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1177477

registered interest
date	10/02/2020
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	Abortion: Down's Syndrome
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many abortions took place after the diagnosis of Down's Syndrome in each of the last 10 years; and at what weeks gestation those abortions took place.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	14717
answer	answer is ministerial correction date of answer 13/02/2020 answer text <p>The number of legal abortions which took place in England and Wales <del class="ministerial">after the diagnosis of</del> <ins class="ministerial">where </ins>Down’s Syndrome<ins class="ministerial"> was mentioned as a medical condition on the HSA4 abortion form </ins> in each of the last 10 years by week of gestation is attached. Information on abortions for club foot, hammer toe or tarsal coalition is not held in the format requested.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 13/02/2020 14:22:23 question first ministerially corrected 10/06/2020 15:21:00 answering member 4527 label Biography information for Helen Whately attachment 1 file name PQ14717 (corrected).xlsx title Abortion figures for Down's Syndrome corrected previous answer version 6833 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name Abortion figures for Down's Syndrome.xlsx title Abortion figures for Down's Syndrome
tabling member	3958 label Biography information for Fiona Bruce

1177485

registered interest
date	10/02/2020
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	Abortion: Tarsal Coalition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many abortions took place after the diagnosis of Tarsal coalition in each of the last 10 years; and at what weeks gestation those abortions took place.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	14720
answer	answer is ministerial correction date of answer 13/02/2020 answer text <p>The number of legal abortions which took place in England and Wales <del class="ministerial">after the diagnosis of</del> <ins class="ministerial">where </ins>Down’s Syndrome<ins class="ministerial"> was mentioned as a medical condition on the HSA4 abortion form</ins> in each of the last 10 years by week of gestation is attached. Information on abortions for club foot, hammer toe or tarsal coalition is not held in the format requested.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 13/02/2020 14:22:23 question first ministerially corrected 11/06/2020 09:32:06 answering member 4527 label Biography information for Helen Whately attachment 1 file name PQ14717 (corrected).xlsx title Abortion figures for Down's Syndrome (corrected) previous answer version 6834 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name Abortion figures for Down's Syndrome.xlsx title Abortion figures for Down's Syndrome
tabling member	3958 label Biography information for Fiona Bruce

1177487

registered interest
date	10/02/2020
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	Abortion: Hammer Toe
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many abortions took place after the diagnosis of hammer toe in each of the last 10 years; and at what weeks gestation those abortions took place.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	14722
answer	answer is ministerial correction date of answer 13/02/2020 answer text <p>The number of legal abortions which took place in England and Wales <del class="ministerial">after the diagnosis of</del> <ins class="ministerial">where </ins>Down’s Syndrome<ins class="ministerial"> was mentioned as a medical condition on the HSA4 abortion form</ins> in each of the last 10 years by week of gestation is attached. Information on abortions for club foot, hammer toe or tarsal coalition is not held in the format requested.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately question first answered 13/02/2020 14:22:23 question first ministerially corrected 11/06/2020 09:31:51 answering member 4527 label Biography information for Helen Whately attachment 1 file name PQ14717 (corrected).xlsx title Abortion figures for Down's Syndrome (corrected) previous answer version 6835 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name Abortion figures for Down's Syndrome.xlsx title Abortion figures for Down's Syndrome
tabling member	3958 label Biography information for Fiona Bruce

1168877

registered interest
date	06/01/2020
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	Care Homes: Learning Disability
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many (a) unexpected deaths and (b) serious injuries have occurred in residential care homes among people with learning difficulties in each year since 2010.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	432
answer	answer is ministerial correction date of answer 09/01/2020 answer text <p>The following table shows Unexpected Death and Serious Injury Notifications raised against 'Residential social care home' locations with a Service User Band of 'Learning disabilities or autistic spectrum disorder', from 1 April 2010, provided by the Care Quality Commission:</p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>Number of Notifications</p></td></tr><tr><td><p>Raised Year</p></td><td><p>16-1 Unexpected Death</p></td><td><p>18-2a,b Serious Injury</p></td></tr><tr><td><p>2010</p></td><td><p>260</p></td><td><p>558</p></td></tr><tr><td><p>2011</p></td><td><p>1,201</p></td><td><p>2,656</p></td></tr><tr><td><p>2012</p></td><td><p>1,248</p></td><td><p>3,112</p></td></tr><tr><td><p>2013</p></td><td><p>936</p></td><td><p>3,077</p></td></tr><tr><td><p>2014</p></td><td><p>948</p></td><td><p>3,215</p></td></tr><tr><td><p>2015</p></td><td><p>1,067</p></td><td><p>3,866</p></td></tr><tr><td><p>2016</p></td><td><p>1,221</p></td><td><p>4,236</p></td></tr><tr><td><p>2017</p></td><td><p>1,081</p></td><td><p>4,573</p></td></tr><tr><td><p>2018</p></td><td><p>1,153</p></td><td><p>4,513</p></td></tr><tr><td><p>2019</p></td><td><p>959</p></td><td><p>4,812</p></td></tr><tr><td><p>2020</p></td><td><p>12</p></td><td><p>48</p></td></tr><tr><td><p>Grand Total</p></td><td><p>10,086</p></td><td><p>34,666</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The data does not indicate whether a notification relates directly to someone with a learning disability or autism, only that the location has the Service User Band of 'Learning disabilities or autistic spectrum disorder'. A location may have more than one Service User Band.</li><li>'Residential social care home' locations are defined as locations with a Primary Inspection Category of 'Residential social care', or with an Organisation Type of 'Social Care Organisation' and any of the Service Types 'Care home services with nursing', 'Care home services without nursing' or 'Specialist college services'</li><li>This data is at location level only.</li><li>The data for 2010 reflects both an incomplete year of reporting, i.e. from 1 April<ins class="ministerial"> 2010</ins><del class="ministerial">, and</del> from a starting point of data from <del class="ministerial">the</del> National Health Service <ins class="ministerial">providers </ins>alone<ins class="ministerial">,</ins> before <ins class="ministerial">social care and independent healthcare </ins>providers across <del class="ministerial">the United Kingdom</del> <ins class="ministerial">England </ins>were included.</li><li>Data for 2020 is up to and including 7 January.</li></ol><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/01/2020 12:17:38 question first ministerially corrected 20/01/2020 16:11:31 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 388 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4523 label Biography information for Catherine West

1041754

registered interest
date	15/01/2019
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	NHS: Members' Constituency Work
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 issue instruction to NHS England that signed authority from a patient is not required for the NHS to progress an inquiry from an hon. Member pursuing a case on behalf of a constituent; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	208761
answer	answer is ministerial correction date of answer 21/01/2019 answer text <p>There has been no change in policy with regards to obtaining consent of a patient for the purposes of an inquiry or investigation and therefore Ministers have not been consulted.</p><p> </p><p>If a National Health Service body is to disclose patient information held by it in order to progress an inquiry from a hon. Member<ins class="ministerial"> on behalf of a constituent</ins>, <ins class="ministerial">there are circumstances in which the body may provide patient information to a Member of Parliament without the Member evidencing the explicit consent of the patient, so long as that information is provided in accordance with the requirements set out in paragraph 24 of Schedule 1 to the Data Protection Act 2018</ins><del class="ministerial">it must obtain the consent of the patient before doing so</del>. An inquiry or an investigation will almost certainly require the disclosure by the NHS body of information relating to the constituent as patient.</p><p> </p><p>The NHS body must be content that there is a legal basis under the General Data Protection Regulation/Data Protection Act for processing patient information (i.e. disclosing and sharing it for the purposes of the investigation). This is easier to satisfy if it is clear the patient has consented to the hon. Member making investigations on their behalf.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/01/2019 15:10:03 question first ministerially corrected 12/02/2019 12:32:10 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 96339 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	432 label Biography information for Helen Jones

983065

registered interest
date	08/10/2018
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, how much money has been spent from the public purse on palliative care services for children in (a) Wirral (b) the North West and (c) the South East in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176002
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres </ins><del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:43 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77457 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983066

registered interest
date	08/10/2018
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 reduce the time taken to provide child patients in the north west of England with palliative care.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176003
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:34 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77458 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983067

registered interest
date	08/10/2018
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 assessment he has made of the adequacy of provision of children's palliative care in (a) the north west and (b) Wirral in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176004
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:04 question first ministerially corrected 18/10/2018 10:54:25 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77456 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983068

registered interest
date	08/10/2018
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	Hospices: 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 recent assessment he has made of the trends in the level of funding for the children's hospice grant in the (a) north west and (b) Wirral.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176005
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:54:12 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77459 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle

983069

registered interest
date	08/10/2018
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 estimate he has made of the number of children requiring palliative care in the (a) Wirral and (b) north west in each of the last eight years.
tabling member constituency	Wallasey
tabling member printed	Ms Angela Eagle
uin	176006
answer	answer is ministerial correction date of answer 11/10/2018 answer text <p>No specific assessment has been made of provision or patient population in Wirral or the north west. As with the vast majority of NHS services, the funding and commissioning of palliative and end of life care, is a local matter, over which individual National Health Service commissioners have responsibility. Local commissioners are best placed to understand the needs of local populations and commission services to meet those needs accordingly. The only exception to this are a small number specialist paediatric palliative care inpatient services, commissioned nationally by NHS England from <ins class="ministerial">ten centres</ins> <del class="ministerial">eight centres</del> across England as part of its remit to deliver specialised services.</p><p> </p><p>Much of the routine palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or does not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care service for children nationally, or across local areas, is not available. Decisions regarding referral to local palliative care services will be made on the basis of clinical need.</p><p><br /> The following table shows information regarding funding provided via the Children’s Hospice Grant to hospices in the North and in Wirral over the last eight years. Nationally, children’s hospices are receiving £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>North west</p></td><td><p>Wirral</p></td></tr><tr><td><p>2011/12</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2012/13</p></td><td><p>£1,522,944</p></td><td><p>£353,306</p></td></tr><tr><td><p>2013/14</p></td><td><p>£1,562,576</p></td><td><p>£353,306</p></td></tr><tr><td><p>2014/15</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2015/16</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2017/18</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr><tr><td><p>2018/19</p></td><td><p>£1,562,576</p></td><td><p>£362,500</p></td></tr></tbody></table><p> </p><p>Notes:</p><p> </p><p>- The children’s hospice grant programme provides a general contribution to the operating costs for hospices. It does not pay for actual services for patients in specified areas. Therefore, it is not possible to reconcile the grant payment to actual activity delivered within any geographical area. Neither does the grant pay specifically for specialised or non-specialised services as it is a general contribution.</p><p>- For this analysis for the grant figure for the North West includes Cheshire, Merseyside, Greater Manchester, Lancashire and Cumbria based hospices.</p><p>- The Wirral figure is for a single hospice.</p><p>- Local NHS commissioners also provide funding to children’s hospices which is a mixture of grant funding and activity based payments. Due to the low value of this funding this is not routinely recorded and so is not readily available.</p><p>- Local authorities also provide some funding to some hospices, but this information is not held by NHS England.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/10/2018 11:54:05 question first ministerially corrected 18/10/2018 10:53:56 answering member 4008 label Biography information for Dame Caroline Dinenage previous answer version 77460 answering member constituency Gosport answering member printed Caroline Dinenage answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	491 label Biography information for Dame Angela Eagle