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670791

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the Government plans to publish a new Tobacco Control Plan for England.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	59260
answer	answer is ministerial correction date of answer 13/01/2017 answer text <p>The Government is developing a new tobacco control plan, which will be published shortly.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 13/01/2017 10:40:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4126 label Biography information for Mary Glindon

670793

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Arthritis: Rheumatology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to ensure that patients with early inflammatory arthritis are referred from their GP to rheumatology services within three days.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	59296
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>The Department has not published any specific piece of guidance in relation to early inflammatory arthritis. However, evidence-based clinical guidance is published by the National Institute for Health and Care Excellence (NICE) and is disseminated to general practitioners and other health care professionals.</p><p> </p><p>To help clinicians identify the symptoms of rheumatoid arthritis and make prompt referrals to specialists, NICE published Rheumatoid arthritis: The management of rheumatoid arthritis in adults in 2009. This best practice guideline sets out the signs and symptoms of the disease and emphasises the need for early diagnosis with urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis. For those diagnosed with the condition, the guidance also recommends they should be offered the opportunity to take part in educational activities, including self-management programmes.</p><p> </p><p>The NICE Rheumatoid Arthritis Quality Standard, published in 2013, is based on the NICE guideline. One of the seven quality statements it includes recommends that people with suspected persistent synovitis affecting the small joints of the hands or feet, or more than one joint, are referred to a rheumatology service within three working days of presentation. Although providers and commissioners must have regard to these standards in planning and delivering services, they do not provide a comprehensive service specification and are not mandatory.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 18/01/2017 12:03:43 answering member 4080 label Biography information for David Mowat
tabling member	1583 label Biography information for Ms Lyn Brown

670794

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of patients who used accident and emergency services in England were not registered with a GP or primary care provider; and how many of those patients were non-UK nationals in each year from 2010 to 2015.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	59288
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>The attached document shows the following information:</p><p> </p><p>- Total count of Unplanned A&amp;E Attendances in each year</p><p>- A count of attendances where the patient GP Practice has been recorded as V81997 - No registered GP Practice, broken down by the Commissioning Region of residence of the patient for each year.</p><p> </p><p>This data does not represent the number of patients, as an individual may have more than one attendance at accident and emergency in any given period.</p><p> </p><p>Please be aware of the following when interpreting the data:</p><p>The Commissioning Region of residence is derived from the patient’s postcode of home address. A default value can be used to identify records where the patient is not normally resident in the United Kingdom. Where the postcode recorded is invalid or left blank the Commissioning Region will be recorded as Unknown.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 18/01/2017 13:51:05 answering member 4080 label Biography information for David Mowat attachment 1 file name PQ59288 attached document.xlsx title PQ59288 attached file
tabling member	4133 label Biography information for Andrew Bridgen

670797

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of GPs who hold a special interest accreditation have that accreditation in musculoskeletal conditions.
tabling member constituency	West Ham
tabling member printed	Lyn Brown
uin	59292
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>The Department does not hold this information.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 18/01/2017 11:59:28 answering member 4080 label Biography information for David Mowat
tabling member	1583 label Biography information for Ms Lyn Brown

670799

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
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 from NHS trusts requesting additional support for accident and emergency services in England; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	59328
answer	answer is ministerial correction date of answer 13/01/2017 answer text <p>No recent representations have been received from National Health Service trusts in respect of additional support for accident and emergency services in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/01/2017 12:05:32 answering member 1542 label Biography information for Philip Dunne
tabling member	308 label Biography information for Mr Jim Cunningham

670802

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with (a) the National Institute for Health and Care Excellence and (b) Roche on draft guidance on Kadcyla (trastuzumab emtansine) during the consultation period.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	59317
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>Neither Ministers nor officials have had any such discussions with the National Institute for Health and Care Excellence (NICE). Officials have had contact with Roche about its patient access scheme proposals for trastuzumab emtansine since the consultation on NICE’s draft guidance opened on 20 December 2016.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/01/2017 11:49:47 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1506 label Biography information for Andrew Gwynne

670803

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Health Services: Liverpool
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 9 January 2017 to Questions 58635, 58636, 58637, 58638, 58639, whether there is any non-recurrent funding in the contract let by Liverpool Clinical Commissioning Group for Liverpool community health services to be provided by Bridgewater Community Healthcare NHS Foundation Trust from 2017-18.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	59411
answer	answer is ministerial correction date of answer 13/01/2017 answer text <p>We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS Foundation Trust (FT) has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.</p><p> </p><p>The accepted bid for 2017/18 includes £4.6 million non-recurrent funding for transition and transformation, the same level as for the current year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/01/2017 14:53:07 answering member 1542 label Biography information for Philip Dunne
tabling member	1538 label Biography information for Rosie Cooper

670805

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Skin Cancer: Drugs
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 the effect of restrictions imposed by NHS England on the use of the (a) dabrafenib plus trametinib and (b) ipilimumab plus nivolumab drug combinations for use in the treatment of advanced melanoma on patient care.
tabling member constituency	Bury St Edmunds
tabling member printed	Jo Churchill
uin	59488
answer	answer is ministerial correction date of answer 18/01/2017 answer text <p>We have made no such assessment.</p><p> </p><p>NHS England has advised that it has carefully translated the evidence base on which the National Institute for Health and Care Excellence (NICE) has based its recommendations of clinical and cost effectiveness into practical clarifications which directly relate to how the recommended drug combinations are incorporated into known treatment pathways in use in England. It has advised that each set of such clarifications is in keeping with the NICE recommendations.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/01/2017 11:46:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4380 label Biography information for Jo Churchill

670806

registered interest
date	10/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Health Services: Liverpool
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 9 January 2017 to Questions 58635, 58636, 58637, 58638, 58639, what the depreciation value is of the recurrent contract value let by Liverpool Clinical Commissioning Group for Liverpool community health services over five years in the Bridgewater Community Healthcare NHS Foundation Trust financial plan for community health services in Liverpool.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	59410
answer	answer is ministerial correction date of answer 13/01/2017 answer text <p>We are informed by NHS England that the contract for 'core services' which will be let by NHS Liverpool Clinical Commissioning Group (CCG) on behalf of the CCG, Liverpool City Council and NHS England has not yet been let. Following a transaction process led by NHS Improvement (NHSI), Bridgewater NHS FT has been identified as the preferred bidder, and the submission is being assured by NHSI. When let, the existing Liverpool Community Health contract will novate to Bridgewater NHS FT. As such, and as with all other major National Health Service contracts, there is no specific end point.</p><p> </p><p>Bidders were told prior to re-submitting their bids in August 2016 for the first two years, that non-recurrent resource would reduce over a period of time.</p><p>Contract values for 2019/20, 2020/21 and 2021/22 will be negotiated and agreed in advance of those financial years. As such, no figure can be put on depreciation over a future five year period by commissioners.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/01/2017 15:04:39 answering member 1542 label Biography information for Philip Dunne
tabling member	1538 label Biography information for Rosie Cooper

670025

registered interest
date	09/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Opening Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what was the average number of days that general practitioner practices in England were continuously closed over the Christmas and New Year holidays.
tabling member printed	Lord Birt
uin	HL4387
answer	answer is ministerial correction date of answer 23/01/2017 answer text <p>This Department does not hold this information.</p><p> </p><p>Core hours for general practices are defined in the GMS and PMS Regulations (The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016, SI 2016 No.875).</p><p> </p><p>Core hours are 8am – 6:30pm Monday to Friday, except Good Friday, Christmas Day and bank holidays.</p> answering member printed Lord O'Shaughnessy question first answered 23/01/2017 12:16:08 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt