p><p>The Department has a number of provisions available to its staff including paid special leave; emergency carer leave; unpaid career breaks.</p><p> </p><p>The Department operates a recently updated flexible working policy which can support those with caring responsibilities by giving some degree of flexibility on how, where and when employees work. It includes a range of working patterns including: part-time, job share, remote/ home working, compressed hours, part-year, annual hours and flexi-time. It also outlines support to managers on how to have conversations about flexible working. It also makes it clear to staff how they can raise a request or initiate a conversation.</p><p> </p><p>On the Departmental intranet site there are links to relevant sources of support and useful websites. Special events are publicised on the intranet including the campaign to help carers by the Charity for Civil Servants which was launched on ‘Carer’s rights day’ last November.</p><p> </p><p>The Department launched an employee assistance programme in October 2017, which gives all staff access to confidential, independent, professional information, counselling and emotional support.</p><p> </p><p>During Carers Week in June 2017, the Department highlighted a number of ways that carers could receive support including the carers passport provided by the Charity for Civil Servants.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/01/2018 13:42:16 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

1045991

	registered interest
	date	22/01/2019
	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	Department of Health and Social Care: Cleaning Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, which service providers are contracted to carry out third party cleaning contracts for his (a) Department and (b) executive agencies; if he will list all of the services delivered by third party contractors to his (i) Department and (ii) executive agencies; and how many people working for those third party contractors are paid less than the Living Wage as defined by the Living Wage Foundation.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	211154
	answer	answer is ministerial correction date of answer 30/01/2019 answer text <p>The Department contracts with EMCOR UK for cleaning services. Third party cleaning contracts are in place between EMCOR UK and Active clean, KEF and Churchills in delivering cleaning services within the Department’s buildings. The Department does not have the rates of pay of the third-party service providers.</p><p> </p><p>All service providers comply with the law in respect of the National Minimum Wage, but, in line with Cabinet Office advice, the Department and its executive agencies do not require their contracted companies to pay their employees the Living Wage as defined by the Living Wage Foundation.</p><p> </p><p>Public Health England contracts directly for cleaning services across five sites with three suppliers – EMCOR UK, Minster and Corporate Service Management. There are currently 28 individuals that they believe are paid below the Living Wage Foundation rate.</p><p> </p><p>The Medicines and Healthcare Products Regulatory Agency contracts directly for cleaning services across two sites with four suppliers- Interserve, Churchill, Pharmacleanse and Micronclean (Specialist Cleaning Services). Micronclean have 209 employees on a gross hourly rate of less than £9 which is less than the Real Living Wage.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/01/2019 16:36:13 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

882633

	registered interest
	date	13/04/2018
	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	Department of Health and Social Care: Living Wage
	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 (a) direct employees, (b) agency staff and (c) outsourced staff working for (i) his Department and (ii) agencies of his Department are paid less than the living wage, as defined by the Living Wage Foundation.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	135695
	answer	answer is ministerial correction date of answer 19/04/2018 answer text <p>All directly employed members of staff and agency staff at the Department sourced via the Crown Commercial Services Framework Contingent Labour One are paid at or above the living wage. The Department does not routinely collect information on the salaries of agency staff sourced outside the CL1 Framework or of outsourced employees.</p><p> </p><p>Public Health England does not have employees, agency or outsourced people paid less than the living wage.</p><p> </p><p>No civil servants employed by the Medicines and Healthcare products Regulatory Agency (MHRA) are paid less than the Living Wage. The MHRA does not routinely collect information on the salaries of employees working for its contracted companies or out-sourced service providers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/04/2018 10:53:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

964194

	registered interest
	date	03/09/2018
	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: Nurses
	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 Health Education England has made of the adequacy of (a) staff numbers, (b) pay and (c) employment terms and conditions in the hospice and associated voluntary sector as part of its long-term workforce planning for (i) nurses and (ii) children's nurses.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	169057
	answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>Clinical commissioning groups (CCGs) determine the level of National Health Service-funded hospice care locally and are responsible for ensuring that the services they commission meet the needs of their local population. CCGs are best placed to understand local needs and to fund services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Health Education England’s (HEE’s) role is advising the health care system to ensure a sufficient supply of registered nurses are in the labour market, from which palliative care nurses can be drawn. HEE does not specifically plan for the numbers of palliative care nurses. Palliative care training is a professional development activity that is often funded by employers. This specialism is open to registered nurses. HEE has worked with partners at a national and Cancer Alliance level to develop Stage 1 of the Cancer Workforce Plan. This stage has focused on the supply issues related to seven occupations who are central to cancer care.</p><p> </p><p>Reforms to healthcare education funding that started to take effect from 1 August 2017 have unlocked the cap which constrains the number of pre-registration nursing, training places allowing students to gain access to nurse degree training courses. To support this, we announced additional clinical placement funding to make available 5,000 more training places each year from September 2018.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/09/2018 13:57:06 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead