{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&max-date=2019-04-04&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&max-date=2019-04-04&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&max-date=2019-04-04&_metadata=all&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&_page=0&max-date=2019-04-04&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&max-date=2019-04-04&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?tablingMemberPrinted.=Paul+Farrelly&max-date=2019-04-04&writtenParliamentaryQuestionType=Ordinary&max-answer.questionFirstAnswered.=2019-04-29T13%3A41%3A34.537Z", "items" : [{"_about" : "http://data.parliament.uk/resources/1109752", "AnsweringBody" : [{"_value" : "Department for Education"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1109752/answer", "answerText" : {"_value" : "
To complete teacher training courses and become a qualified teacher, trainees must meet the standards set out in the \u2018teachers\u2019 standards\u2019 published in 2011, available here: https://www.gov.uk/government/publications/teachers-standards<\/a>.<\/p> This requires trainees to demonstrate good subject and curriculum knowledge, including taking responsibility for promoting high standards of literacy and the correct use of standard English, whatever the teacher\u2019s specialist subject.<\/p> The Department published further guidance, \u2018A framework of core content for initial teacher training\u2019 (ITT), in July 2016. This guidance is available here: https://www.gov.uk/government/publications/initial-teacher-training-government-response-to-carter-review<\/a>.<\/p> The framework sets out ITT providers\u2019 responsibility to audit trainees\u2019 subject knowledge early in their training, and make provision to ensure that trainees have sufficient subject knowledge to satisfy the teachers\u2019 standards by the end of their training.<\/p> At their most recent Ofsted inspection, 99% of all ITT providers were rated good or outstanding.<\/p> In the Recruitment and Retention Strategy, published in January 2019, the Department committed to reviewing ITT core content guidance using the Early Career Framework as our starting point. Details of this can be found here: https://www.gov.uk/government/publications/teacher-recruitment-and-retention-strategy<\/a>.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/111", "label" : {"_value" : "Biography information for Nick Gibb"}
}
, "answeringMemberConstituency" : {"_value" : "Bognor Regis and Littlehampton"}
, "answeringMemberPrinted" : {"_value" : "Nick Gibb"}
, "dateOfAnswer" : {"_value" : "2019-04-12", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-12T10:52:49.953Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "60"}
, "answeringDeptShortName" : {"_value" : "Education"}
, "answeringDeptSortName" : {"_value" : "Education"}
, "date" : {"_value" : "2019-04-04", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Teachers: Training"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Education, what assessment he has made of the adequacy of grammar instruction provided on teacher training courses.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "240969"}
, {"_about" : "http://data.parliament.uk/resources/1109412", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1109412/answer", "answerText" : {"_value" : " Cancer services are currently commissioned via physical health commissioners locally and would require each clinical commissioning group to provide information on their relevant pathways. Adults undergoing cancer treatment can access adult Improving Access to Psychological Therapies mental health services which provide evidence based psychological therapies for people with anxiety disorders and depression, in line with implementing National Institute for Health and Care Excellence guidelines.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4455", "label" : {"_value" : "Biography information for Seema Kennedy"}
}
, "answeringMemberConstituency" : {"_value" : "South Ribble"}
, "answeringMemberPrinted" : {"_value" : "Seema Kennedy"}
, "dateOfAnswer" : {"_value" : "2019-04-12", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-12T11:27:44.83Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-04-03", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Pancreatic Cancer: Mental Health Services"}
, "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 steps his Department is taking to ensure that there are established psychological interventions for people with pancreatic cancer.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "240524"}
, {"_about" : "http://data.parliament.uk/resources/1109177", "AnsweringBody" : [{"_value" : "Department for International Trade"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1109177/answer", "answerText" : {"_value" : " We have received representations from a number of UK-based companies about this matter and HM Ambassador in Riyadh has raised this on a number of occasions with Ministers in the Saudi Arabian Government.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/1482", "label" : {"_value" : "Biography information for Graham Stuart"}
}
, "answeringMemberConstituency" : {"_value" : "Beverley and Holderness"}
, "answeringMemberPrinted" : {"_value" : "Graham Stuart"}
, "dateOfAnswer" : {"_value" : "2019-04-08", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "239902"}
, {"_value" : "239904"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-08T12:20:38.677Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "202"}
, "answeringDeptShortName" : {"_value" : "International Trade"}
, "answeringDeptSortName" : {"_value" : "International Trade"}
, "date" : {"_value" : "2019-04-02", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "BeoutQ"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for International Trade, what representations he has made to the Government of Saudi Arabia on the potential implications of the activities of (a) Saudi Arabian media company beoutQ, (b) the founder of that company Dr Raed Khusheim and (c) that company's satellite broadcaster Arabsat.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "239903"}
, {"_about" : "http://data.parliament.uk/resources/1108748", "AnsweringBody" : [{"_value" : "Home Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1108748/answer", "answerText" : {"_value" : " The Dublin III Regulation is a long-standing mechanism between EU Member States to determine which single State has responsibility for examining an asylum claim, whilst at the same time recognising family ties as a factor to unite whilst an asylum claim is considered. We will be bound by the Dublin III Regulation as long as we remain a member of the EU; and in the event of a deal, we will continue to meet our obligations under it throughout the Implementation Period.<\/p> The Government is fully committed to the timely and efficient operation of the Dublin III Regulation including the family reunification provisions. The UK continues to process requests from other Member States to transfer individuals to the UK to have their asylum claims assessed.<\/p> The UK has taken a number of actions to strengthen Dublin processes. As part of the Sandhurst Treaty, signed between the UK and France on 18 January 2018, we agreed a comprehensive package to support unaccompanied asylum seeking and refugee children. This includes a £3.6 million development fund to support eligible children through the Dublin process and ensures that those without any prospect for transferring to the UK are informed of their options. We have also agreed shorter timescales for the acceptance and transfer of cases under the Dublin process and have deployed a UK asylum liaison officer to France to support this process.<\/p> We are working to secure a comprehensive returns agreement with the EU that replaces our obligations under Dublin once we leave the EU, post Implementation Period. Furthermore, as set out in section 17 of the Withdrawal Act, the UK will seek to negotiate an agreement with the EU to continue to provide a legal route for Unaccompanied Asylum-Seeking Children to be reunited with family members in the UK.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4048", "label" : {"_value" : "Biography information for Caroline Nokes"}
}
, "answeringMemberConstituency" : {"_value" : "Romsey and Southampton North"}
, "answeringMemberPrinted" : {"_value" : "Caroline Nokes"}
, "dateOfAnswer" : {"_value" : "2019-04-05", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-05T11:56:32.807Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "1"}
, "answeringDeptShortName" : {"_value" : "Home Office"}
, "answeringDeptSortName" : {"_value" : "Home Office"}
, "date" : {"_value" : "2019-04-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Asylum"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for the Home Department, what steps his Department is taking to ensure that it meets its international obligations under the Dublin III regulation.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "239193"}
, {"_about" : "http://data.parliament.uk/resources/1108752", "AnsweringBody" : [{"_value" : "Women and Equalities"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1108752/answer", "answerText" : {"_value" : " We introduced ground-breaking regulations in 2017 requiring large employers, including over 1,600 public bodies, to publish their gender pay gaps annually. The rate at which the gender pay gap will narrow is dependent on a large number of complex factors, but this Government is working hard to close the gap as soon as possible.<\/p> <\/p> In order to support employers to address their gender pay differences, we have published evidence-based guidance on practical actions they can take to close the gap, alongside help to diagnose the causes of their gaps and develop effective action plans.<\/p> <\/p> We have been working with Government departments and representative bodies to understand the underlying causes of the gender pay gap in different public sector workforces, and to consider what measures will have a positive impact. We have also engaged directly with employers in the public sector, through events and interactive webinars. We will continue to build the evidence base in order to support employers to continue to take the right action.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4399", "label" : {"_value" : "Biography information for Victoria Atkins"}
}
, "answeringMemberConstituency" : {"_value" : "Louth and Horncastle"}
, "answeringMemberPrinted" : {"_value" : "Victoria Atkins"}
, "dateOfAnswer" : {"_value" : "2019-04-08", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-08T16:19:29.307Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "31"}
, "answeringDeptShortName" : {"_value" : "Women and Equalities"}
, "answeringDeptSortName" : {"_value" : "Women and Equalities"}
, "date" : {"_value" : "2019-04-01", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Equal Pay: Public Sector"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Minister for Women and Equalities, what steps he is taking to tackle gender pay disparity in the public sector.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "239194"}
, {"_about" : "http://data.parliament.uk/resources/1105847", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1105847/answer", "answerText" : {"_value" : " No assessment has been made of the correlation between asthma and academic performance in children.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"}
}
, "answeringMemberConstituency" : {"_value" : "Gosport"}
, "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"}
, "dateOfAnswer" : {"_value" : "2019-04-04", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-04T12:37:37.487Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-03-28", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Education: Asthma"}
, "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, with reference to the study published in Annals of Allergy, Asthma and Immunology entitled Asthma and Academic Performance in Urban Children, what assessment he has made of the correlation between asthma and academic performance in children; and what steps he is taking to improve asthma control among children living in urban areas.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "238282"}
, {"_about" : "http://data.parliament.uk/resources/1105702", "AnsweringBody" : [{"_value" : "Department for Environment, Food and Rural Affairs"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1105702/answer", "answerText" : {"_value" : " This is a devolved matter and the below information relates to England only.<\/p> <\/p> Natural England estimates that over £125 million has been allocated to support the sowing of wildflowers across Environmental Stewardship and Countryside Stewardship options, on agreements put in place between 2005 and the end of 2018.<\/p> <\/p> This expenditure on wildflower options, such as flower-rich margins or pollen and nectar mixtures, represents only a small proportion of total expenditure on habitats for bees, which will also benefit from payments for managing existing habitat such as protected sites or hedgerows.<\/p> <\/p> The Government is spending £2.9 billion on agri-environment schemes in England funded through our seven year Rural Development Programme. This funding will support the provision of habitat for bees and other wildlife.<\/p> <\/p> In 2015, Defra introduced the \u2018Wild Pollinator and Farm Wildlife Package\u2019 to Countryside Stewardship, to make it easier for farmers to provide flower-rich margins or pollen and nectar plots on fields to support wild pollinators. The package ensures that a minimum of 3% of the farm is converted to habitat for farm wildlife including bees and other pollinators.<\/p> <\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4098", "label" : {"_value" : "Biography information for Dr Thérèse Coffey"}
}
, "answeringMemberConstituency" : {"_value" : "Suffolk Coastal"}
, "answeringMemberPrinted" : {"_value" : "Dr Thérèse Coffey"}
, "dateOfAnswer" : {"_value" : "2019-04-02", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-02T09:37:37.79Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "13"}
, "answeringDeptShortName" : {"_value" : "Environment, Food and Rural Affairs"}
, "answeringDeptSortName" : {"_value" : "Environment, Food and Rural Affairs"}
, "date" : {"_value" : "2019-03-27", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Bees: Conservation"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Environment, Food and Rural Affairs, what funding his Department has allocated to encourage farmers to plant more wildflowers to reverse the decline of bees.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "237631"}
, {"_about" : "http://data.parliament.uk/resources/1104875", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1104875/answer", "answerText" : {"_value" : " \u200bThe UK is concerned about restrictions on media freedom in Belarus, including the amendments introduced to Belarus' media laws on 1 December. Our Ambassador in Minsk raised these issues with the Belarusian Deputy Foreign Minister in a meeting on 19 February 2019. Our Embassy subsequently attended the trial of the editor of the independent online media outlet, tut.by. The UK also joined EU partners in raising the issue of media freedom during the EU-Belarus Coordination meeting on 12-13 December 2018. The UK continues to support a number of projects to promote and develop independent media in Belarus.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/343", "label" : {"_value" : "Biography information for Sir Alan Duncan"}
}
, "answeringMemberConstituency" : {"_value" : "Rutland and Melton"}
, "answeringMemberPrinted" : {"_value" : "Sir Alan Duncan"}
, "dateOfAnswer" : {"_value" : "2019-04-01", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-04-01T13:27:52.177Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "16"}
, "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"}
, "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"}
