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1132218

registered interest
date	14/06/2019
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	Primary Care Networks
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 priorities are for the NHS Primary Care Network.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	264719
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The priority for the Primary Care Network (PCN) overall will be to ensure that it builds on the core of current primary care services by enabling greater provision of proactive, personalised, coordinated and more integrated health and social care. PCNs will take part in the Network Contract Directed Enhanced Service from July 2019. This provides funding for additional capacity in general practice, extended access and clinical leadership. The priorities for individual PCNs will be determined locally by their Clinical Director and leadership team, in close conjunction with their local authority and clinical commissioning group. These priorities must be within the context of the seven service specifications that are being published and which will set out what all networks have to deliver. The seven are focused on areas where PCNs can have significant impact against the ‘triple aim’ of improving health and saving lives, for example from strokes, heart attacks and cancer; improving the quality of care for people with multiple morbidities; and helping to make the National Health Service more sustainable, for example, by helping to reduce avoidable hospital admissions.</p><p>The specifications cover the following topics:</p><p> </p><p>- Structured medications review and optimisation;</p><p>- Enhanced health in care homes, to implement the vanguard model;</p><p>- Anticipatory care requirements for high need patients typically experiencing several long-term conditions, joint with community services;</p><p>- Personalised Care, to implement the NHS Comprehensive Model;</p><p>- Supporting early cancer diagnosis;</p><p>- Cardiovascular Disease (CVD) prevention and diagnosis; and</p><p>- Tackling neighbourhood inequalities.</p><p> </p><p>The framework can be viewed at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/01/gp-contract-2019.pdf</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:52:29 answering member 4455 label Biography information for Seema Kennedy
tabling member	338 label Biography information for Keith Vaz

1132219

registered interest
date	14/06/2019
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	General Practitioners: Leicester
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which organisation will provide Primary Care Network services for GP practices in Leicester.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	264720
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>General practitioner (GP) practices within Leicester have been working together over the last few months to develop their proposed Primary Care Network (PCN) footprints. Initial proposals were discussed by Leicester City Clinical Commissioning Group’s management and lay member group and GP Reference Group in April 2019. A list of proposed PCNs and their member practices was published in May and is available at the following link:</p><p><a href="https://3xmatc1p0cnc3crfv93ovogp-wpengine.netdna-ssl.com/wp-content/uploads/2019/05/Paper-AOB-update-on-Primary-Care-Networks.pdf" target="_blank">https://3xmatc1p0cnc3crfv93ovogp-wpengine.netdna-ssl.com/wp-content/uploads/2019/05/Paper-AOB-update-on-Primary-Care-Networks.pdf</a></p><p>PCNs will be formally established for 1 July.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:51:13 answering member 4455 label Biography information for Seema Kennedy
tabling member	338 label Biography information for Keith Vaz

1132220

registered interest
date	14/06/2019
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	Obesity: Children
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 timeframe is for the publication of the report by Professor Dame Sally Davies on a potential tax on unhealthy food to tackle childhood obesity.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	264721
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Chief Medical Officer’s review of potential actions to help meet our ambition of halving childhood obesity by 2030 is due for publication in September.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:47:44 answering member 4455 label Biography information for Seema Kennedy
tabling member	338 label Biography information for Keith Vaz

1132221

registered interest
date	14/06/2019
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	Mortality Rates
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 reduce the level of mortality experienced by (a) BAME people, (b) people with mental health conditions and (c) people with learning difficulties.
tabling member constituency	Morley and Outwood
tabling member printed	Andrea Jenkyns
uin	264787
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The NHS Long Term Plan sets out clearly the need to reduce inequalities in health that different groups of the population currently face.</p><p>The NHS Long Term Plan will give 370,000 adults and older adults with severe mental illness greater choice and control over their care through new models of integrated primary and community mental health care.</p><p>In addition, the first ever cross-Government suicide prevention workplan sets out an ambitious programme for every local authority, every National Health Service trust and every prison will have a plan in place to prevent suicide. We will invest up to £600,000 to support local authorities to strengthen their suicide prevention plans and implement the recommendations identified by the independent evaluation of local plans.</p><p>The learning disabilities health check scheme is designed to encourage general practices to identify patients aged 14 and over with learning disabilities, to maintain a learning disabilities 'health check' register and offer individuals an annual health check, which will include producing a health action plan. Such checks are intended to ensure that any undetected health conditions are identified earlier and that on-going treatment and care is appropriate to the individual’s needs. The NHS Long Term Plan commits to improve uptake of the scheme so that at least 75% of those eligible have a health check each year.</p><p>In addition, the Learning Disabilities Mortality Review Programme supports local areas to review the deaths of people with learning disabilities and to use the information to build up a detailed picture of key improvements needed, both locally and at a national level, to reduce the inequality in life expectancy between people with a learning disability, and those without. The learning from the programme is being used to inform programmes of work to address key mortality issues such as sepsis, constipation, and cancer.</p><p>Regarding black, Asian and minority ethnic (BAME) groups, the Long Term Plan also highlights improvements to continuity of midwifery care for women from the BAME community; improving the Diabetes Prevention Programme; and improving bowel screening rates for people from minority ethnic groups. In addition to these, BAME communities will benefit from the wide range of programmes set out in the Long Term Plan.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/06/2019 16:40:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4490 label Biography information for Dame Andrea Jenkyns

1132226

registered interest
date	14/06/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Randox Testing Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, how many criminal cases have been referred to the Court of Appeal for review as a result of data manipulation at Randox Testing Services; and what was the outcome of those cases.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	264784
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The latest figures show that four road traffic cases have been taken to the Court of Appeal, of which one case was overturned, one resulted in a reduction in sentence, one appeal was unsuccessful, and the fourth is still to be decided. Re-testing has so far identified no impact on other criminal offences, such as sexual offences, violence, or homicide. The National Police Chiefs’ Council (NPCC) co-ordinates the national re-testing operation, and is responsible for providing regular updates.</p> answering member constituency Blackpool North and Cleveleys answering member printed Paul Maynard question first answered 24/06/2019 16:44:15 answering member 3926 label Biography information for Paul Maynard
tabling member	4473 label Biography information for Louise Haigh

1132228

registered interest
date	14/06/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Universal Credit: Self-employed
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what criteria her Department uses to categorise universal credit applicants as gainfully self-employed.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	264731
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Department provides tailored support to our claimants who are in self-employment through our work coaches to help them to increase their productivity and earnings. Work coaches can refer low-earning claimants to mentoring support from New Enterprise Allowance providers and sign-post claimants to the other extensive business support which is already funded by the Government.</p><p> </p><p>All claimants with earnings from self-employment, whether gainfully self-employed or not, are required to self-report these each month to ensure that any Universal Credit (UC) payments take into account all household earnings. Monthly reporting allows UC to be adjusted monthly. Claimants are required to report the total of actual payments into and out of their business in each month, minus any Income Tax, National Insurance, permitted business expenses and relievable pension contributions actually paid. This gives a net profit figure, which is treated as the self-employed earnings total in the UC calculation. Any drawings from business to personal accounts or, where a claimant has incorporated their business, payment of salary from their company to their personal account, is disregarded in this calculation to avoid double counting.</p><p> </p><p>When a claim is made to Universal Credit the Department will, on the basis of the information provided by the claimant, assess whether the claimant may reasonably be expected to work. If a claimant is in a group expected to work, the number of hours they may be expected to work is a maximum of 35 but may be lower, for example to take account of caring responsibilities or a health condition.</p><p> </p><p>If a claimant is self-employed and in a group expected to work, the Department then considers a number of factors to establish whether someone is gainfully self-employed. A claimant is considered to be in gainful self-employment where all of the following apply:</p><p> </p><ul><li>the claimant is carrying on a trade, profession or vocation as their main employment</li><li>their earnings from that trade, profession or vocation are self-employed earnings</li><li>the trade, profession or vocation is organised, developed, regular and carried out in expectation of profit</li></ul><p> </p><p>If all of the above are satisfied, then the claimant is considered gainfully self-employed. A Minimum Income Floor (MIF) is calculated by multiplying the number of hours the gainfully self-employed claimant is expected to work by the relevant National Minimum Wage for their age, minus notional deductions for Income Tax and National Insurance Contributions. Gainfully self-employed claimants with a MIF applied to their claim are free from requirements to seek other work and are free to undertake those activities that they consider will maximise their profit including decisions about when and how to work most effectively.</p><p> </p><p>As we announced in the Autumn Budget 2018, we are extending the 12-month start-up period where claimants are exempt from the Minimum Income Floor to all gainfully self-employed claimants who are new to Universal Credit. This start-up period will provide time for self-employed claimants to establish and grow their business, or to adjust to Universal Credit.</p><p> </p><p>On average earnings from self-employment are lower than from employment and the self-employed make up a significant proportion of those in in-work poverty. The Government believes the MIF, by incentivising claimants to earn more from self-employment, or alternatively enter employment, offers the most effective way of tackling in-work poverty for the self-employed.</p> answering member constituency Reading West answering member printed Alok Sharma grouped question UIN 264733 264734 question first answered 24/06/2019 15:58:34 answering member 4014 label Biography information for Sir Alok Sharma
tabling member	1397 label Biography information for Hywel Williams

1132231

registered interest
date	14/06/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Universal Credit: Self-employed
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what criteria her Department use to assess whether a self-employed universal credit applicant is working 35 hours per week or more in paid employment.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	264733
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Department provides tailored support to our claimants who are in self-employment through our work coaches to help them to increase their productivity and earnings. Work coaches can refer low-earning claimants to mentoring support from New Enterprise Allowance providers and sign-post claimants to the other extensive business support which is already funded by the Government.</p><p> </p><p>All claimants with earnings from self-employment, whether gainfully self-employed or not, are required to self-report these each month to ensure that any Universal Credit (UC) payments take into account all household earnings. Monthly reporting allows UC to be adjusted monthly. Claimants are required to report the total of actual payments into and out of their business in each month, minus any Income Tax, National Insurance, permitted business expenses and relievable pension contributions actually paid. This gives a net profit figure, which is treated as the self-employed earnings total in the UC calculation. Any drawings from business to personal accounts or, where a claimant has incorporated their business, payment of salary from their company to their personal account, is disregarded in this calculation to avoid double counting.</p><p> </p><p>When a claim is made to Universal Credit the Department will, on the basis of the information provided by the claimant, assess whether the claimant may reasonably be expected to work. If a claimant is in a group expected to work, the number of hours they may be expected to work is a maximum of 35 but may be lower, for example to take account of caring responsibilities or a health condition.</p><p> </p><p>If a claimant is self-employed and in a group expected to work, the Department then considers a number of factors to establish whether someone is gainfully self-employed. A claimant is considered to be in gainful self-employment where all of the following apply:</p><p> </p><ul><li>the claimant is carrying on a trade, profession or vocation as their main employment</li><li>their earnings from that trade, profession or vocation are self-employed earnings</li><li>the trade, profession or vocation is organised, developed, regular and carried out in expectation of profit</li></ul><p> </p><p>If all of the above are satisfied, then the claimant is considered gainfully self-employed. A Minimum Income Floor (MIF) is calculated by multiplying the number of hours the gainfully self-employed claimant is expected to work by the relevant National Minimum Wage for their age, minus notional deductions for Income Tax and National Insurance Contributions. Gainfully self-employed claimants with a MIF applied to their claim are free from requirements to seek other work and are free to undertake those activities that they consider will maximise their profit including decisions about when and how to work most effectively.</p><p> </p><p>As we announced in the Autumn Budget 2018, we are extending the 12-month start-up period where claimants are exempt from the Minimum Income Floor to all gainfully self-employed claimants who are new to Universal Credit. This start-up period will provide time for self-employed claimants to establish and grow their business, or to adjust to Universal Credit.</p><p> </p><p>On average earnings from self-employment are lower than from employment and the self-employed make up a significant proportion of those in in-work poverty. The Government believes the MIF, by incentivising claimants to earn more from self-employment, or alternatively enter employment, offers the most effective way of tackling in-work poverty for the self-employed.</p> answering member constituency Reading West answering member printed Alok Sharma grouped question UIN 264731 264734 question first answered 24/06/2019 15:58:35 answering member 4014 label Biography information for Sir Alok Sharma
tabling member	1397 label Biography information for Hywel Williams

1132233

registered interest
date	14/06/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Universal Credit: Self-employed
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, whether her Department differentiates between annual turnover and salary when assessing the incomes of self-employed applicants of universal credit.
tabling member constituency	Arfon
tabling member printed	Hywel Williams
uin	264734
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Department provides tailored support to our claimants who are in self-employment through our work coaches to help them to increase their productivity and earnings. Work coaches can refer low-earning claimants to mentoring support from New Enterprise Allowance providers and sign-post claimants to the other extensive business support which is already funded by the Government.</p><p> </p><p>All claimants with earnings from self-employment, whether gainfully self-employed or not, are required to self-report these each month to ensure that any Universal Credit (UC) payments take into account all household earnings. Monthly reporting allows UC to be adjusted monthly. Claimants are required to report the total of actual payments into and out of their business in each month, minus any Income Tax, National Insurance, permitted business expenses and relievable pension contributions actually paid. This gives a net profit figure, which is treated as the self-employed earnings total in the UC calculation. Any drawings from business to personal accounts or, where a claimant has incorporated their business, payment of salary from their company to their personal account, is disregarded in this calculation to avoid double counting.</p><p> </p><p>When a claim is made to Universal Credit the Department will, on the basis of the information provided by the claimant, assess whether the claimant may reasonably be expected to work. If a claimant is in a group expected to work, the number of hours they may be expected to work is a maximum of 35 but may be lower, for example to take account of caring responsibilities or a health condition.</p><p> </p><p>If a claimant is self-employed and in a group expected to work, the Department then considers a number of factors to establish whether someone is gainfully self-employed. A claimant is considered to be in gainful self-employment where all of the following apply:</p><p> </p><ul><li>the claimant is carrying on a trade, profession or vocation as their main employment</li><li>their earnings from that trade, profession or vocation are self-employed earnings</li><li>the trade, profession or vocation is organised, developed, regular and carried out in expectation of profit</li></ul><p> </p><p>If all of the above are satisfied, then the claimant is considered gainfully self-employed. A Minimum Income Floor (MIF) is calculated by multiplying the number of hours the gainfully self-employed claimant is expected to work by the relevant National Minimum Wage for their age, minus notional deductions for Income Tax and National Insurance Contributions. Gainfully self-employed claimants with a MIF applied to their claim are free from requirements to seek other work and are free to undertake those activities that they consider will maximise their profit including decisions about when and how to work most effectively.</p><p> </p><p>As we announced in the Autumn Budget 2018, we are extending the 12-month start-up period where claimants are exempt from the Minimum Income Floor to all gainfully self-employed claimants who are new to Universal Credit. This start-up period will provide time for self-employed claimants to establish and grow their business, or to adjust to Universal Credit.</p><p> </p><p>On average earnings from self-employment are lower than from employment and the self-employed make up a significant proportion of those in in-work poverty. The Government believes the MIF, by incentivising claimants to earn more from self-employment, or alternatively enter employment, offers the most effective way of tackling in-work poverty for the self-employed.</p> answering member constituency Reading West answering member printed Alok Sharma grouped question UIN 264731 264733 question first answered 24/06/2019 15:58:35 answering member 4014 label Biography information for Sir Alok Sharma
tabling member	1397 label Biography information for Hywel Williams

1132241

registered interest
date	14/06/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Treatment Of, and Outcomes For, Black, Asian and Minority Ethnic Individuals in the Criminal Justice System Independent Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what steps his Department has taken to implement recommendation 11 of the Lammy Review; and what information his Department holds on (a) racial and (b) gender breakdowns of (i) plea and (ii) remand decisions in magistrates' courts in the last 12 months.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	264756
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>Recommendation 12 of the Lammy Review has been implemented. MoJ now publishes both sentencing and offence tools which break data down by demographic characteristics, whilst preserving the privacy of individuals where sample groups are small. This was first implemented in May 2018's Criminal Justice Statistics publication and will be updated annually. Latest versions of these data can be found at <a href="https://www.gov.uk/government/statistics/criminal-justice-system-statistics-quarterly-december-2018" target="_blank">https://www.gov.uk/government/statistics/criminal-justice-system-statistics-quarterly-december-2018</a></p><p> </p><p>In relation to the implementation of recommendation 11 of the Lammy Review, research into current processes does not reveal evidence to indicate plea and remand decision data gaps. HMCTS standard operating processes, supported by IT case management systems applying data integrity and validation checks, satisfy the court’s duty under Part 5 of the Criminal Procedure Rules to make records. However, it is true that plea data is not available for a considerable volume of summary only non-imprisonable cases. Unfortunately, this results from a defendant failing to engage with the court process (as opposed to HMCTS failing to record the plea).</p><p> </p><p>One of the ways HMCTS is making it easier for defendants to engage with the court process is for defendants to respond online via the make a plea service. Furthermore, while most defendants arrive in the magistrates’ court on bail or in custody, remand decision data is not available for those cases arriving at court (first hearing) by way of postal requisition, summons or single justice procedure notice because, as a matter of law, these defendants are not on remand.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 264757 question first answered 24/06/2019 16:44:04 answering member 4362 label Biography information for Edward Argar
tabling member	3924 label Biography information for Yasmin Qureshi

1132242

registered interest
date	14/06/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Treatment Of, and Outcomes For, Black, Asian and Minority Ethnic Individuals in the Criminal Justice System Independent Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what recent steps have been taken to implement recommendation 12 of the Lammy Review on the Open Justice initiative.
tabling member constituency	Bolton South East
tabling member printed	Yasmin Qureshi
uin	264757
answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>Recommendation 12 of the Lammy Review has been implemented. MoJ now publishes both sentencing and offence tools which break data down by demographic characteristics, whilst preserving the privacy of individuals where sample groups are small. This was first implemented in May 2018's Criminal Justice Statistics publication and will be updated annually. Latest versions of these data can be found at <a href="https://www.gov.uk/government/statistics/criminal-justice-system-statistics-quarterly-december-2018" target="_blank">https://www.gov.uk/government/statistics/criminal-justice-system-statistics-quarterly-december-2018</a></p><p> </p><p>In relation to the implementation of recommendation 11 of the Lammy Review, research into current processes does not reveal evidence to indicate plea and remand decision data gaps. HMCTS standard operating processes, supported by IT case management systems applying data integrity and validation checks, satisfy the court’s duty under Part 5 of the Criminal Procedure Rules to make records. However, it is true that plea data is not available for a considerable volume of summary only non-imprisonable cases. Unfortunately, this results from a defendant failing to engage with the court process (as opposed to HMCTS failing to record the plea).</p><p> </p><p>One of the ways HMCTS is making it easier for defendants to engage with the court process is for defendants to respond online via the make a plea service. Furthermore, while most defendants arrive in the magistrates’ court on bail or in custody, remand decision data is not available for those cases arriving at court (first hearing) by way of postal requisition, summons or single justice procedure notice because, as a matter of law, these defendants are not on remand.</p> answering member constituency Charnwood answering member printed Edward Argar grouped question UIN 264756 question first answered 24/06/2019 16:44:04 answering member 4362 label Biography information for Edward Argar
tabling member	3924 label Biography information for Yasmin Qureshi