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1003735

	registered interest
	date	09/11/2018
	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	Palliative Care: 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 monitor how effectively (a) sustainability and transformation partnerships, (b) integrated care systems, (c) clinical commissioning groups and (d) local authorities are supporting children's palliative care in accordance with their legal duties.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	189538
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Sustainability and transformation partnerships and integrated care systems are made up of bodies including local authorities and clinical commissioning groups, which retain statutory responsibility for providing health and care services for the populations they serve. These include a range of services involved in children’s palliative care.</p><p> </p><p>NHS England and the Department would expect all of these partners to be regularly talking to, and working with, relevant organisations given their remit to identify overall local need and to join up services.</p><p> </p><p>NHS England is also working with commissioners, clinicians, voluntary, community and social enterprise organisations and people with lived experience to refresh the children’s palliative and end of life care service specification and the commissioning pathway, to reflect collective responsibilities across health and social care. Work will continue on this until spring 2019. NHS England is also making available guidance across the sector to support good practice, including sharing examples.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:37:59 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1002546

	registered interest
	date	06/11/2018
	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	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 estimate his Department has made of the average number of colonoscopy procedures conducted by an endoscopist each year; and whether the commitment to increase the number of endoscopists in Health Education England's cancer workforce plan will be sufficient to deliver the new faecal immunochemical screening test.
	tabling member constituency	Ealing North
	tabling member printed	Stephen Pound
	uin	188698
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>NHS England and the screening centres have completed an assessment of screening endoscopy capacity, taking into account a number of factors including workforce. This will inform the implementation plan for rolling out the Faecal Immunochemical Test (FIT) into the Bowel Cancer Screening Programme. Health Education England is working with Public Health England and NHS England to continue detailed workforce planning to deliver national screening programmes such as FIT and ensure alignment with the national Workforce Strategy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 11:26:04 answering member 4067 label Biography information for Steve Brine
	tabling member	161 label Biography information for Stephen Pound

1002547

	registered interest
	date	06/11/2018
	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	Pathology
	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 has been made of the provision of histopathologists to meet future demand.
	tabling member constituency	Ealing North
	tabling member printed	Stephen Pound
	uin	188699
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Health Education England (HEE) published its first ever Cancer Workforce Plan in December 2017, which commits to the expansion of capacity and skills including an ambition to increase improved working practices, attracting qualified people back to the National Health Service through domestic and international recruitment. This included 94 full time equivalent additional histopathologists to support an increase in the capacity for earlier diagnosis. Following the commitment to lower the bowel screening age to 50 and roll out the Faecal Immunology Test, HEE has been engaging with stakeholders to ensure that the cancer workforce, including histopathologists, is sufficient for future cancer services.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 11:31:57 answering member 4067 label Biography information for Steve Brine
	tabling member	161 label Biography information for Stephen Pound

1002615

	registered interest
	date	06/11/2018
	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	Patients: Social Security Benefits
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has provided to Clinical Commissioning Groups on charging for letters which patients require in order to progress benefits claims.
	tabling member constituency	Ipswich
	tabling member printed	Sandy Martin
	uin	188913
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Under the terms of their contracts, as set out in National Health Service (General Medical Services (GMS) Contracts) and (Personal Medical Services (PMS) Agreements) Regulations 2015), general practitioners (GPs) must provide medical certificates to prove incapacity to work free of charge and cannot charge their registered patients for anything other than specific items as set out in the PMS Regulations. This includes some letters and medical reports, such as private sick notes or immunisations in connection with travel abroad.</p><p> </p><p>GPs must provide these statements of incapacity to professionals working for the Health Assessment Advisory Service (part of the Department for Work and Pensions) when requested. If other statutory bodies are requesting this information to support a benefits claim, GPs are entitled to charge for this information, but the body requesting it must pay this charge rather than the patient.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 11:25:05 answering member 4067 label Biography information for Steve Brine
	tabling member	4678 label Biography information for Sandy Martin

1003603

	registered interest
	date	09/11/2018
	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: Civil Proceedings
	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 has been spent by (a) Health Education England and (b) Lewisham and Greenwich NHS Trust on (i) legal fees and (ii) other costs associated with defending legal action brought by Dr Chris Day.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	189610
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The Department is aware that Dr Chris Day took legal action against Health Education England (HEE) and Lewisham and Greenwich NHS Trust, between 2014-18, which was settled on the basis of him withdrawing the claim.</p><p> </p><p>HEE spent a total of £433,000.00 on legal fees and costs, which includes £55,000, which was previously agreed legal costs to Dr Chris Day.</p><p> </p><p>Lewisham and Greenwich NHS Trust spent a total of £285,500.00 plus VAT in legal fees and does not have any other associated costs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:41:00 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1439 label Biography information for Norman Lamb

1002753

	registered interest
	date	06/11/2018
	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	GP Practice Lists: Payments
	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 is taking to tackle the alleged practice of GP surgeries receiving payments for so-called ghost patients still registered at that GP practice but who have died or moved to a different area.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	188704
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>NHS England has confirmed that Capita will shortly recommence list maintenance for all practices across England in accordance with NHS England policy, guidance and agreed standard operating procedures. This is to ensure that the lists of registered patients are as accurate as possible. General practitioner (GP) practice list maintenance is part of NHS England’s contract with Primary Care Support England, which is delivered by Capita. GP practices also have a duty to maintain their registered patient lists in a current and accurate state.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 11:23:56 answering member 4067 label Biography information for Steve Brine
	tabling member	304 label Biography information for Mr Roger Godsiff

1003830

	registered interest
	date	09/11/2018
	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, what recent assessment he has made of the adequacy of treatments available through the NHS for Alpha-1 Antitrypsin Deficiency.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	189546
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) does not currently recommend any specific treatment for Alpha-1 Antitrypsin Deficiency (AATD).</p><p> </p><p>NHS England is engaging with NICE on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD (ID856). 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 due course.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:15:02 answering member 4067 label Biography information for Steve Brine
	tabling member	308 label Biography information for Mr Jim Cunningham

998916

	registered interest
	date	31/10/2018
	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	Multiple Births
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they will continue to provide financial support to the Innovation, Excellence and Strategic Development funded quality improvement programme delivered by the Twins and Multiple Births Association, beyond March 2019.
	tabling member printed	Lord Jones of Cheltenham
	uin	HL11166
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The Innovation, Excellence and Strategic Development (IESD) grant award won by the Twins and Multiple Births Association, received in 2015-16, committed the Department to provide funding until March 2019. As the Department’s funding to the voluntary sector has been reshaped, no further applications to the IESD fund were invited after 2015-16 and projects funded through IESD are all scheduled to reach their conclusion by the end of the current financial year.</p><p>The Department does not currently have any open competitions for grant funding. Funding for future years is subject to business planning and has not yet been confirmed.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 14/11/2018 15:32:27 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	248 label Biography information for Lord Jones of Cheltenham

998918

	registered interest
	date	31/10/2018
	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	Multiple Births
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of quality improvement programmes aimed specifically at reducing the number of stillbirths, neonatal deaths and neonatal admissions in twin pregnancies; and whether they have any plans to roll such programmes out nationally to fulfil their ambition of halving stillbirths and neonatal deaths by 2025.
	tabling member printed	Lord Jones of Cheltenham
	uin	HL11167
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Through the Innovation, Excellence and Strategic Development grant award, the Department funded the Twins and Multiple Births Association Maternity Engagement Project, a quality improvement programme to explore whether increased adherence to National Institute for Health and Care Excellence (NICE) Guideline <em>Quality Standards 46 on Multiple pregnancy: twin and triplet pregnancies</em> would improve the outcomes of families.</p><p>The Department was interested to see the results of the interim report of this project, which indicate that implementing the NICE guidance can contribute to reducing twin stillbirths, neonatal deaths and neonatal admissions. We look forward to reviewing the final project report, which we understand is due for publication in mid-2019.</p> answering member printed Lord O'Shaughnessy question first answered 14/11/2018 15:31:54 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	248 label Biography information for Lord Jones of Cheltenham

999747

	registered interest
	date	01/11/2018
	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	Gambling
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 1 October (HL10396), what was the geographical breakdown of gambling-related hospital admissions for each of the last five years.
	tabling member printed	Lord Chadlington
	uin	HL11192
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>The volume of finished admissions episodes (FAEs) with a primary or secondary diagnosis of pathological gambling for the last five years, by commissioning region of treatment, is shown in the following table.</p><table><tbody><tr><td><p>Commissioning Region of Treatment</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p>North of England Commissioning Region</p></td><td><p>25</p></td><td><p>20</p></td><td><p>20</p></td><td><p>20</p></td><td><p>25</p></td></tr><tr><td><p>Midlands and East of England Commissioning Region</p></td><td><p>10</p></td><td><p>10</p></td><td><p>20</p></td><td><p>10</p></td><td><p>20</p></td></tr><tr><td><p>London Commissioning Region</p></td><td><p>15</p></td><td><p>35</p></td><td><p>35</p></td><td><p>40</p></td><td><p>50</p></td></tr><tr><td><p>South of England Commissioning Region</p></td><td><p>15</p></td><td><p>20</p></td><td><p>10</p></td><td><p>*</p></td><td><p>15</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes:</em></p><p>A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p>In order to protect patient confidentiality '*' appears in the table for all sub-national breakdowns, where it is possible to calculate a value between one and seven from the data presented. All other sub-national data has been rounded to the nearest five.</p> answering member printed Lord O'Shaughnessy question first answered 14/11/2018 15:33:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3318 label Biography information for Lord Chadlington