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861034

registered interest
date	13/03/2018
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	Rare Diseases: Drugs
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 effectiveness of NICE's consideration of drugs for rare diseases.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	132183
answer	answer is ministerial correction date of answer 21/03/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for developing authoritative, evidence-based guidance for the National Health Service on whether drugs and other treatments represent an effective use of NHS resources.</p><p> </p><p>NICE assesses most significant new drugs through its technology appraisal programme and has been able to recommend a number of drugs licenced for the treatment of rare diseases for routine use on the NHS. NICE also operates a separate highly specialised technology evaluation programme for the assessment of very high cost drugs for the treatment of very small numbers of patients.</p><p> </p><p>NICE’s methods and processes for the assessment of drugs have been carefully developed over time and are internationally respected. NICE continues to keep its procedures under periodic review to ensure that they remain effective.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/03/2018 13:47:55 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith

838269

registered interest
date	07/02/2018
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	Mental 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, whether NHS mental health and health trusts are required to inform his Department of their capacity to admit patients with very specific mental health needs to places where appropriate care is available; and whether his Department issues guidelines to such trusts on the maximum distance from a patient's home and families such patients can be so placed.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	127166
answer	answer is ministerial correction date of answer 23/02/2018 answer text <p>For those services where NHS England holds direct commissioning responsibility via its Specialised Commissioning function, providers work with the Specialised Commissioning Teams to manage local capacity and ensure patients are treated as close to home as possible. Where this is not possible every effort is taken to bring the patient back as close to home as possible as soon as possible. This work is complemented by NHS England delivering on its commitments to increase the number of beds for mothers and babies and for children and young people. The aim of this work is to align provision to population needs. Further work is underway with partner organisations such as Her Majesty’s Prison and Probation Service to similarly align adult secure beds to local population need and minimise out of area referrals.</p><p> </p><p>For non-specialist inpatient care (adult acute beds) commissioned by local clinical commissioning groups, a new dataset has been established to provide transparency of system pressures by reporting monthly about the number of people who are sent out of area (i.e. indicating a lack of capacity locally). There is a national ambition to end the practice of sending people out of area inappropriately by 2021, ensuring that people can always access a bed locally when they need to. The monthly reports, which show the definition of out of area placements, reporting and data quality increasing, can be found at the following link:</p><p> </p><p><a href="http://content.digital.nhs.uk/oaps" target="_blank">http://content.digital.nhs.uk/oaps</a></p><p> </p><p>There is no prescribed distance of what constitutes an out of area placement. The national definition (published by the Department) was consulted on widely, including large service user groups. There was clear consensus that a definition should not emphasise a particular distance but rather requires local and clinical interpretation, supported by a set of key principles which focus on the importance of maintaining continuity of care and connection to family, friends and local support networks.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 23/02/2018 12:57:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4637 label Biography information for James Frith

837997

registered interest
date	06/02/2018
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	Compulsorily Detained Psychiatric Patients
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many specialist mental health places were available in, for people sectioned under the Mental Health Act 1983, in each region in each of the last five years.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	127026
answer	answer is ministerial correction date of answer 09/02/2018 answer text <p>Clinical commissioning groups (CCGs) and NHS England hold responsibility for the commissioning of mental health places for people who are sectioned under the Mental Health Act 1983. CCGs commission local services that meet the needs of their local populations, including non-specialist mental health inpatient services. NHS England commissions the specialist in-patient services relating to a number of areas including adult secure care, perinatal care and Child and Adolescent Mental Health Services (CAMHS) Tier 4 care.</p><p> </p><p>The available information for England on the number of specialist beds in each of these categories over the last three to five years is given below. Information by individual region is not collected centrally.</p><p> </p><p>Adult secure beds (high, medium and low secure care)</p><p>- 1 April 2015: 7,318</p><p>- 1 April 2016: 7,313</p><p>- 1 April 2017: 72,39</p><p> </p><p>CAMHS Tier 4 Beds</p><p>- April 2013 – 1,343</p><p>- April 2014 – 1,386</p><p>- November 2015 – 1,442</p><p>- April 2017 – 1,449</p><p> </p><p>Mother and baby units</p><p>- 2015/16 -112 beds</p><p>- 2016/17 - 120 beds</p><p>- 2017/18 -124 beds</p><p> </p><p>It is important to note that not all the beds identified will be occupied by patients sectioned under the Mental Health Act 1983. These numbers also include beds for patients who have a learning disability and challenging behaviour which will require in-patient health care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/02/2018 11:49:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4637 label Biography information for James Frith

837998

registered interest
date	06/02/2018
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	Compulsorily Detained Psychiatric Patients
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 the number of specialist mental health places available for those people sectioned under the Mental Health Act 1983.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	127027
answer	answer is ministerial correction date of answer 09/02/2018 answer text <p>For mother and baby units NHS England is on track to deliver against the commitment of a 49% increase in beds by 2020 in line with investment plans.</p><p> </p><p>For Child and Adolescent Mental Health Services Tier 4 services NHS England has committed to commission an additional 150-180 beds to support historically underserved areas.</p><p> </p><p>NHS England’s programme of work implementing the Five Year Forward View for Mental Health is based on local services being commissioned to provide patients with timely access to evidence-based care as early as possible and as close to home as possible where appropriate. This early care should prevent patients’ conditions deteriorating to the point where they need detention under the Mental Health Act 1983.</p><p> </p><p>This programme includes enhancing the provision of crisis resolution and home treatment teams and wider community mental health services. NHS England and NHS Improvement’s major programme to support areas to eliminate non-specialist acute out-of-area placements for adults by 2020/21 is based on the need to focus on whole system capacity management and alternatives to admission, such as home treatment, in light of the reducing reliance on inpatient beds, supported by £400 million investment in crisis resolution and home treatment teams by 2020/21.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 09/02/2018 11:56:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4637 label Biography information for James Frith

833869

registered interest
date	30/01/2018
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	Carillion: Insolvency
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 estimate the value of the Carillion contract at the Royal Liverpool hospital; set out how progress on the contract was monitored; state whether the contract was on budget before Carillion was liquidated; and estimate the overall cost of completing the project.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	125627
answer	answer is ministerial correction date of answer 02/02/2018 answer text <p>Carillion is part of a Private Finance Initiative (PFI) consortium currently contracted by Royal Liverpool and Broadgreen University Hospitals NHS Trust to undertake construction of the new Royal Liverpool hospital as part of the £429 million project for the overall redevelopment of the trust’s sites.</p><p> </p><p>Individual NHS trusts, as the direct counterparties to PFI contracts, are responsible and accountable for the monitoring of the contract. Under a PFI contract, the PFI consortium raises the finance and manages the budget and cashflow for the construction works; the NHS trust does not start paying the full costs of the project until it is completed.</p><p> </p><p> </p><p>The PFI contract between the Royal Liverpool and Broadgreen University Hospitals NHS Trust and the PFI Project Company is still in place, which means that the Company is still contractually obliged to manage the project and find a construction firm or subcontractor who can continue the building work. This is important for the trust and also an incentive for the PFI Project Company to minimise delay.</p><p> </p><p>The Royal Liverpool Hospital scheme is very well advanced. The PFI Project Company is currently in discussions with PwC (on behalf of the official receiver), their lenders and with other service and construction companies to assess how best to continue delivering these contracts.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 02/02/2018 13:07:08 answering member 4095 label Biography information for Steve Barclay
tabling member	4637 label Biography information for James Frith

827972

registered interest
date	22/01/2018
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	Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS dental contracts were not completed in each of the last five years; and how many units of dental activity were undelivered in each case.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123932
answer	answer is ministerial correction date of answer 30/01/2018 answer text <p>This information is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/01/2018 14:20:04 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith

825447

registered interest
date	18/01/2018
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: Weather
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he has had discussions with (a) hospice directors and (b) commissioning bodies on the use and capacity of hospices as part of the NHS Winter Resilience Plan.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123588
answer	answer is ministerial correction date of answer 23/01/2018 answer text <p>In July 2017, every local area was asked to develop plans to meet winter pressures. This included working with all local partners to consider issues such as demand and capacity, effective discharge and planning for peaks in demand. This local planning may have included consideration on the use and capacity of hospices depending on local circumstances.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 23/01/2018 14:36:13 answering member 4095 label Biography information for Steve Barclay
tabling member	4637 label Biography information for James Frith

825489

registered interest
date	18/01/2018
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	Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many Units of Dental Activity were delivered in (a) Bury North constituency, (b) Greater Manchester and (c) England in each of the last five years.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123628
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>The following table shows the information available on number of units of dental activity delivered for Bury Local Authority, Greater Manchester and England. Data is available for Bury Local Authority, Greater Manchester for 2013/14 to 2016/17 and England for 2012/13 to 2016/17. Data is not available broken down by constituency.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Bury Local Authority</p></td><td><p>Greater Manchester<sup>1</sup></p></td><td><p>England</p></td></tr><tr><td><p>2016-17</p></td><td><p>320,578</p></td><td><p>4,952,821</p></td><td><p>85,731,304</p></td></tr><tr><td><p>2015-16</p></td><td><p>337,942</p></td><td><p>4,985,119</p></td><td><p>86,350,897</p></td></tr><tr><td><p>2014-15</p></td><td><p>336,160</p></td><td><p>4,978,641</p></td><td><p>87,220,891</p></td></tr><tr><td><p>2013-14</p></td><td><p>334,639</p></td><td><p>4,985,364</p></td><td><p>88,691,434</p></td></tr><tr><td><p>2012-13</p></td><td><p>-</p></td><td><p>-</p></td><td><p>88,097,804</p></td></tr></tbody></table><p>Source: NHS Digital</p><p> </p><p>Note:</p><p> </p><p><sup>1</sup>Greater Manchester is defined as the following local authorities: Bolton, Bury, Manchester, Oldham, Rochdale, Salford, Stockport, Tameside, Trafford and Wigan.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 15:56:01 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith

825491

registered interest
date	18/01/2018
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	Dentistry: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many overseas qualified dentists are waiting for a Performer Number by country of origin; and what the the average waiting time has been to receive such a number in each of the last three years.
tabling member constituency	Bury North
tabling member printed	James Frith
uin	123630
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>Information is not held centrally on the number of dentists who qualified overseas who are waiting for a Performer Number or on the average turnaround time for applications to join the National Dental Performers List.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 13:47:20 answering member 4067 label Biography information for Steve Brine
tabling member	4637 label Biography information for James Frith