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1007774

	registered interest
	date	15/11/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the long-term plan for the NHS.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	191894
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. It will be published later this year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/11/2018 11:14:52 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

101576

	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) process and (b) timelines followed by the NHS to determine a specialised clinical commissioning policy are; and what the roles and responsibilities are of the NHS committees involved.
	tabling member constituency	St Austell and Newquay
	tabling member printed	Stephen Gilbert
	uin	212409
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Clinical policies are developed by the appropriate service specific clinical reference group and reviewed by the Clinical Prioritisation Advisory Group (CPAG). CPAG then makes a recommendation whether to commission the service or treatment in question. CPAG recommendations are ratified by the Specialised Commissioning Oversight Group (SCOG).</p><p> </p><p> </p><p> </p><p>The length of time to produce a clinical commissioning policy is variable depending on the complexity of the subject area. The timeline is typically between 6-9 months but can be shorter.</p><p> </p><p> </p><p> </p><p>SCOG has operational oversight of specialised commissioning and has delegated authority to make decisions on the recommendations made by CPAG, which provides advice to NHS England about any decision-making that defines access to clinical services. The Directly Commissioned Services Committee, a sub-committee of the NHS England Board, oversees the delivery of directly commissioned services within the overall strategy set by NHS England. The SCOG reports to this committee.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:46:20 answering member 3918 label Biography information for Jane Ellison
	tabling member	4101 label Biography information for Stephen Gilbert

101649

	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to his oral contribution of 23 October 2014, Official Report, columns 1044-5, on Five Year Forward View, if he will ensure that any Multispeciality Community Providers are NHS providers; and if he will make a statement.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212491
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>It is envisaged that the vast majority of future provision of National Health Service services will be by NHS bodies, including Multispecialty Community Providers. Further details about how NHS England intend to support areas wishing to develop these providers will be announced in due course.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:43:50 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright

1023072

	registered interest
	date	10/12/2018
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to his oral contribution of 27 November 2018 to the Health and Social Care Committee, Question 127, what the positive impacts are for the NHS of the Withdrawal Agreement.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	200657
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Government has agreed the terms of our exit from the European Union, as set out in the Withdrawal Agreement. The Withdrawal Agreement allows us to deliver on the result of the referendum, and means that we will leave the EU in a smooth and orderly way on 29 March 2019.</p><p> </p><p>On 18 June, the Prime Minister set out that the National Health Service in England will receive an increase in funding over the next five years that equates to over £20 billion additional real terms funding a year by 2023-24.</p><p> </p><p>The Withdrawal Agreement and the Political Declaration lay the foundation for a strong NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/12/2018 17:06:03 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger

1024062

	registered interest
	date	12/12/2018
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with NHS Trust leaders on planning for the UK leaving the EU without a deal.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	201741
	answer	answer is ministerial correction date of answer 17/12/2018 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care regularly engages with stakeholders, agencies, arms-length bodies, and other Government Departments about European Union exit preparations.</p><p> </p><p>On 23 August 2018, the Secretary of State for Health and Social Care wrote to all National Health Service organisations, general practitioners, community pharmacies and other service providers.</p><p> </p><p>The letter set out what the health and care system needs to consider in the period leading up to March 2019, including:</p><p>- the continued supply of medical products in the event of no deal; and</p><p>- business continuity plans.</p><p> </p><p>The Secretary of State for Health and Social Care also wrote to health and care providers on 7 December 2018 to update them on the Government's preparations for a potential no-deal Brexit. The letter provides an update on what the health and care system needs to consider in the period leading up to March 2019. It includes plans relating to the continued supply of:</p><p>- medicines and vaccines;</p><p>- medical devices and clinical consumables;</p><p>- blood and other products of human origin; and</p><p>- non-clinical consumables, goods and services.</p><p> </p><p>The letter also contains information on the health and care workforce, research and clinical trials, and business continuity plans.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 17/12/2018 17:39:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1027530

	registered interest
	date	18/12/2018
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether the NHS will implement before Christmas 2018 contingency plans covering the UK leaving the EU without a deal.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	203322
	answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>On 18 December 2018, the Cabinet agreed to proceed with the Government’s next phase of ‘no deal’ planning. With just over three months until our exit from the European Union, we have now reached the point where we need to accelerate and intensify these preparations. It has always been the case that as we get nearer to March 2019, preparations for a no deal scenario would have to be accelerated. Preparing for ‘no deal’ is now an operational priority for the Government. This means we will set in motion our remaining ‘no deal’ plans.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care wrote to frontline health and care organisations on 7 December 2018 to update them on the Government’s preparations for a potential ‘no deal’ Brexit and what the health and care system needs to consider in the period leading up to March 2019.</p><p> </p><p>On 21 December 2018, the Department published ‘EU Exit operational readiness guidance’, developed and agreed with NHS England and NHS Improvement. This guidance lists the actions that providers and commissioners of health and care services in England should take if the United Kingdom leaves the EU without a ratified deal – a ‘no deal’ exit. This will ensure organisations are prepared for, and can manage, the risks in such a scenario. This guidance was sent to all frontline health and care organisations to ensure the health and care system as a whole is prepared.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/01/2019 16:08:22 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1029540

