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1171845
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Epilepsy: Drugs more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, for what reasons epilepsy is allocated one point in the General Medical Services Statement of Financial Entitlements (Amendment) Directions 2019; and what steps GPs take to ensure that women of child bearing age who are prescribed Valporate are enrolled in a pregnancy prevention programme. more like this
star this property tabling member constituency Lancaster and Fleetwood more like this
star this property tabling member printed
Cat Smith more like this
star this property uin 5459 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>Changes to the Quality and Outcomes Framework (QOF)- including allocation of points- are agreed as part of wider amendments to the General Medical Services (GMS) Contract. These changes are negotiated by NHS England and the British Medical Association’s (BMA) General Practitioners Committee England. Guidance on the 2019/20 GMS Contract concerning the QOF was published by the BMA and NHS England in April 2019. This guidance includes an epilepsy indicator which states that ‘the contractor establishes and maintains a register of patients aged 18 or over receiving drug treatment for epilepsy’. QOF points are generally weighted to the estimated workload associated with an indicator. Registers generally incur a lower workload than other indicators and therefore tend to attract a lower points value than other types of indicators.</p><p> </p><p>Care of patients with long term conditions in general practice is described in the essential services element of the contract and funded through the global sum payment. Patients should expect to receive high quality care irrespective of whether or not their condition is included in the QOF. The QOF indicators will continued to be reviewed going forward.</p><p> </p><p>It is a Care Quality Commission regulatory requirement for general practitioners (GPs) to follow the Medicines and Healthcare products Regulatory Agency’s (MHRA) guidance on valproate prescribing. The MHRA advises that ‘Valproate medicines must no longer be used in women or girls of childbearing potential unless a Pregnancy Prevention Programme is in place’.</p><p> </p><p>NHS England are also taking broader action to support implementation of the MHRA pregnancy prevention guidelines. In April 2019, they introduced a new Quality Improvement module on prescribing safety into the QOF. As part of this module they expect practices to audit three measures, one of which is that girls and women of childbearing potential currently being prescribed valproate have had an annual specialist medication review and are taking this in compliance with the pregnancy prevention programme as documented by a specialist in the annual risk acknowledgement form. It is the responsibility of every healthcare professional involved in the prescribing and dispensing of valproate medicines to make sure women are aware of the risks and are on the pregnancy prevention programme.</p><p> </p>
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property grouped question UIN 5460 more like this
star this property question first answered
less than 2020-01-23T17:19:31.45Zmore like thismore than 2020-01-23T17:19:31.45Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4436
unstar this property label Biography information for Cat Smith more like this
1171846
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Epilepsy: Drugs more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, for what reasons no points have been allocated to ongoing management for epilepsy medication in the General Medical Services contract Quality and Outcomes Framework. more like this
star this property tabling member constituency Lancaster and Fleetwood more like this
star this property tabling member printed
Cat Smith more like this
star this property uin 5460 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>Changes to the Quality and Outcomes Framework (QOF)- including allocation of points- are agreed as part of wider amendments to the General Medical Services (GMS) Contract. These changes are negotiated by NHS England and the British Medical Association’s (BMA) General Practitioners Committee England. Guidance on the 2019/20 GMS Contract concerning the QOF was published by the BMA and NHS England in April 2019. This guidance includes an epilepsy indicator which states that ‘the contractor establishes and maintains a register of patients aged 18 or over receiving drug treatment for epilepsy’. QOF points are generally weighted to the estimated workload associated with an indicator. Registers generally incur a lower workload than other indicators and therefore tend to attract a lower points value than other types of indicators.</p><p> </p><p>Care of patients with long term conditions in general practice is described in the essential services element of the contract and funded through the global sum payment. Patients should expect to receive high quality care irrespective of whether or not their condition is included in the QOF. The QOF indicators will continued to be reviewed going forward.</p><p> </p><p>It is a Care Quality Commission regulatory requirement for general practitioners (GPs) to follow the Medicines and Healthcare products Regulatory Agency’s (MHRA) guidance on valproate prescribing. The MHRA advises that ‘Valproate medicines must no longer be used in women or girls of childbearing potential unless a Pregnancy Prevention Programme is in place’.</p><p> </p><p>NHS England are also taking broader action to support implementation of the MHRA pregnancy prevention guidelines. In April 2019, they introduced a new Quality Improvement module on prescribing safety into the QOF. As part of this module they expect practices to audit three measures, one of which is that girls and women of childbearing potential currently being prescribed valproate have had an annual specialist medication review and are taking this in compliance with the pregnancy prevention programme as documented by a specialist in the annual risk acknowledgement form. It is the responsibility of every healthcare professional involved in the prescribing and dispensing of valproate medicines to make sure women are aware of the risks and are on the pregnancy prevention programme.</p><p> </p>
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property grouped question UIN 5459 more like this
star this property question first answered
less than 2020-01-23T17:19:31.503Zmore like thismore than 2020-01-23T17:19:31.503Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4436
