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1129746

	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	Diabetes: Medical Equipment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to increase access to the Freestyle Libre monitoring device for diabetes patients.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	259980
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Glucose monitoring technology, such as flash glucose monitors like Freestyle Libre will continue to be available to those meeting the relevant clinical criteria.</p><p>The NHS Long Term Plan announced that the National Health Service will ensure that, in line with clinical guidelines, eligible patients with type 1 diabetes benefit from life changing flash glucose monitors from April 2019, ending the variation patients in some parts of the country are facing.</p><p>NHS England has published detailed criteria and supporting guidance at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/flash-glucose-monitoring-national-arrangements-funding-v1.1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/flash-glucose-monitoring-national-arrangements-funding-v1.1.pdf</a></p><p> </p><p>Clinical commissioning groups (CCGS) will be reimbursed for the cost of flash glucose monitoring sensors for those who meet these criteria, which could amount to up to 20% of their type 1 diabetes populations. CCGs can also locally choose to fund flash glucose monitoring for other patients with diabetes. The guidance advises that as part of their annual review process, patients with diabetes should be assessed for suitability for flash glucose monitoring. This process can also form part of a review for a different purpose, if that occurs earlier. This will promote a systematic approach to increasing take up.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 259981 question first answered 12/06/2019 16:02:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4079 label Biography information for Julian Sturdy

1129747

	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	Diabetes: Medical Equipment
	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 he is taking to ensure equitable access to the Freestyle Libre monitoring device for diabetes patients on the NHS.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	259981
	answer	answer is ministerial correction date of answer 12/06/2019 answer text <p>Glucose monitoring technology, such as flash glucose monitors like Freestyle Libre will continue to be available to those meeting the relevant clinical criteria.</p><p>The NHS Long Term Plan announced that the National Health Service will ensure that, in line with clinical guidelines, eligible patients with type 1 diabetes benefit from life changing flash glucose monitors from April 2019, ending the variation patients in some parts of the country are facing.</p><p>NHS England has published detailed criteria and supporting guidance at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2019/03/flash-glucose-monitoring-national-arrangements-funding-v1.1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2019/03/flash-glucose-monitoring-national-arrangements-funding-v1.1.pdf</a></p><p> </p><p>Clinical commissioning groups (CCGS) will be reimbursed for the cost of flash glucose monitoring sensors for those who meet these criteria, which could amount to up to 20% of their type 1 diabetes populations. CCGs can also locally choose to fund flash glucose monitoring for other patients with diabetes. The guidance advises that as part of their annual review process, patients with diabetes should be assessed for suitability for flash glucose monitoring. This process can also form part of a review for a different purpose, if that occurs earlier. This will promote a systematic approach to increasing take up.</p> answering member constituency South Ribble answering member printed Seema Kennedy grouped question UIN 259980 question first answered 12/06/2019 16:02:36 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4079 label Biography information for Julian Sturdy

1131129

	registered interest
	date	11/06/2019
	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	Business: North Yorkshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent steps he has taken to support businesses in North Yorkshire.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	911259
	answer	answer is ministerial correction date of answer 11/06/2019 answer text <p>Businesses across North Yorkshire are benefitting from this Government’s investment of over £840 million through the York, North Yorkshire and East Riding and Leeds City Region Growth Deals. This is providing financial assistance to local businesses, as well as improving infrastructure and skills.</p><p> </p><p>For instance, £47 million LGF award will release significant private sector investment in the York Central project. This £100 million urban regeneration will accommodate up to 7,000 jobs, and create more than 112,000 square meters of new retail, leisure and commercial space.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 11/06/2019 14:06:06 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4079 label Biography information for Julian Sturdy

1132549

	registered interest
	date	17/06/2019
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Housing Infrastructure Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Housing, Communities and Local Government, how much Housing Infrastructure Fund funding has been allocated by Homes England to Forward Fund projects, by region.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	265606
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>We have announced nine successful Forward Funding projects so far, totalling over £1.3 billion of grant funding for infrastructure that will unlock up to 77,000 homes across the country. The breakdown of this announced funding is as follows: £540.7 million for projects in Greater London, £313 million for projects the South East, £227 million for a project in the East of England, £123.7 million for projects in the North West and £102.6 million for projects in the South West. These schemes will provide a range of infrastructure to support local communities including road improvements, health facilities and new schools. Further successful funded bids will be announced over the coming months.</p> answering member constituency North West Hampshire answering member printed Kit Malthouse question first answered 25/06/2019 11:25:43 answering member 4495 label Biography information for Kit Malthouse
	tabling member	4471 label Biography information for Rachael Maskell

1132550

	registered interest
	date	17/06/2019
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Housing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Housing, Communities and Local Government, what proportion of the homes being unlocked by the Housing Infrastructure Fund are expected to be affordable homes, and what proportion of those affordable homes are expected to be social rented homes.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	265607
	answer	answer is ministerial correction date of answer 25/06/2019 answer text <p>This Government is committed to boosting housing supply and to build more affordable homes, including for social rent. Housing Infrastructure Fund grant funding will support local authorities to develop ambitious plans to meet their area’s affordable housing need. These will be agreed through the usual planning process.</p> answering member constituency North West Hampshire answering member printed Kit Malthouse question first answered 25/06/2019 11:26:35 answering member 4495 label Biography information for Kit Malthouse
	tabling member	4471 label Biography information for Rachael Maskell

1132544

	registered interest
	date	17/06/2019
	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	Historic Buildings: Health Hazards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Work and Pensions, with reference to the protections introduced in Germany and Austria for workers renovating or demolishing buildings against the risk of breathing in historical man-made mineral fibres which are now considered to pose a serious risk to health, what steps she is taking to introduce similar protections for UK workers.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	265555
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The Health and Safety Executive (HSE) is aware of the guidelines that have been produced in Germany and Austria, advising companies on the measures they should take to protect workers against risks of breathing in historic man-made mineral fibres (MMMFs).</p><p>In Great Britain there is a statutory framework in place to protect workers who may be exposed to any hazardous substance, such as MMMFs, regardless of how that exposure occurs. This framework includes the Health and Safety at Work etc. Act 1974 which places a general duty on employers to ensure, so far as is reasonably practicable, the health, safety and welfare of people affected by their work activities.</p><p> </p><p>The Control of Substances Hazardous to Health Regulations 2002 (COSHH), places specific duties on employers and implements several EU Directives on worker protection, ensuring our standards meet those required of all EU Member States. COSHH requires employers to carry out a risk assessment to establish the hazards associated with the tasks and processes they are undertaking and put in place suitable arrangements to either prevent or control those risks. Such a risk assessment would need to be carried out for workers renovating or demolishing buildings to enable suitable controls to be put in place for any hazardous substances that may be present or that may be produced, including MMMFs. HSE provides guidance, to help businesses comply with their legal duties.</p><p> </p><p>The regulatory framework, supported by guidance, is sufficient to control occupational exposure to MMMFs.</p> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 24/06/2019 14:39:07 answering member 4105 label Biography information for Justin Tomlinson
	tabling member	4471 label Biography information for Rachael Maskell

1131221

	registered interest
	date	11/06/2019
	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 Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many out of area placements for children and young people under the age of 18 NHS England has commissioned in in-patient mental health hospitals in each of the last three years where the length of stay for the patient has exceeded (a) one year, (b) two years and (c) three years.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263117
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>Information on the length of stay for out of area placements is not collected centrally.</p><p>The length of stay of an individual patient is influenced by many factors. The aim is always to have as short a stay as possible in an in-patient setting with patients returning home and having support from community-based services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:50:18 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Barbara Keeley

1131306

	registered interest
	date	11/06/2019
	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 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, with reference to section 3.5 of the NHS Operational Planning Guidance 2019-20, what steps his Department is taking to ensure the reduction in CCG administrative budgets does not mean that local areas miss the targets to improve children and young people’s mental health services as set out in the NHS Long Term Plan.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	263118
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The NHS Long Term Plan commits to grow investment in mental health services faster than growth in the National Health Service budget overall for each of the next five years. This means mental health will receive a growing share of the NHS budget, worth in real terms at least a further £2.3 billion a year by 2023/24. Additionally, the NHS also commits that funding for children and young people’s mental health services will grow faster than both overall NHS funding and total mental health spending. This means that children and young people’s mental health services will for the first time grow as a proportion of all mental health services, which will themselves also be growing faster than the NHS overall. The delivery of this commitment is supported by the annual Mental Health Investment Standard, which requires commissioners to allocate additional growth in funding for mental health.</p><p>The intention, also set out in the Long Term Plan, to make further efficiencies in NHS administrative costs is intended to ensure that an increasing share of the NHS budget is invested in frontline services by, amongst other things, simplifying costly and overly bureaucratic contracting processes.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/06/2019 15:47:19 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1588 label Biography information for Barbara Keeley

1130890

	registered interest
	date	10/06/2019
	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	St Andrew's Healthcare: Northampton
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many placements NHS England has commissioned at St Andrew's in-patient Child & Adolescent Mental Health Service in Northampton in the latest period for which figures are available.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	262331
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262332 262333 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1130891

	registered interest
	date	10/06/2019
	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	Health Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what NHS England’s policy is on moving patients in NHS commissioned placements when the setting they are in receives a rating of Inadequate from the Care Quality Commission.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	262332
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>In 2018/19, NHS England commissioned 57 placements at St Andrew’s in-patient Child and Adolescent Mental Health Service (CAMHS) in Northampton. This is the total number of admissions during the period. Patients may have been admitted more than once during the same period, each admission will be counted separately.</p><p>The information requested on placements in different inpatient settings is either not available in the format requested or not held centrally.</p><p>The total number of placements in CAMHS Tier 4 in-patient units commissioned by NHS England in each of the past three years is set out in the following table. These figures represent admissions for patients under the age of 18.</p><table><tbody><tr><td><p>Year</p></td><td><p>Commissioned Placements</p></td></tr><tr><td><p>2016/17</p></td><td><p>4,530</p></td></tr><tr><td><p>2017/18</p></td><td><p>4,604</p></td></tr><tr><td><p>2018/19</p></td><td><p>4,635</p></td></tr></tbody></table><p> </p><p>Whilst the Assuring Transformation data set records the number of people with learning disabilities and/or autism who are inpatient settings, we are unable to provide the information requested as such information can only be obtained at disproportionate cost.</p><p>There are a number of steps that NHS England may take following any Care Quality Commission (CQC) visit if an inadequate rating is received. A cross stakeholder quality risk profile (QRP) assessment will be undertaken where relevant parties, including the CQC, NHS England and NHS Improvement, the provider and clinical commissioning group (CCG) would meet to discuss the risks via an assessment tool and discuss them to identify any required action as a consequence.</p><p>As part of that process, there would be clear discussion regarding the areas that led to inadequate ratings and how they relate to patients in the care of that specific facility. A decision would then be taken as to whether there is enough assurance that current actions will address the concerns or whether the level of assurance is such that escalation to a single item quality surveillance group (QSG) or a risk summit with the provider is required.</p><p>As part of this process, there would be discussions around actions required and whether it would be appropriate to provide additional support to facilities in terms of additional staff and specialist staff. An individual assessment would be undertaken of patients including their capacity and ability to consent to any continuation of their care or movement of care.</p><p>If it is determined that the appropriate action is to close the inpatient facility and any patient is to be moved, there would be whole system coordination by NHS England, CCGs, the CQC and the provider, whereby information from the individual risk assessment would inform prioritisation for the move. In terms of guidance given to other stakeholders on these processes there is a Standard Operating Procedure along with guidance on risk summits and QSGs. These are available at the following links:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/risk-summit-guidance-july-2017.pdf</a></p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/07/quality-surveillance-groups-guidance-july-2017.pdf</a></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 262331 262333 262334 262335 question first answered 13/06/2019 13:32:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley