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1169721

registered interest
date	09/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make it his policy to ensure that a rapidly deteriorating condition that may be entering a terminal phase under paragraph 16 of the Fast Track Pathway Tool for NHS Continuing Healthcare is interpreted to exclude all patients other than those confined to bed and within a few days of death; and if he will make a statement.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	1673
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The National Framework for NHS Continuing Healthcare and National Health Service-funded Nursing Care sets out the policy for the use of the Fast Track Pathway Tool.</p><p> </p><p>The Fast Track Pathway Tool must only be used when the individual has a rapidly deteriorating condition and may be entering a terminal phase.</p><p> </p><p>The completed Fast Track Pathway Tool should be supported by a prognosis, where available. However, strict time limits that base eligibility on a specified expected length of life remaining should not be imposed:</p><p> </p><p>- ‘rapidly deteriorating' should not be interpreted narrowly as only meaning an anticipated specific or short time frame of life remaining; and</p><p>- ‘may be entering a terminal phase’ is not intended to be restrictive to only those situations where death is imminent.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	242 label Biography information for Sir Christopher Chope

1169726

registered interest
date	09/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Learning Disabilities Mortality Review Programme
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 reduce the backlog of unreviewed cases in the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1707
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1708 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169727

registered interest
date	09/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Learning Disabilities Mortality Review Programme
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the increasing backlog of LeDer cases to be reviewed, what assessment the Government has made of the effectiveness of the LeDer process.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	1708
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Our assessment is that over the past 12 months, the Learning Disability Mortality Review (LeDeR) programme has made good progress in completing reviews, providing the largest body of evidence of deaths of people with a learning disability at an individual level anywhere in the world and using that evidence to turn learning into action to drive improvements in healthcare.</p><p>By December 2019, the latest date for which information is available, 3,195 reviews had been completed. There are also a further 1,923 reviews currently in progress. The total number of deaths notified to the Programme at December 2019 was 7,145 of which 3,060 had been notified in the last 12 months.</p><p>Unallocated reviews do not necessarily equate to a backlog as not all will have exceeded the standard for completion, which is within six months of a death being notified to the Programme. As a proportion of the total number of notifications to the Programme, unallocated reviews have reduced from 39% in November 2018 to 28% in December 2019. NHS England expect that, by the end of 2020, every clinical commissioning group (CCG) will be in a position to conclude all reviews within six months where it is appropriate to do so.</p><p> </p><p>In May 2019, NHS England announced an additional £5 million investment in 2019/20 to address the backlog of unreviewed cases and increase the pace in which cases are allocated and reviewed in timely way. Monies have been allocated to CCGs and to the Commissioning Support Unit and is being invested in developing a dedicated workforce to carry out reviews and to develop systems and processes to embed quality improvement activity across the health and social care system. More than 2,000 experts have now been trained to undertake reviews.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 1707 question first answered 14/01/2020 16:06:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1588 label Biography information for Barbara Keeley

1169140

registered interest
date	07/01/2020
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	Fertility: Females
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 support women with fertility problems.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	995
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The level of provision of local health services available to patients, including fertility treatment, is, and has been since the 1990s, a matter for local healthcare commissioners. Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services including fertility services that meet the needs of their whole population.</p><p>The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement the National Institute for Health and Care Excellence (NICE) fertility guidelines.</p><p>The Government’s position is that CCGs should be following the NICE fertility guidelines as part of their National Health Service service offer to local people. On 17 June 2019, the then Parliamentary Under Secretary of State for Mental Health, Inequalities and Suicide Prevention (Jackie Doyle-Price MP) wrote to the Chief Executives of all CCGs in England to promote the guidance and benchmark price, and strongly encourage them to implement the NICE fertility guidelines in full.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 15:33:48 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1169162

registered interest
date	07/01/2020
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	Colonoscopy: Water
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when water infusion for colonoscopy will be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1003
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The use of water infusion for colonoscopy in the National Health Service is a clinical decision as to what is the best procedure for the individual patient.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 15:33:02 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1169173

registered interest
date	07/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dementia: Football
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with football associations on former footballers and the diagnosis of dementia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1011
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>We have had no discussions with football associations on this issue.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 15:30:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1169177

registered interest
date	07/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dementia: 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 prevalence of childhood dementia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	1015
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Dementia in children is exceptionally rare. If a ‘dementia’ developed during childhood, it is likely to be an inherited disease which would have implications for whether a clear diagnosis of dementia could be made.</p><p>Childhood dementia stems from several different groups of complex neurological diseases such as Niemann-Pick disease type-C, Batten disease and Mucopolysaccharide diseases. In the case of Batten disease for example, it is estimated to affect 25-40 children in England.</p><p>In September 2019, NHS England announced National Health Service funding for the treatment of Batten disease with access to a drug called Cerliponase alfa known to slow down onset and extend the child’s life.</p><p>We continue to implement the 2013 UK Strategy for Rare Diseases which contains 51 high level commitments to improve the lives of those with a rare disease or condition.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 15:32:28 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1169238

