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1013144

	registered interest
	date	23/11/2018
	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	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of patients had access to evening and weekend GP appointments at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195069
	answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Government has committed to ensuring that everyone can see their general practitioner at a convenient time by increasing the availability of routine appointments in general practice in the evening and at the weekend.</p><p> </p><p>By March 2019, all clinical commissioning groups (CCGs) should provide extended access to general practice for the whole of their registered population, subject to local demand. This includes ensuring that access is available during peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods. This deadline was brought forward to 1 October 2018 in the latest National Health Service planning guidance, which was published by NHS England in February 2018, to ensure additional capacity is in place ahead of winter 2018.</p><p> </p><p>The delivery of the commitment is assessed in two ways, which use different measures of extended access.</p><p> </p><p>The first measure relies on NHS England’s bi-annual survey of extended access, which collects data direct from general practices. This showed that, in September 2018, full extended access was available to 30.8 million registered patients, comprising 55.3% of all registered patients in England. This represents widening of coverage since March 2018, when the previous bi-annual survey found that full extended access was available to 22.6 million, or (39.7%) registered patients. The next bi-annual survey, to be published in April 2019, will show the extent of coverage in March 2019.</p><p> </p><p>The second measure uses the General Practice Forward View Monitoring Survey, which is a monthly return from CCGs that covers all extended access provision, including that delivered via extended access hubs. The results are published via the CCG Improvement and Assessment Framework. The latest data show that, in August 2018, full extended access was available to 40 million registered patients comprising 68% of the registered patient population. This also represents a widening of access relative to March 2018, when full extended access was available to 35.4 million registered patients, comprising 61% of the registered patient population. Data for September and October 2018 are not yet available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 12:29:06 answering member 4067 label Biography information for Steve Brine previous answer version 87857 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013078

	registered interest
	date	23/11/2018
	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	NHS: Property
	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 sale value of NHS property has been since Sir Robert Naylor's review of NHS Property and estates; and what recent estimate he has made of the sale value of NHS property due to be sold.
	tabling member constituency	Hyndburn
	tabling member printed	Graham P Jones
	uin	195052
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The latest published data shows that National Health Service trusts, foundation trusts and the Department, including its arm’s-length bodies and wholly owned property companies, disposed of 301 surplus sites between April 2015 and March 2017, generating £439 million in receipts from unconditional sales. This data is available online, as part of Cabinet Office’s ‘Transparency Report: Government’s land and property disposals in 2015-16 and 2016-17’, published in April 2018 at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/697773/Transparency_report_Government_s_land_and_property_disposals_2015-16_and_2016-17__1_.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/697773/Transparency_report_Government_s_land_and_property_disposals_2015-16_and_2016-17__1_.pdf</a></p><p> </p><p>Similar data relating to the 2017-18 financial year will be published in due course.</p><p> </p><p>The Department annually collects data on properties owned by NHS trusts and foundation trusts which has been declared surplus and planned for future disposal. This collection does not include properties owned by the Department, its arm’s-length bodies and wholly owned property companies. Information reported directly by trusts show that as at 31 March 2018 the total declared market value of surplus and potentially surplus land was £260 million; however, many organisations were not able to provide figures due to data limitations, including commercial confidentiality. This data is available at the following link:</p><p> </p><p><a href="https://digital.nhs.uk/data-and-information/publications/statistical/nhs-surplus-land/2017-18-england" target="_blank">https://digital.nhs.uk/data-and-information/publications/statistical/nhs-surplus-land/2017-18-england</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:48:49 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3999 label Biography information for Graham P Jones

1013091

	registered interest
	date	23/11/2018
	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	Complex Regional Pain Syndrome
	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 steps his Department has taken to improve the (a) diagnosis, (b) treatment and (c) awareness among medical professionals of Complex Regional Pain Syndrome in (i) Oxfordshire and (ii) England.
	tabling member constituency	Oxford West and Abingdon
	tabling member printed	Layla Moran
	uin	195086
	answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>To support clinicians in diagnosing and managing complex regional pain syndrome, guidance on the condition is available from a variety of authoritative professional sources. Advice from the Royal National Hospital for Rheumatic Diseases and a copy of the Royal College of Physicians guidance can be found at the following links:</p><p> </p><p><a href="http://www.rcplondon.ac.uk/guidelines-policy/complex-regional-pain-syndrome-adults" target="_blank">www.rcplondon.ac.uk/guidelines-policy/complex-regional-pain-syndrome-adults</a></p><p> </p><p><a href="http://www.rnhrd.nhs.uk/page/79" target="_blank">www.rnhrd.nhs.uk/page/79</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:08:43 answering member 4067 label Biography information for Steve Brine
	tabling member	4656 label Biography information for Layla Moran

1013116

	registered interest
	date	23/11/2018
	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	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, what steps his Department is taking to ensure parity of esteem between children’s physical and mental health services.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	195098
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The Government is committed to moving towards parity of esteem between mental health and physical health services, ensuring that high quality mental health support is available for those that need it, in appropriate, safe settings. Funding for mental health services will grow as a share of the overall National Health Service budget over the next five years.</p><p> </p><p>Last year alone the Government invested over £1 billion in children’s mental health services, which will help ensure that an additional 70,000 children will receive mental health support by 2021. In December 2017, we published a joint health and education Green Paper, and will be rolling out new Mental Health Support Teams to provide early intervention support for mental health in and near schools and colleges, as well as piloting a four-week waiting time standard.</p><p> </p><p>The Government has asked the NHS to develop a long-term plan and has been clear that better access to mental health services, to help achieve the Government’s commitment to parity of esteem between mental and physical health, is one of the principles which must underpin the plan.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:46:53 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1013117

	registered interest
	date	23/11/2018
	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	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, what steps his Department is taking to ensure that all children and young people referred to Child and Adolescent Mental Health Services are seen within six weeks.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	195099
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>There is no general six week target for access to specialist National Health Service children’s mental health services. The Five Year Forward View for Mental Health is at the heart of Government plans to transform mental health services and a key part of this is ensuring a reduction in waiting times for key services. Following publication of the Five Year Forward view, the Government agreed the following waiting times and access targets with NHS England to be achieved by 2020/21:</p><p>- For accessing ‘Improving Access to Psychological Therapies’ services 75% of referrals should be seen within six weeks and 95% should be seen within 18 weeks.;</p><p>- For eating disorder services 95% of referrals should be seen within four weeks for routine cases and 95% of urgent referrals should be seen within one week; and</p><p>- For the Early Intervention in Psychosis programme 50% of people experiencing a first episode of psychosis should start a National Institute for Health and Care Excellence recommended package of care within two weeks of referral, rising to 60%.</p><p>We are on track to meet these targets, which are tracked on the Five Year Forward View dashboard. The Five Year Forward View can be accessed at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:47:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1013118

	registered interest
	date	23/11/2018
	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	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, what steps his Department is taking to ensure that Child and Adolescent Mental Health Services are sufficiently staffed.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	195100
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>‘Stepping Forward to 2020/21: The Mental Health Workforce Plan for England’ was published in July 2017 and sets the ambition to deliver 21,000 new posts across the mental health system, with the expectation that 19,000 of these places will be filled by staff employed directly by the National Health Service by 2020/21.</p><p> </p><p>The plan aims to increase the size of the mental health workforce, including the workforce for children and young people’s mental health services, through increased recruitment, improved retention and through development of new roles and ways of working to improve efficient use of the most qualified staff.</p><p> </p><p>All regions have developed and are implementing mental health workforce plans which include plans to expand the number of professionals working in children and young people’s mental health services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 28/11/2018 17:27:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4510 label Biography information for Helen Hayes

1013140

	registered interest
	date	23/11/2018
	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	NHS: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what NHS England’s specialised commissioning drug spend was in (a) 2014-15, (b) 2016-17 and (c) 2017-18; what proportion of that spend was accounted for by the (i) top 10 highest spend drugs and (ii) top 20 highest spend drugs in each year; and if he will list the (A) top 10 and (B) top 20 highest spend drugs in each year.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195065
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The 2014/15 specialised commissioning drug spend totalled approximately £3.0 billion. Top 10 and top 20 highest spend drug data is not available for 2014/15.</p><p> </p><p>The 2016/17 specialised commissioning drug spend totalled approximately £3.6 billion. The top 10 highest spend drugs accounted for approximately 28% of specialised commissioning total drug spend. The top 20 highest spend drugs accounted for approximately 42% of specialised commissioning total drug spend. The top 10 and top 20 highest spend drugs are listed in the attached document.</p><p> </p><p>The 2017/18 specialised commissioning drug spend totalled approximately £3.9 billion. The top 10 highest spend drugs accounted for approximately 28% of specialised commissioning total drug spend. The top 20 highest spend drugs accounted for approximately 43% of specialised commissioning total drug spend. The top 10 and top 20 highest spend drugs for 2017/18 are also listed in the attached document.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:26:58 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ195065 tables.docx title PQ195065 attached table
	tabling member	4244 label Biography information for Jonathan Ashworth

