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759720

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 July 2017 to Question 3138, if he will publish the constituent costs which make up the sum referred to as the forecast costs for the set-up of the new NHS Intelligent Client Coordinator body.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10085
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The constituent activities underpinning the forecast cost for the setup of the new NHS Intelligent Client Coordinator body can be categorised into Design, Build, and Support (time limited) activities. As one provider has been selected to undertake these activities through a competitive process, the associated costs are commercially sensitive and therefore cannot be publicly disclosed.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:57:50 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759727

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 29 June 2017 to Question 820, on NHS: finance, what recent assessment he has made of the effect of the UK leaving the EU on future funding for the NHS.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10086
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>In line with the rest of Government, the Department is analysing the impact of the United Kingdom’s withdrawal from the European Union. For the Department this includes understanding the financial implications of Brexit for the National Health Service and wider care system and, where appropriate, mitigating for any risks associated with different negotiated options.</p><p> </p><p>The Department is working to ensure the best outcome for the health and social care system. All relevant policy teams within the Department are involved with this work and are assessing the implications of the UK leaving the EU on their area. This includes working with NHS England and other arm’s length bodies.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:59:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759728

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Countess of Chester Hospital NHS Foundation Trust: Maternity Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 July 2017 to Question 3375, on Chester Hospital: maternity services, what recent progress has been made on that investigation.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10087
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The investigation by Cheshire Constabulary into a number of baby deaths occurring between June 2015 and June 2016 in the neonatal unit of the Countess of Chester Hospital remains on-going since my previous response in July 2017. We are not able to provide any further details regarding recent progress at this time.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:45:54 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759722

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Reciprocal Arrangements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 12 July 2017 to Question 2509, on health services: reciprocal arrangements, if he will provide the data referred to for 2016-17.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10089
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The figures for the United Kingdom’s claims against European Economic Area (EEA) member states and Switzerland for medical costs for 2016/17 are attached.</p><p> </p><p>As stated in the response to Question 2509, under European Union Regulations, other European Economic Area (EEA) countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law. This includes UK nationals insured in another EEA country or Switzerland. In the same way, the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under EU law, irrespective of nationality.</p><p> </p><p>The European Health Insurance Card (EHIC) will cover any necessary treatment – including pre-existing medical conditions and routine maternity care - until the holder returns home.</p><p> </p><p>It is not possible to separate out claims to other EEA countries from the UK solely linked to EHIC usage. Claims by, and to, the UK for treatment relating to EHICs, are included in a larger category which also includes pre-authorised planned treatments and coverage for posted and frontier workers. It should be noted that Member States, including the UK, can submit claims up to 18 months in arrears so claims for any 12 month period do not necessarily reflect treatment provided in that period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:15:50 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ10089 attached table.xlsx title PQ10089 attached table
	tabling member	4418 label Biography information for Justin Madders

759734

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent representations he has received on IVF commissioning.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10097
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10207 10208 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759744

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many clinical commissioning groups comply fully with NICE recommendations on the commissioning of IVF.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10207
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10208 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759745

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on IVF therapy being restricted to women aged between 30 and 35.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10208
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10207 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759746

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Prisons
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of recruitment and retention levels in the prison health system; and if he will make a statement.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10209
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is expected that all prisons have access to a full range of health professionals as per services within the community.</p><p> </p><p>Since 2013, NHS England has been responsible for commissioning all healthcare services for prisoners in England. Services are commissioned for individual prisons by NHS England’s local commissioners, based on a local health needs assessment which informs the provision of services required.</p><p> </p><p>NHS England has commissioned a report looking at the workforce, market management and recruitment and retention in the adult prison estate in England, to support providers in their recruitment approaches.</p><p> </p><p>The information on the number of National Health Service staff seconded to, and the number of full time general practitioners working in the prison health system is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10210 10227 question first answered 18/09/2017 14:23:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4418 label Biography information for Justin Madders

759747

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Prisons
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS staff are seconded to the prison health system.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10210
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is expected that all prisons have access to a full range of health professionals as per services within the community.</p><p> </p><p>Since 2013, NHS England has been responsible for commissioning all healthcare services for prisoners in England. Services are commissioned for individual prisons by NHS England’s local commissioners, based on a local health needs assessment which informs the provision of services required.</p><p> </p><p>NHS England has commissioned a report looking at the workforce, market management and recruitment and retention in the adult prison estate in England, to support providers in their recruitment approaches.</p><p> </p><p>The information on the number of National Health Service staff seconded to, and the number of full time general practitioners working in the prison health system is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10209 10227 question first answered 18/09/2017 14:23:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4418 label Biography information for Justin Madders

759742

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that clinical commissioning groups follow NICE recommendations on the commissioning of IVF.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10220
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10207 10208 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders