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1082299

registered interest
date	05/03/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Occupational Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, whether she has plans to require employers to contract occupational health services; and what assessment she has made of the potential costs to business of implementing such a requirement.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228633
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>The Government wants to see employers of all sizes create healthy workplaces where people can thrive and will consult this year on measures to encourage and support all employers to play their part and to improve access to occupational health.</p><p> </p><p> </p> answering member constituency Truro and Falmouth answering member printed Sarah Newton question first answered 13/03/2019 14:50:43 answering member 4071 label Biography information for Sarah Newton
tabling member	3957 label Biography information for Martin Vickers

1082300

registered interest
date	05/03/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Occupational Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what assessment she has made of the quality of (a) occupational health services and (b) SEQOHS accreditation scheme in measuring the effectiveness of those services in delivering successful returns to work.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228634
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>We have not made an assessment that would specifically address this question.</p><p> </p><p>As outlined in the Government’s 2017 Command Paper ‘Improving Lives; the future of work, health and disability’ we have commissioned research to better understand occupational health provision. Findings are due to be published in 2019.</p><p> </p><p>We have worked with a wide range of stakeholders, including through our Occupational Health Expert Group, to shape measures to improve access to high quality occupational health. We will set out our proposals in a consultation exercise in 2019.</p> answering member constituency Truro and Falmouth answering member printed Sarah Newton grouped question UIN 228635 question first answered 13/03/2019 16:05:13 answering member 4071 label Biography information for Sarah Newton
tabling member	3957 label Biography information for Martin Vickers

1082301

registered interest
date	05/03/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Occupational Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what estimate she has made of the average cost to an employer of contracting a physician-led occupational health service.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228635
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>We have not made an assessment that would specifically address this question.</p><p> </p><p>As outlined in the Government’s 2017 Command Paper ‘Improving Lives; the future of work, health and disability’ we have commissioned research to better understand occupational health provision. Findings are due to be published in 2019.</p><p> </p><p>We have worked with a wide range of stakeholders, including through our Occupational Health Expert Group, to shape measures to improve access to high quality occupational health. We will set out our proposals in a consultation exercise in 2019.</p> answering member constituency Truro and Falmouth answering member printed Sarah Newton grouped question UIN 228634 question first answered 13/03/2019 16:05:13 answering member 4071 label Biography information for Sarah Newton
tabling member	3957 label Biography information for Martin Vickers

1082302

registered interest
date	05/03/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Occupational Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what assessment she has made of the potential growth of the occupational health market in the event that all employers contracted occupational health services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228636
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>We have not made an assessment that would specifically address this question. However, in 2017, the occupational health market was estimated to be worth around £800m a year.</p><p>In 2014, 51% of all GB employees had access to occupational health services provided for by their employer.</p><p>We have worked with a wide range of stakeholders, including through our Occupational Health Expert Group, to shape measures to improve access to high quality occupational health. We will set out our proposals in a consultation exercise in 2019.</p> answering member constituency Truro and Falmouth answering member printed Sarah Newton question first answered 13/03/2019 16:09:15 answering member 4071 label Biography information for Sarah Newton
tabling member	3957 label Biography information for Martin Vickers

1082304

registered interest
date	05/03/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Medical Treatments: Tax Allowances
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, what discussion he has had with the Secretary of State for (a) Work and Pensions and (b) Health and Social Care on reform of the tax exemption for employer-funded medical treatment.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228638
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>Employers normally incur expenditure on employee healthcare for a business purpose and can deduct this when calculating the employer’s own taxable profits.</p><p>However, from 1 January 2015, the Government also exempted any benefit in kind or payment of earnings, up to an annual cap of £500 per employee, from a charge to income tax when an employer meets the cost of recommended medical treatment. There is also a corresponding National Insurance contributions disregard.</p><p>Medical treatment is recommended where it is provided in accordance with a recommendation from an occupational health service in order to help an employee return to work after a period of absence due to ill-health or injury. The 28 consecutive day qualifying period makes sure that the tax exemption is targeted at those cases in greatest need of support. Evidence showed that sickness absence cases lasting four weeks or longer were at the greatest risk of turning into long term cases.</p><p>The Government ensured that this exemption would be easy to understand and administer, so employers do not need to inform HMRC about payments for treatments covered by the £500 per employee per year limit. This means that information is not available to assess the direct impact of the exemption. However, the Government estimated in 2014 that employees working for approximately 10,000 businesses each year would benefit and Table 2.2 of Budget 2014 set out the expected cost to the Exchequer of £20 million per annum by 2018-19.</p><p>The Government keeps all taxes under review.</p> answering member constituency Central Devon answering member printed Mel Stride grouped question UIN 228637 228639 question first answered 13/03/2019 16:38:16 answering member 3935 label Biography information for Mel Stride
tabling member	3957 label Biography information for Martin Vickers

1082305

registered interest
date	05/03/2019
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Medical Treatments: Tax Allowances
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Chancellor of the Exchequer, whether he has any plans to amend the Income Tax (Recommended Medical Treatment) Regulations 2014 to incentivise employers to support staff returning to work after a period of sickness absence; and what assessment he has made of the effect of the 28 consecutive day qualifying period on the number of staff returning to work.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228639
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>Employers normally incur expenditure on employee healthcare for a business purpose and can deduct this when calculating the employer’s own taxable profits.</p><p>However, from 1 January 2015, the Government also exempted any benefit in kind or payment of earnings, up to an annual cap of £500 per employee, from a charge to income tax when an employer meets the cost of recommended medical treatment. There is also a corresponding National Insurance contributions disregard.</p><p>Medical treatment is recommended where it is provided in accordance with a recommendation from an occupational health service in order to help an employee return to work after a period of absence due to ill-health or injury. The 28 consecutive day qualifying period makes sure that the tax exemption is targeted at those cases in greatest need of support. Evidence showed that sickness absence cases lasting four weeks or longer were at the greatest risk of turning into long term cases.</p><p>The Government ensured that this exemption would be easy to understand and administer, so employers do not need to inform HMRC about payments for treatments covered by the £500 per employee per year limit. This means that information is not available to assess the direct impact of the exemption. However, the Government estimated in 2014 that employees working for approximately 10,000 businesses each year would benefit and Table 2.2 of Budget 2014 set out the expected cost to the Exchequer of £20 million per annum by 2018-19.</p><p>The Government keeps all taxes under review.</p> answering member constituency Central Devon answering member printed Mel Stride grouped question UIN 228637 228638 question first answered 13/03/2019 16:38:16 answering member 3935 label Biography information for Mel Stride
tabling member	3957 label Biography information for Martin Vickers

1082306

registered interest
date	05/03/2019
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Occupational Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what recent financial incentives she has introduced to encourage employers to invest in the health and well being of their workforce through the contracting of services designed to facilitate more rapid returns to work by employees at risk of health-related job loss.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	228640
answer	answer is ministerial correction date of answer 13/03/2019 answer text <p>The tax incentives available to employers to encourage investment in employee health and wellbeing include relief for employer-funded medical treatment up to £500 where there has been a recommendation from an occupational health professional and the employee has been absent for 28 days.</p><p> </p><p>To inform future policy decisions, the Government is supporting the West Midlands Combined Authority to undertake a pilot study to assess whether and how financial incentives affect SME actions to improve health and wellbeing in the workplace.</p><p> </p><p>The Government will consult this year on measures to encourage and support all employers to reduce health-related job loss, and to improve access to occupational health.</p><p> </p><p> </p> answering member constituency Truro and Falmouth answering member printed Sarah Newton question first answered 13/03/2019 14:45:57 answering member 4071 label Biography information for Sarah Newton
tabling member	3957 label Biography information for Martin Vickers

1063932

registered interest
date	19/02/2019
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	Pain: 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, with reference to the NHS Long Term Plan, what assessment he has made of the effect of developments in digital care on the provision of pain pathway services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223082
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223083 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1063933

registered interest
date	19/02/2019
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	Pain: 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 steps his Department is taking to prevent worsening chronicity of pain in people suffering from chronic pain.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	223083
answer	answer is ministerial correction date of answer 26/02/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>As set out in the NHS Long Term Plan, published on 7 January 2019, low back and neck pain is the greatest cause of years lost to disability, with chronic joint pain or osteoarthritis affecting over 8.75 million people in the United Kingdom. In the Long Term Plan NHS England committed to build on work already undertaken to ensure patients will have direct access to musculoskeletal First Contact Practitioners (FCP). 98% of sustainability and transformation partnerships have confirmed pilot sites for FCP and 55% of pilots are already underway.</p><p> </p><p>NHS England will expand the number of physiotherapists working in primary care networks, enabling people to see the right professional first time, without needing a general practitioner referral. NHS England will also expand access to support such as the online version of ESCAPE-pain, Enabling Self-management and Coping with Arthritic Pain through Exercise, a digital version of the well-established, face-to-face group programme.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 223082 question first answered 26/02/2019 12:15:41 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1059811

registered interest
date	12/02/2019
answering body	Department for International Trade
answering dept id	202
answering dept short name	International Trade
answering dept sort name	International Trade
hansard heading	Seafood: Trade Agreements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Trade, what plans he has to ensure that future trade agreements with (a) Greenland, (b) Iceland, (c) Norway and (d) the Faroe Islands provide (i) those countries with market access for seafood products to the UK and (ii) the UK fleet with continued access to the waters of those countries.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	220183
answer	answer is ministerial correction date of answer 20/02/2019 answer text <p>The Government is seeking to ensure continuity of the UK’s trade relationships including trade in fisheries products with a number of third countries as shown by the recently agreed Faroe Islands agreement.</p><p>International fisheries agreements are the responsibility of the Department for Environment, Food and Rural Affairs.</p> answering member constituency Meon Valley answering member printed George Hollingbery question first answered 20/02/2019 14:22:19 answering member 4016 label Biography information for Sir George Hollingbery
tabling member	3957 label Biography information for Martin Vickers