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1138647

registered interest
date	12/07/2019
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	Hearing Impairment: 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, pursuant to the Answer of 26 June 2019 to Question 269620 on Hearing Impairment, what steps his Department has taken to (a) issue and (b) promote commissioning guidance to clinical commissioning groups in relation to people with hearing loss.
tabling member constituency	Stroud
tabling member printed	Dr David Drew
uin	276507
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The Commissioning Framework for Hearing Loss Services was published in July 2016. The guidance has been shared with commissioners in England through usual channels. Third sector organisations also promoted the Framework as did hearing loss service providers. A launch event at Portcullis House hosted by the Chair of the All-Party Parliamentary Group on deafness and hearing loss was held on 19 July 2019 along with a number of events pre and post publication of the Framework, including a presentation to the British Academy of Audiology and attendance at the NHS Roadshow.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/07/2019 16:26:34 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	252 label Biography information for Dr David Drew

1138686

registered interest
date	12/07/2019
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	IVF
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 steps his Department has take to ensure equity of access to IVF treatment throughout England.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276552
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276556 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

1138691

registered interest
date	12/07/2019
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	IVF
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 prevent clinical commissioning groups from decommissioning IVF services.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	276556
answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 276551 276552 question first answered 16/07/2019 14:53:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4378 label Biography information for Colleen Fletcher

1138179

registered interest
date	10/07/2019
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	Dementia: 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, if he will make it is policy to introduce a dedicated dementia fund as recommended by the Alzheimer's Society.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	275693
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275694 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1198 label Biography information for Sir David Evennett

1138181

registered interest
date	10/07/2019
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	Dementia: Diagnosis and Health Education
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 steps his Department has taken to improve (a) awareness and (b) diagnosis of dementia.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	275694
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275695 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1198 label Biography information for Sir David Evennett

1138182

registered interest
date	10/07/2019
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	Dementia: 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 was spent on dementia care in (a) Bexley, (b) London and (c) England in each of the last five years.
tabling member constituency	Bexleyheath and Crayford
tabling member printed	Sir David Evennett
uin	275695
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>We have noted the recent Alzheimer’s Society report. We are committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform. One aspect of the dementia fund proposals was related to personal health budgets. Within Universal Personalised Care, we committed to exploring possible new rights to have personal health budgets in a further five areas across 2019-20, including dementia.</p><p>We continue to work with our partners to deliver in full the Challenge on Dementia 2020, which includes commitments to improve awareness of dementia. There are now more than 2.8 million people that are dementia friends and 365 areas in England have committed to become Dementia Friendly Communities.</p><p>The Challenge on Dementia 2020 sets out the ambition for two thirds of people with dementia to receive a formal diagnosis. This has been achieved nationally. Our focus now is on reducing the variation in local diagnosis rates, and NHS England have published guidance and put programmes in place to further improve the quality and timeliness of diagnosis across the country.</p><p>Information on how much funding was spent on dementia care in Bexley, London and England is not available centrally. NHS England allocates funding to clinical commissioning groups (CCGs) which commission services on behalf of their local populations. It is for CCGs to decide how best to use the funding allocated to them in line with local healthcare needs and priorities, working with other local commissioners and organisations.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 275693 275694 question first answered 15/07/2019 15:18:25 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1198 label Biography information for Sir David Evennett

1137733

registered interest
date	09/07/2019
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	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, if he will bring forward legislative proposals to ensure that parents are responsible for the end-of-life decisions for their child.
tabling member constituency	Wansbeck
tabling member printed	Ian Lavery
uin	275196
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>There are no plans to change the existing well-established principles around consent to treatment on behalf of children or to bring forward legislation. The principles around consent to treatment or refusal of treatment apply to both general treatment and the very difficult decisions around end of life.</p><p>It is a general legal and ethical principle that valid consent must be obtained from an individual or, where the individual is not competent to make such decisions, from someone acting on the individual’s behalf, before starting a treatment or physical intervention.</p><p>However, those under 16 are not automatically presumed to be legally competent to make decisions about their healthcare. Where someone under 16 is not considered competent to give consent for themselves, the existing principle is that consent should be sought from a person with parental responsibility although in certain circumstances this can be overruled by the courts.</p><p>In ‘Our Commitment to you for end of life care’, we set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality personalised care a reality for all. This includes ensuring that patients, careers and families, including parents, are at the centre of care decision making.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/07/2019 15:20:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4139 label Biography information for Ian Lavery

1137795

registered interest
date	09/07/2019
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: WiFi
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 ensure that NHS wifi is rolled out to every (a) general practitioner practice and (b) community, mental health and acute NHS trust in Nottinghamshire.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	275243
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>NHS Digital has advised that both Nottingham University Hospitals NHS Trust and Nottinghamshire Healthcare NHS Foundation Trust offer a free WiFi service. 97% (143 out of 147) general practitioner (GP) practices in Nottinghamshire offer a free WiFi service. NHS Digital is supporting Bassetlaw Clinical Commissioning Group in enabling the remaining 4 GP practices to implement free WiFi services by September 2019. All community, mental health and acute trusts in Nottinghamshire are live with NHS WiFi services.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/07/2019 14:14:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4663 label Biography information for Ben Bradley

1137416

registered interest
date	08/07/2019
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	Accelerated Access Collaborative
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 (a) the criteria and (b) the timelines for products to be considered in (i) the current and (ii) future review rounds of the Accelerated Access Collaborative.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	274540
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>In October 2018, the Accelerated Access Collaborative (AAC) announced it was supporting the uptake of 12 high performing products, with the potential to improve the lives of up to 500,000 patients per year and save the National Health Service £30 million per year in England. All the products currently being supported by the AAC have been recommended by the National Institute for Health and Care Excellence, and therefore evidence on clinical benefits and cost savings were considered as part of the process.</p><p>The AAC board met on 26 June and had a positive discussion about future products and expects to announce further products later this year.</p><p>The AAC will consider the following areas of interest when determining which products to support:</p><p>- evidence of clinical and cost effectiveness;</p><p>- addressing significant unmet need;</p><p>- application to large populations or high budget impact; and</p><p>- enabling a novel mode of action or enabling significant changes to the care pathway.</p><p> </p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 15/07/2019 15:23:36 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4131 label Biography information for Jim Shannon

1137450

registered interest
date	08/07/2019
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	Learning Disability: Community Care
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 an assessment of the potential merits of reforming the social care system to allow people with learning disabilities to be supported in their communities rather than in inpatients units.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	274583
answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>‘Building the Right Support’, published in 2015 by NHS England, the Local Government Association and the Association of Directors of Adult Social Services is the national plan in England for reducing the number of people with learning disabilities or autistic people who are in a mental health inpatient setting. It set out a clear framework for commissioners to reduce inpatient capacity by developing more community services for people with learning disabilities or autistic people with behaviour that challenges.</p><p>The NHS Long Term Plan commits to implementing the ‘Building the Right Support’ plan in full, achieving a 50% reduction in the number of people with a learning disability or autism who are inpatients in mental health settings (compared to the figure in 2015) by the end of 2023/24 and ensuring that every local economy has specialist community provision. NHS Planning Guidance for 2019/20 requires the National Health Service to achieve a 35% reduction as quickly as possible and no later than the end of 2019/20.</p><p>The Department will hold NHS England and all other delivery partners to account on achieving this.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 274584 question first answered 15/07/2019 15:21:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4490 label Biography information for Dame Andrea Jenkyns