registered interest
date	07/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Continuing Care: Dorset
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 applications using the NHS Continuing Healthcare Fast Track Pathway tool have been made in the Dorset CCG area in each of the last six months for which information is available; how many such applications were (a) successful and (b) rejected; and if he will make a statement.
tabling member constituency	Christchurch
tabling member printed	Sir Christopher Chope
uin	943
answer	answer is ministerial correction date of answer 13/01/2020 answer text <p>Data on NHS Continuing Healthcare Fast Track for clinical commissioning groups (CCGs) is routinely published quarterly on the NHS England statistical webpage.</p><p>The following table provides the last six months of information which is Q1 and Q2 2019/20.</p><table><tbody><tr><td><p>Reporting period</p></td><td><p>CCG</p></td><td><p>Number of referrals completed (including discounted referrals)</p></td><td><p>Number assessed as eligible</p></td><td><p>Number of referrals discounted before assessment</p></td></tr><tr><td><p>Q1 2019/20</p></td><td><p>NHS Dorset</p></td><td><p>438</p></td><td><p>381</p></td><td><p>57</p></td></tr><tr><td><p>Q2 2019/20</p></td><td><p>NHS Dorset</p></td><td><p>533</p></td><td><p>412</p></td><td><p>121</p></td></tr></tbody></table><p> </p><p>In providing this response we have interpreted:</p><p>- “how many applications using the NHS Continuing Healthcare Fast Track Pathway tool have been made in the Dorset CCG area” as “Number of referrals completed (including discounted referrals)”;</p><p>- “how many such applications were successful” as “Number assessed as eligible”; and</p><p>- “rejected” as “Number of referrals discounted before assessment”.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 13/01/2020 16:28:26 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	242 label Biography information for Sir Christopher Chope

1168877

registered interest
date	06/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Care Homes: Learning Disability
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 (a) unexpected deaths and (b) serious injuries have occurred in residential care homes among people with learning difficulties in each year since 2010.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	432
answer	answer is ministerial correction date of answer 09/01/2020 answer text <p>The following table shows Unexpected Death and Serious Injury Notifications raised against 'Residential social care home' locations with a Service User Band of 'Learning disabilities or autistic spectrum disorder', from 1 April 2010, provided by the Care Quality Commission:</p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Number of Notifications</p></td></tr><tr><td><p>Raised Year</p></td><td><p>16-1 Unexpected Death</p></td><td><p>18-2a,b Serious Injury</p></td></tr><tr><td><p>2010</p></td><td><p>260</p></td><td><p>558</p></td></tr><tr><td><p>2011</p></td><td><p>1,201</p></td><td><p>2,656</p></td></tr><tr><td><p>2012</p></td><td><p>1,248</p></td><td><p>3,112</p></td></tr><tr><td><p>2013</p></td><td><p>936</p></td><td><p>3,077</p></td></tr><tr><td><p>2014</p></td><td><p>948</p></td><td><p>3,215</p></td></tr><tr><td><p>2015</p></td><td><p>1,067</p></td><td><p>3,866</p></td></tr><tr><td><p>2016</p></td><td><p>1,221</p></td><td><p>4,236</p></td></tr><tr><td><p>2017</p></td><td><p>1,081</p></td><td><p>4,573</p></td></tr><tr><td><p>2018</p></td><td><p>1,153</p></td><td><p>4,513</p></td></tr><tr><td><p>2019</p></td><td><p>959</p></td><td><p>4,812</p></td></tr><tr><td><p>2020</p></td><td><p>12</p></td><td><p>48</p></td></tr><tr><td><p>Grand Total</p></td><td><p>10,086</p></td><td><p>34,666</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The data does not indicate whether a notification relates directly to someone with a learning disability or autism, only that the location has the Service User Band of 'Learning disabilities or autistic spectrum disorder'. A location may have more than one Service User Band.</li><li>'Residential social care home' locations are defined as locations with a Primary Inspection Category of 'Residential social care', or with an Organisation Type of 'Social Care Organisation' and any of the Service Types 'Care home services with nursing', 'Care home services without nursing' or 'Specialist college services'</li><li>This data is at location level only.</li><li>The data for 2010 reflects both an incomplete year of reporting, i.e. from 1 April<ins class="ministerial"> 2010</ins><del class="ministerial">, and</del> from a starting point of data from <del class="ministerial">the</del> National Health Service <ins class="ministerial">providers </ins>alone<ins class="ministerial">,</ins> before <ins class="ministerial">social care and independent healthcare </ins>providers across <del class="ministerial">the United Kingdom</del> <ins class="ministerial">England </ins>were included.</li><li>Data for 2020 is up to and including 7 January.</li></ol><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/01/2020 12:17:38 question first ministerially corrected 20/01/2020 16:11:31 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 388 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4523 label Biography information for Catherine West

1168885

registered interest
date	06/01/2020
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	Hysteroscopy: Pain
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 outpatient hysteroscopy and the issue of uncontrolled pain for women on the agenda of a meeting of the Women's Health Taskforce for England within the next six months.
tabling member constituency	West Ham
tabling member printed	Ms Lyn Brown
uin	392
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>Outpatient Hysteroscopy is an important topic, and we are open to discussing it at a future meeting of the Women’s Health Taskforce. It is not currently on the agenda for the next Women’s Health Taskforce meeting.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:02:44 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1583 label Biography information for Ms Lyn Brown