1013141

	registered interest
	date	23/11/2018
	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	NHS: Drugs
	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 spent on medicines included in the Pharmaceutical Price Regulation Scheme (PPRS) in each year since 2010; what proportion of his Department’s budget was spent on medicines included in PPRS in each year of those years; and what proportion of NHS England's budget spent was on medicines included in PPRS in each year since 2013.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195066
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The years 2010 to 2012 are fully covered by the 2009 Pharmaceutical Price Regulation Scheme (PPRS). There is no available data of the aggregate net sales during this period as they were not collected as part of the 2009 PPRS.</p><p> </p><p>However, aggregate net sales covered by the PPRS in the 2014 scheme are available and published quarterly by the Department. The years 2014 to 2018 are covered by the 2014 PPRS, with full year data up to 2017 currently available. The aggregate net sales made in 2013 (the base year of the 2014 PPRS) is also available.</p><p> </p><p>The most recently data is as of August 2018, and was published in October 2018 and can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/pprs-aggregate-net-sales-and-payment-information-august-2018" target="_blank">https://www.gov.uk/government/publications/pprs-aggregate-net-sales-and-payment-information-august-2018</a></p><p> </p><p>The following table uses the published data mentioned above, and shows the aggregate net sales covered by the 2014 PPRS for the United Kingdom by calendar year. A ratio of 0.8 has been applied to the UK aggregate sales to calculate an estimate of the England aggregate sales.</p><p> </p><p>Aggregate sales covered by the 2014 PPRS</p><p><strong> </strong></p><table><tbody><tr><td><p> </p></td><td><p>UK (£ million)</p></td><td><p>England (£ million)</p></td></tr><tr><td><p>2013</p></td><td><p>7,901</p></td><td><p>6,321</p></td></tr><tr><td><p>2014</p></td><td><p>8,340</p></td><td><p>6,672</p></td></tr><tr><td><p>2015</p></td><td><p>8,173</p></td><td><p>6,538</p></td></tr><tr><td><p>2016</p></td><td><p>8,060</p></td><td><p>6,450</p></td></tr><tr><td><p>2017</p></td><td><p>8,198</p></td><td><p>6,530</p></td></tr></tbody></table><p> </p><p>The sales figures do not fully represent total costs borne to the Department or NHS England. They are gross of any payments received by the Department under the 2014 PPRS, and do not include costs such as wholesaler margin or VAT. As such no direct comparison should be made to budgeting totals.</p><p> </p><p>The following table shows the Department of Health and Social Care Departmental Expenditure Limit in financial years.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Department of Health and Social Care Departmental Expenditure Limit (£ million)</p></td></tr><tr><td><p>2010/11</p></td><td><p>100,400</p></td></tr><tr><td><p>2011/12</p></td><td><p>102,800</p></td></tr><tr><td><p>2012/13</p></td><td><p>105,200</p></td></tr><tr><td><p>2013/14</p></td><td><p>109,800</p></td></tr><tr><td><p>2014/15</p></td><td><p>113,300</p></td></tr><tr><td><p>2015/16</p></td><td><p>117,200</p></td></tr><tr><td><p>2016/17</p></td><td><p>120,600</p></td></tr><tr><td><p>2017/18</p></td><td><p>125,200</p></td></tr></tbody></table><p> </p><p>The following table show the levels of NHS England funding, by financial year. NHS England was created in October 2012, and its first full set of accounts was in 2013/2014.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England Funding (£ million)</p></td></tr><tr><td><p>2013/14</p></td><td><p>93,900</p></td></tr><tr><td><p>2014/15</p></td><td><p>97,300</p></td></tr><tr><td><p>2015/16</p></td><td><p>100,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>106,000</p></td></tr><tr><td><p>2017/18</p></td><td><p>109,800</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:23:23 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013142

	registered interest
	date	23/11/2018
	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	Social 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 and what proportion of local health communities have implemented the High Impact Change Model23 for reducing delayed transfers of care in (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195067
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Information on the implementation of the High Impact Change Model (HICM) is collected through Better Care Fund quarterly reporting returns, in which Health and Wellbeing Boards (HWB) self-assess their progress towards implementing the HICM. The most recent information available is from Quarter 2, 2018-19 (July-September 2018) which shows the number of HWBs areas reporting at the ‘Established’ level (or better) for each of the elements of the HICM. The information for Q4, 2017-18 covering the month of March 2018 is also included in the following table:</p><table><tbody><tr><td><p> </p></td><td><p>Q4, 2017-18</p></td><td><p>Q2, 2018-19</p></td></tr><tr><td><p>Early discharge planning</p></td><td><p>109/150</p></td><td><p>121/150</p></td></tr><tr><td><p>Systems to monitor patient flow</p></td><td><p>122/150</p></td><td><p>129/150</p></td></tr><tr><td><p>Multi-disciplinary/multi-agency discharge teams</p></td><td><p>130/150</p></td><td><p>131/150</p></td></tr><tr><td><p>Home first/discharge to assess</p></td><td><p>122/150</p></td><td><p>120/150</p></td></tr><tr><td><p>Seven-day service</p></td><td><p>77/150</p></td><td><p>89/150</p></td></tr><tr><td><p>Trusted assessors</p></td><td><p>80/150</p></td><td><p>92/150</p></td></tr><tr><td><p>Focus on choice</p></td><td><p>103/150</p></td><td><p>118/150</p></td></tr><tr><td><p>Enhancing health in care homes</p></td><td><p>114/150</p></td><td><p>126/150</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:06:46 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4244 label Biography information for Jonathan Ashworth

1013143

	registered interest
	date	23/11/2018
	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	NHS 111
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of NHS 111 calls received clinical assessment at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195068
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Data regarding NHS 111 calls, including the proportion of calls triaged that are transferred to a clinician, is published online by NHS England at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/</a></p><p> </p><p>The following table shows the proportion of NHS 111 calls triaged and transferred to any clinician in March and October 2018.</p><p> </p><table><tbody><tr><td><p>March</p></td><td><p>October</p></td></tr><tr><td><p>48.8%</p></td><td><p>52.5%</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:49:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth