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1135038

registered interest
date	26/06/2019
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	Ambulance Services: Essex
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 additional blue light emergency patient transfers between hospitals proposed in the mid/south Essex sustainability and transformation plan, what estimate has been made of the number of additional emergency transfers each day; in which financial year the contract for those transfers is due to be let; which element of the NHS will fund that contract; whether the contract will be let competitively; and whether the East of England Ambulance Service NHS Trust has the capacity to service that contract.
tabling member constituency	Rayleigh and Wickford
tabling member printed	Mr Mark Francois
uin	269667
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Mid and South Essex Sustainability and Transformation Partnership (STP) has set out proposals to change how they provide specialist care across the three hospitals in their STP, to improve access for their population. The proposals are currently under review by the Independent Reconfiguration Panel.</p><p>The proposals include the development of a ‘treat and transfer’ model which would allow a small number of patients within specified conditions to be stabilised at their local accident and emergency department and then, if appropriate, transferred using a specialist clinical transfer service to a different hospital to receive ongoing specialist treatment and care. If this model is utilised, it is anticipated that 15 additional patients each day could be transferred, increasing the total number transferred each day to 29.</p><p>As the proposals are currently subject to a referral to the Independent Reconfiguration Panel, the commissioning of any service will not commence prior to the resolution of that process. The Mid and South Essex STP has secured £118 million of capital investment to support these plans. A full competitive tender process will be undertaken if the proposals are pursued.</p><p>Once the final service specification has been agreed and issued to the market, the East of England Ambulance Service NHS Trust and other providers will be in a position to determine their capacity to fulfil the contract, which would be assessed through any procurement process.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:16:40 answering member 1585 label Biography information for Stephen Hammond
tabling member	1444 label Biography information for Mr Mark Francois

1134888

registered interest
date	26/06/2019
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	Autism and Learning Disability: Newcastle-under-Lyme
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 ensure that constituents with learning disabilities or autism, in Newcastle-under-Lyme, are able to access inpatient facilities close to home.
tabling member constituency	Newcastle-under-Lyme
tabling member printed	Paul Farrelly
uin	269659
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>Adult non-secure inpatient services for people with learning disabilities and/or autism in Newcastle-Under-Lyme are commissioned by the Newcastle-Under-Lyme Clinical Commissioning Group (CCG). Local CCGs should ensure that patients with a learning disability and/or autism have access to an inpatient bed when they need it.</p><p>Adult secure inpatient services and Child and Adolescent Mental Health Services (CAMHS) Tier 4 inpatient beds for children and young people with learning disabilities and/or autism in Newcastle-Under-Lyme are commissioned by the NHS England Specialised Commissioning Team in the West Midlands, which will always look at prioritising meeting clinical needs as locally as possible.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:12:00 answering member 1585 label Biography information for Stephen Hammond
tabling member	1436 label Biography information for Paul Farrelly

1134899

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
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 NHS long-term plan, what assessment he has made of the potential effect on healthcare delivery of reducing the number of clinical commissioning groups to match the number of sustainability and transformation partnerships.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269781
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269782 269783 269784 269785 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134900

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
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 NHS long-term plan, what assessment he has made of the potential (a) merits and (b) demerits of reducing the number of clinical commissioning groups to match the number of sustainability and transformation partnerships.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269782
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269781 269783 269784 269785 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134901

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
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 NHS long-term plan, what consultation his Department has conducted on the potential merits of reducing the number of clinical commissioning groups to match the number of sustainability and transformation partnerships.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269783
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269781 269782 269784 269785 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134902

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
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 NHS long-term plan, what assessment he has made of the potential effect on local accountability in planning and commissioning health services of reducing the number of clinical commissioning groups to match the number of sustainability and transformation partnerships.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269784
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269781 269782 269783 269785 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134903

registered interest
date	26/06/2019
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	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans he has to (a) monitor and (b) evaluate the merit of mergers between clinical commissioning groups.
tabling member constituency	Lewisham West and Penge
tabling member printed	Ellie Reeves
uin	269785
answer	answer is ministerial correction date of answer 05/07/2019 answer text <p>Sustainability and transformation partnerships (STPs) and integrated care systems (ICS) are fundamentally about bringing National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The most developed STPs have evolved into ICS, an even closer partnership between NHS organisations, local councils and other relevant organisations, which take collective responsibility for managing resources, delivering NHS standards, and improving the health of the population they serve.</p><p>The NHS Long Term Plan set out the ambition for ICS to cover the whole of England by April 2021. The NHS Long Term Plan sets out that “every ICS will need streamlined commissioning arrangements to enable a single set of commissioning decisions at system level. This will typically involve a single Clinical Commissioning Group (CCG) for each ICS area”. However, this will need to reflect local circumstances, and NHS England is not intending to impose this centrally. NHS England is working with ICS and local areas to determine the best configuration of CCGs.</p><p>CCGs have a legal right to apply for a merger and it is for NHS England to decide whether to approve a merger. This is an operational decision, and so sits with NHS England. There are a number of specific legal factors and further criteria that NHS England will consider when deciding whether to agree the merger. The application process and criteria applied for CCG mergers is available in the Procedures for clinical commissioning groups to apply for constitution change, merger or dissolution guidance.</p><p>The criteria include the proposed new CCG demonstrating alignment with (or within) the local STP/ICS to provide the most logical footprint for local implementation of the NHS Long Term Plan. CCGs must also include evidence of providing strategic, integrated commissioning to support population health; whilst ensuring that the move to a larger geographical footprint will not be at the expense of local accountability, or the proposed new CCG’s ability to engage with, and consider the needs of, local communities. Before a merger takes place, the CCG must also demonstrate that they have engaged with and seriously considered the views of their local general practitioners and local Healthwatch. In all cases, CCGs’ legal accountability to NHS England remains the same, regardless of the size of the CCG.</p><p>More broadly, we support NHS England’s intention to streamline commissioning arrangements, as NHS England expect that this will make it easier for the NHS to manage resources, make strategic decisions, and reduce unnecessary bureaucracy.</p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 269781 269782 269783 269784 question first answered 05/07/2019 13:24:50 answering member 1585 label Biography information for Stephen Hammond
tabling member	4620 label Biography information for Ellie Reeves

1134881

registered interest
date	26/06/2019
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	Doctors: Migrant Workers
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 increase the recruitment of doctors from overseas through the Medical Training Initiative.
tabling member constituency	Bedford
tabling member printed	Mohammad Yasin
uin	269778
answer	answer is ministerial correction date of answer 04/07/2019 answer text <p>The Medical Training Initiative enables up to 1,000 international medical and dental graduates per year to enter the United Kingdom to experience training and development in the National Health Service for up to two years before returning to their home country. The Government keeps the number of doctors able to participate in this scheme under regular review.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 04/07/2019 14:16:56 answering member 1585 label Biography information for Stephen Hammond
tabling member	4598 label Biography information for Mohammad Yasin

1135035

registered interest
date	26/06/2019
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	East of England Ambulance Service NHS Trust
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 (a) ambulances, (b) doctors, (c) paramedics and (d) emergency medical technicians were operationally available for the East of England Ambulance Service NHS Trust on the latest date for which figures are available.
tabling member constituency	Rayleigh and Wickford
tabling member printed	Mr Mark Francois
uin	269664
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>NHS Digital publishes Hospital and Community Health Services workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>The following table shows the number of doctors, ambulance paramedics and emergency medical technicians working in East of England Ambulance Service NHS Trust, as at March 2019 (latest data).</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Number of Staff (Full time equivalent)</p></td></tr><tr><td><p>Doctors</p></td><td><p>0</p></td></tr><tr><td><p>Ambulance Paramedics</p></td><td><p>1,314</p></td></tr><tr><td><p>Emergency medical technicians</p></td><td><p>808</p></td></tr></tbody></table><p> </p><p>The figures above show the full-time equivalent number of staff employed, not all of whom are operationally available at any point in time due to for example working on a rota based system or being absent due to sick leave or annual leave.</p><p>Ambulance trusts are responsible for providing emergency access to healthcare. As such doctors are not typically part of ambulance crews which are made up of an emergency care assistant and a paramedic.</p><p>The Department does not hold information centrally on the number of ambulances operationally available in East of England Ambulance Service NHS Trust.</p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:29:10 answering member 1585 label Biography information for Stephen Hammond
tabling member	1444 label Biography information for Mr Mark Francois

1134879

registered interest
date	26/06/2019
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	Health Services: Undocumented Migrants
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 undocumented immigrants who have died after they were denied care because they were unable to pay the costs upfront.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	269628
answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The Department does not hold this information.</p><p>National guidance is clear that immediately necessary or urgent care should never be withheld or delayed for reasons to do with eligibility or payment. Whether care is urgent is a decision only a clinician can make and on a case-by-case basis, informed by national guidance.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 01/07/2019 15:42:38 answering member 1585 label Biography information for Stephen Hammond
tabling member	308 label Biography information for Mr Jim Cunningham