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1139889

registered interest
date	17/07/2019
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	Heart Diseases: 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, pursuant to the Answer of 8 July 2019 to Question 272771 on Heart Diseases: Health Services, if he will estimate the number of patients with structural heart diseases who have been unable to access transcatheter aortic valve implantation procedures by region in each year from 2015 to 2019; and if he will make an assessment of the effect of those levels of access on the mortality rates of those patients.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	278569
answer	answer is ministerial correction date of answer 26/07/2019 answer text <p>The requested information is not centrally held and therefore it is not possible to make the requested estimate and/or assessment in relation to access to transcatheter aortic valve implantation (TAVI) procedures.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 26/07/2019 11:19:05 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109449

registered interest
date	03/04/2019
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	Social Services: Registration
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 ensure that the Care Quality Commissions processes applications for registration from SMEs in the care sector in a timely manner.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240612
answer	answer is ministerial correction date of answer 11/04/2019 answer text <p>The Department holds the Care Quality Commission (CQC) to account for its performance against its Key Performance Indicators, which include assessment of its registration of providers.</p><p> </p><p>The CQC is acting to manage the increasing volume of registration applications more efficiently and to ensure it continues to assess the quality of applications against the regulations and fundamental standards. The improvements the CQC are making to its registration processes are for all providers, including small and medium-sized enterprises.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/04/2019 10:46:10 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4532 label Biography information for Derek Thomas

1109014

registered interest
date	02/04/2019
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	Obesity
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 is taking to increase access to Tier 3 obesity services.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240051
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>Public Health England has been working with NHS England to support approaches to obesity as part of the NHS Long Term Plan. The NHS Long Term Plan has a number of different actions to support the drive to reduce obesity, including investment in tier 3 services for both children and adults and plans are in development for this expansion. This will result in, for example, a further 1,000 children a year being treated by 2022/23 for severe complications related to obesity.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:35:00 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109016

registered interest
date	02/04/2019
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	Obesity
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 establish the cost of obesity to the (a) NHS, (b) social services and (c) the wider economy.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240052
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240053 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109017

registered interest
date	02/04/2019
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	Obesity
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 make an assessment of the cost of obesity to the (a) NHS, (b) social services and (c) wider economy.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240053
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’ estimated that overweight and obesity cost the National Health Service in the United Kingdom £5.1 billion per year. This figure was uplifted to £6.1 billion in 2014/15 to take account of inflation.</p><p> </p><p>The Foresight team published ‘Tackling Obesities: Future Choices in 2007’. This estimated the annual costs of overweight and obesity to society and the economy as £27 billion in 2015, based on obesity prevalence at the time. In 2014 the McKinsey Global Institute estimated the cost of obesity to the UK economy as £46 billion per year.</p><p> </p><p>No further estimates of the costs of obesity are planned or have been made centrally.</p><p> </p><p>Copies of ‘The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs’; ‘Tackling Obesities: Future Choices’; and the McKinsey Global Institute’s report ‘Overcoming obesity: An initial economic analysis’ are available at the following links:</p><p> </p><p><a href="https://academic.oup.com/jpubhealth/article/33/4/527/1568587" target="_blank">https://academic.oup.com/jpubhealth/article/33/4/527/1568587</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/reducing-obesity-future-choices" target="_blank">https://www.gov.uk/government/publications/reducing-obesity-future-choices</a></p><p> </p><p><a href="http://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity" target="_blank">www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/how-the-world-could-better-fight-obesity</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240052 question first answered 10/04/2019 13:47:01 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109018

registered interest
date	02/04/2019
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	Obesity
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 of 27 March 2018 to Question 133501 on obesity, for what reason his Department does not hold information on the number of tier three obesity services commissioned by clinical commissioning groups or local authorities; and whether he plans to collate that information.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240054
answer	answer is ministerial correction date of answer 09/04/2019 answer text <p>It would not be cost-effective for the Department to collect data on every clinical intervention, including information on tier three obesity services commissioned by clinical commissioning groups or local authorities.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 09/04/2019 14:36:07 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109030

registered interest
date	02/04/2019
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	Orthopaedics
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 implications for his policies of the conclusions of the All-Party Parliamentary Group on Vascular and Venous Disease report entitled Saving Limbs, Saving Lives: A Call to Action to Reduce Inequalities in Lower Limb Amputation Rates; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240055
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The specialised commissioning Clinical Reference Group (CRG) for Vascular Disease, together with NHS Improvement’s Getting it Right First Time (GIRFT) team, aims to address many of the issues raised in the report. There is a joint NHS England and GIRFT Board for the ‘Action on Vascular’ work, which is focusing on the early availability of treatments to increase lower limb circulation and reduce amputation rates.</p><p> </p><p>The NHS Long Term Plan published on 7 January commits to ensuring that hospitals provide patients with access to multi-disciplinary footcare teams and inpatient specialist nursing teams, in order to improve recovery and reduce lengths of stay and future readmissions. This commitment will support reducing inequalities by giving universal access to multi-disciplinary footcare teams and diabetes inpatient specialist nurses.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240056 question first answered 10/04/2019 13:38:19 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1109031

registered interest
date	02/04/2019
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	Orthopaedics
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 the report from the All-Party Parliamentary Group on Vascular and Venous Disease entitled Saving Limbs, Saving Lives: A Call to Action to Reduce Inequalities in Lower Limb Amputation Rates, what steps he will take to address disparities in amputation rates throughout the UK.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	240056
answer	answer is ministerial correction date of answer 10/04/2019 answer text <p>The specialised commissioning Clinical Reference Group (CRG) for Vascular Disease, together with NHS Improvement’s Getting it Right First Time (GIRFT) team, aims to address many of the issues raised in the report. There is a joint NHS England and GIRFT Board for the ‘Action on Vascular’ work, which is focusing on the early availability of treatments to increase lower limb circulation and reduce amputation rates.</p><p> </p><p>The NHS Long Term Plan published on 7 January commits to ensuring that hospitals provide patients with access to multi-disciplinary footcare teams and inpatient specialist nursing teams, in order to improve recovery and reduce lengths of stay and future readmissions. This commitment will support reducing inequalities by giving universal access to multi-disciplinary footcare teams and diabetes inpatient specialist nurses.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 240055 question first answered 10/04/2019 13:38:19 answering member 4455 label Biography information for Seema Kennedy
tabling member	4532 label Biography information for Derek Thomas

1061143

registered interest
date	14/02/2019
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
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 110 of the NHS Long Term Plan, published in January 2019, what steps he plans to take to ensure that those responsible for developing Local Plans consult with relevant stakeholders; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	221808
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>The National Implementation Framework, to be published in the spring, will provide further information on how the NHS Long Term Plan will be delivered. As local areas begin to develop their implementation plans, staff, patients, the public and other stakeholders will have the opportunity to help local organisations determine what the NHS Long Term Plan means for their area, and how services need to adapt and improve in the short and medium term.</p><p>NHS England is asking local health systems to start this engagement soon and expect local politicians to have an opportunity to be involved in this, as well as other local stakeholders, local partners, communities, service users and patients.</p><p>Nationally, the National Health Service is working with Healthwatch England and the Voluntary and Community Sector Health and Wellbeing Alliance to provide additional support to local systems in their engagement with local communities.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/02/2019 15:21:55 answering member 1585 label Biography information for Stephen Hammond
tabling member	4532 label Biography information for Derek Thomas

1061144

registered interest
date	14/02/2019
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	Integrated Care Systems
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 the NHS Long Term Plan, published in January 2019, what the organisational structure will be for Integrated Care Systems; and if he will make a statement.
tabling member constituency	St Ives
tabling member printed	Derek Thomas
uin	221809
answer	answer is ministerial correction date of answer 22/02/2019 answer text <p>Integrated Care System (ICSs) build on the progress already made by Sustainability and Transformation Partnerships.</p><p>As the NHS Long Term Plan set out, every ICS will have a partnership board drawn from commissioners, primary care networks and local authorities, a non-executive chair and clinical members drawn from across their constituent organisations. The Long Term Plan sets out the ambition that the whole country will be covered by a ICS by April 2021.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/02/2019 07:36:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4532 label Biography information for Derek Thomas