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1029362

registered interest
date	20/12/2018
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	Life Expectancy
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 life expectancy.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	204558
answer	answer is ministerial correction date of answer 11/01/2019 answer text <p>Public Health England (PHE) was commissioned by the Department in 2018 to review trends in life expectancy and mortality in England. PHE’s review was released on 11 December 2018 and is available at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/recent-trends-in-mortality-in-england-review-and-data-packs" target="_blank">https://www.gov.uk/government/publications/recent-trends-in-mortality-in-england-review-and-data-packs</a></p><p> </p><p>The review summarises the findings from the commission and suggests further work that could be undertaken, by PHE or others. It provides a review of official data to advance understanding of the trends in life expectancy and mortality in England, as well as more detail on specific population groups and specific causes of death, including insight into possible explanations for the trends observed.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/01/2019 12:10:18 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

1006860

registered interest
date	14/11/2018
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	Surgery
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 patient outcomes of delaying access to elective surgical procedures on the basis of (a) body weight and (b) smoking status.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	191434
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. No such assessment has been made by the Department or NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 11:43:09 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

964058

registered interest
date	03/09/2018
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	Respiratory System: Diseases
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 his Department has made of the potential causal link between respiratory diseases and deprivation and its effect on levels of (a) chronic obstructive pulmonary disease, (b) cancer, (c) tuberculosis, (d) pneumonia, (e) pulmonary fibrosis and (f) asthma; and what steps he is taking to reduce any such inequalities relating to respiratory diseases.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	169538
answer	answer is ministerial correction date of answer 11/09/2018 answer text <p>NHS England is committed to reducing health inequalities, and respiratory disease will be a clinical priority in the National Health Service long-term plan.</p><p> </p><p>Evidence shows that disadvantaged groups and areas of deprivation experience higher incidence rates of respiratory disease (such as chronic obstructive pulmonary disease and asthma). This is in part due to higher levels of smoking, exposure to higher levels of air pollution, poor housing conditions, early life experiences and exposure to occupational hazards.</p><p> </p><p>National programmes such as the Elective Care Programme, NHS RightCare and Getting It Right First Time are focussing on respiratory disease management and have outlined the benefits that improvements in this area can bring to patients.</p><p> </p><p>Cancer of the larynx and lung are more common in the 20% most deprived patients relative to the 20% more well off patients. Smoking and increased alcohol consumption, both risk factors for these cancers, are also more common amongst more deprived populations.</p><p> </p><p>NHS England is to pilot low dose CT scanning for lung cancer, focussing on those clinical commissioning groups with the highest lung cancer mortality and incidence. These pilots, together with the implementation of rapid diagnosis pathways for lung cancer will help to close the gap in inequalities.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/09/2018 16:00:27 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

820695

registered interest
date	11/01/2018
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	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the take-up rate for cervical screening in (a) England, (b) North Yorkshire and (c) York was in 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	122113
answer	answer is ministerial correction date of answer 16/01/2018 answer text <p>The National Health Service Cervical Screening Programme measures coverage rather than uptake rate. NHS England is responsible for monitoring the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all age groups.</p><p> </p><p>Data are provided by NHS Digital and are available at:</p><p> </p><p><a href="https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage" target="_blank">https://digital.nhs.uk/article/7035/Cervical-screening-programme-coverage</a></p><p> </p><p>General practitioner/clinical commissioning group level coverage is available at:</p><p> </p><p><a href="http://digital.nhs.uk/catalogue/PUB24229" target="_blank">http://digital.nhs.uk/catalogue/PUB24229</a></p><p> </p><p>The percentage of coverage for each area requested as at the end of 2016-17 is: England 72.0%; North Yorkshire 78.1%; York 73.0%.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2018 11:48:21 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

809129

registered interest
date	19/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	903036
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.</p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:09:22 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

771500

registered interest
date	16/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of the proposed requirement for clinical commissioning groups (CCGs) to go through an individual funding request before each patient is able to access bariatric surgery on (a) patient health and (b) capacity of CCGs to respond to that requirement.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107834
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>There is no national requirement for clinical commissioning groups (CCGs) to go through an individual funding request process before each patient is able to access bariatric surgery. The implementation and operation of CCG commissioning policies is a matter for individual CCGs to determine.</p><p> </p><p>NHS England has therefore made no formal assessment of this proposed requirement on CCGs.</p><p> </p><p>The National Institute for Health and Care Excellence Clinical Guidelines 43 (updated November 2014) is clear about which groups of individuals bariatric surgery can benefit, with both clinical and cost effectiveness demonstrated, and attendance at Tier 3 services required first. Tier 3 covers multidisciplinary weight management services which are normally commissioned by CCGs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/10/2017 10:09:30 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

770015

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that clinical commissioning groups follow National Institute for Health and Care Excellence guidelines.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107711
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.</p><p> </p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:13 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

770016

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
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 potential merits of NICE guidance on bariatric surgery (CG189).
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107726
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) issued a clinical guideline on the identification, assessment and management of obesity in 2014 that makes recommendations on the use of bariatric surgery.</p><p> </p><p>NICE’s guideline recommends bariatric surgery as an option for people with obesity if all of the following criteria are fulfilled:</p><p> </p><p>- They have a body mass index of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight;</p><p>- All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss;</p><p>- The person has been receiving or will receive intensive management in a tier 3 service;</p><p>- The person is generally fit for anaesthesia and surgery; and</p><p>- The person commits to the need for long-term follow-up.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:23 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell