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782756

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups: Staffordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions (a) his Department, (b) NHS England or (c) NHS Improvement have had with the six clinical commissioning groups in Staffordshire regarding merging those groups into one body.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111046
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS England has an ongoing relationship with all the clinical commissioning groups (CCGs) in Staffordshire.</p><p> </p><p>With the agreement of NHS England, the Staffordshire CCGs have agreed to the appointment of a joint Accountable Officer (AO), shared by all the CCGs. On 25 October, it was announced that, following a competitive interview process, Marcus Warnes has been appointed to this post. He is currently the AO of North Staffordshire and Stoke-on-Trent CCGs. Marcus Warnes starts his new role from 1 November 2017 for five out of the six CCGs. He will be supported by Tony Bruce who will remain as AO for East Staffordshire CCG until he leaves in March 2018. Marcus Warnes will then take on the role for East Staffordshire CCG.</p><p> </p><p>The CCGs are also currently working through a process to bring together a joint executive team. This process is at a relatively early stage.</p><p> </p><p>Each CCG will retain its own legal status, ensuring decisions are locally led.</p><p> </p><p>The Department and NHS Improvement have not had any direct discussions with CCGs in Staffordshire about merging.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:41:35 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782758

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Staffordshire and Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the staffing budget is for 2017-18 for the team overseeing the Staffordshire and Stoke-on-Trent Sustainability and Transformation Plan.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111040
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Sustainability and Transformation Partnerships (STP) are not statutory organisations, and therefore cannot directly employ staff. The vast majority of work conducted within STP areas has therefore been conducted by existing staff from organisations within the STP, sometimes in addition to their duties.</p><p> </p><p>Given this, NHS England has advised that the total staff spend of developing the Staffordshire and Stoke-on-Trent STP could only be obtained at disproportionate cost.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:25:20 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782759

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Haywood Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions (a) NHS England or (b) NHS Improvement have had with (a) North Staffordshire and (b) Stoke-on-Trent Clinical Commissioning Groups on the future of wards at the Haywood Hospital in Stoke-on-Trent.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111051
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Decisions on configuration such as this are best made by the local National Health Service, who can assess how to meet the needs of people in their area. NHS England and NHS Improvement have issued guidance to the system that can help to support local areas in making these decisions.</p><p> </p><p>For any significant system reconfiguration, the expectation is that all local parts of the system talk to the public and stakeholders regularly.</p><p> </p><p>Furthermore, all significant service change is subject to a full public consultation and proposals must meet the Government’s four reconfiguration tests. These are support from clinical commissioners, clarity on the clinical evidence base, robust patient and public engagement and support for patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:45:40 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782762

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Staffordshire and Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the current and projected funding gap are for health and social care in (a) Staffordshire and (b) Stoke-on-Trent for (i) 2017-18, (ii) 2018-19, (iii) 2019-20 and (iv) 2020-21 within the updated local Sustainability and Transformation Plan process.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111039
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS England advises that the total financial position recorded by healthcare organisations who are members of the Sustainability and Transformation Partnership (STP) in 2016/17 is as below. A number of organisations span the city and county borders and so it is not possible to apportion the financial positions between Staffordshire and Stoke on Trent.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Surplus (Deficit) in 2016/17 (£ million)</p></td></tr><tr><td><p>Providers</p></td><td><p> </p></td></tr><tr><td><p>Burton Hospitals NHS Foundation Trust (FT)</p></td><td><p>(10.07)</p></td></tr><tr><td><p>University Hospitals of North Midlands NHS Trust</p></td><td><p>(47.49)</p></td></tr><tr><td><p>South Staffordshire and Shropshire Healthcare NHS FT</p></td><td><p>3.13</p></td></tr><tr><td><p>North Staffordshire Combined Healthcare NHS Trust</p></td><td><p>0.84</p></td></tr><tr><td><p>Staffordshire and Stoke on Trent Partnership NHS Trust</p></td><td><p>(28.83)</p></td></tr><tr><td><p>Total for Providers</p></td><td><p>(82.42)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Clinical commissioning groups (CCGs)</p></td><td><p> </p></td></tr><tr><td><p>North Staffordshire</p></td><td><p>(4.38)</p></td></tr><tr><td><p>Stoke on Trent</p></td><td><p>(5.67)</p></td></tr><tr><td><p>Stafford and Surrounds</p></td><td><p>(12.66)</p></td></tr><tr><td><p>South East Staffordshire and Seisdon</p></td><td><p>(7.70)</p></td></tr><tr><td><p>Cannock Chase</p></td><td><p>(9.35)</p></td></tr><tr><td><p>East Staffordshire</p></td><td><p>0.00</p></td></tr><tr><td><p>Total for CCGs</p></td><td><p>(39.76)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total for STP Footprint</p></td><td><p>(122.17)</p></td></tr></tbody></table><p> </p><p>Looking forward, the Staffordshire and Stoke-on-Trent STP forecasts that the health service providers will have the following financial positions in each financial year between 2017 to 2021, both if no action is taken and if the STP is implemented.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2017/18 (£'000)</p></td><td><p>2018/19 (£'000)</p></td><td><p>2019/20 (£'000)</p></td><td><p>2020/21 (£'000)</p></td></tr><tr><td><p>Do Nothing forecast (Deficit)/Surplus</p></td><td><p>(169,268)</p></td><td><p>(212,666)</p></td><td><p>(252,888)</p></td><td><p>(285,402)</p></td></tr><tr><td><p>Do Something forecast (Deficit)/Surplus</p></td><td><p>(119,557)</p></td><td><p>(111,798)</p></td><td><p>(91,300)</p></td><td><p>1,420</p></td></tr></tbody></table><p> </p><p>The forecast position included the £6 million recurrent deficit due to the integration of Cannock Hospital at the Royal Wolverhampton NHS Trust.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 111045 question first answered 08/11/2017 17:28:57 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782765

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Better Care Fund: Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timescale is for his Department's Regional Assurance Panel to decide whether to approve Stoke-on-Trent's Better Care Fund plan.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111042
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Strong Better Care Fund (BCF) plans are in everyone’s interest. The regional assurance of BCF plans is a joint process between NHS England and local government, with NHS England having the final decision as part of its Senior Responsible Officer Role. As stipulated in the Integration and Better Care Fund Planning Requirements 2017-19, local areas should submit their BCF plans by 11 September 2017 for regional assurance.</p><p> </p><p>Stoke-on-Trent has submitted its BCF plan after the deadline. The BCF plan is now being reviewed by the Regional Assurance Panel. As a next step, the Panel will make a recommendation for Stoke-on-Trent's BCF shortly to the national team.</p><p> </p><p>The Integration and BCF Planning Requirements 2017-19 can be found on NHS England’s website:</p><p><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> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:44:35 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782771

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sustainability and Transformation Partnerships: Staffordshire and Stoke on Trent
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the final funding gap was for health and social care in (a) Staffordshire and (b) Stoke-on-Trent for 2016-17 to be included in the updated local Sustainability and Transformation Plan process.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	111045
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>NHS England advises that the total financial position recorded by healthcare organisations who are members of the Sustainability and Transformation Partnership (STP) in 2016/17 is as below. A number of organisations span the city and county borders and so it is not possible to apportion the financial positions between Staffordshire and Stoke on Trent.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Surplus (Deficit) in 2016/17 (£ million)</p></td></tr><tr><td><p>Providers</p></td><td><p> </p></td></tr><tr><td><p>Burton Hospitals NHS Foundation Trust (FT)</p></td><td><p>(10.07)</p></td></tr><tr><td><p>University Hospitals of North Midlands NHS Trust</p></td><td><p>(47.49)</p></td></tr><tr><td><p>South Staffordshire and Shropshire Healthcare NHS FT</p></td><td><p>3.13</p></td></tr><tr><td><p>North Staffordshire Combined Healthcare NHS Trust</p></td><td><p>0.84</p></td></tr><tr><td><p>Staffordshire and Stoke on Trent Partnership NHS Trust</p></td><td><p>(28.83)</p></td></tr><tr><td><p>Total for Providers</p></td><td><p>(82.42)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Clinical commissioning groups (CCGs)</p></td><td><p> </p></td></tr><tr><td><p>North Staffordshire</p></td><td><p>(4.38)</p></td></tr><tr><td><p>Stoke on Trent</p></td><td><p>(5.67)</p></td></tr><tr><td><p>Stafford and Surrounds</p></td><td><p>(12.66)</p></td></tr><tr><td><p>South East Staffordshire and Seisdon</p></td><td><p>(7.70)</p></td></tr><tr><td><p>Cannock Chase</p></td><td><p>(9.35)</p></td></tr><tr><td><p>East Staffordshire</p></td><td><p>0.00</p></td></tr><tr><td><p>Total for CCGs</p></td><td><p>(39.76)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total for STP Footprint</p></td><td><p>(122.17)</p></td></tr></tbody></table><p> </p><p>Looking forward, the Staffordshire and Stoke-on-Trent STP forecasts that the health service providers will have the following financial positions in each financial year between 2017 to 2021, both if no action is taken and if the STP is implemented.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2017/18 (£'000)</p></td><td><p>2018/19 (£'000)</p></td><td><p>2019/20 (£'000)</p></td><td><p>2020/21 (£'000)</p></td></tr><tr><td><p>Do Nothing forecast (Deficit)/Surplus</p></td><td><p>(169,268)</p></td><td><p>(212,666)</p></td><td><p>(252,888)</p></td><td><p>(285,402)</p></td></tr><tr><td><p>Do Something forecast (Deficit)/Surplus</p></td><td><p>(119,557)</p></td><td><p>(111,798)</p></td><td><p>(91,300)</p></td><td><p>1,420</p></td></tr></tbody></table><p> </p><p>The forecast position included the £6 million recurrent deficit due to the integration of Cannock Hospital at the Royal Wolverhampton NHS Trust.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 111039 question first answered 08/11/2017 17:28:57 answering member 4067 label Biography information for Steve Brine
tabling member	1436 label Biography information for Paul Farrelly

782780

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will undertake an assessment of the effect of (a) drug and (b) alcohol addiction on people's mental health.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	111010
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Public Health England’s (PHEs) alcohol evidence review published last year highlighted the links in the research, including links between alcohol use disorders, depression and bipolar disorder. The review represents England’s most comprehensive look at the evidence on the public health burden of alcohol and policy responses to reduce the health, social and economic harm.</p><p> </p><p>The review can be read here:</p><p><a href="https://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review" target="_blank">https://www.gov.uk/government/publications/the-public-health-burden-of-alcohol-evidence-review</a></p><p>The ‘Drug Misuse and Dependence: United Kingdom guidelines on clinical management’, which were updated earlier this year, specifically address co-existing mental health and substance use problems. The guidelines outline how and where services for people with these conditions should be delivered, depending on the severity of the problem:</p><p><a href="http://www.nta.nhs.uk/guidelines.aspx" target="_blank">http://www.nta.nhs.uk/guidelines.aspx</a></p><p>In June 2017, PHE published guidance on better care for people with co-occurring mental health and alcohol and drug use conditions. This guidance is aimed at commissioners and providers of mental health and alcohol and drug treatment services and is also suitable for support services that have contact with people with co-occurring conditions:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/625809/Co-occurring_mental_health_and_alcohol_drug_use_conditions.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/625809/Co-occurring_mental_health_and_alcohol_drug_use_conditions.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:47:20 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

782781

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of people with foetal alcohol spectrum disorder in (a) Northern Ireland and (b) the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	111012
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>Based on United States of America research on prevalence, the National Organisation on Fetal Alcohol Syndrome estimates 6,000 – 7,000 children may be born each year with fetal alcohol spectrum disorder in the United Kingdom (about 1% of all births). There remain considerable uncertainties on prevalence in the UK and there is currently no available data for Northern Ireland.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:39:12 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

782784

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nutrition: Older People
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 effect of dentures on the ability of elderly people to maintain a healthy diet.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	111158
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Loss of teeth can affect an individual’s ability to eat, speak and socialise. Public Health England has advised the Department that the available literature supports the fact that well-fitting replacement dentures can enable a more varied diet and improve an individual’s quality of life. Dentures are available on the National Health Service and are free for those qualifying for exemption from patient charges. Individuals who are not exempt but are on a low income may qualify for help with dental costs through the NHS Low Income Scheme. Repairs to dentures are also free for everyone.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 15:29:03 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah

782785

registered interest
date	02/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to ensure better availability of dental healthcare for poorer citizens.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	111157
answer	answer is ministerial correction date of answer 07/11/2017 answer text <p>Access to National Health Service dentistry is improving. For the 24 months ending 30 June 2017 22.2 million adults were seen, an increase of almost 19,000 over the same period in the previous year and for the 12 months ending 30 June 2017, 6.8 million children were seen by an NHS dentist an increase of almost 8,000 over the same period the previous year. NHS England has a legal duty to commission primary care NHS dental services to meet local needs and to help patients who cannot find a local dentist taking on new patients for NHS care. Patients in this situation can contact NHS England’s Customer Contact Centre for assistance.</p><p> </p><p>NHS patient charges are capped to try to avoid cost being a deterrent for those who have to pay a charge.</p><p> </p><p>All those under the age of 18 (or under 19 and in full time education), who are pregnant or gave birth in the last 12 months, as well as those on specified benefits are exempt from charges and receive free NHS dental treatment. For those not qualifying for exemption but on a low income there may still be full or partial help through the NHS Low Income Scheme. All dental practices holding an NHS contract are required to display a poster, provided free of charge, setting out current NHS Charges and highlighting that patients may be exempt from or entitled to help with charges. The Department also provides all such practices with a patient leaflet setting out patient entitlements in more detail. This information is also available on NHS Choices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/11/2017 12:04:28 answering member 4067 label Biography information for Steve Brine
tabling member	4124 label Biography information for Chi Onwurah