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1011648

	registered interest
	date	21/11/2018
	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	Bowel Cancer: Screening
	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 1 October 2018 to Question 175904 on colorectal cancer, whether NHS England has a timeframe for lowering the screening age to 50.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	194051
	answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>NHS England is currently prioritising the introduction of the faecal immunochemical test at 120μg/g to the current eligible cohort, and plans for lowering the age eligibility will be confirmed as part of the National Health Service long term plan.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/11/2018 17:48:39 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1027351

	registered interest
	date	17/12/2018
	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	Cataracts: Surgery
	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 cataract procedures have been undertaken by each NHS trust in each of the last five years.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	202702
	answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The information requested is attached. NHS Digital has provided data on the number of finished consultant episodes where a cataract procedure has occurred in English National Health Service Hospitals and English NHS commissioned activity in the independent sector between 2013/14 and 2017/18.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2018 16:02:08 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ202702 - Cataract data.xlsx title PQ202702 attached data
	tabling member	298 label Biography information for Steve McCabe

1057018

	registered interest
	date	08/02/2019
	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	Pancreatic Cancer
	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 ensure that every patient with pancreatic cancer receives treatment within the first 20 days of diagnosis.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	218748
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The information is not available in the format requested.</p><p> </p><p>Clinical priority remains the main determinant of when a patient should be treated.</p><p> </p><p>NHS England will shortly be introducing a new Faster Diagnostic Standard for all cancer patients, including those with suspected pancreatic cancer, which will see patients given a diagnosis or the all clear within 28 days. The 31-day standard of decision to treat to undergoing first treatment will remain in place. However, this is an upper limit and clinical priority will always remain the main determinant of when a patient should be treated.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218749 question first answered 18/02/2019 17:29:51 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1057020

	registered interest
	date	08/02/2019
	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	Pancreatic Cancer
	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 pancreatic cancer patients received treatment within 20 days of diagnosis in each of the last five years.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	218749
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The information is not available in the format requested.</p><p> </p><p>Clinical priority remains the main determinant of when a patient should be treated.</p><p> </p><p>NHS England will shortly be introducing a new Faster Diagnostic Standard for all cancer patients, including those with suspected pancreatic cancer, which will see patients given a diagnosis or the all clear within 28 days. The 31-day standard of decision to treat to undergoing first treatment will remain in place. However, this is an upper limit and clinical priority will always remain the main determinant of when a patient should be treated.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218748 question first answered 18/02/2019 17:29:51 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063647

	registered interest
	date	18/02/2019
	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	GP at Hand: Birmingham
	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 reason NHS England lifted the ban on the Babylon GP at Hand plans to expand into Birmingham before the independent evaluation by IPOS Mori of that service is published next month.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222634
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222635 222637 222638 222639 222640 question first answered 21/02/2019 16:24:56 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063648

	registered interest
	date	18/02/2019
	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	GP at Hand: 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 funding allocated to patients that sign up to the Babylon GP at Hand application is transferred to the Hammersmith and Fulham Care Commissioning Group where the application is hosted.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222635
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222637 222638 222639 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063650

	registered interest
	date	18/02/2019
	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	GP at Hand
	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 make an assessment of the potential merits of providing compensation to GP practices that lose income as a result of patients signing up to the Babylon GP at Hand application.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222637
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222638 222639 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063651

	registered interest
	date	18/02/2019
	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	GP at Hand: Birmingham
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether patients in Birmingham that sign up to the Babylon GP at Hand application are recorded as a patient of Hammersmith and Fulham CCG in London.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222638
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222637 222639 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063652

	registered interest
	date	18/02/2019
	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	GP at Hand
	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 has been made of the trends in the level of patients presenting at (a) A&E Departments and (b) GP Walk-in Centres as a result of being deregistered from their local GP Practice after signing up for the Babylon GP at Hand application.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222639
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222637 222638 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe

1063653

	registered interest
	date	18/02/2019
	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	GP at Hand
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what safeguards his Department has put in place to ensure that patients that have signed up to Babylon GP at Hand application maintain access to a local GP practice in the event that they need to see a GP face-to-face.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	222640
	answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222637 222638 222639 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
	tabling member	298 label Biography information for Steve McCabe