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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	Blood 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

1131767

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	Speech and Language Therapy: Children
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 page 7 of the June 2019 report of the Children’s Commissioner, We need to talk: access to speech and language therapy, what steps he is taking to ensure that health and education services jointly deliver support to prevent children from falling through the gaps between different providers of services in their area.
tabling member constituency	Swansea West
tabling member printed	Geraint Davies
uin	263660
answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Communication support particularly benefits from a joint commissioning approach. The NHS Long Term Plan recognises the importance of speech and language therapists and proposes that local areas design and implement models of care that are age appropriate, closer to home and bring together physical and mental health services.</p><p>Since May 2016, Ofsted and the Care Quality Commission are inspecting local areas on the effectiveness with which clinical commissioning groups and local authorities work together in joint commissioning arrangements, to support the needs of children with special educational needs and disability, which would include their commissioning of therapies.</p><p>We are keen to work with the Children’s Commissioner’s Office on the issues of expenditure data.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 263661 question first answered 17/06/2019 15:35:26 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	155 label Biography information for Geraint Davies