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1019950

	registered interest
	date	04/12/2018
	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	Accidents: Fees and Charges
	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 on the effectiveness of the NHS Injury Cost Recovery scheme.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	198823
	answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>Since 1999, the Injury Cost Recovery scheme has recovered around £2.8 billion with annual recoveries currently around £200 million (£175 million in England, £15 million in Scotland; and £10 million in Wales). The money recovered goes directly to the trust providing the treatment.</p><p> </p><p>Each year, the Department updates the regulations to reflect any inflationary increase which maintains the real-terms value of income recovered on behalf of NHS trusts.</p><p> </p><p>The Department will continue to monitor income recovered by the Injury Cost Recovery Scheme each year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 12/12/2018 12:28:33 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4040 label Biography information for Chris Evans

1027653

	registered interest
	date	18/12/2018
	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	Accidents: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the amount recovered from third party insurers for NHS treatment under the NHS Injury Recovery Scheme in the last two financial years.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	203376
	answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>The Injury Cost Recovery scheme is a scheme in place for the recovery of treatment costs that applies to patients who subsequently go on to make a successful claim for personal injury compensation against a third party. Funds recovered come primarily from a third-party compensator or insurer.</p><p> </p><p>The information requested is provided in the following table.</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>England (£ million)</p></td><td><p>Scotland (£ million)</p></td><td><p>Wales (£ million)</p></td><td colspan="2"><p>Ambulance Trusts (£ million)</p></td><td><p>Total (£ million)</p></td></tr><tr><td><p>2016/17</p></td><td><p>166.11</p></td><td><p>14.41</p></td><td colspan="2"><p>10.52</p></td><td><p>8.74</p></td><td><p>199.78</p></td></tr><tr><td><p>2017/18</p></td><td><p>165.58</p></td><td><p>14.93</p></td><td colspan="2"><p>10.34</p></td><td><p>8.49</p></td><td><p>199.33</p></td></tr></tbody></table><p> </p><p>The Department recognises that treatment type and costs change and therefore we do keep the setting of the tariffs under close review. However, we believe the scheme currently strikes the right balance between risk and reward by having a simple to administer, low cost scheme that provides significant benefit for the National Health Service.</p><p> </p><p>Over 90% of cases recovered fall within the current tariff cap. Whilst increasing the level of the cap may lead to increased recoveries, this is likely to be offset by increased administrative efforts and costs, for example with more cases becoming subject to legal challenge.</p><p> </p><p>The Department’s most recent assessment of the impact associated with the scheme is available here:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents" target="_blank">http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 203377 203378 question first answered 21/12/2018 13:47:58 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4040 label Biography information for Chris Evans

1027654

	registered interest
	date	18/12/2018
	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	Accidents: Fees and Charges
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if his Department will make an assessment of the potential financial benefits to the NHS of increasing the NHS Injury Cost Recovery tariff beyond the Hospital and Community Health Services inflation rate.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	203377
	answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>The Injury Cost Recovery scheme is a scheme in place for the recovery of treatment costs that applies to patients who subsequently go on to make a successful claim for personal injury compensation against a third party. Funds recovered come primarily from a third-party compensator or insurer.</p><p> </p><p>The information requested is provided in the following table.</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>England (£ million)</p></td><td><p>Scotland (£ million)</p></td><td><p>Wales (£ million)</p></td><td colspan="2"><p>Ambulance Trusts (£ million)</p></td><td><p>Total (£ million)</p></td></tr><tr><td><p>2016/17</p></td><td><p>166.11</p></td><td><p>14.41</p></td><td colspan="2"><p>10.52</p></td><td><p>8.74</p></td><td><p>199.78</p></td></tr><tr><td><p>2017/18</p></td><td><p>165.58</p></td><td><p>14.93</p></td><td colspan="2"><p>10.34</p></td><td><p>8.49</p></td><td><p>199.33</p></td></tr></tbody></table><p> </p><p>The Department recognises that treatment type and costs change and therefore we do keep the setting of the tariffs under close review. However, we believe the scheme currently strikes the right balance between risk and reward by having a simple to administer, low cost scheme that provides significant benefit for the National Health Service.</p><p> </p><p>Over 90% of cases recovered fall within the current tariff cap. Whilst increasing the level of the cap may lead to increased recoveries, this is likely to be offset by increased administrative efforts and costs, for example with more cases becoming subject to legal challenge.</p><p> </p><p>The Department’s most recent assessment of the impact associated with the scheme is available here:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents" target="_blank">http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 203376 203378 question first answered 21/12/2018 13:47:59 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4040 label Biography information for Chris Evans

