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1173425

registered interest
date	27/01/2020
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	Neurology
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 access to post traumatic care and rehabilitation for people with a neurological condition in (a) Lincolnshire and (b) the UK.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8138
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8139 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173426

registered interest
date	27/01/2020
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	Neurology
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 cost-effectiveness of community rehabilitation and the associated reduction in hospital admissions and reliance on social care for people with neurological conditions.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8139
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8138 8140 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173427

registered interest
date	27/01/2020
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	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of people living with a neurological condition have access to community rehabilitation for that condition; and what plans his Department has to increase that proportion.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8140
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>No specific assessment has been made on the cost-effectiveness of community rehabilitation. As the majority of rehabilitation services are provided locally, to support commissioners in the delivery of high-quality rehabilitation care, NHS England has provided guidance. In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners deliver suitable rehabilitation care locally. In 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality, cost-effective rehabilitation services. Both sets of guidance can be found at the following links:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a><br> <a href="http://www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations" target="_blank">www.networks.nhs.uk/nhs-networks/clinical-commissioning-community/documents/principles-and-expectations</a></p><p>For patients with complex rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification. These provide intensive treatment and expert support.</p><p>To access the adequacy of rehabilitation access, the Healthcare Quality Improvement Partnership, on behalf of NHS England, commissioned The National Clinical Audit of Specialist Rehabilitation for Patients with Complex Needs Following Major Injury. NHS England published three reports between June 2016 and April 2019, exploring service performance and outcomes for those receiving specialised rehabilitation care. The reports highlight a range of positive performance results as well as areas for improvement.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8138 8139 question first answered 04/02/2020 17:03:52 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173428

registered interest
date	27/01/2020
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	Brain: Injuries
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of people living with acquired brain injury receive neuro-rehabilitation; and what plans his Department has to increase that proportion.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8141
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>This information is not collected. However, the majority of patients with acquired brain injury can access the services they need routinely through secondary care and community services which are commissioned locally.</p><p>In 2015, NHS England published ‘The Principles and Expectations for Good Adult Rehabilitation’ to support commissioners on delivering rehabilitation care locally. Building on this, in 2016, NHS England published further rehabilitation guidance, setting out a commissioning model and the evidence base for delivering high quality rehabilitation services. The guidance can be found at the following link:</p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2016/04/rehabilitation-comms-guid-16-17.pdf</a></p><p> </p><p>For those with the most serious brain injuries and rehabilitation needs, NHS England commissions specialised rehabilitation services at a national level to an agreed service specification.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 17:04:38 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173431

registered interest
date	27/01/2020
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	Neurology: Mortality Rates
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 his Department is taking to improve mortality rates for people with neurological conditions; and what recent assessment he has made of progress in meeting that objective.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8143
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>As seen in a report from Public Health England in 2018, there has been an increase in deaths associated with neurological conditions. The report highlights two major factors that are likely to be contributing to the increase in associated deaths; the success of the National Health Service in improving survival rates from other conditions such as heart disease and cancer, and better diagnosis and recognition of neurological conditions, a range of which are progressive and cannot be cured.</p><p>The report provides important data in supporting commissioners and services planners to better understand the burden of disease, and services that are needed to our changing population. NHS England and NHS Improvement work to provide tailored national support which enables local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8145 question first answered 04/02/2020 17:01:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173432

registered interest
date	27/01/2020
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	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what plans his Department has to require local authorities to record when someone they are providing services for has a neurological condition, to ensure that those needs are being met.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8144
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>There are no current plans to collect this information within social care data returns from local authorities. However, local authorities can currently record this for their own internal use when providing services for individuals, in order to capture experiences and outcomes and identify whether their needs are being met.</p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 04/02/2020 13:38:14 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes

1173433

registered interest
date	27/01/2020
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	Neurology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if his Department will provide (a) clear commissioning guidance to clinical commissioning groups so that they are able to commission effectively for people with neurological conditions and (b) clarity on organisational responsibility for the provision of services for people with those conditions.
tabling member constituency	South Holland and The Deepings
tabling member printed	Sir John Hayes
uin	8145
answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>As seen in a report from Public Health England in 2018, there has been an increase in deaths associated with neurological conditions. The report highlights two major factors that are likely to be contributing to the increase in associated deaths; the success of the National Health Service in improving survival rates from other conditions such as heart disease and cancer, and better diagnosis and recognition of neurological conditions, a range of which are progressive and cannot be cured.</p><p>The report provides important data in supporting commissioners and services planners to better understand the burden of disease, and services that are needed to our changing population. NHS England and NHS Improvement work to provide tailored national support which enables local commissioners and providers to drive improvement and ensure services best reflect the needs of individual communities.</p><p> </p><p> </p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 8143 question first answered 04/02/2020 17:01:50 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	350 label Biography information for Sir John Hayes