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818827

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of hospital beds there are per one thousand of the population in (a) England, (b) Wales, (c) Scotland and (d) Northern Ireland.
	tabling member constituency	Cynon Valley
	tabling member printed	Ann Clwyd
	uin	121591
	answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The information is not available in the format requested.</p><p> </p><p>NHS England publishes quarterly data on hospital bed availability and occupancy. This can be found at:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/bed-availability-and-occupancy/</a></p><p> </p><p>Health is a devolved matter which means the devolved administrations of Wales, Scotland and Northern Ireland determine their own methods for capturing and publishing data on their number of hospital beds.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 16/01/2018 12:09:09 answering member 4095 label Biography information for Steve Barclay
	tabling member	553 label Biography information for Ann Clwyd

794255

	registered interest
	date	23/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 pursuant to the Answer of 20 October 2017 to Question 7355, what discussions have taken place between the UK and the EU on the continuation of the EHIC system or its replacement with an equivalent system.
	tabling member constituency	Carshalton and Wallington
	tabling member printed	Tom Brake
	uin	115228
	answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>The United Kingdom Government appreciates the importance of retaining existing reciprocal healthcare arrangements with the European Union. During the September round of UK-EU negotiations, the UK made clear that it wishes to continue with reciprocal healthcare with the EU after the UK’s Exit. This includes healthcare rights for pensioners, the European Health Insurance Card and planned treatment.</p><p> </p><p>During negotiations with the EU on the Withdrawal Agreement, the UK has therefore been seeking to protect the healthcare arrangements currently set out in EU Regulations 883/2004 and 987/2009.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 115229 question first answered 01/12/2017 12:41:58 answering member 1542 label Biography information for Philip Dunne
	tabling member	151 label Biography information for Tom Brake

795326

	registered interest
	date	27/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health what (a) powers and (b) responsibilities have been conferred on the Care Quality Commission to regulate fees charged by private nursing homes.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	115747
	answer	answer is ministerial correction date of answer 04/12/2017 answer text <p>As the independent regulator of health and adult social care providers in England, the Care Quality Commission (CQC) is responsible for deciding its own regulatory inspection and assessment framework.</p><p> </p><p>The CQC has no power to regulate fees charged by private nursing homes – or any other registered provider.</p><p> </p><p>However, the CQC (Registration) Regulations 2009: Regulation 19 places an obligation on registered providers to provide timely and accurate information about the cost of their care and treatment to people who use services. To meet this regulation, providers must make written information available about any fees, contracts and terms and conditions, where people are paying either in full or in part for the cost of their care, treatment and support. This can be assessed as part of a CQC inspection, and the CQC has the power to prosecute providers for a breach of the whole or part of this regulation. The CQC will refuse registration if providers cannot provide satisfactory assurance that they can and will continue to comply with this regulation.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/12/2017 11:15:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1538 label Biography information for Rosie Cooper

800716

	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	NHS: Drugs
	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 potential effect of the UK leaving the Customs Union on the the ability of the NHS to procure medicines and medical devices.
	tabling member constituency	Linlithgow and East Falkirk
	tabling member printed	Martyn Day
	uin	117337
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>The potential implications of the United Kingdom leaving the customs union on the ability of the National Health Service to procure medicines and medical devices are currently being assessed.</p><p> </p><p>It is in the interest of both the UK and European Union to avoid disruption in the timely access of these products; and to ensure that cross-border trade with the EU is as frictionless as possible. This will be part of the broader negotiations of the UK’s future relations with the EU.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/12/2017 17:01:50 answering member 4067 label Biography information for Steve Brine
	tabling member	4488 label Biography information for Martyn Day

800962

	registered interest
	date	05/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Infant Foods: Marketing
	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 potential merits of fully implementing the International Code of Marketing of Breastmilk Substitutes after the UK leaves the EU.
	tabling member constituency	Glasgow Central
	tabling member printed	Alison Thewliss
	uin	117521
	answer	answer is ministerial correction date of answer 11/12/2017 answer text <p>The Infant Formula and Follow-on Formula Regulations 2007 implements European Commission Directive 2006/141/EC on infant formulae and follow-on formulae, which gives effect to the principles and aims of the 1981 World Health Organization Code on the Marketing of Breastmilk Substitutes dealing with marketing, information and responsibilities of health authorities. There are no plans to review this legislation after the United Kingdom leaves the European Union.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/12/2017 17:40:18 answering member 4067 label Biography information for Steve Brine
	tabling member	4430 label Biography information for Alison Thewliss

800920

	registered interest
	date	07/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Employment Schemes: Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health what progress his Department is making on the national roll-out of the Individual Placement and Support programme.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	117479
	answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>NHS England has committed to doubling the reach of Individual Placement and Support (IPS) services by 2020/21. This will contribute to the target of helping up to 29,000 more people per year living with mental health problems to find or stay in work as recommended in the Five Year Forward View for Mental Health which is available at:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/02/Mental-Health-Taskforce-FYFV-final.pdf</a></p><p>To date, NHS England has commissioned the NHS Benchmarking Network and Centre for Mental Health to undertake a data collection exercise on activity in IPS and Supported Employment services within 2016/17 to provide an indication of current access to such services.</p><p> </p><p>NHS England is preparing to allocate transformation funding identified in the Five Year Forward View for Mental Health and the subsequent Implementation Plan: ‘Implementing the Five Year Forward View for Mental Health’ for the commissioning of IPS services to selected sustainability and transformation partnership footprints from April 2018. The Plan is available at:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/07/fyfv-mh.pdf</a></p><p>To support this, the Joint Work and Health Unit has invested in an implementation support project called ‘IPS Grow’ that aims to compliment this expansion by enabling these services to be as effective as possible in supporting people who want to enter and stay in work.</p><p> </p><p>The Joint Work and Health Unit, in partnership with NHS England, will also be carrying out two research trials to find out whether a modified IPS model can help people with physical and/or mental health conditions get into, and stay in, paid competitive employment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/12/2017 14:45:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4412 label Biography information for Dr Lisa Cameron

805102

	registered interest
	date	12/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Rare Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health what steps his Department is taking to ensure that researchers in the UK can continue to access pan-EU patient cohorts for rare disease and other special populations after the UK has withdrawn from the EU; and if he will make a statement.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	118774
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>The Government's policy paper, Collaboration on Science and Innovation: A Future Partnership Paper, emphasises the importance of continued collaboration with European partners to ensure that the United Kingdom remains one of the best places in the world for science and innovation. European Reference Networks for rare diseases were cited in the paper as an example of a partnership that the UK believes should continue.</p><p> </p><p>A key principle for the Government is that patients should not be put at a disadvantage as a result of European Union-exit.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/12/2017 11:50:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4433 label Biography information for Thangam Debbonaire

795328

	registered interest
	date	27/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Fentanyl
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health what steps his Department is taking to ensure that the pain management of cancer and palliative care patients will not be affected by proposals to restrict the prescription of fentanyl.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	115749
	answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>NHS England held a three month consultation between July and October 2017 on draft guidance for clinical commissioning groups (CCGs) on a range of ‘items that should not routinely be prescribed in primary care’. This included immediate release fentanyl.</p><p> </p><p>At the end of November, the NHS England Board considered the responses received and evidence submitted during the three month public consultation, which closed on 21 October, and the content of final statutory guidance to CCGs. The three recommendations covering immediate release fentanyl which have been agreed are:</p><p> </p><p>- Advise CCGs that prescribers in primary care should not initiate immediate release fentanyl for any new patient;</p><p>- Advise CCGs to support prescribers in deprescribing immediate release fentanyl in all patients and, where appropriate, ensure the availability of relevant services to facilitate this change; and</p><p>- Advise CCGs that if, in exceptional circumstances, there is a clinical need for immediate release fentanyl to be prescribed in primary care, this should be undertaken in a cooperation arrangement with a multi-disciplinary team and/or other healthcare professional.</p><p> </p><p>However, these recommendations do not apply to patients undergoing palliative care treatment and where the recommendation to use immediate release fentanyl in line with the National Institute for Health and Care Excellence guidance, has been made by a multidisciplinary team and/or other healthcare professional with a recognised specialism in palliative care.</p><p> </p><p>‘Items which should not be routinely prescribed in primary care: Guidance for CCGs’ has now been published and more information can be found here:</p><p><a href="https://www.england.nhs.uk/medicines/items-which-should-not-be-routinely-prescribed/" target="_blank">https://www.england.nhs.uk/medicines/items-which-should-not-be-routinely-prescribed/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2017 16:48:32 answering member 4067 label Biography information for Steve Brine
	tabling member	1538 label Biography information for Rosie Cooper

810232

	registered interest
	date	20/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health what steps his Department is taking to promote the use of de-escalation techniques in Tier 4 CAMHS.
	tabling member constituency	Croydon North
	tabling member printed	Mr Steve Reed
	uin	120698
	answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>The Coalition Government published ‘Positive and Proactive Care; reducing the need for restrictive interventions’ and ‘A Positive and Proactive Workforce’ in April 2014. Both guidance documents are clear that corporate training strategies to manage violence and aggression should include clear learning outcomes about effective use of de-escalation techniques, the risks associated with restrictive interventions and safe implementation of restrictive physical interventions. Additionally a multi-agency programme of work is underway to target reductions in restrictive interventions across all mental health services including Child and Adolescent Mental Health Services Tier 4. This includes ensuring provision of accredited training for staff to use de-escalation techniques as appropriate.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 08/01/2018 17:06:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4268 label Biography information for Steve Reed

795327

	registered interest
	date	27/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health whether private nursing homes are required to disclose nursing care costs in the contracts of people receiving care packages.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	115748
	answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>The Department is unable to comment on the specific contracts between individuals and care providers, or on individual cases.</p><p> </p><p>On 30 November 2017, the Competition and Markets Authority published a market study into care homes, which included findings and recommendations about the transparency of costs and contracts. The full study is available at the following link:</p><p><a href="https://www.gov.uk/cma-cases/care-homes-market-study" target="_blank">https://www.gov.uk/cma-cases/care-homes-market-study</a></p><p>The Government take seriously the findings and the recommendations of this report, all of which will need to be carefully considered. The Government is committed to publish a formal response to the Competition and Markets Authority report within 90 days. We will also need to take forward these complex issues raised by the Competition and Markets Authority as part of the Green Paper on adult social care which will be published in summer 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/12/2017 13:46:51 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1538 label Biography information for Rosie Cooper