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910215

registered interest
date	23/05/2018
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	Nurses: Apprentices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance NHS Employers has issued on the recommended wage rate for nursing associate apprentices in (a) 2017-18 and (b) 2018-19.
tabling member constituency	Ashton-under-Lyne
tabling member printed	Angela Rayner
uin	147464
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Pay rates for apprentices are set by individual trusts at local level. NHS Employers have issued interim guidance to National Health Service employers on pay for nursing associates suggesting employers pay an interim pay rate for new entrants of Band 3.</p><p> </p><p>Negotiations continue as part of the reform of the Agenda for Change contract to agree guidance on NHS apprentice pay at a national level, which will be decided by the NHS Staff Council.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 04/06/2018 09:49:58 answering member 4095 label Biography information for Steve Barclay
tabling member	4356 label Biography information for Angela Rayner

910220

registered interest
date	23/05/2018
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	Hospitals: Closures
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 publish the (a) names, (b) postcodes and (c) year of closure of the hospitals that closed between 2010 and 2018.
tabling member constituency	Normanton, Pontefract and Castleford
tabling member printed	Yvette Cooper
uin	147336
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The information is not held centrally.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 04/06/2018 09:52:13 answering member 4095 label Biography information for Steve Barclay
tabling member	420 label Biography information for Yvette Cooper

910221

registered interest
date	23/05/2018
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	Accident and Emergency Departments: Closures
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 publish the (a) names, (b) postcodes and (c) year of closure of the A&Es that closed between 2010 and 2018.
tabling member constituency	Normanton, Pontefract and Castleford
tabling member printed	Yvette Cooper
uin	147337
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>This information is not held centrally.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 04/06/2018 09:51:11 answering member 4095 label Biography information for Steve Barclay
tabling member	420 label Biography information for Yvette Cooper

909309

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	Muscular Dystrophy: Medical Treatments
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 take steps to ensure NICE evaluates all treatments for duchenne muscular dystrophy by the same criteria.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	146853
answer	answer is ministerial correction date of answer 31/05/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for the development of authoritative, evidence-based guidance for the National Health Service on whether drugs and treatments represent an effective use of resources.</p><p> </p><p>Drugs for the treatment of Duchenne muscular dystrophy selected for referral to NICE are assessed using NICE’s standard methods and processes for the relevant guidance programme. Most of the treatments NICE assesses are appraised through its technology appraisal programme, but NICE also operates a separate highly specialised technology programme for the evaluation of a small number of very high cost drugs for very small patient populations. Decisions about the most appropriate programme for assessment of individual treatments, including for Duchenne muscular dystrophy, are taken following consideration against published criteria, including the size of the eligible patient population, and engagement with stakeholders.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/05/2018 11:17:29 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

909310

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	Rare Diseases: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, in what circumstances NHS England and manufacturers are able to negotiate managed access agreements as part of an evaluation of a highly specialised technology; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	146854
answer	answer is ministerial correction date of answer 31/05/2018 answer text <p>The National Institute of Health and Care Excellence (NICE) has historically taken decisions based on whether, at the price proposed by a company, the value proposition of the treatment for the National Health Service is commensurate with the evidence of benefit and level of certainty.</p><p> </p><p>Since the establishment of the NHS England commercial development team in 2017, NICE has a third option, in circumstances where an improvement in the value proposition might successfully address issues that would otherwise lead to a negative decision. In those circumstances, NICE informs NHS England who hold negotiations with the company and if an improved value proposition can be agreed, NICE can make its final decision in light of the agreed improvements.</p><p> </p><p>Those agreements are contained within a managed access agreement (MAA) which typically includes clinical starting and stopping criteria, patient consent and data collection, and confidential commercial terms agreed between the manufacturer and NHS England. These provide a time-limited period of access pending a reappraisal at the end of the MAA period using the improved evidence from the period of routine commissioning.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/05/2018 11:19:37 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

909311

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	Ataluren
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 list all signatories to the managed access agreement between NHS England and PTC Therapeutics for the drug Translarna.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	146855
answer	answer is ministerial correction date of answer 31/05/2018 answer text <p>The Managed Access Agreement relating to Translarna for the treatment of nonsense mutation Duchenne muscular dystrophy, including a list of signatories, is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/hst3/resources" target="_blank">https://www.nice.org.uk/guidance/hst3/resources</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/05/2018 11:14:45 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

909312

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	Compulsorily Detained Psychiatric Patients
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the annual statistics published by NHS Digital entitled Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and patients subject to Supervised Community Treatment, what legislation patients are detained under when they are detained under previous legislation (Fifth Schedule) and other Acts; and what safeguards are in place to ensure that those patients are appropriately detained.
tabling member constituency	Canterbury
tabling member printed	Rosie Duffield
uin	146959
answer	answer is ministerial correction date of answer 25/05/2018 answer text <p>The publication Inpatients Formally Detained in Hospitals Under the Mental Health Act 1983 and patients subject to Supervised Community Treatment was superseded in 2017 by Mental Health Act Statistics, Annual Figures.</p><p> </p><p>NHS Digital’s data definition for “previous legislation (Fifth Schedule of the Act)” refers to people admitted to hospital under the Mental Health Act 1959 under transitional arrangements in place when the 1983 Act came into force. Its definition of &quot;other Acts&quot; includes Criminal Procedure (Insanity and Unfitness to Plead) Act 1991, Section 47 of the National Assistance Act 1948, Sections 1, 2 or 12 of the Children and Young Persons Act 1969, Children Act 1989, and Section 3 of the Powers of Criminal Courts Act 1973.</p><p> </p><p>The operation of the other Acts named, where they remain extant, is a matter for other Government departments.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/05/2018 10:34:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4616 label Biography information for Rosie Duffield

909313

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	Dental Services and Prescriptions: Universal Credit
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 provision for free prescriptions and dental treatment for people on universal credit whose earnings are less than £435 a month.
tabling member constituency	Oldham West and Royton
tabling member printed	Jim McMahon
uin	146940
answer	answer is ministerial correction date of answer 31/05/2018 answer text <p>Claimants of Universal Credit are entitled to free National Health Service prescriptions and free dental care if their earnings for the most recent assessment period are below prescribed earnings thresholds.</p><p> </p><p>A claimant would be entitled to free NHS prescriptions and/or free NHS dental care if their earnings during that period were:</p><p>- £435 or less;</p><p>- £935 or less if their Universal Credit includes an element for either:</p><p>- A child; or</p><p>- Limited capability for work.</p><p> </p><p>The Department will keep the earnings thresholds under review on an annual basis.</p><p> </p><p>Patients in receipt of Universal Credit who do not qualify for this help may qualify for help through the NHS Low Income Scheme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 31/05/2018 11:31:51 answering member 4067 label Biography information for Steve Brine
tabling member	4569 label Biography information for Jim McMahon

909344

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	National Survey of Bereaved People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the timetable is for the next publication of the National Survey of Bereaved People (VOICES).
tabling member constituency	Rotherham
tabling member printed	Sarah Champion
uin	146871
answer	answer is ministerial correction date of answer 25/05/2018 answer text <p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter, and a timetable for the publication of the next survey cannot be provided at this time.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/05/2018 13:53:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4267 label Biography information for Sarah Champion

909449

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	Devon and Cornwall Ambulance Service
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 improve ambulance response times by Devon and Cornwall Ambulance Service.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Luke Pollard
uin	146984
answer	answer is ministerial correction date of answer 31/05/2018 answer text <p>Following an independent evaluation of extensive trials, the Government agreed NHS England’s recommendation to implement an improved ambulance performance framework in July 2017. All mainland ambulance services adopted the new standards by November 2017.</p><p> </p><p>The framework prioritises responses to the sickest patients while helping reduce long waits for ambulance responses, and ensures patients receive the response that they need the first time. Ambulance services are performing well as they adapt to the new system, and are demonstrating improving performance across the board on all measures.</p><p> </p><p>NHS England and NHS Improvement continue to support the South Western Ambulance Service NHS Foundation Trust to adapt to the new framework, including the review of staff rotas and vehicle fleets to include more double crewed ambulances which has resulted in increase in staff in some areas. The Trust is also working with local commissioners to create a joint plan to support improvements in performance and ensure adequate resources to deliver against the standards.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 146985 question first answered 31/05/2018 15:14:51 answering member 4095 label Biography information for Steve Barclay
tabling member	4682 label Biography information for Luke Pollard