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771440

registered interest
date	16/10/2017
answering body	Ministry of Defence
answering dept id	11
answering dept short name	Defence
answering dept sort name	Defence
hansard heading	Gamecock Barracks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Defence, what assessment he has made of the financial implications of re-deploying military units from Strensall to Gamecock Barracks, Nuneaton.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107880
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The Defence Estate Optimisation Programme takes a long-term portfolio approach to transforming the Defence Estate into one fit for the future military needs of the Armed Forces.</p><p>Taken as a whole the programme is proven to provide value for money by using the receipts from disposal sites and other allocated funding to enable new investment into the Ministry of Defence retained core estate. This will then deliver enduring efficiencies in infrastructure operating costs.</p><p>Initial assessments into relocating the units presently based in Strensall to Gamecock Barracks are being undertaken with the costs considered as part of the whole programme.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood question first answered 24/10/2017 16:10:42 answering member 1487 label Biography information for Mr Tobias Ellwood
tabling member	4471 label Biography information for Rachael Maskell

771500

registered interest
date	16/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of the proposed requirement for clinical commissioning groups (CCGs) to go through an individual funding request before each patient is able to access bariatric surgery on (a) patient health and (b) capacity of CCGs to respond to that requirement.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107834
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>There is no national requirement for clinical commissioning groups (CCGs) to go through an individual funding request process before each patient is able to access bariatric surgery. The implementation and operation of CCG commissioning policies is a matter for individual CCGs to determine.</p><p> </p><p>NHS England has therefore made no formal assessment of this proposed requirement on CCGs.</p><p> </p><p>The National Institute for Health and Care Excellence Clinical Guidelines 43 (updated November 2014) is clear about which groups of individuals bariatric surgery can benefit, with both clinical and cost effectiveness demonstrated, and attendance at Tier 3 services required first. Tier 3 covers multidisciplinary weight management services which are normally commissioned by CCGs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/10/2017 10:09:30 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

771508

registered interest
date	16/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: York
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of (a) total and (b) per capita spending on (i) health and (ii) mental health in England in spent in York; and where York is ranked in England for such spending.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107879
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>General clinical commissioning group (CCG) spend on health is published by NHS England via the link below, for the 2016/17 Q4 report on page 7.</p><p><a href="https://www.england.nhs.uk/publication/financial-performance-reports/" target="_blank">https://www.england.nhs.uk/publication/financial-performance-reports/</a></p><p>Spend per head is not available, and CCGs are not ranked on spend per head.</p><p> </p><p>CCG spend does not cover all health spend, it excludes directly commissioned Primary Care, Specialised Commissioning and other services directly commissioned by NHS England.</p><p> </p><p>The Five Year Forward View for Mental Health dashboard publishes the spend on mental health for 2016/17. The York Clinical Commissioning Group detail and totals can be viewed. The dashboard does not include spend per capita. The dashboard can be viewed here:</p><p><a href="https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/" target="_blank">https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/10/2017 11:21:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4471 label Biography information for Rachael Maskell

771654

registered interest
date	16/10/2017
answering body	Department for Business, Energy and Industrial Strategy
answering dept id	201
answering dept short name	Business, Energy and Industrial Strategy
answering dept sort name	Business, Energy and Industrial Strategy
hansard heading	Petroleum (Production) Regulations 1966
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Business, Energy and Industrial Strategy, what changes have been made to the Model Clauses incorporated in PL080 Licence from the Petroleum (Production) Regulations 1966.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107959
answer	answer is ministerial correction date of answer 19/10/2017 answer text <p>The model clauses incorporated into the Licence are those deriving from Schedule 3 of The Petroleum (Production) Regulations 1966 as set out in Schedule 3 of the Petroleum (Current Model Clauses) Order 1999.</p> answering member constituency Watford answering member printed Richard Harrington question first answered 19/10/2017 16:24:27 answering member 4068 label Biography information for Lord Harrington of Watford
tabling member	4471 label Biography information for Rachael Maskell

770014

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the cost to the public purse of denying or delaying treatment for patients requiring bariatric surgery.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107710
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>NHS England has not made an assessment of the cost or delaying treatment for patients requiring bariatric surgery.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission services which meet the needs of their local population. When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery. Treatment decisions should always be made by doctors based on patients’ clinical needs.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:48:44 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

770015

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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, what steps his Department is taking to ensure that clinical commissioning groups follow National Institute for Health and Care Excellence guidelines.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107711
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.</p><p> </p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:13 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell

770016

registered interest
date	13/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential merits of NICE guidance on bariatric surgery (CG189).
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	107726
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) issued a clinical guideline on the identification, assessment and management of obesity in 2014 that makes recommendations on the use of bariatric surgery.</p><p> </p><p>NICE’s guideline recommends bariatric surgery as an option for people with obesity if all of the following criteria are fulfilled:</p><p> </p><p>- They have a body mass index of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight;</p><p>- All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss;</p><p>- The person has been receiving or will receive intensive management in a tier 3 service;</p><p>- The person is generally fit for anaesthesia and surgery; and</p><p>- The person commits to the need for long-term follow-up.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/10/2017 16:50:23 answering member 4067 label Biography information for Steve Brine
tabling member	4471 label Biography information for Rachael Maskell