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1013144

	registered interest
	date	23/11/2018
	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: Attendance
	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 had access to evening and weekend GP appointments at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195069
	answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Government has committed to ensuring that everyone can see their general practitioner at a convenient time by increasing the availability of routine appointments in general practice in the evening and at the weekend.</p><p> </p><p>By March 2019, all clinical commissioning groups (CCGs) should provide extended access to general practice for the whole of their registered population, subject to local demand. This includes ensuring that access is available during peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods. This deadline was brought forward to 1 October 2018 in the latest National Health Service planning guidance, which was published by NHS England in February 2018, to ensure additional capacity is in place ahead of winter 2018.</p><p> </p><p>The delivery of the commitment is assessed in two ways, which use different measures of extended access.</p><p> </p><p>The first measure relies on NHS England’s bi-annual survey of extended access, which collects data direct from general practices. This showed that, in September 2018, full extended access was available to 30.8 million registered patients, comprising 55.3% of all registered patients in England. This represents widening of coverage since March 2018, when the previous bi-annual survey found that full extended access was available to 22.6 million, or (39.7%) registered patients. The next bi-annual survey, to be published in April 2019, will show the extent of coverage in March 2019.</p><p> </p><p>The second measure uses the General Practice Forward View Monitoring Survey, which is a monthly return from CCGs that covers all extended access provision, including that delivered via extended access hubs. The results are published via the CCG Improvement and Assessment Framework. The latest data show that, in August 2018, full extended access was available to 40 million registered patients comprising 68% of the registered patient population. This also represents a widening of access relative to March 2018, when full extended access was available to 35.4 million registered patients, comprising 61% of the registered patient population. Data for September and October 2018 are not yet available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 12:29:06 answering member 4067 label Biography information for Steve Brine previous answer version 87857 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013140

	registered interest
	date	23/11/2018
	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: 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 NHS England’s specialised commissioning drug spend was in (a) 2014-15, (b) 2016-17 and (c) 2017-18; what proportion of that spend was accounted for by the (i) top 10 highest spend drugs and (ii) top 20 highest spend drugs in each year; and if he will list the (A) top 10 and (B) top 20 highest spend drugs in each year.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195065
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The 2014/15 specialised commissioning drug spend totalled approximately £3.0 billion. Top 10 and top 20 highest spend drug data is not available for 2014/15.</p><p> </p><p>The 2016/17 specialised commissioning drug spend totalled approximately £3.6 billion. The top 10 highest spend drugs accounted for approximately 28% of specialised commissioning total drug spend. The top 20 highest spend drugs accounted for approximately 42% of specialised commissioning total drug spend. The top 10 and top 20 highest spend drugs are listed in the attached document.</p><p> </p><p>The 2017/18 specialised commissioning drug spend totalled approximately £3.9 billion. The top 10 highest spend drugs accounted for approximately 28% of specialised commissioning total drug spend. The top 20 highest spend drugs accounted for approximately 43% of specialised commissioning total drug spend. The top 10 and top 20 highest spend drugs for 2017/18 are also listed in the attached document.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:26:58 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ195065 tables.docx title PQ195065 attached table
	tabling member	4244 label Biography information for Jonathan Ashworth

1013141

	registered interest
	date	23/11/2018
	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: Drugs
	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 was spent on medicines included in the Pharmaceutical Price Regulation Scheme (PPRS) in each year since 2010; what proportion of his Department’s budget was spent on medicines included in PPRS in each year of those years; and what proportion of NHS England's budget spent was on medicines included in PPRS in each year since 2013.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195066
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>The years 2010 to 2012 are fully covered by the 2009 Pharmaceutical Price Regulation Scheme (PPRS). There is no available data of the aggregate net sales during this period as they were not collected as part of the 2009 PPRS.</p><p> </p><p>However, aggregate net sales covered by the PPRS in the 2014 scheme are available and published quarterly by the Department. The years 2014 to 2018 are covered by the 2014 PPRS, with full year data up to 2017 currently available. The aggregate net sales made in 2013 (the base year of the 2014 PPRS) is also available.</p><p> </p><p>The most recently data is as of August 2018, and was published in October 2018 and can be found at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/publications/pprs-aggregate-net-sales-and-payment-information-august-2018" target="_blank">https://www.gov.uk/government/publications/pprs-aggregate-net-sales-and-payment-information-august-2018</a></p><p> </p><p>The following table uses the published data mentioned above, and shows the aggregate net sales covered by the 2014 PPRS for the United Kingdom by calendar year. A ratio of 0.8 has been applied to the UK aggregate sales to calculate an estimate of the England aggregate sales.</p><p> </p><p>Aggregate sales covered by the 2014 PPRS</p><p><strong> </strong></p><table><tbody><tr><td><p> </p></td><td><p>UK (£ million)</p></td><td><p>England (£ million)</p></td></tr><tr><td><p>2013</p></td><td><p>7,901</p></td><td><p>6,321</p></td></tr><tr><td><p>2014</p></td><td><p>8,340</p></td><td><p>6,672</p></td></tr><tr><td><p>2015</p></td><td><p>8,173</p></td><td><p>6,538</p></td></tr><tr><td><p>2016</p></td><td><p>8,060</p></td><td><p>6,450</p></td></tr><tr><td><p>2017</p></td><td><p>8,198</p></td><td><p>6,530</p></td></tr></tbody></table><p> </p><p>The sales figures do not fully represent total costs borne to the Department or NHS England. They are gross of any payments received by the Department under the 2014 PPRS, and do not include costs such as wholesaler margin or VAT. As such no direct comparison should be made to budgeting totals.</p><p> </p><p>The following table shows the Department of Health and Social Care Departmental Expenditure Limit in financial years.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Department of Health and Social Care Departmental Expenditure Limit (£ million)</p></td></tr><tr><td><p>2010/11</p></td><td><p>100,400</p></td></tr><tr><td><p>2011/12</p></td><td><p>102,800</p></td></tr><tr><td><p>2012/13</p></td><td><p>105,200</p></td></tr><tr><td><p>2013/14</p></td><td><p>109,800</p></td></tr><tr><td><p>2014/15</p></td><td><p>113,300</p></td></tr><tr><td><p>2015/16</p></td><td><p>117,200</p></td></tr><tr><td><p>2016/17</p></td><td><p>120,600</p></td></tr><tr><td><p>2017/18</p></td><td><p>125,200</p></td></tr></tbody></table><p> </p><p>The following table show the levels of NHS England funding, by financial year. NHS England was created in October 2012, and its first full set of accounts was in 2013/2014.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS England Funding (£ million)</p></td></tr><tr><td><p>2013/14</p></td><td><p>93,900</p></td></tr><tr><td><p>2014/15</p></td><td><p>97,300</p></td></tr><tr><td><p>2015/16</p></td><td><p>100,500</p></td></tr><tr><td><p>2016/17</p></td><td><p>106,000</p></td></tr><tr><td><p>2017/18</p></td><td><p>109,800</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/11/2018 17:23:23 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013142

	registered interest
	date	23/11/2018
	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	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 and what proportion of local health communities have implemented the High Impact Change Model23 for reducing delayed transfers of care in (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195067
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Information on the implementation of the High Impact Change Model (HICM) is collected through Better Care Fund quarterly reporting returns, in which Health and Wellbeing Boards (HWB) self-assess their progress towards implementing the HICM. The most recent information available is from Quarter 2, 2018-19 (July-September 2018) which shows the number of HWBs areas reporting at the ‘Established’ level (or better) for each of the elements of the HICM. The information for Q4, 2017-18 covering the month of March 2018 is also included in the following table:</p><table><tbody><tr><td><p> </p></td><td><p>Q4, 2017-18</p></td><td><p>Q2, 2018-19</p></td></tr><tr><td><p>Early discharge planning</p></td><td><p>109/150</p></td><td><p>121/150</p></td></tr><tr><td><p>Systems to monitor patient flow</p></td><td><p>122/150</p></td><td><p>129/150</p></td></tr><tr><td><p>Multi-disciplinary/multi-agency discharge teams</p></td><td><p>130/150</p></td><td><p>131/150</p></td></tr><tr><td><p>Home first/discharge to assess</p></td><td><p>122/150</p></td><td><p>120/150</p></td></tr><tr><td><p>Seven-day service</p></td><td><p>77/150</p></td><td><p>89/150</p></td></tr><tr><td><p>Trusted assessors</p></td><td><p>80/150</p></td><td><p>92/150</p></td></tr><tr><td><p>Focus on choice</p></td><td><p>103/150</p></td><td><p>118/150</p></td></tr><tr><td><p>Enhancing health in care homes</p></td><td><p>114/150</p></td><td><p>126/150</p></td></tr></tbody></table> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 28/11/2018 14:06:46 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4244 label Biography information for Jonathan Ashworth

1013143

	registered interest
	date	23/11/2018
	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 111
	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 NHS 111 calls received clinical assessment at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195068
	answer	answer is ministerial correction date of answer 28/11/2018 answer text <p>Data regarding NHS 111 calls, including the proportion of calls triaged that are transferred to a clinician, is published online by NHS England at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/</a></p><p> </p><p>The following table shows the proportion of NHS 111 calls triaged and transferred to any clinician in March and October 2018.</p><p> </p><table><tbody><tr><td><p>March</p></td><td><p>October</p></td></tr><tr><td><p>48.8%</p></td><td><p>52.5%</p></td></tr></tbody></table> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 28/11/2018 17:49:42 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1013146

	registered interest
	date	23/11/2018
	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	Contraceptives
	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 publish all data collected by his Department relating to waiting lists for contraceptive provision in (a) GP practices and (b) community sexual and reproductive health services.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195070
	answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>Data on waiting lists for contraceptive provision is not held centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:03:30 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013147

	registered interest
	date	23/11/2018
	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	Contraceptives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the average spend per woman on prescribed contraceptive services is by (a) local authority, (b) clinical commissioning group and (c) parliamentary constituency.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195071
	answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>This information is not collected centrally.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 03/12/2018 17:07:11 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

1013150

	registered interest
	date	23/11/2018
	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	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, what proportion of the total (a) NHS England budget and (b) his Department's budget (i) has been spent on mental health services in each of the last five years, (ii) is planned be spent on mental health services in 2018-19 and (iii) is planned to be spent on mental health services in each year from 2019-20 to 2023-24.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195072
	answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Department’s budget is not spent directly on mental health services. The bulk of the Department’s budget is managed by NHS England, which is responsible for improving health and care outcomes for people in England. NHS England collates information on mental health expenditure for clinical commissioning groups (CCGs) and specialised commissioned services. Other areas of direct commissioning also provide mental health services, most notably general practitioners, but NHS England does not currently collect details of spend on mental health in these areas.</p><p> </p><p>NHS England’s mental health spend for 2016/17 and for 2017/18 are published in the Five Year Forward View for Mental Health dashboard, and the planned spend for 2018/19 is due to be published shortly. The dashboard also reports national CCG mental health spend as a percentage of overall CCG programme allocation.</p><p> </p><p>The following table shows specialised mental health spend and the total of CCG and specialised mental health spend as a percentage of CCG and specialised programme allocations for 2015/16, 2016/17 and 2017/18 using data from the mental health dashboard where relevant. The table also provides this information for 2013/14 and 2014/15, although this information is not included in the mental health dashboard.</p><p> </p><p>NHS England mental health spend, as a proportion of overall health spend 2013/14-2017/18</p><table><tbody><tr><td><p> </p></td><td><p>CCG mental health spend</p></td><td><p>Specialised mental health spend</p></td><td><p>Total CCG and specialised mental health</p></td><td><p>CCG and Specialised mental spend as a % of allocation</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> </p></td></tr><tr><td><p>2013/14</p></td><td><p>7,819</p></td><td><p>1,764</p></td><td><p>9,583</p></td><td><p>12.2%</p></td></tr><tr><td><p>2014/15</p></td><td><p>8,289</p></td><td><p>1,790</p></td><td><p>10,079</p></td><td><p>12.4%</p></td></tr><tr><td><p>2015/16</p></td><td><p>9,148</p></td><td><p>1,831</p></td><td><p>10,979</p></td><td><p>13.0%</p></td></tr><tr><td><p>2016/17</p></td><td><p>9,723</p></td><td><p>1,879</p></td><td><p>11,602</p></td><td><p>13.3%</p></td></tr><tr><td><p>2017/18</p></td><td><p>10,080</p></td><td><p>1,896</p></td><td><p>11,976</p></td><td><p>13.3%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p>Source: NHS England</p><p> </p><p>The Five Year Forward View for Mental Health dashboard is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p><p> </p><p>For future years, the Government announced its long term financial settlement for the National Health Service in June. This will represent an increase of £20.5 billion in real terms by 2023/24. The Government has asked the National Health Service to develop a long-term plan which will set out a vision for the health service and ensure every penny is well spent, this will be published shortly.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/12/2018 17:18:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4244 label Biography information for Jonathan Ashworth

1013151

	registered interest
	date	23/11/2018
	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 Property and Estates Review
	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 Government Response to the Naylor Review, published in January 2018, what the total value is of planned private finance investment in the NHS healthcare estate.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195073
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Government has considered its position on the Private Finance Initiative (PFI) and its successor PF2, in light of experience since 2012, and found the model to be inflexible and overly complex. As such, PF2 will no longer be used for any future Government project. However, the Government remains committed to the use of public-private partnership where it delivers value for the taxpayer and fairly transfers risk to the private sector.</p><p> </p><p>The Government has committed to consider proposals from the National Health Service for a multi-year capital plan to support transformation, as part of the long-term plan the NHS is currently developing. Future years capital funding will be set as part of the Spending Review next year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 195074 question first answered 29/11/2018 14:05:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1013152

	registered interest
	date	23/11/2018
	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 Property and Estates Review
	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 Government Response to the Naylor Review, published in January 2018, what estimate he has made of the total value of public private partnerships in the next 10 years.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195074
	answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>The Government has considered its position on the Private Finance Initiative (PFI) and its successor PF2, in light of experience since 2012, and found the model to be inflexible and overly complex. As such, PF2 will no longer be used for any future Government project. However, the Government remains committed to the use of public-private partnership where it delivers value for the taxpayer and fairly transfers risk to the private sector.</p><p> </p><p>The Government has committed to consider proposals from the National Health Service for a multi-year capital plan to support transformation, as part of the long-term plan the NHS is currently developing. Future years capital funding will be set as part of the Spending Review next year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 195073 question first answered 29/11/2018 14:05:02 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth