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827948

registered interest
date	22/01/2018
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	Mortality Rates
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 his Department has made of the effect of changes in the level of public expenditure on health and social care on rates of mortality.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	123908
answer	answer is ministerial correction date of answer 30/01/2018 answer text <p>The Department continues to increase investment in health and social care and has committed to backing the National Health Service with an additional £10 billion, in real terms, by 2020/21. At the spring Budget we announced an additional £2 billion will be given to councils over the next three years for social care. In total, we have given councils access to £9.25 billion more dedicated funding for social care between 2017/18 and 2019/20.</p><p> </p><p>The Department also monitors and publishes wider quarterly wider health outcome measures including mortality statistics in the NHS Outcomes Frameworks. The NHS Outcomes Framework is a set of indicators developed by the Department to monitor the health outcomes of adults and children in England.</p><p> </p><p>The Framework sets out health outcome measures including mortality statistics in the NHS. The latest statistics among those aged under 75 show that the mortality rates from the two largest causes of death (cancer and cardiovascular disease) have reduced between 2010 and 2016 (by 12.2 and 16.8 deaths per 100,000 population, respectively).</p><p> </p><p>The rates for the next two (respiratory disease and liver disease) have increased over the same period. However, the increases for respiratory and liver disease are smaller than the falls for cancer and cardiovascular disease (by 1.6 and 0.5 deaths per 100,000 population, respectively).</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/01/2018 14:32:12 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

825757

registered interest
date	19/01/2018
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: Former Members
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 former Conservative Members of Parliament who were defeated at the 2017 general election and who now work in his Department were appointed after a publicly advertised and open recruitment process.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Luke Pollard
uin	123824
answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>The Department does not hold central information on the former roles of any its employees or their declared political interests. All recruitment within the Department is conducted in line with the Civil Service Commissioner’s recruitment principles and all civil servants adhere to the Civil Service code.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 29/01/2018 12:36:15 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4682 label Biography information for Luke Pollard

825820

registered interest
date	19/01/2018
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: Inspections
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 the Government is taking to improve the way local authorities and the Care Quality Commission (a) coordinate inspections of and (b) share information on care homes classed as (i) requiring improvement and (ii) inadequate.
tabling member constituency	Welwyn Hatfield
tabling member printed	Grant Shapps
uin	123887
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>In October 2017 the Care Quality Commission reported 80% of adult social care providers had been rated as good or outstanding. However, when standards fall below those rightly expected by care home residents and their families, it is right that information is shared across the system. The Department is working with the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality, person-centred adult social care. This includes actions to improve information collection and sharing and to support organisations to improve care services.</p><p> </p><p>The Care Quality Commission has provided the following response:</p><p> </p><p>There are a range of meetings by which the Care Quality Commission and local authorities share information. There are also protocols, and requirements that exist to coordinate between the Care Quality Commission and local authorities. For Inadequate or Requires Improvement services, if the Care Quality Commission take certain enforcement action, such as issuing a notice of proposal or a notice of decision, there is a requirement to share notices with the Association of Directors of Social Care Service and other relevant partners such as clinical commissioning groups.</p><p> </p><p>The Care Quality Commission inspectors regularly communicate with staff in local authorities as part of their everyday routine engagement, which informs inspection planning and whether risk needs to be escalated, or if joint visits are required.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/01/2018 12:17:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1582 label Biography information for Grant Shapps

825425

registered interest
date	18/01/2018
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	Pharmacy
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 effectiveness of the General Pharmaceutical Council's enforcement of standards for registered pharmacy premises; whether he has made an assessment of the effect of failure to apply such standards to pharmacy owners rather than only pharmacy professionals on the safety of patients; and if he will make a statement.
tabling member constituency	Rother Valley
tabling member printed	Sir Kevin Barron
uin	123566
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>The Department has not made any assessment of the effectiveness of the General Pharmaceutical Council (GPhC) as a regulator of pharmacy professionals and pharmacy premises. The Professional Standards Authority, which in its review of the GPhC’s performance in 2016-2017, found that the GPhC had met all of the standards for good regulation, including all of the standards for fitness to practise.</p><p> </p><p>Standards to safeguard the health, safety and wellbeing of patients and the public are set by the GPhC. It is important to note that there are very different legal frameworks for upholding these standards and how the regulator deals with these for pharmacy premises as compared to pharmacy professionals. 87% of the pharmacies inspected by the GPhC in 2016-17 were meeting all of the standards it sets. Any pharmacy not achieving all of the standards is required by the GPhC to implement an action plan to improve the services they provide. In this period the GPhC agreed 469 action plans with pharmacies to ensure they improved the services they provide, and 99% of them made the necessary improvements so that they were meeting all of the standards. In the same period 140 cases were made affecting an individual pharmacy professional’s registration.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 123567 question first answered 23/01/2018 17:21:47 answering member 4067 label Biography information for Steve Brine
tabling member	392 label Biography information for Sir Kevin Barron

825528

registered interest
date	18/01/2018
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	Drugs: Prisons
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 treat and support prisoners who are addicted to psychoactive substances.
tabling member constituency	Birmingham, Northfield
tabling member printed	Richard Burden
uin	123666
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>NHS England is working closely with Her Majesty's Prison and Probation Service to ensure establishment-level resilience to psychoactive substances, through a co-ordinated approach to both supply reduction and demand reduction.</p><p> </p><p>The UK Drug Misuse and Dependence Clinical Guidelines were recently updated by an independent expert working group, following a public consultation. The guidelines were published in July 2017. The Guidelines require that (as a part of a comprehensive assessment) there is confirmation of use of psychoactive substances and identification of the degree of problem use or dependence. This would usually be followed by abstinence-oriented psychosocial interventions.</p><p> </p><p>The Guidelines are available at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/673978/clinical_guidelines_2017.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/673978/clinical_guidelines_2017.pdf</a></p><p> </p><p>NHS England is due to publish the revised prison Substance Misuse Service Specification shortly. This specification modernises and updates expectations in relation to the management of individuals with drug-related issues, including specifically, responses to psychoactive substances. The responses range from helping to build resilience to prevent use, management during acute intoxication (including ambulance transfer to acute hospital setting), psychosocial interventions and longer term strategies to prevent and avoid use.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/01/2018 13:38:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	301 label Biography information for Richard Burden

825591

registered interest
date	18/01/2018
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	Medical Treatments
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 patients in the last three years have been referred by their GP for elective care but have been refused treatment due to clinical commissioning group policies to restrict access to treatment because a patient (a) has a BMI of more than 30 and (b) is a smoker.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	123721
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>Information on how many patients who have been referred by their general practitioner for elective care but have been refused treatment due to clinical commissioning group policies to restrict access to treatment because a patient has a Body Mass Index of more than 30 and is a smoker is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 13:46:02 answering member 4067 label Biography information for Steve Brine
tabling member	230 label Biography information for Mr Ben Bradshaw

824440

registered interest
date	17/01/2018
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	Accident and Emergency Departments
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 patients arriving to A&E Departments by (a) Uber and (b) other private hire vehicles in 2017.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	123241
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>This information is not collected centrally.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 22/01/2018 16:22:42 answering member 4095 label Biography information for Steve Barclay
tabling member	4658 label Biography information for Alex Sobel

824607

registered interest
date	17/01/2018
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	Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will review corporate governance and corporate social responsibility in the pharmacy sector.
tabling member constituency	Cardiff Central
tabling member printed	Jo Stevens
uin	123408
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>Ministers have no plans to review corporate governance or policies on corporate social responsibility in the pharmacy sector. Community pharmacies contracted to deliver National Health Service pharmaceutical services are private businesses. Standards to safeguard the health, safety and wellbeing of patients and the public are set by the General Pharmaceutical Council and pharmacy businesses, like all others, are subject to health and safety legislation that aims to protect the health, safety and welfare of staff.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/01/2018 17:20:45 answering member 4067 label Biography information for Steve Brine
tabling member	4425 label Biography information for Jo Stevens

824674

registered interest
date	17/01/2018
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
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 Answer 20 November 2017 to Question 113128 on Mental Health Services, how times he has met with NHS England officials to review the draft pathways since 20 November 2017.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	123475
answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>The Secretary of State for Health and Social Care has regular meetings with officials from NHS England and other arm’s length bodies on the implementation of Five Year Forward View for Mental Health (FYFVMH) commitments. These discussions are varied and focus on the range of commitments made within the FYFVMH, including the commitments around implementation of new mental health pathways of care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/01/2018 15:43:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1439 label Biography information for Norman Lamb

824708

registered interest
date	17/01/2018
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	Gray Zone Lymphoma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what public funds are available to treat patients suffering from gray zone lymphoma.
tabling member constituency	Southampton, Itchen
tabling member printed	Royston Smith
uin	123509
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>Clinical commissioning groups take decisions on how their National Health Service budgets are spent on commissioning services to meet the needs of local populations, including those for gray zone lymphoma.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 14:04:35 answering member 4067 label Biography information for Steve Brine
tabling member	4478 label Biography information for Royston Smith