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946740

registered interest
date	23/07/2018
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	Ambulance 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 steps he has taken to ensure support for ambulance trusts during winter 2018-19.
tabling member constituency	Witham
tabling member printed	Priti Patel
uin	906626
answer	answer is ministerial correction date of answer 24/07/2018 answer text <p>I have been engaging with NHS Improvement, NHS England and the ambulance service to support improved ambulance performance.</p><p> </p><p>To help meet pressures this winter and beyond, on 6 July we announced £36.3 million of investment in the ambulance service that will be used to purchase 256 state-of-the art ambulances at five ambulance trusts, and to develop vehicle preparation hubs in the East of England and Yorkshire, which will see specialist staff quickly restock, refuel and clean ambulances, getting them back on the road faster.</p><p> </p><p>Additionally, following a rigorous independent evaluation, we have introduced an improved national performance framework for ambulances. These changes prioritise responses to the sickest patients, while helping to reduce long waits for ambulance responses; ensure patients receive the response they need, first time; and improve the efficiency and resilience of the ambulance service in the face of rising demand.</p><p> </p><p>Challenged ambulance trusts, including the East of England Ambulance Service NHS Trust (EEAST), are receiving tailored support to meet the new national response time standards. This includes comprehensive cross-system reviews led by regional directors, and the implementation of performance improvement plans. Further actions to deliver improvement at EEAST include additional funding for 330 new staff and 160 new ambulances, alongside the implementation of recommendations from the recently published governance review of the Trust. This will ensure the Trust has appropriate capacity and governance processes in place to meet demand and deliver high quality ambulance responses to patients.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 24/07/2018 16:24:37 answering member 4095 label Biography information for Steve Barclay
tabling member	4066 label Biography information for Priti Patel

946760

registered interest
date	23/07/2018
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	Care Homes: Coventry
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 effect of care home providers exiting local authority contracts on the provision of those services in Coventry.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	167115
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>Commissioning high quality social care is the responsibility of local government who are best placed to understand the needs of local people and communities, and how best to meet them. The Department does not collect data about local contracting arrangements.</p><p> </p><p>On 15 March 2018, the Care Quality Commission published its findings following a review of health and social care services in Coventry. The review found that in general terms the health and social care system is working well to ensure it meets people’s needs. The review can be found at the following link:</p><p> </p><p><a href="https://www.cqc.org.uk/sites/default/files/20180313_coventry-local-system-review-report.pdf" target="_blank">https://www.cqc.org.uk/sites/default/files/20180313_coventry-local-system-review-report.pdf</a></p><p> </p><p>Where a care provider ‘hands back’ a contract to a local authority, the authority remains responsible for meeting the needs of people who previously had services provided under the contract and for arranging replacement services.</p><p> </p><p>The Department has worked with the Association of Directors of Adult Social Services, the Local Government Association, the care sector and other partners to produce a wide range of guidance and support about market shaping and commissioning and contingency planning.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/09/2018 15:57:04 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	308 label Biography information for Mr Jim Cunningham

946771

registered interest
date	23/07/2018
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	Abortion Act 1967
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 adequacy of the provisions of the Abortion Act 1967.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167388
answer	answer is ministerial correction date of answer 05/09/2018 answer text <p>Under the Abortion Act 1967, women have early access to safe, legal, high quality abortion services. There were 194,668 abortions performed under the provisions of the Abortion Act in England and Wales in 2017, with 98% of abortions being funded by the National Health Service.</p><p> </p><p>Abortion is an issue on which the Government adopts a neutral stance. Proposals for legislative change are a matter for backbenchers to bring forward and decisions are made on the basis of free votes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/09/2018 12:41:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

946797

registered interest
date	23/07/2018
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	Cystic Fibrosis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Adjournment debate of 17 July 2018 on Access to Orkambi, Official Report, cols 377-386, what steps he is taking to (a) facilitate and (b) participate as appropriate in a meeting between the chief executives of NHS England and of Vertex to discuss patient access to lumacaftor-ivacaftor and other medicines for cystic fibrosis.
tabling member constituency	Bury South
tabling member printed	Mr Ivan Lewis
uin	167137
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>As was made clear in the Debate on 17 July 2018, Official report, columns 377-386, Ministers are watching this issue very closely. However, it is vital that we go through the right process. It is the responsibility of the National Institute for Health and Care Excellence (NICE) and NHS England, to work together with Vertex to secure the best outcome for patients and a price for Orkambi that is fair and responsible.</p><p> </p><p>It is an important principle that the National Health Service must ensure that healthcare services secure the best value for patients, and that is the approach NHS England is rightly taking. It is disappointing that Vertex has chosen to withdraw from NICE’s technology appraisal of its latest cystic fibrosis medicine, Symkevi, and NICE and NHS England wrote to Vertex on 31 August to signal their continued willingness to meet with Vertex to discuss access to its new cystic fibrosis medicines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/09/2018 15:59:13 answering member 4067 label Biography information for Steve Brine
tabling member	441 label Biography information for Mr Ivan Lewis

