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1168274

registered interest
date	19/12/2019
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: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of using increased financial resources allocated to the NHS to fund additional treatments and services in general practice facilities.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	78
answer	answer is ministerial correction date of answer 10/01/2020 answer text <p>The NHS Long Term Plan, published in January 2019, committed to an unprecedented investment in primary medical and community services so that £4.5 billion more will be spent in these areas in real terms by 2023/24. As part of this a new five-year general practitioner (GP) contract framework was also signed in January 2019.</p><p>The new system of Primary Care Networks (PCNs) launched in 2019 have been designed to ensure care happens in the optimal place for patients. The contract provides them with funding for 20,000 new staff who will help mitigate current workload pressures in primary care as well as supporting delivery of seven new services (five of which will begin during 2020) focussed on areas where there is evidence that primary care activity can improve patient outcomes. These implement different aspects of the Long Term Plan: medication reviews; the care homes service; the anticipatory care service; the National Health Service comprehensive model of personalised care; early cancer diagnosis; cardiovascular disease prevention and diagnosis; and health inequalities. Pilots of the enhanced health in care homes service - which will be delivered by all PCNs - have demonstrated the potential to reduce the number of care home residents requiring an emergency hospital admission.</p><p>Investment in primary and community services will support the Long Term Plan’s ambition of transforming out-of-hospital care to a model that is fit for the 21st Century, including avoidance of 30 million hospital appointments which will result in an annual saving of over £1 billion.</p><p> </p><p>PCNs will be able to access an ‘investment and impact fund’ from 2020, which will be worth £75 million, building up to £300 million by 2024. The purpose of the Fund is to help PCNs plan and achieve better performance against metrics in a new network dashboard. As well as incentivising better performance in the new service areas, part of the Fund will be dedicated to the commitment made in the NHS Long Term Plan to making ‘shared savings’. This savings scheme will be tied to the development of community-based services that enable reductions in hospital activity, such as avoidable out-patient visits as part of outpatient redesign, as well as avoidable accident and emergency attendances; avoidable emergency admissions; timely hospital discharge; and prescribing costs.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 79 question first answered 10/01/2020 13:58:57 answering member 4380 label Biography information for Jo Churchill
tabling member	4006 label Biography information for Dr Matthew Offord

1168275

registered interest
date	19/12/2019
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the additional treatments and facilities that could be provided in general practice facilities so that patients do not have to attend out-patient hospitals.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	79
answer	answer is ministerial correction date of answer 10/01/2020 answer text <p>The NHS Long Term Plan, published in January 2019, committed to an unprecedented investment in primary medical and community services so that £4.5 billion more will be spent in these areas in real terms by 2023/24. As part of this a new five-year general practitioner (GP) contract framework was also signed in January 2019.</p><p>The new system of Primary Care Networks (PCNs) launched in 2019 have been designed to ensure care happens in the optimal place for patients. The contract provides them with funding for 20,000 new staff who will help mitigate current workload pressures in primary care as well as supporting delivery of seven new services (five of which will begin during 2020) focussed on areas where there is evidence that primary care activity can improve patient outcomes. These implement different aspects of the Long Term Plan: medication reviews; the care homes service; the anticipatory care service; the National Health Service comprehensive model of personalised care; early cancer diagnosis; cardiovascular disease prevention and diagnosis; and health inequalities. Pilots of the enhanced health in care homes service - which will be delivered by all PCNs - have demonstrated the potential to reduce the number of care home residents requiring an emergency hospital admission.</p><p>Investment in primary and community services will support the Long Term Plan’s ambition of transforming out-of-hospital care to a model that is fit for the 21st Century, including avoidance of 30 million hospital appointments which will result in an annual saving of over £1 billion.</p><p> </p><p>PCNs will be able to access an ‘investment and impact fund’ from 2020, which will be worth £75 million, building up to £300 million by 2024. The purpose of the Fund is to help PCNs plan and achieve better performance against metrics in a new network dashboard. As well as incentivising better performance in the new service areas, part of the Fund will be dedicated to the commitment made in the NHS Long Term Plan to making ‘shared savings’. This savings scheme will be tied to the development of community-based services that enable reductions in hospital activity, such as avoidable out-patient visits as part of outpatient redesign, as well as avoidable accident and emergency attendances; avoidable emergency admissions; timely hospital discharge; and prescribing costs.</p><p> </p><p> </p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 78 question first answered 10/01/2020 13:58:57 answering member 4380 label Biography information for Jo Churchill
tabling member	4006 label Biography information for Dr Matthew Offord

1168276

registered interest
date	19/12/2019
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	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, if he will urgently bring forward a White Paper on the future of provision and funding of social care integrated into the NHS in England.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	80
answer	answer is ministerial correction date of answer 09/01/2020 answer text <p>We are determined to find a long-term solution to the challenges in social care to ensure that every person is treated with dignity and offered the security they deserve. We will seek to build cross-party consensus and will outline next steps shortly.</p><p>Integration across health and social care enables improved co-operation and joint decision-making between health and social care partners in delivering shared outcomes. The Government is already taking steps to integrate health and social care funding through the Better Care Fund (BCF), the national policy driving forward the integration of health and social care in England.</p><p>In 2019, 93% of local areas agreed that joint working had improved as a result of the BCF. The budgets reflect that cooperation: local areas have voluntarily pooled around £2 billion above the minimum required into the BCF last year.</p><p>In the recent Spending Round, we confirmed that the BCF and the improved BCF will continue in 2020-21. We are currently reviewing how the BCF can best support the closer integration of health and care and will provide local areas with further details about the BCF beyond 2020 as part of an announcement on the review.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 09/01/2020 12:16:27 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4006 label Biography information for Dr Matthew Offord

1168277

registered interest
date	19/12/2019
answering body	Ministry of Housing, Communities and Local Government
answering dept id	7
answering dept short name	Housing, Communities and Local Government
answering dept sort name	Housing, Communities and Local Government
hansard heading	Vandalism: Prosecutions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Housing, Communities and Local Government, what recent assessment he has made of the adequacy of the powers available to local authorities to prosecute people responsible for fly-posting.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	81
answer	answer is ministerial correction date of answer 07/01/2020 answer text <p>My Department has not undertaken any recent formal assessment of local planning authorities’ powers to deal with fly-posting. However, local authorities already have extensive powers under the advertisement control regime in the Town and Country Planning Act 1990 and through community protection notices in the Anti-social Behaviour, Crime and Policing Act 2014 to tackle fly-posting. This includes the power to prosecute those responsible if they fail to comply with any enforcement action.</p> answering member constituency Thornbury and Yate answering member printed Luke Hall question first answered 07/01/2020 14:00:16 answering member 4450 label Biography information for Luke Hall
tabling member	4006 label Biography information for Dr Matthew Offord

1168278

registered interest
date	19/12/2019
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Counter-terrorism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, if she will review the Prevent programme to ensure (a) its effectiveness and (b) that it has support from the communities it is seeking to protect.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	82
answer	answer is ministerial correction date of answer 13/01/2020 answer text <p>We are subject to a statutory deadline to complete the review by August 2020. The next steps for the review will be considered in due course.</p> answering member constituency Great Yarmouth answering member printed Brandon Lewis question first answered 13/01/2020 17:40:00 answering member 4009 label Biography information for Sir Brandon Lewis
tabling member	4006 label Biography information for Dr Matthew Offord

1168279

registered interest
date	19/12/2019
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Tree Planting
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Environment, Food and Rural Affairs, if she will set out the steps necessary to plant 30 million trees a year.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	83
answer	answer is ministerial correction date of answer 08/01/2020 answer text <p>The Government set out its ambition to increase tree planting to 75,000 acres each year across the UK by the end of this Parliament. To support this, we announced a Nature for Climate Fund, part of which will kick-start a step-change in tree planting in England. Forestry is a devolved matter and we will work with the devolved administrations to increase planting across the UK.</p><p> </p><p>We will expand on woodland creation initiatives like the Northern Forest and Northumberland Forest, and plant more trees in urban areas. We will support afforestation on private land, continuing our woodland creation grants, which offer a viable, long-term source of income for landowners who deliver environmental benefits by planting and maintaining trees.</p> answering member constituency Taunton Deane answering member printed Rebecca Pow question first answered 08/01/2020 15:42:37 answering member 4522 label Biography information for Rebecca Pow
tabling member	4006 label Biography information for Dr Matthew Offord

1168280

registered interest
date	19/12/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Mortgages
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, if he will review the lending requirements for mortgages to ensure the affordability of rents and repayments in relation to the current salary multiplier requirement.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	84
answer	answer is ministerial correction date of answer 13/01/2020 answer text <p>The Financial Conduct Authority’s (FCA) ‘Mortgage Market Review’ regulations are based on the principle that mortgages should only be advanced where there is a reasonable expectation that borrowers can repay. To provide new mortgage loans, all lenders must conduct an affordability assessment which includes a robust income and expenditure analysis, and the lender must obtain evidence of that income to support this assessment. Lenders must also comply with rules set by the Financial Policy Committee (FPC) at the Bank of England, intended to manage financial stability risks from the housing market, including a limit of 15% of new lending above 4.5 Loan-to-Income (LTI), and a stress test for loans at 3% above the Standard Variable Rate.</p><p> </p><p>Both the FCA and the Bank of England keep their mortgage market regulations under review to ensure that they meet their objectives. In May 2016 the FCA conducted a review of the MMR, finding that the regulations had been implemented as desired protecting consumers without unduly restricting the availability of credit. The FCA’s Mortgages Market Study of March 2019 also found that the market is working well for consumers. The FPC most recently reviewed their housing tools in December 2019 in their Financial Stability Report, including the 4.5 LTI cap, finding that they have had a positive impact in upholding strong underwriting standards to prevent an increase in the number of highly indebted households, whilst having only a limited impact on mortgage availability.</p> answering member constituency Salisbury answering member printed John Glen question first answered 13/01/2020 14:25:40 answering member 4051 label Biography information for John Glen
tabling member	4006 label Biography information for Dr Matthew Offord

1168287

registered interest
date	19/12/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Off-payroll Working
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, when the proposed review of the changes to IR35 will (a) begin and (b) conclude.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	85
answer	answer is ministerial correction date of answer 13/01/2020 answer text <p>The Chancellor has commissioned a review of the off-payroll working rules reform (IR35). As set out at Budget 2018, the reform is due to be extended to all sectors from April 2020. The review was announced on 7 January and will focus on the implementation of the reform, including gathering evidence on the experiences of individuals and businesses. The review will consider whether there are any further steps the Government can take to ensure the smooth and successful implementation of the forthcoming reforms. The review will conclude in mid-February.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman question first answered 13/01/2020 16:57:58 answering member 3991 label Biography information for Jesse Norman
tabling member	4006 label Biography information for Dr Matthew Offord

1168288

registered interest
date	19/12/2019
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Cyprus: Politics and Government
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, if he will take steps to support a solution to the division on the island of Cyprus.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	86
answer	answer is ministerial correction date of answer 07/01/2020 answer text <p>The United Kingdom is a strong supporter of a comprehensive, just and lasting settlement to reunite Cyprus, based on the internationally accepted model of a bi-zonal, bi-communal federation with political equality for all. I visited Cyprus on 4 October to encourage progress towards an enduring solution. We will continue this regular dialogue. We call on all parties to engage constructively in talks about a settlement and demonstrate they are committed to making progress.</p><p>The United Kingdom believes a reunited Cyprus would unlock significant economic benefits through increased opportunities for trade, investment and tourism, and open up the possibility of new energy and economic partnerships in the region. This will benefit everyone on the island of Cyprus. A settlement would bolster the island's security and help to advance regional stability.</p> answering member constituency Tamworth answering member printed Christopher Pincher question first answered 07/01/2020 16:14:05 answering member 4075 label Biography information for Christopher Pincher
tabling member	4006 label Biography information for Dr Matthew Offord

1168289

registered interest
date	19/12/2019
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Academic Freedom
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what steps he will take to promote (a) diversity of thought and (b) freedom of expression on university campuses.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	87
answer	answer is ministerial correction date of answer 07/01/2020 answer text <p>This government will ensure that our universities are places where free speech can thrive, and will strengthen academic freedoms.</p><p>The freedom to express views openly, challenge ideas and engage in robust debate is crucial to the student experience and to democracy. Individuals should never be in a position where they can be stopped from, or are made to feel inhibited in, expressing an opinion perfectly lawfully. Similarly, universities should be places where students are exposed to a range of views, including those which may be controversial, and are encouraged to debate and challenge them.</p><p>Free speech is protected in universities by law and is embedded in the Office for Students’ Regulatory Framework. Under the Education (No 2) Act 1986, universities have a specific duty to take reasonably practicable steps to secure freedom of speech within the law for staff, students and visiting speakers. The government worked with the Equalities and Human Rights Commission, who published new guidance in February 2019 on freedom of speech in higher education to support higher education providers and students’ unions in delivering their duties.</p><p>The government will be looking closely at how well higher education providers are meeting these obligations and will consider whether further action is needed, working with a range of partners.</p> answering member constituency Kingswood answering member printed Chris Skidmore question first answered 07/01/2020 16:24:03 answering member 4021 label Biography information for Chris Skidmore
tabling member	4006 label Biography information for Dr Matthew Offord