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599537

	registered interest
	date	11/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Crohn's Disease: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what support his Department makes available for young people diagnosed with Crohn's disease.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	48000
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p><em>Crohn’s Disease Management in Adults, Children and Young People</em>, published by the National Institute for Health and Care Excellence in October 2012, sets out best practice guidance for clinicians and commissioners in the diagnosis, treatment care and support of patients with Crohn’s disease. The guidance includes a number of specific recommendations concerning young people such as the need to offer age-appropriate multidisciplinary support to deal with any concerns about the disease and its treatment, including concerns about body image, living with a chronic illness, and attending school and higher education.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:00:34 answering member 4080 label Biography information for David Mowat
	tabling member	4243 label Biography information for Dan Jarvis

599472

	registered interest
	date	11/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	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 implications for his policies of the report by Cancer Research UK on the barriers to people making GP appointments, published in the Public Health Journal in October 2016.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	48081
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Analysis of the cancer awareness measure found that the most commonly perceived barriers to seeing a general practitioner (GP) were finding it difficult to get an appointment with a particular doctor, or at a convenient time, and disliking having to talk to GP receptionists about symptoms.</p><p>Catching more cancers early is a priority and this year NHS England is investing an extra £15 million in improving early diagnosis and setting up Cancer Alliances to bring together leadership across local areas to drive improvements.</p><p>The Government is committed to improving access to GP services as part of our plan for a seven day National Health Service, and has invested £175 million in the GP Access Fund to test improved and innovative access to GP services. The 2015-16 (July 2016) GP Patient Survey found that 92.1% of patients who got an appointment found it was convenient, and 91% of patients who had a GP they preferred to see saw them at least some of the time.</p><p>The General Practice Forward View, published in April, announced £45 million of extra funding nationally over five years so that every practice in the country can help their reception and clerical staff play a greater role in care navigation, signposting patients and handling clinical paperwork to free up GP time.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:05:13 answering member 4080 label Biography information for David Mowat
	tabling member	4124 label Biography information for Chi Onwurah

595791

	registered interest
	date	07/10/2016
	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, if he will take steps to increase public involvement in decision-making by clinical commissioning groups.
	tabling member constituency	Huddersfield
	tabling member printed	Mr Barry Sheerman
	uin	46699
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to make arrangements to involve the public in commissioning services for National Health Service patients. The duty ensures that CCGs act fairly and proportionately when decision making in circumstances where there may be an impact on services.</p><p> </p><p>To support CCGs, NHS England published statutory guidance entitled <em>Transforming Participation in Health and Care</em> in September 2013. CCGs must have regard to this guidance. A copy of the guidance can be found at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf</a></p><p> </p><p>In April NHS England also published <em>Annual Reporting on the Legal Duty to Involve Patients and the Public in Commissioning</em> which can be found here:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf</a></p><p> </p><p>NHS England has also published <em>Engaging Local People: A Guide for local areas developing Sustainability and Transformation Plans </em>in September 2016, available from:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf</a></p><p> </p><p>Revised guidance for CCGs in relation to their duty to involve the public will also be published in spring 2017.</p><p> </p><p>In addition, CCGs are required by statute to use the NHS Standard Contract when commissioning secondary healthcare services from providers. The NHS Standard Contract places obligations on providers, which if necessary are enforced by CCGs. Public involvement in the decision-making by providers is included in clause 12.5 of the NHS Standard Contract as follows:</p><p> </p><p><em>“The Provider must involve Service Users (and, where appropriate, their Carers and Legal Guardians), Staff, Service Users’ GPs and the public when considering and implementing developments to and redesign of Services. As soon as reasonably practicable following any reasonable request by the Co-ordinating Commissioner, the Provider must provide evidence of that involvement and of its impact.”</em></p><p> </p><p>Therefore, if a CCG and provider propose a change to a service, the provider must engage with the public.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:39:30 answering member 4080 label Biography information for David Mowat
	tabling member	411 label Biography information for Mr Barry Sheerman

595720

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Physiology: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to introduce financial incentives for physiological services to engage with and achieve IQIPS accreditation.
	tabling member constituency	Poplar and Limehouse
	tabling member printed	Jim Fitzpatrick
	uin	47534
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47533 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
	tabling member	197 label Biography information for Jim Fitzpatrick

595723

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Audiology: Standards
	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 progress of audiology services achieving IQIPS accreditation; and what plans he has to ensure that audiology services in NHS trusts and communities give priority to registering with IQIPS.
	tabling member constituency	Poplar and Limehouse
	tabling member printed	Jim Fitzpatrick
	uin	47533
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47534 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
	tabling member	197 label Biography information for Jim Fitzpatrick

595726

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Audiology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to introduce mandatory accreditation of audiology services in England.
	tabling member constituency	Poplar and Limehouse
	tabling member printed	Jim Fitzpatrick
	uin	47535
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47464 47533 47534 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
	tabling member	197 label Biography information for Jim Fitzpatrick

595734

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Audiology
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many audiology services there are in England.
	tabling member constituency	Poplar and Limehouse
	tabling member printed	Jim Fitzpatrick
	uin	47464
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Comprehensive data on the number of audiology services in England is not collected.</p><p> </p><p>NHS England has no current plans to introduce financial incentives for the achievement of Improving Quality in Physiological Services (IQIPS) accreditation.</p><p> </p><p>As of 1 September, there are 39 organisations with IQIPS accreditation for audiology, covering 28 adult and 21 paediatric audiology services. If an organisation is accredited for both adult and paediatric audiology, United Kingdom Accreditation Service considers that one accreditation.</p><p> </p><p>In Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups, published in July, NHS England strongly encourages clinical commissioning groups (CCGs) to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract. This is reflected in the model service specification for adults.</p><p> </p><p>In the contract for Genomics Medicines Centres, Annex M requires National Health Service trusts nominated as Lead Organisations and Local Delivery Partners to be working towards diagnostic accreditation across all available schemes, including IQIPS.</p><p> </p><p>NHS England is also working with the Care Quality Commission to agree the use of scientific and diagnostic schemes as an information source for inspection purposes, as set out in their latest strategy.</p><p> </p><p>We currently have no plans to introduce mandatory accreditation of audiology services in England.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47533 47534 47535 question first answered 17/10/2016 16:08:37 answering member 4080 label Biography information for David Mowat
	tabling member	197 label Biography information for Jim Fitzpatrick

599464

	registered interest
	date	11/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions his Department has had with key health stakeholders on providing guidance for GPs on extending the length of appointment slots and increasing the number of appointments bookable for each GP each day.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	48085
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>General practitioners (GPs) are required to provide essential services to meet the reasonable needs of their patients within core hours. Length of appointment slots and number of bookable appointments is determined by individual GP practices. The Department has not had discussions with key health stakeholders on providing guidance for GPs on these matters.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:05:53 answering member 4080 label Biography information for David Mowat
	tabling member	4131 label Biography information for Jim Shannon

595798

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: North East
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many full-time equivalent GPs per 1000 patients there were in (a) the North East, (b) County Durham and (c) Easington constituency in each of the last five years.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	46784
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Information is not available in the format requested. The data that is available is shown in the following table.</p><p> </p><table><tbody><tr><td colspan="7"><p>Table: Full Time Equivalent general practitioners (GPs) (excluding Locums) per 1,000 registered patients in selected area, 2011-16</p></td><td><p> </p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td><td><p>2015<sup>1</sup></p></td><td><p>March 2016<sup>1</sup></p></td></tr><tr><td colspan="2"><p>North East Strategic Health Authority</p></td><td><p>0.71</p></td><td><p>0.73</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td></tr><tr><td colspan="2"><p>Durham, Darlington and Tees Area Team</p></td><td><p>..</p></td><td><p>..</p></td><td><p>0.71</p></td><td><p>0.70</p></td><td><p>..</p></td><td><p>..</p></td></tr><tr><td colspan="2"><p>Cumbria, Northumberland, Tyne And Wear Area Team</p></td><td><p>..</p></td><td><p>..</p></td><td><p>0.79</p></td><td><p>0.78</p></td><td><p>..</p></td><td><p>..</p></td></tr><tr><td colspan="2"><p>NHS England North (Cumbria and North East)</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>0.58</p></td><td><p>0.58</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="2"><p>County Durham Primary Care Trust (PCT)</p></td><td><p>0.73</p></td><td><p>0.75</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td></tr><tr><td colspan="2"><p>NHS North Durham Clinical Commissioning Group (CCG)</p></td><td><p>..</p></td><td><p>..</p></td><td><p>0.74</p></td><td><p>0.70</p></td><td><p>0.54</p></td><td><p>0.51</p></td></tr><tr><td colspan="2"><p>NHS Durham Dales, Easington And Sedgefield CCG</p></td><td><p>..</p></td><td><p>..</p></td><td><p>0.77</p></td><td><p>0.76</p></td><td><p>0.61</p></td><td><p>0.56</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p><sup>1</sup> Prior to 2015 figures are sourced from NHAIS GP Payments (Exeter) System. From 2015 figures are sourced from the workforce Minimum Dataset (wMDS) and include estimates for missing data. Figures from September 2015 and March 2016 are provisional experimental and are not comparable with previous years.</p><p>GP Registered Patient data is taken from NHAIS GP Payments (Exeter) system for all years.</p><p>Figures are shown for those National Health Service organisations in operation at the time of the relevant census. GP workforce statistics are not available by constituency. Easington constituency is contained within and serviced by NHS Durham Dales, Easington and Sedgefield CCG. Prior to the formation of CCGs, Easington constituency was contained within and serviced by County Durham PCT.</p><p>Full Time Equivalents (FTE) for NHS staff are calculated based on working hours, where 37.5 hours per week is equal to 1 FTE.</p><p>Figures exclude GP Locums.</p><p>Data as at 30 September 2011-2015 and 31 March 2016.</p><p>March data was collected and published in full on the workforce Minimum Dataset for the first time in March 2016. These figures have been included to provide the most up-to-date information.</p><p>'..' denotes not applicable.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 15:53:30 answering member 4080 label Biography information for David Mowat
	tabling member	3973 label Biography information for Grahame Morris

595769

	registered interest
	date	07/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dental Services: Bradford
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many child patients as a relative proportion of the local population had an appointment with an NHS dentist in (a) Bradford Districts Clinical Commissioning Groups (CCG) and (b) Bradford City CCG in (i) July 2015 to June 2016, (ii) July 2014 to June 2015 and (iii) July 2013 to June 2014.
	tabling member constituency	Bradford East
	tabling member printed	Imran Hussain
	uin	46919
	answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Information is not available in the format requested.</p><p> </p><p>NHS Digital is not able to provide numbers of people who had an appointment with a National Health Service dentist. However, it is able to provide the number of patients seen at specified dates as a percentage of the population. This covers patients seen by an NHS dentist, including work undertaken by dentists under vocational training and orthodontic patients. It does not, however, cover dental treatment carried out in hospitals under Hospital Dental Services, nor under services provided privately.</p><p> </p><p>Table: Count of the number of child patients (aged 17 and under) seen in the specified time periods, and as a percentage of the population in Bradford Districts CCG and Bradford City CCG</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="3"><p>Number of patients seen</p></td><td colspan="3"><p>Percentage of the population</p></td></tr><tr><td><p> </p></td><td><p>July 2012 - June 2014 <br> (24 months)</p></td><td><p>July 2013 - June 2015 <br> (24 months)</p></td><td><p>July 2015 - June 2016 <br> (12 months)</p></td><td><p>July 2012 - June 2014 <br> (24 months)</p></td><td><p>July 2013 - June 2015 <br> (24 months)</p></td><td><p>July 2015 - June 2016 <br> (12 months)</p></td></tr><tr><td><p>NHS Bradford Districts Clinical Commissioning Group (CCG)</p></td><td><p>47,562</p></td><td><p>48,805</p></td><td><p>44,719</p></td><td><p>54.4</p></td><td><p>55.8</p></td><td><p>50.8</p></td></tr><tr><td><p>NHS Bradford City CCG</p></td><td><p>26,288</p></td><td><p>27,403</p></td><td><p>21,939</p></td><td><p>102.4</p></td><td><p>106.8</p></td><td><p>84.6</p></td></tr></tbody></table><p> </p><p>Notes:</p><p>1. The figures are for the number of patients seen at least once during the 24 month period. Patients are counted in this data set on their first visit only.</p><p>2. Patients seen are allocated to a CCG via the dentist which they attend for treatment and not by the home postcode of the patient. Most patients will live within the CCG/Region in which they receive primary care dental services but some will attend a dentist further afield (near their place of employment, for example). Therefore it is possible for the percentage of the population figures to exceed 100%.</p><p>3. Due to the change in methodology from patients seen in the previous 24 months to patients seen in the previous 12 months, data for the period ending 30 June 2016 is not comparable to previous years.</p><p>4. Population data are sourced from the Office for National Statistics.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 15:47:32 answering member 4080 label Biography information for David Mowat
	tabling member	4394 label Biography information for Imran Hussain