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926796

	registered interest
	date	19/06/2018
	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: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to support hospitals in special measures.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	905932
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>Trusts in Special Measures are receiving increased support and intensive oversight from NHS Improvement to turn around their performance, including tailored improvement packages and Improvement Directors.</p><p> </p><p>22 trusts are now out of Special Measures for Quality since the programme began in 2013.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/06/2018 13:14:01 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

1083715

	registered interest
	date	07/03/2019
	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	Physiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To asks the Secretary of State for Health and Social Care, what the timetable is for the implementation of all of the pilots for first contact physiotherapy practitioners; and when the outcomes of those pilots will be reported.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	229698
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The First Contact Practitioners (FCP) pilot is part of NHS England’s plan to increase staff working in primary care to help ease pressure on general practice. FCPs are physiotherapists with advance practice, who are able to support patient management in primary care. To date, 41 of 42 physiotherapy practitioner pilot sites have commenced, with a further site scheduled to go live on 1 April 2019.</p><p> </p><p>An evaluation report is due to be completed in spring 2019, which is based on pilot site mobilisation. Evaluation will continue during 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/03/2019 10:51:39 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

932246

	registered interest
	date	28/06/2018
	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	Palliative Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with which stakeholders his Department will consult to develop new indicators on end of life care for inclusion in the Clinical Commissioning Group Improvement and Assessment Framework.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	158727
	answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>The NHS England End of Life Care team would consult with their Ambitions Partners (which includes professional bodies and third sector colleagues) as well as their clinical network colleagues across the country in such development. Information about the Ambitions Partners can be accessed at the following link:</p><p> </p><p><a href="http://endoflifecareambitions.org.uk/partners/" target="_blank">http://endoflifecareambitions.org.uk/partners/</a></p><p> </p><p>The current plan is to understand the outcomes from the indicator on proportion of people with three or more emergency admissions in 90 days of life before looking at further indicators for End of Life Care in the Clinical Commissioning Group Improvement and Assessment Framework.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2018 13:51:44 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

985678

	registered interest
	date	11/10/2018
	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	NHS: Negligence
	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 report on the Clinical Negligence Scheme for Trusts consultation by NHS Litigation Authority, published in October 2016, what progress has been made in assessing the methodology used to determine contributions setting to the Clinical Negligence Scheme for Trusts from NHS and non-NHS health providers.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	178274
	answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>The NHS Litigation Authority (NHS LA), known as NHS Resolution since 1 April 2017, handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>NHS Resolution has provided the following response.</p><p>Following the consultation on the Clinical Negligence Scheme for Trusts (CNST) in 2016, NHS Resolution has begun work on the findings. Two main areas of research have been whether staffing and activity are an appropriate measure of exposure to risk. NHS Resolution found that, amongst other providers of clinical negligence indemnity cover internationally, activity levels are a key feature of quantitative pricing approaches. An assessment of numbers of types of staff and their experience were more likely to be used in a qualitative review to adjust the price charged to providers of clinical care.</p><p>NHS Resolution also looked at maternity-related data sets to refine the approach to exposure so that it reflects indicators of safety. Studies of several available data sets were made, but were not found to be reliable indicators of exposure to risk to inform CNST pricing arrangements. An approach focused on incentivising the delivery of actions considered good practice by the NHS England Maternity Champions, other arm’s length bodies and the Royal Colleges, was developed and implemented from December 2017.</p><p>Since the consultation, other adjustments have been made to the CNST pricing methodology with respect to experience and exposure factors, the treatment of older and larger liabilities, and the appropriateness of breaking down the risk pool between smaller groups in line with the consultation response. Research to assess the efficacy of excesses has not been progressed.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 18/10/2018 16:20:27 answering member 4095 label Biography information for Steve Barclay
	tabling member	3957 label Biography information for Martin Vickers

985680

	registered interest
	date	11/10/2018
	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	NHS: Negligence
	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 report on the Clinical Negligence Scheme for Trusts (CNST) consultation by NHS Litigation Authority, published in October 2016, what steps his Department is taking to ensure that there is no gap in CNST cover when a patient is treated by an independent provider on behalf of the NHS.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	178275
	answer	answer is ministerial correction date of answer 18/10/2018 answer text <p>The NHS Litigation Authority, known as NHS Resolution from 1 April 2017, handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p> </p><p>NHS Resolution has provided the following response.</p><p> </p><p>Independent providers of NHS healthcare became eligible to join the Clinical Negligence Scheme for Trusts, administered by NHS Resolution on behalf of the Secretary of State, from 1 April 2013 in respect of their NHS work. Membership is not compulsory and providers may still purchase commercial insurance cover against clinical negligence liabilities if they wish to do so. It is the obligation of commissioners to ensure that providers have adequate indemnity or insurance cover.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 18/10/2018 16:21:19 answering member 4095 label Biography information for Steve Barclay
	tabling member	3957 label Biography information for Martin Vickers

1110760

	registered interest
	date	09/04/2019
	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	Pain: 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, with reference to the recommendations on page 75 of the Faculty of Pain Medicine published in The Core Standards for Pain Management Services and the recommendations on page 8 of the General Medical Council published in Good practice in prescribing and managing medicines and devices, what assessment he has made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	242797
	answer	answer is ministerial correction date of answer 12/04/2019 answer text <p>No specific assessment has been made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.</p><p> </p><p>Whilst ultimately a matter for local processes and individual clinicians, annual reviews of patients with long term conditions or ongoing medication needs are a routine part of patient care. Annual reviews are also a key feature in guidance on the management of long-term diseases and disorders produced by the National Institute for Health and Care Excellence (NICE), such as ‘Neuropathic pain in adults’, and in clinical guidance produced by other organisations. NICE is in the process of developing a new clinical guideline ‘Chronic pain: assessment and management’, due for publication in August 2020.</p><p> </p><p>More information about this work can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/indevelopment/gid-ng10069" target="_blank">www.nice.org.uk/guidance/indevelopment/gid-ng10069</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 12/04/2019 14:04:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3957 label Biography information for Martin Vickers

932248

	registered interest
	date	28/06/2018
	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, with reference to the paused national survey of bereaved people, whether he plans to run a re-commissioned survey.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	158729
	answer	answer is ministerial correction date of answer 05/07/2018 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.</p><p> </p><p>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. 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.</p><p> </p><p>Work is ongoing to resolve this matter, and a timetable for the publication of the next survey cannot be provided at this time. In the meantime NHS England is exploring the piloting of experience measures, including use of the VOICES survey, at a local level, in a number of National Health Service end of life care demonstrator sites.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 158728 question first answered 05/07/2018 13:46:09 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

1063932

	registered interest
	date	19/02/2019
	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	Pain: 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, with reference to the NHS Long Term Plan, what assessment he has made of the effect of developments in digital care on the provision of pain pathway services.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	223082
	answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223083 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
	tabling member	3957 label Biography information for Martin Vickers

905506

	registered interest
	date	16/05/2018
	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	World Health Assembly: Taiwan
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether his Department plans to support Taiwan's participation in the World Health Assembly; and if he will make a statement.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	144882
	answer	answer is ministerial correction date of answer 23/05/2018 answer text <p>The United Kingdom continues to support Taiwan’s meaningful participation in international organisations where statehood is not a prerequisite and where Taiwan can make a valuable contribution. The UK believes the World Health Assembly (WHA) meets these criteria.</p><p> </p><p>The Department has supported the Foreign and Commonwealth Office. We have worked with likeminded countries to lobby the World Health Organization at official level to issue an invitation to Taiwan to observe the WHA.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 144883 question first answered 23/05/2018 15:14:34 answering member 4067 label Biography information for Steve Brine
	tabling member	3957 label Biography information for Martin Vickers

1338122

	registered interest
	date	18/06/2021
	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	Coronavirus: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when the Government plans announce its choice of British lateral flow test after the signing of contracts in March 2021 with Omega Diagnostics and Global Access Diagnostics in order to meet the target of having the majority of UK lateral flow tests produced in the UK.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	uin	18511
	answer	answer is ministerial correction date of answer 12/07/2021 answer text <p>The Government continues to explore different operating models to make best use of the capacity created in the United Kingdom diagnostics manufacturing industry. There are a number of ongoing conversations between Global Access Diagnostics, Omega and third party test developers which we hope will provide opportunities to further increase UK manufacturing output of lateral flow tests.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 12/07/2021 09:23:55 answering member 4380 label Biography information for Jo Churchill
	tabling member	3957 label Biography information for Martin Vickers