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63897

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what mechanisms are in place to ensure that those clinical commissioning groups providing financial support to a neighbouring clinical commissioning group does not suffer a reduction in its own provision of services as a result.
tabling member constituency	Bristol North West
tabling member printed	Charlotte Leslie
uin	202462
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>NHS England has responsibility for clinical commissioning group (CCG) funding.</p><p> </p><p>We are informed by NHS England that there is no provision for financial support between CCGs, and therefore no regime for repayment and/or interest.</p><p> </p><p>CCGs are expected to live within the resources allocated to them, but in rare cases where this is not possible, and subject to detailed assurance by NHS England Area Teams, a deficit plan is agreed and centrally funded. CCGs are expected to repay such funding over an agreed timescale in accordance with an approved recovery plan. The same applies if a CCG with a planned surplus records a deficit in year.</p><p> </p><p>In some cases, neighbouring CCGs have opted to enter into risk sharing or investment pooling arrangements, for example, in the context of shared commissioning arrangements or to facilitate wider health economy transformation programmes. The precise arrangements for such risk sharing are a matter for local determination by the governing bodies concerned, and they would be expected to ensure that these agreements were transparently documented and did not impact adversely on patient services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 202339 202452 question first answered 30/06/2014 15:48:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3933 label Biography information for Charlotte Leslie

63899

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Voluntary Organisations
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 total value of public service contracts that were awarded by (a) his Department and (b) NHS bodies to voluntary sector organisations in the last year for which figures are available.
tabling member constituency	Burton
tabling member printed	Andrew Griffiths
uin	202408
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The total value of public service contracts awarded by the Department on voluntary sector organisations' contracts in 2012-13 was £39.77 million and for NHS bodies, which is taken to mean primary care trusts (PCTs), the equivalent was £542.76 million.</p><p> </p><p>Prior to their abolition in 2013, the vast majority of healthcare commissioned by the NHS was directly through PCTs, who were responsible for commissioning healthcare from providers based on the needs of their local population.<br><br></p><p>2013-14 information for both the Department and NHS bodies will not be available until the Department's Annual Report and Accounts 2013-14 are published later in the year.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/06/2014 16:44:45 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3936 label Biography information for Andrew Griffiths

63902

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department gathers on the number of people who move to another GP practice.
tabling member constituency	Isle of Wight
tabling member printed	Mr Andrew Turner
uin	202345
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The Health and Social Care Information Centre has advised that data on the number of people changing general practitioner practice each year is not collected centrally.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/06/2014 15:49:34 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1426 label Biography information for Mr Andrew Turner

63903

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many adults with autism in England receive support under the current social care system; and how many such adults will receive support under the system proposed in the Care Act 2014 Part 1 regulations.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	202344
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The Care Act 2014 will reform the care and support system for everyone, including adults with autism. The core principles of the Care Act 2014 and the regulations and statutory guidance which support its implementation are to maintain the wellbeing of people who have care and support needs and support them in living independent lives.</p><p>The draft regulations and guidance were co-produced with stakeholders, and this included engaging with the National Autistic Society. The Department is currently consulting on the regulations and statutory guidance that will support the implementation of the Care Act 2014. The public consultation started on 6 June and runs until 15 August 2014.</p><p> </p><p>The Health and Social Care Information Centre does not collect any data on the number of adults with autism receiving support under the current, or proposed, social care systems and therefore are unable to provide a response. The national eligibility criteria being introduced under the Care Act 2014 will allow local authorities to maintain levels of access for service users when they move from the current framework to the new care and support system in April 2015.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 202340 question first answered 30/06/2014 16:32:36 answering member 1439 label Biography information for Norman Lamb
tabling member	1569 label Biography information for Robert Flello

63906

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many clinical commissioning groups are running financial deficits requiring financial support from neighbouring clinical commissioning groups.
tabling member constituency	Bristol North West
tabling member printed	Charlotte Leslie
uin	202339
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>NHS England has responsibility for clinical commissioning group (CCG) funding.</p><p> </p><p>We are informed by NHS England that there is no provision for financial support between CCGs, and therefore no regime for repayment and/or interest.</p><p> </p><p>CCGs are expected to live within the resources allocated to them, but in rare cases where this is not possible, and subject to detailed assurance by NHS England Area Teams, a deficit plan is agreed and centrally funded. CCGs are expected to repay such funding over an agreed timescale in accordance with an approved recovery plan. The same applies if a CCG with a planned surplus records a deficit in year.</p><p> </p><p>In some cases, neighbouring CCGs have opted to enter into risk sharing or investment pooling arrangements, for example, in the context of shared commissioning arrangements or to facilitate wider health economy transformation programmes. The precise arrangements for such risk sharing are a matter for local determination by the governing bodies concerned, and they would be expected to ensure that these agreements were transparently documented and did not impact adversely on patient services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 202452 202462 question first answered 30/06/2014 15:48:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3933 label Biography information for Charlotte Leslie

63907

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of the proposed changes to the social care system in the Care Act 2014 Part 1 regulations on adults with autism.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	202340
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The Care Act 2014 will reform the care and support system for everyone, including adults with autism. The core principles of the Care Act 2014 and the regulations and statutory guidance which support its implementation are to maintain the wellbeing of people who have care and support needs and support them in living independent lives.</p><p>The draft regulations and guidance were co-produced with stakeholders, and this included engaging with the National Autistic Society. The Department is currently consulting on the regulations and statutory guidance that will support the implementation of the Care Act 2014. The public consultation started on 6 June and runs until 15 August 2014.</p><p> </p><p>The Health and Social Care Information Centre does not collect any data on the number of adults with autism receiving support under the current, or proposed, social care systems and therefore are unable to provide a response. The national eligibility criteria being introduced under the Care Act 2014 will allow local authorities to maintain levels of access for service users when they move from the current framework to the new care and support system in April 2015.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 202344 question first answered 30/06/2014 16:32:36 answering member 1439 label Biography information for Norman Lamb
tabling member	1569 label Biography information for Robert Flello

63908

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total cost to the NHS was of providing free flu vaccinations in each of the last four years for which figures are available.
tabling member constituency	Chelmsford
tabling member printed	Mr Simon Burns
uin	202341
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>NHS England spent a total of £251 million on immunisation programmes in 2013-14. Of this, £89 million is identifiable as relating to the purchase of flu vaccines for adults and the administration of flu vaccines for both adults and children.</p><p> </p><p>Vaccines for the national childhood immunisation programme, including for childhood flu immunisation from 2013-14, are purchased and managed by Public Health England on behalf of the Department and are not a cost for the National Health Service. The cost of the vaccine and its storage and distribution are commercially confidential.</p><p> </p><p>Data for NHS spend for the years prior to 2013-14 is not held centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 15:45:27 answering member 3918 label Biography information for Jane Ellison
tabling member	46 label Biography information for Sir Simon Burns

63909

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to begin negotiations with Novartis on the procurement of the vaccine for meningitis B as part of the primary infant immunisation schedule.
tabling member constituency	South Down
tabling member printed	Ms Margaret Ritchie
uin	202342
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The Government is taking the necessary steps to ensure this procurement is properly conducted.</p><p> </p><p>We are committed to introducing this vaccine in line with the Joint Committee on Vaccination and Immunisation's recommendation, subject to the vaccine being available at a cost-effective price.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 16:46:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

63910

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what contingency plans he has in place to deal with an outbreak of Ebola virus in the UK.
tabling member constituency	Watford
tabling member printed	Richard Harrington
uin	202299
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The National Health Service has plans in place to deal with patients with infectious diseases as part of its core business. This includes plans to manage patients in line with infection control procedures, and where necessary in highly specialist infectious diseases facilities.A patient with Ebola virus infection would be cared for in the national High Level Isolation Unit at the Royal Free Hospital in London. In the unlikely event of an outbreak involving more than two people, specialist staff at this unit are trained and prepared to look after patients safely in an isolation ward, which would be dedicated for this purpose.</p><p> </p><p>In the UK, the procedures outlined in the Advisory Committee on Dangerous Pathogens guidelines, “The Management of Hazard Group 4 viral haemorrhagic fevers and similar human infectious diseases of high consequence”, are followed for any suspected case.</p><p> </p><p>Public Health England has assessed the risk of importation of Ebola in the UK as very low. It is extremely unlikely that an outbreak of Ebola would occur in the UK even if there was to be an imported case, as there are factors operating in West Africa which would not be seen in the UK.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 15:56:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4068 label Biography information for Lord Harrington of Watford

63911

registered interest
date	25/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of (a) NHS staff, (b) pregnant women and (c) pensioners took up influenza vaccinations in each of the last four years for which figures are available.
tabling member constituency	Chelmsford
tabling member printed	Mr Simon Burns
uin	202301
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>Data for England on the number of seasonal influenza vaccinations administered by primary care and National Health Service trusts to target groups have been derived from the Annual Influenza Vaccine Uptake Reports published by Public Health England (PHE).</p><p> </p><p>Annual influenza vaccine uptake for healthcare workers (HCWs) (England) is reported in the following table. Influenza vaccination is offered to frontline healthcare or social care professionals directly involved in patient care.</p><p> </p><table><tbody><tr><td colspan="4"><p>Influenza vaccine uptake for frontline HCWs with direct patient care</p></td></tr><tr><td> </td><td><p>Number of HCWs With Direct Patient Care</p></td><td><p>Number of Vaccines Administered</p></td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2010/11</p></td><td><p>1,035,219</p></td><td><p>359,080</p></td><td><p>34.7</p></td></tr><tr><td><p>2011/12</p></td><td><p>1,023,679</p></td><td><p>456,542</p></td><td><p>44.6</p></td></tr><tr><td><p>2012/13</p></td><td><p>1,023,763</p></td><td><p>466,601</p></td><td><p>45.6</p></td></tr><tr><td><p>2013/14</p></td><td><p>974,632</p></td><td><p>534,090</p></td><td><p>54.8</p></td></tr></tbody></table><p> </p><p>Annual influenza vaccine uptake for pregnant women (England) are presented in the following table. Influenza vaccination has been offered to all pregnant women (includes those NOT in a clinical at-risk group and those IN a clinical at-risk group) since the 2010-11 flu season.</p><p> </p><table><tbody><tr><td colspan="4"><p>Influenza vaccine uptake for pregnant women</p></td></tr><tr><td> </td><td><p>Number of Patients Registered</p></td><td><p>Number of Vaccines Administered</p></td><td><p>Vaccine Uptake (%)</p></td></tr><tr><td><p>2010/11</p></td><td><p>318,562</p></td><td><p>121,164</p></td><td><p>38.0</p></td></tr><tr><td><p>2011/12</p></td><td><p>710,554</p></td><td><p>195,031</p></td><td><p>27.4</p></td></tr><tr><td><p>2012/13</p></td><td><p>713,740</p></td><td><p>287,561</p></td><td><p>40.3</p></td></tr><tr><td><p>2013/14</p></td><td><p>659,223</p></td><td><p>262,081</p></td><td><p>39.8</p></td></tr></tbody></table><p> </p><p>Annual influenza vaccine uptake for people aged 65 and over (England) are presented in the following table. Influenza vaccination is offered to this group.</p><p> </p><table><tbody><tr><td colspan="4"><p>Influenza vaccine uptake in those aged 65 years and over</p></td></tr><tr><td> </td><td><p>Number of Patients Registered</p></td><td><p>Number of Vaccines Administered</p></td><td><p>% Vaccine Uptake</p></td></tr><tr><td><p>2010/11</p></td><td><p>8,631,137</p></td><td><p>6,287,011</p></td><td><p>72.8</p></td></tr><tr><td><p>2011/12</p></td><td><p>9,138,632</p></td><td><p>6,764,364</p></td><td><p>74.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>9,377,661</p></td><td><p>6,881,636</p></td><td><p>73.4</p></td></tr><tr><td><p>2013/14</p></td><td><p>9,646,433</p></td><td><p>7,062,210</p></td><td><p>73.2</p></td></tr></tbody></table><p> </p><p><em>Source</em>: PHE Influenza Immunisation Vaccine Uptake Monitoring Programme</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/06/2014 15:23:56 answering member 3918 label Biography information for Jane Ellison
tabling member	46 label Biography information for Sir Simon Burns