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748495

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which (a) organisations and (b) individuals have the power to dismiss the governing body of a clinical commissioning group.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	3048
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS England is able to dismiss the governing body of a clinical commissioning group (CCG). It has formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge its functions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 14:32:15 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

748496

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hidradenitis Supparativa: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which hospitals NHS England has approved to prescribe Adalimumab for the treatment of hidradenitis supparativa.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	3206
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS England commissions Adalimumab through the following hospitals as an element of specialised dermatology services, which can include the treatment of hidradenitis suppurativa.</p><p> </p><p>- Aintree University Hospital NHS Foundation Trust;</p><p>- Alder Hey Children's NHS Foundation Trust;</p><p>- Barts Health NHS Trust;</p><p>- Bradford Teaching Hospitals NHS Foundation Trust;</p><p>- Brighton and Sussex University Hospitals NHS Trust;</p><p>- Cambridge University Hospitals NHS Foundation Trust;</p><p>- Central Manchester University Hospitals NHS Foundation Trust;</p><p>- Chelsea and Westminster Hospital NHS Foundation Trust;</p><p>- County Durham and Darlington NHS Foundation Trust;</p><p>- Derby Teaching Hospitals NHS Foundation Trust;</p><p>- Gloucestershire Hospitals NHS Foundation Trust;</p><p>- Guy's and St Thomas' NHS Foundation Trust;</p><p>- Heart of England NHS Foundation Trust;</p><p>- Hull and East Yorkshire Hospitals NHS Trust;</p><p>- Imperial College Healthcare NHS Trust;</p><p>- King's College Hospital NHS Foundation Trust;</p><p>- Leeds Teaching Hospitals NHS Trust;</p><p>- Norfolk and Norwich University Hospitals NHS Foundation Trust;</p><p>- Oxford University Hospitals NHS Foundation Trust;</p><p>- Plymouth Hospitals NHS Trust;</p><p>- Royal Cornwall Hospitals NHS Trust;</p><p>- Royal Devon and Exeter NHS Foundation Trust;</p><p>- Royal Free London NHS Foundation Trust;</p><p>- Royal Liverpool and Broadgreen University Hospitals NHS Trust;</p><p>- Salford Royal NHS Foundation Trust;</p><p>- Sandwell and West Birmingham Hospitals NHS Trust;</p><p>- Sheffield Teaching Hospitals NHS Foundation Trust;</p><p>- South Tees Hospitals NHS Foundation Trust;</p><p>- St George's University Hospitals NHS Foundation Trust;</p><p>- The Hillingdon Hospitals NHS Foundation Trust;</p><p>- The Newcastle Upon Tyne Hospitals NHS Foundation Trust;</p><p>- Torbay and South Devon NHS Foundation Trust;</p><p>- University College London Hospitals NHS Foundation Trust;</p><p>- University Hospital Southampton NHS Foundation Trust;</p><p>- University Hospitals Birmingham NHS Foundation Trust;</p><p>- University Hospitals Bristol NHS Foundation Trust;</p><p>- University Hospitals of Leicester NHS Trust; and</p><p>- University Hospitals of North Midlands NHS Trust.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:17:03 answering member 4067 label Biography information for Steve Brine
tabling member	1538 label Biography information for Rosie Cooper

748522

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ophthalmic Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to promote to health commissioners the role that community optical practices can play in delivering eyecare services.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	3076
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>It is for clinical commissioning groups (CCGs) to take decisions on whether to commission eye care services over and above the National Health Service sight test, where they judge them to be needed in their areas.</p><p> </p><p>NHS England has been working with the Clinical Council for Eye Health Commissioning (CCEHC) to support the development of a range of guidelines for CCGs on evidence based clinical pathways for eye health.</p><p> </p><p>As part of this work the CCEHC have published both a Primary Eye Care and Community Ophthalmology framework. Both seek to encourage greater commissioning outside of the hospital setting in order to reduce pressure within secondary care, improve services for patients and offer efficiencies for the NHS.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 14:36:48 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748534

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Police Custody
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people spent time in a police station as a place of safety due to a mental health condition in 2016-17.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	3125
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The data is not yet available. We have made good progress to stop people in mental health crisis being taken to police cells with the 2016-17 data showing there has been almost 80% reduction in cases since 2011-12.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 16:40:26 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748535

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orthopaedics: Rehabilitation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in England had an operation to amputate a limb in each year since 2010; and what proportion of those people received psychological support during their rehabilitation.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	3123
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The information is not available in the format requested.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:06:21 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748536

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Police: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many police forces in England operate a street triage scheme to support people with mental illness.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	3124
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>38 out of 40 police forces in England have access to a Street Triage service – where mental health nurses accompany police officers on patrols, however, all forces have direct access to Mental Health Partners who provide advice and support them in dealing with the public.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 16:37:27 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748537

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eating Disorders
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 adequacy of mental health treatment available to people aged over 25 who have been diagnosed with an eating disorder.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	3126
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>NHS England has commissioned the NHS Benchmarking Network to undertake a data collection exercise in 2017/19 looking at both inpatient and community based provision for adult eating disorder services. This exercise will assess levels of investment and access. It will also consider the profile and skill mix of the supporting workforce.</p><p> </p><p>NHS England has also commissioned the National Collaborating Centre for mental health to develop implementation guidance for an adult eating disorders pathway, building on the recent National Institute for Health and Care Excellence Guideline published in May 2017 for the recognition and treatment of adult eating disorders. It is intended that this work will be published in spring 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:07:54 answering member 4067 label Biography information for Steve Brine
tabling member	4036 label Biography information for Luciana Berger

748554

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery: Kirklees
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with North Kirklees Clinical Commissioning Group on its decision to delay surgery to those who are overweight and/or smoke; and if he will make a statement.
tabling member constituency	Batley and Spen
tabling member printed	Tracy Brabin
uin	3262
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance.</p><p> </p><p>As some treatments pose higher risks for severely overweight patients and those who smoke, it is often appropriate that local general practitioner-led commissioners offer support to help those patients lose weight and stop smoking before their treatment. All treatment decisions are made on a case by case basis.</p><p> </p><p>North Kirklees CCG will continue to work closely with NHS England to ensure the Health Optimisation programme remains compliant with any future national guidelines and policies.</p><p> </p><p>A patient engagement survey is being undertaken and there will be a continuous review process of the impact of the Health Optimisation programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 14:35:05 answering member 4067 label Biography information for Steve Brine
tabling member	4588 label Biography information for Tracy Brabin

748555

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking: Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential public health and economic benefits of health optimisation plans on delaying NHS treatments to patients who smoke or are overweight.
tabling member constituency	Batley and Spen
tabling member printed	Tracy Brabin
uin	3229
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance.</p><p> </p><p>As some treatments pose higher risks for severely overweight patients and those who smoke, it is often appropriate that local general practitioner-led commissioners offer support to help those patients lose weight and stop smoking before their treatment. All treatment decisions are made on a case by case basis.</p><p> </p><p>Decisions will continue to be made on a case by case basis. People who do not wish to access support services or fail to meet relevant criteria will still be able to have their operation after the relevant time period.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:05:03 answering member 4067 label Biography information for Steve Brine
tabling member	4588 label Biography information for Tracy Brabin

748556

registered interest
date	05/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance he plans to offer to clinical commissioning groups which introduce policy for joint surgery.
tabling member constituency	Batley and Spen
tabling member printed	Tracy Brabin
uin	3230
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>Clinical commissioning groups (CCGs) are primarily responsible for commissioning services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, are based on the available evidence. CCGs should take national guidelines into account as they take commissioning decisions.</p><p>It is the role of the National Institute for Health and Care Excellence and NHS England (alongside other arm’s length bodies) to issue guidance to CCGs, based on the latest evidence and expertise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/07/2017 15:20:16 answering member 4067 label Biography information for Steve Brine
tabling member	4588 label Biography information for Tracy Brabin