, "date" : {"_value" : "2019-03-25", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Belarus: Media"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Foreign and Commonwealth Affairs, what representations he has made in the last six months to (a) the Belarus Ambassador in London and (b) his counterpart in Belarus on recent amendments to media law, the criminal prosecution of journalists and editors and the persecution of journalists who co-operate with foreign media without accreditation.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "236331"}
, {"_about" : "http://data.parliament.uk/resources/1091042", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1091042/answer", "answerText" : {"_value" : " NHS England commissions dialysis services at a national level as a specialised service, setting out what providers should have in place to deliver dialysis care, including at home, as part of its remit to deliver specialised services. National Commissioning supports equity of access to high quality dialysis care. The service delivery contract sets out that the principle should be that home haemodialysis should always be an option for patients and that solutions should be sought to overcoming barriers that might prevent this. Decisions should be made on an individual basis but in general, patients suitable for home haemodialysis will be those who:<\/p> - have the ability and motivation to learn to carry out the process and the commitment to maintain treatment;<\/p> - are stable on dialysis;<\/p> - are free of complications and significant concomitant disease that would render home haemodialysis unsuitable or unsafe;<\/p> - have good functioning vascular access;<\/p> - have a carer who has (or carers who have) also made an informed decision to assist with the haemodialysis unless the individual is able to manage on his or her own; and<\/p> - have suitable space and facilities or an area that could be adapted within their home environment.<\/p> <\/strong><\/p> NHS England\u2019s renal services specifications can be found at the following link:<\/p> <\/p> www.england.nhs.uk/commissioning/spec-services/npc-crg/group-a/a06/<\/a><\/p> <\/p> NHS England Specialised Services use the Renal Registry Annual Report and data to support work with local dialysis services so they are aware where variation exists so this can be considered and addressed.<\/p> <\/p> The Atlas of variation, published by Public Health England in 2015, showed that for clinical commissioning groups (CCGs) in England, the percentage of dialysis patients who were receiving dialysis in the home (home haemodialysis and peritoneal dialysis combined) ranged from 4.1% to 44.0% (10.6-fold variation). When the seven CCGs with the highest percentages and the seven CCGs with the lowest percentages are excluded, the range is 7.6\u201333.7%, and the variation is 4.4-fold. Variation by parliamentary constituency is not available.<\/p> <\/p> Reasons for the degree of variation observed include differences in:<\/p> <\/p> - access to, and timely assessment by, a specialist kidney unit \u2013 working with patients to help them decide between treatments takes time, but in some areas 30% of patients are not known to their kidney team for even 90 days before they start renal replacement therapy;<\/p> - access to a multi-professional team, including staff who regularly support patients undertaking home dialysis; and<\/p> - levels of support for people undertaking home dialysis to help them maintain their independence, including access to respite in-centre dialysis.<\/p> <\/p> The Atlas can be found at the following link:<\/p> <\/p> https://fingertips.phe.org.uk/profile/atlas-of-variation<\/a><\/p> <\/strong><\/p> According to the latest data from the UK Renal Registry (UKRR), there were 1,195 patients receiving home dialysis in the United Kingdom in 2014, 1,175 patients in 2015; and 1,256 patients in 2016. The UKRR collects, analyses and reports on data from 71 adult and 13 paediatric renal centres. Participation is mandated in England, via the national services specification published by NHS England.<\/p> <\/p> The latest report from the UK Renal Registry can be found at the following link:<\/p> <\/p> www.renalreg.org/publications-reports/<\/a><\/p> <\/strong><\/p> No specific assessment of the cost to the National Health Service of the provision of dialysis services in a patient\u2019s home compared to a clinical setting has been undertaken. In its assessment of the evidence regarding cost, the National Institute for Health and Care Excellence (NICE) set out in its guideline, \u2018Renal Replacement Therapy and Conservative Management\u2019, published in October 2018, that there is uncertainty in current UK dialysis costs, but they may be lower at home. The committee acknowledged that these treatments can have very different effects on lifestyle and recommended patient choice. The NICE guideline can be found at the following link:<\/p> <\/strong><\/p> www.nice.org.uk/guidance/ng107/resources/renal-replacement-therapy-and-conservative-management-pdf-66141542991301<\/a><\/p> <\/strong><\/p> Regarding the benefits of home dialysis, there is good evidence that home dialysis therapies offer advantages for suitable patients. The limitations of thrice weekly standard in-centre haemodialysis have been recognised in recent years. However, it is very difficult to separate the effect of different case mix, the most up to date and comprehensive data does not show a survival difference between patients who received more frequent versus thrice weekly (standard regimen) haemodialysis.<\/p> <\/p> The advantage of self-care haemodialysis includes not only those related to control and convenience but also the opportunity to conduct more frequent or longer sessions to optimise health prospects. The introduction of smaller more portable haemodialysis machines also provides opportunity for travel for employment or holidays. Furthermore, these therapies are cost effective in the UK when compared with hospital treatments and have been demonstrated to be safe. Information regarding a reduction in travel times and reliance on other medicines is not available.<\/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" : "2019-03-21", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "233465"}
, {"_value" : "233479"}
, {"_value" : "233480"}
, {"_value" : "233481"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2019-03-21T16:14:41.737Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "17"}
, "answeringDeptShortName" : {"_value" : "Health and Social Care"}
, "answeringDeptSortName" : {"_value" : "Health and Social Care"}
, "date" : {"_value" : "2019-03-18", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Dialysis Machines"}
, "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 availability of home-based dialysis services across each (a) Clinical Commissioning Group area and (b) Parliamentary constituency.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/1436", "label" : {"_value" : "Biography information for Paul Farrelly"}
}
, "tablingMemberConstituency" : {"_value" : "Newcastle-under-Lyme"}
, "tablingMemberPrinted" : [{"_value" : "Paul Farrelly"}
], "uin" : "233478"}
, {"_about" : "http://data.parliament.uk/resources/1091047", "AnsweringBody" : [{"_value" : "Department of Health and Social Care"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/1091047/answer", "answerText" : {"_value" : " NHS England commissions dialysis services at a national level as a specialised service, setting out what providers should have in place to deliver dialysis care, including at home, as part of its remit to deliver specialised services. National Commissioning supports equity of access to high quality dialysis care. The service delivery contract sets out that the principle should be that home haemodialysis should always be an option for patients and that solutions should be sought to overcoming barriers that might prevent this. Decisions should be made on an individual basis but in general, patients suitable for home haemodialysis will be those who:<\/p> - have the ability and motivation to learn to carry out the process and the commitment to maintain treatment;<\/p> - are stable on dialysis;<\/p> - are free of complications and significant concomitant disease that would render home haemodialysis unsuitable or unsafe;<\/p> - have good functioning vascular access;<\/p> - have a carer who has (or carers who have) also made an informed decision to assist with the haemodialysis unless the individual is able to manage on his or her own; and<\/p> - have suitable space and facilities or an area that could be adapted within their home environment.<\/p> <\/strong><\/p> NHS England\u2019s renal services specifications can be found at the following link:<\/p> <\/p> www.england.nhs.uk/commissioning/spec-services/npc-crg/group-a/a06/<\/a><\/p> <\/p> NHS England Specialised Services use the Renal Registry Annual Report and data to support work with local dialysis services so they are aware where variation exists so this can be considered and addressed.<\/p> <\/p> The Atlas of variation, published by Public Health England in 2015, showed that for clinical commissioning groups (CCGs) in England, the percentage of dialysis patients who were receiving dialysis in the home (home haemodialysis and peritoneal dialysis combined) ranged from 4.1% to 44.0% (10.6-fold variation). When the seven CCGs with the highest percentages and the seven CCGs with the lowest percentages are excluded, the range is 7.6\u201333.7%, and the variation is 4.4-fold. Variation by parliamentary constituency is not available.<\/p> <\/p> Reasons for the degree of variation observed include differences in:<\/p> <\/p> - access to, and timely assessment by, a specialist kidney unit \u2013 working with patients to help them decide between treatments takes time, but in some areas 30% of patients are not known to their kidney team for even 90 days before they start renal replacement therapy;<\/p> - access to a multi-professional team, including staff who regularly support patients undertaking home dialysis; and<\/p> - levels of support for people undertaking home dialysis to help them maintain their independence, including access to respite in-centre dialysis.<\/p> <\/p> The Atlas can be found at the following link:<\/p> <\/p> https://fingertips.phe.org.uk/profile/atlas-of-variation<\/a><\/p> <\/strong><\/p> According to the latest data from the UK Renal Registry (UKRR), there were 1,195 patients receiving home dialysis in the United Kingdom in 2014, 1,175 patients in 2015; and 1,256 patients in 2016. The UKRR collects, analyses and reports on data from 71 adult and 13 paediatric renal centres. Participation is mandated in England, via the national services specification published by NHS England.<\/p> <\/p> The latest report from the UK Renal Registry can be found at the following link:<\/p> <\/p>