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809129

	registered interest
	date	19/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	903036
	answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

770015

	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	Clinical Commissioning Groups
	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 clinical commissioning groups follow National Institute for Health and Care Excellence guidelines.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	107711
	answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.</p><p> </p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:13 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

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

770016

	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 potential merits of NICE guidance on bariatric surgery (CG189).
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	107726
	answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) issued a clinical guideline on the identification, assessment and management of obesity in 2014 that makes recommendations on the use of bariatric surgery.</p><p> </p><p>NICE’s guideline recommends bariatric surgery as an option for people with obesity if all of the following criteria are fulfilled:</p><p> </p><p>- They have a body mass index of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight;</p><p>- All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss;</p><p>- The person has been receiving or will receive intensive management in a tier 3 service;</p><p>- The person is generally fit for anaesthesia and surgery; and</p><p>- The person commits to the need for long-term follow-up.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:23 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

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

820695

	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	Cervical Cancer: Screening
	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 take-up rate for cervical screening in (a) England, (b) North Yorkshire and (c) York was in 2017.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	122113
	answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The National Health Service Cervical Screening Programme measures coverage rather than uptake rate. NHS England is responsible for monitoring the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all age groups.</p><p> </p><p>Data are provided by NHS Digital and are available at:</p><p> </p><p><a href="https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage" target="_blank">https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage</a></p><p> </p><p>General practitioner/clinical commissioning group level coverage is available at:</p><p> </p><p><a href="http://digital.nhs.uk/catalogue/PUB24229" target="_blank">http://digital.nhs.uk/catalogue/PUB24229</a></p><p> </p><p>The percentage of coverage for each area requested as at the end of 2016-17 is: England 72.0%; North Yorkshire 78.1%; York 73.0%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2018 11:48:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

1029369

	registered interest
	date	20/12/2018
	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	Visual Impairment
	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 tackle preventable blindness.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	204564
	answer	answer is ministerial correction date of answer 09/01/2019 answer text <p>The Government takes the concerns around reported avoidable sight loss very seriously. Following the All Party Parliamentary Group on Eye Health and Visual Impairment’s ‘See the Light’ report, initial meetings have been held with key stakeholders to discuss the Department and NHS England’s response to the report’s recommendations and these discussions are ongoing.</p><p> </p><p>Two key initiatives, Getting it Right First Time being led by NHS Improvement and the Elective Care Transformation Programme being led by NHS England have considered, as part of their programmes, what can be done to ensure patients do not suffer unnecessary delays in follow-up care for ophthalmology.</p><p> </p><p>Action is also being taken to reduce sight loss caused by medical conditions. On diabetic retinopathy, a common complication of diabetes which can lead to sight loss, a diabetic retinopathy screening programme led by Public Health England offered screening to 2.4 million eligible people in 2015/16.</p><p> </p><p>Early detection is also key and free National Health Service sight tests are available to those at increased risk of eye disease or likely to be deterred from seeking private tests on grounds of cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/01/2019 15:05:38 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

1029368

	registered interest
	date	20/12/2018
	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: Labour Turnover
	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 he has taken to improve the retention level of GPs within the NHS.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	204563
	answer	answer is ministerial correction date of answer 09/01/2019 answer text <p>NHS England and Health Education England (HEE) are working together with the profession to increase the general practitioner (GP) workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>There is a broad offer available to support GPs to remain in the National Health Service including the GP Health Service, the GP Retention Scheme, and the GP Retention Fund.</p><p> </p><p>In May 2018, NHS England launched the £10 million GP Retention Fund, comprising of the Local Retention Fund (£7 million) and the Intensive Support Areas (£3 million) which will help GPs stay in the workforce by promoting new ways of working and offering additional support.</p><p> </p><p>Recognising that workload is one of the biggest issues impacting retention, NHS England is investing £30 million in the Releasing Time for Care Programme, which aims to help practices reduce their workload through spreading awareness of innovations and facilitating local programmes.</p><p> </p><p>Getting the skills mix right in general practice is also critical in addressing workload pressures as well as in delivering appropriate patient care. This will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs. As of September 2018, there were over 3,700 more clinical staff, excluding GPs, working in general practice since 2015; consisting of over 600 more nurses and over 3,000 more other direct patient care.</p><p> </p><p>In addition to this work, the General Practice Partnership Review, an independent review into the partnership model to which practices work, will deliver its final report early this year. The independent review will consider key questions around workforce and workload and make a number of recommendations with the aim of ensuring general practice remains an excellent place to work.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 09/01/2019 15:04:10 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

1029374

	registered interest
	date	20/12/2018
	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	Babylon Health
	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 meetings he has had with Babylon Healthcare.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	204568
	answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has met Babylon Healthcare on two occasions including at a technology roundtable attended by various health technology companies on 18 July 2018 and at their offices on 13 September 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2019 12:07:13 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell

1029362

	registered interest
	date	20/12/2018
	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	Life Expectancy
	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 he has made of trends in life expectancy.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	204558
	answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>Public Health England (PHE) was commissioned by the Department in 2018 to review trends in life expectancy and mortality in England. PHE’s review was released on 11 December 2018 and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/recent-trends-in-mortality-in-england-review-and-data-packs" target="_blank">https://www.gov.uk/government/publications/recent-trends-in-mortality-in-england-review-and-data-packs</a></p><p> </p><p>The review summarises the findings from the commission and suggests further work that could be undertaken, by PHE or others. It provides a review of official data to advance understanding of the trends in life expectancy and mortality in England, as well as more detail on specific population groups and specific causes of death, including insight into possible explanations for the trends observed.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2019 12:10:18 answering member 4067 label Biography information for Steve Brine
	tabling member	4471 label Biography information for Rachael Maskell