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1138639

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 take steps to reduce waiting times for autism assessments for adults.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276605
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276606 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138640

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 take steps with NHS England to implement a waiting time standard for autism diagnosis in the CCG Improvement and Assessment Framework in order to tackle regional differences.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276606
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276607 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1138641

	registered interest
	date	12/07/2019
	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	Autism: Diagnosis
	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 make it his policy to work with NHS England to establish autism diagnosis waiting times standards for each (a) sustainability and transformation partnership and (b) integrated care system.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	276607
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>No one should have to face long waits for an autism assessment. We expect services to adhere to the National Institute for Health and Care Excellence (NICE) quality standard which recommends that the length between referral and a first appointment to start an assessment should be no more than three months.</p><p>We are determined to drive up performance nationally. We will use data on autism diagnosis waiting times, available for the first time later this year, to hold local areas to account and act where waiting times exceed the NICE standard.</p><p>Whilst a diagnosis of autism should happen as soon as possible, it is important to recognise that a diagnosis is often complex and can involve different professionals and agencies. We are following the prevailing clinical guidance set out by NICE.</p><p>NHS England and NHS Improvement encourage local areas to follow existing NICE guidelines and quality standards when commissioning and delivering diagnosis services for both children and adults.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 276605 276606 question first answered 17/07/2019 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1125266

	registered interest
	date	08/05/2019
	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	Autism: Diagnosis
	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 the oral contribution of the Minister for Care of 8 May 2019, Official Report, column 432, when the data on autism diagnosis waiting times will be published.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	252022
	answer	answer is ministerial correction date of answer 13/05/2019 answer text <p>The Department is determined to drive up performance on autism diagnosis nationally. To support this NHS Digital began formally collecting autism diagnosis waiting time data from mental health provider trusts for the first time through the Mental Health Services Data set in April 2018. Data is submitted on behalf of autism diagnostic services, in line with issued guidance. We expect to publish a report after a year’s data has been collected and analysed, this autumn. As this is the first time this data is being submitted some work to improve its quality may be necessary.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/05/2019 15:39:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1121787

	registered interest
	date	18/04/2019
	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	Medical Examiners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the Government has plans to bring forward secondary legislation to implement proposed Medical Examiner reforms set out in the Coroners Act 2009 before 2020-21.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	245986
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The Government is committed to introducing the reforms to death certification and to the introduction of a medical examiner system, as detailed in the Government’s response to consultation published in June 2018. Draft regulations were published alongside that consultation and it remains the intention to bring these forward when Parliamentary time allows for amendment to the primary legislation, to enable the reforms fully to be delivered.</p><p>With the introduction of a statutory scheme of medical examiners, the Government is committed to reform of the cremation regulations, removing the requirement for separate cremation medical certification and the fees associated with that function.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 245987 245988 question first answered 25/04/2019 14:24:36 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1121788

	registered interest
	date	18/04/2019
	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	Medical Examiners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the Government has plans to amend regulations in relation to cremation fees to enable the implementation of the Medical Examiner reforms set out in the Coroners Act 2009.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	245987
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The Government is committed to introducing the reforms to death certification and to the introduction of a medical examiner system, as detailed in the Government’s response to consultation published in June 2018. Draft regulations were published alongside that consultation and it remains the intention to bring these forward when Parliamentary time allows for amendment to the primary legislation, to enable the reforms fully to be delivered.</p><p>With the introduction of a statutory scheme of medical examiners, the Government is committed to reform of the cremation regulations, removing the requirement for separate cremation medical certification and the fees associated with that function.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 245986 245988 question first answered 25/04/2019 14:24:36 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

1121789

	registered interest
	date	18/04/2019
	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	Medical Examiners
	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 changes required to cremation fee regulations to enable the implementation of the Medical Examiner reforms set out in the Coroners Act 2009.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	245988
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The Government is committed to introducing the reforms to death certification and to the introduction of a medical examiner system, as detailed in the Government’s response to consultation published in June 2018. Draft regulations were published alongside that consultation and it remains the intention to bring these forward when Parliamentary time allows for amendment to the primary legislation, to enable the reforms fully to be delivered.</p><p>With the introduction of a statutory scheme of medical examiners, the Government is committed to reform of the cremation regulations, removing the requirement for separate cremation medical certification and the fees associated with that function.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 245986 245987 question first answered 25/04/2019 14:24:36 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

