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100195

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to simplify the provision and commissioning of secondary care; and if he will make a statement.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	211309
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
	tabling member	4025 label Biography information for Mrs Pauline Latham

100204

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government is taking to ensure the effectiveness of National Health Service purchasing and promote procurement on a regional or national scale.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	211312
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Individual National Health Service trusts are responsible for their own procurement activity and are supported by collaborative procurement organisations working at regional and national level.</p><p> </p><p> </p><p> </p><p>The Department launched a Procurement Efficiency Programme (<em>Better Procurement Better Value Better Care</em>) in August 2013, further details of which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-procurement-in-the-nhs" target="_blank">https://www.gov.uk/government/publications/improving-procurement-in-the-nhs</a></p><p> </p><p> </p><p> </p><p>This programme focussed on the need to improve local capability, data and leadership in the longer term and the need to drive £1.5-£2 billion of efficiency savings in the immediate term. As part of this efficiency programme the Department is working with NHS trusts and collaborative procurement organisations to determine the most effective procurement approaches going forward.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:38:12 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4025 label Biography information for Mrs Pauline Latham

1059884

	registered interest
	date	12/02/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Inland Waterways
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what steps his Department is taking to ensure that waterways are open to all.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	220195
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>Access to waterways, including for recreational purposes, remains subject to licence by the relevant navigation authority or to agreement with the riparian landowner where there is no navigation authority in place.</p><p> </p><p>The Government has not undertaken a specific assessment of what length of unmanaged waterways has a public right of navigation. Within the canal and major river navigation network in England and Wales (20,000 km), approximately 4,700 km have either public navigation rights or are available for licensed navigation as managed by a navigation authority.</p><p> </p><p> </p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey grouped question UIN 220196 question first answered 19/02/2019 10:30:27 answering member 4098 label Biography information for Dr Thérèse Coffey
	tabling member	4025 label Biography information for Mrs Pauline Latham

1059886

	registered interest
	date	12/02/2019
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Inland Waterways
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Environment, Food and Rural Affairs, what assessment his Department has made of the total length of unmanaged waterways that have an undisputed right of navigation in the UK.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	220196
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>Access to waterways, including for recreational purposes, remains subject to licence by the relevant navigation authority or to agreement with the riparian landowner where there is no navigation authority in place.</p><p> </p><p>The Government has not undertaken a specific assessment of what length of unmanaged waterways has a public right of navigation. Within the canal and major river navigation network in England and Wales (20,000 km), approximately 4,700 km have either public navigation rights or are available for licensed navigation as managed by a navigation authority.</p><p> </p><p> </p> answering member constituency Suffolk Coastal answering member printed Dr Thérèse Coffey grouped question UIN 220195 question first answered 19/02/2019 10:30:27 answering member 4098 label Biography information for Dr Thérèse Coffey
	tabling member	4025 label Biography information for Mrs Pauline Latham

1121269

	registered interest
	date	11/04/2019
	answering body	Department for Digital, Culture, Media and Sport
	answering dept id	10
	answering dept short name	Digital, Culture, Media and Sport
	answering dept sort name	Digital, Culture, Media and Sport
	hansard heading	Cultural Development Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	What assessment he has made of the potential economic effect of the Cultural Development Fund on local areas.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	910371
	answer	answer is ministerial correction date of answer 11/04/2019 answer text <p>Five local areas across England will receive a share of £20 million to invest in local culture, heritage and creative industries and make places more attractive to live, work and visit.</p><p> </p><p>This investment is expected to create more than 1,300 new jobs across the country, boost tourism and increase inward investment.</p> answering member constituency Northampton North answering member printed Michael Ellis question first answered 11/04/2019 14:55:49 answering member 4116 label Biography information for Sir Michael Ellis
	tabling member	4025 label Biography information for Mrs Pauline Latham

1123233

	registered interest
	date	25/04/2019
	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	Aortic Dissection: Diagnosis
	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 are being taken to help improve diagnosis of Aortic Dissection.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	247675
	answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>NHS England Specialised Commissioning has a published service specification for cardiac surgery, to support national standards, which include this highly serious condition.</p><p>It is recognised that survival rates for emergency interventions are better when care is delivered by a surgeon supported by interventional specialists undertaking higher volumes of these procedures. This point was also highlighted in the Cardiac Surgery Getting It Right First Time (GIRFT) 2018 document, and the NHS England Specialised Cardiac Improvement cardiac surgery work stream is taking forward the GIRFT recommendations, which will also look at how pathways of care for this and other specialised cardiac conditions can be improved by better network working across providers.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 13:03:21 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4025 label Biography information for Mrs Pauline Latham

1123235

	registered interest
	date	25/04/2019
	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	Aortic Dissection: Tomography
	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 adequacy of the frequency of CT scanning in relation to aortic dissection; and what plans he has to increase the speed of access to that service.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	247676
	answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>It is recognised the demand for cardiothoracic CT scanning procedures has increased considerably in recent years, for a number of indications.</p><p>The NHS Long Term Plan has identified the need to undertake an assessment of the capacity and demand for CT, including workforce implications.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 11:07:28 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4025 label Biography information for Mrs Pauline Latham

1123236

	registered interest
	date	25/04/2019
	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	Heart Diseases: 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 specialist aortic surgery facilities there are in the UK; and if he will make an assessment of the potential merits of introducing more specialist aortic surgery centres.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	247677
	answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>There are currently 28 specialised cardiac surgery centres in England.</p><p>NHS England and NHS Improvement has advised that the Specialised Cardiac Improvement Programme includes a workstream on cardiac surgery, but this and previous work has not identified the need for additional surgical centres. The aim is to further develop networked centres to increase access to surgeons who have developed and can maintain particular expertise in aortic dissection surgery.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 11:03:26 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4025 label Biography information for Mrs Pauline Latham

1123240

	registered interest
	date	25/04/2019
	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	Genetics: Screening
	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 increase (a) access and (b) referral rates for genetic services.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	247678
	answer	answer is ministerial correction date of answer 02/05/2019 answer text <p>Building on the 100,000 Genomes Project and existing genetic services, NHS England announced in October 2018 that over the next 18 months, work to mobilise the NHS Genomic Medicine Service (GMS) would get underway, providing consistent and equitable care for the country’s 55 million population.</p><p>Investment for genomics was included as part of the NHS Long Term Plan, setting out commitments over the next five years to:</p><p>- Sequence 500,000 whole genomes by 2023/24, as part of a Government commitment to sequence 1 million whole genomes;</p><p>- Extend the use of molecular diagnostic testing and routine offering whole genome sequencing to seriously ill children who are likely to have a rare genetic disorder, children with cancer, and adults suffering from certain rare conditions or specific cancers;</p><p>- Link and correlate genomics, clinical data and data from patients, providing routes to new treatments, diagnostic patterns and information to help patients make informed decisions about their care; and</p><p>- Increase the number of people identified with familial hypercholesterolaemia (inherited high cholesterol) from 7% to 25% over the next five years.</p><p>The NHS Genomic Medicine Service will be supported by an informatics system that is being developed in partnership with Genomics England. When fully operational, the informatics system will enable NHS England to monitor the number of genomic tests being carried out across the country and benchmark activity.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/05/2019 14:47:05 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4025 label Biography information for Mrs Pauline Latham

1123241

	registered interest
	date	25/04/2019
	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	Hypertension: Clinics
	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 merits of establishing additional specialist blood pressure clinics.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Mrs Pauline Latham
	uin	247679
	answer	answer is ministerial correction date of answer 03/05/2019 answer text <p>The number of individuals with resistant hypertension, requiring highly specialist input, is small and there are specialist clinics across the country.</p><p>NHS England and NHS Improvement has advised that the vast majority of people with hypertension will be satisfactorily managed in primary care, often with support from hospital specialists across cardiology, renal medicine, and clinical pharmacology.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 03/05/2019 13:04:25 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4025 label Biography information for Mrs Pauline Latham