1027655

	registered interest
	date	18/12/2018
	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	Accidents: Fees and Charges
	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 conduct an impact assessment of the NHS Injury Cost Recovery scheme.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	203378
	answer	answer is ministerial correction date of answer 21/12/2018 answer text <p>The Injury Cost Recovery scheme is a scheme in place for the recovery of treatment costs that applies to patients who subsequently go on to make a successful claim for personal injury compensation against a third party. Funds recovered come primarily from a third-party compensator or insurer.</p><p> </p><p>The information requested is provided in the following table.</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>England (£ million)</p></td><td><p>Scotland (£ million)</p></td><td><p>Wales (£ million)</p></td><td colspan="2"><p>Ambulance Trusts (£ million)</p></td><td><p>Total (£ million)</p></td></tr><tr><td><p>2016/17</p></td><td><p>166.11</p></td><td><p>14.41</p></td><td colspan="2"><p>10.52</p></td><td><p>8.74</p></td><td><p>199.78</p></td></tr><tr><td><p>2017/18</p></td><td><p>165.58</p></td><td><p>14.93</p></td><td colspan="2"><p>10.34</p></td><td><p>8.49</p></td><td><p>199.33</p></td></tr></tbody></table><p> </p><p>The Department recognises that treatment type and costs change and therefore we do keep the setting of the tariffs under close review. However, we believe the scheme currently strikes the right balance between risk and reward by having a simple to administer, low cost scheme that provides significant benefit for the National Health Service.</p><p> </p><p>Over 90% of cases recovered fall within the current tariff cap. Whilst increasing the level of the cap may lead to increased recoveries, this is likely to be offset by increased administrative efforts and costs, for example with more cases becoming subject to legal challenge.</p><p> </p><p>The Department’s most recent assessment of the impact associated with the scheme is available here:</p><p> </p><p><a href="http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents" target="_blank">http://www.legislation.gov.uk/uksi/2018/141/memorandum/contents</a></p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 203376 203377 question first answered 21/12/2018 13:47:59 answering member 1585 label Biography information for Stephen Hammond
	tabling member	4040 label Biography information for Chris Evans

790111

	registered interest
	date	15/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Diabetes: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to prevent Type 2 diabetes in children.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	113425
	answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>There is a strong association between obesity and the risk of developing Type 2 diabetes. ‘Childhood Obesity: A Plan for Action’, launched in 2016, aims to prevent obesity in children and in doing so supports the prevention of Type 2 diabetes in young people.</p><p> </p><p>The plan involves encouraging the food industry to cut the amount of sugar in products, as well as helping children to eat more healthily and stay active. Part of the scheme involves the sugar reduction and wider reformulation programme, which will help reduce the amount of sugar children consume.</p><p> </p><p>In addition, Change4Life, Public Health England’s behaviour change social marketing campaign encourages families across England to ‘eat well and move more’.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:10:42 answering member 4067 label Biography information for Steve Brine
	tabling member	4040 label Biography information for Chris Evans

1019838

	registered interest
	date	04/12/2018
	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	Eating Disorders
	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 are taking to (a) raise awareness of the early signs and symptoms of eating disorders and (b) encourage those with such symptoms to seek help and treatment for their condition.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	198821
	answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>NHS England commissioned a national review of adult eating disorder services in 2017, which is now complete. Data collected on activity, investment and workforce is being reviewed with stakeholders to inform NHS England’s understanding of current provision and existing levels of parity with eating disorder services for children and young people. The data is informing modelling to understand the finance and workforce gaps to achieving greater levels of parity.</p><p> </p><p>Diagnosing and treating eating disorders is an important area of medical practice. It is included within the curriculum for training all doctors, including for general practitioner (where most eating disorders initially present) and in more depth within training for psychiatry, particularly child and adolescent psychiatrists. This training equips doctors to identify the early potential symptoms of an eating disorder and help patients to discuss difficult issues.</p><p> </p><p>This Government recognises the importance of raising awareness and reducing stigma so that more people feel able to talk about their mental health, including eating disorders, and seek treatment. That is why in January 2017, the Prime Minister committed to having mental health first aid training available to secondary schools, aiming to have trained at least one teacher in every secondary school by 2020 and to all primary schools by 2022. This Government has also provided grant funding to the Time to Change national mental health anti-stigma campaign since 2012. Time to Change works with people with experience of mental health problems, including eating disorders, to challenge stigma and to improve social attitudes towards mental health.</p><p> </p><p>The Government has also committed to equip one million people to be better informed to look after their own mental health, so Public Health England is currently leading the development of a £15 million national mental health campaign called ‘Every Mind Matters’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 198822 question first answered 12/12/2018 11:40:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4040 label Biography information for Chris Evans

1019839

	registered interest
	date	04/12/2018
	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	Eating Disorders
	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 report, Ignoring the alarms: How NHS eating disorder services are failing patients, published by the Parliamentary and Health Service Ombudsman in December 2018, what steps his Department is taking to review the existing (a) quality and (b) availability of adult eating disorder services to achieve parity with child and adolescent services.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	198822
	answer	answer is ministerial correction date of answer 12/12/2018 answer text <p>NHS England commissioned a national review of adult eating disorder services in 2017, which is now complete. Data collected on activity, investment and workforce is being reviewed with stakeholders to inform NHS England’s understanding of current provision and existing levels of parity with eating disorder services for children and young people. The data is informing modelling to understand the finance and workforce gaps to achieving greater levels of parity.</p><p> </p><p>Diagnosing and treating eating disorders is an important area of medical practice. It is included within the curriculum for training all doctors, including for general practitioner (where most eating disorders initially present) and in more depth within training for psychiatry, particularly child and adolescent psychiatrists. This training equips doctors to identify the early potential symptoms of an eating disorder and help patients to discuss difficult issues.</p><p> </p><p>This Government recognises the importance of raising awareness and reducing stigma so that more people feel able to talk about their mental health, including eating disorders, and seek treatment. That is why in January 2017, the Prime Minister committed to having mental health first aid training available to secondary schools, aiming to have trained at least one teacher in every secondary school by 2020 and to all primary schools by 2022. This Government has also provided grant funding to the Time to Change national mental health anti-stigma campaign since 2012. Time to Change works with people with experience of mental health problems, including eating disorders, to challenge stigma and to improve social attitudes towards mental health.</p><p> </p><p>The Government has also committed to equip one million people to be better informed to look after their own mental health, so Public Health England is currently leading the development of a £15 million national mental health campaign called ‘Every Mind Matters’.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 198821 question first answered 12/12/2018 11:40:43 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4040 label Biography information for Chris Evans

809005

	registered interest
	date	18/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Chronic Illnesses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the level of access to mental health services for people with degenerative illnesses.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	120114
	answer	answer is ministerial correction date of answer 22/12/2017 answer text <p>NHS England collects monthly data on the number of referrals made by general practitioners to memory assessment services for people with neurologically degenerative conditions such as dementia. In November 2017, we know that 2,892 referrals were made to mental health services specifically memory services.</p><p> </p><p>People with degenerative illness can access psychological treatments for anxiety and depression which are available through local Improving Access to Psychological Treatment (IAPT) services. The Government recognises there is a need to better integrate mental and physical health services and has committed to delivering the recommendations in the Five Year Forward View for Mental Health for an additional 600,000 people to have access to integrated evidence-based psychological therapies each year by 2020/21.</p><p> </p><p>The expansion of IAPT services will be through IAPT –LTC (Long Term Conditions) services that are integrated into physical healthcare pathways, supporting people with comorbid physical and mental health conditions. The IAPT-LTC services will aim to ensure people with long-term physical health problems have the same access to the National Institute for Health and Care Excellence-recommended psychological therapies as other people and commissioners will be expected to have clear access criteria for IAPT-LTC services that are agreed with all relevant services. Many of these services will be co-located with primary and community care, with the aim of providing more convenient and tailored treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/12/2017 14:02:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4040 label Biography information for Chris Evans

997336

	registered interest
	date	29/10/2018
	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	Mental Health Services: Offenders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the level of access to mental health services for people who have been recently released from prison.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	185040
	answer	answer is ministerial correction date of answer 05/11/2018 answer text <p>Improving the physical and mental health of people in prison is a top priority for this Government.</p><p> </p><p>It is recognised that there are large numbers of people in prison with mental ill health. When people do go to prison, they should receive the same standard and access to National Health Service healthcare and mental health treatments and care as people in the community. The Department has not made a formal assessment of levels of access and quality of mental health services for people in prison.</p><p> </p><p>It is important to ensure that care started in prison can be continued on release into the community. Offenders should have the same access to healthcare services as everyone else once they are released from prison. Progress has been made in this area and general practitioner practices are now required to pre-register prisoners prior to their release.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 185041 185042 question first answered 05/11/2018 16:39:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4040 label Biography information for Chris Evans

720601

	registered interest
	date	13/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Prisoners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he plans to reform mental health services for (a) prisoners and (b) those recently released from prison.
	tabling member constituency	Islwyn
	tabling member printed	Chris Evans
	uin	70259
	answer	answer is ministerial correction date of answer 24/04/2017 answer text <p>There are commitments in NHS England’s “Next Steps for the Five Year Forward View” and the Strategic Direction for Health and Justice 2016-20 to “support the development of mental health, substance misuse and earlier crisis care for children, young people and adults in the criminal justice system” as well as “developing a new mental health specification in the adult secure and detained estate in 2017”.</p><p> </p><p>To support these commitments, work is ongoing to design and test an optimum mental health service model for the prison estate.</p><p> </p><p>Work is also being led by the National Institute for Health and Care Excellence and the National Collaborating Centre for Mental Health on behalf of NHS England, to develop a set of quality benchmarks for community mental health services. This is due for publication in 2018 and will comprise recommended standards for the provision of treatment and support along the journey from referral to recovery, for anyone in receipt of community based mental health services, including those who have been released from prison.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 24/04/2017 17:16:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4040 label Biography information for Chris Evans