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348376

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Defibrillators: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what variation there is in (a) prices paid by NHS trusts for implantable defibrillators and cardiac resynchronisation defibrillators and (b) the costs for such devices that trusts pass back to NHS England.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1047
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>The price paid by National Health Service trusts for devices varies significantly, as does, correspondingly, the cost passed onto the NHS. Analysis indicates the percentage difference between the lower and highest prices for duel chamber implantable defibrillators to be in the region of 90% and cardiac resynchronisation defibrillators 75%.</p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/06/2015 10:36:39 answering member 3988 label Biography information for Ben Gummer
tabling member	1506 label Biography information for Andrew Gwynne

348394

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Defibrillators: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what clinical advice NHS England has sought in establishing best value prices and reference prices for implantable defibrillators and cardiac resynchronisation defibrillators.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	950
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>NHS England has sought advice from the Complex Invasive Cardiology - Clinical Reference Group lead and clinical representatives to support the development of suggested average prices for implantable defibrillators and cardiac resynchronisation defibrillators.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/06/2015 10:48:25 answering member 3988 label Biography information for Ben Gummer
tabling member	1506 label Biography information for Andrew Gwynne

348395

registered interest
date	03/06/2015
answering body	Ministry of Defence
answering dept id	11
answering dept short name	Defence
answering dept sort name	Defence
hansard heading	Ministry of Defence: Complaints
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Defence, how many civilian grievance cases against his Department were initiated by contractors or manpower substitutes in each year since 2010; and how many such cases were successful.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	951
answer	answer is ministerial correction date of answer 10/06/2015 answer text <p>The information on the number of formal grievance cases initiated by contractors or manpower substitutes is not available and could be provided only at disproportionate cost. This is because although the name of the complainant is initially recorded when the grievance is raised, the complainant's details would have to be manually accessed to identify their employment status.</p> answering member constituency Milton Keynes North answering member printed Mark Lancaster question first answered 10/06/2015 15:56:39 answering member 1544 label Biography information for Lord Lancaster of Kimbolton
tabling member	1506 label Biography information for Andrew Gwynne

348396

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of cancer patients received (a) intensity modulated and (b) stereotactic radiotherapy in the latest month for which figures are available.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	952
answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>NHS England monitors the progress in achieving the following standard:</p><p> </p><p> </p><p> </p><p>- A minimum 24% of patients requiring radical radiotherapy have access to inverse planned Intensity Modulated Radiotherapy (IMRT).</p><p> </p><p> </p><p> </p><p>NHS England monitors this standard as a three month rolling average. The latest data shows that 6,397 patients received IMRT during the period from December 2014 to February 2015, a proportion of 37% of patients requiring radical radiotherapy.</p><p> </p><p> </p><p> </p><p>NHS England does not hold data centrally relating to the proportion of cancer patients receiving stereotactic radiotherapy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2015 14:33:38 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

348412

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Equipment: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether NHS England plans to establish reference prices for medical devices beyond those named in the Commissioning Intentions for 2015-16.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1018
answer	answer is ministerial correction date of answer 10/06/2015 answer text <p>The commissioning intentions state NHS England will look at excluded devices and some drugs. The process began with implantable cardiac devices, bone anchored hearing devices and transcatheter aortic valve implantation, and proceeded to cover all excluded devices.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 10/06/2015 15:53:16 answering member 3988 label Biography information for Ben Gummer
tabling member	1506 label Biography information for Andrew Gwynne

348413

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Defibrillators: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which National Clinical Directors and Clinical Reference Groups have been involved in establishing best value prices and reference prices for implantable defibrillators and cardiac resynchronisation defibrillators.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1019
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>When establishing the suggested average prices the Complex Invasive Cardiology - Clinical Reference Group lead and clinical representatives were involved in supporting and understanding the need for average prices for implantable defibrillators and cardiac resynchronisation defibrillators.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/06/2015 10:43:04 answering member 3988 label Biography information for Ben Gummer
tabling member	1506 label Biography information for Andrew Gwynne

348414

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Equipment: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what modelling NHS England has done to determine (a) the effects of trends in NHS trusts' income on (i) provision of (A) implantable defibrillators, (B) cardiac resynchronisation defibrillators and (C) other high cost devices and (ii) service viability and (b) the effects of provision of high cost devices on the future financial positions of trusts.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1020
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>The costs incurred by National Health Service trusts for high cost devices such as implantable and cardiac resynchronisation defibrillators are re-charged to NHS England on a pass-through basis, i.e. the re-charge equals the cost invoiced by the supplier of the device. Correspondingly the financial impact of high cost device purchases are cost-neutral to NHS trusts and do not impact on their income and expenditure position.</p><p> </p><p> </p><p> </p><p>However, NHS England specialised commissioning is currently supporting NHS trusts with information on European Union compliant procurement frameworks that offer better value for the taxpayer.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/06/2015 10:54:37 answering member 1201 label Biography information for Alistair Burt
tabling member	1506 label Biography information for Andrew Gwynne

348416

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Security Benefits: Medical Examinations
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the cost to NHS England of the provision of fitness for work certificates as required by the Department for Work and Pensions in the period 2014-15.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1022
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>Neither the Department nor NHS England has made any assessment of the cost of the provision of fitness for work certificates.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/06/2015 10:50:06 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

348417

registered interest
date	03/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Equipment: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether NHS England plans to establish reference prices as ceiling prices above which trusts will not be reimbursed.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	1023
answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>Trusts are obliged to charge the National Health Service the cost of the implantable devices on a pass through basis, i.e. the cost invoiced by the supplier of the device. The average prices have been issued to commissioners to help them assess value for money on device expenditure and identify potential areas for future efficiency improvements. NHS England’s current approach is not to impose a ceiling price however; we will be working closely with providers where they are not taking advantage of current market rates for devices.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/06/2015 10:45:13 answering member 3988 label Biography information for Ben Gummer
tabling member	1506 label Biography information for Andrew Gwynne

348186

registered interest
date	02/06/2015
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Asthma: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Minister for the Cabinet Office, with reference to the Answer of 3 March 2015 to Question 225989, how many people (a) under the age of 18 and (b) aged 18 or over died as a result of asthma in England and Wales in 2014.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	796
answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.</p><p> </p> answering member constituency Reading East answering member printed Mr Rob Wilson question first answered 08/06/2015 14:53:01 answering member 1556 label Biography information for Mr Rob Wilson attachment 1 file name PQ 796.pdf title ONS Letter to Member - Death from Asthma
tabling member	1506 label Biography information for Andrew Gwynne