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1012345

registered interest
date	22/11/2018
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: Greenwich
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 Greenwich Clinical Commissioning Group's Patient and Public Engagement Strategy 2017 to 2020, what his Department's definition is of a seldom heard group; how many such groups it has identified; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	194574
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>The Department and NHS England have not formally defined the term ‘seldom heard groups’, which is used by Greenwich Clinical Commissioning Group (CCG).</p><p> </p><p>NHS England published statutory guidance for CCGs and NHS England on patient and public participation in commissioning health and care. A copy of this guidance can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/participation/involvementguidance/" target="_blank">https://www.england.nhs.uk/participation/involvementguidance/</a></p><p> </p><p>The CCG Improvement and Assessment Framework has an indicator (50) within the leadership domain that assesses CCGs involvement of patients and the public against a range of criteria including equalities and health inequalities. The indicator is based on the statutory guidance and so provides an assessment of CCG performance in this area. The 2017/18 data is available on MyNHS.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 194575 question first answered 27/11/2018 17:14:08 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1012348

registered interest
date	22/11/2018
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	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department provides to clinical commissioning groups on ensuring that they involve patients through Patient Participation Groups; and how he plans to monitor the effectiveness of (a) that guidance and (b) clinical commissioning groups involving patients; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	194575
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>The Department and NHS England have not formally defined the term ‘seldom heard groups’, which is used by Greenwich Clinical Commissioning Group (CCG).</p><p> </p><p>NHS England published statutory guidance for CCGs and NHS England on patient and public participation in commissioning health and care. A copy of this guidance can be found at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/participation/involvementguidance/" target="_blank">https://www.england.nhs.uk/participation/involvementguidance/</a></p><p> </p><p>The CCG Improvement and Assessment Framework has an indicator (50) within the leadership domain that assesses CCGs involvement of patients and the public against a range of criteria including equalities and health inequalities. The indicator is based on the statutory guidance and so provides an assessment of CCG performance in this area. The 2017/18 data is available on MyNHS.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 194574 question first answered 27/11/2018 17:14:08 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1011670

registered interest
date	21/11/2018
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	General Practitioners: Greenwich
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 has made of the progress of Greenwich Clinical Commissioning Group towards setting up Patient Participation Groups as proposed in its Patient and Public Engagement Strategy (2017 – 2020); how many such groups have been set up; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	194022
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>In May 2017 Greenwich Clinical Commissioning Group (CCG) carried out a review of the 35 general practitioner (GP) practices in the borough. This showed that 24 (68%) practices had fully functional Patient Participation Groups (PPGs).</p><p> </p><p>In May 2018 Greenwich CCG undertook a further review which showed that 31 (88%) practices now had a fully functional PPG.</p><p><strong> </strong></p><p>NHS England does not provide guidance about whether community groups can become PPGs. PPGs are specific to GP practices and included in the GP contract as a way in which practices can engage with their practice population. CCGs should engage more widely than PPGs and we would expect them to connect with and engage with community and voluntary groups in their local communities. This is part of their duty to involve patients and the public and is covered in the guidance for CCGs last published in 2017. Greenwich CCG welcomes engagement opportunities with patient community groups to receive feedback on health services commissioned by the CCG. This would be outside of the formal remit of a Patient Participation Group as defined within national guidance.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 194023 question first answered 26/11/2018 17:46:01 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1011674

registered interest
date	21/11/2018
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	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department provides on whether clinical commissioning groups can allow community groups representing clearly defined geographical areas to become Patient Participation Groups; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	194023
answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>In May 2017 Greenwich Clinical Commissioning Group (CCG) carried out a review of the 35 general practitioner (GP) practices in the borough. This showed that 24 (68%) practices had fully functional Patient Participation Groups (PPGs).</p><p> </p><p>In May 2018 Greenwich CCG undertook a further review which showed that 31 (88%) practices now had a fully functional PPG.</p><p><strong> </strong></p><p>NHS England does not provide guidance about whether community groups can become PPGs. PPGs are specific to GP practices and included in the GP contract as a way in which practices can engage with their practice population. CCGs should engage more widely than PPGs and we would expect them to connect with and engage with community and voluntary groups in their local communities. This is part of their duty to involve patients and the public and is covered in the guidance for CCGs last published in 2017. Greenwich CCG welcomes engagement opportunities with patient community groups to receive feedback on health services commissioned by the CCG. This would be outside of the formal remit of a Patient Participation Group as defined within national guidance.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 194022 question first answered 26/11/2018 17:46:01 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007175

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients with chronic obstructive pulmonary disease have been referred for pulmonary rehabilitation in accordance with NICE guidelines in the most recent period for which figures are available; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191255
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>National Institute for Health and Care Excellence (NICE) Guidelines state that “Pulmonary rehabilitation should be made available to all appropriate people with chronic obstructive pulmonary disease (COPD) including those who have had a recent hospitalisation for an acute exacerbation” <sup>1</sup>.</p><p> </p><p>NHS England supports the national Asthma and COPD Audit Programme – led by the Royal College of Physicians – which provides data on a range of indicators to show opportunities for improving COPD outcomes. The audit shows that 13% of people with COPD are referred to pulmonary rehabilitation services<sup>2</sup>. A continuous clinical audit of service provision and delivery of pulmonary rehabilitation is due to start in March 2019.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Chronic obstructive pulmonary disease in over 16s: diagnosis and management Clinical guideline Published 23 June 2010 <a href="http://www.nice.org.uk/guidance/cg101" target="_blank">www.nice.org.uk/guidance/cg101</a></p><p> </p><p><sup>2</sup><a href="https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream" target="_blank">https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:24:39 answering member 4067 label Biography information for Steve Brine previous answer version 85821 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1007176

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
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 ensure that all patients diagnosed with chronic obstructive pulmonary disease have access to community rehabilitation in accordance with NICE guidelines; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191256
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Pulmonary rehabilitation (PR) is one of the most effective treatments for chronic obstructive pulmonary disease (COPD). The Department supports the National Health Service to increase access to PR and improve the quality of care for people with long-term respiratory conditions.</p><p> </p><p>Respiratory disease is clinical priority in the NHS Long Term Plan. A working group has been developing policy proposals with the aim of delivering specific improvements in respiratory disease. One of the areas under review is the current service provision for PR services in England.</p><p> </p><p>The NHS RightCare COPD pathway, which is now being rolled out nationally through clinical commissioning groups, includes timely access to PR as part of the optimal treatment pathway.</p><p> </p><p>NHS England is working with NHS Improvement, Public Health England and the third sector to ensure all components of the COPD pathway including identification, diagnosis, treatment and management of respiratory conditions are coordinated across the health system.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:21:40 answering member 4067 label Biography information for Steve Brine previous answer version 85827 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1006004

registered interest
date	13/11/2018
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	NHS: Directors
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 ensure that the boards of (a) NHS Trusts, (b) Care Commissioning Groups and (c) other NHS bodies include allied health professionals; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	190743
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Allied Health Professionals (AHPs) can be on the boards of any National Health Service body.</p><p> </p><p>NHS England published the ‘AHPs into Action’ framework in January 2017, which outlines the impact and potential of AHPs, including as members of boards.</p><p> </p><p>NHS Improvement has commissioned research into AHP leadership in NHS provider organisations, and has published ‘Leadership of allied health professions in trusts: what exists and what matters’. There has been a measurable increase in the number of AHP strategic leadership positions over the last two years.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/11/2018 16:23:47 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	165 label Biography information for Clive Efford

1003701

registered interest
date	09/11/2018
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	Musculoskeletal Disorders
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 his Department is reduce the number of working days lost as a result of musculoskeletal disorders; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189525
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189526 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford

1003702

registered interest
date	09/11/2018
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	Musculoskeletal Disorders
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 include musculoskeletal disorders in the long-term plan for the NHS to reduce loss of working days; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189526
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189525 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford

1003717

registered interest
date	09/11/2018
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	Strokes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of stroke survivors are given a rehabilitation assessment before they are discharged; what steps he is taking to ensure that all patients receive that assessment; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189527
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>Data from the Sentinel Stroke National Audit Programme for the year April 2017 to March 2018 (which covers England, Wales and Northern Ireland) shows that 83.8% of patients spend at least 90% of their hospital stay on a specialist stroke unit, all of which provide coordinated multidisciplinary care and rehabilitation and that almost everyone with a stroke disability received in-patient therapy assessment.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/11/2018 16:04:25 answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford