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905555

registered interest
date	16/05/2018
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	Babies: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the Health Service Investigation Branch plans to being its investigation into avoidable baby deaths.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144994
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144995 144996 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

905556

registered interest
date	16/05/2018
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	Babies: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what additional (a) funding and (b) resources have been allocated to the Health Service Investigation Branch for its investigation into avoidable baby deaths; and what the timeframe is for that funding.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144995
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144994 144996 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

905557

registered interest
date	16/05/2018
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	Babies: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether hospitals are compelled to accept and act on Health Service Investigation Branch recommendations that result from the investigation of avoidable baby deaths.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144996
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144994 144995 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

905580

registered interest
date	16/05/2018
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	Continuing Care
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 effect on health outcomes of a reduction in the NHS Continuing Healthcare budget.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	144945
answer	answer is ministerial correction date of answer 23/05/2018 answer text <p>NHS England’s NHS Continuing Healthcare Strategic Improvement Programme was launched in April 2017, and aims to provide fair access to NHS Continuing Healthcare in a way which ensures better outcomes, better experience, and better use of resources.</p><p> </p><p>The programme does not aim to reduce spending on NHS Continuing Healthcare, but to reduce the rate of growth of expenditure. The projection is for spending on NHS Continuing Healthcare to increase by over 20% by 2020/21, or an average of approximately 3.9% per year.</p><p> </p><p>NHS England’s NHS Continuing Healthcare Strategic Improvement Programme will not change the threshold for eligibility for NHS Continuing Healthcare, which is based on a multidisciplinary assessment of needs as set out in the National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care, together with secondary legislation to give statutory effect to the eligibility criteria and the decision-making processes.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/05/2018 11:00:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4405 label Biography information for Julie Cooper

905581

registered interest
date	16/05/2018
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	Care Workers: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the effect of the back-pay liability for social care providers on trends in the number of care workers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	144889
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>The Government recognises the pressure these liabilities are placing on providers of social care and the effect this could have on the workforce and we are exploring options to minimise any impact on the sector.</p><p> </p><p>It is crucially important that we ensure stability within social care; not just for vulnerable service users, but also for the many thousands of low paid workers.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/05/2018 14:03:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4036 label Biography information for Luciana Berger

905680

registered interest
date	16/05/2018
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	Dementia
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 was allocated from the public purse to dementia research in 2016-17.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	144915
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>The Department funds research on health and social care through the National Institute for Health Research (NIHR). NIHR does not usually ring-fence funds for specific disease areas such as dementia. NIHR welcomes funding applications for research into any aspect of human health including dementia. Applications are subject to peer review and judged in open competition, awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. In all disease areas, the amount of NIHR funding depends on the volume and quality of scientific activity. NIHR funding for dementia research grew to £44.6 million in 2016/17, up from £37 million in 2015/16. This is a major contribution to meeting the commitment under the Government’s 2020 Dementia Challenge, to maintain funding at £60 million a year. The other main public funders of dementia research are the Medical Research Council, which in 2016/17 spent <del class="ministerial">£30.6</del> <ins class="ministerial">£36 </ins>million, and the Economic and Social Research Council, which spent £2.5 million, to bring total Government spending on dementia research to £83.1 million.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/05/2018 16:46:39 question first ministerially corrected 01/06/2018 09:26:09 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 59225 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4243 label Biography information for Dan Jarvis

904625

registered interest
date	15/05/2018
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	Hospitals: Television
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 has watched any part of series three of the BBC Two television programme Hospital, episodes first broadcast on 26 March 2018, 3 April 2018, 10 April 2018, 17 April 2018, 24 April 2018 and 1 May 2018.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	144258
answer	answer is ministerial correction date of answer 22/05/2018 answer text <p>This information is not recorded in the Ministerial diary.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2018 14:19:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4056 label Biography information for Nic Dakin

904675

registered interest
date	15/05/2018
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	Learning Disability: Death
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 has plans to extend the Learning Disability Mortality Review programme beyond 2019.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	144248
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>The delivery of the Learning Disability Mortality Review (LeDeR) Programme, which is focused on monitoring and addressing premature mortality for people with a learning disability, is a key element of the national cross-system learning from deaths programme. The LeDeR programme is delivered by the University of Bristol, under contract to the Healthcare Quality Improvement Partnership, which commissioned the programme on behalf of NHS England.</p><p> </p><p>NHS England has informed the Department that the programme is part of NHS England’s work to improve services for people with a learning disability and their families. The original contract arrangement was for a three year period with the option to extend the LeDeR programme for a fourth and fifth year. NHS England has extended the programme for 2018/19 (year four). To support the delivery of the LeDeR programme in 2018/19, NHS England secured an additional £1.4 million funding to support local clinical commissioning group/sustainability and transformation partnership areas to better establish their review programmes and reduce backlogs of reviews. A decision by NHS England to extend the LeDeR programme for a fifth year has not been taken.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/05/2018 16:45:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

904676

registered interest
date	15/05/2018
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	Learning Disability: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has plans to bring forward legislative proposals to make mandatory the reporting of all early deaths of people with learning disabilities.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	144249
answer	answer is ministerial correction date of answer 22/05/2018 answer text <p>In March 2017, the National Quality Board published National Guidance on Learning from Deaths in order to support a consistent approach to delivering better quality reviews and investigations that identify lessons that can be used to improve care. The guidance states that all inpatient, outpatient and community patient deaths of people with learning disabilities should be reviewed so that learning can contribute to service improvements. The guidance also states that individual trusts should publish mortality data on a quarterly basis from 2017-18 including estimates of how many deaths are thought to be due to problems in care, including deaths of people who had a learning disability. The Government introduced regulations in 2017/18 to require trusts to summarise their quarterly data and provide evidence of learning and improvements they have made to prevent such deaths in their annual Quality Accounts from June 2018.</p><p> </p><p>The National Health Service (Quality Accounts) (Amendment) Regulations 2017 are available at:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2017/744/contents/made" target="_blank">http://www.legislation.gov.uk/uksi/2017/744/contents/made</a></p><p> </p><p>The National Health Service (Quality Accounts) (Amendment) (No. 2) Regulations 2018 are available at:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/59/contents/made" target="_blank">http://www.legislation.gov.uk/uksi/2018/59/contents/made</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2018 15:21:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

904716

registered interest
date	15/05/2018
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	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether NHS England is legally required to ring fence any part of its allocation to Clinical Commissioning Groups to ensure it is used for Better Care Fund schemes which are classified as social care.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	144287
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>NHS England is legally required under the NHS Act 2006 to seek to achieve the objectives set out in the Mandate to NHS England for 2018-19. Progress will be monitored throughout the year, including through the Secretary of State’s quarterly accountability meetings with NHS England. The Secretary of State will also lay in Parliament and publish an annual assessment of NHS England’s performance. This will set out the extent to which NHS England has met mandate objectives.</p><p> </p><p>Under section 223G of the NHS Act 2006, NHS England has the power to set conditions on allocations of funds to clinical commissioning groups (CCGs). The conditions in relation to the current Better Care Fund (BCF) plans, which cover 2017-19, are set out in the Integration and Better Care Fund Policy Framework for 2017-19<sup>1 </sup>and the Integration and Better Care Fund Planning Requirements for 2017-19<sup><sup>2</sup></sup> and are: plans to be jointly agreed; NHS contribution to adult social care is maintained in line with inflation; Agreement to invest in NHS commissioned out-of-hospital services, which may include seven day services and adult social care; and managing transfers of care. CCGs have been directed by NHS England that these conditions will apply in 2017-19 in relation to the CCG minimum allocation for each body<sup>3</sup>.</p><p> </p><p>The current, two-year BCF cycle is already in train, with CCG operating plans and BCF spending plans already agreed locally and approved by NHS England. Apart from an opportunity for a minor refresh where needed, to align BCF metrics, we expect areas to move ahead as planned to serve their local populations for the remaining period.<sup>4</sup></p><p> </p><p>Notes:</p><p> </p><p><sup>1 </sup><a href="https://www.gov.uk/government/publications/integration-and-better-care-fund-policy-framework-2017-to-2019" target="_blank">https://www.gov.uk/government/publications/integration-and-better-care-fund-policy-framework-2017-to-2019</a></p><p><sup> </sup></p><p><sup>2 </sup><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/integration-better-care-fund-planning-requirements.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/integration-better-care-fund-planning-requirements.pdf</a></p><p> </p><p><sup>3</sup>D. N. The Better Care Fund Operating Guidance for 2018-19 (working draft to Integrated Working Group on 5/4/2018), para. 62</p><p> </p><p><sup>4</sup>D. N. Core lines prepared in the run up of the release of NHS Mandate 18-19) (as at 19/3/2018)</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/05/2018 14:13:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4244 label Biography information for Jonathan Ashworth