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797975

registered interest
date	30/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Oxford University Hospitals NHS Foundation Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Emergency Care Improvement Programme team is taking to improve patient flow and urgent care services at Oxford University Hospital's NHS Foundation in winter 2017.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	116882
answer	answer is ministerial correction date of answer 08/12/2017 answer text <p>Oxford University Hospitals NHS Foundation Trust was included in the Emergency Care Improvement Programme (ECIP) in October 2017. Since then, ECIP have undertaken a range of actions with the Trust including:</p><p> </p><p>- A gap analysis to improve patient flow with a written report including recommendations;</p><p> </p><p>- Identification of five key areas for improvement, supported by ECIP;</p><p> </p><p>- A specific mental health review, as identified through the initial gap analysis; and</p><p> </p><p>- The support of an ECIP improvement manager for two days each week.</p><p> </p><p>Support in these areas is expected to be provided throughout winter 2017-18.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 08/12/2017 11:25:58 answering member 1542 label Biography information for Philip Dunne
tabling member	4657 label Biography information for Anneliese Dodds

790987

registered interest
date	16/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment has been made of the potential effect of the differential pay for GPs working in standard general practices, out-of-hours services, or seven-day-access services on recruitment and staffing levels; and if he will make a statement.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	113506
answer	answer is ministerial correction date of answer 23/11/2017 answer text <p>Doctors employed by general practitioner (GP) practices will carry out a variety of different duties depending on the needs of the service locally. We know practices will want to develop a local employment offer which best attracts and retains the staff they need to deliver care and advice to patients. GPs also need to recruit, retain and motivate staff in an affordable way.</p><p>However, GP practices are required to employ doctors on terms no less favourable than those agreed with the General Practitioners’ Committee of the British Medical Association and contained in the document entitled “Model terms and conditions of service for a salaried practitioner employed by a GMS practice”.</p><p>We continue to explore workforce issues in general practice with relevant stakeholders.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/11/2017 12:28:14 answering member 4067 label Biography information for Steve Brine
tabling member	4657 label Biography information for Anneliese Dodds

789075

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the fee chargeable by NHS general practices for providing medical information to patients for the purposes of other public authorities was last reviewed by his Department; and if he will make a statement.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	113026
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>NHS England contracts with general practitioners (GPs) as independent providers of medical services for the National Health Service. Under the terms of their contract, GPs are required to provide certain medical reports or complete certain forms for which a medical report is required by other legislation, for example, the Social Security Administration Act, free of charge to their registered patients.</p><p> </p><p>Outside their contractual requirements, GPs also offer a variety of other services which successive governments have regarded as private matters between the patient and the GP. In such cases, decisions on whether to charge a fee and the level of the fee charged are at the GP’s discretion.</p><p> </p><p>Where legislation requires a medical certificate, or report, the relevant Government Department enters into arrangements with the British Medical Association on the level of fees which will be paid to GPs for providing the required information. Such arrangements are formalised through the provisions of the GP contract.</p><p> </p><p>As these are private arrangements between GP practices and other organisations, the Department does not review the level of fees.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2017 14:50:32 answering member 4067 label Biography information for Steve Brine
tabling member	4657 label Biography information for Anneliese Dodds

789077

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Voluntary Work
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance has been given to NHS general practices on the circumstances under which volunteers are permitted to carry out non-confidential medical work; and whether this guidance is the same as that for permitted activities of volunteers in other parts of the NHS.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	113025
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>NHS England is responsible for ensuring those general practices who provide NHS services are issued with appropriate guidance on the management of volunteers. In September 2017, NHS England published guidance for all National Health Service providers to help them grow and develop volunteering. This equally applies to general practice as to other parts of the NHS. The guidance sets out that providers should include confidentiality and data protection information in a volunteering policy. The volunteer role description set out in the guidance states that all volunteers should ensure that patient confidentiality is maintained at all times.</p><p> </p><p>The guidance is available on the NHS England website:</p><p><a href="https://www.england.nhs.uk/publication/recruiting-and-managing-volunteers-in-nhs-providers-a-practical-guide/" target="_blank">https://www.england.nhs.uk/publication/recruiting-and-managing-volunteers-in-nhs-providers-a-practical-guide/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/11/2017 17:07:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

789095

registered interest
date	14/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Oxford University Hospitals NHS Foundation Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what additional support his Department plans to provide to Oxford University Hospital's NHS Foundation Trust during winter 2017.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	112925
answer	answer is ministerial correction date of answer 22/11/2017 answer text <p>NHS Improvement and NHS England are working closely with Oxford University Hospitals NHS Foundation Trust to ensure it is best placed to deal with challenges this winter. This includes working together with local commissioners to ensure services are responsive to patient need and providing support should specific services experience particular pressure. To this end, NHS England and NHS Improvement attend regular joint meetings with local system partners.</p><p> </p><p>In addition, the Emergency Care Improvement Programme team is working to support the local health economy. This includes actions to improve patient flow and urgent care services.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 22/11/2017 14:26:30 answering member 1542 label Biography information for Philip Dunne
tabling member	4657 label Biography information for Anneliese Dodds

788522

registered interest
date	13/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neuromuscular Disorders: Physiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to increase the provision of specialist physiotherapy for children and adults with muscle-wasting conditions.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	112488
answer	answer is ministerial correction date of answer 16/11/2017 answer text <p>The provision of specialist physiotherapy for muscle-wasting conditions, or neuromuscular disorders, is a local matter. NHS England has published service specifications for neurological care for both children and adults. These include exemplar service specifications for neuromuscular conditions, inclusive of muscle-wasting conditions, and set out what providers must have in place to offer evidence-based, safe and effective services. This includes access to physiotherapy. This guidance can be found by following the links below:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/e09-paedi-neurology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/e09-paedi-neurology.pdf</a></p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 16/11/2017 12:22:03 answering member 4067 label Biography information for Steve Brine
tabling member	4657 label Biography information for Anneliese Dodds

758714

registered interest
date	07/09/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lumacaftor/ivacaftor
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will provide an update on negotiations between NICE and the drug manufacturer Vertex on the potential use of the drug Orkambi.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	9489
answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) published technology appraisal guidance on the use of lumacaftor-ivacaftor (Orkambi) for the treatment of cystic fibrosis in July 2016. NICE plans to review its guidance to determine whether it should be updated in the light of any new evidence in 2019.</p><p> </p><p>If significant new evidence comes to light before the scheduled review date, NICE has processes in place to bring forward a review. NICE remains open to a further approach from the company, with new evidence or a revised price. Although there has been recent correspondence between NHS England and the company, NICE has not yet received any fresh proposals from the company.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/09/2017 13:54:44 answering member 4067 label Biography information for Steve Brine
tabling member	4657 label Biography information for Anneliese Dodds