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1086490

registered interest
date	11/03/2019
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	HIV Infection: Drugs
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 7 March 2019 to Question 227401 on HIV, what the timetable is for the rollout of additional places on the Pre-exposure Prophylaxis Impact trial in London .
tabling member constituency	Brighton, Kemptown
tabling member printed	Lloyd Russell-Moyle
uin	230858
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Commissioners in London have confirmed that they are committed to supporting the successful expansion of the Pre-exposure Prophylaxis (PrEP) Impact trial and have agreed to make additional trial places available. The number of additional trial places in London and the timescale for rollout will be confirmed shortly.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:50:06 answering member 4067 label Biography information for Steve Brine
tabling member	4615 label Biography information for Lloyd Russell-Moyle

1086610

registered interest
date	11/03/2019
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	Asthma
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 the finding in Asthma UK's report, The Reality of Asthma Care in the UK - Annual Asthma Survey 2018 that two-thirds of patients do not receive a follow-up appointment with their GP after receiving emergency care, if he will take steps tackle the reasons for that finding.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	230635
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>Respiratory disease is a clinical priority within the recently published NHS Long Term Plan. The Plan has the overarching objective of improving outcomes for people with respiratory disease, including asthma.</p><p> </p><p>NHS England supports the national asthma audit programme that provides data on a range of indicators to show improvements and opportunities for further improvements in asthma outcomes.</p><p> </p><p>The recently published general practitioner (GP) contract has made improvements to the Quality and Outcomes framework through the introduction of quality improvement modules. This replaces the current system of exception reporting with a personalised care adjustment approach, which will better reflect individual clinical situations and patients’ wishes. NHS England and GPC England have agreed to an ongoing programme of indicator review in key priority areas, including asthma in 2019/20. Through the GP contract and Primary Care Networks, clinical pharmacists will take responsibility for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, and those with multiple long term conditions, in particular people with chronic obstructive pulmonary disease and asthma.</p><p> </p><p>National programmes such NHS RightCare are using leading edge medical evidence and practical support to help local health economies to make best use of their resources and using tested evidence based processes to make sustainable improvements to patient care. As part of this programme, a RightCare asthma pathway will be published in the spring which will outline the optimal pathway for patients, including the need for follow-up appointments following emergency care.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 17:01:30 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

1086653

registered interest
date	11/03/2019
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	Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what comparative estimate he has made of the cost to the public purse of providing PET-CT scanning services through a (a) private contractor and (b) a NHS trust.
tabling member constituency	Oxford West and Abingdon
tabling member printed	Layla Moran
uin	230888
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The estimated total cost to National Health Service trusts and NHS foundation trusts of providing PET-CT scans <ins class="ministerial">is </ins><ins class="ministerial">approximately £90 million</ins><del class="ministerial">is £29.4 million</del>, with an average unit cost of <ins class="ministerial">approximately £900 </ins><del class="ministerial">£570</del> per examination<ins class="ministerial"> (this includes the cost of both the scan and a standard tracer)</ins>. Costs are not collected nationally by private contractors.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:52:46 question first ministerially corrected 14/05/2019 10:51:18 answering member 4067 label Biography information for Steve Brine previous answer version 107807 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4656 label Biography information for Layla Moran

1086665

registered interest
date	11/03/2019
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	Radiotherapy
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 radiotherapy centres deliver stereotactic body radiation therapy.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230710
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>There are 25 providers, two of which work in partnership, of stereotactic body radiation therapy, which is called Stereotactic Ablative Radiotherapy (SABR). Currently, SABR is routinely commissioned to treat early non-small cell lung cancer in patients that are not suitable for surgery.</p><p> </p><p>SABR is currently restricted to these 25 centres in England whilst evidence of clinical effectiveness emerges. This is regularly reviewed by NHS England’s national specialised commissioning team and was last reviewed during 2016/17. It is expected that access will be reviewed again over the course of 2019/20 and 2020/21. However, this will be dependent on the emergence of clinical evidence and the development of new NHS England clinical commissioning policy.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230712 question first answered 14/03/2019 16:51:32 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1086670

registered interest
date	11/03/2019
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	Lung Cancer: Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to support the extension of stereotactic body radiation therapy services for lung cancer in radiotherapy centres throughout England.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	230712
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>There are 25 providers, two of which work in partnership, of stereotactic body radiation therapy, which is called Stereotactic Ablative Radiotherapy (SABR). Currently, SABR is routinely commissioned to treat early non-small cell lung cancer in patients that are not suitable for surgery.</p><p> </p><p>SABR is currently restricted to these 25 centres in England whilst evidence of clinical effectiveness emerges. This is regularly reviewed by NHS England’s national specialised commissioning team and was last reviewed during 2016/17. It is expected that access will be reviewed again over the course of 2019/20 and 2020/21. However, this will be dependent on the emergence of clinical evidence and the development of new NHS England clinical commissioning policy.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230710 question first answered 14/03/2019 16:51:32 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

1086788

registered interest
date	11/03/2019
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	General Practitioners: Garston and Halewood
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he will enable Liverpool CCG to award General Medical Contracts rather than continue with Alternative Provider Medical Services Contracts to ensure the continuation of GP services currently being provided by Primary Care Connect in the Garston and Halewood Constituency.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	230660
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The current Alternative Provider Medical Services provider has given notice to terminate their contracts. NHS Liverpool Clinical Commissioning Group is now working with primary care providers in Liverpool to identify an alternate provider or group of providers, that may include an existing General Medical Services contract holder, to run the affected services to ensure continuity for patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:59:56 answering member 4067 label Biography information for Steve Brine
tabling member	483 label Biography information for Maria Eagle

1086790

registered interest
date	11/03/2019
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	General Practitioners: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the effectiveness of his policy of not allowing GP services provided via Alternative Provider Medical Services Contracts to be provided using other contractual models such as General Medical Services Contracts; and if he will make a statement.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	230661
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230662 230663 question first answered 14/03/2019 16:59:14 answering member 4067 label Biography information for Steve Brine
tabling member	483 label Biography information for Maria Eagle

1086793

registered interest
date	11/03/2019
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	General Practitioners: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what research his Department has commissioned on the effect on GP services in deprived communities of continuing to provide GP services through Alternative Provider Medical Services Contracts when the operators of such contracts hand them back; and if he will make a statement.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	230662
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230661 230663 question first answered 14/03/2019 16:59:14 answering member 4067 label Biography information for Steve Brine
tabling member	483 label Biography information for Maria Eagle

1086794

registered interest
date	11/03/2019
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	General Practitioners: Contracts
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to review the policy of General Medical Services Contracts not being able to provide GP services when Alternative Provider Medical Contracts fail.
tabling member constituency	Garston and Halewood
tabling member printed	Maria Eagle
uin	230663
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230661 230662 question first answered 14/03/2019 16:59:13 answering member 4067 label Biography information for Steve Brine
tabling member	483 label Biography information for Maria Eagle

1084391

registered interest
date	08/03/2019
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	Life Expectancy: West Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in the level of life expectancy in (a) Coventry South, (b) Coventry and (c) the West Midlands since 2010.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	230029
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>The Office for National Statistics data show that life expectancy at birth for males in Coventry and the West Midlands was higher in 2015-17 than in 2010-12. In Coventry it increased by 0.4 years to 78.3 years, and in the West Midlands it increased by 0.2 years to 78.8 years. Life expectancy at birth for females in Coventry and the West Midlands was also higher in 2015-17 than in 2010-12. In Coventry it increased by 0.4 years to 82.4 years, and in the West Midlands it increased by 0.1 years to 82.7 years.</p><p> </p><p>For both areas, life expectancy was higher in 2015-17 than in 2010-12, but there was some fluctuation in the trend between these two time points. Only male life expectancy at birth in the West Midlands was statistically significantly higher in 2015-17, compared with 2010-12.</p><p> </p><p>The latest life expectancy data can be viewed at the following link:</p><p> </p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/datasets/lifeexpectancyatbirthandatage65bylocalareasuk" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/datasets/lifeexpectancyatbirthandatage65bylocalareasuk</a></p><p> </p><p>Life expectancy figures for the parliamentary constituency of Coventry South are not available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/03/2019 14:18:32 answering member 4067 label Biography information for Steve Brine
tabling member	308 label Biography information for Mr Jim Cunningham