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1156397

registered interest
date	25/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Incontinence: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it is his Department's policy that continence challenges should be (a) considered and (b) treated by NHS England to be a long-term condition.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	5414
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Continence challenges are already being considered as part of the National Bowel and Bladder Health Project to support the delivery of the ambitions of the Excellence in Continence Care Programme within the National Health Service. This is led by NHS England and NHS Improvement and is aimed at improving the experience of care for patients and their carers.</p><p>This programme will work towards a model of care which takes into account the expertise and resources of the people with long-term conditions and their communities, which the National Bowel and Bladder project aims to support via the clinical pathway workstreams. This will help to provide a holistic approach to patient care and lives, and help individuals achieve the best outcomes possible.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 30/10/2019 16:23:17 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1538 label Biography information for Rosie Cooper

1151866

registered interest
date	23/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Genomics: Health Services
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 timeframe is for the (a) the roll-out and (b) publication of progress reports on the Genomic Healthcare Strategy.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	4326
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The Genomic Healthcare Strategy is in the final stages of preparation and its publication is planned for later this year. The National Genomics Board will oversee delivery of the Strategy and will receive regular progress reports regarding its implementation.</p><p> </p><p>One important goal for the Strategy will be to bring together the Government’s future ambitions for genomics as well as existing genomics commitments. Genomic testing is already in use in the National Health Service as part of the diagnostic pathway and the NHS Long Term Plan sets out the ambition to embed genomic medicine, including whole genome sequencing, into routine clinical care. It is expected that within the next year whole genome sequencing (WGS) will begin to be available for:</p><p> </p><p>- Seriously ill children likely to have a rare genetic disorder;</p><p>- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and</p><p>- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS – children with cancer, sarcoma, Acute Myeloid Leukaemia.</p><p> </p><p>Through implementation of the NHS Genomic Medicine Service, NHS England and NHS Improvement is ensuring consistent and equitable access to genomic testing.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 4327 question first answered 28/10/2019 17:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1151867

registered interest
date	23/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Genomics: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Genomic Healthcare Strategy will ensure that genomics is included in routine care in the NHS.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	4327
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>The Genomic Healthcare Strategy is in the final stages of preparation and its publication is planned for later this year. The National Genomics Board will oversee delivery of the Strategy and will receive regular progress reports regarding its implementation.</p><p> </p><p>One important goal for the Strategy will be to bring together the Government’s future ambitions for genomics as well as existing genomics commitments. Genomic testing is already in use in the National Health Service as part of the diagnostic pathway and the NHS Long Term Plan sets out the ambition to embed genomic medicine, including whole genome sequencing, into routine clinical care. It is expected that within the next year whole genome sequencing (WGS) will begin to be available for:</p><p> </p><p>- Seriously ill children likely to have a rare genetic disorder;</p><p>- People with one of 21 rare conditions where current evidence supports early adoption of WGS as a diagnostic test; and</p><p>- People with specific types of cancer for which there is likely to be the greatest patient benefit from using WGS – children with cancer, sarcoma, Acute Myeloid Leukaemia.</p><p> </p><p>Through implementation of the NHS Genomic Medicine Service, NHS England and NHS Improvement is ensuring consistent and equitable access to genomic testing.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 4326 question first answered 28/10/2019 17:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1151869

registered interest
date	23/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Genomics: Screening
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 patients have been tested at each Genomic Laboratory Hub in each month since October 2018.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	4329
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>NHS England and NHS Improvement do not currently collect patient level information from the Genomic Laboratory Hubs (GLH).</p><p> </p><p>As part of the transition to the new GLH infrastructure, we are working closely with the GLHs to define the management information which will be collected to monitor and support continued improvement of the NHS Genomic Medicine Service.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 4330 question first answered 28/10/2019 17:20:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1151870

registered interest
date	23/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Genomics: Screening
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 patients have been offered target treatment following diagnosis within the new Genomic Laboratory Hubs in each month since October 2018.
tabling member constituency	Newton Abbot
tabling member printed	Anne Marie Morris
uin	4330
answer	answer is ministerial correction date of answer 28/10/2019 answer text <p>NHS England and NHS Improvement do not currently collect patient level information from the Genomic Laboratory Hubs (GLH).</p><p> </p><p>As part of the transition to the new GLH infrastructure, we are working closely with the GLHs to define the management information which will be collected to monitor and support continued improvement of the NHS Genomic Medicine Service.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 4329 question first answered 28/10/2019 17:20:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4249 label Biography information for Anne Marie Morris

1151313

registered interest
date	22/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care: Expenditure
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 to palliative care in (a) Jarrow constituency, (b) South Tyneside, (c) the North East and (d) the UK in each year since 2010.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3568
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3569 3570 question first answered 30/10/2019 16:25:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151314

registered interest
date	22/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Hospices: Closures
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 hospices have closed in the (a) North East and (b) UK in each year since 2010.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3569
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3568 3570 question first answered 30/10/2019 16:25:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151315

registered interest
date	22/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Hospices
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 operational hospices there were in (a) the North East, and (b) the UK in each year since 2010.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3570
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>Data on the total funding allocated to hospice services in England is not routinely collected centrally, as the vast majority of funding decisions are a matter for local commissioners. Funding in the constituent countries of the United Kingdom is a matter for the devolved administration of those countries.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3568 3569 question first answered 30/10/2019 16:25:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151316

registered interest
date	22/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding his Department plans to allocate to end of life care in each of the next five years.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3571
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.</p><p> </p><p>The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.</p><p>Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.</p><p><br> In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.</p><p> </p><p>NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.</p><p> </p><p>On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3572 3573 question first answered 30/10/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn

1151317

registered interest
date	22/10/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Palliative Care: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his policy is on the funding of hospices; and what levels of funding his Department plans to allocate to palliative care in each financial year until 2025.
tabling member constituency	Jarrow
tabling member printed	Mr Stephen Hepburn
uin	3572
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>As with the vast majority of National Health Service services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and allocate funding for services to meet those needs from the overall resource allocations they receive.</p><p> </p><p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners (GPs) as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients and the end of life. Therefore, figures for the total cost or allocation of funding for palliative and end of life care services are not available.</p><p> </p><p>The vast majority of hospices were established from charitable and philanthropic donations and are therefore primarily charity-funded and independently run. However, they receive some statutory funding from CCGs and the Government for providing local NHS services. The majority of decisions regarding the statutory funding hospices receive, are a local matter.</p><p>Published in January 2019, the NHS Long Term Plan has a commitment to match CCGs up to £7 million from NHS England for Children and Young People’s Palliative and End of Life Care (CYP PEOLC), on condition of £7 million match funding from CCGs by 2023/24. This will create a total planned additional spending of at least £14million a year for CYP PEOLC services across all providers.</p><p><br> In addition, on 20 August the Government announced that £25 million in funding for hospices and palliative care services. This will help alleviate pressures on hospices and boost our local palliative care services; providing for new services – such as out-of-hours support, respite care and specialist community teams. Importantly, the funding is for adults and children and young people’s hospices and palliative services; this is non-recurrent funding and the £25 million announcement relates to 2019/20 only and; the money is to be spent locally, improving care for patients as soon as possible.</p><p> </p><p>NHS England and NHS Improvement have been working to get this money into local areas as a priority and have uplifted CCG resource allocations to reflect the new funding this month. The expectation is that CCGs work collaboratively to assign the money to hospices and palliative services as a sustainability and transformation partnership (STP) across their STP footprint.</p><p> </p><p>On 1 July 2019, the Government announced plans to increase Children’s Hospice grant from £12 million in 2019/20 to £25 million by 2023/24. The grant is provided to children’s hospices to compensate for lower levels of local statutory funding they receive, compared to adult hospices. The planned grant allocations by financial year are as follows: 2020/21 £15 million; 2021/22 £17 million; 2022/23 £21 million; 2023/24 £25 million. Plans for financial year 2024/25 yet to be developed as the Long Term Plan only covers the period to 2023/24.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 3571 3573 question first answered 30/10/2019 16:24:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	520 label Biography information for Mr Stephen Hepburn