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911190

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what factors the Scientific Advisory Committee on Nutrition takes into account when determining whether to revise its advice on any aspect of nutritional supplementation.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147850
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147851 147852 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911191

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
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 list all the recommendations the Scientific Advisory Committee on Nutrition has issued in respect of nutritional supplements by (a) nutritional supplement, (b) when the recommendation was last reviewed in each case and (c) what triggered the last review in the case of each supplement; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147851
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147850 147852 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911192

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans the Scientific Advisory Committee on Nutrition has to develop additional advice on the use of food supplements by nutrient.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147852
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) undertakes a risk assessment to determine whether to revise its advice either because of a need identified through horizon scanning or at the request of government. The SACN undertakes all risk assessment in line with its framework for the evaluation of evidence. The SACN’s risk assessments take account of evidence on intake and need in relation to health outcomes considered to be of key public health concern.</p><p> </p><p>The SACN undertakes nutritional risk assessment on a case by case basis in relation to need – this is usually either because of a need identified through horizon scanning or at the request of government. The SACN has no plans to develop specific additional advice on supplement use.</p><p> </p><p>The SACN has made supplementation recommendations in relation to vitamin D and folic acid. Which are available at the following links:</p><p> </p><p><a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report" target="_blank">https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report</a></p><p> </p><p><a href="https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations" target="_blank">https://www.gov.uk/government/publications/folic-acid-updated-sacn-recommendations</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147850 147851 question first answered 04/06/2018 13:56:29 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

911193

registered interest
date	24/05/2018
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	Scientific Advisory Committee On Nutrition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the revised advice issued by the Scientific Advisory Committee on Nutrition in July 2016 on vitamin D, for what reasons Public Health England limited the application of the advice to autumn and winter only; what steps he has taken to monitor the effect of that change in the advice on the health of the population; what steps have been taken to make the public aware of that advice; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	147853
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>Public Health England advice on vitamin D supplements recognises that in spring and summer, the majority of the population get enough vitamin D through sunlight on the skin and a healthy, balanced diet. The advice from the Scientific Advisory Committee on Nutrition was unable to take account of skin synthesis of vitamin D.</p><p> </p><p>During autumn and winter everyone will need to rely on dietary sources of vitamin D. Vitamin D intake and status is measured through the United Kingdom National Diet and Nutrition Survey rolling programme.</p><p> </p><p>Clear advice to the public continues to be communicated via the NHS Choices website at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/" target="_blank">https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/</a></p><p> </p><p>The National Institute for Health and Care Excellence has produced guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, which is available at the following link:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/ph56" target="_blank">https://www.nice.org.uk/guidance/ph56</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 14:07:05 answering member 4067 label Biography information for Steve Brine
tabling member	1533 label Biography information for Dame Diana Johnson

908971

registered interest
date	21/05/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on how many occasions the Care Quality Commission has (a) required registered care providers to produce a plan to (a) mitigate or (b) eliminate risk to the sustainability of their business and (b) arranged for, or required the provider to arrange for, a person with appropriate professional expertise to carry out an independent review of that business in each quarter since Section 55 (2) of the Care Act 2014 came into force.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	146162
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>The Care Quality Commission (CQC) has provided the following response.</p><p> </p><p>The CQC does not routinely require adult social care providers to prepare risk mitigation plans. Instead, the CQC’s Market Oversight team aims to understand each provider’s short to medium term strategic plan, their individual business drivers and how they compare within relevant peer groups so it can consider this information alongside the CQC published ratings data. This approach allows each provider’s key risks to be established and discussed, typically with the provider’s Board. If the response or explanation from a provider is not satisfactory, the CQC will escalate discussions to include wider stakeholders such as the owners/financers of the provider.</p><p> </p><p>The instruction of an independent business review is a last resort after all other avenues have been exploited. Since Market Oversight was launched in April 2015, the CQC has either directly instructed or been involved in existing work that was being undertaken on three separate occasions – Quarter 1 of the financial year 2017-18, Quarter 4 2017-18 and Quarter 1 2018-19. However, there have been at least a further 14 instances when Market Oversight has reviewed detailed management plans and engaged directly with a provider’s advisors to satisfy itself with the feasibility of a provider’s risk mitigation activity and, thus, the sustainability of the provider.</p><p> </p><p>To protect the commercial sensitivity and confidential financial information submitted to the Market Oversight team, the CQC does not provide detailed information on specific providers in the scheme.</p><p> </p><p>The Department published statutory guidance outlining local authorities’ roles and responsibilities in the event of business failure.</p><p> </p><p>The Government is continuing to work with local authorities to ensure they have effective and up-to-date contingency plans in place.</p><p> </p><p>The Department has worked with the Association of Directors of Adult Social Services and the Local Government Information Unit to develop further guidance on contingency planning for provider failure.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/05/2018 11:08:12 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

908972

registered interest
date	21/05/2018
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	Social 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 early warnings has the Care Quality Commission issued to local authorities on the potential market failure of difficult to replace social care providers; and how many local authorities have received such warnings in each quarter since the market oversight provisions of the Care Act 2014 came into force.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	146163
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>The Care Quality Commission (CQC) has provided the following response.</p><p> </p><p>The CQC’s application of the Market Oversight legislation is that it will provide a notification to impacted local authorities when it is satisfied that service cessation as a result of business failure is likely. This is commonly referred to as a ‘stage 6’ notification. This criterion has only been satisfied on one occasion, in Q1 of the financial year 2018/19, when the CQC provided the relevant notification to a single impacted local authority in relation to a single care home.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/05/2018 11:13:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

908974

registered interest
date	21/05/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on how many occasions local authorities have exercised their duties to meet an adult’s needs for care and support as a result of the business failure of a registered care provider in each quarter since Section 48 of the Care Act 2014 came into force.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	146164
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>The information requested is not held centrally.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/05/2018 11:05:33 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

908977

registered interest
date	21/05/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the differences in (a) the level of fees paid by each local authority to social care providers and (b) the proportion of residents in each local authority area who fund their own social care without local authority support; and if he will make a statement.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	146165
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>No assessment has been made of the level of fees paid by local authorities to social care providers and no data is collected centrally on the number or proportion of self-funded clients in each local authority.</p><p> </p><p>Commissioning social care is a matter for local authorities who are best placed to understand the needs of local people and communities, and how best to meet them.</p><p> </p><p>The Care Act 2014 placed a duty on local authorities in England to promote a diverse, sustainable, high quality market of care and support providers for people in their local area.</p><p> </p><p>We have given local authorities in England an extra £2 billion over the next three years to maintain access for our growing aging population and allow councils to sustain a diverse care market including care home places.</p><p> </p><p>The Department is supporting local authorities to influence their local market through improved market facilitation and commissioning to ensure that local markets are effective.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/05/2018 11:02:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

908979

registered interest
date	21/05/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, on how many occasions care home providers have handed back contracts to provide social care to local authorities in each year since 2009-10.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	146166
answer	answer is ministerial correction date of answer 24/05/2018 answer text <p>We do not collect data about local contracting.</p><p> </p><p>Commissioning high quality social care is the responsibility of local government who are best placed to understand the needs of local people and communities, and how best to meet them.</p><p> </p><p>Where a care provider ‘hands back’ a contract to a local authority, the authority remains responsible for meeting the needs of people who previously had services provided under the contract and for arranging replacement services.</p><p> </p><p>The Department has worked with the Association of Directors of Adult Social Services, the Local Government Association, the care sector and other partners to produce a wide range of guidance and support about market shaping and commissioning and contingency planning. All guidance related to market shaping and commissioning responsibilities is collected on a markets Hub available on GOV.UK.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 24/05/2018 11:03:59 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson

904769

registered interest
date	15/05/2018
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	Social Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to paragraph 5.5 on page 47 of Budget 2017, what proportion of funding allocated for (a) 2017-18, (b) 2018-19 and (c) 201920 is allocated for (i) funding care packages for more people, (ii) supporting social care providers and (iii) relieving pressure on the NHS locally by local authority and NUTS 1 region.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	144231
answer	answer is ministerial correction date of answer 22/05/2018 answer text <p>As part of the grant conditions for the £2 billion provided for social care at the Spring Budget 2017, local authorities were required to report on how the money would be spent. We anticipate publishing information on 2017-18 later this year; information for subsequent years is not yet available.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144232 144233 question first answered 22/05/2018 15:23:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1533 label Biography information for Dame Diana Johnson