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1140329

	registered interest
	date	18/07/2019
	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	Clinical Commissioning Groups: Standards
	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 (a) CEO, (b) Accountable Officers and (c) chief nurses of the CCGs rated as inadequate in NHS England’s assessment framework on the performance of those CCGs; what measures have been agreed to help ensure improvement of the performance of those CCGs; and if he will make a statement.
	tabling member constituency	North Thanet
	tabling member printed	Sir Roger Gale
	uin	278885
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>My Rt. hon. Friend the Secretary of State for Health and Social Care has meetings with many health leaders and other key stakeholders on a regular basis.</p><p> </p><p>All clinical commissioning groups (CCGs) rated as inadequate in the annual performance assessment of CCGs are placed in NHS England’s special measures regime. This is a non-statutory, internal support regime, tailored to the CCG’s circumstances, requiring the delivery of an action plan for improvement.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/07/2019 15:27:09 answering member 1585 label Biography information for Stephen Hammond
	tabling member	87 label Biography information for Sir Roger Gale

1140338

	registered interest
	date	18/07/2019
	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	Accident and Emergency Departments: Nottinghamshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average waiting time for patients attending the accident and emergency departments at (a) Sherwood Forest and (b) Nottingham University hospitals was in the last 12 months for which data is available.
	tabling member constituency	Ashfield
	tabling member printed	Gloria De Piero
	uin	278943
	answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>The information is not held in the format requested.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 23/07/2019 15:29:27 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3915 label Biography information for Gloria De Piero

1140402

	registered interest
	date	18/07/2019
	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	Department of Health and Social Care: Brexit
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated for contingency plans in the event that the UK leaves the EU without an agreement.
	tabling member constituency	Cardiff Central
	tabling member printed	Jo Stevens
	uin	279081
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Autumn Budget 2018 confirmed an additional £500 million of cross-Government funding for 2019/20, meaning the Government will have invested over £4 billion in preparing for European Union exit since 2016. The Department has been allocated £50 million, as set out in the Chief Secretary’s Written Ministerial Statement <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-12-18/HCWS1205/" target="_blank">HCWS1205</a>, laid before Parliament on 18 December 2018.</p><p>The Department is keeping the resources required to support preparations under constant review and together with the additional funding provided by HM Treasury, the Department may also prioritise funding from existing settlements to support necessary EU Exit preparations.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:38:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4425 label Biography information for Jo Stevens

1139705

	registered interest
	date	17/07/2019
	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	NHS: Pensions
	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 British Medical Association and other representative bodies on proposals to mitigate the effect of pension taxation on the NHS.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	278568
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government is listening to concerns raised by doctors that pension tax charges are driving decisions to retire early or limit their National Health Service commitments, and has incorporated the views of the British Medical Association (BMA) and other key stakeholders into the consultation ‘NHS Pension Scheme: proposed flexibility’.</p><p>The consultation sets out a potential 50:50 option, offering 50% pension accrual and halved contributions. As part of the five-year general practitioner contract announced earlier this year, the BMA and NHS England asked the Government to consider introducing a 50:50 option as an appropriate flexibility, and the BMA have welcomed this as a step in the right direction.</p><p>The consultation period is an opportunity to listen to a range of views before reaching a final position that works for both staff and taxpayers. The Department encourages NHS staff and employers to contribute their views.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:43:09 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4523 label Biography information for Catherine West

1139199

	registered interest
	date	16/07/2019
	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	NHS: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to paragraph 170 of his Department's Annual Report 2018-19 on the increased NHS resource budget and to the Written Statement on NHS Workforce made on 21 March 2018, HCWS574, if he will clarify when the additional £4.2 billion was agreed by the Chancellor for the NHS Agenda for Change three year pay deal.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	277749
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>Funding for the multi-year (2018/19 – 2020/21) Agenda for Change (AfC) pay and contract reform deal was confirmed alongside the Government’s announcement via a Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-06-27/HCWS803/" target="_blank">HCWS803</a>) laid before the House on 27 June 2018 that the Government was accepting the collectively agreed deal. This statement followed the previous Written Ministerial Statement (<a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-03-21/HCWS574/" target="_blank">HCWS574</a>) laid before the house on 21 March 2018 in which additional funding for the AfC deal was committed to should trades union members agree to the deal.</p><p>In line with the Chancellor’s commitment at Budget 2017, the Government released the £800 million already set aside to support the first year of the deal for 2018/19 in England.</p><p>Funding for the remaining two years of the deal (2019/20 and 2020/21) has been made available as part of the long-term funding settlement for the National Health Service.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:33:16 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1139217

	registered interest
	date	16/07/2019
	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	Clinical Commissioning Groups: Finance
	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 funding for Clinical Commissioning Groups is equitable and protects patient outcomes.
	tabling member constituency	Peterborough
	tabling member printed	Ms Lisa Forbes
	uin	277858
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The allocation of funding to clinical commissioning groups (CCGs) to support them in commissioning services for their local population is one of the key duties of NHS England. The approach NHS England must take in setting allocations is outlined in the mandate from the Department which says:</p><p><em> </em></p><p>“The Government expects the principle of ensuring equal access for equal need to be at the heart of NHS England’s approach to allocating budgets.”</p><p> </p><p>The approach is also informed by NHS England’s duty to reduce inequalities to accessing services and the outcomes of care.</p><p> </p><p>These two aims are reflected in the target formula, which produces a target allocation or ‘fair share’ for each area, based on a complex assessment of factors such as demography, morbidity, deprivation, and the unavoidable cost of providing services in different areas. The NHS England Board has agreed a pace of change policy that seeks to bring all CCGs to target funding over time.</p><p> </p><p>The formula is based on independent academic research and is overseen by an independent external group, the Advisory Committee on Resource Allocation, which provides advice to the Secretary of State for Health and Social Care and the Chief Executive of NHS England.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:41:44 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4717 label Biography information for Ms Lisa Forbes

1139237

	registered interest
	date	16/07/2019
	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	NHS: Apprentices
	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 apprenticeship starts in England were funded by the NHS in (a) 2017-18 and (b) 2018-19 at each apprenticeship level.
	tabling member constituency	Newcastle upon Tyne North
	tabling member printed	Catherine McKinnell
	uin	277722
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Department does not centrally collect the information requested.</p><p>Public sector organisations in scope to meet the public sector apprentice target provide data annually to the Department for Education on numbers of apprentice starts. Data provided by the Department for Education show the National Health Service organisations in scope had 13,800 apprentice starts in 2017/18.</p><p>Published statistics which cover public sector apprenticeships in England in the first year of the target, 1 April 2017 to 31 March 2018 are available at the following link:</p><p><a href="https://www.gov.uk/government/statistics/public-sector-apprenticeships-in-england-2017-to-2018" target="_blank">https://www.gov.uk/government/statistics/public-sector-apprenticeships-in-england-2017-to-2018</a></p><p>Data is not available on 2018/19 starts until later this year.</p><p>Any NHS organisations not in scope for the apprenticeship target will not be included in the return, though they may have apprentices training within their organisation.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:36:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4125 label Biography information for Catherine McKinnell

1139238

	registered interest
	date	16/07/2019
	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	Queen Elizabeth Hospital Birmingham
	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 trends in the level of waiting time targets achieved by Queen Elizabeth Hospital Birmingham in each of the last five years.
	tabling member constituency	Birmingham, Edgbaston
	tabling member printed	Preet Kaur Gill
	uin	277806
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>This information is not available in the format requested.</p><p>NHS England publishes monthly operational performance data for each waiting time standard online. The following link includes all of the performance data for the University Hospitals Birmingham NHS Foundation Trust over the last five years:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:39:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4603 label Biography information for Preet Kaur Gill

1139240

	registered interest
	date	16/07/2019
	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	Construction and Furniture: Health Hazards
	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 potential health benefits of adding an assessment of fire toxicity to fire safety tests for upholstered products and construction materials.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	277634
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Department has made no specific assessment of the potential health benefits of adding an assessment of fire toxicity to fire safety tests for upholstered products and construction materials.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:45:32 answering member 1585 label Biography information for Stephen Hammond
	tabling member	308 label Biography information for Mr Jim Cunningham

1139367

	registered interest
	date	16/07/2019
	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	Ophthalmic Services
	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 12 April 2019 to Questions 242132 and 242133 on Ophthalmic Services, what assessment he has made of the merits of having a tariff for combined trabecular bypass and cataract procedure that does not cover the cost of a combined procedure; and if his Department will publish the reference cost for the 2017-2019 national tariff for BZ91.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	277723
	answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>In the development of each national tariff, NHS England and NHS Improvement undertakes an overall assessment of the impact of proposals. While this provides an overall assessment of impact, detailed feedback on proposed prices for individual HRGs (units of healthcare) is sought from clinical Expert Working Groups (EWGs). This is to ensure that the published tariff supports clinical practice.</p><p>For the 2017/19 tariff (set for two years), the prices for BZ91 were increased following EWG feedback. However, for the 2019/20 tariff the EWG advised that increasing the prices was no longer appropriate. The EWG felt that there had been a significant change in clinical practice since the 2017/19 prices were set, with a shift to performing minimally invasive glaucoma surgery (MIGS), which are significantly cheaper, rather than open/tube glaucoma procedures. Based on diagnosis and procedure codes entered into patient records, MIGS activity is assigned to the HRG BZ91. However, the current codes do not allow differentiation between MIGS and non-MIGS activity. This means that BZ91 covers procedures of different levels of resource use.</p><p>Reference costs are collected and published annually and the latest published data is for the financial year 2017-18. The reference cost data and links to previous years data can be found at the following link:</p><p><a href="https://improvement.nhs.uk/resources/reference-costs/#rc1718" target="_blank">https://improvement.nhs.uk/resources/reference-costs/#rc1718</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:34:53 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4131 label Biography information for Jim Shannon