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694241

registered interest
date	24/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps NHS England is taking to ensure that clinical commissioning groups provide obese patients and smokers with access to appropriate treatment before operations.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65462
answer	answer is ministerial correction date of answer 01/03/2017 answer text <p>Public health is primarily a matter for local authorities, which includes preventative services around obesity and smoking cessation.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for working with local authorities to understand and meet the needs of their local populations, and making decisions on how to best commission services which meet that population’s health needs.</p><p> </p><p>NHS England does not have a formal process in place to ensure that CCGs provide obese patients and smokers with access to appropriate treatment before operations. However, CCGs are encouraged to obtain the advice of NHS England regional teams before putting forward proposals which would affect access to services.</p><p> </p><p>CCGs also have a legal duty to have due regard to National Institute for Health and Care Excellence guidelines.</p><p> </p><p>CCGs have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes of services. NHS England can exercise its formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge this duty.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 01/03/2017 14:39:09 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

693772

registered interest
date	23/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65368
answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.</p><p> </p><p>Information on CCGs’ commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs’ commissioning intentions are available from individual CCGs.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:15:59 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

684051

registered interest
date	03/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether clinical commissioning group restrictions on access to joint surgery for obese patients and smokers are compatible with NICE guidance on osteoarthritis: care and management, that patient-specific factors, including age, sex, smoking, obesity and co-morbidities, should not be barriers to referral for joint surgery.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	63000
answer	answer is ministerial correction date of answer 09/02/2017 answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning services to meet the requirements of their population, including the obese and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence and take into account national guidelines.</p><p> </p><p>The evidence suggests that major surgery poses higher risks for severely overweight patients who smoke. CCGs are therefore right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but also saves money for the National Health Service and taxpayers.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients such as smokers or overweight people getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 09/02/2017 11:01:26 answering member 4080 label Biography information for David Mowat
tabling member	4418 label Biography information for Justin Madders

649497

registered interest
date	01/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department and NHS England plan to take to prevent clinical commissioning groups from rationing treatments by restricting routine surgery for patients who smoke or are clinically obese.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	55790
answer	answer is ministerial correction date of answer 06/12/2016 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning services to meet the requirements of their population, including obese patients and smokers. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence and take into account national guidelines.</p><p> </p><p>Major surgery poses much higher risks for severely overweight patients and those who smoke. So local general practitioner-led CCGs are entirely right to ensure these patients first get support to lose weight and try and stop smoking before their operation. Reducing obesity and cutting smoking not only benefits patients but saves the National Health Service and taxpayers millions of pounds.</p><p> </p><p>This does not and cannot mean blanket bans on particular patients, such as smokers, getting operations, which would be inconsistent with the NHS Constitution.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 06/12/2016 14:23:43 answering member 4080 label Biography information for David Mowat
tabling member	1439 label Biography information for Norman Lamb

576850

registered interest
date	06/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential benefits of mobile surgical health theatres; and whether such centres are included in the Sustainability and Transformation Plans.
tabling member constituency	St Albans
tabling member printed	Mrs Anne Main
uin	45270
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>Under the Directed Enhanced Services directions to NHS England, there is a Minor Surgery Scheme, the underlying purpose of which is to ensure that a wide range of minor surgical procedures are made available as part of the primary medical services provided throughout England. Minor surgery is also one of the additional services which are set out in the General Medical Services Contract Regulations. It is for local areas to decide whether they include the development of these centres in their Sustainability and Transformation Plan.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 14:41:24 answering member 4080 label Biography information for David Mowat
tabling member	1568 label Biography information for Mrs Anne Main