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92992

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department provides to clinical commissioning groups about commissioning services on treatments from hospitals (a) in Scotland and (b) outside their own area.
tabling member constituency	Berwick-upon-Tweed
tabling member printed	Sir Alan Beith
uin	210196
answer	answer is ministerial correction date of answer 16/10/2014 answer text <p>Clinical commissioning groups’ (CCGs) commissioning responsibilities are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (SI 2012/2996) and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013 (SI 2013/350), as amended.</p><p> </p><p> </p><p> </p><p>NHS England have published the document ‘Who Pays? Determining responsibility for payments to providers’ which provides guidance for CCGs on commissioning services from hospitals in Scotland and outside their own area.</p><p> </p><p> </p><p> </p><p>A copy is attached.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 16/10/2014 15:10:39 answering member 1439 label Biography information for Norman Lamb attachment 1 file name who-pays.pdf title Who Pays? NHS England August 2013
tabling member	513 label Biography information for Lord Beith

92623

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what change there has been in the number of people requiring healthcare (a) at home and (b) in the community between May 2010 and May 2014.
tabling member constituency	Erith and Thamesmead
tabling member printed	Teresa Pearce
uin	209320
answer	answer is ministerial correction date of answer 17/10/2014 answer text <p>Data on the number of people requiring healthcare at home and in the community is not held centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/10/2014 13:21:07 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4003 label Biography information for Teresa Pearce

91993

registered interest
date	26/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the NHS England internal taskforce currently reviewing specialised commissioning plans to seek input from internal stakeholders.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209453
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 209452 question first answered 15/10/2014 17:50:31 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

91996

registered interest
date	26/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
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 in the last six months with NHS England's Executive Team on the review of specialised commissioning.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209452
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 209453 question first answered 15/10/2014 17:50:31 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

92010

registered interest
date	26/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether any changes proposed as a result of the current review of the commissioning of specialised services will be subject to public consulation.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209449
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 15/10/2014 15:11:28 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

91631

registered interest
date	11/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans the Government has to align the NHS Outcomes Framework with the Public Health Outcomes Framework.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	209124
answer	answer is ministerial correction date of answer 16/10/2014 answer text <p>The NHS, Public Health and Adult Social Care Outcomes Frameworks work together with the same overarching aim of improving outcomes that matter to people, and increasing the alignment between the frameworks is an important part of this.</p><p> </p><p> </p><p> </p><p>The Government has been reviewing the NHS Outcomes Framework this year. A part of this work has involved assessing how the framework can be further aligned with the Public Health Outcomes Framework. The refreshed NHS Outcomes Framework will reflect this work, and is due to be published alongside the Mandate in the autumn.</p><p> </p><p> </p><p> </p><p>Currently, eight out of the 64 indicators in the NHS Outcomes Framework are shared or complementary with the Public Health Outcomes Framework, with proposals for a further three such indicators going to stakeholders in the summer as part of this review.</p><p> </p><p><strong> </strong></p><p> </p><p>In 2016, the Public Health Outcomes Framework is due to be refreshed for the first time, which will be a further opportunity to increase alignment between the Frameworks.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/10/2014 15:21:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

90496

registered interest
date	03/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the next step is in the commissioning of a specialised service after a positive recommendation by the Prescribed Specialised Services Advisory Group (PSSAG); whether services recommended for commissioning by PSSAG in September 2014 will be funded from April 2015; when the PSSAG recommendations on the application for a specialised service for Alpha-1 Antitrypsin Deficiency will be published; and if he will make a statement.
tabling member constituency	Makerfield
tabling member printed	Yvonne Fovargue
uin	208035
answer	answer is ministerial correction date of answer 10/09/2014 answer text <p> </p><p>The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health expert committee which provides advice to Ministers on which services should be prescribed in regulations for national commissioning by the NHS Commissioning Board (NHS England).</p><p> </p><p> </p><p> </p><p>PSSAG makes recommendations to Ministers, who are obliged under section 3B of the National Health Service Act 2006 to take appropriate advice and to consult with NHS England before making regulations to prescribe particular services as specialised services for NHS England commissioning. Decisions on the timing of any changes to commissioning responsibilities will take account of advice from PSSAG and any consultation response from NHS England.</p><p> </p><p> </p><p> </p><p>Where a service is prescribed for national commissioning, NHS England becomes responsible for making decisions on the commissioning of that service, including funding of specific interventions as part of that service. We understand from NHS England that where it becomes the responsible commissioner for a service, it considers the funding priority of the service through its Clinical Priorities Advisory Group.</p><p> </p><p> </p><p> </p><p>We understand the Alpha 1 Alliance has worked with NHS England and the Specialised Respiratory Clinical Reference Group to develop a proposal for the national commissioning of services for patients with alpha 1-antitrypsin deficiency, which will be put to PSSAG for consideration at its next meeting on 30 September. A report containing PSSAG’s recommendations will be published once Ministers have made decisions on any associated changes.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/09/2014 12:18:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4034 label Biography information for Yvonne Fovargue

90252

registered interest
date	02/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department has taken to make stakeholders aware of its 2015/16 National Tariff Payments System: Engagement on national prices consultation.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	207815
answer	answer is ministerial correction date of answer 09/09/2014 answer text <p> </p><p>The National Tariff Payments System: Engagement on national prices consultation ran from 18 July to 15 August 2014. To engage stakeholders with the consultation, Monitor and NHS England undertook the following activity:</p><p> </p><p> </p><p> </p><p>- the consultation was published on Monitor and NHS England’s website;</p><p> </p><p> </p><p> </p><p>- the consultation was sent to commissioners via NHS England’s July bulletin;</p><p> </p><p>- to seek feedback, Monitor directly emailed the sector announcing the consultation, this included; patient groups, commissioners, care providers, professional organisations, clinical groups and other relevant national bodies;</p><p> </p><p>- Monitor and NHS England held workshops in Birmingham, Leeds and London, covering acute and mental health care;</p><p> </p><p>- Monitor and NHS England held a selection of webinars, providing an opportunity for participants to ask questions;</p><p> </p><p>- Monitor carried out social media work, via Twitter and LinkedIn, interacting with Monitor’s digital content relating to the consultation and engagement work; and</p><p>- a press release by Monitor and NHS England was issued to all national and healthcare trade broadcast, print and online media outlets resulting in coverage in Health Service Journal, National Health Executive and Commissioning Review. Approximately 500 responses to the consultation were received. Monitor and NHS England are also having further conversations with a number of those who have provided feedback.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/09/2014 15:52:06 answering member 3918 label Biography information for Jane Ellison
tabling member	1511 label Biography information for Lord Austin of Dudley

79503

registered interest
date	22/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to promote the use of out-of-hospital urgent care providers to the National Health Service and patients.
tabling member printed	Baroness Masham of Ilton
uin	HL1402
answer	answer is ministerial correction date of answer 29/07/2014 answer text <p>Information on the various urgent and emergency care services that operate in England is available on the NHS Choices website to help patients and the public make good choices about what type of facility may best suit their needs. This is supported by a “Find Urgent Care services” portal which allows users to enter a postcode and obtain directions to their nearest facility.</p><p> </p><p>More broadly, NHS England is currently conducting a review into urgent and emergency care services in England. The Urgent and Emergency Care Review aims to reduce pressure on accident and emergency (A&amp;E) by delivering a system that enables more patients to be treated outside of hospital.</p><p> </p><p>The end of first stage Report on the Review, published in November 2013, recognised the need to deliver highly responsive urgent care services outside of hospital so people no longer choose to queue in A&amp;E. The Review further recognised that there are a range of urgent care services currently open including ‘walk-in centres’, ‘minor injury units’, ‘urgent care centres’ and other similarly named facilities that all offer slightly different services, at slightly different times, in different places.</p><p> </p><p>In response to this, the Review proposed to support the co-location of community-based urgent care services in coordinated urgent care centres. These will be locally specified to meet local need, but should consistently use the “urgent care centre” name, to replace the multitude of terms that are available at present. Urgent care centres may provide access to walk-in minor illness and minor injury services, and will be part of the wider community primary care service including out-of–hours general practitioner services.</p><p> </p><p>Since November last year, the Review team at NHS England has been working collaboratively with a wide range of stakeholders from across the system to work out</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>the practicalities for delivering this change, to ensure that all urgent care centres are able to provide access to a broad range of physical and mental illness and injury</p><p>care, for both adults and children. Final decisions on how urgent care centres might be organised will rest with local health economies, but a more consistent offer from such facilities will be advantageous in promoting them as an alternative to hospital based urgent care.</p><p> </p><p>NHS England will update on progress with the Review later this year.</p> answering member printed Earl Howe question first answered 29/07/2014 13:31:31 answering member 2000 label Biography information for Earl Howe
tabling member	1850 label Biography information for Baroness Masham of Ilton

79504

registered interest
date	22/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the impacts on costs and patient outcomes of the use of out-of-hospital urgent care providers.
tabling member printed	Baroness Masham of Ilton
uin	HL1403
answer	answer is ministerial correction date of answer 29/07/2014 answer text <p>NHS England is currently conducting a review into urgent and emergency care in England. The Review, led by Professor Sir Bruce Keogh, aims to help build an improved, safer and more sustainable system for the future.</p><p> </p><p>The end of first stage Report on the Review, published in November 2013, set out NHS England’s vision for the future delivery of urgent and emergency care, but recognised that this vision will take three to five years to implement the transformational change proposed.</p><p> </p><p>Since November last year, the Review team at NHS England has been working collaboratively with a wide range of stakeholders from across the system to work out the practicalities for delivering the transformational change required. Work on the cost implications and benefits in terms of patient outcomes, for all aspects of the Review (not just in relation to out-of-hospital urgent care), is ongoing.</p><p> </p><p>NHS England will update on progress with the Review later this year.</p> answering member printed Earl Howe question first answered 29/07/2014 13:33:42 answering member 2000 label Biography information for Earl Howe
tabling member	1850 label Biography information for Baroness Masham of Ilton