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757686

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Measles: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the immunisation rate is for measles; and what steps the Government is taking to improve measles immunisation coverage.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	8870
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>Protection against measles is provided in the combination measles, mumps and rubella vaccine (MMR).</p><p>The latest <del class="ministerial">England</del> vaccine coverage figures <ins class="ministerial">for the United Kingdom</ins> (January to March 2017) show that uptake of one dose of MMR vaccine at two years was 91.7% and at five years was 95.4%, exceeding the World Health Organisation’s elimination target. Uptake of two MMR doses at five years was 88.1%.</p><p> </p><p>In November 2016, a measles and rubella elimination strategy group was established to oversee the development of a United Kingdom-wide Measles and Rubella elimination strategy. This strategy will focus on sustaining very high coverage of MMR in children below five years of age and on providing opportunities for MMR catch-up to older population groups at risk for measles and/or rubella. Public Health England (PHE) continues to work with others to supply information for health professionals and the public on the benefits and risks associated with MMR.</p><p> </p><p>PHE and NHS England work closely with providers at a local level to target specific communities where uptake of the MMR vaccine is known to be poor.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 15:11:29 question first ministerially corrected 15/09/2017 14:52:33 answering member 4067 label Biography information for Steve Brine previous answer version 11365 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

795359

	registered interest
	date	27/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Four Seasons Health Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what contingency plans his Department has for the possibility of a collapse of the Four Seasons care home operator.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	115780
	answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>The Care Quality Commission (CQC) continues to monitor the situation with Four Seasons Healthcare Group through the Market Oversight scheme. Market Oversight is a statutory scheme, as set out in the Care Act 2014, through which the CQC assesses the financial sustainability of those care organisation that local authorities may find difficult to replace should they fail and become unable to carry on delivering services.</p><p> </p><p>The Care Act 2014 places temporary duties on local authorities to intervene to protect individuals where a care provider is no longer able to carry on because of business failure and services cease.</p><p> </p><p>In 2015, Local Government Implementation Unit, Local Government Association, Association Directors of Adult Social Services and the Department published guidance to local authorities on contingency planning for provider failure. The Government is continuing to work with local authorities to ensure they have effective and up-to-date contingency plans in place.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/12/2017 14:45:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	318 label Biography information for John Spellar

791003

	registered interest
	date	16/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of (a) total and (b) per capita spending on (i) health and (ii) mental health in England was spent in Sandwell in the last 12 months; and where Sandwell is ranked in England for such spending.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	113566
	answer	answer is ministerial correction date of answer 24/11/2017 answer text <p>General clinical commissioning group (CCG) spend on health is published by NHS England in its quarterly Financial Performance Report. Spend per head is not available, and CCGs are not ranked on spend per head. Total spend by NHS Sandwell and West Birmingham CCG can be found on page 12 of the Q4 2016-17 report, which can be accessed via the link below:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/09/financial-report-q4-16-17.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/09/financial-report-q4-16-17.pdf</a></p><p>It should be noted that CCG spend does not cover all health spend; it excludes directly commissioned primary care, specialised commissioning and other services directly commissioned by NHS England.</p><p> </p><p>The Five Year Forward View for Mental Health Dashboard publishes mental health expenditure figures quarterly. It does not include spend per capita. NHS Sandwell and West Birmingham CCG detail and totals for Q4 2016-17, which are the most recent published figures, can be accessed via the link below:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/01/mhfyfv-dashboard-q4-1617.xlsx" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/01/mhfyfv-dashboard-q4-1617.xlsx</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/11/2017 12:40:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	318 label Biography information for John Spellar

791004

	registered interest
	date	16/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: West Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time for a GP appointment was in (a) Warley constituency and (b) Sandwell Borough in each year between May 2010 and November 2017.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	113565
	answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>The average waiting time for a general practitioner (GP) appointment is not collected or held centrally. In the 2017 GP patient survey, 70.8% of respondents stated they “saw or spoke to someone at a time they wanted to or sooner”. The Government is committed to delivering routine weekend or evening appointments at either their own GP surgery or one nearby to all registered patients by March 2019.</p><p> </p><p>86 of the 88 practices in Sandwell and West Midlands Clinical Commissioning Group are participating in the Primary Care Commissioning Framework (PCCF) which is committed to the development of “primary care at scale”. In addition to all practices being open during normal opening hours, through the PCCF 100% of the clinical commissioning group population can also access GP appointments 6:30-8:30pm on weekdays and on Saturdays and Sundays at their own or a nearby practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:16:51 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

757680

	registered interest
	date	05/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidelines his Department issues to hospitals and clinical commissioning groups on criteria for hip and knee replacements.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	8859
	answer	answer is ministerial correction date of answer 13/09/2017 answer text <p>The Department does not issue guidance to hospitals or clinical commissioning groups (CCGs) on the criteria for access to particular clinical services. NHS England provides guidance to CCGs which are primarily responsible for commissioning services to meet the requirements of their population. In doing so, CCGs need to ensure that the services they provide are fit for purpose, reflect the needs of the local population, and are based on the available evidence. CCGs should take national guidelines into account as they take commissioning decisions.</p><p>It is the role of the National Institute for Health and Care Excellence and NHS England (alongside other arm’s length bodies) to issue guidance to CCGs, based on the latest evidence and expertise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/09/2017 16:20:29 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

746982

	registered interest
	date	29/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Measles: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the current immunisation rate for measles is; and what steps he is taking to improve coverage of that immunisation.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	2153
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Protection against measles is provided in the combination measles, mumps and rubella vaccine (MMR), offered to children at the age of one year, and three years four months but always remains available as a catch up vaccination.</p><p>The latest quarterly Cover of Vaccination Evaluated Rapidly uptake data can be found on the Public Health England (PHE) website, at:</p><p><a href="https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2016-to-2017-quarterly-data" target="_blank">https://www.gov.uk/government/statistics/cover-of-vaccination-evaluated-rapidly-cover-programme-2016-to-2017-quarterly-data</a></p><p> </p><p>England coverage of the first dose of MMR vaccine at five years continues to exceed the World Health Organization target of 95%.</p><p> </p><p>In November 2016 a measles and rubella elimination strategy group was established to oversee the development of a United Kingdom-wide Measles and Rubella elimination strategy.</p><p> </p><p>PHE and NHS England work closely with providers at a local level to target specific communities where uptake of the MMR vaccine is known to be poor, as well as widening access by commissioning a range of alternative providers to complement existing general practitioner activities and community health service delivered immunisations.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/07/2017 10:03:21 answering member 4067 label Biography information for Steve Brine
	tabling member	318 label Biography information for John Spellar

528903

	registered interest
	date	27/06/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to ensure that his Department's purchasing policies support British (a) industry and (b) agriculture.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	41271
	answer	answer is ministerial correction date of answer 04/07/2016 answer text <p>The Department's purchasing policies support the Government’s commitment to do all it can to ensure United Kingdom suppliers can compete effectively for public sector contracts, in line with our current international obligations and guidance issued by the Crown Commercial Service.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 04/07/2016 15:31:27 answering member 4020 label Biography information for George Freeman
	tabling member	318 label Biography information for John Spellar

443012

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Organs: Donors
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to encourage the take up of organ donor cards among South Asian and other minority ethnic communities.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	21358
	answer	answer is ministerial correction date of answer 15/01/2016 answer text <p>UK Government provides NHS Blood and Transplant (NHSBT) with around £60 million a year to support organ donation. In 2013, NHSBT launched a UK – wide organ donation and transplantation strategy Taking Organ Transplantation to 2020, setting the agenda for increasing organ donation and transplantation rates. The Department has also established the National Black Asian and Minority Ethnic (BAME) Transplant Alliance with the aim of raising awareness about the need for stem cell and organ donation, and increasing the number of people from BAME communities who can benefit from either a stem cell or organ transplant.</p><br /><p>South Asian people are more likely to need a kidney transplant than a Caucasian person but families are less likely to consent to organ donation. The result is that patients from South Asian background wait much longer for organ transplants, particularly for a kidney transplant. Therefore, to support the wider 2020 strategy, the Department funded Kidney Research UK to undertake a Peer Educator Programme within the Pakistani Muslim community in Birmingham with the aim of raising awareness of the lack of donors and increasing the numbers on the bone marrow and organ donation registers. Lessons learnt will support the roll-out of the programme in other similar areas of work.</p><br /><p>NHSBT also has a wide range of leaflets promoting organ donation that are translated into a number of different South Asian languages including Bengali, Gujarati, Hindi, Punjabi and Urdu.</p><br /><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 15/01/2016 13:29:47 answering member 3918 label Biography information for Jane Ellison
	tabling member	318 label Biography information for John Spellar

443008

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what contingency plans his Department has for the event of a major care home provider ceasing operations.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	21346
	answer	answer is ministerial correction date of answer 15/01/2016 answer text <p>Local authorities retain responsibility for managing provider failure in the social care market. The Government has worked with the Association of Directors of Adult Social Services and partners to publish guidance to support local authorities to develop contingency plans for managing the failure of a social care provider in their local area. The guidance can be found at:</p><br /><p><a href="http://www.lgiu.org.uk/report/care-and-continuity-guide/" target="_blank">http://www.lgiu.org.uk/report/care-and-continuity-guide/</a></p><br /><p>Research by the Local Government Association (LGA) suggests that as of September 2015, at least 95% of councils have contingency plans in place should a major local provider go out of business. This research is available at:</p><br /><p><a href="http://www.local.gov.uk/documents/10180/6869714/2015-08-11+Stocktake+4+Full+Tables+%28Final%29.pdf/f9826461-aaf1-4c86-b5aa-994d2046e80c" target="_blank">http://www.local.gov.uk/documents/10180/6869714/2015-08-11+Stocktake+4+Full+Tables+%28Final%29.pdf/f9826461-aaf1-4c86-b5aa-994d2046e80c</a></p><br /><p>The Government will continue to work with local authorities to ensure they have effective and up to date plans in place.</p><br /><p>The Care Act also gave the Care Quality Commission (CQC) a new function to oversee the finances of care providers which are either large or whose provision is geographically concentrated as their financial failure would make it difficult for local authorities to discharge their statutory responsibilities.</p><br /><p>The oversight function will provide early warning to relevant local authorities in the event that one of these providers is likely to fail and their services cease. This will allow local authorities time to implement contingency plans.</p><br /><p>The Government is working with the CQC and the sector to monitor risks to the system and will develop bespoke contingency plans to support local government to manage provider failure, where appropriate.</p><br /><p><strong></strong></p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 15/01/2016 13:07:16 answering member 1201 label Biography information for Alistair Burt
	tabling member	318 label Biography information for John Spellar

443013

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: Training
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many nursing training places were provided in each region in the last 12 months for which figures are available; and how many such places he expects to be provided in the current year.
	tabling member constituency	Warley
	tabling member printed	John Spellar
	uin	21359
	answer	answer is ministerial correction date of answer 15/01/2016 answer text <br /><p>The following table details the number of nurse training places available in each of the Health Education England local team areas in the 2014-15 and 2015-16 academic years.</p><br /><table><tbody><tr><td><p><br></p></td><td colspan="2"><p>Available nurse training places</p></td></tr><tr><td><p>Local Team</p></td><td><p>2014-15</p></td><td><p>2015-16</p></td></tr><tr><td><p>East of England</p></td><td><p>1,783</p></td><td><p>2,015</p></td></tr><tr><td><p>East Midlands</p></td><td><p>1,651</p></td><td><p>1,661</p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p>1,126</p></td><td><p>1,209</p></td></tr><tr><td><p>North, Central and Eastern London</p></td><td><p>1,191</p></td><td><p>1,280</p></td></tr><tr><td><p>North East</p></td><td><p>1,105</p></td><td><p>1,089</p></td></tr><tr><td><p>North West</p></td><td><p>3,256</p></td><td><p>3,322</p></td></tr><tr><td><p>North West London</p></td><td><p>820</p></td><td><p>917</p></td></tr><tr><td><p>South London</p></td><td><p>1,138</p></td><td><p>1,171</p></td></tr><tr><td><p>South West</p></td><td><p>1,441</p></td><td><p>1,432</p></td></tr><tr><td><p>Thames Valley</p></td><td><p>768</p></td><td><p>795</p></td></tr><tr><td><p>West Midlands</p></td><td><p>2,157</p></td><td><p>2,342</p></td></tr><tr><td><p>Wessex</p></td><td><p>941</p></td><td><p>1,011</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>2,010</p></td><td><p>2,059</p></td></tr><tr><td><p>Sum of local teams</p></td><td><p>19,387</p></td><td><p>20,303</p></td></tr></tbody></table><br /><p><em>Source:</em> Multi-professional education and training budget monitoring returns</p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 15/01/2016 12:18:43 answering member 3988 label Biography information for Ben Gummer
	tabling member	318 label Biography information for John Spellar