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1132035

	registered interest
	date	13/06/2019
	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	Primary Care Networks
	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 requirements for primary care networks to engage with the local community will be.
	tabling member constituency	Newton Abbot
	tabling member printed	Anne Marie Morris
	uin	264406
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p><ins class="ministerial"> <p><ins class="ministerial">Primary Care Networks (PCNs) are a new way for primary and community service organisations to work together. For PCNs to be successful they will need to work in partnership with local people and the communities they serve. Legal duties which currently apply to NHS service providers - including general practitioner practices - and commissioners around engagement and consultation will continue to be valid for PCNs.</ins></p></ins></p><p><del class="ministerial">NHS England and NHS Improvement, together with the National Institute for Health and Care Excellence, is developing a ’commercial framework’ setting out the parameters for the commercial approach for medicines in the health service in England.</del></p><p><del class="ministerial">The commercial framework will support a single, transparent, robust and integrated pricing and market access process, and is being tested with and informed through consultation with stakeholders including the Association of the British Pharmaceutical Industry.</del></p><p><del class="ministerial">In preparation for public consultation in the coming months, NHS England is actively engaging with industry trade bodies and health system partners, in the first instance, to outline progress on the development of the commercial framework. The consultation on the draft framework is anticipated to be launched in Quarter 3 2019 with consultation events to be held in Manchester and London, and implementation of the commercial framework is expected to follow.</del></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:34:05 question first ministerially corrected 19/06/2019 08:36:30 answering member 4455 label Biography information for Seema Kennedy previous answer version 123829 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4249 label Biography information for Anne Marie Morris

1141704

	registered interest
	date	24/07/2019
	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	Mental Health Services: Children and Young People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much each clinical commissioning group has spent on child and adolescent mental health services in each year since 2013.
	tabling member constituency	Harborough
	tabling member printed	Neil O'Brien
	uin	281781
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Information on spend on mental health provision for children and young people aged 0-25, by clinical commissioning group is not available prior to 2016/17. Details of spend for 2016/17, 2017/18 and 2018/19 is set out in the attached table. This includes spend on eating disorders but excludes spend on learning disabilities.</p><p>This information is included in the Mental Health Five Year Forward View Dashboard, published by NHS England, which is available at the following link:</p><table><tbody><tr><td><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></td></tr></tbody></table><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries question first answered 09/09/2019 17:34:25 question first ministerially corrected 10/09/2019 10:42:53 answering member 1481 label Biography information for Ms Nadine Dorries attachment 1 file name PQ281781 attachment formatted.xlsx title CAMHS Spend since 2013 previous answer version 135787 answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries answering member 1481 label Biography information for Ms Nadine Dorries
	tabling member	4679 label Biography information for Neil O'Brien

1140540

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups: North East
	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 potential effect on public engagement in the NHS of the proposed merger of five clinical commissioning groups in the North East.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279425
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The clinical commissioning groups (CCGs) are currently looking at different options as to how they can work together in the future to consolidate their current collaborative working arrangements. The emerging preferred option from the public, member, staff, partner and stakeholder engagement so far, is a single CCG in Durham, which would be co-terminus with the local authority and a single CCG in the Tees Valley (covering the Tees Combined Authority area) with a shared management arrangement.</p><p>The CCGs in Durham have been working together for some time with joint appointments since 2014 and ‘in-common’ meetings since May 2017. NHS Durham Dales, Easington and Sedgefield CCG and NHS North Durham CCG also have a shared lay member for patient and public participation.</p><p>Should the CCGs decide to progress the merger application at the end of August, a Communication and Engagement Strategy, which is currently in development, will be submitted with the application.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:28:03 answering member 1585 label Biography information for Stephen Hammond previous answer version 131081 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1140542

	registered interest
	date	19/07/2019
	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	Clinical Commissioning Groups
	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 merits of the change from primary care trusts to clinical commissioning groups for the NHS.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	279427
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>On 1 April 2013, clinical commissioning groups (CCGs) replaced primary care trusts (PCTs) as the primary commissioner of National Health Service services in England.</p><p>Unlike PCTs, CCGs are clinically led, and so are better able to use clinical expertise to assess and prioritise those treatments that provide the safest and most effective outcomes for their population. The evidence suggests that general practitioner-led CCGs have allowed the redesign of patient pathways and local services based on clinical evidence, and a more effective dialogue and partnership with other parts of the health system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:26:05 answering member 1585 label Biography information for Stephen Hammond previous answer version 131080 answering member constituency Wimbledon answering member printed Stephen Hammond answering member 1585 label Biography information for Stephen Hammond
	tabling member	3973 label Biography information for Grahame Morris

1132109

	registered interest
	date	13/06/2019
	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	Mental Health: Economic Situation
	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 study entitled Recession, recovery and suicide in mental health patients in England: time trend analysis, published in the British Journal of Psychiatry on 13 June 2019, what assessment he has made of the effect of economic pressures on male adults' mental health; and what steps he is taking to provide support and targeted interventions for patients experiencing financial difficulties.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	264352
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government recognises the impact that debt and financial difficulty can have on men’s mental health and wellbeing and that men are at a higher risk of suicide.</p><p> </p><p>The National Suicide Prevention Strategy highlights groups that need tailored approaches to address their mental health needs to reduce their suicide risk, including men. Every local authority has a suicide prevention plan in place and we are investing £25 million over the next three years to support these local plans. We have worked with NHS England and Public Health England to ensure that this funding is used to test different approaches to reaching men in local communities.</p><p> </p><p>We are working with the local government sector to assess the effectiveness of those plans, and a report will be published shortly that will highlight areas of best practice and areas for improvement. This report will include an analysis of the extent to which local authority plans are addressing high risk groups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2019 16:40:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 123848 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1436 label Biography information for Paul Farrelly

1132104

	registered interest
	date	13/06/2019
	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	MMR Vaccine
	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 correlation between falling rates of vaccination for measles, mumps and rubella and the increased incidence of those conditions.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	264387
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>There has been an increase in cases of measles since the end of 2017 with close to 1,000 cases reported in 2018. However, the majority of these cases (628/966, 65%) are in individuals aged less than one year old and over 15 years i.e. those not in recently vaccinated age cohorts. Data is available at the following link:</p><p><a href="https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018" target="_blank">https://www.gov.uk/government/publications/measles-mumps-and-rubella-laboratory-confirmed-cases-in-england-2018</a></p><p>An increase in mumps activity was observed in England in the first quarter (Q1) of 2019 with 795 laboratory confirmed mumps infections. Almost half (352/795, 44%) of the cases in Q1 were in unvaccinated individuals. This data can be viewed at the following link:</p><p><a href="https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf" target="_blank">https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/804024/hpr1819_mmr2.pdf</a></p><p>The World Health Organization confirmed that the United Kingdom had eliminated rubella in 2015. Between 2013-18 there were only 10 laboratory confirmed cases in England. This data can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter" target="_blank">https://www.gov.uk/government/publications/rubella-confirmed-cases/rubella-notifications-and-confirmed-cases-by-oral-fluid-testing-in-england-2013-to-2014-by-quarter</a></p><p>Nearly all these cases have been in individuals born abroad and were not eligible to receive rubella containing vaccine in United Kingdom.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/06/2019 16:57:13 answering member 4455 label Biography information for Seema Kennedy previous answer version 123818 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4077 label Biography information for Emma Reynolds

1136975

	registered interest
	date	04/07/2019
	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	Members: Correspondence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when his Department plans to respond to the correspondence of 28 May 2019 from the hon. Member for Glasgow Central to the Under-Secretary of State for Mental Health, Inequalities and Suicide Prevention on food for special medical purposes.
	tabling member constituency	Glasgow Central
	tabling member printed	Alison Thewliss
	uin	273407
	answer	answer is ministerial correction date of answer 10/07/2019 answer text <p>We are sorry for the delay in responding to the hon. Member’s letter of 28 May. A response will be issued shortly.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 10/07/2019 16:21:41 answering member 4455 label Biography information for Seema Kennedy previous answer version 128076 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4430 label Biography information for Alison Thewliss

1138808

	registered interest
	date	15/07/2019
	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	Addictions: Health Services
	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 8 July 2019 to Question 270772 on Addiction Services, what assessment he has made of the adequacy of the number of medically-staffed inpatient detoxification beds in England; and if he will make a statement.
	tabling member constituency	Central Suffolk and North Ipswich
	tabling member printed	Dr Dan Poulter
	uin	277157
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>No national assessment has been made of the adequacy of the number of medically-staffed inpatient detoxification beds in England. Local authorities are responsible for assessing local substance misuse need, and commissioning services to meet that need, including inpatient medically-staffed detoxification beds in England.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:46:52 answering member 4455 label Biography information for Seema Kennedy previous answer version 129854 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	3932 label Biography information for Dr Dan Poulter

1138871

	registered interest
	date	15/07/2019
	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	Sexually Transmitted Infections
	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 increase the funding allocated to sexual health services to tackle the incidence of syphilis and gonorrhoea in England.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	277234
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>The Government provides funding to local authorities for their public health responsibilities, including sexual health services, through a public health grant. It is for individual local authorities to decide their spending priorities based on an assessment of local need, including the need for sexual health services taking account of their statutory duties. They are required by regulations to provide services for sexually transmitted infection testing and treatment and contraception.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 19/07/2019 09:48:56 answering member 4455 label Biography information for Seema Kennedy previous answer version 129849 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4510 label Biography information for Helen Hayes

1138874

	registered interest
	date	15/07/2019
	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	Diabetes: Telemedicine
	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 promote the digital delivery of (a) structured education and (b) diabetes management services for people with (i) type 1 and (ii) type 2 diabetes.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	277230
	answer	answer is ministerial correction date of answer 19/07/2019 answer text <p>Since April 2017 NHS England has made £26.4 million funding available to enable clinical commissioning Groups (CCGs) to offer an expanded number of structured education places to support people with diabetes to manage their condition.</p><p>In April 2019 NHS England and NHS Improvement wrote to all CCGs to make them aware that these funds could be used to commission digital approaches. They also provided information about digital programmes which have been assessed by NHS Digital and published on the NHS Apps Library and which have undergone independent quality assurance. A significant number of the programmes on the NHS Apps Library involve coaching for people living with type 2 diabetes.</p><p>NHS England and NHS Improvement are currently working to widen access to digital self-management support for patients with type 1 and type 2 diabetes through the following:</p><p>- Redeveloping and supporting implementation of ‘Healthy Living for People with type 2 Diabetes’ which is an online, self-management support tool comprising of a digitally delivered education course, that has been shown in a randomised controlled trial to significantly reduce average blood glucose levels and to reduce diabetes-related distress in those more recently diagnosed;</p><p>- Investing £2 million through the NHS Test Bed Programme to implement and evaluate combinatorial digital delivery models for self-management education for people living with type 2 diabetes. A number of digital interventions being rolled out in the Test Beds include a coaching element and where successful NHS England plan to support wider adoption of these approaches; and</p><p>- Commissioning NHS Digital to develop a new resource aimed specifically at people with a new diagnosis of type 1 diabetes to support them to self-manage. The site includes advice tailored to lifestyle and educational content which can be accessed online. It was launched in July 2018 on nhs.uk at the following link:</p><p> </p><p><a href="https://www.nhs.uk/conditions/type-1-diabetes/" target="_blank">https://www.nhs.uk/conditions/type-1-diabetes/</a></p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 277232 question first answered 19/07/2019 09:36:27 answering member 4455 label Biography information for Seema Kennedy previous answer version 129851 answering member constituency South Ribble answering member printed Seema Kennedy answering member 4455 label Biography information for Seema Kennedy
	tabling member	4505 label Biography information for Peter Kyle