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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The draft guidance and regulations on the Care Act are currently open for public consultation.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

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

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

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