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1135827

registered interest
date	01/07/2019
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 England: Private Sector
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 total payments made by NHS England to private providers in each of the last five years.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	271400
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Total spending by NHS Commissioners on private health providers in each of the last five years for which figures are available is shown in the following table.</p><table><tbody><tr><td><p>NHS Commissioners' spend on non National Health Service bodies by organisation type</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p> </p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td></tr><tr><td><p>Independent sector providers</p></td><td><p>6,467</p></td><td><p>8,067</p></td><td><p>8,818</p></td><td><p>9,007</p></td><td><p>8,765</p></td></tr></tbody></table><p><br> Note: 1. The numbers above have been collected separately from audited accounts data and may include estimates.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 11:03:36 answering member 1585 label Biography information for Stephen Hammond
tabling member	1439 label Biography information for Norman Lamb

1135899

registered interest
date	01/07/2019
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	Cannabis
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 regulate the cannabidiol market; and whether he plans to create a new medical model for the (a) tetrahydrocannabinol and (b) cannabidiol sectors.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	271414
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>Given that cannabidiol extracts are found in many products and not just in food, Departmental officials are also working with other Government departments to assess all the relevant issues. We will consider evidence to develop the most suitable approach for regulation and compliance. The Food Standards Agency (FSA) will continue to engage with stakeholders on how the Government can achieve this.</p><p> </p><p>On 1 November 2018, the Government changed the law to enable specialist doctors to prescribe cannabis-based products for medicinal use. This includes products containing tetrahydrocannabinol and cannabidiol. The regulations use the existing regulatory frameworks for medicines and the misuse of controlled drugs, an approach which the Government believes is proportionate and evidence-based, ensuring that clinicians can access these products whilst minimising the risk of misuse, harm and diversion.</p><p> </p><p>The Food Standards Agency (FSA) has been working with local authorities, businesses, consumers and other stakeholders to determine how to regulate the cannabidiol market and achieve compliance in a proportionate manner.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 04/07/2019 11:12:08 answering member 4455 label Biography information for Seema Kennedy
tabling member	1436 label Biography information for Paul Farrelly

1135913

registered interest
date	01/07/2019
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	Doctors: Private Sector
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 (a) identify and (b) mitigate against any conflict of interest by NHS consultants referring patients to private hospitals in which those consultants have an interest.
tabling member constituency	Feltham and Heston
tabling member printed	Seema Malhotra
uin	271509
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>NHS England guidance makes clear that all National Health Service staff, including consultants should declare all private practice on appointment, and/or any new private practice when it arises. Where clinical private practice gives rise to a conflict of interest then the general management actions outlined in guidance should be considered and applied to mitigate risks</p><p><br> In addition, the General Medical Council is the independent regulator of doctors in the United Kingdom and sets the professional standards that all doctors must follow to practice in the UK. Doctors planning to refer a patient to an organisation in which they have a financial or commercial interest must tell the patient about that interest and make a note of this in the patient’s medical record. Doctors must be prepared to explain and justify their decisions and actions. Serious or persistent failure to follow this guidance will put their registration at risk</p><p><br> <br> <br> <br></p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 11:25:32 answering member 1585 label Biography information for Stephen Hammond
tabling member	4253 label Biography information for Seema Malhotra

1135987

registered interest
date	01/07/2019
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: Staff
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 (b) specialist roles and (b) Parkinson’s nurses are included in the NHS workforce plan.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	271535
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The National Health Service interim People Plan was published on 3 June 2019, it puts staff at the heart of NHS policy and delivery and recognises the current shortage of nurses as the most urgent challenge facing the health system.</p><p> </p><p>It calls for action to be taken now to make the NHS the best place to work, by reforming the culture and leadership and ensuring all staff (including nurses) feel supported and valued, in an effort to increase workforce recruitment and retention.</p><p> </p><p>The interim Plan proposes to increase the number of newly qualified NHS nurses, support and retain existing nurses, provide nurses with every opportunity to return to work, and bring in nurses from abroad. It commits to delivering 5,000 additional placements for nursing students, 7,500 further Nursing Associates, increasing undergraduate supply and broadening routes into nursing.</p><p> </p><p>There are no post-registration requirements for a Registered Nurse to become a Parkinson’s nurse. Therefore, local integrated care systems will be responsible for ensuring they have the necessary numbers of Parkinson’s (and other specialist) nurses to meet the needs of their local population.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 271536 question first answered 04/07/2019 11:27:08 answering member 1585 label Biography information for Stephen Hammond
tabling member	4126 label Biography information for Mary Glindon

