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451321

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Social Enterprises
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 effectiveness of social enterprises in delivering high quality healthcare services.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	26156
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>It is a statutory obligation that decisions on healthcare provision should be taken independently by local commissioners. Clinical commissioning groups (CCGs) must decide how to use their resources in a way which is evidence based, clinically-led and cost-effective in order to provide high-quality healthcare for people in their area. CCGs must also balance both short-term need and long-term transformation in line with the NHS Five Year Forward View’s (5YFV) objectives.</p><p>Where a social enterprise provides a regulated activity, under the Health and Social Care Act 2008, it will have to register with the CQC and follow a set of fundamental standards of safety and quality below which care should never fall. Following inspection of individual social enterprise providers, the CQC will publish a report on its website.</p><p>The Government firmly believes that providers from all sectors, including social enterprises, play an important role in providing high quality, safe and efficient care to patients, as well as helping to realise the ambitions set out in the NHS 5YFV. That is why, working in partnership with Public Health England, NHS England and representatives from the voluntary sector, the Department is in the final stages of a review looking at partnerships and investment in the voluntary, community and social enterprise sector. The final report of the review is expected to be published in the spring.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 12/02/2016 16:02:27 answering member 3988 label Biography information for Ben Gummer
tabling member	44 label Biography information for Sir David Amess

451322

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
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 encourage GPs to undertake out-of-hours shifts in primary care.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	26157
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 26158 question first answered 16/02/2016 11:09:59 answering member 1201 label Biography information for Alistair Burt
tabling member	44 label Biography information for Sir David Amess

451324

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what steps are being taken to develop the model of co-location of urgent and emergency primary care services with A&E.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	26159
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p>In August 2015, NHS England published Safer, faster, better: good practice in delivering urgent and emergency care, which can be found here:</p><p>https://www.england.nhs.uk/wp-content/uploads/2015/06/trans-uec.pdf</p><p>This provides guidance to help frontline providers and commissioners re-design urgent and emergency care services, including considering locating urgent care centres in emergency departments. Safer, faster, better notes that urgent care centres co-located with emergency departments provide an opportunity to stream patients with less serious illnesses and injuries to a service that is resourced to meet their needs, while reducing crowding in emergency departments. It also sets out that to preserve flow, urgent care centre staff and cubicles must wherever possible be entirely separated from those used for patients with life-threatening or serious injuries or illnesses or who are going to be admitted. The guidance also includes that where urgent care centres are co-located with emergency departments, there must be appropriate integration, with shared governance arrangements and clearly defined protocols for the two-way transfer of patients.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/02/2016 08:00:13 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

451325

registered interest
date	08/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with NHS England to agree a long-term arrangement to control the cost of medical indemnity cover for out-of-hours GPs.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	26158
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 26157 question first answered 16/02/2016 11:09:59 answering member 1201 label Biography information for Alistair Burt
tabling member	44 label Biography information for Sir David Amess

450255

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Screening
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 improve cervical screening rates among black and minority ethnic women.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	25563
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England closely monitors the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all groups including black and minority ethnic women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>Local NHS England commissioners analyse coverage rates within their area and work with general practices to improve coverage by sharing best practice. For example, commissioners in London have developed a screening coverage strategy and delivery plan, including:</p><p>― Increased public awareness and engagement with screening programmes across all communities;</p><p>― increased engagement with primary care and improved reliability of data; and</p><p>― working with screening providers to optimise coverage.</p><p> </p><p>In addition to this:</p><p>― A primary care cancer screening best practice guide has been developed jointly with the transforming cancer services team, clinical commissioning groups and local authority public health representatives;</p><p>― linking with Cancer Research UK facilitators and Macmillan Cancer Support general practitioners to support best practice for screening in general practice; and</p><p>― imperial College is conducting a randomised controlled trial to assess the effectiveness of texting non-responders on improving coverage.</p><p> </p><p>NHS England is working in partnership with Cancer Research UK and Macmillan Cancer Support on the ACE (Accelerate, Coordinate, Evaluate) Programme aiming to generate knowledge about effective approaches to achieve earlier diagnosis. A number of ACE test sites are evaluating approaches to increase screening rates in a range of groups, including black and ethnic minority women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>To explore the potential to increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women aged 25 who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected later in 2016.</p><p> </p><p>In addition, the Department of Health Behavioural Insight team has undertaken a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening. Results are due in summer 2016.</p><p> </p><p>A routine human papillomavirus vaccination programme has been available in England since 2008, and offers immunisation to girls aged 12-14 years. It is expected that the vaccine will reduce the already low rates of cervical cancer in these young women and allow them to be protected for years to come.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 25564 25565 25566 question first answered 11/02/2016 17:47:59 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

450256

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Screening
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 improve cervical screening rates among women with learning disabilities.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	25564
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England closely monitors the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all groups including black and minority ethnic women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>Local NHS England commissioners analyse coverage rates within their area and work with general practices to improve coverage by sharing best practice. For example, commissioners in London have developed a screening coverage strategy and delivery plan, including:</p><p>― Increased public awareness and engagement with screening programmes across all communities;</p><p>― increased engagement with primary care and improved reliability of data; and</p><p>― working with screening providers to optimise coverage.</p><p> </p><p>In addition to this:</p><p>― A primary care cancer screening best practice guide has been developed jointly with the transforming cancer services team, clinical commissioning groups and local authority public health representatives;</p><p>― linking with Cancer Research UK facilitators and Macmillan Cancer Support general practitioners to support best practice for screening in general practice; and</p><p>― imperial College is conducting a randomised controlled trial to assess the effectiveness of texting non-responders on improving coverage.</p><p> </p><p>NHS England is working in partnership with Cancer Research UK and Macmillan Cancer Support on the ACE (Accelerate, Coordinate, Evaluate) Programme aiming to generate knowledge about effective approaches to achieve earlier diagnosis. A number of ACE test sites are evaluating approaches to increase screening rates in a range of groups, including black and ethnic minority women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>To explore the potential to increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women aged 25 who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected later in 2016.</p><p> </p><p>In addition, the Department of Health Behavioural Insight team has undertaken a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening. Results are due in summer 2016.</p><p> </p><p>A routine human papillomavirus vaccination programme has been available in England since 2008, and offers immunisation to girls aged 12-14 years. It is expected that the vaccine will reduce the already low rates of cervical cancer in these young women and allow them to be protected for years to come.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 25563 25565 25566 question first answered 11/02/2016 17:47:59 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

450257

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with Public Health England on steps to increase cervical screening uptake among women from disadvantaged backgrounds.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	25565
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England closely monitors the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all groups including black and minority ethnic women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>Local NHS England commissioners analyse coverage rates within their area and work with general practices to improve coverage by sharing best practice. For example, commissioners in London have developed a screening coverage strategy and delivery plan, including:</p><p>― Increased public awareness and engagement with screening programmes across all communities;</p><p>― increased engagement with primary care and improved reliability of data; and</p><p>― working with screening providers to optimise coverage.</p><p> </p><p>In addition to this:</p><p>― A primary care cancer screening best practice guide has been developed jointly with the transforming cancer services team, clinical commissioning groups and local authority public health representatives;</p><p>― linking with Cancer Research UK facilitators and Macmillan Cancer Support general practitioners to support best practice for screening in general practice; and</p><p>― imperial College is conducting a randomised controlled trial to assess the effectiveness of texting non-responders on improving coverage.</p><p> </p><p>NHS England is working in partnership with Cancer Research UK and Macmillan Cancer Support on the ACE (Accelerate, Coordinate, Evaluate) Programme aiming to generate knowledge about effective approaches to achieve earlier diagnosis. A number of ACE test sites are evaluating approaches to increase screening rates in a range of groups, including black and ethnic minority women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>To explore the potential to increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women aged 25 who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected later in 2016.</p><p> </p><p>In addition, the Department of Health Behavioural Insight team has undertaken a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening. Results are due in summer 2016.</p><p> </p><p>A routine human papillomavirus vaccination programme has been available in England since 2008, and offers immunisation to girls aged 12-14 years. It is expected that the vaccine will reduce the already low rates of cervical cancer in these young women and allow them to be protected for years to come.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 25563 25564 25566 question first answered 11/02/2016 17:47:59 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

