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1006860

registered interest
date	14/11/2018
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	Surgery
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 effect on patient outcomes of delaying access to elective surgical procedures on the basis of (a) body weight and (b) smoking status.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	191434
answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. No such assessment has been made by the Department or NHS England.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 11:43:09 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

694241

registered interest
date	24/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps NHS England is taking to ensure that clinical commissioning groups provide obese patients and smokers with access to appropriate treatment before operations.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65462
answer	answer is ministerial correction date of answer 01/03/2017 answer text <p>Public health is primarily a matter for local authorities, which includes preventative services around obesity and smoking cessation.</p><p> </p><p>Clinical commissioning groups (CCGs) are responsible for working with local authorities to understand and meet the needs of their local populations, and making decisions on how to best commission services which meet that population’s health needs.</p><p> </p><p>NHS England does not have a formal process in place to ensure that CCGs provide obese patients and smokers with access to appropriate treatment before operations. However, CCGs are encouraged to obtain the advice of NHS England regional teams before putting forward proposals which would affect access to services.</p><p> </p><p>CCGs also have a legal duty to have due regard to National Institute for Health and Care Excellence guidelines.</p><p> </p><p>CCGs have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes of services. NHS England can exercise its formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge this duty.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 01/03/2017 14:39:09 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

693772

registered interest
date	23/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	65368
answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.</p><p> </p><p>Information on CCGs’ commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs’ commissioning intentions are available from individual CCGs.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:15:59 answering member 4080 label Biography information for David Mowat
tabling member	4471 label Biography information for Rachael Maskell

660151

registered interest
date	16/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance NICE has issued on whether it is clinically appropriate to delay surgery for (a) obese patients for 12 months and (b) smokers for 6 months.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	58010
answer	answer is ministerial correction date of answer 23/12/2016 answer text <p>The National Institute for Health and Care Excellence has advised that it has not made any specific recommendations on delaying surgery for obese patients or patients who smoke, and that its guidelines tend to focus on the diagnosis, care and management of health conditions, rather than protocols for the delivery of services.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 23/12/2016 10:20:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4471 label Biography information for Rachael Maskell