{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&_metadata=all&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&_page=0&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMember.label=Biography+information+for+Rachael+Maskell&hansardHeading=Surgery&max-answer.questionFirstAnswered.=2020-06-10T13%3A05%3A45.093Z", "items" : [{"_about" : "http://data.parliament.uk/resources/1006860", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/1006860/answer", "answerText" : {"_value" : "<p>Clinical commissioning groups are responsible for commissioning care that will provide the best possible outcomes for their patients. In doing so, they should take into account best practice and National Institute for Health and Care Excellence guidance. No such assessment has been made by the Department or NHS England.<\/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" : "2018-11-22", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2018-11-22T11:43:09.253Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health and Social Care"}
      , "answeringDeptSortName" : {"_value" : "Health and Social Care"}
      , "date" : {"_value" : "2018-11-14", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "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 and Social Care, what assessment he has made of the effect on patient outcomes of delaying access to elective surgical procedures on the basis of (a) body weight and (b) smoking status.", "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" : "191434"}
    , {"_about" : "http://data.parliament.uk/resources/694241", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/694241/answer", "answerText" : {"_value" : "<p>Public health is primarily a matter for local authorities, which includes preventative services around obesity and smoking cessation.<\/p><p> <\/p><p>Clinical commissioning groups (CCGs) are responsible for working with local authorities to understand and meet the needs of their local populations, and making decisions on how to best commission services which meet that population\u2019s health needs.<\/p><p> <\/p><p>NHS England does not have a formal process in place to ensure that CCGs provide obese patients and smokers with access to appropriate treatment before operations. However, CCGs are encouraged to obtain the advice of NHS England regional teams before putting forward proposals which would affect access to services.<\/p><p> <\/p><p>CCGs also have a legal duty to have due regard to National Institute for Health and Care Excellence guidelines.<\/p><p> <\/p><p>CCGs have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes of services. NHS England can exercise its formal powers of direction if it is satisfied that a CCG is failing or is at risk of failing to discharge this duty.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4080", "label" : {"_value" : "Biography information for David Mowat"}
        }
        , "answeringMemberConstituency" : {"_value" : "Warrington South"}
        , "answeringMemberPrinted" : {"_value" : "David Mowat"}
        , "dateOfAnswer" : {"_value" : "2017-03-01", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2017-03-01T14:39:09.187Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-02-24", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "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 steps NHS England is taking to ensure that clinical commissioning groups provide obese patients and smokers with access to appropriate treatment before operations.", "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" : "65462"}
    , {"_about" : "http://data.parliament.uk/resources/693772", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/693772/answer", "answerText" : {"_value" : "<p>Clinical commissioning groups (CCGs) have a statutory duty to meet the reasonable health requirements of their local population. As part of their duty to seek continuous improvement in the quality of services they commission, CCGs must act with a view to securing continuous improvement in the outcomes.<\/p><p> <\/p><p>Information on CCGs\u2019 commissioning policies for smoking cessation services for patients due to undergo surgery is not held centrally. CCGs\u2019 commissioning intentions are available from individual CCGs.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4080", "label" : {"_value" : "Biography information for David Mowat"}
        }
        , "answeringMemberConstituency" : {"_value" : "Warrington South"}
        , "answeringMemberPrinted" : {"_value" : "David Mowat"}
        , "dateOfAnswer" : {"_value" : "2017-02-28", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2017-02-28T14:15:59.437Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2017-02-23", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "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, pursuant to the Answer of 9 February 2017 to Question 63000 on Surgery, how clinical commissioning groups that fund smoking cessation services only for pregnant women will provide other patients with the support they need to stop smoking before an operation.", "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" : "65368"}
    , {"_about" : "http://data.parliament.uk/resources/660151", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/660151/answer", "answerText" : {"_value" : "<p>The National Institute for Health and Care Excellence has advised that it has not made any specific recommendations on delaying surgery for obese patients or patients who smoke, and that its guidelines tend to focus on the diagnosis, care and management of health conditions, rather than protocols for the delivery of services.<\/p>"}
        , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4019", "label" : {"_value" : "Biography information for Baroness Blackwood of North Oxford"}
        }
        , "answeringMemberConstituency" : {"_value" : "Oxford West and Abingdon"}
        , "answeringMemberPrinted" : {"_value" : "Nicola Blackwood"}
        , "dateOfAnswer" : {"_value" : "2016-12-23", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2016-12-23T10:20:19.42Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2016-12-16", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "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 guidance NICE has issued on whether it is clinically appropriate to delay surgery for (a) obese patients for 12 months and (b) smokers for 6 months.", "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" : "58010"}
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}