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1038327

registered interest
date	09/01/2019
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	Department of Health and Social Care: Disadvantaged
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent assessment his Department has made of (a) how widespread social exclusion is in rural areas and (b) the effect of his Department’s policies on social exclusion in rural areas.
tabling member constituency	Berwickshire, Roxburgh and Selkirk
tabling member printed	John Lamont
uin	206833
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Public Health England (PHE) and the Local Government Association jointly published ‘Health and Wellbeing in Rural Areas’ in March 2017, which describes the inequality experienced by some rural communities; gives a steer for local authorities on issues to consider in meeting the needs of rural communities and provides examples of case studies of how local areas are addressing this. The report is available to view at the following link:</p><p> </p><p><a href="https://www.local.gov.uk/health-and-wellbeing-rural-areas" target="_blank">https://www.local.gov.uk/health-and-wellbeing-rural-areas</a></p><p> </p><p>Last October, the Government published England’s first Loneliness Strategy which lays the foundation for people to build better and more meaningful connections. The practical measures to reduce loneliness set out in the strategy can also help to address social exclusion across the country.</p><p> </p><p>The Department welcomed the opportunity to draw on its own policies and programmes and its arm’s length bodies, including on primary care, public health, carers, mental health, social care and technology and digital support to inform the Loneliness Strategy, and remains committed to working alongside businesses, healthcare professionals, charities, community groups and local authorities to have a real and lasting impact on loneliness.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 17/01/2019 12:33:01 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4608 label Biography information for John Lamont

1038335

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, if he will make an estimate of the number of people that have been assessed under (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206836
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206837 206838 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038336

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, if he will make an estimate of the number of GP practices that have implemented (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206837
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206836 206838 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038338

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the March 2015 NICE Quality Standard, Falls in older people, updated in January 2017, what guidance his Department has provided to GP practices on implementing (a) Statement 1, (b) Statement 2 and (c) Statement 3 of that Quality Standard since 2017.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206838
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>Between January 2017 to quarter 2017/18, under the National Institute for Health and Care Excellence (NICE) Quality Standard, ‘Falls in older people’ the following assessments have been made:</p><p>- 102,000 people aged 65 and over have been identified as at risk of having a fall through routine assessments (quality standard 1); and</p><p>- 25,000 patients were referred to a falls clinic. All patients referred to a falls clinic received a multifactorial falls risk assessment (quality standard 2). We do not have detailed information on the outcomes of these referrals.</p><p> </p><p>Quality Standard 3 refers to those at risk of needing an individualised multifactorial intervention. As above, we do not have detailed data on the outcome of referrals to a falls clinic but all of those referred could have received an individualised multifactorial intervention.</p><p> </p><p>NHS England understands most general practitioner (GP) practices are applying the NICE Quality Standard. We do not hold information on the specific numbers of GP practices which are applying this NICE Quality Standard.</p><p> </p><p>A number of resources are in place to support GP practices in relation to falls risk identification for older people. This includes guidance for general practices to support implementation of the frailty requirements in the 2017/18 GP contract. The guidance provides an explanation as to why routine frailty identification is included in the General Medical Services Contract and what a general practice is required to do. NICE guidance is referenced here along with supporting tools and resources.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206836 206837 question first answered 17/01/2019 12:23:23 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038339

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many emergency hospital admissions relating to falls in older people there have been in the last 12 months for which figures are available.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206839
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In 2017/18, there were 302,096 emergency admissions related to falls in older people. As stated in the NHS Long Term Plan, we are committed to improving falls and fracture prevention. As well as supporting general practitioners to identify and treat those most at risk from falls, we are also providing various schemes, including exercise classes and strength and balance training, which aim to reduce hospital admissions.</p><p> </p><p>NHS England has made no formal assessment of the potential merits of using digital gait solutions.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206855 question first answered 17/01/2019 12:26:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038373

registered interest
date	09/01/2019
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	Domestic Accidents: Older People
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 potential merits of using digital gait solutions to help prevent falls in older people.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	206855
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>In 2017/18, there were 302,096 emergency admissions related to falls in older people. As stated in the NHS Long Term Plan, we are committed to improving falls and fracture prevention. As well as supporting general practitioners to identify and treat those most at risk from falls, we are also providing various schemes, including exercise classes and strength and balance training, which aim to reduce hospital admissions.</p><p> </p><p>NHS England has made no formal assessment of the potential merits of using digital gait solutions.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 206839 question first answered 17/01/2019 12:26:42 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4471 label Biography information for Rachael Maskell

1038396

registered interest
date	09/01/2019
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	Fertility: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what his policy is on whether decisions on the commissioning of fertility treatment should continue to be the responsibility of clinical commissioning groups.
tabling member constituency	North East Hampshire
tabling member printed	Mr Ranil Jayawardena
uin	206861
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>The Government has no plans to change arrangements for the commissioning of National Health Service fertility services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 17/01/2019 17:16:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4498 label Biography information for Mr Ranil Jayawardena

1038435

registered interest
date	09/01/2019
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	Mental Illness: Community Care
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 his Department has made of the adequacy of spending on community mental health teams since 2010-11.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	206786
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>This data is not collected in the format requested.</p><p> </p><p>The data collected from all National Health Service trusts, known as reference costs, does not record total spend on community mental health teams.</p><p> </p><p>The Government has recognised that we need to go further in improving mental health services. That is why the NHS Long Term Plan committed to implementing new and integrated models of primary and community mental health care, which will support adults and older adults with severe mental illnesses.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 206787 question first answered 17/01/2019 17:15:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1038436

registered interest
date	09/01/2019
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	Mental Illness: Community Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the total spend was by NHS Trusts on community mental health teams in 2017-18.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	206787
answer	answer is ministerial correction date of answer 17/01/2019 answer text <p>This data is not collected in the format requested.</p><p> </p><p>The data collected from all National Health Service trusts, known as reference costs, does not record total spend on community mental health teams.</p><p> </p><p>The Government has recognised that we need to go further in improving mental health services. That is why the NHS Long Term Plan committed to implementing new and integrated models of primary and community mental health care, which will support adults and older adults with severe mental illnesses.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 206786 question first answered 17/01/2019 17:15:41 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

1038453

registered interest
date	09/01/2019
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	Pancreatic Cancer
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 improve the diagnosis and treatment of pancreatic cancer.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	206747
answer	answer is ministerial correction date of answer 16/01/2019 answer text <p>NHS England will shortly be introducing a Faster Diagnostic Standard of 28 days for all cancer patients, including those with pancreatic cancer, which when taken together with the 62-day referral to treatment standard, will mean that all patients should expect to start their treatment within 34 days of diagnosis. This is a maximum, and trusts should continue to treat patients more quickly particularly where there is a strong clinical need.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/01/2019 15:11:20 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead