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1110658

registered interest
date	09/04/2019
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	Primary Care Networks: Staff
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 people in each profession will constitute the 20,000 additional staff guaranteed to Primary Care Networks by 2023-24; and what criteria his Department uses to calculating the demand for those posts.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	242795
answer	answer is ministerial correction date of answer 17/04/2019 answer text <p>The new GP contract framework, published on 31 January 2019, set out plans for an ‘Additional Roles Reimbursement Scheme’ in Primary Care Networks. This will provide guaranteed funding for up to an estimated 20,000 additional staff by 2023/24 and will fund new roles for which there is both credible supply and demand. The funding available will be phased and will meet a recurrent 70% of costs for additional clinical pharmacists, physician associates, first contact physiotherapists and first contact community paramedics; and 100% of the costs of additional social prescribing link workers. The actual distribution of the workforce increase across these five roles will depend on the choices that individual networks make, working with their system partners, and taking in to account their existing workforce.</p><p> </p><p>From 2020/21, each network will be allotted a single combined maximum reimbursement sum, covering all five staff roles, offering Primary Care Networks flexibility to decide how many of each of the reimbursable staff they wish to engage, within their Additional Roles Sum.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/04/2019 11:51:16 answering member 4455 label Biography information for Seema Kennedy
tabling member	3957 label Biography information for Martin Vickers

1110760

registered interest
date	09/04/2019
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	Pain: 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, with reference to the recommendations on page 75 of the Faculty of Pain Medicine published in The Core Standards for Pain Management Services and the recommendations on page 8 of the General Medical Council published in Good practice in prescribing and managing medicines and devices, what assessment he has made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	242797
answer	answer is ministerial correction date of answer 12/04/2019 answer text <p>No specific assessment has been made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.</p><p> </p><p>Whilst ultimately a matter for local processes and individual clinicians, annual reviews of patients with long term conditions or ongoing medication needs are a routine part of patient care. Annual reviews are also a key feature in guidance on the management of long-term diseases and disorders produced by the National Institute for Health and Care Excellence (NICE), such as ‘Neuropathic pain in adults’, and in clinical guidance produced by other organisations. NICE is in the process of developing a new clinical guideline ‘Chronic pain: assessment and management’, due for publication in August 2020.</p><p> </p><p>More information about this work can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/indevelopment/gid-ng10069" target="_blank">www.nice.org.uk/guidance/indevelopment/gid-ng10069</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 12/04/2019 14:04:19 answering member 4455 label Biography information for Seema Kennedy
tabling member	3957 label Biography information for Martin Vickers

1105868

registered interest
date	28/03/2019
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	World Health Assembly: Taiwan
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 support Taiwan's participation in the World Health Assembly as an observer; and whether his Department has encouraged Taiwan to participate in technical meetings of the World Health Organisation.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	238323
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The Department continues to support the Foreign and Commonwealth Office on this topic. The Government is working with likeminded countries to lobby the World Health Organization (WHO) at official level to issue an invitation to Taiwan to observe the World Health Assembly (WHA) in May.</p><p> </p><p>The United Kingdom continues to support Taiwan’s meaningful participation in international organisations where statehood is not a prerequisite and where Taiwan can make a valuable contribution. The UK believes the WHA and related technical meetings of the WHO meet these criteria.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/04/2019 11:17:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3957 label Biography information for Martin Vickers

1083653

registered interest
date	07/03/2019
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	Dermatology
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 effect on patient care of reforms to dermatology services at Northern Lincolnshire and Goole NHS Foundation Trust; and what plans his Department has to improve the effectiveness and availability of dermatology services throughout the UK.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229669
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>No assessment has been made. The commissioning and configuration of dermatology services in England is a local matter. The local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way. Health is a devolved matter, and as such, dermatology services in Wales, Scotland and Northern Ireland are a matter for the devolved administrations.</p><p> </p><p>The majority of patients with dermatological disorders are managed in primary and community care. Whilst some patients may be referred for outpatient care, data collection here is not mandated, and is therefore partial and incomplete. Furthermore, the data that is available reports episodes of care, which are not a count of patients, as the same patient may have multiple episodes of care for the same reason.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 229670 question first answered 15/03/2019 12:23:13 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1083654

registered interest
date	07/03/2019
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	Dermatology
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 patients with (a) psoriasis, (b) atopic dermatitis and (c) hidradenitis suppurativa were seen by a dermatologist in 2018 in (i) Northern Lincolnshire and Goole NHS Foundation Trust and (ii) nationally.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229670
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>No assessment has been made. The commissioning and configuration of dermatology services in England is a local matter. The local National Health Service is best placed to make decisions that ensure services meet the needs of resident populations in the most appropriate way. Health is a devolved matter, and as such, dermatology services in Wales, Scotland and Northern Ireland are a matter for the devolved administrations.</p><p> </p><p>The majority of patients with dermatological disorders are managed in primary and community care. Whilst some patients may be referred for outpatient care, data collection here is not mandated, and is therefore partial and incomplete. Furthermore, the data that is available reports episodes of care, which are not a count of patients, as the same patient may have multiple episodes of care for the same reason.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 229669 question first answered 15/03/2019 12:23:13 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1083655

registered interest
date	07/03/2019
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	Northern Lincolnshire and Goole NHS Foundation Trust
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 timeframe is for Getting It Right First Time units to visit (a) Northern Lincolnshire and (b) Goole NHS Trust in relation to (i) gastroenterology and (ii) dermatology.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229671
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>A timeframe for the Getting It Right First Time (GIRFT) programme to begin work with Northern Lincolnshire and Goole NHS Foundation Trust regarding its gastroenterology and dermatology specialties has yet to be established. The GIRFT team has been in touch with the Trust about this work and it has agreed that the Trust will notify the team when it is ready to commence.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/03/2019 13:31:11 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3957 label Biography information for Martin Vickers

1083656

registered interest
date	07/03/2019
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	Inflammatory Bowel Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the savings accrued to the public purse by North Lincolnshire Care Commissioning Group as a result of the implementation of Yorkshire and Humber AHSN’s improved faecal calprotectin pathway for diagnosis of Inflammatory Bowel Disease; and if he will make a statement.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229672
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>No estimate has been made. The National Institute for Health and Care Excellence (NICE) recommends faecal calprotectin testing as an option to help doctors distinguish between inflammatory bowel diseases (IBDs), such as Crohn’s disease and ulcerative colitis, and non-IBDs, such as irritable bowel syndrome.</p><p> </p><p>The NICE IBD Quality Standard states that general practitioners (GP) and GP practices should ensure that testing is offered and clinical commissioning groups should ensure the diagnostic services are in place to support this.</p><p> </p><p>NHS England has produced a consensus guidance document that supports implementation of the NICE guidance. Both the guidance and statement can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/dg11/resources/endorsed-resource-the-use-of-faecal-calprotectin-in-primary-care-as-a-decision-diagnostic-for-inflammatory-bowel-disease-and-irritable-bowel-syndrome-4595859613" target="_blank">www.nice.org.uk/guidance/dg11/resources/endorsed-resource-the-use-of-faecal-calprotectin-in-primary-care-as-a-decision-diagnostic-for-inflammatory-bowel-disease-and-irritable-bowel-syndrome-4595859613</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/03/2019 13:37:36 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1083713

registered interest
date	07/03/2019
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	Pain
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 assessment and management of chronic pain by (a) general practitioners, (b) nurses and (c) pharmacists.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229696
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is currently developing guidance on the assessment and management of chronic pain aimed at all settings in which National Health Service and local authority commissioned care is provided. The guidance is expected to be published on 19 August 2020. Guidance scope for the NICE clinical guidance document in development can be found via the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/gid-ng10069/documents/final-scope" target="_blank">www.nice.org.uk/guidance/gid-ng10069/documents/final-scope</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 229697 question first answered 15/03/2019 12:29:35 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1083714

registered interest
date	07/03/2019
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	Pain
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 ensure that general practitioners, nurses and pharmacists are competent in the routine assessment and management of chronic pain.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229697
answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is currently developing guidance on the assessment and management of chronic pain aimed at all settings in which National Health Service and local authority commissioned care is provided. The guidance is expected to be published on 19 August 2020. Guidance scope for the NICE clinical guidance document in development can be found via the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/gid-ng10069/documents/final-scope" target="_blank">www.nice.org.uk/guidance/gid-ng10069/documents/final-scope</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 229696 question first answered 15/03/2019 12:29:36 answering member 4067 label Biography information for Steve Brine
tabling member	3957 label Biography information for Martin Vickers

1083715

registered interest
date	07/03/2019
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	Physiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To asks the Secretary of State for Health and Social Care, what the timetable is for the implementation of all of the pilots for first contact physiotherapy practitioners; and when the outcomes of those pilots will be reported.
tabling member constituency	Cleethorpes
tabling member printed	Martin Vickers
uin	229698
answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The First Contact Practitioners (FCP) pilot is part of NHS England’s plan to increase staff working in primary care to help ease pressure on general practice. FCPs are physiotherapists with advance practice, who are able to support patient management in primary care. To date, 41 of 42 physiotherapy practitioner pilot sites have commenced, with a further site scheduled to go live on 1 April 2019.</p><p> </p><p>An evaluation report is due to be completed in spring 2019, which is based on pilot site mobilisation. Evaluation will continue during 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/03/2019 10:51:39 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	3957 label Biography information for Martin Vickers