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454190

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	East Midlands Ambulance Service NHS Trust: Resignations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much compensation the former Chairman of East Midlands Ambulance Service NHS Trust will receive as a result of her resignation from that post.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	27867
answer	answer is ministerial correction date of answer 02/03/2016 answer text <p>The NHS Trust Development Authority advises that the Chair of the East Midlands Ambulance Service NHS Trust has not resigned. However, the Chief Executive, Sue Noyes, will be leaving her post in June 2016 and will be paid in line with the terms of her contract.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/03/2016 12:45:11 answering member 3918 label Biography information for Jane Ellison
tabling member	338 label Biography information for Keith Vaz

454191

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Junior Doctors: Conditions of Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department has allocated funding to defend a legal challenge against his decision to impose a new junior doctors contract.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	27923
answer	answer is ministerial correction date of answer 29/02/2016 answer text <p>The Department has an allocated budget to fund the legal services it requires, which would include funding for any challenge in relation to the junior doctors’ contract.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 29/02/2016 15:38:16 answering member 3988 label Biography information for Ben Gummer
tabling member	4046 label Biography information for Bridget Phillipson

454193

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment has been made by his Department or NHS England of the effect of minor ailments services provided by community pharmacies on demand for the services of GP practices and other parts of the NHS; and what assessment he has made of the effect of planned reductions in funding for pharmacies on those services.
tabling member constituency	Ealing Central and Acton
tabling member printed	Dr Rupa Huq
uin	27895
answer	answer is ministerial correction date of answer 02/03/2016 answer text <p>NHS England has taken account of the potential impact of a pharmacy minor ailments service on general practitioner services and other parts of the National Health Service. The findings of the Minor Ailment study (‘MINA’ study), conducted by the University of Aberdeen, in collaboration with NHS Grampian and the University of East Anglia, on behalf of Pharmacy Research UK in 2014, were considered. In addition, evaluations of local minor ailments schemes have continued to inform decision-making about local commissioning of such schemes.</p><p> </p><p>Community pharmacy is a vital part of the NHS and can play an even greater role. In the Spending Review the Government re-affirmed the need for the NHS to deliver £22 billion in efficiency savings by 2020/21 as set out in the NHS’s own plan, the Five Year Forward View. Community pharmacy is a core part of NHS primary care and has an important contribution to make as the NHS rises to these challenges. The Government believes efficiencies can be made without compromising the quality of services or public access to them. Our aim is to ensure that those community pharmacies upon which people depend continue to thrive and so we are consulting on the introduction of a Pharmacy Access Scheme, which will provide more NHS funds to certain pharmacies compared to others, considering factors such as location and the health needs of the local population.</p><p> </p><p>The Government’s vision is for a more efficient, modern system that will free up pharmacists to spend more time delivering clinical and public health services to the benefit of patients and the public.</p><p> </p><p>We are consulting the Pharmaceutical Services Negotiating Committee, other pharmacy bodies and patient and public representatives on our proposals for community pharmacy in 2016/17 and beyond. An impact assessment will be completed to inform final decisions and published in due course.</p><p> </p><p>Local commissioning and funding of services from community pharmacies, such as minor ailment services, will be unaffected by these proposals.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/03/2016 16:26:00 answering member 1201 label Biography information for Alistair Burt
tabling member	4511 label Biography information for Dr Rupa Huq

454195

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what budget he plans to allocate to each clinical commissioning group in England to support the effective transfer of obesity surgery in April in a manner consistent with NICE's clinical guidelines.
tabling member constituency	Erewash
tabling member printed	Maggie Throup
uin	27869
answer	answer is ministerial correction date of answer 01/03/2016 answer text <p>NHS England is not currently able to provide a figure for individual clinical commissioning groups on 1 April 2016 as the basis for calculating the figures is still being finalised.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 01/03/2016 11:09:23 answering member 4020 label Biography information for George Freeman
tabling member	4447 label Biography information for Maggie Throup

454199

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
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 10 December 2015 to Question 18621, what further assessment he has made of levels of preparedness among clinical commissioning groups (CCGs) for the planned transfer of obesity surgery commissioning responsibilities to CCGs in April 2016.
tabling member constituency	Erewash
tabling member printed	Maggie Throup
uin	27844
answer	answer is ministerial correction date of answer 01/03/2016 answer text <p>NHS England is supporting the transfer of commissioning responsibilities to ensure that clinical commissioning groups are fully prepared to assume the role working through collaborative commissioning forums.</p><p> </p><p>NHS England have provided a commissioning information pack including a stocktake of local services, care pathways, waiting times and a quality overview for each local area. National clinical experts are currently finalising commissioning and clinical guidance on standards for the adult obesity surgery pathway.</p><p> </p><p>The draft service specification reflects best practice and describes the standard providers will need to meet for the surgical service.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 01/03/2016 11:10:58 answering member 4020 label Biography information for George Freeman
tabling member	4447 label Biography information for Maggie Throup

454201

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his Department's wellness strategy is.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	27933
answer	answer is ministerial correction date of answer 01/03/2016 answer text <p>The Department has a health and well-being programme developed in partnership with trade union representatives, staff networks and the sports and social club.</p><p> </p><p>The Department signposts staff to sources of help and support, such as the employee assistance programme, occupational health provider and its own bank of mental health first-aiders.</p><p> </p><p>The content and impact of the programme is kept under review by a stakeholder group made up of representatives from the department and external partners, such as the Charity for Civil Servants and the Corporate Alliance Against Domestic Violence.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/03/2016 12:29:18 answering member 3918 label Biography information for Jane Ellison
tabling member	1604 label Biography information for Mr Virendra Sharma

454202

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurology
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 on NHS (a) services and (b) governance of NHS England's decision to discontinue the role of national clinical director for neurology services from March 2016; and if he will make a statement.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	27966
answer	answer is ministerial correction date of answer 02/03/2016 answer text <p>Sir Bruce Keogh, NHS England’s Medical Director, has undertaken a review of the National Clinical Director (NCD) resource designed to focus clinical advisory resources on areas where major programmes of work are currently being taking forward, or areas identified as priorities for improvement. As a result of the review, NHS England has proposed to change the way in which clinical advice is received in speciality areas in the future.</p><p>Where there will no longer be a specific NCD role, NHS England will secure expert clinical advice from its clinical networks and through its relationships with professional bodies and by appointing clinical advisors. For neurology it is planned that access to advice will be through clinical leads and members of the NHS England-funded neurology clinical networks, the Neurology Clinical Reference Group and Royal Colleges. It is expected that these new arrangements will be in place from 1 April 2016.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/03/2016 12:27:40 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

454203

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Fees and Charges
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 changes in the number of registrations of care home residents at GP surgeries since the end of retainer fees in 2015.
tabling member constituency	South West Wiltshire
tabling member printed	Dr Andrew Murrison
uin	27998
answer	answer is ministerial correction date of answer 02/03/2016 answer text <p>Information is not collected centrally on whether a patient, registered with a general practitioner (GP) practice, is resident in a care home or their own home.</p><p> </p><p>GP practices provide National Health Service primary medical services under contracts with NHS England. These contracts do not distinguish between residents of care homes and other patients. Residents will be registered with a GP practice for core primary medical services whether or not a retainer is paid to a practice and are entitled to receive the same treatment from their GP as those living in their own homes.</p><p> </p><p>Retainer fees may be charged by a practice for providing services not covered by their contract with NHS England. However, the refusal of a care home to pay practices a retainer should not affect access to NHS primary medical services for residents of care homes.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/03/2016 16:21:51 answering member 1201 label Biography information for Alistair Burt
tabling member	1466 label Biography information for Dr Andrew Murrison

454204

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Hospitals: Closures
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many community hospitals have closed in each year since 2005.
tabling member constituency	South West Wiltshire
tabling member printed	Dr Andrew Murrison
uin	27999
answer	answer is ministerial correction date of answer 01/03/2016 answer text <p>The Department does not hold this information.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 01/03/2016 15:17:54 answering member 3988 label Biography information for Ben Gummer
tabling member	1466 label Biography information for Dr Andrew Murrison

454205

registered interest
date	23/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that (a) more cases of chronic lyme disease are correctly diagnosed and (b) more people with chronic lyme disease receive the appropriate treatment.
tabling member constituency	Greenwich and Woolwich
tabling member printed	Matthew Pennycook
uin	27987
answer	answer is ministerial correction date of answer 02/03/2016 answer text <p>Our aim is to ensure that cases of Lyme disease at all its stages and manifestations are recognised and treated appropriately. The National Health Service provides medical care following international guidance and most cases are dealt with by general practitioners (GPs). To help ensure people receive the appropriate treatment Public Health England has published a referral pathway for GPs to follow. Where additional investigation is required, specialist referral may be necessary and a small number of NHS clinics will see complicated cases. The National Institute for Health and Care Excellence has been commissioned to develop guidelines for the recognition and treatment of Lyme disease; this is expected in June 2018.</p><p> </p><p>Public Health England PHE) regularly review new tests for Lyme disease and participate in a Europe wide Quality Assurance programme to ensure that the most suitable tests available are used.</p><p>In addition, PHE provide information on Lyme disease and tick awareness to the medical profession and the public, and holds regular medical training days, and works with Lyme Disease Action to support the needs and interests of patients.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/03/2016 16:03:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4520 label Biography information for Matthew Pennycook