unstar this property label Biography information for Cat Smith more like this
1171854
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Doctors: Pensions more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of reducing the annual allowance for pension growth on senior doctors and consultants in the NHS retiring early. more like this
star this property tabling member constituency Gower more like this
star this property tabling member printed
Tonia Antoniazzi more like this
star this property uin 5504 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p>
star this property answering member constituency Charnwood more like this
star this property answering member printed Edward Argar more like this
star this property grouped question UIN 5505 more like this
star this property question first answered
less than 2020-01-23T12:14:14.513Zmore like thismore than 2020-01-23T12:14:14.513Z
star this property answering member
4362
star this property label Biography information for Edward Argar more like this
star this property tabling member
4623
unstar this property label Biography information for Tonia Antoniazzi more like this
1171855
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Doctors: Pensions more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what representations he has received from senior doctors and consultants on changes to the NHS Pension Scheme. more like this
star this property tabling member constituency Gower more like this
star this property tabling member printed
Tonia Antoniazzi more like this
star this property uin 5505 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>The Department recognises that the annual allowance may contribute to decisions from National Health Service consultants to retire early or limit their NHS commitment. The Government is listening carefully to concerns raised by senior doctors and NHS employers about the tapered annual allowance.</p><p>In September 2019 guidance was issued by NHS Employers informing employers of the short-term approaches that they could take to mitigate the effect of pension tax on their workforce this tax year. The NHS has also implemented an immediate measure to preserve clinical capacity amid the increased pressure on services during the winter period. This will compensate NHS clinicians for the effect on their pensions of annual allowance charged incurred in 2019-20.</p><p>The Department has consulted on introducing flexibility within the NHS Pension Scheme from 2019/20 to allow clinicians affected by annual allowance tax charges to reduce their pension accrual in deciles in order to manage any potential annual allowance tax charges.</p><p>As part of a wider drive to ensure the NHS has the staff it needs to meet demand and transform care, the Government is carrying out an urgent review of the pensions annual allowance taper problem that has caused some doctors to turn down extra shifts for fear of high tax bills. On 13 January, Ministers held a roundtable with the Academy of Medical Royal Colleges, the British Medical Association and other representative organisations as part of this review to find a long-term solution.</p><p>The review will consider the findings from the Department’s consultation on pension flexibility and will report at the Budget on 11 March.</p><p> </p><p> </p><p> </p><p> </p>
star this property answering member constituency Charnwood more like this
star this property answering member printed Edward Argar more like this
star this property grouped question UIN 5504 more like this
star this property question first answered
less than 2020-01-23T12:14:14.563Zmore like thismore than 2020-01-23T12:14:14.563Z
star this property answering member
4362
star this property label Biography information for Edward Argar more like this
star this property tabling member
4623
unstar this property label Biography information for Tonia Antoniazzi more like this
1171869
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Accident and Emergency Departments: Standards more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what plans he has forreplacement for the four-hour A&E target time to improve the efficiency of (a) health services and (b) patient care. more like this
star this property tabling member constituency Ceredigion more like this
star this property tabling member printed
Ben Lake more like this
star this property uin 5506 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>At the Government’s request, NHS England and NHS Improvement are working with clinical leaders across the system to review our standards as part of the clinically-led review of access standards. The recommendations of the review will be carefully studied, and any recommended changes will be based on clinical evidence to ensure the best outcome for patients. We will update on this in due course.</p><p> </p><p> </p><p> </p> more like this
star this property answering member constituency Charnwood more like this
star this property answering member printed Edward Argar more like this
star this property question first answered
less than 2020-01-23T14:46:28.23Zmore like thismore than 2020-01-23T14:46:28.23Z
star this property answering member
4362
star this property label Biography information for Edward Argar more like this
star this property tabling member
4630
unstar this property label Biography information for Ben Lake more like this
1171937
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Ehlers-Danlos Syndrome: Health Services more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what support his Department provides to sufferers of Ehlers-Danlos syndrome; and if he will make a statement. more like this
star this property tabling member constituency Barnsley Central more like this
star this property tabling member printed
Dan Jarvis more like this
star this property uin 5426 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>Ehlers Danlos syndrome (EDS) comprises a group of rare inherited conditions affecting connective tissue. There are several different types of EDS and patients may be looked after by their general practitioners (GPs), in secondary care and in tertiary care.</p><p>Clinical commissioning groups (CCGs) commission secondary care services for patients who have EDS and NHS England commissions some specialist services for patients with EDS. A service for patients who have complex EDS is delivered by two centres in England (London North West University Healthcare Trust and Sheffield Children’s NHS Foundation Trust). The Complex EDS service provides diagnosis and advice to referrers on treatment and management of complex cases. Further information on EDS and the EDS Support Group can be found at the following link:</p><p><a href="https://www.nhs.uk/conditions/ehlers-danlos-syndromes/" target="_blank">https://www.nhs.uk/conditions/ehlers-danlos-syndromes/</a></p><p>The United Kingdom implements an overarching strategy recognising and responding to the needs of all those affected by rare diseases. The UK Strategy for Rare Diseases is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/rare-diseases-strategy" target="_blank">https://www.gov.uk/government/publications/rare-diseases-strategy</a></p><p> </p><p> </p>
star this property answering member constituency Bury St Edmunds more like this
star this property answering member printed Jo Churchill more like this
star this property question first answered
less than 2020-01-23T12:26:34.517Zmore like thismore than 2020-01-23T12:26:34.517Z
star this property answering member
4380
star this property label Biography information for Jo Churchill more like this
star this property tabling member
4243
unstar this property label Biography information for Dan Jarvis more like this
1171992
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Learning Disabilities Mortality Review Programme more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what his policy is on the future of the Learning Disability Mortality Review programme LeDeR. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 5377 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>NHS England and NHS Improvement are committed to the Learning Disabilities Mortality Review Programme, as set out in the NHS Long Term Plan, and will continue to use the existing methodology and an internet based platform going forward.</p><p>Additional resources and support have been given to clinical commissioning groups (CCGs), which includes entering into a contract with a Commissioning Support Unit, to complete historic reviews on behalf of CCGs.</p><p> </p><p> </p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
5378 more like this
5379 more like this
star this property question first answered
less than 2020-01-23T14:30:08.487Zmore like thismore than 2020-01-23T14:30:08.487Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
unstar this property label Biography information for Barbara Keeley more like this
1171993
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Learning Disabilities Mortality Review Programme more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what plans he has to tackle the backlog of cases for review under the LeDeR programme. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 5378 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>NHS England and NHS Improvement are committed to the Learning Disabilities Mortality Review Programme, as set out in the NHS Long Term Plan, and will continue to use the existing methodology and an internet based platform going forward.</p><p>Additional resources and support have been given to clinical commissioning groups (CCGs), which includes entering into a contract with a Commissioning Support Unit, to complete historic reviews on behalf of CCGs.</p><p> </p><p> </p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
5377 more like this
5379 more like this
star this property question first answered
less than 2020-01-23T14:30:08.533Zmore like thismore than 2020-01-23T14:30:08.533Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
unstar this property label Biography information for Barbara Keeley more like this
1171994
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Learning Disabilities Mortality Review Programme more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, how cases currently being reviewed under the Learning Disability Mortality Review Programme will be handled after the University of Bristol’s contract to administer that programme ends in May 2020. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 5379 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>NHS England and NHS Improvement are committed to the Learning Disabilities Mortality Review Programme, as set out in the NHS Long Term Plan, and will continue to use the existing methodology and an internet based platform going forward.</p><p>Additional resources and support have been given to clinical commissioning groups (CCGs), which includes entering into a contract with a Commissioning Support Unit, to complete historic reviews on behalf of CCGs.</p><p> </p><p> </p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property grouped question UIN
5377 more like this
5378 more like this
star this property question first answered
less than 2020-01-23T14:30:08.587Zmore like thismore than 2020-01-23T14:30:08.587Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
unstar this property label Biography information for Barbara Keeley more like this
1171995
star this property registered interest false more like this
unstar this property date less than 2020-01-20more like thismore than 2020-01-20
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care remove filter
star this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading Social Services: EU Nationals more like this
unstar this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, whether EU nationals living in the UK will be eligible to receive social care services after the UK leaves the EU. more like this
star this property tabling member constituency Worsley and Eccles South more like this
star this property tabling member printed
Barbara Keeley more like this
star this property uin 5380 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2020-01-23more like thismore than 2020-01-23
unstar this property answer text <p>European Union nationals living in the United Kingdom at the point of the UK leaving the EU, will be able to access social care services, as they do now. Where they do not already have citizenship they will be able to access adult social care services either by applying to the EU Settlement Scheme or where they have not already done so applying for citizenship.</p><p> </p> more like this
star this property answering member constituency Gosport more like this
star this property answering member printed Caroline Dinenage more like this
star this property question first answered
less than 2020-01-23T14:36:17.193Zmore like thismore than 2020-01-23T14:36:17.193Z
star this property answering member
4008
star this property label Biography information for Caroline Dinenage more like this
star this property tabling member
1588
unstar this property label Biography information for Barbara Keeley more like this