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914711

registered interest
date	01/06/2018
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	Spinal Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 23 April 2018 to Question 136434, for what reasons the answer to that question did not reference whether an impact assessment has been carried out on the effect on people with spinal cord injuries of the planned NHS Continuing Healthcare budget savings of £855 million by 2020-21.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	148712
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>It is the responsibility of clinical commissioning groups to commission NHS Continuing Healthcare packages of care appropriate to the needs of individuals, and for assessing the impact of their funding decisions. A national impact assessment has therefore not been carried out by the Department or NHS England.</p><p> </p><p>Eligibility for NHS Continuing Healthcare is based on needs and is not specific to any particular condition or diagnosis. NHS England’s NHS Continuing Healthcare Strategic Improvement Programme aims to provide fair access to NHS Continuing Healthcare in a way which ensures better outcomes, better experience, and better use of resources.</p><p> </p><p>The programme does not aim to reduce spending on NHS Continuing Healthcare, but to reduce the rate of growth of expenditure. The projection is for spending on NHS Continuing Healthcare to increase by over 20% by 2020/21, or an average of approximately 3.9% per year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 06/06/2018 15:14:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

914771

registered interest
date	01/06/2018
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Motor Vehicles: Sales
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Transport, what discussions he has had with major car dealerships on promoting the sale of electric and other ultra-low emission vehicles.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	148713
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Last month the Prime Minister, set out a mission to put the UK at the forefront of the design and manufacturing of zero emission vehicles and for all new cars and vans to be effectively zero emission by 2040. Ministers and officials hold regular discussions with the automotive industry and those representing dealerships on promoting the sale of electric and other ultra-low emission vehicles. The joint Government-industry Go Ultra Low campaign is now into its fourth year and aims to inform vehicle purchasers about the benefits of electric and other ultra-low emission vehicles and to dispel widespread myths.</p> answering member constituency Hereford and South Herefordshire answering member printed Jesse Norman question first answered 06/06/2018 13:39:37 answering member 3991 label Biography information for Jesse Norman
tabling member	1591 label Biography information for Tim Farron

915098

registered interest
date	01/06/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to allocate funding to more efficient forms of radiotherapy technology; and if he will make a statement.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	148714
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Significant investments have been, and continue to be, made to improve both the efficiency of radiotherapy equipment and the range of more innovative radiotherapy treatments that are routinely available to patients:</p><p>- In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England, ensuring that older linear accelerators (LINACs - radiotherapy machines) are either upgraded or replaced. These upgraded/new machines will deliver both a wider range of innovative treatment techniques and are also significantly faster, enabling more patients to benefit from the latest technology regardless of where they live;</p><p>- NHS England has also committed £15 million over three years to evaluate the benefits of stereotactic ablative radiotherapy (SABR) in the treatment of a number of new clinical indications. SABR is an innovative radiotherapy technique that more precisely targets cancers with radiotherapy, reducing the damage to the surrounding tissues. A further £6 million was also committed by NHS England to support a number of Cancer Research UK sponsored SABR clinical trials. It is envisaged that the results of both the trials and the evaluation programme will enable more patients to routinely access SABR treatments;</p><p>- Following an investment of £23 million to improve access to Intensity Modulated Radiotherapy (IMRT), another more precise form of radiotherapy with fewer side effects, the National Health Service is now regularly exceeding access standards, meaning that more people are benefiting from this treatment. The percentage of radiotherapy patients who received IMRT increased from 10% (1,660) in April to June 2012 to 44% (8,865) in January to March 2017. The current access standard is 24%; and</p><p>- In 2012, the Government provided £250 million to build two proton beam therapy centres in England (at University College London Hospital and The Christie in Manchester), the first of which will become operational in autumn 2018.</p><p>No assessment has been made of the effect of national prices for radiotherapy treatment.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 148715 question first answered 06/06/2018 16:01:48 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

915099

registered interest
date	01/06/2018
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	Radiotherapy
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 of the internal market tariff on the effectiveness of the NHS delivery of radiotherapy.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	148715
answer	answer is ministerial correction date of answer 06/06/2018 answer text <p>Significant investments have been, and continue to be, made to improve both the efficiency of radiotherapy equipment and the range of more innovative radiotherapy treatments that are routinely available to patients:</p><p>- In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England, ensuring that older linear accelerators (LINACs - radiotherapy machines) are either upgraded or replaced. These upgraded/new machines will deliver both a wider range of innovative treatment techniques and are also significantly faster, enabling more patients to benefit from the latest technology regardless of where they live;</p><p>- NHS England has also committed £15 million over three years to evaluate the benefits of stereotactic ablative radiotherapy (SABR) in the treatment of a number of new clinical indications. SABR is an innovative radiotherapy technique that more precisely targets cancers with radiotherapy, reducing the damage to the surrounding tissues. A further £6 million was also committed by NHS England to support a number of Cancer Research UK sponsored SABR clinical trials. It is envisaged that the results of both the trials and the evaluation programme will enable more patients to routinely access SABR treatments;</p><p>- Following an investment of £23 million to improve access to Intensity Modulated Radiotherapy (IMRT), another more precise form of radiotherapy with fewer side effects, the National Health Service is now regularly exceeding access standards, meaning that more people are benefiting from this treatment. The percentage of radiotherapy patients who received IMRT increased from 10% (1,660) in April to June 2012 to 44% (8,865) in January to March 2017. The current access standard is 24%; and</p><p>- In 2012, the Government provided £250 million to build two proton beam therapy centres in England (at University College London Hospital and The Christie in Manchester), the first of which will become operational in autumn 2018.</p><p>No assessment has been made of the effect of national prices for radiotherapy treatment.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 148714 question first answered 06/06/2018 16:01:48 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910321

registered interest
date	23/05/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he plans to spend a proportion of the £130 million allotted to modernise radiotherapy on new linac machines for newly commissioned satellite centres.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147420
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147421 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910322

registered interest
date	23/05/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what further funding will be available for modernising radiotherapy after the closure of the current fund in October 2018.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147421
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The radiotherapy modernisation fund, launched in October 2016, committed £130 million of investment to develop and upgrade current linear accelerators aged 10 years or more. By the end of March 2018, the fund had enabled the replacement or upgrade of 56 machines. Future funding decisions, including on new satellite centres, will be made after the fund ends in October 2018.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 147420 question first answered 04/06/2018 13:41:50 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910323

registered interest
date	23/05/2018
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	Cancer: Medical Treatments
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 his Department has made of the reasons for the NHS not meeting the operational standard on the 62 day time limit between urgent GP referral and first definitive treatment for cancer; and if he will make a statement.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147422
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>There has been a continuing rise in demand for cancer services, with urgent general practitioner referrals for cancer rising by over 70,000 compared to last year.</p><p> </p><p>Achieving the 62-day standard was a key objective in the Government’s mandate to NHS England for 2017-18 and this has been rolled forward into 2018-19. NHS England is investing this year in initiatives to recover and maintain the 62-day standard nationally, such as pathway coordinators and timed, standardised pathways.</p><p> </p><p>The National Health Service is committed to achieving the 62-day cancer waiting times standard in 2018/19, and to maintaining performance against the other cancer waiting times standards.</p><p> </p><p>Latest data for March 2018 shows that the National Health Service is meeting six out of eight cancer waiting times standards.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:51:48 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

910324

registered interest
date	23/05/2018
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	Continuing Care
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 in real terms of the change to the NHS Continuing Healthcare budget by 2020-21.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147423
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>It is estimated that spending on NHS Continuing Healthcare will increase by over 20% by 2020/21, or an average of approximately 3.9% per year. This is equivalent to approximately 1.7% per year in real terms.</p><p> </p><p>NHS Continuing Healthcare is funded by clinical commissioning groups (CCGs) from their overall revenue allocations. It is for CCGs to make decisions on funding based on the needs of their local populations, however, when someone is assessed as eligible for NHS Continuing Healthcare, CCGs are responsible for funding the full care package to meet their assessed needs.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/06/2018 16:04:37 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1591 label Biography information for Tim Farron

910325

registered interest
date	23/05/2018
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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 29 November 2017 to Question 114778, when the postcode-level dataset which will enable the calculation of travel times to radiotherapy centres will be published.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	147424
answer	answer is ministerial correction date of answer 04/06/2018 answer text <p>The National Cancer Registration and Analysis Service intend to publish reports on travel times for cancer patients in June 2018.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 04/06/2018 13:54:19 answering member 4067 label Biography information for Steve Brine
tabling member	1591 label Biography information for Tim Farron

906398

registered interest
date	17/05/2018
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Nurseries: Closures
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what steps he is taking to protect nurseries from closure as a result of the introduction of 30 hours of free childcare.
tabling member constituency	Westmorland and Lonsdale
tabling member printed	Tim Farron
uin	145298
answer	answer is ministerial correction date of answer 25/05/2018 answer text <p>No nursery needs protecting from the introduction of 30 hours free childcare as providers don’t have to offer places if it doesn’t work with their business model. In fact, evidence from the evaluation of early delivery of 30 hours free childcare found that the majority of providers already delivering early years entitlements were willing and able to deliver 30 hours free childcare.</p><p> </p><p>By 2019-20, we will be spending an extra £1 billion annually on higher funding rates to deliver 30 hours free childcare. The rates are based on our review of childcare costs, which was described as both thorough and wide-ranging by the National Audit Office. We continue to monitor the delivery costs of early education and have commissioned new research to provide us with robust and detailed cost data of under five-year-olds from a representative sample of early year’s providers.</p><p> </p><p>The government continues to encourage providers to take advantage of the free packages of business support the department has invested in via Childcare Works and key sector organisations including National Day Nurseries Asssociation, Pre-School Learning Alliance and Professional Association for Childcare and Early Years. Support can be found at the following links: <a href="https://www.gov.uk/government/collections/early-years-business-sustainability" target="_blank">https://www.gov.uk/government/collections/early-years-business-sustainability</a> and <a href="http://www.childcareworks.co.uk" target="_blank">www.childcareworks.co.uk</a>.</p> answering member constituency Stratford-on-Avon answering member printed Nadhim Zahawi question first answered 25/05/2018 09:18:39 answering member 4113 label Biography information for Nadhim Zahawi
tabling member	1591 label Biography information for Tim Farron