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923493

registered interest
date	13/06/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Public Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask Mr Chancellor of the Exchequer, how much UK-wide expenditure outwith the Barnett formula has been spent in (a) Scotland, (b) England, (c) Northern Ireland, (d) Wales and (e) London.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	153350
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>Data on spending by country and region of the UK are shown in table A1 of the latest Country and Regional Analysis.</p><p> </p><p>https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/657987/Country_and_Regional_Analysis_November_2017.pdf</p> answering member constituency South West Norfolk answering member printed Elizabeth Truss question first answered 19/06/2018 13:42:49 answering member 4097 label Biography information for Elizabeth Truss
tabling member	4432 label Biography information for Patrick Grady

921877

registered interest
date	11/06/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Middle East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, if he will respond to Early Day Motion 1258, on the 70th anniversary of the Nakba.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	152211
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>​The British Government remains clear that there needs to be a just, fair, agreed and realistic solution to the Palestinian refugee question, in line with UN Security Council Resolution 1515. We are committed to supporting the UN Relief and Works Agency (UNRWA) and Palestinian refugees across Middle East. I announced on 15 March 2018 that the UK would deliver its next round of financial support £28 million earlier than planned, to help meet the growing needs of Palestinian refugees across the region.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/06/2018 16:16:22 answering member 1201 label Biography information for Alistair Burt
tabling member	4432 label Biography information for Patrick Grady

914847

registered interest
date	01/06/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	British Indian Ocean Territory: Ilois
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, how many Chagossians have been invited to participate in scientific expeditions to the Chagos Archipelago in 2018 to date.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	148860
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Although we encourage scientific expeditions to include participants of Chagossian heritage, no Chagossians have been invited to participate in scientific expeditions to the British Indian Ocean Territory in 2018 to date.</p><p> </p><p> </p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan question first answered 14/06/2018 06:42:14 answering member 343 label Biography information for Sir Alan Duncan
tabling member	4432 label Biography information for Patrick Grady

914848

registered interest
date	01/06/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	British Indian Ocean Territory: Ilois
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, whether Chagossians have participated in any conservation, enforcement, or science work in the Chagos Islands area as envisaged by his Department's 2015 consultation paper.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	148861
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>Since 2012 eight people of Chagossian heritage have visited the British Indian Ocean Territory for scientific or conservation purposes. ​</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan question first answered 14/06/2018 06:44:07 answering member 343 label Biography information for Sir Alan Duncan
tabling member	4432 label Biography information for Patrick Grady

914849

registered interest
date	01/06/2018
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	British Indian Ocean Territory: Ilois
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, if he will take steps to ensure that scientific organisations granted permission to work in the British Indian Ocean Territory include Chagossian participants.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	148862
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>We encourage scientific groups to include Chagossians and participants from the wider Indian Ocean region in expeditions to the British Indian Ocean Territory and we are looking at ways to promote further opportunities to Chagossians.​</p> answering member constituency Rutland and Melton answering member printed Sir Alan Duncan question first answered 14/06/2018 06:46:09 answering member 343 label Biography information for Sir Alan Duncan
tabling member	4432 label Biography information for Patrick Grady

909353

registered interest
date	22/05/2018
answering body	Prime Minister
answering dept id	23
answering dept short name	Prime Minister
answering dept sort name	Prime Minister
hansard heading	Parliamentary Private Secretaries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Prime Minister, if she will publish an updated list of Government parliamentary private secretaries.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	146918
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Lists were previously published in July 2017 and January 2018. We will publish an updated list, routinely in due course</p> answering member constituency Maidenhead answering member printed Mrs Theresa May question first answered 04/06/2018 15:06:18 answering member 8 label Biography information for Mrs Theresa May
tabling member	4432 label Biography information for Patrick Grady

909426

registered interest
date	22/05/2018
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	Surgical Mesh Implants
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 will make an assessment of the potential merits of conducting a retrospective audit of ventral mesh rectopexy to take account of its omission from the Government's audit into recovery after vaginal mesh surgery.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	146919
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>NHS Digital published an audit on 17 April 2018, titled ‘Retrospective Review of Surgery for Urogynaecological Prolapse and Stress Urinary Incontinence using Tape or Mesh’. An executive summary of the report is attached.</p><p> </p><p>The audit reviews Hospital Episode Statistics (HES) data. HES data contains details of all admissions, outpatient appointments and accident and emergency attendances at National Health Service hospitals in England. It includes private patients treated in NHS hospitals, patients who were resident outside of England and care delivered by treatment centres, including those in the independent sector, funded by the NHS.</p><p> </p><p>The Department is engaged in ongoing dialogue with arm’s length bodies to assess how it can continue to build on the evidence base for surgical mesh. This includes discussion of areas of concern beyond urogynaecological mesh – i.e. mesh used in surgical procedures to treat rectal prolapse.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 10:22:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name Exec Summary of Retro Review - PQ146919.pdf title PQ146919 attached document
tabling member	4432 label Biography information for Patrick Grady

909427

registered interest
date	22/05/2018
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	Surgical Mesh Implants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether specific Hospital Episode Statistics codes are planned to be assigned to ventral mesh rectopexy procedures to allow clear identification and monitoring of the number of such procedures conducted.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	146920
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Hospital Episode Statistics (HES) is a database containing details of all admissions, accident and emergency attendances and outpatient appointments at National Health Service hospitals in England. Procedural codes are not dictated by HES.</p><p> </p><p>The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard which is used by clinical coders within the NHS. There is not one single code for ventral rectopexy in OPCS-4 and therefore the procedure cannot currently be identified through a single code. However, this procedure would be assigned a code based on whether it was for internal or external rectal prolapse, rectocele, obstructive defecation or faecal incontinence.</p><p> </p><p>Any member of the public can submit change requests to request changes to OPCS-4 using the NHS Digital Request Submission Portal. A request has been submitted through an NHS trust for the addition of ventral mesh rectopexy; the removal of the mesh inserted during ventral rectopexy will also be considered as part of this submission.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:19:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4432 label Biography information for Patrick Grady

909428

registered interest
date	22/05/2018
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	Surgical Mesh Implants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether specific Hospital Episode Statistics removal codes are planned to be assigned to ventral mesh rectopexy as they are at present for TVT and TOT surgical mesh procedures.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	146921
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Hospital Episode Statistics (HES) is a database containing details of all admissions, accident and emergency attendances and outpatient appointments at National Health Service hospitals in England. Procedural codes are not dictated by HES.</p><p> </p><p>The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard which is used by clinical coders within the NHS.</p><p> </p><p>The OPCS-4 codes are categorised to provide a summary of a consultant episode of patient care for reporting and counting purposes. As such not every procedure has a unique code.</p><p> </p><p>The codes assigned are based on the information documented by the responsible consultant and classification business rules and standards for consistent coding. A combination of OPCS-4 codes may be used for coding ‘ventral mesh rectopexy’ dependent on how and why it was performed.</p><p> </p><p>Any member of the public can submit change requests to request changes to OPCS-4 using the NHS Digital Request Submission Portal. A request has been submitted through an NHS Trust for the addition of ventral mesh rectopexy; the removal of the mesh inserted during ventral rectopexy will also be considered as part of this submission.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:16:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4432 label Biography information for Patrick Grady

909429

registered interest
date	22/05/2018
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	Surgical Mesh Implants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what procedures are in place to ensure that the correct Hospital Episode Statistics codes are being used so that accurate information is available for the Government's audit into recovery after vaginal mesh surgery.
tabling member constituency	Glasgow North
tabling member printed	Patrick Grady
uin	146922
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>The Information Governance Toolkit (IGT) is a Departmental policy delivery vehicle in England developed and maintained by NHS Digital. It is an online system which allows organisations to assess themselves or be assessed against Information Governance policies and standards. Within the toolkit IGT Requirements 510 and 505 are used as part of the Secondary Use Assurance of acute National Health Service trust clinical coded data.</p><p> </p><p>IGT Requirement 510 covers the training of clinical coders, maintenance of their skills and knowledge and also attaining the Institute of Health Records and Information Management (IHRIM) National Clinical Coding Qualification UK. IGT Requirement 505 covers audit of the clinical coded data.</p><p> </p><p>All acute trusts under Requirement 505 must have an annual clinical coding audit of a minimum of 200 finished consultant episodes undertaken by an approved clinical coding auditor. In addition, individual trusts undertake regular internal clinical coding on specific areas of local interest to ensure accurate and quality coded data and where necessary implement action plans for quality improvements.</p><p> </p><p>NHS Digital provides a helpdesk to address any queries, inconsistencies or requirement to published national clinical coding standards to improve the quality of coded data.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) publish codes for the Interventional Procedure Guidance published on their website in collaboration with NHS Digital which coders can use to inform their code assignments. NICE procedure guidance is published for mesh procedures.</p><p> </p><p>The IGT is in the process of being replaced by the Data Security and Protection Toolkit and the Requirements 510 and 505 will continue under the new Data Security and Protection Toolkit.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 06/06/2018 16:18:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4432 label Biography information for Patrick Grady