{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&creator.label=Biography+information+for+Rachael+Maskell", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&creator.label=Biography+information+for+Rachael+Maskell", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&_metadata=all&creator.label=Biography+information+for+Rachael+Maskell", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&creator.label=Biography+information+for+Rachael+Maskell", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&creator.label=Biography+information+for+Rachael+Maskell", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?max-ddpModified.=2017-12-19T19%3A48%3A52.300Z&answer.answeringMemberConstituency=Winchester&creator.label=Biography+information+for+Rachael+Maskell", "items" : [{"_about" : "http://data.parliament.uk/resources/809129", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/809129/answer", "answerText" : {"_value" : "<p>The NHS Business Services Authority (NHS BSA) issues penalty charge notices (PCNs) for incorrect claims for exemption from National Health Service dental and prescription charges.<\/p><p>To ensure the integrity of the exemption system the NHS BSA has recently increased the number of checks. In 2016/17, 365,181 PCNs for dental charges and 975,065 for prescription charges were issued. This represents an increase of 90.11% and 90.23%, respectively, on 2015/16. There is a clear process for patients to appeal a PCN if they believe it is unjustified.<\/p><p> <\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
        }
        , "answeringMemberConstituency" : {"_value" : "Winchester"}
        , "answeringMemberPrinted" : {"_value" : "Steve Brine"}
        , "dateOfAnswer" : {"_value" : "2017-12-19", "_datatype" : "dateTime"}
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        , "questionFirstAnswered" : [{"_value" : "2017-12-19T17:09:22.15Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-12-19", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "NHS: Fees and Charges"}
      , "houseId" : {"_value" : "1"}
      , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
      }
      ], "questionText" : "What recent assessment he has made of trends in the level of fines in relation to dental and prescription charges.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
      , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
      }
      , "tablingMemberConstituency" : {"_value" : "York Central"}
      , "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
      ], "uin" : "903036"}
    , {"_about" : "http://data.parliament.uk/resources/771500", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/771500/answer", "answerText" : {"_value" : "<p>There is no national requirement for clinical commissioning groups (CCGs) to go through an individual funding request process before each patient is able to access bariatric surgery. The implementation and operation of CCG commissioning policies is a matter for individual CCGs to determine.<\/p><p> <\/p><p>NHS England has therefore made no formal assessment of this proposed requirement on CCGs.<\/p><p> <\/p><p>The National Institute for Health and Care Excellence Clinical Guidelines 43 (updated November 2014) is clear about which groups of individuals bariatric surgery can benefit, with both clinical and cost effectiveness demonstrated, and attendance at Tier 3 services required first. Tier 3 covers multidisciplinary weight management services which are normally commissioned by CCGs.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
        }
        , "answeringMemberConstituency" : {"_value" : "Winchester"}
        , "answeringMemberPrinted" : {"_value" : "Steve Brine"}
        , "dateOfAnswer" : {"_value" : "2017-10-19", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2017-10-19T10:09:30.353Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-10-16", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Obesity: Surgery"}
      , "houseId" : {"_value" : "1"}
      , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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      ], "questionText" : "To ask the Secretary of State for Health, what assessment his Department has made of the effect of the proposed requirement for clinical commissioning groups (CCGs) to go through an individual funding request before each patient is able to access bariatric surgery on (a) patient health and (b) capacity of CCGs to respond to that requirement.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
      , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
      }
      , "tablingMemberConstituency" : {"_value" : "York Central"}
      , "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
      ], "uin" : "107834"}
    , {"_about" : "http://data.parliament.uk/resources/770014", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/770014/answer", "answerText" : {"_value" : "<p>NHS England has not made an assessment of the cost or delaying treatment for patients requiring bariatric surgery.<\/p><p> <\/p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission services which meet the needs of their local population. When developing their associated commissioning policies and treatment criteria, we would expect CCGs to take into account any relevant current guidance, and consider the wider context of their actions which may include the costs incurred as a result of setting criteria which may deny or delay treatment for patients requiring bariatric surgery. Treatment decisions should always be made by doctors based on patients\u2019 clinical needs.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
        }
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        , "answeringMemberPrinted" : {"_value" : "Steve Brine"}
        , "dateOfAnswer" : {"_value" : "2017-10-18", "_datatype" : "dateTime"}
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        , "questionFirstAnswered" : [{"_value" : "2017-10-18T16:48:44.517Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-10-13", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Obesity: Surgery"}
      , "houseId" : {"_value" : "1"}
      , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
      }
      ], "questionText" : "To ask the Secretary of State for Health, what assessment he has made of the cost to the public purse of denying or delaying treatment for patients requiring bariatric surgery.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
      , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
      }
      , "tablingMemberConstituency" : {"_value" : "York Central"}
      , "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
      ], "uin" : "107710"}
    , {"_about" : "http://data.parliament.uk/resources/770015", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/770015/answer", "answerText" : {"_value" : "<p>As statutory bodies, we would expect clinical commissioning groups (CCGs) to take account of National Institute for Health and Care Excellence (NICE) and best practice guidance when developing policies and treatment criteria for the services they commission. There is no formal mechanism for requiring that CCGs follow NICE guidelines.<\/p><p> <\/p><p>CCGs are responsible for working with their local communities to understand the needs of the local populations and make decisions about how best to commission services that meet those needs, in partnership with other local commissioners and organisations.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
        }
        , "answeringMemberConstituency" : {"_value" : "Winchester"}
        , "answeringMemberPrinted" : {"_value" : "Steve Brine"}
        , "dateOfAnswer" : {"_value" : "2017-10-18", "_datatype" : "dateTime"}
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        , "questionFirstAnswered" : [{"_value" : "2017-10-18T16:50:13.613Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
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      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-10-13", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Clinical Commissioning Groups"}
      , "houseId" : {"_value" : "1"}
      , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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      ], "questionText" : "To ask the Secretary of State for Health, what steps his Department is taking to ensure that clinical commissioning groups follow National Institute for Health and Care Excellence guidelines.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
      , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
      }
      , "tablingMemberConstituency" : {"_value" : "York Central"}
      , "tablingMemberPrinted" : [{"_value" : "Rachael Maskell"}
      ], "uin" : "107711"}
    , {"_about" : "http://data.parliament.uk/resources/770016", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/770016/answer", "answerText" : {"_value" : "<p>The National Institute for Health and Care Excellence (NICE) issued a clinical guideline on the identification, assessment and management of obesity in 2014 that makes recommendations on the use of bariatric surgery.<\/p><p> <\/p><p>NICE\u2019s guideline recommends bariatric surgery as an option for people with obesity if all of the following criteria are fulfilled:<\/p><p> <\/p><p>- They have a body mass index of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant diseases (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight;<\/p><p>- All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss;<\/p><p>- The person has been receiving or will receive intensive management in a tier 3 service;<\/p><p>- The person is generally fit for anaesthesia and surgery; and<\/p><p>- The person commits to the need for long-term follow-up.<\/p><p> <\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"}
        }
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        , "answeringMemberPrinted" : {"_value" : "Steve Brine"}
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      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-10-13", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Obesity: Surgery"}
      , "houseId" : {"_value" : "1"}
      , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
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      ], "questionText" : "To ask the Secretary of State for Health, what assessment he has made of the potential merits of NICE guidance on bariatric surgery (CG189).", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
      , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4471", "label" : {"_value" : "Biography information for Rachael Maskell"}
      }
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