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800571

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neuromuscular Disorders
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 (a) extent and (b) effect on patient care of variation in specialist services for multiple sclerosis and Parkinson's among clinical commissioning groups in England.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	117192
answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117193 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

800572

registered interest
date	04/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neuromuscular Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the potential for improved specialist services for multiple sclerosis and Parkinson's delivering significant savings for the NHS; and if he will make a statement.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	117193
answer	answer is ministerial correction date of answer 12/12/2017 answer text <p>We know that variation exists between clinical commissioning groups (CCGs) in the provision of care for neurological conditions, such as Parkinson’s disease and multiple sclerosis. Whilst it is right that CCGs have autonomy to shape services for local populations, there is a range of work ongoing at a national level to identify unwarranted variation in order to drive improvement, including:</p><p> </p><p>- Through the RightCare programme, which was rolled out to every CCG in 2016/17, NHS England provides practical support to commissioners to tackle unwarranted variation and identify improvements and savings, including for neurological services;</p><p>- Public Health England’s Neurology intelligence network collates and interprets data on adult neurological conditions to provide intelligence for the National Health Service, policy makers, and clinicians; and</p><p>- The Getting it Right First Time programme, supported by NHS Improvement, expanded earlier in 2017 to include neurology and will soon provide insight to demonstrate the value of better neurological services both in hospitals and in the community.</p><p> </p><p>NHS England will continue to work with the Neurological Alliance (an umbrella organisation for neurological condition charities) to support the new national Neurology Advisory Group (NAG), led by consultant neurologist Professor Adrian Williams. The NAG brings together system partners, professional bodies stakeholders to align work to improve neurological care, and has working to understand how best to utilise new and emerging data in services and outcomes. More information on national initiatives to reduce unwarranted variation and drive improvement can be found at the following links:</p><p> </p><p><a href="http://www.england.nhs.uk/rightcare/" target="_blank">www.england.nhs.uk/rightcare/</a></p><p> </p><p><a href="http://www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals" target="_blank">www.gov.uk/guidance/neurology-data-and-analysis-a-guide-for-health-professionals</a></p><p> </p><p><a href="http://gettingitrightfirsttime.co.uk/" target="_blank">gettingitrightfirsttime.co.uk/</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 117192 question first answered 12/12/2017 17:07:27 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

781408

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Fatigue Syndrome: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to raise awareness of myalgic encephalomyelitis among (a) healthcare professionals and (b) the general public.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	110590
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>There is information readily available on chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) for both healthcare professionals and the general public via NHS Choices website. Further information is also provided in the National Institute for Health and Care Excellence (NICE) clinical guidance which can be found via their website. This information is provided in formats suitable for both professionals and the public. Both the NHS Choices and NICE guidance can be found at the following links:</p><p><a href="http://www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/" target="_blank">www.nhs.uk/conditions/chronic-fatigue-syndrome-cfs/</a></p><p><a href="http://www.nice.org.uk/guidance/cg53" target="_blank">www.nice.org.uk/guidance/cg53</a></p><p>On 20 September 2017, NICE announced plans to undertake a full review of the guidance to ensure it reflects the latest available evidence.</p><p>Education and training is also an important feature in building the awareness of clinical professionals. In terms of education and training, the General Medical Council sets out the knowledge, skills and behaviours that new United Kingdom medical graduates must be able to demonstrate and Royal Medical Colleges, such as the Royal College of General Practitioners (RCGP) set the standards for postgraduate medical education in general practice. General practice is where most patients with CFS/ME are likely to be managed, and the condition is identified as a key area of clinical knowledge in the RCGP Applied 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>Once fully qualified, clinicians are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by NICE.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:07:53 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

781409

registered interest
date	31/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Fatigue Syndrome: Health Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to mark International Awareness Day for Chronic Immunological and Neurological Diseases on 12 May 2018.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	110595
answer	answer is ministerial correction date of answer 08/11/2017 answer text <p>There are no specific plans at this point.</p><p> </p><p>NHS England’s Long Term Conditions Unit works with partners such as voluntary sector organisations (including those with a remit on chronic disease) to synchronise communications activity in line with many annual awareness days. The NHS England media team may also provide support through social media to maximise the reach of established campaigns.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/11/2017 17:11:15 answering member 4067 label Biography information for Steve Brine
tabling member	4079 label Biography information for Julian Sturdy

778201

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Sclerosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of unplanned or emergency hospital admissions for multiple sclerosis patients related to issues that could have been treated without going to hospital in (a) York and (b) England in the last 12 months for which records are available.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	109833
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109834 question first answered 02/11/2017 11:20:29 answering member 1542 label Biography information for Philip Dunne
tabling member	4079 label Biography information for Julian Sturdy

778202

registered interest
date	26/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Parkinson's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of unplanned or emergency hospital admissions for Parkinson's disease related to issues that could have been treated without going to hospital in (a) York and (b) England in the last 12 months for which records are available.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	109834
answer	answer is ministerial correction date of answer 02/11/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 109833 question first answered 02/11/2017 11:20:29 answering member 1542 label Biography information for Philip Dunne
tabling member	4079 label Biography information for Julian Sturdy

768122

registered interest
date	10/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
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 progress on the Government's plans to provide justice to those affected by contaminated blood products.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	106945
answer	answer is ministerial correction date of answer 17/10/2017 answer text <p>The Government is consulting on the scope, format and sponsorship of the inquiry into contaminated blood until 18 October 2017. The Government will provide a further update to the House after the consultation closes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/10/2017 12:38:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4079 label Biography information for Julian Sturdy

657934

registered interest
date	13/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what steps the Government is taking to help ensure that appointment waiting times at child and adolescent mental health services in England are being reduced.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	57397
answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Department does not currently collect information on waiting times for all child and adolescent mental health services.</p><p> </p><p>However, we have introduced the first ever access and waiting time standards for mental health. Standards on waiting times for early intervention in psychosis are already in place and encompass children and young people aged 14 or over. Standards for eating disorders services, targeted at children and young people, were published in August 2015 and will come into effect on 1 April 2017.</p><p> </p><p>In addition, NHS Digital has begun publishing experimental data from the Data Set setting out the waiting times of children and young people between referral and second contact. NHS England has also set aside a fund of £25 million to reduce waiting times backlogs and asked clinical commissioning groups to set out the steps they will make, using that fund, to reduce any waiting lists during 2016-17.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57398 question first answered 19/12/2016 15:19:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4079 label Biography information for Julian Sturdy

657937

registered interest
date	13/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what information his Department holds on regional appointment waiting times for child and adolescent mental health services in England.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	57398
answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Department does not currently collect information on waiting times for all child and adolescent mental health services.</p><p> </p><p>However, we have introduced the first ever access and waiting time standards for mental health. Standards on waiting times for early intervention in psychosis are already in place and encompass children and young people aged 14 or over. Standards for eating disorders services, targeted at children and young people, were published in August 2015 and will come into effect on 1 April 2017.</p><p> </p><p>In addition, NHS Digital has begun publishing experimental data from the Data Set setting out the waiting times of children and young people between referral and second contact. NHS England has also set aside a fund of £25 million to reduce waiting times backlogs and asked clinical commissioning groups to set out the steps they will make, using that fund, to reduce any waiting lists during 2016-17.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 57397 question first answered 19/12/2016 15:19:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4079 label Biography information for Julian Sturdy

652693

registered interest
date	06/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
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 potential merits of the use of portable surgical health centres to support (a) the delivery of care in a community setting, (b) system transformation and efficiency within the NHS and (c) improving patient outcomes.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	56252
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>It is for commissioners to determine the most appropriate model of care provision to meet the needs of their local populations and provide the highest quality of care, which may include the use of portable surgical health centres.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/12/2016 15:27:12 answering member 1542 label Biography information for Philip Dunne
tabling member	4079 label Biography information for Julian Sturdy