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101647

	registered interest
	date	29/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Drugs: Misuse
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make an assessment of the potential merits of charging for NHS services required because of injuries caused by alcohol or drug misuse.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	212524
	answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>We recognise that drinking alcohol and drug use does place significant strain on the National Health Service, but there are both ethical and practical reasons not to seek payment from patients. The founding principle of the NHS is that services are free of charge, available to all on the basis of need, not ability to pay. It is funded accordingly, from general taxation.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/11/2014 15:40:41 answering member 3918 label Biography information for Jane Ellison
	tabling member	4079 label Biography information for Julian Sturdy

436267

	registered interest
	date	08/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what representations he has received on reforming of NICE's procedure for appraisal of medicines.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	19235
	answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>We receive representations about the National Institute for Health and Care Excellence’s (NICE) technology appraisal programme from hon. Members, members of the public, clinicians and the pharmaceutical industry.</p><br /><p>NICE is the independent body that provides guidance on the prevention and treatment of ill health and the promotion of good health and social care and is responsible for its own processes and methodology.</p><br /><p>NICE regularly reviews these and its internationally renowned technology appraisal programme has evolved constantly to meet new challenges. NICE has demonstrated its ability to adapt to changes in the health and care environment, and we expect it will continue to evolve in the future, in particular through the recommendations of the Accelerated Access Review which NICE is centrally involved in.</p><br /><p>Further guidance on NICE’s processes of technology appraisal is available at:</p><br /><p>www.nice.org.uk/article/pmg19/chapter/Foreword</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 15/12/2015 16:28:02 answering member 4020 label Biography information for George Freeman
	tabling member	4079 label Biography information for Julian Sturdy

800571

	registered interest
	date	04/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neuromuscular Disorders
	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 (a) extent and (b) effect on patient care of variation in specialist services for multiple sclerosis and Parkinson's among clinical commissioning groups in England.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	117192
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117193 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

800572

	registered interest
	date	04/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neuromuscular Disorders
	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 potential for improved specialist services for multiple sclerosis and Parkinson's delivering significant savings for the NHS; and if he will make a statement.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	117193
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117192 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

917473

	registered interest
	date	05/06/2018
	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: Yorkshire and the Humber
	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 GP trainees began training in (a) York and (b) Yorkshire and the Humber in the most recent year for which statistics are available.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	150089
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>We do not hold data on the number of general practitioner (GP) trainees who started training in York and Yorkshire and the Humber. The number of GP registrars working in general practice in the Vale of York Clinical Commissioning Group and NHS England North (Yorkshire and the Humber) in September 2017 is presented in the following table. This may not represent all trainee GPs in these regions as they do not spend the entirety of their training as a GP registrar working in general practice. The remaining time is spent training in hospitals.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>GP Registrars (Full Time Equivalent (FTE))</p></td><td><p>GP Registrars (Headcount)</p></td></tr><tr><td><p>NHS Vale of York CCG</p></td><td><p>12</p></td><td><p>13</p></td></tr><tr><td><p>NHS England North (Yorkshire and Humber)</p></td><td><p>244</p></td><td><p>277</p></td></tr></tbody></table><p> </p><p>Notes:</p><p><strong> </strong></p><p>1. Figures contain estimates for the 5.4% of practices that did not provide fully valid GP data.</p><p> </p><p>2. FTE refers to the proportion of full time contracted hours that the post holder is contracted to work. 1 would indicate they work a full set of hours, 0.5 that they worked half time.</p><p> </p><p>3. Figures shown do not include GPs working in Prisons, Army Bases, Educational Establishments, Specialist Care Centres including Drug Rehabilitation Centres and Walk-In Centres.</p><p> </p><p>Data as at 30 September</p><p> </p><p>Source: NHS Digital</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/06/2018 15:17:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

917472

	registered interest
	date	05/06/2018
	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
	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 GP workload.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	150088
	answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>We are tackling general practitioner (GP) workload by investing in the Releasing Time to Care Programme and expanding the skill mix in general practice. The Releasing Time for Care Programme is designed to help practices implement change to release time more quickly and sustainably. As of October 2017 a series of workshops have reached around 4,800 participants, and survey responses suggest that attending the workshop has had an immediate and substantial effect on practices’ optimism.</p><p> </p><p>We are widening the skills mix by investing in the wider general practice workforce in extra mental health therapists, clinical pharmacists, general practice nurse development, training of current reception and clerical staff, training of physician associates, pilots of new medical assistant roles, and practice manager development nationwide to free up valuable GP time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/06/2018 15:33:45 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

171625

	registered interest
	date	18/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Vulnerable Adults
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that appropriate support systems are in place for older vulnerable people and people with dementia.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	219537
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>We are committed to ensuring that older vulnerable adults and their carers receive the best possible support in all settings through the Proactive Care Programme, and by ensuring all people aged 75 and over have a named general practitioner (GP) with overall responsibility for their care, providing continuity and oversight of their care. People living with dementia will benefit from this patient focused care.</p><p> </p><p> </p><p> </p><p>From April 2015, councils and the National Health Service will pool £5.3 billion of their local budgets under the Better Care Fund. This will require local authorities and the NHS to work together, and engage local partners, including voluntary sector organisations. It is expected that local areas will use some of this to improve care for people with dementia, such as providing access to dementia advisors, reminiscence services and counselling.</p><p> </p><p> </p><p> </p><p>Dementia is a key priority for this Government which is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>Since the launch of the Challenge, we have made significant progress across all three strands of the challenge including:</p><p> </p><p> </p><p> </p><p>- on 28 February 2014, the Secretary of State for Health announced his ambition for improving dementia care and support for people with dementia, their family and carers. This signalled the importance of a tailored plan of care as part of a package of high quality, personalised dementia care and support;</p><p> </p><p> </p><p> </p><p>- in the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed;</p><p> </p><p> </p><p> </p><p>- the Dementia Care and Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families;</p><p> </p><p> </p><p> </p><p>- on 1 April, we put in place a new Dementia Directed Enhanced Service which has had over 80% take up by GPs to reward practices for facilitating timely diagnosis and support for people with dementia;</p><p> </p><p> </p><p> </p><p>- on 22 May, we launched the Dementia Roadmap web based navigation aid with the Royal College of General Practitioners to assist primary care staff effectively support patients, families and carers at the time of diagnosis and throughout the dementia journey; and</p><p> </p><p> </p><p> </p><p>- on 10 September 2014, NHS England published a new Dementia Toolkit aimed at helping GPs make a more timely diagnosis and what they can do in terms of vital post-diagnostic support.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:48:20 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

156640

	registered interest
	date	19/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	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 duties relating to adult social care currently carried out by local authorities that could be transferred to charities in order to increase efficiency and quality of care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215170
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Under the Care Act, from April 2015 local authorities will have the power to delegate nearly all of their adult care and support functions, except for some powers and duties around safeguarding, integration, and charging.</p><p> </p><p> </p><p> </p><p>The statutory guidance on delegation, published in October 2014, sets out how this will allow local authorities to work more efficiently and innovatively, including with charities, and provide better quality care and support to local populations. The guidance also notes that many external organisations may have specialist expertise or capacity that could mean delegation is the best approach.</p><p> </p><p><strong> </strong></p><p> </p><p>When a local authority delegates any of its functions, it retains ultimate responsibility for the carrying out of that function.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/11/2014 12:40:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

778201

	registered interest
	date	26/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Multiple Sclerosis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many and what proportion of unplanned or emergency hospital admissions for multiple sclerosis patients related to issues that could have been treated without going to hospital in (a) York and (b) England in the last 12 months for which records are available.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	109833
	answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109834 question first answered 02/11/2017 11:20:29 answering member 1542 label Biography information for Philip Dunne
	tabling member	4079 label Biography information for Julian Sturdy

778202

	registered interest
	date	26/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many and what proportion of unplanned or emergency hospital admissions for Parkinson's disease related to issues that could have been treated without going to hospital in (a) York and (b) England in the last 12 months for which records are available.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	109834
	answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109833 question first answered 02/11/2017 11:20:29 answering member 1542 label Biography information for Philip Dunne
	tabling member	4079 label Biography information for Julian Sturdy