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60636

	registered interest
	date	09/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	199571
	answer	answer is ministerial correction date of answer 16/06/2014 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> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 199567 question first answered 16/06/2014 13:35:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	394 label Biography information for Mr Clive Betts

60635

	registered interest
	date	09/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	199567
	answer	answer is ministerial correction date of answer 16/06/2014 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> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 199571 question first answered 16/06/2014 13:35:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	394 label Biography information for Mr Clive Betts

60637

	registered interest
	date	09/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Continuing Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that the Clinical Priorities Advisory Group takes account of evidence from (a) patients, (b) clinicians and (c) patient groups when making decisions on the availability of treatments for progressive conditions.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	199558
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>NHS England has advised that the Clinical Priorities Advisory Group (CPAG) is an advisory group and not a decision making body. It considers policy and makes recommendations to the Directly Commissioned Services Committee who make the final decisions on NHS England's commissioning position.</p><p> </p><p>The Group's membership includes four Patient and Public Voice members and senior clinicians from NHS England. The policies that are presented to CPAG for consideration are developed by Clinical Reference Groups (CRGs) who are made up of patients, clinicians, and key stakeholders including patient groups. These members are involved in the development of policies.</p><p> </p><p>Prior to submission of any documents to CPAG, a two week stakeholder testing phase is undertaken where registered CRG stakeholders including clinicians, patients, and patient groups, as well as industry, have an opportunity to make comments. These are considered as well as the evidence base for the policy by CPAG.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/06/2014 14:32:45 answering member 3918 label Biography information for Jane Ellison
	tabling member	394 label Biography information for Mr Clive Betts

64538

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Pay
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	202967
	answer	answer is ministerial correction date of answer 10/07/2014 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> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 202968 question first answered 10/07/2014 14:05:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	394 label Biography information for Mr Clive Betts

64536

	registered interest
	date	27/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Pay
	house id	1
	legislature	25259 pref label House of Commons
	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.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	202968
	answer	answer is ministerial correction date of answer 10/07/2014 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> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 202967 question first answered 10/07/2014 14:05:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	394 label Biography information for Mr Clive Betts

224731

	registered interest
	date	03/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: South Yorkshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which schemes in Sheffield and South Yorkshire will be (a) cancelled, (b) delayed or (c) deferred as a result of the transfer of £197 million from the NHS Technology Fund budget for 2014-15 to the revenue budget.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	225998
	answer	answer is ministerial correction date of answer 06/03/2015 answer text <p>The Department has not cancelled, delayed or deferred any agreed funding for specific capital schemes in National Health Service trusts or foundation trusts.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 225995 question first answered 06/03/2015 14:49:13 answering member 4020 label Biography information for George Freeman
	tabling member	394 label Biography information for Mr Clive Betts

224732

	registered interest
	date	03/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: South Yorkshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which schemes in Sheffield and South Yorkshire will be (a) cancelled, (b) delayed or (c) deferred as a result of the transfer of £650 million from the NHS capital budget for 2014-15 to the revenue budget.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	225995
	answer	answer is ministerial correction date of answer 06/03/2015 answer text <p>The Department has not cancelled, delayed or deferred any agreed funding for specific capital schemes in National Health Service trusts or foundation trusts.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 225998 question first answered 06/03/2015 14:49:13 answering member 4020 label Biography information for George Freeman
	tabling member	394 label Biography information for Mr Clive Betts

229258

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Research
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what research reports his Department has commissioned from external bodies between September 2010 and December 2014 have not been published; when each such report was commissioned; what the nature of the research commissioned for each report was; from whom each such research report was commissioned; what the value of each such commission was; on what date each such report was received by his Department; for what reason each such research report has not yet been published; and when he plans to publish each such report.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	228818
	answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>The Department funds research through the National Institute for Health Research (NIHR) and the Department’s Policy Research Programme (PRP). The NIHR’s policy statement on open access for its funded research can be found on the NIHR website:</p><p> </p><p> </p><p> </p><p><a href="http://www.nihr.ac.uk/policy-and-standards/nihr-policy-on-open-access-for-its-funded-research.htm" target="_blank">http://www.nihr.ac.uk/policy-and-standards/nihr-policy-on-open-access-for-its-funded-research.htm</a></p><p> </p><p> </p><p> </p><p>Details of commissioned and researcher-led projects funded through programmes managed by the NIHR Evaluation, Trials and Studies Coordinating Centre can be found on the centre’s website:</p><p> </p><p> </p><p> </p><p><a href="http://www.nets.nihr.ac.uk/projects?collection=netscc&amp;meta_P_sand=Project" target="_blank">http://www.nets.nihr.ac.uk/projects?collection=netscc&amp;meta_P_sand=Project</a></p><p> </p><p><strong> </strong></p><p> </p><p>These details include research summary, contractor, cost, start date, estimated date of publication, and links to commissioning briefs and published reports.</p><p> </p><p><strong> </strong></p><p> </p><p>Details of projects, initiatives and long-term programmes of research currently funded by the PRP are available on the website of the PRP Central Commissioning Facility:</p><p> </p><p> </p><p> </p><p><a href="http://www.prp-ccf.org.uk/" target="_blank">http://www.prp-ccf.org.uk/</a></p><p> </p><p> </p><p> </p><p>These details include research summary, contractor, start date, and estimated date of completion. Cost will be included in future updates. The website also has links to summary final reports received since April 2011.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/03/2015 17:28:13 answering member 4020 label Biography information for George Freeman
	tabling member	394 label Biography information for Mr Clive Betts

390703

	registered interest
	date	16/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Living Wage
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate his Department has made of the cost of paying the National Living Wage for adult social care commissioned by local authorities over the next five years.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	7741
	answer	answer is ministerial correction date of answer 21/07/2015 answer text <p>The impact of the new National Living Wage on local authority finances will be considered during the Spending Review as part of an overall assessment of spending pressures on local authorities.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7738 question first answered 21/07/2015 12:22:06 answering member 1201 label Biography information for Alistair Burt
	tabling member	394 label Biography information for Mr Clive Betts

390693

	registered interest
	date	16/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Living Wage
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what research his Department has commissioned on the effect on local authority budgets of paying the new National Living Wage to external staff commissioned by local authorities to provide adult social care.
	tabling member constituency	Sheffield South East
	tabling member printed	Mr Clive Betts
	uin	7738
	answer	answer is ministerial correction date of answer 21/07/2015 answer text <p>The impact of the new National Living Wage on local authority finances will be considered during the Spending Review as part of an overall assessment of spending pressures on local authorities.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 7741 question first answered 21/07/2015 12:22:06 answering member 1201 label Biography information for Alistair Burt
	tabling member	394 label Biography information for Mr Clive Betts