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1023025

	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	Dental Services: Finance
	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 his Department has had with representatives from the dental industry on reforming the Units of Dental Activity system of funding.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	200640
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Government is committed to reforming the current primary care dental contract to better support dentists to deliver care with a strong preventative focus, as well treating active disease. Over 70 high street dental practices are currently testing a new system where dentists follow a preventative focussed clinical pathway and are remunerated through a mix of capitation and a reformed system of units of dental activity (UDAs).</p><p> </p><p>Practices are testing two remuneration blends, one of which is over 50% capitation and one which is over 80% capitation. The introduction of capitation and the modification of UDAs is designed to ensure dentists are both incentivised through capitation to provide ongoing care for patients and prevent future disease whist providing any necessary treatment through the modified UDAs. Subject to evaluation this will replace the current 100% activity system.</p><p> </p><p>The dental profession is closely engaged in the work to reform the National Health Service dental contract, there are regular discussions with the British Dental Association (BDA) which is also a member of the National Steering Group for contract reform. Alongside this there are discussions with the practices engaged in the current testing, periodic meetings with Local Dental Networks and other groups such as the Association of Dental Groups.</p><p> </p><p>The Department has made no specific assessment of any impact on the take up of dental care in deprived communities on the introduction of the current UDA system in 2006. NHS England is responsible for commissioning NHS dental services to meet local assessed needs and patient access to NHS dental services remains high. Improving oral health particularly for deprived children is also a priority for the Department. Alongside contract reform, which will incentivise dentists to spend more time preventing dental disease, NHS England’s Starting Well programme is aiming to reach families with young children who are not already under the care of a dentist.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200641 200642 question first answered 13/12/2018 16:17:05 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1023027

	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	Dental Services: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the potential merits of updating the units of dental activity rates used in dentistry.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	200641
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Government is committed to reforming the current primary care dental contract to better support dentists to deliver care with a strong preventative focus, as well treating active disease. Over 70 high street dental practices are currently testing a new system where dentists follow a preventative focussed clinical pathway and are remunerated through a mix of capitation and a reformed system of units of dental activity (UDAs).</p><p> </p><p>Practices are testing two remuneration blends, one of which is over 50% capitation and one which is over 80% capitation. The introduction of capitation and the modification of UDAs is designed to ensure dentists are both incentivised through capitation to provide ongoing care for patients and prevent future disease whist providing any necessary treatment through the modified UDAs. Subject to evaluation this will replace the current 100% activity system.</p><p> </p><p>The dental profession is closely engaged in the work to reform the National Health Service dental contract, there are regular discussions with the British Dental Association (BDA) which is also a member of the National Steering Group for contract reform. Alongside this there are discussions with the practices engaged in the current testing, periodic meetings with Local Dental Networks and other groups such as the Association of Dental Groups.</p><p> </p><p>The Department has made no specific assessment of any impact on the take up of dental care in deprived communities on the introduction of the current UDA system in 2006. NHS England is responsible for commissioning NHS dental services to meet local assessed needs and patient access to NHS dental services remains high. Improving oral health particularly for deprived children is also a priority for the Department. Alongside contract reform, which will incentivise dentists to spend more time preventing dental disease, NHS England’s Starting Well programme is aiming to reach families with young children who are not already under the care of a dentist.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200640 200642 question first answered 13/12/2018 16:17:06 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1023029

	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	Dental Services: Finance
	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 effect of the units of dental activity funding system in dentistry on the provision of dental care for families in deprived communities.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	200642
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Government is committed to reforming the current primary care dental contract to better support dentists to deliver care with a strong preventative focus, as well treating active disease. Over 70 high street dental practices are currently testing a new system where dentists follow a preventative focussed clinical pathway and are remunerated through a mix of capitation and a reformed system of units of dental activity (UDAs).</p><p> </p><p>Practices are testing two remuneration blends, one of which is over 50% capitation and one which is over 80% capitation. The introduction of capitation and the modification of UDAs is designed to ensure dentists are both incentivised through capitation to provide ongoing care for patients and prevent future disease whist providing any necessary treatment through the modified UDAs. Subject to evaluation this will replace the current 100% activity system.</p><p> </p><p>The dental profession is closely engaged in the work to reform the National Health Service dental contract, there are regular discussions with the British Dental Association (BDA) which is also a member of the National Steering Group for contract reform. Alongside this there are discussions with the practices engaged in the current testing, periodic meetings with Local Dental Networks and other groups such as the Association of Dental Groups.</p><p> </p><p>The Department has made no specific assessment of any impact on the take up of dental care in deprived communities on the introduction of the current UDA system in 2006. NHS England is responsible for commissioning NHS dental services to meet local assessed needs and patient access to NHS dental services remains high. Improving oral health particularly for deprived children is also a priority for the Department. Alongside contract reform, which will incentivise dentists to spend more time preventing dental disease, NHS England’s Starting Well programme is aiming to reach families with young children who are not already under the care of a dentist.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200640 200641 question first answered 13/12/2018 16:17:06 answering member 4067 label Biography information for Steve Brine
	tabling member	1591 label Biography information for Tim Farron

1020603

	registered interest
	date	06/12/2018
	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	School Fruit and Vegetable Scheme
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what representations he has received on the quality of fruit and vegetables available in the school fruit and vegetable scheme.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	199806
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Department ensures that the fruit and vegetables used in the School Fruit and Vegetable Scheme meet strict quality standards. In the last year only one representation has been received, on behalf of one individual school, about the quality of produce used in the Scheme. The Department ensured that NHS Supply Chain, who operate the Scheme on the Department’s behalf, dealt with the issue speedily.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:15:32 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1020616

	registered interest
	date	06/12/2018
	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	Human Papillomavirus: Vaccination
	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 eligible gay and bisexual men have completed the human papillomavirus vaccine programme.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	199807
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>Human papillomavirus (HPV) vaccination uptake and completion data to end March 2017, published in an evaluation report on the first year (2016/17) of the pilot, showed that 8,580 of 18,875 eligible men who have sex with men had received the first of a three dose vaccination course, and 519 had already received all three doses. The report can be viewed at the following link:</p><p> </p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/678987/HPV_msm_year1_evaluation_report.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/678987/HPV_msm_year1_evaluation_report.pdf</a></p><p> </p><p>Updated data to end March 2018 will be published in early 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:09:47 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1020617

	registered interest
	date	06/12/2018
	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	Human Papillomavirus: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department has plans for a catch-up programme for all boys up to the age of 18 to access the human papillomavirus vaccine.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	199808
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>There are no plans for a catch-up programme for older boys as evidence suggests they are already benefitting greatly from the substantial herd protection which has built up from the success of 10 years of the girls’ human papillomavirus (HPV) vaccination programme. The priority is to make sure that as many eligible 12-13 year old boys and girls, are offered protection from HPV infection from September 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:14:42 answering member 4067 label Biography information for Steve Brine
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

1023005

	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	Prescriptions: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if his Department will undertake a review of the categories of conditions eligible for medical exemption certificates for NHS prescriptions to ensure that there is provision for mental health conditions.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	200637
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Department has no current plans to amend the list of medical conditions that provide exemption from prescription charges, as extensive arrangements are in place to ensure that people can access affordable prescriptions. The Government is considering the recommendations from the ‘Modernising the Mental Health Act: Increasing choice, reducing compulsion’ report, published on 6 December 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:25:12 answering member 4067 label Biography information for Steve Brine
	tabling member	1533 label Biography information for Dame Diana Johnson

1022829

	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	General Practitioners: Easington
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will introduce an incentive scheme to attract GPs to Easington constituency.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	200600
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Targeted Enhanced Recruitment Scheme is a national incentive scheme which funds a £20,000 salary supplement to attract general practitioner (GP) trainees to work in areas of the country where GP training places have been unfilled for a number of years. 238 trainees entered the scheme in 2016 and 2017. 265 places were made available in 2018 and a further 276 are available for 2019.</p><p> </p><p>In 2018, there were 33 places available on the scheme in Durham and North Yorkshire and in 2019, a further 33 places have been made available in Rural and Coastal Durham and North Yorkshire. These figures are not available broken down by constituency. No estimate has been made for the number of GPs due to retire in the next five years in the Easington constituency as there is not a mandatory retirement age for GPs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200602 question first answered 13/12/2018 16:18:11 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1022830

	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	General Practitioners: Recruitment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential merits of introducing a GP university tuition fee remission scheme for newly trained GPs working in areas with a shortage of GPs.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	200601
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>There are currently no plans to assess the potential merits of introducing a general practitioner (GP) university tuition fee remission scheme.</p><p> </p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>To encourage GPs to work in areas of the country identified as hard to recruit, NHS England and Health Education England have funded the Targeted Enhanced Recruitment Scheme. The scheme funds a £20,000 salary supplement for GP trainees who commit to spending their three years of speciality training in areas of the country where GP training places have been unfilled for a number of years. There were 122 places in 2016, 144 in 2017 and 265 in 2018. In 2019 a further 276 places are being made available.</p><p> </p><p> </p><p>The independent General Practice Partnership Review, led by Dr Nigel Watson, which is due to report in early 2019, has given consideration to how to ensure general practice and the partnership model remain attractive for early-career GPs, including the provision of incentives such as additional development opportunities and support for this group.</p><p> </p><p>The interim report of the review is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/gp-partnership-review-interim-report" target="_blank">https://www.gov.uk/government/publications/gp-partnership-review-interim-report</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2018 16:08:27 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris

1022831

	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	General Practitioners: Easington
	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 number of GPs that plan to retire in Easington constituency in the next five years.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	200602
	answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>The Targeted Enhanced Recruitment Scheme is a national incentive scheme which funds a £20,000 salary supplement to attract general practitioner (GP) trainees to work in areas of the country where GP training places have been unfilled for a number of years. 238 trainees entered the scheme in 2016 and 2017. 265 places were made available in 2018 and a further 276 are available for 2019.</p><p> </p><p>In 2018, there were 33 places available on the scheme in Durham and North Yorkshire and in 2019, a further 33 places have been made available in Rural and Coastal Durham and North Yorkshire. These figures are not available broken down by constituency. No estimate has been made for the number of GPs due to retire in the next five years in the Easington constituency as there is not a mandatory retirement age for GPs.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200600 question first answered 13/12/2018 16:18:11 answering member 4067 label Biography information for Steve Brine
	tabling member	3973 label Biography information for Grahame Morris