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1008477

registered interest
date	16/11/2018
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	Gambling: Rehabilitation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 9 November 2018 to Question 186383 on Gambling: Rehabilitation, what steps his Department is taking to ensure that local authorities are able to adequately support people who have gambling addictions.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	192126
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>In summer 2018, Public Health England and the Local Government Association published a guide for local authorities which provides an overview of gambling-related harms and how councils can begin to try to help local residents who are impacted by it. It provides information on the current framework for prevention and support, information on the regulatory tools councils can use to help tackle gambling-related harm and the role of public health.</p><p> </p><p>‘Tackling Gambling Related Harm: A whole council approach’ is available to view at the following link:</p><p> </p><p><a href="https://www.local.gov.uk/sites/default/files/documents/10.28%20GUIDANCE%20ON%20PROBLEM%20GAMBLING_07.pdf" target="_blank">https://www.local.gov.uk/sites/default/files/documents/10.28%20GUIDANCE%20ON%20PROBLEM%20GAMBLING_07.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/11/2018 14:34:06 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1008486

registered interest
date	16/11/2018
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	Preventive Medicine
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 document entitled Prevention is better than cure, published by his Department on 5 November 2018, what the timetable is for the Green Paper on prevention.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	192129
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>On 5 November the Government’s Vision for Prevention was published (entitled ‘Prevention is better than cure’). This set out how prevention will be placed at the heart of our health and social care system for the long term. This vision is just the beginning - much more needs to be done to make it a reality. Next year, the Government will work with stakeholders to publish a Green Paper on prevention setting out government plans in more detail, and seeking a wide range of views on what action is most needed. The Department will work closely across Government, and with our partners in health, social care, local government, housing and the voluntary sector.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/11/2018 14:34:57 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

1006976

registered interest
date	14/11/2018
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	Palliative Care: 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 ensure that all children with life-limiting conditions have access to an advance care plan, as recommended by the National Institute for Health and Care Excellence.
tabling member constituency	Glasgow East
tabling member printed	David Linden
uin	191451
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Local commissioners, who are responsible for delivering the majority of children’s palliative and end of life care, should take the National Institute of Health and Care Excellence guidance into account when planning services for local populations.</p><p> </p><p>To support implementation of the guidance NHS England commissioned Together for Short Lives, a leading children’s end of life care charity, to examine services across the country to identify best practice in implementation of the guidance, as well as barriers, through interviews with local NHS services. Together for Short Lives have now provided a suite of solutions to enable local areas to meet the needs of children at the end of life. More information about this work can be found at the following link:</p><p> </p><p><a href="http://www.togetherforshortlives.org.uk/changing-lives/supporting-care-professionals/introduction-childrens-palliative-care/nice-guidelines/" target="_blank">www.togetherforshortlives.org.uk/changing-lives/supporting-care-professionals/introduction-childrens-palliative-care/nice-guidelines/</a></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:41:45 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4640 label Biography information for David Linden

1006994

registered interest
date	14/11/2018
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	AAT Deficiency
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 take steps to make available intravenous alpha-1 augmentation therapy through the NHS to treat alpha-1.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	191306
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England is engaging with the National Institute for Health and Care Excellence (NICE) on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe alpha1 antitrypsin deficiency. NICE has not yet published final guidance and recently consulted on its draft guidance.</p><p> </p><p>NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee. Once NICE guidance is received, NHS England will then consider the commissioning implications in consultation with the Specialised Respiratory Clinical Reference Group.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:37:29 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	478 label Biography information for Lord Field of Birkenhead

1006995

registered interest
date	14/11/2018
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	AAT Deficiency
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans a NHS service for alpha-1 to improve patients' access to coordinated multi-disciplinary clinical expertise, which was approved by the Department's Prescribed Specialised Services Advisory Group in March 2016, to commence.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	191307
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Specialised Respiratory Clinical Reference Group (CRG) is maintaining an oversight of the need to develop a service specification and selection of providers to offer specialised expertise and management advice for patients diagnosed with alpha1 antitrypsin deficiency (AATD).</p><p> </p><p>The CRG has recommended that NHS England wait until it is clear on the outcome of the National Institute for Health and Care Excellence (NICE) Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD [ID856] until this development is taken forward.</p><p> </p><p>NICE has not yet published final guidance and recently consulted on its draft guidance. NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:39:19 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	478 label Biography information for Lord Field of Birkenhead

1005983

registered interest
date	13/11/2018
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	Hospitals: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence his Department holds on the effect on the quality of care of fines levied as a result of hospitals breaching targets; and whether he is taking steps to ensure that such fines do not detract from the provision of care to potentially affected populations.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190930
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>All providers of National Health Service-funded healthcare services are expected to meet a range of national standards, other operational standards and quality requirements. These are set out in the NHS Standard Contract along with the consequences of breaches of these. In many cases, the consequence would be a financial sanction.</p><p> </p><p>Since April 2016, most NHS providers agreeing to meet financial control targets as part of the sustainability funding programme are exempt from such sanctions. However, any revenue withheld is reinvested in the local healthcare system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:47:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005984

registered interest
date	13/11/2018
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	Health Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential effectiveness of quality incentive schemes in improving the quality of care to patients.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190931
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Several different quality incentive schemes operate in the National Health Service.</p><p> </p><p>The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.</p><p> </p><p>The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.</p><p> </p><p>CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:43:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4657 label Biography information for Anneliese Dodds

1005985

registered interest
date	13/11/2018
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	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to ensure that the proposed whole population annual budget for Integrated Care Provider contracts does not create (a) incentives to underbid to obtain contracts and (b) other perverse incentives.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190932
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England launched a 12 week public consultation on the proposed contracting arrangements for integrated care providers (ICPs) on 3 August 2018 which concluded on 26 October. More information is available at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/" target="_blank">https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/</a></p><p> </p><p>NHS England will publish a response to the consultation following full consideration of responses and feedback.</p><p> </p><p>The consultation documents provide more detail about NHS England’s current proposals for ICPs, including the proposed integrated budget.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:48:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005987

registered interest
date	13/11/2018
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	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government has provided guidance to manufacturers on communicating the potential health benefits of their products to consumers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190883
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Government has not provided guidance to manufacturers on communicating the potential health benefits of their products provided through the NHS Supply Chain to consumers.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 16:47:41 answering member 1585 label Biography information for Stephen Hammond
tabling member	4131 label Biography information for Jim Shannon

1006110

registered interest
date	13/11/2018
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	Mental Health Services: Young People
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 in response to the consultation on the Transforming children and young people’s mental health provision Green Paper in order to improve mental health provision for 18 to 25-year-olds.
tabling member constituency	Stretford and Urmston
tabling member printed	Kate Green
uin	190880
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Some young people need ongoing support into young adulthood, after they leave children and young people’s mental health services. This point of transition is an important stage for young people, and it is not always easy. In January 2015, NHS England published a Model Specification for Transitions from Child and Adolescent Mental Health Services, to support better transition planning and delivery by local providers. Transition from children and young people’s mental health services has also been included as one of 13 mandatory national indicators in the Commissioning for Quality and Innovation scheme (2017/19), which offers financial incentives to local areas to encourage improved transition planning for children and young people. To address issues of transition, some areas have already also adopted a mental health service which supports young people from ages 0-25.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/11/2018 17:23:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4120 label Biography information for Kate Green