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789067

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Death Certificates
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what representations his Department has received on payments being (a) requested and (b) made for the submission to a doctor, GP or consultant of a death certificate for signature; and if he will make a statement.
tabling member constituency	Harlow
tabling member printed	Robert Halfon
uin	112961
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The Department has not received any representations on payments being requested and made for the submission to a doctor, general practitioner or consultant of a death certificate for signature.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 17:09:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3985 label Biography information for Robert Halfon

789068

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bradwell Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will ask (a) the local clinical commissioning groups and (b) University Hospitals of North Midlands NHS Trust to publish the reasons for (i) closing wards in March 2017 and (ii) re-opening wards from November 2017 at Bradwell community hospital in Newcastle-under-Lyme; and what the cost to the NHS was of such decisions.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	112952
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>Commissioning decisions are matters for the local National Health Service and are taken after working with local people and with clinicians to ensure that changes are in the best interests of patients. The financial data requested is not held centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 17:14:15 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1436 label Biography information for Paul Farrelly

789071

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with the HSC Business Services Organisation on ensuring effective provision of financial support for people in Northern Ireland affected by contaminated blood; and whether he plans to establish a point of appeal for people in all parts of the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	112955
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>A review of the payment schemes put in place to support people historically infected with hepatitis C and/or HIV from National Health Service blood or blood products and their families has been carried out. It was agreed that a single payments scheme should be set up in each of the devolved administrations for those infected in that country and all beneficiaries of the former schemes have been informed of which of the new schemes apply to them. These schemes operate independently of each other with their own funding and appeal processes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 14:06:01 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

789073

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
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 whether the conditions it attaches to National Institute for Health Research and National Health Service research grants safeguard affordable access for NHS patients to drugs and treatments that result from that research.
tabling member constituency	Poplar and Limehouse
tabling member printed	Jim Fitzpatrick
uin	112958
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The National Institute for Health Research (NIHR) provides support for the development of new drugs and treatments, primarily through its investment in early translational research infrastructure in the National Health Service and through a range of research funding programmes.</p><p> </p><p>NIHR-supported research generates high quality evidence on the effectiveness and cost-effectiveness of medicines for the NHS and public health services, including informing the National Institute for Health and Care Excellence (NICE) guidance. There is no explicit link between the terms of NIHR research grants and the price the NHS pays for medicines.</p><p> </p><p>NICE assesses important new medicines through a robust evaluation process, which ensures they are priced in a manner that is cost-effective for the value they provide to patients and to the NHS. The costs and source of financial support in developing medicines is not a relevant part of this assessment, and there are no plans to include this.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 14:03:35 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	197 label Biography information for Jim Fitzpatrick

789074

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the extent of palliative care available in England; and what change in that level he estimates will occur by 2020.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	112969
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The Department has made no specific assessment of local palliative services care in England. As system leader, NHS England is responsible for securing the provision of high quality care for patients at the end of life, and as with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility.</p><p> </p><p>CCGs are best placed to understand the needs of local populations and commission services to meet those needs accordingly, and as such, decisions to increase palliative care service provision are for the local, not the national, National Health Service. NHS England works to support local commissioners in improving the services they provide, including palliative care, and has recently collaborated with Public Health England and the Care Quality Commission to provide bespoke end of life care support to Sustainability and Transformation Partnerships, include Hampshire and Isle of Wight. A copy of the support pack is attached.</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 as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does 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 average cost and average time for treating a terminally ill person and figures for the number of patients offered end of life care in the home are not available.</p><p> </p><p>On 5 July 2016 we published ‘Our Commitment to you’ for end of life care, which set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation, measures to improve care quality and education and training in end of life care and measures to encourage the spread of innovative models of care. The commitment sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home. A progress report on delivery of the commitment was published on 21 September 2017.</p><p> </p><p>A key tool in measuring choice and quality in end of life care is the National Survey of Bereaved People (VOICES) survey, which collects the views of bereaved family and friends about the care received by the person they were caring for at the end of life. The survey does provide some information about preferences for care at the end of life, including place of death. The Government Choice Commitment; progress report on the Choice Commitment; and latest VOICES survey report can be found at the following links:</p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-response" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-response</a></p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf</a></p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 112968 112971 112972 112975 112976 question first answered 22/11/2017 14:01:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name NHS STP Publication (Hampshire).pdf title PQ112969 attached documnent
tabling member	4478 label Biography information for Royston Smith

789077

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Voluntary Work
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance has been given to NHS general practices on the circumstances under which volunteers are permitted to carry out non-confidential medical work; and whether this guidance is the same as that for permitted activities of volunteers in other parts of the NHS.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	113025
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>NHS England is responsible for ensuring those general practices who provide NHS services are issued with appropriate guidance on the management of volunteers. In September 2017, NHS England published guidance for all National Health Service providers to help them grow and develop volunteering. This equally applies to general practice as to other parts of the NHS. The guidance sets out that providers should include confidentiality and data protection information in a volunteering policy. The volunteer role description set out in the guidance states that all volunteers should ensure that patient confidentiality is maintained at all times.</p><p> </p><p>The guidance is available on the NHS England website:</p><p><a href="https://www.england.nhs.uk/publication/recruiting-and-managing-volunteers-in-nhs-providers-a-practical-guide/" target="_blank">https://www.england.nhs.uk/publication/recruiting-and-managing-volunteers-in-nhs-providers-a-practical-guide/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 17:07:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

789078

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much his Department has spent on palliative care in each of the last seven years.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	112968
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The Department has made no specific assessment of local palliative services care in England. As system leader, NHS England is responsible for securing the provision of high quality care for patients at the end of life, and as with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility.</p><p> </p><p>CCGs are best placed to understand the needs of local populations and commission services to meet those needs accordingly, and as such, decisions to increase palliative care service provision are for the local, not the national, National Health Service. NHS England works to support local commissioners in improving the services they provide, including palliative care, and has recently collaborated with Public Health England and the Care Quality Commission to provide bespoke end of life care support to Sustainability and Transformation Partnerships, include Hampshire and Isle of Wight. A copy of the support pack is attached.</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 as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does 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 average cost and average time for treating a terminally ill person and figures for the number of patients offered end of life care in the home are not available.</p><p> </p><p>On 5 July 2016 we published ‘Our Commitment to you’ for end of life care, which set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation, measures to improve care quality and education and training in end of life care and measures to encourage the spread of innovative models of care. The commitment sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home. A progress report on delivery of the commitment was published on 21 September 2017.</p><p> </p><p>A key tool in measuring choice and quality in end of life care is the National Survey of Bereaved People (VOICES) survey, which collects the views of bereaved family and friends about the care received by the person they were caring for at the end of life. The survey does provide some information about preferences for care at the end of life, including place of death. The Government Choice Commitment; progress report on the Choice Commitment; and latest VOICES survey report can be found at the following links:</p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-response" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-response</a></p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf</a></p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 112969 112971 112972 112975 112976 question first answered 22/11/2017 14:01:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name NHS STP Publication (Hampshire).pdf title PQ112969 attached documnent
tabling member	4478 label Biography information for Royston Smith

789083

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
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 increase the provision of specialist palliative care in (a) Southampton, (b) the South East and (c) England.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	112971
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The Department has made no specific assessment of local palliative services care in England. As system leader, NHS England is responsible for securing the provision of high quality care for patients at the end of life, and as with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility.</p><p> </p><p>CCGs are best placed to understand the needs of local populations and commission services to meet those needs accordingly, and as such, decisions to increase palliative care service provision are for the local, not the national, National Health Service. NHS England works to support local commissioners in improving the services they provide, including palliative care, and has recently collaborated with Public Health England and the Care Quality Commission to provide bespoke end of life care support to Sustainability and Transformation Partnerships, include Hampshire and Isle of Wight. A copy of the support pack is attached.</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 as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does 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 average cost and average time for treating a terminally ill person and figures for the number of patients offered end of life care in the home are not available.</p><p> </p><p>On 5 July 2016 we published ‘Our Commitment to you’ for end of life care, which set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation, measures to improve care quality and education and training in end of life care and measures to encourage the spread of innovative models of care. The commitment sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home. A progress report on delivery of the commitment was published on 21 September 2017.</p><p> </p><p>A key tool in measuring choice and quality in end of life care is the National Survey of Bereaved People (VOICES) survey, which collects the views of bereaved family and friends about the care received by the person they were caring for at the end of life. The survey does provide some information about preferences for care at the end of life, including place of death. The Government Choice Commitment; progress report on the Choice Commitment; and latest VOICES survey report can be found at the following links:</p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-response" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-response</a></p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf</a></p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 112968 112969 112972 112975 112976 question first answered 22/11/2017 14:01:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name NHS STP Publication (Hampshire).pdf title PQ112969 attached documnent
tabling member	4478 label Biography information for Royston Smith

789084

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many terminally ill people were offered end-of-life care in their own homes in each of the last three years.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	112972
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>The Department has made no specific assessment of local palliative services care in England. As system leader, NHS England is responsible for securing the provision of high quality care for patients at the end of life, and as with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility.</p><p> </p><p>CCGs are best placed to understand the needs of local populations and commission services to meet those needs accordingly, and as such, decisions to increase palliative care service provision are for the local, not the national, National Health Service. NHS England works to support local commissioners in improving the services they provide, including palliative care, and has recently collaborated with Public Health England and the Care Quality Commission to provide bespoke end of life care support to Sustainability and Transformation Partnerships, include Hampshire and Isle of Wight. A copy of the support pack is attached.</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 as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does 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 average cost and average time for treating a terminally ill person and figures for the number of patients offered end of life care in the home are not available.</p><p> </p><p>On 5 July 2016 we published ‘Our Commitment to you’ for end of life care, which set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation, measures to improve care quality and education and training in end of life care and measures to encourage the spread of innovative models of care. The commitment sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home. A progress report on delivery of the commitment was published on 21 September 2017.</p><p> </p><p>A key tool in measuring choice and quality in end of life care is the National Survey of Bereaved People (VOICES) survey, which collects the views of bereaved family and friends about the care received by the person they were caring for at the end of life. The survey does provide some information about preferences for care at the end of life, including place of death. The Government Choice Commitment; progress report on the Choice Commitment; and latest VOICES survey report can be found at the following links:</p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-response" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-response</a></p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/645631/Government_response_choice_in_end_of_life_care.pdf</a></p><p><a href="http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf" target="_blank">www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthcaresystem/bulletins/nationalsurveyofbereavedpeoplevoices/england2015/pdf</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 112968 112969 112971 112975 112976 question first answered 22/11/2017 14:01:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name NHS STP Publication (Hampshire).pdf title PQ112969 attached documnent
tabling member	4478 label Biography information for Royston Smith

789086

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department provides to carers for people who are undergoing end-of-life care.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	112974
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>Skills for Care, our delivery partner, have developed a number of resources to support care workers working with adults at the end of their life. These resources form a framework to guide managers and workers, helping to define the additional knowledge and competences needed when supporting someone who is dying.</p><p> </p><p>Social care organisations employing paid carers are required by law to ensure their teams are suitably qualified, competent, skilled and experienced and that they receive appropriate support, training and professional development to enable them to carry out the duties they are employed to perform.</p><p> </p><p>The Care Act 2014 introduced important new rights for informal carers, including carers of people who are receiving end of life care, for the first time putting them on the same footing as the people for whom they care. They now have legal rights to an assessment of, and support for, their needs where eligible. Local authorities also have a wider duty to offer information and advice to all carers.</p><p> </p><p>In addition, Quality Statement 7 in the National Institute for Health and Care Excellence Quality Standard on end of life care sets out that families and carers of people approaching the end of life are offered comprehensive holistic assessments in response to their changing needs and preferences, and holistic support appropriate to their current needs and preferences.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 17:10:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4478 label Biography information for Royston Smith