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982499

registered interest
date	08/10/2018
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	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, pursuant to the Written Statement of 13 March 2018 on Spring Statement, HCWS540, how much of that funding he has allocated to (a) programmes, (b) administration and (c) staffing in his Department.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	175812
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>HM Treasury has allocated over £2 billion of additional funding to departments and the devolved administrations for European Union exit preparations so far. This breaks down as:</p><p> </p><p>- £412 million of additional funding over the spending review period for the Department for Exiting the European Union, Department for International Trade and the Foreign and Commonwealth Office at Autumn Statement 2016.</p><p> </p><p>- £286 million of additional funding for 2017-18. A full breakdown of which can be found in Supplementary Estimates 2017-18 which is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/679738/PU2137_Supplementary_estimates_web.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/679738/PU2137_Supplementary_estimates_web.pdf</a></p><p> </p><p>- Over £1.5 billion of additional funding for 2018-19. A full breakdown of which can be found in the Chief Secretary’s Written Ministerial Statement, <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2018-03-13/HCWS540/" target="_blank">HCWS540</a>, laid on 13 March 2018.</p><p> </p><p>The Department was allocated £21.1 million for costs arising as the United Kingdom leave the EU in the Spring Statement 2018. The final breakdown between programme and administration (including staffing) spend will be confirmed in the Supplementary Estimates.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 14:57:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	151 label Biography information for Tom Brake

982598

registered interest
date	08/10/2018
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	Usher Syndrome
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 the Government is taking to fund research into usher syndrome.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	176080
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>The Government supports research into common and rare diseases through the National Institute for Health Research (NIHR). Four major research studies into Usher syndrome are taking place at the NIHR Great Ormond Street Biomedical Research Centre and the NIHR Moorfields Biomedical Research Centre investigating the molecular basis of the disease and advanced therapies for Usher syndrome.</p><p> </p><p>Rare diseases patients also benefit from the pioneering research under the 100,000 Genomes Project. As of October 2018, over 3,000 researchers in 387 United Kingdom and international institutions were part of Genomics England’s Clinical Interpretation Partnership, which have been set up improve understanding of genomic medicine and its application to healthcare; improve understanding of diseases; and lead the way to developing new diagnostics and treatments.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/10/2018 11:04:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1521 label Biography information for Mrs Sharon Hodgson

982713

registered interest
date	08/10/2018
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	Heart Diseases: Physiology
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 and what proportion of cardiac physiologists worked in the NHS in each of the last five years.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	176439
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p> </p><p>The following table shows the number of qualified staff in cardiac physiology in National Health Service trusts and CCGs in England as at 30 September 2014 - 2017 and latest data as at 30 June 2018, full time equivalent:</p><table><tbody><tr><td colspan="5"><p>Cardiac Physiology</p></td></tr><tr><td><p>September 2014</p></td><td><p>September 2015</p></td><td><p>September 2016</p></td><td><p>September 2017</p></td><td><p>June 2018</p></td></tr><tr><td><p>752</p></td><td><p>927</p></td><td><p>1,046</p></td><td><p>1,096</p></td><td><p>1,115</p></td></tr></tbody></table><p>Source: NHS HCHS monthly workforce statistics, NHS Digital</p><p><em> </em></p><p>In 2013 as part of the Modernising Scientific Careers programme, the Occupation Codes for Healthcare Scientists were updated. Because of that change data on cardiac physiology is not available in 2013.</p><p> </p><p>It is not possible to give the proportion of cardiac physiologists working in the NHS because accurate data on these workers outside of the NHS is not available.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/10/2018 11:07:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4478 label Biography information for Royston Smith

982770

registered interest
date	08/10/2018
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	Young Offenders: Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of people identified as having an acquired brain injury on arrival living in the secure estate in each of the last five years.
tabling member constituency	Rhondda
tabling member printed	Chris Bryant
uin	176034
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The information requested is not held centrally by the Department or NHS England.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:51:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1446 label Biography information for Sir Chris Bryant

982939

registered interest
date	08/10/2018
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	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will include end of life care in the long-term plan for the NHS; and what steps are being taken to improve end of life care.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	175929
answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Delivering improvements to end of care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for National Health Service.</p><p> </p><p>NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders to test the plan before its publication in November 2018<em>. </em></p><p> </p><p>In ‘Our Commitment to you for end of life care’, published in July 2016, the Government set out what everyone should expect from their care at the end of life and the actions being taking to make high quality and personalisation a reality for all and to reduce variation in end of life care. NHS England is responsible for delivering the commitment, in partnership with system partners and key stakeholders, through its National End of Life Care Programme Board. Key steps over the first two years include:</p><p> </p><p>- Working with Public Health England and the Care Quality Commission to provide bespoke end of life care data and support packs to Sustainability and Transformation Partnerships to plan for, and improve, end of life care services;</p><p>- Testing Personal Health Budgets for people approaching the end of life;</p><p>- Working with Health Education England to ensure that all staff involved in the delivery of end of life care have appropriate education and training choice and quality of care at the end of life and strengthening medical curricula to support choice and quality and the of life;</p><p>- Inspecting and rating NHS hospital and community services for end of life care. This new inspection approach has a clear focus on end of life care and applies in all services where end of life care is delivered;</p><p>- Developing a new indicator for the Clinical Commissioning Group Improvement and Assessment Framework (CCG IAF) to measure deaths in hospital after three or more emergency admissions in the final 90 days of life to help assess choice and quality in end of life care; and</p><p>- Supporting to trusts rated as ’inadequate or ‘needs improvement’ to improve end of life care services. At the start of 2017/18, 66 trusts were in these categories (four were inadequate). This is now down to 56.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality and Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations. Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/10/2018 11:10:03 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	304 label Biography information for Mr Roger Godsiff

983014

registered interest
date	08/10/2018
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	Cancer: Clinical Trials
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 increase the number of clinical trials available to patients with one of the less survivable cancers.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	175995
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>The Department funds research into all aspects of human health through the National Institute for Health Research (NIHR) at the level of £1 billion per year. Cancer comprises the largest proportion of this in terms of disease area.</p><p> </p><p>The NIHR Clinical Research Network has over 800 cancer trials and studies recruiting or in set-up. Through the NIHR Clinical Research Network, the proportion of patients entering cancer clinical trials and studies is more than double that in any other country for which data exists, including the United States.</p><p> </p><p>As with other Government funders of health research, the NIHR does not allocate funding for specific disease areas. The level of research spend in a particular area, such as less survivable cancers, is driven by factors including scientific potential and the number and scale of successful funding applications. We would welcome more high-quality research applications, including applications for clinical trials, on less survivable cancers.</p><p> </p><p>We work closely with research funding partners such as Cancer Research UK, the Medical Research Council, and cancer specific charities, who fund research into new scientific discoveries. Cancer Research UK has prioritised increasing research in hard-to-treat cancers including lung, pancreatic, oesophageal cancers and brain tumours. We stand ready to translate these new discoveries as quickly as possible into new treatments and diagnostics for patients via the NIHR.</p><p> </p><p>In May the Government announced £40 million over the next five years for brain tumour research as part of the Tessa Jowell Brain Cancer Mission. Funding will be invested through the NIHR to support a wide range of research to support the translation of laboratory discoveries into treatments and better care for patients. We are relying on researchers to submit high-quality research proposals in this very difficult area. To encourage such applications we have released a NIHR Highlight Notice on brain tumour research asking research teams to submit collaborative applications building on recent initiatives and investments.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 14:58:24 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	481 label Biography information for Sir George Howarth

983065

registered interest
date	08/10/2018
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	Palliative Care: Children
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 money has been spent from the public purse on palliative care services for children in (a) Wirral (b) the North West and (c) the South East in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176002
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres </ins><del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:43 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77457 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983066

registered interest
date	08/10/2018
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	Palliative Care: Children
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 he is taking to reduce the time taken to provide child patients in the north west of England with palliative care.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176003
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:34 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77458 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983067

registered interest
date	08/10/2018
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	Palliative Care: Children
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 adequacy of provision of children's palliative care in (a) the north west and (b) Wirral in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176004
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:04 question first ministerially corrected 18/10/2018 10:54:25 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77456 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983068

registered interest
date	08/10/2018
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	Hospices: Children
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 trends in the level of funding for the children's hospice grant in the (a) north west and (b) Wirral.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176005
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:12 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77459 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle