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1063813

	registered interest
	date	18/02/2019
	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	Accident and Emergency Departments: Standards
	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 potential effect on patient care of removing A&E waiting time targets.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	222748
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The Prime Minister announced a clinically-led review of standards in June 2018. The review is considering the appropriateness of operational standards for physical and mental health relating to planned, unplanned urgent or emergency care, as well as cancer. The Review is being led by NHS England’s National Medical Director, Professor Stephen Powis. In the interest of patient safety, we are committed to ensuring that any changes to waiting time standards are based on clinical evidence. Any changes should, and will, only seek to further strengthen current operational standards.</p><p> </p><p>The Review will report its interim findings in the spring of 2019, after which any recommended changes will be carefully field-tested across the National Health Service, before they are implemented.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 11:54:30 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1436 label Biography information for Paul Farrelly

1063717

	registered interest
	date	18/02/2019
	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	Ambulance Services: East Midlands
	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 he has made of the average response time of ambulances in the East Midlands by (a) constituency and (b) county, in the latest period for which data is available.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	222815
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Information is not available in the format requested. National and individual ambulance National Health Service trust level performance is available and published monthly by NHS England and can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 11:57:57 answering member 1585 label Biography information for Stephen Hammond
	tabling member	350 label Biography information for Sir John Hayes

1063716

	registered interest
	date	18/02/2019
	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	Ambulance Services: Standards
	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 trends in the level of ambulance response times in each year since 1997.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	222816
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>National Health Service ambulance trusts transitioned to new standards in December 2017, following a rigorous and independent evaluation of the clinically-led Ambulance Response Programme (ARP). As a result, data is not comparable pre- and post the ARP. National and individual ambulance NHS trust level performance data is published monthly by NHS England, and can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 12:00:44 answering member 1585 label Biography information for Stephen Hammond
	tabling member	350 label Biography information for Sir John Hayes

1063766

	registered interest
	date	18/02/2019
	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	Epilepsy: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 31 January 2019 to Question 211841, what specific steps his Department has taken to ensure the supply of epilepsy medication in the event of the UK leaving the EU without a deal.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	222701
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>We understand that epilepsy medicines are vitally important to many people in this country. Our contingency plans aim to ensure that the supply of epilepsy medicines and other essential medicines to patients is not disrupted in all European Union exit scenarios, including in the event of a ‘no deal’ exit.</p><p> </p><p>In August 2018, the Department wrote to all pharmaceutical companies that supply prescription-only and pharmacy medicines to the United Kingdom that come from, or via, the EU/European Economic Area asking them to ensure a minimum of six weeks’ additional supply in the UK, over and above existing business-as-usual buffer stocks, by 29 March 2019.</p><p> </p><p>On 7 December, the Government published updated reasonable worst-case scenario border disruption planning assumptions in the event of a ‘no deal’ EU exit. Medicines and medical products are prioritised in cross-Government planning, and the Department is working with relevant partners across Government and industry to ensure we have sufficient roll-on, roll-off freight capacity on alternative routes to enable these vital products to continue to move freely into the UK.</p><p> </p><p>Throughout the implementation of our plans, we have received very good engagement from industry who share our aims of ensuring that the supply of medicines and medical products can continue unhindered in the event of a ‘no deal’ EU exit.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 12:05:08 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1063705

	registered interest
	date	18/02/2019
	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	Health Services: British Nationals Abroad
	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 discussions he has had with relevant health charities on ensuring they have advance warning of the publication of new advice on travel in the EU and EEA in the event that the UK leaves the EU without a deal.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	222802
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The United Kingdom Government is seeking agreements with Member States, so that no individual will face sudden changes to their healthcare cover.</p><p> </p><p>People requiring treatment for their pre-existing conditions when travelling should always seek advice from their doctor and specialist unit before booking travel. They should also contact the chosen specialist administrator at the destination of travel to ensure their treatment is covered after 29 March 2019 in a ‘no deal’ scenario. Any charges to the patient should be discussed and agreed before booking travel.</p><p> </p><p>The Department has been in discussion with a number of stakeholders on reciprocal healthcare after the UK leaves the EU.</p><p> </p><p>Any new travel advice will be updated on GOV.UK and the NHS website as the circumstances change, including for travellers who have pre-existing conditions.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 222804 222807 question first answered 26/02/2019 12:03:43 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1063706

	registered interest
	date	18/02/2019
	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	Health Services: British Nationals Abroad
	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 safety of patients with pre-existing conditions, which are not covered by insurance, who travel in the EU and would no longer be covered by reciprocal healthcare agreements in the event of the UK leaving the EU without a deal.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	222804
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The United Kingdom Government is seeking agreements with Member States, so that no individual will face sudden changes to their healthcare cover.</p><p> </p><p>People requiring treatment for their pre-existing conditions when travelling should always seek advice from their doctor and specialist unit before booking travel. They should also contact the chosen specialist administrator at the destination of travel to ensure their treatment is covered after 29 March 2019 in a ‘no deal’ scenario. Any charges to the patient should be discussed and agreed before booking travel.</p><p> </p><p>The Department has been in discussion with a number of stakeholders on reciprocal healthcare after the UK leaves the EU.</p><p> </p><p>Any new travel advice will be updated on GOV.UK and the NHS website as the circumstances change, including for travellers who have pre-existing conditions.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 222802 222807 question first answered 26/02/2019 12:03:43 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1063718

	registered interest
	date	18/02/2019
	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	Health Services: Greater London
	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 and what proportion of total NHS funding is spent in the Greater London area in each of the last five years.
	tabling member constituency	South Holland and The Deepings
	tabling member printed	Sir John Hayes
	uin	222818
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>Spending in Greater London and as a percentage of the total NHS England Mandate is shown in the following table. The spending may include services for people not living in London.</p><table><tbody><tr><td><p>Financial year</p></td><td><p>Total spending for Greater London (£ million)</p></td><td><p>Greater London spend as a % of total NHS England Mandate</p></td></tr><tr><td><p>2017-18</p></td><td><p>18,600</p></td><td><p>17%</p></td></tr><tr><td><p>2016-17</p></td><td><p>17,800</p></td><td><p>17%</p></td></tr><tr><td><p>2015-16</p></td><td><p>17,300</p></td><td><p>17%</p></td></tr><tr><td><p>2014-15</p></td><td><p>16,700</p></td><td><p>17%</p></td></tr><tr><td><p>2013-14</p></td><td><p>16,200</p></td><td><p>17%</p></td></tr></tbody></table><p>Notes:</p><ol><li>The spend includes all areas of direct commissioning and clinical commissioning groups (CCGs), and also relevant administration and programme budgets.</li><li>Commissioning categories included: CCG direct commissioning; health and justice; NHS England central programme costs; NHS England running costs; other; primary care and secondary dental; public health; social care; and, specialised commissioning.</li><li>The spend figures for CCGs are presented on an International Financial Reporting Standards basis, compared against the total resource departmental expenditure limit mandate for NHS England.</li><li>The spend figures may exclude some transformation budgets that are deployed nationally.</li><li>The spend figures for specialised include all specialised spend with London providers, which will include spend on patients from outside of London.</li></ol><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 16:21:23 answering member 1585 label Biography information for Stephen Hammond
	tabling member	350 label Biography information for Sir John Hayes

1063707

	registered interest
	date	18/02/2019
	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	Health Services: Reciprocal Arrangements
	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 ensure that reciprocal agreements with EU Member States and Members of the EEA for the provision of health care to UK citizens travelling temporarily to those countries will be in place after the UK leaves the EU; and what the timetable is for those arrangements.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	222807
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The United Kingdom Government is seeking agreements with Member States, so that no individual will face sudden changes to their healthcare cover.</p><p> </p><p>People requiring treatment for their pre-existing conditions when travelling should always seek advice from their doctor and specialist unit before booking travel. They should also contact the chosen specialist administrator at the destination of travel to ensure their treatment is covered after 29 March 2019 in a ‘no deal’ scenario. Any charges to the patient should be discussed and agreed before booking travel.</p><p> </p><p>The Department has been in discussion with a number of stakeholders on reciprocal healthcare after the UK leaves the EU.</p><p> </p><p>Any new travel advice will be updated on GOV.UK and the NHS website as the circumstances change, including for travellers who have pre-existing conditions.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 222802 222804 question first answered 26/02/2019 12:03:43 answering member 1585 label Biography information for Stephen Hammond
	tabling member	151 label Biography information for Tom Brake

1064722

	registered interest
	date	21/02/2019
	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	Health Services: Reciprocal Arrangements
	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 times European Health Insurance Cards were used by UK citizens abroad in the past year.
	tabling member constituency	Cardiff West
	tabling member printed	Kevin Brennan
	uin	224302
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>There were 118,684 accepted claims when a European Health Insurance Card (EHIC) was used, in the last 12 months.</p><p> </p><p>There are 3,108,739 United Kingdom-issued EHICs in circulation for people aged over 70. This is based on cards which have not expired and the applicant’s age on the date the card was issued, and not their current age. EHICs are valid for five years after their issue date.</p><p> </p><p>Information is not available on the number of times EHICs were used by UK citizens abroad to support the treatment of pre-existing conditions in the last year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 224304 224305 question first answered 26/02/2019 16:23:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1400 label Biography information for Kevin Brennan

1064723

	registered interest
	date	21/02/2019
	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	Health Services: Reciprocal Arrangements
	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 times European Health Insurance Cards were used by people over the age of 70 in each of the last five years.
	tabling member constituency	Cardiff West
	tabling member printed	Kevin Brennan
	uin	224303
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The following table shows the number of European Health Insurance Card claims from people aged over 70 by year for the last five years:</p><table><tbody><tr><td><p>2014</p></td><td><p>29,632</p></td></tr><tr><td><p>2015</p></td><td><p>35,518</p></td></tr><tr><td><p>2016</p></td><td><p>43,121</p></td></tr><tr><td><p>2017</p></td><td><p>38,271</p></td></tr><tr><td><p>2018</p></td><td><p>23,172</p></td></tr></tbody></table><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 26/02/2019 16:22:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1400 label Biography information for Kevin Brennan