867039

	registered interest
	date	19/03/2018
	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	Orthopaedics
	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 the NHS has spent on lower limb amputations in each of the last five years.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	133157
	answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information is not available in the format requested.</p><p> </p><p>The table below shows the estimated total cost of limb amputations. The table shows the cost of amputation of single or multiple limb but does not differentiate between lower or upper and single or multiple amputation stump or partial foot amputation procedures for diabetes or arterial disease.</p><p> </p><table><tbody><tr><td colspan="4"><p>Estimated total cost (£ million)</p></td></tr><tr><td><p>Year</p></td><td><p>Limb amputations unspecified</p></td><td><p>Amputation for diabetes or arterial disease</p></td><td><p>Total</p></td></tr><tr><td><p>2012-13</p></td><td><p>£53.0</p></td><td><p>£23.0</p></td><td><p>£76.0</p></td></tr><tr><td><p>2013-14</p></td><td><p>£52.7</p></td><td><p>£45.0</p></td><td><p>£97.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>£56.5</p></td><td><p>£44.4</p></td><td><p>£100.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£59.1</p></td><td><p>£47.1</p></td><td><p>£106.2</p></td></tr><tr><td><p>2016-17</p></td><td><p>£59.2</p></td><td><p>£48.3</p></td><td><p>£107.5</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The table below shows the estimated total cost of rehabilitation for the amputation of limb in each of the last five years.</p><table><tbody><tr><td><p>Year</p></td><td><p>Estimated costs (£ million)</p></td></tr><tr><td><p>2012-13</p></td><td><p>£5.4</p></td></tr><tr><td><p>2013-14</p></td><td><p>£7.3</p></td></tr><tr><td><p>2014-15</p></td><td><p>£6.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£7.3</p></td></tr><tr><td><p>2016-17</p></td><td><p>£6.8</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The data source for the table is from reference costs, which are the average unit costs to National Health Service trusts and NHS foundation trusts of providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by healthcare resource group, which are standard groupings of clinically similar treatments which use common levels of healthcare resource. Reference costs represent the cost to the NHS provider, not the cost to the commissioner.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 133158 question first answered 22/03/2018 11:46:46 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

867040

	registered interest
	date	19/03/2018
	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	Orthopaedics: Rehabilitation
	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 the NHS has spent on rehabilitation following lower limb amputations in each of the last five years.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	133158
	answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information is not available in the format requested.</p><p> </p><p>The table below shows the estimated total cost of limb amputations. The table shows the cost of amputation of single or multiple limb but does not differentiate between lower or upper and single or multiple amputation stump or partial foot amputation procedures for diabetes or arterial disease.</p><p> </p><table><tbody><tr><td colspan="4"><p>Estimated total cost (£ million)</p></td></tr><tr><td><p>Year</p></td><td><p>Limb amputations unspecified</p></td><td><p>Amputation for diabetes or arterial disease</p></td><td><p>Total</p></td></tr><tr><td><p>2012-13</p></td><td><p>£53.0</p></td><td><p>£23.0</p></td><td><p>£76.0</p></td></tr><tr><td><p>2013-14</p></td><td><p>£52.7</p></td><td><p>£45.0</p></td><td><p>£97.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>£56.5</p></td><td><p>£44.4</p></td><td><p>£100.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£59.1</p></td><td><p>£47.1</p></td><td><p>£106.2</p></td></tr><tr><td><p>2016-17</p></td><td><p>£59.2</p></td><td><p>£48.3</p></td><td><p>£107.5</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The table below shows the estimated total cost of rehabilitation for the amputation of limb in each of the last five years.</p><table><tbody><tr><td><p>Year</p></td><td><p>Estimated costs (£ million)</p></td></tr><tr><td><p>2012-13</p></td><td><p>£5.4</p></td></tr><tr><td><p>2013-14</p></td><td><p>£7.3</p></td></tr><tr><td><p>2014-15</p></td><td><p>£6.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£7.3</p></td></tr><tr><td><p>2016-17</p></td><td><p>£6.8</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The data source for the table is from reference costs, which are the average unit costs to National Health Service trusts and NHS foundation trusts of providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by healthcare resource group, which are standard groupings of clinically similar treatments which use common levels of healthcare resource. Reference costs represent the cost to the NHS provider, not the cost to the commissioner.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 133157 question first answered 22/03/2018 11:46:46 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams

850200

	registered interest
	date	26/02/2018
	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	Autism: 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 steps he has taken to ensure the collection of data to record the waiting times for autism diagnoses in England in version 3 of the Mental Health Services Data Set will begin from April 2018.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	129768
	answer	answer is ministerial correction date of answer 01/03/2018 answer text <p>Following completion of a consultation last autumn, NHS Digital announced that recording of data on waiting times from referral for suspected autism to a first appointment and subsequent diagnosis would be collected within the Mental Health Services Data Set from April 2018. In preparation for this, dialogue is taking place between National Health Service mental health trusts which will collate the data and autism diagnostic services about the new requirements. To support those local discussions, the Department has co-ordinated production of a guide which NHS Digital will circulate to trusts in March via their newsletter to provide further clarity. NHS Digital will monitor the quality of the data recorded and submitted from April 2018 and the intention is to publish a first formal report on this data during 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 01/03/2018 14:35:44 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4666 label Biography information for Dr Paul Williams