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1055797

registered interest
date	06/02/2019
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	Dermatology: Waiting Lists
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 his Department has issued to NHS organisations on reducing waiting times for dermatology treatments.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	217638
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Clinical commissioning groups are putting in place initiatives to help better manage the increasing demand for dermatology services. This has included developing clear multidisciplinary pathways and care models that address patients’ physical and psychological needs, better use of teledermatology as well as a clear model for community dermatology; using nurses, pharmacists and general practitioners with extended roles to ensure that patients receive the right treatment and care in the most appropriate setting.</p><p> </p><p>The National Health Service has worked with local sites and published a handbook that describes what local health and care systems can do to transform dermatology elective care services at pace, why this is necessary and how the impact of this transformation can be measured. Practical guidance for implementing and adopting a range of interventions locally is included to help ensure patients see the right person, in the right place, first time.</p><p> </p><p>The dermatology handbook can be found on the NHS England website at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 217640 217641 question first answered 14/02/2019 11:57:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1055798

registered interest
date	06/02/2019
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	Dermatology: Vacancies
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 effect of workforce shortages in the NHS on the delivery of dermatology services.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	217639
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>It is the responsibility of National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p><p> </p><p>Dermatology is a highly competitive specialty training pathway and often oversubscribed. Nationally and locally there has been a 100% fill rate in dermatology training for the past four years. In May 2010 there were 464 full time equivalent dermatologists (doctors at the consultant grade) and in October 2018 there were 577 full time equivalent dermatologists – a 24% increase.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, working closely with Sir David Behan, to lead a number of programmes to engage with key NHS interests to develop a detailed workforce implementation plan. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff and skills required, build a supportive working culture in the NHS and ensure first rate leadership for NHS staff.</p><p> </p><p>Baroness Harding will present initial recommendations to the Department in spring 2019. A final workforce implementation plan will follow later in the year, taking into account the outcomes of the Spending Review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 14:57:28 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1055799

registered interest
date	06/02/2019
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	Dermatology: Waiting Lists
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 his Department is taking to ensure dermatology services meet the 95 per cent target of an 18 week waiting time from referral to treatment.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	217640
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Clinical commissioning groups are putting in place initiatives to help better manage the increasing demand for dermatology services. This has included developing clear multidisciplinary pathways and care models that address patients’ physical and psychological needs, better use of teledermatology as well as a clear model for community dermatology; using nurses, pharmacists and general practitioners with extended roles to ensure that patients receive the right treatment and care in the most appropriate setting.</p><p> </p><p>The National Health Service has worked with local sites and published a handbook that describes what local health and care systems can do to transform dermatology elective care services at pace, why this is necessary and how the impact of this transformation can be measured. Practical guidance for implementing and adopting a range of interventions locally is included to help ensure patients see the right person, in the right place, first time.</p><p> </p><p>The dermatology handbook can be found on the NHS England website at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 217638 217641 question first answered 14/02/2019 11:57:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1055801

registered interest
date	06/02/2019
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	Dermatology: Waiting Lists
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 his Department has taken to tackle variations in the 18-week referral to treatment waiting time for dermatology services.
tabling member constituency	Portsmouth South
tabling member printed	Stephen Morgan
uin	217641
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Clinical commissioning groups are putting in place initiatives to help better manage the increasing demand for dermatology services. This has included developing clear multidisciplinary pathways and care models that address patients’ physical and psychological needs, better use of teledermatology as well as a clear model for community dermatology; using nurses, pharmacists and general practitioners with extended roles to ensure that patients receive the right treatment and care in the most appropriate setting.</p><p> </p><p>The National Health Service has worked with local sites and published a handbook that describes what local health and care systems can do to transform dermatology elective care services at pace, why this is necessary and how the impact of this transformation can be measured. Practical guidance for implementing and adopting a range of interventions locally is included to help ensure patients see the right person, in the right place, first time.</p><p> </p><p>The dermatology handbook can be found on the NHS England website at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/dermatology-elective-care-handbook-v1.pdf</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 217638 217640 question first answered 14/02/2019 11:57:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	4653 label Biography information for Stephen Morgan

1055803

registered interest
date	06/02/2019
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	Parliamentary and Health Service Ombudsman
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 the Government is taking to ensure the effectiveness of the Parliamentary and Health Service Ombudsman.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	217538
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Parliamentary and Health Service Ombudsman carries out independent investigations about unfair or improper or poor service by United Kingdom Government departments and their agencies, and the National Health Service in England. The Ombudsman is independent of Government, accountable directly to Parliament through the Public Administration and Constitutional Affairs Committee.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 11/02/2019 15:08:49 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1055805

registered interest
date	06/02/2019
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	Dental Services: Fees and Charges
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 his Department is taking to ensure that people are not issued with a penalty charge for ticking the wrong box on the claim form when claiming for free dental care.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	217585
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217586 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101141 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1055806

registered interest
date	06/02/2019
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	Dental Services: Fees and Charges
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 press release entitled, Dentists welcome official investigation into fines hitting vulnerable NHS patients, published on 30 January 2019 by the British Dental Association; whether he has plans to simplify the process for claiming free dental care to reduce the number of fines issued for ticking the wrong box on dental forms.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	217586
answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>All National Health Service dental practices are required to display a poster showing patient charges and to offer patients a free leaflet which sets out in detail who is entitled to free NHS dental services. Information on exemptions and support for people who are on a low income can also be found at the following link:</p><p> </p><p><a href="http://www.nhs.uk/healthcosts" target="_blank">www.nhs.uk/healthcosts</a></p><p> </p><p>Eligibility checks are carried out on claims received for exemption from NHS Dental Patient Charges. Where eligibility cannot be verified, patients are asked to confirm their eligibility or to pay the relevant dental charge plus a penalty charge. Patients are, however, able to challenge penalty charges they believe are unjustified.</p><p> </p><p>The Department, NHS Business Services Authority and NHS England have recognised the concern that some patients may not be clear on whether they are exempt from charges and have been working to further improve the information available to patients around eligibility. This includes promoting an easy read patient information booklet, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 217585 question first answered 12/02/2019 11:41:21 answering member 4067 label Biography information for Steve Brine previous answer version 101142 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

1055819

registered interest
date	06/02/2019
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, pursuant to the Answer of 21 January 2019 to Question 209287 on NHS: Members' Constituency Work, when the NHS started to require hon. Members to have signed authority before replying to such Members on issues raised by constituents.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	217477
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>As set out in the answer of 21 January 2019 to Question 209287, there has been no change in policy with regards to obtaining consent of a patient for the purposes of an inquiry or investigation.</p><p> </p><p>Paragraph 24 of Schedule 1 to the Data Protection Act 2018 sets out the circumstances in which special categories of personal data, which would include health data, can be disclosed to Members of Parliament without the controller - here, the National Health Service body - having to obtain explicit consent from the data subject. This is discussed in the House of Commons Briefing Paper, Number 1,936 of 31 October 2018 ‘Data protection: constituency casework’ at the following link:</p><p> </p><p><a href="http://researchbriefings.files.parliament.uk/documents/SN01936/SN01936.pdf" target="_blank">http://researchbriefings.files.parliament.uk/documents/SN01936/SN01936.pdf</a></p><p> </p><p>However, it remains the responsibility of the National Health Service body to satisfy itself 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).</p><p> </p><p>In the earlier answers to Questions 209287 and <a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-questions-answers/?page=1&amp;max=20&amp;questiontype=AllQuestions&amp;house=commons%2clords&amp;uin=208761" target="_blank">208761</a>, we said that a National Health Service body ‘must’ obtain the consent of the patient before disclosing patient information held by it in order to progress an inquiry from a Member of Parliament. There are circumstances in which a National Health Service body may provide patient information to a Member of Parliament without the Member evidencing the 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. We are arranging for the record to be corrected.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/02/2019 16:44:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	432 label Biography information for Helen Jones

1055821

registered interest
date	06/02/2019
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	Strokes: Health Services
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 funding his Department has allocated to the development of a national stroke plan.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	217450
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>Improving care for people who suffer stroke, and preventing strokes, are priorities for the National Health Service as set out in the recently published NHS Long Term Plan. Building on the learning and success of the previous National Stroke strategy, NHS England will work with partners across the system to lead a programme which will drive the next step change in the care stroke patients receive. As well as significant investment in early cardiovascular disease detection and prevention, this will include funding major increases in the number of patients benefitting from potentially life-changing treatment to dissolve or remove blood clots. Further investment in higher intensity models for stroke rehabilitation will ensure patients have the best chance of returning to employment or independence, experiencing reduced disability and improved support for cognitive and psychological need.</p><p> </p><p>Further information on funding will be set out in the implementation framework for the Long Term Plan, due to be published in the spring.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/02/2019 17:30:56 answering member 4067 label Biography information for Steve Brine
tabling member	301 label Biography information for Richard Burden

1055824

registered interest
date	06/02/2019
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: Recruitment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the workforce implementation plan will include the level of investment required to fund proposed increases in NHS staffing levels.
tabling member constituency	Ipswich
tabling member printed	Sandy Martin
uin	217642
answer	answer is ministerial correction date of answer 13/02/2019 answer text <p>A final workforce implementation plan will be published later in the year, taking into account the outcomes of the Spending Review.</p><p> </p><p>We recognise the importance of workforce training to underpin effective long-term National Health Service planning. That is why we have already made commitments in this Spending Review into the next Spending Review period – for example on medical training places. At the forthcoming Spending Review, we will consider proposals from the NHS for a multi-year funding plan for clinical training places, based on the workforce requirements of the NHS plan.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 13/02/2019 15:00:40 answering member 1585 label Biography information for Stephen Hammond
tabling member	4678 label Biography information for Sandy Martin