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753472

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Brexit
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much and what proportion of his Department's expenditure has been identified as relating to its work on the UK leaving the EU in 2017-18.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	5625
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>All affected policy teams within the Department are involved in assessing the implications of the United Kingdom leaving the European Union on their area. They have a prominent role in the Department’s programme for exiting the EU, which is supported internally by teams with cross-cutting functions and a team coordinating the work.</p><p>It is difficult to provide a breakdown between specific exit related activity and normal activity of the teams concerned. However, the resources available are kept under constant review and the Department is equipping itself with the resources it needs to get the best deal for the UK.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 10:35:30 answering member 1542 label Biography information for Philip Dunne
tabling member	1397 label Biography information for Hywel Williams

753473

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vulnerable Adults: Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that lessons are learned from the findings of the serious case review by Somerset Safeguarding Adults Board into the death of Tom, published in June 2017.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	5670
answer	answer is ministerial correction date of answer 21/07/2017 answer text <p>The Government is committed to protecting those at risk of abuse and neglect. We want to see a focused and effective safeguarding system, where harm or risk of harm is identified, acted upon effectively and ultimately prevented. This is a distressing case and we hope lessons will be learnt by all the agencies involved.</p><p> </p><p>As regards ensuring that lessons are learned, the Care Act 2014 requires Safeguarding Adults Boards (SAB) to publish an annual report on what it has done to act on the findings of the completed Safeguarding Adult Reviews or, where it has decided not to act on a finding, why not.</p><p> </p><p>In terms of publication timings, the Care Act does not compel SABs to publish the final reports or summaries. The Somerset Safeguarding Adults Board published the Serious Case Review relating to Tom on their website and their 2016/17 annual report will be available on their website in due course.</p><p> </p><p>Finally, the processes to hold any individual or organisation to account include criminal proceedings, disciplinary procedures, employment law and systems of service and professional regulation. All documentation the SAB receives from registered providers which is relevant to the Care Quality Commission (CQC)’s regulatory functions will be given to the CQC.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 5854 5855 question first answered 21/07/2017 12:53:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	230 label Biography information for Mr Ben Bradshaw

753474

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Brain: Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department has made in implementing the recommendations of the Third Report of the Health Select Committee, Session 2000-01, Head Injury: Rehabilitation.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	5671
answer	answer is ministerial correction date of answer 21/07/2017 answer text <p>This is a matter for NHS England as the body responsible for commissioning providers of neuro rehabilitation across England.</p><p> </p><p>NHS England’s current specification for neuro rehabilitation takes account of research based evidence which shows that:</p><p> </p><p>- Rehabilitation in specialist settings for people with traumatic brain or spinal cord injury and stroke is effective and provides value for money in terms of reducing length of stay in hospital and reducing the costs of long-term care;</p><p>- Early transfer to specialist centres and more intense rehabilitation programmes are cost effective, the latter particularly in the small group of people who have high care costs due to very severe brain injury;</p><p>- Clinical and cost-benefits are similar for people with severe behavioural problems following brain injury; and</p><p>- Continued co-ordinated multidisciplinary rehabilitation in the community improves long-term outcomes and can help to reduce hospital re-admissions.</p><p> </p><p> </p><p>This specification is used within contracts held between NHS England and providers of neuro rehabilitation across England. Each region is responsible for monitoring the performance and quality outcomes of the service provided, as described within the specification.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/07/2017 12:39:01 answering member 4067 label Biography information for Steve Brine
tabling member	230 label Biography information for Mr Ben Bradshaw

753476

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will ensure that patients of the specialised paediatric respiratory and paediatric cystic fibrosis services at the Royal Brompton Hospital will be fully consulted by the panel established to consider the potential effect of NHS England's congenital heart disease proposals on those services.
tabling member constituency	Richmond Park
tabling member printed	Zac Goldsmith
uin	5674
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>This is a matter for NHS England. No decision has been made to close the Congenital Heart Disease (CHD) service at the Royal Brompton and Harefield NHS Foundation Trust.</p><p> </p><p>NHS England has advised that they have performed impact assessments for all centres which would be impacted by its CHD service change proposals if implemented. We have been informed by NHS England that these initial assessments acknowledged that there would be an impact on paediatric respiratory and cystic fibrosis services at the Royal Brompton, if NHS England’s proposals were implemented.</p><p> </p><p>NHS England has advised that a panel including respiratory clinicians and representatives from respiratory and cystic fibrosis patient and public groups has been created to assess the potential impact of its CHD service change proposals on the Royal Brompton’s paediatric respiratory services. This panel has arranged to visit the Royal Brompton in August and has requested to meet patients as a part of this.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 10:51:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4062 label Biography information for Lord Goldsmith of Richmond Park

753490

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to mitigate the effect of the capped expenditure process on diagnostic services for cancer.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5811
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>The Government is committed to increasing the National Health Service budget to ensure patients can get the care they need. NHS spending will increase by £8 billion in real terms by 2020-21, from a baseline of 2015-16 and for the first time to deliver an increase in real funding per head of the population for every year of the Parliament.</p><p> </p><p>As with all public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.</p><p> </p><p>NHS England has advised that none of the submitted plans will have a detrimental effect on diagnostic services for cancer. All NHS services must be consistent with the NHS Mandate and Constitution. But it is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, or reducing running costs – because this improves patient care overall.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 5747 question first answered 24/07/2017 09:11:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

753491

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services: Emergency Calls
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on 999 callers being assessed via video-call technology such as Skype to determine whether an ambulance should be sent; and if he will make a statement.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5748
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>The appropriate use of technology in the response to 999 calls is a matter for local National Health Service ambulance trusts, and this is not centrally monitored.</p><p> </p><p>It is vital that 999 callers receive the most appropriate clinical response, when they need it. We are advised that South Central Ambulance Service NHS Foundation Trust has been openly testing technology which enables clinicians to see and talk to responders and patients in appropriate situations, to triage patients better and organise the help that they need. This is not in place of sending an appropriate ambulance response.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 5850 5851 question first answered 24/07/2017 09:23:21 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

753493

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the NHS Mandate and Constitution continues to apply to areas subject to the capped expenditure process.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5747
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>The Government is committed to increasing the National Health Service budget to ensure patients can get the care they need. NHS spending will increase by £8 billion in real terms by 2020-21, from a baseline of 2015-16 and for the first time to deliver an increase in real funding per head of the population for every year of the Parliament.</p><p> </p><p>As with all public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.</p><p> </p><p>NHS England has advised that none of the submitted plans will have a detrimental effect on diagnostic services for cancer. All NHS services must be consistent with the NHS Mandate and Constitution. But it is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, or reducing running costs – because this improves patient care overall.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 5811 question first answered 24/07/2017 09:11:33 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

753494

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Property Services: Internet
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure transparency data on the NHS Property Services website is kept up to date.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5806
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>NHS Property Services (NHSPS) is aware that some of the published transparency data on its website such as company expenditure and contracts is not up to date. NHSPS is currently introducing new IT systems and platforms and has given a commitment to publish available data later this year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/07/2017 09:27:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

753495

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Service Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GP practices are subject to charges for unbilled historical service delivery.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5807
answer	answer is ministerial correction date of answer 24/07/2017 answer text <p>All general practitioner (GP) practices who are tenants in properties owned by the Department’s property companies - NHS Property Services (NHSPS) and Community Health Partnerships, which between them own about 20% of the GP estate in England - are subject to service charges related to their occupancy which are raised in the financial year to which they relate. Where these charges have not been paid in prior years they remain outstanding and overdue for payment. Occupiers are not currently charged interest on any overdue payments.</p><p> </p><p>The Department is aware that many GPs have complained through different channels about the impact of the introduction of the market rent model by NHSPS to the National Health Service in January 2016, which applies the property sector’s standard method of charging. It was part of a long-planned move across the public sector to improve utilisation and value for money in property occupancy by putting publicly-owned property on a level with privately-owned alternatives, the most common model of GP ownership.</p><p> </p><p>As part of the new market rents model, invoices should be based on accurate property information such as the precise amount of space used, as well as reflecting an assessment of the facilities provided for that space, e.g. cleaning, reception services and maintenance. This data was not always available in predecessor primary care trust or strategic health authority records.</p><p>Where an NHSPS building is leased to an NHS service provider the tenant pays rent, service charges and facilities management costs. However the rental, business rates and water and sewage elements of the charge are reimbursed back to the NHS service provider, via NHS England and the local clinical commissioning group. The Department has provided an additional £127 million to the NHS England Mandate with effect from 2016/17 financial year to fund these increased costs within the NHS of this policy change.</p><p> </p><p>Within the Premises Cost Direction 2013 under sections 46 and 47, there is the facility for the GP to apply to NHS England for transitional funding related to large increases to non-reimbursable charges such as the balance of the service charges and facilities management costs.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 5742 question first answered 24/07/2017 10:40:11 answering member 1542 label Biography information for Philip Dunne
tabling member	4418 label Biography information for Justin Madders

753496

registered interest
date	18/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Life Expectancy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the future trends in life expectancy.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	5808
answer	answer is ministerial correction date of answer 21/07/2017 answer text <p>The Office for National Statistics (ONS) has responsibility for estimating life expectany – both historical trends and future estimates. The Department uses the data that is produced by this source.</p><p> </p><p>The ONS produces an `Expectation of Life, Principal Projection, England’ data-set. This provides past and projected expectations of life from the most recent (2014 based) life table. Life tables describe the course of mortality throughout the life cycle. Period and cohort life tables are produced biennially based on assumptions for future mortality from the national population projections and are available at the following link:</p><p><a href="https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/lifeexpectancies/bulletins/pastandprojecteddatafromtheperiodandcohortlifetables/2014baseduk1981to2064" target="_blank">https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/lifeexpectancies/bulletins/pastandprojecteddatafromtheperiodandcohortlifetables/2014baseduk1981to2064</a></p><p>Life expectancy is higher now than it has ever been for both men and women, and is generally increasing in most areas – including deprived ones.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/07/2017 12:40:42 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders