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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

1130473

	registered interest
	date	06/06/2019
	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	Wigs: Standards
	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 introduce minimum standards for wigs required by people.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	261173
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Wig suppliers under contract to the National Health Service through the NHS Supply Chain framework must be a member of the Hairdressing and Beauty Suppliers Association (HBSA) and subscribe to the HBSA Wigs Suppliers Code of Practice 2018 which covers the expected quality and standards of service.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 13:16:51 answering member 1585 label Biography information for Stephen Hammond
	tabling member	1565 label Biography information for Sir Philip Davies

1138235

	registered interest
	date	10/07/2019
	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	Weather: Health Education
	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 his Department has made of the adequacy of the funding allocated to the NHS Help us help you to stay well this winter campaign in the (a) last and (b) next 12 months.
	tabling member constituency	Bolton West
	tabling member printed	Chris Green
	uin	275776
	answer	answer is ministerial correction date of answer 16/07/2019 answer text <p>As for all NHS England campaigns, the adequacy of the funding for the ‘NHS Help Us Help You Winter Pressures’ campaign is measured by the effectiveness of the campaign in achieving it objectives, which are set.</p><p>The independent evaluation research showed that the 2018/19 ‘NHS Help Us Help You Winter Pressures’ campaign successfully achieved 15 of the 18 objectives set before the activity started. The ‘NHS Help Us Help You Winter Pressures’ campaign budget for 2019/20 has been reduced by 7.5% when compared to the budget for 2018/19. However, NHS England expects to deliver similar levels of effectiveness.</p><p> </p><p> </p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/07/2019 16:08:01 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4398 label Biography information for Chris Green

1133585

	registered interest
	date	20/06/2019
	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	Warrington and Halton Hospitals NHS Foundation Trust: Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what representations he has received on Warrington and Halton NHS Trust offering operations as private procedures which used to be free on the NHS.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267181
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>As of 21 June 2019, my Rt. hon. Friend the Secretary of State has received no direct representations on Warrington and Halton Hospitals NHS Foundation Trust offering operations as private procedures which used to be free on the National Health Service. There has been one representation to the Department from an individual about the matter.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/06/2019 12:59:09 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones

1129880

	registered interest
	date	04/06/2019
	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	Urgent Treatment Centres
	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 and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to ensure England is covered by a 24/7 Integrated Urgent Care Service, accessible via NHS 111 or online; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	260007
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>As set out in the Long Term Plan an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and Improvement will then publish a national implementation plan in the autumn.</p><p>NHS England introduced the Integrated Urgent Care (IUC) service specification in August 2017. The service specification detailed what an integrated urgent care system could look like for commissioning purposes.</p><p>NHS England has worked through regional colleagues, as well as directly with commissioners and providers to ensure the IUC service specification is implemented via local procurement and contract variations. NHS England also holds regular meetings and events to share best practice and respond to questions around IUC.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/06/2019 16:07:56 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4244 label Biography information for Jonathan Ashworth

1138634

	registered interest
	date	12/07/2019
	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	Surgery: Waiting Lists
	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 reduce waiting times for routine operations.
	tabling member constituency	Morley and Outwood
	tabling member printed	Andrea Jenkyns
	uin	276568
	answer	answer is ministerial correction date of answer 18/07/2019 answer text <p>Reducing elective care waiting times continues to be a high priority for the National Health Service. The NHS Long Term Plan sets out the NHS priorities and reiterates the focus on increasing the amount of planned surgery year-on-year, to cut long waits, and reduce the size of hospital waiting lists.</p><p> </p><p>The Long Term Plan also reinforces the NHS commitment to offer choice, including the promise of choice at 26 weeks. This will be delivered as a full rollout over the next year of the planned NHS-managed choice process, which will systematically identify 26-week waiters and contact them to offer choice for treatment at an earlier date.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 18/07/2019 15:48:35 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4490 label Biography information for Dame Andrea Jenkyns

1133844

	registered interest
	date	21/06/2019
	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	Surgery: Private Sector
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance has been issued to NHS Trusts on charging for operations which were previously offered free on the NHS.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267718
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267717 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones

1133635

	registered interest
	date	20/06/2019
	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	Surgery: Costs
	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 estimate of the additional costs incurred by the NHS as a result of the postponement of operations that are not commissioned by Care Commissioning Groups until a certain threshold is reached.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267182
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>No such estimate has been made. Clinical commissioning groups (CCGs) are responsible for working with their local communities to understand the needs of the populations they serve and make decisions about how best to commission services to meet those needs, in partnership with other local commissioners and organisations.</p><p>CCGs are also required to carefully consider the National Institute for Health and Care Excellence guidelines when making commissioning decisions.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/06/2019 13:08:01 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones

1133843

	registered interest
	date	21/06/2019
	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	Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what guidance has been issued to clinical commissioning groups on restricting access to operations until a person's medical condition worsens; and if he will make a statement.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	267717
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>It is for the local clinical commissioning group (CCG) to decide what services they commission for the people they are responsible for – this will mean making clinical judgements about the effectiveness and value of treatments, and the best allocation of resources. CCGs do this based on the healthcare needs of their local populations and clinical evidence, to ensure they are providing the best possible, sustainable care for their patients.</p><p> </p><p>Treatment decisions should always be made by doctors based on a patient’s individual clinical needs and informed by the National Institute for Health and Care Excellence’s (NICE) guidelines.</p><p> </p><p>NICE clinical guidelines make many recommendations spanning all stages of care from diagnosis to treatment of a condition. They represent best practice and are based on available evidence and developed through consultation. Health professionals and organisations are expected to take the guidance fully into account when deciding treatments.</p><p> </p><p>A fundamental principle of the National Health Service is that, for people who are ‘ordinarily resident’ in the United Kingdom, treatment is free at the point of need, regardless of the patient’s ability to pay. Patient payments, other than those limited forms permitted by Regulations (such as prescription charges, payments for some clinical activity undertaken by dentists, and visitor and migrant charges) are contrary to NHS policy.</p><p> </p><p> </p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 267718 question first answered 26/06/2019 15:37:04 answering member 1585 label Biography information for Stephen Hammond
	tabling member	432 label Biography information for Helen Jones