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1027245

registered interest
date	17/12/2018
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	Clinical Commissioning Groups: East Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding was allocated from the public purse to each clinical commissioning group area in the East Midlands per head of population in (a) 2016-17 and (b) 2017-18.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	202810
answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>Clinical commissioning group (CCG) allocations for 2016/17 and 2017/18 are available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/nhs-england-allocations-ccg-core-services/" target="_blank">https://www.england.nhs.uk/publication/nhs-england-allocations-ccg-core-services/</a></p><p> </p><p>The East Midlands refers to a Government Office Region (GOR), which is not equivalent to Midlands and East National Health Service region. The East Midlands GOR comprises the following CCGs, based on Lower Layer Super Output Area resident populations (Office for National Statistics).</p><p> </p><table><tbody><tr><td><p>NHS Organisational Data Service code</p></td><td><p> </p></td><td><p>2016/17 (£)</p></td><td><p>2017/18 (£)</p></td></tr><tr><td><p>02Q</p></td><td><p>NHS Bassetlaw CCG</p></td><td><p>1,335</p></td><td><p>1,356</p></td></tr><tr><td><p>03T</p></td><td><p>NHS Lincolnshire East CCG</p></td><td><p>1,348</p></td><td><p>1,371</p></td></tr><tr><td><p>03V</p></td><td><p>NHS Corby CCG</p></td><td><p>1,231</p></td><td><p>1,251</p></td></tr><tr><td><p>03W</p></td><td><p>NHS East Leicestershire and Rutland CCG</p></td><td><p>1,097</p></td><td><p>1,114</p></td></tr><tr><td><p>03X</p></td><td><p>NHS Erewash CCG</p></td><td><p>1,284</p></td><td><p>1,303</p></td></tr><tr><td><p>03Y</p></td><td><p>NHS Hardwick CCG</p></td><td><p>1,393</p></td><td><p>1,415</p></td></tr><tr><td><p>04C</p></td><td><p>NHS Leicester City CCG</p></td><td><p>1,101</p></td><td><p>1,117</p></td></tr><tr><td><p>04D</p></td><td><p>NHS Lincolnshire West CCG</p></td><td><p>1,185</p></td><td><p>1,202</p></td></tr><tr><td><p>04E</p></td><td><p>NHS Mansfield and Ashfield CCG</p></td><td><p>1,326</p></td><td><p>1,347</p></td></tr><tr><td><p>04G</p></td><td><p>NHS Nene CCG</p></td><td><p>1,139</p></td><td><p>1,158</p></td></tr><tr><td><p>04H</p></td><td><p>NHS Newark and Sherwood CCG</p></td><td><p>1,243</p></td><td><p>1,263</p></td></tr><tr><td><p>04J</p></td><td><p>NHS North Derbyshire CCG</p></td><td><p>1,336</p></td><td><p>1,348</p></td></tr><tr><td><p>04K</p></td><td><p>NHS Nottingham City CCG</p></td><td><p>1,176</p></td><td><p>1,193</p></td></tr><tr><td><p>04L</p></td><td><p>NHS Nottingham North and East CCG</p></td><td><p>1,206</p></td><td><p>1,226</p></td></tr><tr><td><p>04M</p></td><td><p>NHS Nottingham West CCG</p></td><td><p>1,229</p></td><td><p>1,246</p></td></tr><tr><td><p>04N</p></td><td><p>NHS Rushcliffe CCG</p></td><td><p>1,093</p></td><td><p>1,111</p></td></tr><tr><td><p>04Q</p></td><td><p>NHS South West Lincolnshire CCG</p></td><td><p>1,181</p></td><td><p>1,195</p></td></tr><tr><td><p>04R</p></td><td><p>NHS Southern Derbyshire CCG</p></td><td><p>1,213</p></td><td><p>1,229</p></td></tr><tr><td><p>04V</p></td><td><p>NHS West Leicestershire CCG</p></td><td><p>1,082</p></td><td><p>1,099</p></td></tr><tr><td><p>99D</p></td><td><p>NHS South Lincolnshire CCG</p></td><td><p>1,209</p></td><td><p>1,230</p></td></tr><tr><td><p>01Y</p></td><td><p>NHS Tameside and Glossop CCG</p></td><td><p>1,374</p></td><td><p>1,393</p></td></tr><tr><td><p>06H</p></td><td><p>NHS Cambridgeshire and Peterborough CCG</p></td><td><p>1,058</p></td><td><p>1,077</p></td></tr></tbody></table><p><br>Note: NHS Tameside and Glossop CCG and NHS Cambridgeshire and Peterborough CCG partially overlap with this GOR.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/12/2018 15:02:23 answering member 1585 label Biography information for Stephen Hammond
tabling member	4663 label Biography information for Ben Bradley

1027251

registered interest
date	17/12/2018
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: Nottinghamshire
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 taking to support the (a) recruitment and (b) retention of GPs in Nottinghamshire.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	202816
answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>NHS England and Health Education England (HEE) are working together with the profession to increase the general practitioner (GP) workforce nationally. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p> </p><p>The Targeted Enhanced Recruitment Scheme is available in Nottinghamshire and offers a £20,000 salary supplement to attract doctors to parts of the country where there have been consistent shortages of GP trainees. 12 places were available in 2018 and a further 12 have been made available in 2019 in Sherwood Forest, Nottinghamshire.</p><p> </p><p>Mansfield and Ashfield Clinical Commissioning Group (CCG) and Newark and Sherwood CCG advise that the first wave of their international recruitment has taken place and the first few recruits are in post with further candidates in the pipeline. An increasing number of practices are also now sponsors for International Medical Graduates (on Tier 2 visas) who have trained in the United Kingdom.</p><p> </p><p>To address retention, the CCGs advise that they have a wide range of schemes available including a Trainee Transition programme which is providing trainees in their third year of training with flexible working options, a GP mentoring and support scheme, and a Post Certificate of Training (CCT) Fellowship. The CCT Fellowship provides additional support for GPs to extend their skills in leadership, digital working and urgent and emergency care.</p><p> </p><p>In additional to this, the CCGs advise that they are tackling practice workload and generating a wider culture of job satisfaction through engagement in the Releasing Time for Care programme. The programme includes training for administrative staff to reduce the burden on GPs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/12/2018 14:21:48 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

1023307

registered interest
date	11/12/2018
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	Dementia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent steps he has taken to tackle the challenges people with dementia face in obtaining (a) good residential care and (b) access to community support services.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	201261
answer	answer is ministerial correction date of answer 19/12/2018 answer text <p>Dementia remains a key priority for the Government. We will implement the Government’s Challenge on Dementia 2020 (published in February 2015) in full to make this the best country to live in with dementia by 2020.</p><p> </p><p>Working with our partners, we continue to make progress against the ambitions set out in the March 2016 Implementation Plan which details how the commitments in the Challenge, across the four core themes of risk reduction, health and care, awareness and social action, and research will be met.</p><p> </p><p>In addition, the Department is working with the adult social care sector to implement Quality Matters – a shared commitment to take action to achieve high quality adult social care for service users, families, carers and everyone working in the sector. Under the Care Act 2014, local authorities are required to shape their whole local markets to ensure that they are sustainable, diverse and offer high quality care and support for people in their local area.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/12/2018 12:09:35 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4663 label Biography information for Ben Bradley

1020406

registered interest
date	05/12/2018
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: Nottinghamshire
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 GP trainees began training in Nottinghamshire in 2017.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	199477
answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>There were 71 general practitioner (GP) trainees that began training in Nottinghamshire in 2017.</p><p> </p><p>The Targeted Enhanced Recruitment Scheme is a national incentive scheme which funds a £20,000 salary supplement to attract GP trainees to work in areas of the country where GP training places have been unfilled for a number of years. 144 places were available on the scheme in England in 2017, 11 of which were in Nottinghamshire.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/12/2018 14:56:49 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

1017268

registered interest
date	29/11/2018
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	Diabetes: Nottinghamshire
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 number of people in Nottinghamshire who have diabetes.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	197472
answer	answer is ministerial correction date of answer 07/12/2018 answer text <p>The information requested is not centrally held.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2018 13:02:52 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

1010780

registered interest
date	20/11/2018
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	Phenylketonuria
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 taking to help raise awareness of Phenylketonuria.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	193605
answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The current new-born screening programme in the United Kingdom screens for nine rare but serious conditions including phenylketonuria (PKU). To recognise rare conditions such as PKU, doctors and other healthcare professionals are expected to ensure their clinical knowledge remains up-to-date and to identify their ongoing learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance in relevant specialty areas, such as those produced by the National Institute for Health and Care Excellence or the Royal Colleges, to ensure that they can continue to provide high quality care to all patients.</p><p> </p><p>Steps to increase the awareness of rare diseases such as PKU are being taken through the implementation of the UK Strategy for Rare Diseases. The Strategy includes commitments to improving the lives of all patients affected by rare diseases including in areas of identification/ prevention and diagnosis and early intervention. The Government is committed to implementing the Strategy’s commitments and in January 2018, the Department and NHS England published Implementation Plans setting out their actions for England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:39:49 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

1007853

registered interest
date	15/11/2018
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	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what progress has been made on creating a system whereby patient evidence can be considered as part of the specialised commissioning relative prioritisation process.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	191991
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Patients and the public already have the opportunity to submit peer reviewed, published evidence as part of the clinical commissioning policy and services specification development process and to comment on draft commissioning policies and service specifications during public consultation. An engagement report which summarises the views submitted is considered by the Clinical Priorities Advisory Group as part of their deliberations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 15:14:05 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

997209

registered interest
date	29/10/2018
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	Medical Treatments: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether healthcare charities will be able to submit evidence as part of the specialised commissioning relative prioritisation process later this year.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	185103
answer	answer is ministerial correction date of answer 06/11/2018 answer text <p>Healthcare charities and other interested organisations have the opportunity to submit peer reviewed, published evidence, and to comment on draft clinical commissioning policies and service specifications that are being considered within the relative prioritisation process. They can do this either as a member of the policy working group, during stakeholder testing, or via a public consultation as per NHS England’s Specialised Commissioning Service Development Policy.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 06/11/2018 15:25:02 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

995615

registered interest
date	26/10/2018
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	Tuberous Sclerosis: Medical Treatments
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 patients with refractory epilepsy related to tuberous sclerosis complex are able to access new medicines.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	184448
answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Patients with tuberous sclerosis complex (TSC) have access to standard anti-epileptic drugs and whilst not licensed specifically for use in association with TSC, there is evidence that two thirds of patients will respond to treatment. A relatively new option specifically licensed for refractory epilepsy in TSC is everolimus (Votubia) which is due to be considered for prioritisation within the National Health Service in England in December as part of NHS England’s biannual relative prioritisation process for specialised services.</p><p> </p><p>The life sciences sector deal, published last autumn, will ensure that the next wave of breakthrough treatments, innovative medical research and technologies are created in Britain. A key part of the deal was our commitment to improving patient access to innovation through the implementation of the Accelerated Access Review.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/11/2018 15:40:37 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley

994559

registered interest
date	25/10/2018
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	Lung Cancer
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 improve the (a) diagnosis and (b) treatment of lung cancer.
tabling member constituency	Mansfield
tabling member printed	Ben Bradley
uin	183959
answer	answer is ministerial correction date of answer 02/11/2018 answer text <p>NHS England is extending targeted lung health checks to clinical commissioning groups with high mortality rates and high incidence of lung cancer. In Greater Manchester, introducing low dose CT health checks saw an almost five-fold reduction in stage 4 disease, with 80% of cancers diagnosed at an early stage.</p><p> </p><p>A new cancer diagnosis standard, designed to ensure that patients find out within 28 days whether or not they have cancer, will be introduced in 2020. NHS England has published guidance for lung cancer on how to speed up the start of the pathway, to meet this new standard and to maximise the number of patients who might benefit from potentially curative surgery. The National Health Service has been asked to implement this pathway in Refreshing NHS Plans for 2018/19 (annual planning guidance). Transformation funding was provided to Cancer Alliances in 2018/19 to ensure the pathway will be implemented across England. Guidance on the best practice timed diagnosis pathways is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/rapid-cancer-diagnostic-and-assessment-pathways/" target="_blank">https://www.england.nhs.uk/publication/rapid-cancer-diagnostic-and-assessment-pathways/</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/11/2018 13:37:40 answering member 4067 label Biography information for Steve Brine
tabling member	4663 label Biography information for Ben Bradley