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1016224

	registered interest
	date	28/11/2018
	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	Primary Health Care: Attendance
	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 his Department is taking to address the effects of missed appointments on primary care services.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	196776
	answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>We recognise that missed appointments are a waste of National Health Service resources. We believe that encouraging patients to use the NHS sensibly and responsibly is the right approach and we are supportive of local schemes to highlight the number of missed appointments to their patients. However, it is ultimately a matter for the local NHS and primary care providers to decide how best to raise awareness and implement measures to reduce missed appointments.</p><p> </p><p>Primary care providers are encouraged to offer patients different ways to book appointments, send appointment reminders by text messages, and make it quick for patients to cancel or re-arrange appointments e.g. through the use of an online service.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:02:06 answering member 4067 label Biography information for Steve Brine
	tabling member	4079 label Biography information for Julian Sturdy

1022885

	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	Obesity
	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 publish the number of people with obesity in (a) England and (b) each Clinical Commissioning Group area by (i) age and (ii) gender for each of the last five calendar years.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	200681
	answer	answer is ministerial correction date of answer 18/12/2018 answer text <p>NHS Digital has advised that obesity data for children and adults in England by age and gender for each of the last five years is available in the Health Survey for England. This information is attached. Data is not available by clinical commissioning group.</p> answering member constituency Winchester answering member printed Steve Brine attachment 1 file name PQ200681 Adult obesity statistics.xlsx title PQ200681 attahced document 2 file name PQ200681 Child obesity statistics.xlsx title PQ200681 attahced document question first answered 18/12/2018 17:09:31 answering member 4067 label Biography information for Steve Brine
	tabling member	4609 label Biography information for Eleanor Smith

1022888

	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	Obesity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, which Clinical Commissioning Groups include weight management services on their list of procedures of limited clinical value.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	200682
	answer	answer is ministerial correction date of answer 18/12/2018 answer text <p><strong></strong>The requested information is not held centrally. No assessment has been made of the effect on patients of clinical commissioning groups (CCGs) decommissioning tier 3 and tier 4 weight management services. CCGs have a statutory responsibility to commission services which meet the healthcare needs of their local population.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200573 200574 200575 201217 question first answered 18/12/2018 17:11:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4609 label Biography information for Eleanor Smith

1023177

	registered interest
	date	11/12/2018
	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	Obesity
	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 on patients of the decommissioning of tier three and tier four weight management services by Clinical Commissioning Groups; and if he will make a statement.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Eleanor Smith
	uin	201217
	answer	answer is ministerial correction date of answer 18/12/2018 answer text <p><strong></strong>The requested information is not held centrally. No assessment has been made of the effect on patients of clinical commissioning groups (CCGs) decommissioning tier 3 and tier 4 weight management services. CCGs have a statutory responsibility to commission services which meet the healthcare needs of their local population.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 200573 200574 200575 200682 question first answered 18/12/2018 17:11:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4609 label Biography information for Eleanor Smith

1019454

	registered interest
	date	03/12/2018
	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	Primary Health Care: Finance
	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 the Government announcement of 21 November 2018 entitled New funding for primary and community healthcare by 2023-24 under the NHS Long Term Plan, how he plans to allocate the £3.5 billion of new funding up to 2023-24.
	tabling member constituency	Witham
	tabling member printed	Priti Patel
	uin	198233
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>On 21 November 2018, the Prime Minister announced investment in primary and community healthcare worth an additional £3.5 billion a year in real terms by 2023/4 and a commitment to ensure a growing share of overall National Health Service spending for primary medical and community healthcare.</p><p> </p><p>Allocation of the £3.5 billion of new funding is currently under consideration. The long-term plan is due to be published later this year with allocations for individual clinical commissioning groups expected to be determined early in the new year.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 198234 198235 question first answered 11/12/2018 16:45:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4066 label Biography information for Priti Patel

1019455

	registered interest
	date	03/12/2018
	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	Primary Health Care: Essex
	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 the Government announcement of 21 November 2018 entitled New funding for primary and community healthcare by 2023-24 under the NHS Long Term Plan, how much of that funding will be made available to (a) Mid-Essex Clinical Commissioning Group and (b) North East Essex Clinical Commissioning Group.
	tabling member constituency	Witham
	tabling member printed	Priti Patel
	uin	198234
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>On 21 November 2018, the Prime Minister announced investment in primary and community healthcare worth an additional £3.5 billion a year in real terms by 2023/4 and a commitment to ensure a growing share of overall National Health Service spending for primary medical and community healthcare.</p><p> </p><p>Allocation of the £3.5 billion of new funding is currently under consideration. The long-term plan is due to be published later this year with allocations for individual clinical commissioning groups expected to be determined early in the new year.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 198233 198235 question first answered 11/12/2018 16:45:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4066 label Biography information for Priti Patel

1019456

	registered interest
	date	03/12/2018
	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	Health Centres: Finance
	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 the Government announcement of 21 November 2018 entitled New funding for primary and community healthcare by 2023-24 under the NHS Long Term Plan, how much of that funding will be allocated to support the development of multi-disciplinary healthcare centres.
	tabling member constituency	Witham
	tabling member printed	Priti Patel
	uin	198235
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>On 21 November 2018, the Prime Minister announced investment in primary and community healthcare worth an additional £3.5 billion a year in real terms by 2023/4 and a commitment to ensure a growing share of overall National Health Service spending for primary medical and community healthcare.</p><p> </p><p>Allocation of the £3.5 billion of new funding is currently under consideration. The long-term plan is due to be published later this year with allocations for individual clinical commissioning groups expected to be determined early in the new year.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 198233 198234 question first answered 11/12/2018 16:45:00 answering member 4067 label Biography information for Steve Brine
	tabling member	4066 label Biography information for Priti Patel

1019460

	registered interest
	date	03/12/2018
	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: Essex
	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 vacancies there are in (a) Witham constituency and (b) Essex.
	tabling member constituency	Witham
	tabling member printed	Priti Patel
	uin	198239
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>The number of general practitioner (GP) vacancies in Witham constituency and Essex is not collected or held centrally. This data is only published at a national level.</p><p> </p><p>Mid Essex Clinical Commissioning Group (CCG), has advised that it recognises that GP availability is challenging and it has therefore funded recruitment of other clinical roles in primary care, such as paramedics, to support practices in Witham and elsewhere.</p><p> </p><p>Getting the skills mix right in general practice is critical in addressing workload pressures as well as in delivering appropriate patient care. This will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs. The CCG has advised that it is working with its member practices, including those in Witham, to reflect this national priority. Practices have the discretion within their contracts to decide the staff skill mix required to meet their patient populations’ needs.</p><p> </p><p>The CCG and colleagues across the Mid and South Essex Sustainability and Transformation Partnership have advised they are also focusing on European Union and international GP recruitment and are supporting GPs in accessing the GP retention scheme. They have also advised that they are supporting the development of the School of Medicine at Anglia Ruskin University and are working in partnership with the Essex Primary Care Inter-professional Centre around a localised clinical recruitment service called Essex Primary Care Careers.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 198240 question first answered 11/12/2018 16:46:17 answering member 4067 label Biography information for Steve Brine
	tabling member	4066 label Biography information for Priti Patel

1019461

	registered interest
	date	03/12/2018
	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: Essex
	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 his Department is taking to support the recruitment and retention of GPs in (a) Witham constituency and (b) Essex.
	tabling member constituency	Witham
	tabling member printed	Priti Patel
	uin	198240
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>The number of general practitioner (GP) vacancies in Witham constituency and Essex is not collected or held centrally. This data is only published at a national level.</p><p> </p><p>Mid Essex Clinical Commissioning Group (CCG), has advised that it recognises that GP availability is challenging and it has therefore funded recruitment of other clinical roles in primary care, such as paramedics, to support practices in Witham and elsewhere.</p><p> </p><p>Getting the skills mix right in general practice is critical in addressing workload pressures as well as in delivering appropriate patient care. This will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs. The CCG has advised that it is working with its member practices, including those in Witham, to reflect this national priority. Practices have the discretion within their contracts to decide the staff skill mix required to meet their patient populations’ needs.</p><p> </p><p>The CCG and colleagues across the Mid and South Essex Sustainability and Transformation Partnership have advised they are also focusing on European Union and international GP recruitment and are supporting GPs in accessing the GP retention scheme. They have also advised that they are supporting the development of the School of Medicine at Anglia Ruskin University and are working in partnership with the Essex Primary Care Inter-professional Centre around a localised clinical recruitment service called Essex Primary Care Careers.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 198239 question first answered 11/12/2018 16:46:17 answering member 4067 label Biography information for Steve Brine
	tabling member	4066 label Biography information for Priti Patel

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