	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	NHS
	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 13 December 2018 to Question 200657, how specifically the EU Withdrawal Agreement and the Political Declaration lay the foundation for a strong NHS.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	204488
	answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The Government has agreed the terms of our exit from the European Union, as set out in the Withdrawal Agreement. The Withdrawal Agreement allows us to deliver on the result of the referendum, and means that we will leave the EU in a smooth and orderly way on 29 March 2019.</p><p> </p><p>Securing a deal is in the best interests of patients, the National Health Service, and businesses.</p><p> </p><p>The deal we have agreed would allow us to focus on significant domestic priorities, such as our long-term plan for the NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/01/2019 16:11:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger

1045539

	registered interest
	date	21/01/2019
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to paragraph 1.55 on page 31 of the NHS Long Term Plan, published in January 2019, when the development of the integration index will begin; which organisations will be consulted on the development of that index; what criteria will be used to determine metrics for inclusion in the index; when the index will be implemented; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	210586
	answer	answer is ministerial correction date of answer 24/01/2019 answer text <p>The integration ‘index’, which will be developed jointly with patient groups and the voluntary sector, will form part of a new accountability and performance framework for integrated care systems to provide a simpler, consistent set of performance measures.</p><p> </p><p>Further information will be set out in the Implementation Framework for the Long Term Plan, due to be published in the spring.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 209387 question first answered 24/01/2019 14:40:18 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4244 label Biography information for Jonathan Ashworth

1045696

	registered interest
	date	21/01/2019
	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	NHS
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons the NHS Long Term Plan did not include commitments on waiting time targets for (a) treatment in Accident & Emergency, (b) routine operations and (c) cancer treatment.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	210640
	answer	answer is ministerial correction date of answer 24/01/2019 answer text <p>The clinically-led review of standards was announced by the Prime Minister 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, including cancer.</p><p> </p><p>The Long Term Plan provides a platform upon which innovative models of patient care can and are being developed. In that context, the National Health Service’s National Medical Director has been working with the Academy of Medical Royal Colleges, Healthwatch England and many others to consider what matters most to patients, on the clinical issues with the current target regime, and what NHS staff believe will help them provide the best quality care for patients.</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 NHS.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 24/01/2019 11:29:12 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4125 label Biography information for Catherine McKinnell

1055359

	registered interest
	date	05/02/2019
	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	NHS
	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 7 January 2019 to Question 204488 and with reference to (a) waiting times, (b) staff vacancies and (c) medicine supplies, how specifically leaving the EU will lay the foundation for a strong NHS.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	217135
	answer	answer is ministerial correction date of answer 08/02/2019 answer text <p>The National Health Service budget will increase by £33.9 billion in cash terms, the equivalent of £20.5 billion in real terms, by 2023/24, reflecting that the NHS is this Government’s top spending priority. The additional funding will allow the NHS to get back on the path to delivering core performance standards. It will also drive the reforms that deliver a better and more sustainable NHS with improved care for patients.</p><p> </p><p>In its estimate of the funding required to deliver the NHS Long Term Plan, the Department has not assumed any change in investment after the United Kingdom leaves the European Union. The NHS has confirmed the Long Term Plan is fully costed. The extra funding for the NHS will still apply in all exit scenarios in order to ensure it is there for the long term.</p><p> </p><p>The UK and EU reached an agreement to safeguard the rights of people who have built their lives in the UK and EU, following the UK’s exit from the EU. The agreement will guarantee the rights of the 167,000 EU nationals working in our health and care system. We have been working with health and social care employers across the whole of England to ensure their EU employees are aware of the straightforward and user-friendly EU settlement scheme which will allow them to secure settled status in the UK and enjoy broadly the same rights and benefits as they do now.</p><p> </p><p>The Government remains committed to leaving the EU with a deal. Under the conditions of the Withdrawal Agreement, there will be a two-year Implementation Period within which the Government will negotiate the UK’s future relationship with the EU. During the Implementation Period, there will be no change to the current trading arrangements with the EU and European Economic Area (EEA), meaning the supply of medicines and medical products will continue unhindered.</p><p> </p><p>However, as a responsible Government, we are preparing for all exit scenarios, including the possibility that the UK leaves the EU without a deal. The Department is enquiring with parties across Government and industry to ensure continuity of medicines supply for patients is maintained. We asked industry to stockpile an additional six weeks’ supply of prescription-only and pharmacy medicines which come to the UK from or via the EU/EEA, over and above usual buffer stocks.</p><p> </p><p>The Government is working to ensure that there is sufficient roll-on, roll-off freight capacity to enable these vital products to continue to move freely in to the UK in a ‘no deal’ scenario. The Department is working closely with the Department for Transport to ensure all medicines and medical products are prioritised on these alternative routes to ensure that the flow of all these products will continue unimpeded after 29 March 2019.</p><p> </p><p>On 7 December 2018, the Department wrote to pharmaceutical companies that supply licensed medicines to the UK from or via the EU/EEA, and/or manufacture medicines in the UK, informing them of the updated reasonable worst-case scenario border disruption planning assumptions and asking them about their current transportation routes and their ability to re-route their supply chains if they currently rely on Dover and/or Folkestone. Since then we have been working closely with those companies to better understand their supply chains and the potential for rerouting in a ‘no deal’ scenario.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 08/02/2019 12:39:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4036 label Biography information for Luciana Berger