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60635
star this property registered interest false more like this
star this property date less than 2014-06-09more like thismore than 2014-06-09
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Parkinson's Disease more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department is taking to improve patient choice and reduce avoidable harm for people with advanced Parkinson's. more like this
star this property tabling member constituency Sheffield South East remove filter
star this property tabling member printed
Mr Clive Betts more like this
unstar this property uin 199567 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-06-16more like thismore than 2014-06-16
star this property answer text <p>From April 2013, NHS England assumed responsibility for commissioning adult specialist neurosciences services, including the majority of services for patients with Parkinson's disease, with some being the responsibility of clinical commissioning groups.</p><p> </p><p>NHS England has advised that it does not routinely fund Duodopa (co-careldopa) for the treatment of Parkinson's disease. Clinicians can submit individual funding requests for this treatment on behalf of their patients as per NHS England's individual funding requests standard operating procedure, which is found at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/04/cp-04.pdf</p><p> </p><p>NHS England has advised that its individual funding request process is monitored against the standard operating procedure to ensure that referring clinicians are informed of outcomes in a timely manner.</p><p><strong> </strong></p><p>Treatments for Parkinson's are largely drug based and there is a choice of therapies available. <em> Parkinson's disease: Diagnosis and management in primary and secondary care</em>, published by the National Institute for Health and Care Excellence in 2006, makes it clear that communication with people with Parkinson's disease should be aimed towards empowering them to participate in the judgements and choices about their own care. With regard to decisions about the drugs available for treatment of the disease in its later stages, the guidance states that the patient preference should be taken into account, once they have been informed of the short- and long-term benefits and drawbacks of the different types of drugs available.</p><p> </p><p>To reduce avoidable harm, through the Mandate we have asked NHS England to make measurable progress by 2015 to embed a culture of patient safety in the NHS including through improved reporting of incidents. The NHS Outcomes Framework contains a range of indicators designed to measure progress in this area of care which will be relevant to patients with all conditions, including, Parkinson's disease.</p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property grouped question UIN 199571 more like this
star this property question first answered
less than 2014-06-16T13:35:35.7356162Zmore like thismore than 2014-06-16T13:35:35.7356162Z
unstar this property answering member
1439
unstar this property label Biography information for Norman Lamb remove filter
star this property tabling member
394
star this property label Biography information for Mr Clive Betts more like this
60636
star this property registered interest false more like this
star this property date less than 2014-06-09more like thismore than 2014-06-09
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Parkinson's Disease more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department is taking to prevent unnecessary delays in the prescription of Duodopa for people with Parkinson's. more like this
star this property tabling member constituency Sheffield South East remove filter
star this property tabling member printed
Mr Clive Betts more like this
unstar this property uin 199571 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-06-16more like thismore than 2014-06-16
star this property answer text <p>From April 2013, NHS England assumed responsibility for commissioning adult specialist neurosciences services, including the majority of services for patients with Parkinson's disease, with some being the responsibility of clinical commissioning groups.</p><p> </p><p>NHS England has advised that it does not routinely fund Duodopa (co-careldopa) for the treatment of Parkinson's disease. Clinicians can submit individual funding requests for this treatment on behalf of their patients as per NHS England's individual funding requests standard operating procedure, which is found at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/04/cp-04.pdf</p><p> </p><p>NHS England has advised that its individual funding request process is monitored against the standard operating procedure to ensure that referring clinicians are informed of outcomes in a timely manner.</p><p><strong> </strong></p><p>Treatments for Parkinson's are largely drug based and there is a choice of therapies available. <em> Parkinson's disease: Diagnosis and management in primary and secondary care</em>, published by the National Institute for Health and Care Excellence in 2006, makes it clear that communication with people with Parkinson's disease should be aimed towards empowering them to participate in the judgements and choices about their own care. With regard to decisions about the drugs available for treatment of the disease in its later stages, the guidance states that the patient preference should be taken into account, once they have been informed of the short- and long-term benefits and drawbacks of the different types of drugs available.</p><p> </p><p>To reduce avoidable harm, through the Mandate we have asked NHS England to make measurable progress by 2015 to embed a culture of patient safety in the NHS including through improved reporting of incidents. The NHS Outcomes Framework contains a range of indicators designed to measure progress in this area of care which will be relevant to patients with all conditions, including, Parkinson's disease.</p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property grouped question UIN 199567 more like this
star this property question first answered
less than 2014-06-16T13:35:35.6418142Zmore like thismore than 2014-06-16T13:35:35.6418142Z
unstar this property answering member
1439
unstar this property label Biography information for Norman Lamb remove filter
star this property tabling member
394
star this property label Biography information for Mr Clive Betts more like this
64536
star this property registered interest false more like this
star this property date less than 2014-06-27more like thismore than 2014-06-27
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Social Services: Pay more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to the Care Act 2014 and the care and support statutory guidance, what guidance his Department gives to local authorities on the action they should take if they receive evidence that self-funders and those with personalised care budgets are not paying social care firms enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. more like this
star this property tabling member constituency Sheffield South East remove filter
star this property tabling member printed
Mr Clive Betts more like this
unstar this property uin 202968 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-07-10more like thismore than 2014-07-10
star this property answer text <p>Self-funders and people with personal budgets whose care is arranged by their local authority have no obligations under the provisions of the Care Act 2014, draft statutory Care Act guidance or draft regulations on the Care Act, to show that they pay social care providers enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. Social care providers must fulfil their legal obligations as employers which include ensuring that staff salaries conform to the national minimum wage.</p><p> </p><p>If a person chooses to request their personal budget as a direct payment to purchase their own care and support, the draft Care Act guidance details what the local authority should do as part of its general monitoring of the direct payment to ensure that the person fulfils their legal obligations as an employer. This includes ensuring that the person is registered as an employer with Her Majesty's Revenue and Customs and is making the appropriate contributions for PAYE and income tax, and that payments conform to the national minimum wage. Where it is apparent that these obligations are not being met, the local authority should review the care plan and making of the direct payment to ascertain if alternate arrangements need to be made that result in the person no longer being an employer (para 12.46-12.49, p172-73).</p><p>The draft guidance and regulations on the Care Act are currently open for public consultation. The Department is also undertaking a series of engagement events with social care stakeholders to gather feedback on the content of the guidance and regulations.</p><p> </p><p> </p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property grouped question UIN 202967 more like this
star this property question first answered
less than 2014-07-10T14:05:26.1627882Zmore like thismore than 2014-07-10T14:05:26.1627882Z
unstar this property answering member
1439
unstar this property label Biography information for Norman Lamb remove filter
star this property tabling member
394
star this property label Biography information for Mr Clive Betts more like this
64538
star this property registered interest false more like this
star this property date less than 2014-06-27more like thismore than 2014-06-27
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Social Services: Pay more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, with reference to the Care Act 2014 and the care and support statutory guidance, whether self-funders and those with personalised care budgets are under an obligation to show that they are paying social care firms enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. more like this
star this property tabling member constituency Sheffield South East remove filter
star this property tabling member printed
Mr Clive Betts more like this
unstar this property uin 202967 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-07-10more like thismore than 2014-07-10
star this property answer text <p>Self-funders and people with personal budgets whose care is arranged by their local authority have no obligations under the provisions of the Care Act 2014, draft statutory Care Act guidance or draft regulations on the Care Act, to show that they pay social care providers enough to pay their staff at least the minimum wage, including remuneration for travel time between appointments. Social care providers must fulfil their legal obligations as employers which include ensuring that staff salaries conform to the national minimum wage.</p><p> </p><p>If a person chooses to request their personal budget as a direct payment to purchase their own care and support, the draft Care Act guidance details what the local authority should do as part of its general monitoring of the direct payment to ensure that the person fulfils their legal obligations as an employer. This includes ensuring that the person is registered as an employer with Her Majesty's Revenue and Customs and is making the appropriate contributions for PAYE and income tax, and that payments conform to the national minimum wage. Where it is apparent that these obligations are not being met, the local authority should review the care plan and making of the direct payment to ascertain if alternate arrangements need to be made that result in the person no longer being an employer (para 12.46-12.49, p172-73).</p><p>The draft guidance and regulations on the Care Act are currently open for public consultation. The Department is also undertaking a series of engagement events with social care stakeholders to gather feedback on the content of the guidance and regulations.</p><p> </p><p> </p>
star this property answering member constituency North Norfolk more like this
star this property answering member printed Norman Lamb more like this
star this property grouped question UIN 202968 more like this
star this property question first answered
less than 2014-07-10T14:05:26.0639181Zmore like thismore than 2014-07-10T14:05:26.0639181Z
unstar this property answering member
1439
unstar this property label Biography information for Norman Lamb remove filter
star this property tabling member
394
star this property label Biography information for Mr Clive Betts more like this