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1015360

	registered interest
	date	27/11/2018
	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	Social Services
	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 he has made of the potential effect on the price of care purchased by self-funders of local authorities purchasing care packages from the same providers in bulk at a lower unit cost price.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	196209
	answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>In its 2017 care home market study, the Competition and Market’s Authority (CMA) considered the potential effects where local authorities pay rates for care packages which are lower than those paid by people who are funding their own care. The CMA’s analysis of this issue and the adult social care market is an important part of the evidence base which will feed into the Green Paper on adult social care. The Green Paper will consider the fundamental issues facing the care system.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 03/12/2018 17:39:56 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1145978

	registered interest
	date	25/09/2019
	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	IVF: Single People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the NHS on NHS spending following media reports on 8 September 2019 that the NHS is to review the ban on single women receiving fertility treatment.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	291091
	answer	answer is ministerial correction date of answer 30/09/2019 answer text <p>The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</p><p>If there are concerns about provision of care, it is for NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</p><p>NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019.</p><p>The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable.</p><p>The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</p><p>NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</p><p>In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/09/2019 16:38:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1148258

	registered interest
	date	03/10/2019
	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	Fertility: Medical Treatments
	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 NHS Clinical Commissioning Groups offer IVF and other fertility treatments to single women; and how much was spent on such treatment in the last three years.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	294217
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>NHS England do not collect data on the number of clinical commissioning groups (CCGs) that offer in vitro fertilisation (IVF) or their expenditure on this specific treatment, although it is estimated that the National Health Services spends approximately £100 million a year on IVF.</p><p>The level of provision of fertility treatment is decided by CCGs, taking into account the needs of their local population. CCGs have a legal duty to have regard to National Institute for Health and Care Excellence guidelines and NHS England and NHS Improvement expects all those involved in commissioning fertility treatment services to be fully aware of their importance. In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 08/10/2019 10:19:27 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

1170584

	registered interest
	date	14/01/2020
	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	Fertility: Medical Treatments
	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 (a) update the national guidance issued to Clinical Commissioning Groups on fertility treatments to restrict that treatment to people who are in a stable relationship and (b) bring forward legislative proposals to ensure CCGs adhere to that guidance.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	3320
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>There are no plans to restrict treatment to people who are in a stable relationship. The Government expects all clinical commissioning groups to commission fertility treatment services in line with their Public Sector Equality Duty.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/01/2020 13:22:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

997831

	registered interest
	date	30/10/2018
	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	Eyesight: Surgery
	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 there are means of recourse against private sector providers for patients experiencing long-term side effects as a result of laser eye surgery performed by private providers.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	185689
	answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Public and private sector providers of laser eye surgery are required by law to register with the Care Quality Commission (CQC) for regulation and doctors in the United Kingdom are required to register with the General Medical Council (GMC). The CQC and the GMC have a range of powers for addressing failures in care.</p><p> </p><p>Providers are also expected to follow the National Institute for Health and Care Excellence (NICE) guidelines on photorefractive (laser) surgery. The CQC, NICE and the Royal College of Ophthalmologists are all clear that the risks and complications of such procedures should be discussed with patients beforehand.</p><p> </p><p>No estimate has been made of the number of people experiencing long-term side effects as a result of laser eye surgery because this data is not held centrally.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 185690 185691 question first answered 05/11/2018 11:08:07 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

997849

	registered interest
	date	30/10/2018
	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	Eyesight: Surgery
	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 providers of laser eye surgery clearly outline the risks of that procedure to patients prior to such surgery taking place.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	185690
	answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Public and private sector providers of laser eye surgery are required by law to register with the Care Quality Commission (CQC) for regulation and doctors in the United Kingdom are required to register with the General Medical Council (GMC). The CQC and the GMC have a range of powers for addressing failures in care.</p><p> </p><p>Providers are also expected to follow the National Institute for Health and Care Excellence (NICE) guidelines on photorefractive (laser) surgery. The CQC, NICE and the Royal College of Ophthalmologists are all clear that the risks and complications of such procedures should be discussed with patients beforehand.</p><p> </p><p>No estimate has been made of the number of people experiencing long-term side effects as a result of laser eye surgery because this data is not held centrally.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 185689 185691 question first answered 05/11/2018 11:08:07 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena

997850

	registered interest
	date	30/10/2018
	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	Eyesight: Surgery
	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 people experiencing long-term side effects as a result of laser eye surgery.
	tabling member constituency	North East Hampshire
	tabling member printed	Mr Ranil Jayawardena
	uin	185691
	answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Public and private sector providers of laser eye surgery are required by law to register with the Care Quality Commission (CQC) for regulation and doctors in the United Kingdom are required to register with the General Medical Council (GMC). The CQC and the GMC have a range of powers for addressing failures in care.</p><p> </p><p>Providers are also expected to follow the National Institute for Health and Care Excellence (NICE) guidelines on photorefractive (laser) surgery. The CQC, NICE and the Royal College of Ophthalmologists are all clear that the risks and complications of such procedures should be discussed with patients beforehand.</p><p> </p><p>No estimate has been made of the number of people experiencing long-term side effects as a result of laser eye surgery because this data is not held centrally.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 185689 185690 question first answered 05/11/2018 11:08:07 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4498 label Biography information for Mr Ranil Jayawardena