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673549

registered interest
date	16/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will publish the evidence indicating the clinical benefits of the co-location of children's services with children congenital heart disease services that supported its inclusion in the final standards for congenital heart disease contained in the New Congenital Heart Disease Review: Final Report.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	60193
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>The new congenital heart disease (CHD) standards were approved by the NHS England Board in July 2015. The paper which NHS England’s CHD review team submitted to the Board at that time set out that:</p><p> </p><p>“We found no published evidence on the effects of proximity of other services so the proposed standards are based on expert opinion. Our clinical advisers strongly advocated co-location with other paediatric services, though they recognised that not everyone agrees. They considered that while responsiveness was one important factor, it was not the only thing that mattered. Delivering these services effectively requires the input of the wider paediatric multidisciplinary team, and the interaction between these teams on a daily basis, when co-located, is considered to be of significant benefit to patients.”</p><p> </p><p>The full paper can be found on NHS England’s website at:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/07/Item-4-CHD-Report.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/07/Item-4-CHD-Report.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/01/2017 16:39:51 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

660145

registered interest
date	16/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Defibrillators
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many extra publicly accessible defibrillators and associated training programmes have been provided as a result of the £1 million investment announced in Budget 2015.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	58020
answer	answer is ministerial correction date of answer 09/01/2017 answer text <p>The £1 million programme, announced in the budget in 2015, to increase the availability and accessibility of public access defibrillators and numbers trained in cardiopulmonary resuscitation (CPR) made 700 more publicly accessible defibrillators in communities across England. A breakdown of awards made is below:</p><p> </p><table><tbody><tr><td><p>Package</p></td><td><p>Awards</p></td><td><p>Units</p></td></tr><tr><td><p>Defibrillator, CPR kit and cabinet</p></td><td><p>486</p></td><td><p>641</p></td></tr><tr><td><p>Defibrillator and CPR kit</p></td><td><p>10</p></td><td><p>21</p></td></tr><tr><td><p>Cabinet only</p></td><td><p>29</p></td><td><p>38</p></td></tr><tr><td><p>Total</p></td><td><p>525</p></td><td><p>700</p></td></tr></tbody></table><p> </p><p>In the March 2016 budget, a further £1 million was made available to make public access defibrillators and CPR training more widely available in communities across England. A grant has been made to the British Heart Foundation to disburse the funding and it is currently accepting applications.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 09/01/2017 11:52:06 answering member 4080 label Biography information for David Mowat
tabling member	4404 label Biography information for Dr Tania Mathias

622616

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton and Harefield NHS Foundation Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what (a) consultations and (b) inspections took place at Royal Brampton and Harefield NHS Foundation Trust prior to that Trust being notified on 30 June 2016 that it did not meet the new standards for congenital heart disease services.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	50741
answer	answer is ministerial correction date of answer 01/11/2016 answer text <p>NHS England’s proposals for change, to ensure that all providers of congenital heart disease services for adults and children comply with new commissioning standards, are based on written evidence provided by the units themselves. The Royal Brompton and Harefield NHS Foundation Trust conducted a self-assessment against the nationally agreed standards which NHS England then considered. No inspection was undertaken as part of this process.</p><p> </p><p>NHS England has met with the Royal Brompton and Harefield NHS Foundation Trust to discuss the impact of their proposals for change. On reviewing the material provided by the Trust, NHS England has asked for further information.</p><p> </p><p>The standards for paediatric co-location are not currently met by the Royal Brompton and Harefield Hospital NHS Foundation Trust, University Hospitals of Leicester NHS Trust and Newcastle Hospitals NHS Foundation Trust. NHS England has informed these trusts of its assessment and whether this may involve further consideration of proposals to cease providing those services.</p><p> </p><p>NHS England has not yet made any commissioning decisions. It will run a service change process, including a public consultation, on its proposals for change.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 50743 50744 question first answered 01/11/2016 13:49:52 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

622623

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which hospitals providing congenital heart disease services (a) do not meet the standard for the co-location of paediatric services and (b) have been informed that they may be required to cease to provide those services as a result of not meeting that standard.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	50744
answer	answer is ministerial correction date of answer 01/11/2016 answer text <p>NHS England’s proposals for change, to ensure that all providers of congenital heart disease services for adults and children comply with new commissioning standards, are based on written evidence provided by the units themselves. The Royal Brompton and Harefield NHS Foundation Trust conducted a self-assessment against the nationally agreed standards which NHS England then considered. No inspection was undertaken as part of this process.</p><p> </p><p>NHS England has met with the Royal Brompton and Harefield NHS Foundation Trust to discuss the impact of their proposals for change. On reviewing the material provided by the Trust, NHS England has asked for further information.</p><p> </p><p>The standards for paediatric co-location are not currently met by the Royal Brompton and Harefield Hospital NHS Foundation Trust, University Hospitals of Leicester NHS Trust and Newcastle Hospitals NHS Foundation Trust. NHS England has informed these trusts of its assessment and whether this may involve further consideration of proposals to cease providing those services.</p><p> </p><p>NHS England has not yet made any commissioning decisions. It will run a service change process, including a public consultation, on its proposals for change.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 50741 50743 question first answered 01/11/2016 13:49:52 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

622624

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton Hospital
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 the Royal Brompton Hospital as a national specialist referral centre for children with lung disorders of the proposed closure of its paediatric congenital heart disease services.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	50743
answer	answer is ministerial correction date of answer 01/11/2016 answer text <p>NHS England’s proposals for change, to ensure that all providers of congenital heart disease services for adults and children comply with new commissioning standards, are based on written evidence provided by the units themselves. The Royal Brompton and Harefield NHS Foundation Trust conducted a self-assessment against the nationally agreed standards which NHS England then considered. No inspection was undertaken as part of this process.</p><p> </p><p>NHS England has met with the Royal Brompton and Harefield NHS Foundation Trust to discuss the impact of their proposals for change. On reviewing the material provided by the Trust, NHS England has asked for further information.</p><p> </p><p>The standards for paediatric co-location are not currently met by the Royal Brompton and Harefield Hospital NHS Foundation Trust, University Hospitals of Leicester NHS Trust and Newcastle Hospitals NHS Foundation Trust. NHS England has informed these trusts of its assessment and whether this may involve further consideration of proposals to cease providing those services.</p><p> </p><p>NHS England has not yet made any commissioning decisions. It will run a service change process, including a public consultation, on its proposals for change.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 50741 50744 question first answered 01/11/2016 13:49:52 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

601108

registered interest
date	13/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chickenpox: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to advice published by the Centers for Disease Control and Prevention on the effect of varicella vaccination on shingles, if he will make an assessment of the implications for his policy on mandatory varicella vaccination of the findings of that report.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	48617
answer	answer is ministerial correction date of answer 18/10/2016 answer text <p>In 2010, the Joint Committee on Vaccinations and Immunisations (JCVI) considered the addition of varicella (chickenpox) vaccine in the childhood vaccination programme. After carefully considering all the available evidence, JCVI concluded that offering a universal varicella (chickenpox) vaccination programme would not be cost effective as it could lead to an increase in shingles (herpes zoster) in adults.</p><p> </p><p>JCVI keeps all its recommendations under review and is currently in the process of reviewing the latest scientific evidence to establish whether a routine childhood varicella vaccination programme would be effective and of benefit in England; this includes evidence from other countries that have introduced a vaccination programme. JCVI will make its recommendations, once it has considered all the necessary evidence.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/10/2016 15:43:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4404 label Biography information for Dr Tania Mathias

601109

registered interest
date	13/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will undertake a consultation with patients, staff and the public on the proposed closure of congenital heart services at Royal Brompton Hospital.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	48616
answer	answer is ministerial correction date of answer 18/10/2016 answer text <p><strong></strong>The national review of congenital heart disease services is an NHS England led review.</p><p>NHS England will run a service change process in relation to the proposed changes to congenital heart disease services at Royal Brompton and Harefield NHS Foundation Trust and other trusts affected by the review’s proposals before finally deciding on and implementing any change. This process will include full public consultation.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/10/2016 10:46:45 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

595833

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Career Breaks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what training and support the NHS provides to doctors who have returned from long-term career breaks.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	47315
answer	answer is ministerial correction date of answer 12/10/2016 answer text <p>The Induction and Refresher Scheme for general practitioners (GPs), launched in 2015, is designed for doctors who have been out of practice in the United Kingdom for more than two years and have therefore dropped off the national performers list.</p><p> </p><p>NHS England also funds the Retained Doctor Scheme. This scheme provides doctors, who are on the performers list but who want to remain in or return to practice (for example after a career break) and work a maximum of four clinical sessions, with protected time for continuing professional development (CPD) and educational support. The scheme is designed to allow doctors to remain in practice when standard part time working is unavailable or does not suit the doctor’s working patterns.</p><p> </p><p>The GP easy return to practice forms part of the GP Forward View, published in April 2016 by NHS England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/10/2016 16:11:58 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

579523

registered interest
date	09/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	First Aid: Education
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 implications for his policies of the findings in the British Red Cross research paper, Don't stop at 999, published in September 2016, on preventable deaths; and what steps he is taking to ensure that basic first aid education is included in the Government's public health strategy.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	45856
answer	answer is ministerial correction date of answer 14/09/2016 answer text <p>No specific assessment of the implications of the recent Red Cross research – <em>Don’t Stop at 999 </em>has been made. However, it is recognised the timely application of first aid can help minimise the impact of injuries, as well as health conditions such as heart attacks and strokes, and contribute to avoiding preventable deaths.</p><p> </p><p>The NHS Choices website contains information for the public on first aid responses to various injuries and health incidents. In addition, the Government is making available another £1 million to make public access defibrillators and coronary pulmonary resuscitation training more widely available in communities across England. This builds on last year’s funding of £1 million, which provided almost 700 more publicly accessible defibrillators in communities across England and increased the numbers of people trained in cardiopulmonary resuscitation.</p><p> </p><p>The national <em>Act Fast </em>campaign also aims to raise awareness of the symptoms of stroke, teach people what to look out for in themselves and others, and encourage those who notice the symptoms to call 999. Since <em>Act Fast</em> launched in 2009, it is estimated that an additional 47,000 people reached hospital within the vital three-hour window and over 5,000 fewer people became disabled as a result of a stroke.</p><p> </p><p>Local authorities in England have the lead responsibility for identifying and meeting needs for local interventions to improve the health of their populations.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 14/09/2016 16:56:04 answering member 1542 label Biography information for Philip Dunne
tabling member	4404 label Biography information for Dr Tania Mathias

577536

registered interest
date	07/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Certificates: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department or the NHS issues to GP practices on charging patients for a medical certificate demonstrating their fitness to take part in sporting events abroad.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	45480
answer	answer is ministerial correction date of answer 12/09/2016 answer text <p>General practitioners (GPs) are independent contractors who hold contracts with NHS England to provide primary medical services for the National Health Service. Under the terms of their contract, GPs are required to provide certain medical reports or complete certain forms, such as those required to support a claim for incapacity benefit, free of charge to their registered patients.</p><p> </p><p>Outside of contractual requirements, GPs also provide a variety of other services which successive governments have regarded as private matters between the patient and the GP providing these services. Whether or not to provide these services is a matter for individual GPs. They may decline to provide them or charge a fee for doing so. Where GPs intend to charge for services to patients, the British Medical Association advises them to forewarn patients, at the earliest opportunity, of the likely level of fees.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 12/09/2016 14:40:13 answering member 4080 label Biography information for David Mowat
tabling member	4404 label Biography information for Dr Tania Mathias