946870

registered interest
date	23/07/2018
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: Out of Area Treatment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of out-of-area placements made for inpatients in each year since 2009.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	167394
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>Information is not available in the format requested.</p><p> </p><p>Inappropriate out of area placements (OAPs) are unacceptable and this Government is committed to delivering the target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>NHS England and NHS Improvement now have a comprehensive national programme supporting reductions in OAPs, and every local area is currently developing a trajectory towards ending this practice by no later than 2021. The commitment to reduce OAPs has been formalised in the NHS 2018/19 planning guidance and included in the NHS Improvement Single Oversight Framework.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 10:15:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4658 label Biography information for Alex Sobel

946970

registered interest
date	23/07/2018
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	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to reduce the waste of prescription medicine.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	167318
answer	answer is ministerial correction date of answer 06/09/2018 answer text <p>The Department commissioned the York Health Economics Consortium and the School of Pharmacy at the University of London to carry out research to determine the scale, causes and costs of waste medicines in England. The report, ‘Evaluation of the Scale, Causes and Costs of Waste Medicines’, was published on 23 November 2010. This found that the gross cost of unused prescription medicines in primary and community care in the NHS in England in 2009 was £300 million a year and that up to £150 million of this was avoidable. The report is available at the following link:</p><p> </p><p><a href="http://discovery.ucl.ac.uk/1350234/" target="_blank">http://discovery.ucl.ac.uk/1350234/</a></p><p> </p><p>A number of initiatives have been taken, which NHS England expects will directly impact on medicines wastage. This includes the deployment of clinical pharmacists in general practice and in care homes to undertake medicines reviews. In addition, work to address problematic polypharmacy and ensure appropriate de-prescribing of medicines and addressing variation through the use of RightCare principles is also expected to contribute to a reduction in medicines waste.</p><p> </p><p>NHS England is also leading on the Medicines Value Programme, the aim being to improve value in terms of improving patient outcomes while maintaining an affordable medicines bill.</p><p> </p><p>While recognising the importance of reducing medicines wastage from a value for money perspective, the key to securing a reduction in medicines wastage is implementation of the principles of medicines optimisation, ensuring that each patient receives the right medicine, at the right dosage, at the right time.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/09/2018 16:08:45 answering member 4067 label Biography information for Steve Brine
tabling member	4478 label Biography information for Royston Smith

946990

registered interest
date	23/07/2018
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	Smoking
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 and what proportion of people have taken up smoking in each of the last five years.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	167327
answer	answer is ministerial correction date of answer 06/09/2018 answer text <p>The Department does not hold this information centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/09/2018 15:59:30 answering member 4067 label Biography information for Steve Brine
tabling member	4478 label Biography information for Royston Smith

947037

registered interest
date	23/07/2018
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	Department of Health and Social Care: Annual Reports
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which agencies and other public bodies accountable to him will not have published their annual report and accounts for 2017-2018 by 31 July 2018; and what the reasons are for each such body not having done so by that date.
tabling member constituency	Sheffield South East
tabling member printed	Mr Clive Betts
uin	167136
answer	answer is ministerial correction date of answer 06/09/2018 answer text <p>A list of agencies and other public bodies which are accountable to the Department of Health and Social Care are listed on GOV.UK at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/organisations" target="_blank">https://www.gov.uk/government/organisations</a></p><p> </p><p>All accounts that are published will appear on the bodies’ websites.</p><p> </p><p>As per the Government Resources and Accounts Act 2000, there is no legal requirement for agencies or other public bodies to publish their accounts before the January following year end.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/09/2018 15:53:29 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	394 label Biography information for Mr Clive Betts

947038

registered interest
date	23/07/2018
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	National Exhibition Centre
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has received representations on the origin of 20 skinless human bodies being exhibited at the National Exhibition Centre in Birmingham; and what information his Department holds on consents obtained for the (a) transportation and (b) exhibition of those bodies.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	167240
answer	answer is ministerial correction date of answer 04/09/2018 answer text <p>The Department has received representations relating to human bodies being exhibited at the National Exhibition Centre in Birmingham. The Department does not hold information about consent, either for transportation or for the exhibition of the bodies concerned.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/09/2018 16:25:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

945526

registered interest
date	20/07/2018
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	Disability: 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 estimate he has made of the gap between demand and funding for health services for disabled children and their families; what steps he is taking to address any such gap; and if he will make a statement.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	166433
answer	answer is ministerial correction date of answer 25/07/2018 answer text <p>The commissioning of health and social care services for children with disabilities is the responsibility of clinical commissioning groups and local authorities respectively. Local commissioners are best placed to assess the needs of the local population, and to mitigate any shortfalls.</p><p> </p><p>In 2014, the Government introduced a new statutory framework requiring local authorities and clinical commissioning groups to commission jointly services for children with special educational needs and disability, across health, social care and education. Since 2014, £327 million has been given to local areas to support implementation of these new arrangements, in addition to the high needs budget for placements for pupils with complex special educational needs which is £6 billion this year, the highest it has ever been.</p><p> </p><p>Every local area’s arrangements are being inspected jointly by Ofsted and the Care Quality Commission, in addition to their role inspecting providers.</p><p> </p><p>There are no plans to establish a disabled children’s fund. Funding for the National Health Service will grow on average by 3.4% in real terms each year from 2019/20 to 2023/24; by 2023/24 the NHS budget will increase by over £20 billion a year in real terms compared with today.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 166436 question first answered 25/07/2018 10:23:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	104 label Biography information for Crispin Blunt