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433988

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Industrial Disputes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the oral statement of 30 November 2015, Official Report, column 33, what estimate he has made of the number of operations that were cancelled prior to the proposed industrial action on 1 December 2015 but could not be rebooked for 1 December 2015 once that proposed industrial action was postponed.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	18662
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>On 30 November, based on information provided by hospital trusts, NHS England estimated that around 3,000 procedures that were due to take place on 1 December 2015 were planned to be rescheduled. It has not collected information or estimated how many of these could not be rebooked for 1 December 2015 once the proposed industrial action was suspended. There has been no estimate of how many vital procedures that were cancelled were rescheduled within 24 hours. These are operational matters for hospital trusts.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/12/2015 16:23:18 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

433991

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Colistin: EU Action
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will raise the issue of withdrawal of marketing authorisations for veterinary use of colistin at the next EU Employment, Social Policy, Health and Consumer Affairs Council on 7 December 2015.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	18675
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>The withdrawal of marketing authorisations for veterinary use of colistin was not raised at the EU Employment, Social Policy, Health and Consumer Affairs Council on 7 December 2015.</p><br /><p>The Public Health Minister has regularly discussed antimicrobial resistance (AMR) with her international colleagues and attended a meeting on AMR hosted by the Netherlands in advance of their forthcoming Presidency where the Minister raised the importance of a ‘One Health’ approach to AMR including the need for the appropriate use of antibiotics in both humans and animals.</p><br /><p>The five year UK Antimicrobial Resistance Strategy, published in 2013 takes a ‘One Health’ approach.</p><br /><p>Minimising the unnecessary and inappropriate use of antibiotics reduces the selective pressure that favours the emergence and spread of resistant bacteria and is an essential component of strategies to safeguard antibiotics critical for treatment of serious human infections.</p><br /><p>PHE is working closely with Defra, Department of Health, the Animal and Plant Health Agency, Food Standards Agency and Veterinary Medicines Directorate to ensure the latest evidence on colistin resistance is considered.</p><br /><p>AMR is a global problem that needs concerted action at both a national and global level.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/12/2015 16:53:35 answering member 3918 label Biography information for Jane Ellison
tabling member	104 label Biography information for Crispin Blunt

433992

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Sclerosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what arrangements his Department plans to put in place for new patients who wish to access drugs included in the Risk Sharing Scheme for the supply of disease modifying treatments for multiple sclerosis, glatiramer acetate and beta interferon after funding for that scheme ceases.
tabling member constituency	Torfaen
tabling member printed	Nick Thomas-Symonds
uin	18681
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>Colleagues are in discussion with NHS England colleagues to plan for a smooth transition from the end of the Scheme in England, and with colleagues in the Devolved Administrations in respect of Multiple Sclerosis services in their countries.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 08/12/2015 16:56:31 answering member 4020 label Biography information for George Freeman
tabling member	4479 label Biography information for Nick Thomas-Symonds

433995

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether a person applying for NHS Continuing Healthcare support who is judged to be terminally ill and thus entitled to a 48-hour needs assessment by their clinical commissioning group (CCG) is able to claim the costs of any treatment over the 48-hour limit if the CCG does not make an assessment in time.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	18658
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>The NHS Continuing Healthcare (NHS CHC) Fast Track Pathway Tool is used when the individual has a rapidly deteriorating condition and the condition may be entering a terminal phase. The National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care (November 2012 revised) sets out that on receipt of the Fast Track documentation, the clinical commissioning group (CCG) should arrange for the care package to be commissioned without delay.</p><br /><p>A person only becomes eligible for NHS CHC once a decision on eligibility has been made by a CCG, informed either by a completed Decision Support Tool or Fast Track Pathway Tool. Prior to that decision being made, any existing arrangements for the provision and funding of care should continue, unless there is an urgent need for adjustment.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/12/2015 17:07:56 answering member 1201 label Biography information for Alistair Burt
tabling member	4518 label Biography information for Tulip Siddiq

433997

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Sclerosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to publish the year 10 data for the Risk Sharing Scheme for the supply of disease modifying treatments for multiple sclerosis.
tabling member constituency	Torfaen
tabling member printed	Nick Thomas-Symonds
uin	18677
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>The Government expects the conclusions from the year 10 results of the Multiple Sclerosis Risk Sharing Scheme to be published in a recognised academic journal in late 2016.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 08/12/2015 17:20:28 answering member 4020 label Biography information for George Freeman
tabling member	4479 label Biography information for Nick Thomas-Symonds

434000

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Industrial Disputes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether hospitals will incur financial penalties if they breach performance standards as a result of the suspended industrial action on 1 December 2015.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	18627
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>In the normal course of events, a hospital which misses a key national standard (such as the 18-week referral to treatment waiting time standard or the six-week diagnostic wait standard) will incur a mandatory financial sanction applied by its commissioners, as set out in the NHS Standard Contract.</p><br /><p>However, the Contract also includes a ‘Force Majeure’ clause (General Condition 28) which would, in principle, apply to planned industrial action. Under this clause, a provider is able to claim relief from its liabilities under the Contract, to the extent that an event outside of its reasonable control has directly caused it to fail to meet its contractual obligations.</p><br /><p>Therefore, if a hospital were to breach an operational standard for the month, but could demonstrate to the commissioner that:</p><p>* this was solely and directly due to the action it had reasonably taken in anticipation of the industrial action proceeding; and</p><p>* it had done everything reasonable to mitigate the impact of its actions on achievement of the standard in that month</p><p>then the commissioner could set aside the sanction for that month.</p><br /><p>If the breach of the standard was only partly due to the impact of the planned industrial action, only the relevant proportion of the sanction would be set aside.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/12/2015 16:20:49 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

434004

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Industrial Disputes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to guarantee that all patients who had their operations cancelled as a result of the proposed industrial action by junior doctors will be offered another date for their operation within the next 28 days.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	18641
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>The NHS is making every effort to rearrange treatment for people whose operations were cancelled as quickly as possible.</p><br /><p>We recognise that cancellations by the hospital are upsetting and inconvenient for patients, which is why there is a pledge on cancelled operations in the Handbook on the NHS Constitution. When a patient’s operation is cancelled by the hospital at the last minute (on or after the day of admission, including the day of surgery) for non-clinical reasons, the hospital should offer another binding date within a maximum of the next 28 days or fund the patient’s treatment at the time and hospital of the patient’s choice.</p><br /><p>For operations that were cancelled before the day of admission, the pledge does not apply. However, the NHS Constitution includes the right “to access services within maximum waiting times, or for the NHS to take all reasonable steps to offer you a range of alternative providers if this is not possible”. Patients have the right to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. If this is not possible, and where patients request it, the organisation responsible for commissioning the patient’s care must investigate offering a range of suitable alternative providers that would be able to see or treat the patient more quickly than the original provider. The commissioning organisation must take all reasonable steps to meet patients’ requests.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/12/2015 17:17:13 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

434006

registered interest
date	03/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to his oral contribution of 30 November 2015, Official Report, column 33, on the estimated number of patients who may have had a vital operation cancelled, how many patients who had such an operation cancelled had it rescheduled to a time within 24 hours of the original scheduled operation.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	18754
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>On 30 November, based on information provided by hospital trusts, NHS England estimated that around 3,000 procedures that were due to take place on 1 December 2015 were planned to be rescheduled. It has not collected information or estimated how many of these could not be rebooked for 1 December 2015 once the proposed industrial action was suspended. There has been no estimate of how many vital procedures that were cancelled were rescheduled within 24 hours. These are operational matters for hospital trusts.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/12/2015 16:25:41 answering member 3988 label Biography information for Ben Gummer
tabling member	4418 label Biography information for Justin Madders

433520

registered interest
date	01/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Labour Mobility
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many civil servants in his Department are in the redeployment pool.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	18341
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>The Department does not currently have a redeployment pool.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/12/2015 11:02:31 answering member 3918 label Biography information for Jane Ellison
tabling member	4473 label Biography information for Louise Haigh

433214

registered interest
date	30/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Screening
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 implications for his policies of the survey published in November 2015 by Cancer Research UK which found that only 19 per cent of women aged from 50 to 64 were aware that the main purpose of the national cervical screening programme is to prevent cervical cancer.
tabling member constituency	Torfaen
tabling member printed	Nick Thomas-Symonds
uin	18145
answer	answer is ministerial correction date of answer 08/12/2015 answer text <p>NHS Screening Programmes are committed to giving people information to support them to make an informed choice about whether or not to take up the offer of screening. There is a group dedicated to researching, developing and evaluating information for those invited for screening, and service users and providers are involved at all stages.</p><p>The NHS Screening Programmes aim to provide clarity in the leaflets and information given to people.</p><p>The NHS Screening Programmes will continue to work closely with voluntary sector groups like Jo’s Cervical Cancer Trust and with NHS Choices to help raise awareness of the intentions of the programmes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 08/12/2015 17:14:58 answering member 3918 label Biography information for Jane Ellison
tabling member	4479 label Biography information for Nick Thomas-Symonds