450258

registered interest
date	03/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cervical Cancer: Young People
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 reduce levels of cervical cancer in 25 to 29 year olds.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	25566
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England closely monitors the coverage rates for cervical screening in all age groups and is committed to improving coverage and reducing variation between all groups including black and minority ethnic women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>Local NHS England commissioners analyse coverage rates within their area and work with general practices to improve coverage by sharing best practice. For example, commissioners in London have developed a screening coverage strategy and delivery plan, including:</p><p>― Increased public awareness and engagement with screening programmes across all communities;</p><p>― increased engagement with primary care and improved reliability of data; and</p><p>― working with screening providers to optimise coverage.</p><p> </p><p>In addition to this:</p><p>― A primary care cancer screening best practice guide has been developed jointly with the transforming cancer services team, clinical commissioning groups and local authority public health representatives;</p><p>― linking with Cancer Research UK facilitators and Macmillan Cancer Support general practitioners to support best practice for screening in general practice; and</p><p>― imperial College is conducting a randomised controlled trial to assess the effectiveness of texting non-responders on improving coverage.</p><p> </p><p>NHS England is working in partnership with Cancer Research UK and Macmillan Cancer Support on the ACE (Accelerate, Coordinate, Evaluate) Programme aiming to generate knowledge about effective approaches to achieve earlier diagnosis. A number of ACE test sites are evaluating approaches to increase screening rates in a range of groups, including black and ethnic minority women, women with learning disabilities and women from disadvantaged backgrounds.</p><p> </p><p>To explore the potential to increase rates of cervical screening in young women, the National Institute for Health Research (NIHR) Health Technology Assessment programme has commissioned a £1 million study to determine which interventions are effective at increasing screening uptake amongst women aged 25 who are receiving their first invitation from the NHS Cervical Screening Programme. The study began in November 2011 and reports can be expected later in 2016.</p><p> </p><p>In addition, the Department of Health Behavioural Insight team has undertaken a trial to investigate the use of behavioural insights to optimise the content of the invitation letter for cervical screening. Results are due in summer 2016.</p><p> </p><p>A routine human papillomavirus vaccination programme has been available in England since 2008, and offers immunisation to girls aged 12-14 years. It is expected that the vaccine will reduce the already low rates of cervical cancer in these young women and allow them to be protected for years to come.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 25563 25564 25565 question first answered 11/02/2016 17:47:59 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

443282

registered interest
date	07/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments: Technology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish NHS England's decision making criteria for the assessment of highly specialised technologies.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	21563
answer	answer is ministerial correction date of answer 14/01/2016 answer text <p>NHS England is currently developing a refined process for the prioritisation of proposed new investments in specialised services and highly specialised services.</p><br /><p>This continues to be worked up, including formation of potential criteria and weighting. NHS England is aiming to begin using this process in June 2016. The process will be made public once complete.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 14/01/2016 14:28:24 answering member 4020 label Biography information for George Freeman
tabling member	44 label Biography information for Sir David Amess

443285

registered interest
date	07/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Specialised Commissioning Oversight Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many commissioning policies were developed through the NHS England Specialised Commissioning Oversight Group in (a) 2014 and (b) 2015.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	21575
answer	answer is ministerial correction date of answer 14/01/2016 answer text <p>In 2014 NHS England published five clinical commissioning policies and policy statements for the routine of commissioning of new treatments, drugs or devices for specialised commissioning.</p><br /><p>In 2015 (up to November 2015), 38 such clinical commissioning policies and policy statements were published.</p><br /><p>Decisions for the 2015/16 commissioning round were due to be made in 2014 but this process was deferred to 2015 pending the outcome of public consultation on process.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 14/01/2016 14:52:07 answering member 4020 label Biography information for George Freeman
tabling member	44 label Biography information for Sir David Amess