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1130886

	registered interest
	date	10/06/2019
	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	Dementia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what comparative estimate his Department has made of the average cost of (a) caring for a dementia patient at home with care provided by family and (b) care provided in an in-patient setting.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	262230
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>The Department has made no such comparative estimate.</p><p>The average cost of caring for a dementia patient at home by family is not collected or reported centrally.</p><p>Data on the average cost of care provided in an in-patient setting is not available in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/06/2019 13:33:32 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1129267

	registered interest
	date	03/06/2019
	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	Counselling: Sign Language
	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 availability of deaf-focused NHS counselling using British sign language as the first language in England; and if he will make a statement.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	258973
	answer	answer is ministerial correction date of answer 06/06/2019 answer text <p>The National Health Service Improving Access to Psychological Therapies (IAPT) programme is available to all adults. If an individual is deaf and requires British Sign Language (BSL) to be used, services can either use a BSL interpreter or refer them to Sign Health, an IAPT service which delivers therapy using BSL trained therapists. Sign Health is available nationally but is funded via individual funding requests, so clinical commissioning groups (CCGs) are responsible for funding decisions. In 2018/19 Sign Health received £1 million from 116 CCGs for the treatment of around 250 people. Other alternatives that may be suitable for deaf people include therapy delivered via a digital route, for example text messaging.</p><p>The NHS England IAPT manual, published in June 2018, specifies that commissioners, managers, primary and secondary care clinicians should develop local IAPT care pathways in consultation with patient groups and community leaders, including under-represented groups. The IAPT manual recommends that commissioners and providers consider commissioning services that have bilingual clinicians who speak the language of local minority groups, including clinicians who are fluent in BSL for deaf people.</p><p>Local commissioners have to pay due regard to the equality legislation when commissioning IAPT services. They are able to decide whether they meet their responsibilities through services who provide BSL trained therapists or through interpreters in their locality.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/06/2019 16:11:41 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1129268

	registered interest
	date	03/06/2019
	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	Counselling: Sign Language
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, who is responsible for commissioning deaf-focused NHS counselling using British sign language counsellors.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	258974
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>NHS England commissions specialised mental health services for children, young people and adults who are deaf. These include inpatient and outreach services for children and young people and services for adults who require inpatient care, including care in secure mental health services.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/06/2019 14:38:55 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1088498

	registered interest
	date	13/03/2019
	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	Medical Treatments: Technology
	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 regional variation in the uptake of MedTech products across the NHS.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	231898
	answer	answer is ministerial correction date of answer 21/03/2019 answer text <p>Through the Accelerated Access Review, the NHS Long Term Plan and the second Life Sciences Sector Deal, the Government and the National Health Service have confirmed their commitment that, where appropriate, all patients should be able to benefit from the best treatments as fast as possible. To deliver on this, we have announced a number of measures to improve the spread of health tech innovations:</p><p> </p><p>- Strengthening the Innovation Scorecard, the national tool that measures the uptake of cost effective innovations approved by the National Institute for Health and Care Excellence (NICE), and widening the range of medtech products it covers;</p><p>- From 2020, a new NHS England health tech funding requirement will identify the best value innovations as ‘ready to spread’ and help the NHS to adopt them quickly. This will apply to health tech products assessed as cost saving by NICE. In addition, NICE will significantly increase the number of evaluations it does for health tech products, so that the NHS has the evidence it needs to decide the best products to adopt and spread;</p><p>- The Accelerated Access Collaborative, under the chairmanship of Lord Darzi, will be expanded to be the umbrella organisation across the innovation landscape in the United Kingdom, tackling the system wide-barriers that cause unwarranted variation in the level of access for patients;</p><p>- The regional network of Academic Health Science Networks (AHSNs) will also continue to be a key partner in adoption and spread of health technology. AHSNs bring together the assets in their regions to drive innovation uptake and support local service transformation, promoting health equality, best practice and transformation in leadership, quality and safety of care; and</p><p>- These approaches build on NHS Improvement’s Getting It Right First Time and NHS RightCare initiatives, which seek to improve the quality of care within the NHS by reducing unwarranted variation.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/03/2019 12:15:58 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1027630

	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	Drugs: Research
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what his Department's policy is on the recommendations in relation to the provision of information on industry (a) activities, (b) risks, (c) costs and (d) returns on R&D made in the report on Pharmaceutical Innovation and Access to Medicines, published by the OECD in November 2018.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	203274
	answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>We note the report ‘Pharmaceutical Innovation and Access to Medicines’ published by the Organisation for Economic Co-operation and Development (OECD) in November 2018 and agree with the recommendation that a more informed debate on the cost and benefits of research and development would be beneficial. The OECD’s work through the papers published by the health division of the Directorate of Labour and Social Affairs is a welcome contribution to that debate and we look forward to future publications from them.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/12/2018 13:55:33 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1016326

	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	Palliative Care: Children
	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 8 November 2018 to Question 189538 on Palliative Care: Children, what processes (a) NHS England and (b) his Department have in place to assess the level of collaboration between the relevant authorities and organisations.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	196694
	answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>NHS England and the Department do not currently have any processes for measuring or monitoring collaboration between services involved in delivering children’s palliative care. NHS England and the Department would expect all the partners involved to be regularly talking to, and working with, relevant organisations, given their remit to identify overall local need and to join up services.</p><p> </p><p>As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care is a local matter over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are small numbers of specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from eight centres across England as part of its remit to deliver specialised services.</p><p> </p><p>To support effective service collaboration locally, NHS England has worked with Public Health England and the Care Quality Commission to provide bespoke end of life care data and support packs to sustainability and transformation partnerships to plan for, and improve, end of life care services.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/12/2018 12:08:40 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

1003735

	registered interest
	date	09/11/2018
	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	Palliative Care: Children
	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 monitor how effectively (a) sustainability and transformation partnerships, (b) integrated care systems, (c) clinical commissioning groups and (d) local authorities are supporting children's palliative care in accordance with their legal duties.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	189538
	answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Sustainability and transformation partnerships and integrated care systems are made up of bodies including local authorities and clinical commissioning groups, which retain statutory responsibility for providing health and care services for the populations they serve. These include a range of services involved in children’s palliative care.</p><p> </p><p>NHS England and the Department would expect all of these partners to be regularly talking to, and working with, relevant organisations given their remit to identify overall local need and to join up services.</p><p> </p><p>NHS England is also working with commissioners, clinicians, voluntary, community and social enterprise organisations and people with lived experience to refresh the children’s palliative and end of life care service specification and the commissioning pathway, to reflect collective responsibilities across health and social care. Work will continue on this until spring 2019. NHS England is also making available guidance across the sector to support good practice, including sharing examples.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/11/2018 16:37:59 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

828804

	registered interest
	date	23/01/2018
	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	Radiology
	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 11 December 2017 to Question 117852 on Radiography, what the regional breakdown is of seven-day interventional radiology services.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	124434
	answer	answer is ministerial correction date of answer 31/01/2018 answer text <p>The regional breakdown of seven-day interventional radiology services is as follows:</p><p><strong> </strong></p><table><tbody><tr><td><p>NHS England Region</p></td><td><p>Number of trusts reporting seven day access to interventional radiology</p></td><td><p>Number of trusts reporting lack of seven day access to interventional radiology</p></td><td><p>Trusts where this intervention is not applicable (e.g. some specialist trusts)</p></td></tr><tr><td><p>North</p></td><td><p>35</p></td><td><p>15</p></td><td><p>1</p></td></tr><tr><td><p>Midlands and East</p></td><td><p>22</p></td><td><p>16</p></td><td><p>1</p></td></tr><tr><td><p>London</p></td><td><p>21</p></td><td><p>2</p></td><td><p>1</p></td></tr><tr><td><p>South</p></td><td><p>29</p></td><td><p>5</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>107</p></td><td><p>38</p></td><td><p>3</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 31/01/2018 12:24:59 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe

828806

	registered interest
	date	23/01/2018
	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	Radiology
	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 11 December 2017 to Question 117849 on Image Guided Surgery, what the regional breakdown is of (a) the 148 trusts who responded to the survey and (b) the 109 trusts who stated that IR was available for patients seven days a week.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	124435
	answer	answer is ministerial correction date of answer 31/01/2018 answer text <p>NHS England have advised that in the answer given by the previous Minister of State (Mr Philip Dunne MP) to Question 117849, the number of hospital trusts who stated that interventional radiology (IR) was available for patients seven days a week was incorrectly given as 109. The following table, which shows a regional breakdown for seven day access to IR, provides the actual figure of 107.</p><p> </p><p>We have corrected the official record.</p><p> </p><table><tbody><tr><td><p>NHS England Region</p></td><td><p>Number of trusts reporting seven day access to interventional radiology</p></td><td><p>Number of trusts reporting lack of seven day access to interventional radiology</p></td><td><p>Trusts where this intervention is not applicable (e.g. some specialist trusts)</p></td></tr><tr><td><p>North</p></td><td><p>35</p></td><td><p>15</p></td><td><p>1</p></td></tr><tr><td><p>Midlands and East</p></td><td><p>22</p></td><td><p>16</p></td><td><p>1</p></td></tr><tr><td><p>London</p></td><td><p>21</p></td><td><p>2</p></td><td><p>1</p></td></tr><tr><td><p>South</p></td><td><p>29</p></td><td><p>5</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>107</p></td><td><p>38</p></td><td><p>3</p></td></tr></tbody></table><p>Source: NHS trusts’ responses to the seven Day Hospital Services self-assessment survey, March 2017 (published in October 2017)</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 31/01/2018 12:28:14 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	298 label Biography information for Steve McCabe