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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

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

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

1168886

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: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if NHS Improvement will remove the financial incentive for outpatient hysteroscopy procedures within the proposed National Tariff Payment System 2020-21.
tabling member constituency	West Ham
tabling member printed	Ms Lyn Brown
uin	393
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>NHS England and NHS Improvement are responsible for the design of the National Tariff. Any changes to tariff are made following significant engagement with stakeholders throughout the sector. The final changes are consulted on alongside an assessment of the potential impact to providers and patients.</p><p>The current statutory consultation on the 2020/21 tariff is open until midnight on Wednesday 22 January. The document considers changes to outpatient tariffs to support the delivery of the Long Term Plan, including outpatient transformation.</p><p>Hysteroscopy is covered by the outpatient procedures best practice tariff (BPT). The aim of the BPT is to encourage procedures in an outpatient setting, where clinically appropriate. Outpatient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home and get back to work and daily life sooner. The National Health Service in England does not collect data on the incidence of severe pain during hysteroscopy or women discouraged from taking up diagnostic hysteroscopy as a result of fear of severe pain due to the procedure.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 394 question first answered 14/01/2020 11:03:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1583 label Biography information for Ms Lyn Brown

1168887

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 make an assessment of the effect of the inclusion of a financial incentive for outpatient hysteroscopy procedures within the National Tariff Payment System on the incidence of (a) severe pain during hysteroscopy and (b) women discouraged from taking up diagnostic hysteroscopy as a result of fear of severe pain due to the procedure.
tabling member constituency	West Ham
tabling member printed	Ms Lyn Brown
uin	394
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>NHS England and NHS Improvement are responsible for the design of the National Tariff. Any changes to tariff are made following significant engagement with stakeholders throughout the sector. The final changes are consulted on alongside an assessment of the potential impact to providers and patients.</p><p>The current statutory consultation on the 2020/21 tariff is open until midnight on Wednesday 22 January. The document considers changes to outpatient tariffs to support the delivery of the Long Term Plan, including outpatient transformation.</p><p>Hysteroscopy is covered by the outpatient procedures best practice tariff (BPT). The aim of the BPT is to encourage procedures in an outpatient setting, where clinically appropriate. Outpatient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home and get back to work and daily life sooner. The National Health Service in England does not collect data on the incidence of severe pain during hysteroscopy or women discouraged from taking up diagnostic hysteroscopy as a result of fear of severe pain due to the procedure.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 393 question first answered 14/01/2020 11:03:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1583 label Biography information for Ms Lyn Brown

1168918

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	Motor Neurone Disease: Physiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of people suffering from motor neurone disease have access to physiotherapy.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	456
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>This information is not available.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:02:06 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4657 label Biography information for Anneliese Dodds

1168928

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 Workers: Apprentices
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 the Education and Skills Funding Agency on increasing the level of apprenticeship levy for adult care workers from the current lowest band of £3,000.
tabling member constituency	Oldham West and Royton
tabling member printed	Jim McMahon
uin	438
answer	answer is ministerial correction date of answer 09/01/2020 answer text <p>No such discussions have taken place.</p><p>Apprenticeships are an important entry route into the social care sector, offer an excellent opportunity for employers to upskill existing staff and train new staff as part of high-quality training programmes, and provide clear career progression routes through the sector.</p><p>Apprenticeship standards are allocated funding bands based on recommendations made to the Department for Education by the Institute for Apprenticeships and Technical Education (IfATE), which is an employer led Non-Departmental Body. The funding bands for Adult Care Worker and Lead Adult Care Worker apprenticeships were reviewed by IfATE in January 2019. Following discussions with the social care trailblazer group (a group of employers involved in developing apprenticeship standards for their industry) and looking at available evidence, both were retained at the same funding rate.</p><p>IfATE continue to keep the funding of all standards under review to ensure that funding bands remain appropriate.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/01/2020 10:40:13 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4569 label Biography information for Jim McMahon

1168986

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	Organs: Donors
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 ensure the final wishes of people in relation to organ donation in the absence of a decision recorded on the NHS Organ Donation Register following the transition to an opt-out system.
tabling member constituency	Bradford East
tabling member printed	Imran Hussain
uin	490
answer	answer is ministerial correction date of answer 14/01/2020 answer text <p>The new consent arrangements for organ and tissue donation that the Government aims to introduce from spring 2020, known as ‘opt-out' or ‘deemed consent’, mean that all adults over 18 will be considered potential organ and tissue donors after death, unless they make a decision that they do not want to be a donor, they have nominated a representative to make a decision on their behalf after death, or are in an excluded group.</p><p>A decision either to donate or to not donate organs and tissues can be made by recording a decision on the Organ Donor Register, or in other ways, both written and verbal, including telling your family.</p><p>Under the new arrangements, the family of the deceased will continue to be consulted and they will still be able to provide information about their loved one's wishes. If they have information that their loved one would not have wanted to donate their organs, organ donation will not go ahead.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/01/2020 11:01:33 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4394 label Biography information for Imran Hussain