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922426

	registered interest
	date	12/06/2018
	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	Department of Health and Social Care: Re-employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	Can the Secretary of State for Health and Social Care, how many staff made redundant by his Department between January and March 2017 have been reemployed by his Department on (a) permanent, (b) agency or (c) contractor contracts.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	uin	152853
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>No staff have been reemployed by the Department who previously left under compulsory or voluntary redundancy, between January and March 2017.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2018 11:09:19 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4658 label Biography information for Alex Sobel

992729

	registered interest
	date	22/10/2018
	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	Social Services: Bureaucracy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the average proportion of the working week that social workers spend completing paperwork and other follow-up administrative procedures relating to the main part of their employment.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	182104
	answer	answer is ministerial correction date of answer 25/10/2018 answer text <p>This information is not centrally held.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 25/10/2018 11:28:48 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1409 label Biography information for Mr Gregory Campbell

906433

	registered interest
	date	17/05/2018
	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	Social Services: Finance
	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 22 February 2018 to Question 128062 on social services: minimum wage, if he will provide funding to reimburse the historical capital costs of social care sector organisations.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	145320
	answer	answer is ministerial correction date of answer 22/05/2018 answer text <p>The Government recognises the pressures that sleep-in liabilities are placing on social care providers and is exploring options to minimise any impact on the sector. Any intervention to support the sector would need to be proportionate and necessary.</p><p> </p><p>In the interim the Government will continue to work closely with stakeholders to ensure that we have a clear understanding of any impact the sector may face.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2018 11:01:54 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4036 label Biography information for Luciana Berger

1020631

	registered interest
	date	06/12/2018
	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	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the Secretary of State for Business, Energy and Industrial Strategy on the potential merits of a care sector deal.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	199870
	answer	answer is ministerial correction date of answer 11/12/2018 answer text <p>The Secretary of State for Health and Social Care meets regularly with his Cabinet colleagues, discussing a range of issues.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 11/12/2018 13:32:21 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4124 label Biography information for Chi Onwurah

1108712

	registered interest
	date	01/04/2019
	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	Skin Diseases: Prescriptions
	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 ensure that the prescribing practices of Clinical Commissioning Groups follows the appropriate clinical guidelines set by NICE or NHS England on the use of emollients for patients with inflammatory skin conditions.
	tabling member constituency	North Tyneside
	tabling member printed	Mary Glindon
	uin	239233
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The Department and NHS England expects clinical commissioning groups (CCGs) to take both NHS England and National Institute for Health and Care Excellence guidance into account in formulating local polices, and for prescribers to reflect local policies in their prescribing practice.</p><p> </p><p>In March 2018, CCG guidance was published on conditions for which over the counter items should not be routinely prescribed in primary care. This covers 35 minor conditions, including recommendations on the use of emollients for self-care of mild dry skin. The recommendation in this guidance only applies to those with mild dry skin or mild irritant dermatitis. If CCGs have implemented the guidance as intended, patients with moderate to severe eczema will still be able to receive their emollients on prescription as it is a chronic condition.</p><p> </p><p>NHS England has also recently run a consultation on ‘Items which should not routinely be prescribed in primary care: an update and a consultation on further guidance for clinical commissioning groups (CCGs)’. This included proposals around the proscribing of emollient bath and shower preparations (it did not cover all emollients, which come in a range of other formulations).</p><p> </p><p>Variation of prescribing of emollient bath and shower preparations was reviewed and published as part of the consultation undertaken from 28 November 2018 – 28 February 2019. Details of this are available in the consultation document at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf" target="_blank">https://www.engage.england.nhs.uk/consultation/items-routinely-prescribed-update/user_uploads/low-priority-prescribing-consultation-guidance.pdf</a></p><p> </p><p>NHS England is currently taking account of all consultation responses and updated CCG guidance is due to be published in the summer of 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 238640 question first answered 05/04/2019 11:04:45 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4126 label Biography information for Mary Glindon

904788

	registered interest
	date	15/05/2018
	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	Social Services: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the hourly rate of pay was which local authorities set for care providers in (a) residential care and (b) community-based care (i) as a national average and (ii) for each local authority.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	144240
	answer	answer is ministerial correction date of answer 22/05/2018 answer text <p>The vast majority of local authority funded social care is commissioned from external providers and local authorities do not directly set rates of staff pay in these providers.</p><p> </p><p>Information on the average unit cost of care commissioned by local authorities is available for 2016/17 in the attached document.</p><p> </p><p>No data is collected centrally on the rates of pay paid to staff caring for local authority funded clients.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/05/2018 15:19:21 answering member 4008 label Biography information for Dame Caroline Dinenage attachment 1 file name Average Unit Cost of Care Commissioned by Local Authorities.xlsx title PQ144240
	tabling member	1533 label Biography information for Dame Diana Johnson

910187

	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	Palliative Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, by what means his Department collects information on the preferences for care for people at the end of life since the discontinuation of the National Survey of Bereaved People (VOICES) after the publication of 2015 data.
	tabling member constituency	Rotherham
	tabling member printed	Sarah Champion
	uin	147456
	answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>Since 2012 the National Survey of Bereaved People (VOICES) survey has provided valuable insight into the quality of care delivered to people in the last three months of their lives, highlighting variations in the quality of care delivered in different areas of the country and to different groups of patients. Following publication of the last set of survey results in June 2016, NHS England held a consultation on the future of the VOICES survey to seek views on the approach and relevance of the survey to ensure that it remained fit for purpose. Whilst the response showed that the VOICES survey remained a valuable tool, key amongst its findings were that the majority of respondents indicated that the VOICES survey would be more helpful if the sample size were made large enough to report at a local commissioner level.</p><p> </p><p> </p><p>Following this, work was undertaken to revise the survey and consider approaches to a larger sample size and then put in place arrangements to re-commission the VOICES survey. NHS England has been involved in discussions with the Office for National Statistics, which collects the death registration data used to identify survey recipients, about arrangements for access to the data for the new survey. Changes to the safeguarding arrangements on data-sharing, designed to ensure any concerns about care raised via the survey can be appropriately investigated, have resulted in delays to commencing the new VOICES survey. Work is ongoing to resolve this matter, and a timetable for the publication of the next survey cannot be provided at this time.</p><p> </p><p>Finally, there are other means through which personalisation and choice at the end of life are assessed and monitored; for example, through the Care Quality Commission’s inspection regime, which now rates end of life care as a core service, and via the National Audit for Care at the End of Life, commissioned on behalf of NHS England by the Healthcare Quality Improvement Partnership.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/06/2018 13:35:06 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4267 label Biography information for Sarah Champion

1056691

	registered interest
	date	07/02/2019
	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	Multiple Sclerosis: Stem Cells
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason Ms Helen Townsend’s Stem Cell treatment for MS was halted part way through as a result of NHS England's decision that GPs can longer refer people for the treatment and that patients must now be referred by a MS Neurology Specialist.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	218237
	answer	answer is ministerial correction date of answer 12/02/2019 answer text <p>NHS England first published its commissioning policy in 2013, revised in 2015, which permits access to autologous haematopoietic stem cell transplant (HSCT) as a clinical option for some patients with multiple sclerosis (MS). The commissioning policy is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf" target="_blank">https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/01/b04-haematp-stem-cll-transplt.pdf</a></p><p> </p><p>As with any HSCT there are risks to the procedure and when considering this treatment for patients with MS the balance of risk and benefit must be carefully assessed for each patient. Neurologists and transplant doctors in the United Kingdom are guided by the recommendations of the European Society for Blood and Marrow Transplantation, published in 2012, and the guidance of the British Society of Blood and Marrow Transplantation when considering the suitability of transplant. These criteria restrict the use of autologous HSCT to a small group of MS patients with high levels of inflammatory activity despite one or more approved disease modifying therapies and very rare patients with 'malignant' forms of MS. Patients should be assessed by both MS and transplant specialists.</p><p> </p><p>Neurologist and transplant doctors should be guided by these recommendations and decisions related to a patient’s care are a matter for clinicians.</p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 218236 218238 question first answered 12/02/2019 16:26:03 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1538 label Biography information for Rosie Cooper

984571

	registered interest
	date	09/10/2018
	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	Medical Examiners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason medical examiners have been placed in NHS Trusts rather than in local authorities, as recommended by the Shipman Report.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	177324
	answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>The response to the Government’s consultation on the introduction of medical examiner and death certification reform in England and Wales, demonstrated widespread support for the aims of the reforms and for the introduction of medical examiners, but there were concerns about some aspects of the proposals. In particular, concerns were raised about how the proposed model, based in local authorities, would work in practice and about the timeframes for implementing the system.</p><p> </p><p>Since the Government consulted on the package of Death Certification Reforms, events have moved on. New information about how a medical examiner system could be introduced has been generated by the Department medical examiner pilot sites, early adopters of the medical examiner system, as well as from the Learning from Deaths initiative.</p><p> </p><p>Reflecting these developments, the response to consultation published in June 2018 announced a revised approach, with medical examiners employed in the National Health Service system, with a separate professional line of accountability, allowing for access to information in the sensitive and urgent timescales surrounding death registration but with independence necessary for the credibility of the scrutiny process. The new system will be rolled out from April 2019.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/10/2018 13:15:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4244 label Biography information for Jonathan Ashworth

935043

	registered interest
	date	05/07/2018
	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	Learning Disability: Mortality Rates
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reason people with learning disabilities have been placed in the category of adults with serious mental illness in the Excess under 75 mortality rate data set in the May 2018 release of NHS Outcomes Framework Indicators.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	161194
	answer	answer is ministerial correction date of answer 12/07/2018 answer text <p>The Excess under 75 mortality rate dataset defines adults with serious mental illness as “those who have been in contact with secondary mental health care services in the past three years”. This definition has not changed since the indicator was established in June 2012.</p><p> </p><p>The data is, however, taken from the Mental Health and Learning Disabilities Dataset, which cannot distinctly divide activity into mental health or learning disability spells of care. This is because many people who have a learning disability use mental health services and people in learning disability services may have a mental health problem, so a single spell of care may include either or both types of service.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 12/07/2018 13:47:51 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4412 label Biography information for Dr Lisa Cameron