1135988

registered interest
date	01/07/2019
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: Vacancies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what succession planning arrangements the NHS is making to minimise the vacancy rates for (a) Parkinson’s nurses and (b) other specialist roles.
tabling member constituency	North Tyneside
tabling member printed	Mary Glindon
uin	271536
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The National Health Service interim People Plan was published on 3 June 2019, it puts staff at the heart of NHS policy and delivery and recognises the current shortage of nurses as the most urgent challenge facing the health system.</p><p> </p><p>It calls for action to be taken now to make the NHS the best place to work, by reforming the culture and leadership and ensuring all staff (including nurses) feel supported and valued, in an effort to increase workforce recruitment and retention.</p><p> </p><p>The interim Plan proposes to increase the number of newly qualified NHS nurses, support and retain existing nurses, provide nurses with every opportunity to return to work, and bring in nurses from abroad. It commits to delivering 5,000 additional placements for nursing students, 7,500 further Nursing Associates, increasing undergraduate supply and broadening routes into nursing.</p><p> </p><p>There are no post-registration requirements for a Registered Nurse to become a Parkinson’s nurse. Therefore, local integrated care systems will be responsible for ensuring they have the necessary numbers of Parkinson’s (and other specialist) nurses to meet the needs of their local population.</p><p> </p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 271535 question first answered 04/07/2019 11:27:08 answering member 1585 label Biography information for Stephen Hammond
tabling member	4126 label Biography information for Mary Glindon

1136002

registered interest
date	01/07/2019
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	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant of his Answer of 16 May 2019 to Question 252526 on the Royal College of Obstetricians and Gynaecologists, what steps his Department takes to ensure that no conflict of interest occurs in the drafting of clinical guidelines on abortion procedures by the Royal College of Obstetricians and Gynaecologists.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271438
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional membership association, independent of Government. The RCOG produces guidelines as an aid to good clinical practice and as the national medical authority on abortion, they are best placed to determine the content of guidance based on published evidence.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:01:33 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136004

registered interest
date	01/07/2019
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	Spina Bifida: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 14 February 2019 to Question 217544 on Spina Bifida: Surgery, what estimate he has made of the average cost of pain relief that will be administered an unborn baby prior to undergoing that fetal surgery.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271439
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The tariff that has been developed for spina bifida fetal surgery includes an estimate of around £800 for fetal drugs which includes drugs for pain relief. However, the actual cost will vary on a case by case basis dependent on the clinical circumstances.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:14:16 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136005

registered interest
date	01/07/2019
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	Abortion
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 has taken to ensure the (a) thorough and (b) objective scrutiny of the recommendations submitted by abortion providers to the NICE consultation on its guidance on the termination of pregnancy.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271440
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This is a matter for the National Institute for Health and Care Excellence (NICE), the independent body for the methods and processes used in the development of its guidance. NICE’s guidance is based on a thorough assessment of the available evidence and is developed through wide consultation with stakeholders.</p><p> </p><p>NICE will be publishing details of the feedback received from all stakeholders on the draft guidance on termination of pregnancy on its website. NICE will provide a response to all the points raised and explain how they have been addressed in the development of the recommendations, with guidance expected to be published on 25 September 2019.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:20:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce

1136043

registered interest
date	01/07/2019
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: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 1 July 2019 to Question 268980 on Health: Children, to which published research that Answer refers.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	271383
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>There are numerous published sources on adverse childhood experiences, including:</p><p>UCL Institute of Health Equity published ‘The impact of adverse experiences in the home on the health of children and young people, and inequalities in prevalence and effects’ (2016). The report is available at the following link:</p><p><a href="http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf" target="_blank">http://www.instituteofhealthequity.org/resources-reports/the-impact-of-adverse-experiences-in-the-home-on-children-and-young-people/impact-of-adverse-experiences-in-the-home.pdf</a></p><p>The Journal of Public Health published ‘Adverse childhood experiences: retrospective study to determine their impact on adult health behaviours and health outcomes in a UK population’. The report is available at the following link:</p><p><a href="https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1" target="_blank">https://academic.oup.com/jpubhealth/article/36/1/81/1571104?searchresult=1</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:23:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

1136051

registered interest
date	01/07/2019
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	Abortion
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 his Department's Abortion Statistics for England and Wales in 2018, how many of the 111 selective terminations were as a result of IVF treatment that was funded from the public purse.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	271445
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>This information is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 04/07/2019 11:16:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3958 label Biography information for Fiona Bruce