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1131610

	registered interest
	date	12/06/2019
	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	Health Services: Autism and Learning Disability
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers for (i) learning disabilities and (ii) autism services were rated as inadequate by the Care Quality Commission in each of the last three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263786
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:32:20 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1131611

	registered interest
	date	12/06/2019
	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	Mental Health Services: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many patient placements commissioned by NHS England through (a) central and (b) local commissioning functions on hospital wards run by independent providers providing services for children and young people with mental health conditions were rated as inadequate by the Care Quality Commission in each of the last three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263787
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>This data is not collected centrally. The Care Quality Commission (CQC) rating of all providers – both National Health Service and independent sector - will vary over time and between the CQC’s visits. There is a clear process to be followed should a provider receive an inadequate rating to understand the reasons for that rating and the impact on patient care in that unit. This review will inform any required commissioner action.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:33:43 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1131616

	registered interest
	date	12/06/2019
	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: Legal Costs
	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 money was spent by (a) NHS England, (b) NHS Trusts, (c) Health Education England and (d) NHS Improvement on the services of (a) Bevan Brittan, (b) Mills & Reeve, (c) DAC Beechcroft, (d) Hempsons, (e) Capsticks and (f) Hill Dickinson in relation to employment and whistleblower disputes in each of the last five years.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	263752
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The arm’s length bodies concerned do not collect information in a way that would enable them to answer this question in the format requested.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/06/2019 15:42:04 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1439 label Biography information for Norman Lamb

1131666

	registered interest
	date	12/06/2019
	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	Arthritis: Diagnosis
	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 assessment he has made of the effectiveness of training for GPs in the early diagnosis of rheumatoid arthritis.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263716
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263717 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

1131669

	registered interest
	date	12/06/2019
	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	Rheumatology
	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 adequacy of access to specialist rheumatologists.
	tabling member constituency	Rochdale
	tabling member printed	Tony Lloyd
	uin	263717
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>General practice is where most patients with musculoskeletal conditions, including rheumatoid arthritis (RA) are likely to be managed, and the condition is identified as a key area of clinical knowledge in the Royal College of General Practitioners’ Advanced Knowledge Test (AKT) content guide. The AKT is a summative assessment of the knowledge base that underpins general practice in the United Kingdom within the context of the National Health Service and is a key part of general practitioner’s qualifying exams.</p><p>No specific assessment has been made on the adequacy of access to specialist rheumatologists, however the National institute for Health and Care Excellence’s (NICE) Quality Standard ‘Rheumatoid arthritis in over 16s’, updated in July 2018, emphasises the need for early for urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis within three weeks.</p><p>In May 2018, a new three-year Rheumatoid and Early Inflammatory Arthritis Audit was commissioned by the Healthcare Quality Improvement Partnership. The Audit aims to improve the quality of care for people living with inflammatory arthritis, collecting information on all new patients over the age of 16 in specialist rheumatology departments with suspected inflammatory arthritis in England and Wales using criteria derived from sources, including the NICE rheumatoid arthritis Quality Standard. This includes assessment against the NICE standard stating that patients with suspected with RA should be seen within three weeks of referral to a rheumatology service.</p><p>More information can be found at the following link:</p><p><a href="http://www.rheumatology.org.uk/Knowledge/Excellence/Audits" target="_blank">www.rheumatology.org.uk/Knowledge/Excellence/Audits</a></p><p>The findings of the Audit are due to be published in October 2019. However, previous Audit reports can be found at the following link:</p><p><a href="http://www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory" target="_blank">www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory</a></p><p> </p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263716 question first answered 17/06/2019 14:54:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	450 label Biography information for Tony Lloyd

1131710

	registered interest
	date	12/06/2019
	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	Haematological Cancer: 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 many people who have been diagnosed with blood cancer were offered a holistic needs assessment in (a) 2016, (b) 2017 and (c) 2018.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263851
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Data is currently being analysed on the number of Holistic Needs Assessments (HNAs) being recorded by National Health Service trusts. This data only became required from April 2018 as part of the Public Health England Cancer Outcomes and Services Dataset therefore figures from before this date will be incomplete. A baseline survey of NHS trusts for January to March 2017 indicated that around 30% of blood cancer patients are offered an HNA. Since then, Cancer Alliances have been rolling out HNA along with other personalised care interventions, therefore it is expected that this figure will now be higher.</p><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:33:40 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131714

	registered interest
	date	12/06/2019
	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	Cancer: 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, what is routinely offered to patients as part of the holistic needs assessment to help provide emotional and psychological support during and after a cancer diagnosis and treatment.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263855
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>When a person has a Holistic Needs Assessments (HNA) they are asked to identify any concerns from a checklist which will normally include emotional, relationship and spiritual concerns. People can of course, raise concerns at any time with their general practitioner or hospital team, not just when an HNA is being done. This should lead to actions being agreed in a personalised care and support plan that includes appropriate action to support the person with their psychosocial or mental health needs. For example:</p><p>- Signposting a person to peer support or cancer ‘buddies’ through patient groups, online forums etc;</p><p>- Signposting a person to a cancer support centre such as Maggie’s or a Macmillan Information centre;</p><p>- Providing training in relaxation techniques, problem solving and coping strategies;</p><p>- Referring a person to professional support in the form of emotional and basic psychological support from a clinical nurse specialist, or counselling from a trained professional such as a clinical psychologist; and</p><p>- Referring a person to professional support in the form of services for more serious mental health needs.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/06/2019 15:23:12 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131717

	registered interest
	date	12/06/2019
	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	Cancer: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many times on average children and young people have seen their GP before being diagnosed with (a) cancer and (b) blood cancer in each of the last five years.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263858
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263859 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131718

	registered interest
	date	12/06/2019
	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	Cancer: Children and Young 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 average stage is of (a) cancer and (b) blood cancer diagnosed in children and young people.
	tabling member constituency	Coventry North East
	tabling member printed	Colleen Fletcher
	uin	263859
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The information requested is not held centrally.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 263858 question first answered 17/06/2019 15:21:46 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4378 label Biography information for Colleen Fletcher

1131729

	registered interest
	date	12/06/2019
	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	Health: Children
	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 implications for his policies of the findings on children's mental and physical health in Poverty dynamics and health in late childhood in the UK: evidence from the Millennium Cohort Study, published by the British Medical Journal on June 11th 2019; and if he will make a statement.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	263746
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>There has been no current assessment of this report. The evidence is clear that income and physical and mental health outcomes are closely associated. The NHS Long Term Plan for the National Health Service, backed by an extra £33.9 billion a year in cash terms by 2023/24, puts prevention at its heart and early intervention is key. The Government is supporting this with an additional £2.3 billion a year to expand mental health services and help ensure 345,000 more children and young people under 25 receive mental health support by 2023/24. Tackling the root cause of poverty remains a priority for this Government and some families need more support. The Government is continuing to spend £95 billion a year on working-age benefits and provide free school meals to more than one million of the country’s most disadvantaged children.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:51:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly