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1181508

registered interest
date	28/02/2020
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	Barts Health NHS Trust: Private Finance Initiative
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 he has to relieve the private finance initiative obligations of Barts Healthcare NHS Trust; and if he will make a statement.
tabling member constituency	East Ham
tabling member printed	Stephen Timms
uin	22348
answer	answer is ministerial correction date of answer 05/03/2020 answer text <p>This Government is determined to tackle the worst excesses of previous private finance initiative (PFI) deals, and we are currently considering options on how best to take this forward.</p><p> </p><p>As a minimum, we will be helping all National Health Service trusts with PFI contracts, including Barts, to ensure they are implementing high quality contract management to get the most out of their contracts. The Department’s PFI Centre of Best Practice is assessing PFI contracts and supporting trusts in developing their contract management capabilities. This will help achieve better value for money and deliver efficiencies from existing PFI contracts.</p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 05/03/2020 16:00:45 answering member 4362 label Biography information for Edward Argar previous answer version 10318 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	163 label Biography information for Sir Stephen Timms

1181526

registered interest
date	28/02/2020
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	Lung Diseases
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 steps he has taken to reduce the incidence of lung disease.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	22424
answer	answer is ministerial correction date of answer 05/03/2020 answer text <p>Smoking is the biggest preventable risk factor for serious lung diseases in England.</p><p>While smoking rates in England continue to decline - as a result of a comprehensive programme of tobacco control at national and local levels - alerting the public to the serious risks of smoking and supporting smokers to quit are major priorities for Public Health England (PHE) and are at the centre of the Government’s Tobacco Control Plan (TCP) for England. The TCP sets out the Government’s vision to create a smokefree generation and can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p><p>PHE also runs a programme of smokefree marketing activity, including Stoptober. Information on the harms smoking tobacco causes is available on the Smokefree website, the One You website and via the Smokefree National Helpline. The website can be viewed at the following link:</p><p><a href="https://www.nhs.uk/smokefree" target="_blank">https://www.nhs.uk/smokefree</a></p><p>In September 2019, PHE published the Second Atlas of Variation in Risk Factors and Healthcare for Respiratory Diseases. This Atlas has 64 indicators examining trends and geographical variation in risk factors for example smoking, trends in numbers and rates for a range of lung diseases including chronic obstructive pulmonary disease, asthma, pneumonia, tuberculosis and lung cancers. The Atlas also looks at geographical variation and time trends in emergency admissions to hospital, length of stay and treatments such as that for asthma.</p><p>The rate of emergency admissions to hospital for respiratory diseases has increased significantly from 2013/14 to 2018/19.</p><p>The number of new cases of lung cancer has increased from 2001-03 to 2015-17, in both men and women. However, after adjustment for the size of the population and its age, the incidence rate of lung cancer has steadily fallen in men but risen in women.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 22425 question first answered 05/03/2020 16:40:35 answering member 4380 label Biography information for Jo Churchill previous answer version 10324 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1181527

registered interest
date	28/02/2020
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	Lung Diseases
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 he has made of trends in the level of lung disease.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	22425
answer	answer is ministerial correction date of answer 05/03/2020 answer text <p>Smoking is the biggest preventable risk factor for serious lung diseases in England.</p><p>While smoking rates in England continue to decline - as a result of a comprehensive programme of tobacco control at national and local levels - alerting the public to the serious risks of smoking and supporting smokers to quit are major priorities for Public Health England (PHE) and are at the centre of the Government’s Tobacco Control Plan (TCP) for England. The TCP sets out the Government’s vision to create a smokefree generation and can be viewed at the following link:</p><p><a href="https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england" target="_blank">https://www.gov.uk/government/publications/towards-a-smoke-free-generation-tobacco-control-plan-for-england</a></p><p>PHE also runs a programme of smokefree marketing activity, including Stoptober. Information on the harms smoking tobacco causes is available on the Smokefree website, the One You website and via the Smokefree National Helpline. The website can be viewed at the following link:</p><p><a href="https://www.nhs.uk/smokefree" target="_blank">https://www.nhs.uk/smokefree</a></p><p>In September 2019, PHE published the Second Atlas of Variation in Risk Factors and Healthcare for Respiratory Diseases. This Atlas has 64 indicators examining trends and geographical variation in risk factors for example smoking, trends in numbers and rates for a range of lung diseases including chronic obstructive pulmonary disease, asthma, pneumonia, tuberculosis and lung cancers. The Atlas also looks at geographical variation and time trends in emergency admissions to hospital, length of stay and treatments such as that for asthma.</p><p>The rate of emergency admissions to hospital for respiratory diseases has increased significantly from 2013/14 to 2018/19.</p><p>The number of new cases of lung cancer has increased from 2001-03 to 2015-17, in both men and women. However, after adjustment for the size of the population and its age, the incidence rate of lung cancer has steadily fallen in men but risen in women.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill grouped question UIN 22424 question first answered 05/03/2020 16:40:36 answering member 4380 label Biography information for Jo Churchill previous answer version 10326 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380 label Biography information for Jo Churchill
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1181547

registered interest
date	28/02/2020
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	Palliative Care: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what additional funding he plans to allocate to (a) hospice and (b) palliative care services in the next five years.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	22427
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>No specific discussions have taken place. On 20 August 2019, the Government announced £25 million in funding to help alleviate pressures on hospices and boost local palliative care services, and to provide for new services such as out-of-hours support, respite care and specialist community teams. Clinical commissioning groups resource allocations were uplifted to reflect the new funding in October 2019, with clear guidance to work collaboratively to assign the money to hospices and palliative services as a Sustainability and Transformation Partnership (STP) across their STP footprint.</p><p> </p><p>This non-recurrent funding is for hospices and palliative services and relates to 2019/20 only. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the Government’s £33.9 billion additional investment in the National Health Service becomes available to the front-line, a separate funding stream should not be required in future years.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 22428 question first answered 04/03/2020 17:20:26 answering member 4527 label Biography information for Helen Whately
tabling member	4658 label Biography information for Alex Sobel

1181548

registered interest
date	28/02/2020
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	Palliative Care: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer on 30 September 2019 to Question HL17641, on Palliative Care: Finance, what discussions he has had with representatives from NHS England on its review of the decision to not continue a separate funding stream for hospice and palliative care services beyond 2019-20.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	22428
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>No specific discussions have taken place. On 20 August 2019, the Government announced £25 million in funding to help alleviate pressures on hospices and boost local palliative care services, and to provide for new services such as out-of-hours support, respite care and specialist community teams. Clinical commissioning groups resource allocations were uplifted to reflect the new funding in October 2019, with clear guidance to work collaboratively to assign the money to hospices and palliative services as a Sustainability and Transformation Partnership (STP) across their STP footprint.</p><p> </p><p>This non-recurrent funding is for hospices and palliative services and relates to 2019/20 only. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the Government’s £33.9 billion additional investment in the National Health Service becomes available to the front-line, a separate funding stream should not be required in future years.</p> answering member constituency Faversham and Mid Kent answering member printed Helen Whately grouped question UIN 22427 question first answered 04/03/2020 17:20:25 answering member 4527 label Biography information for Helen Whately
tabling member	4658 label Biography information for Alex Sobel

1181555

registered interest
date	28/02/2020
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	Combat Stress
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding from the public purse his Department has allocated to Combat Stress in each of the last 10 years.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	22388
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>From 2015/16 – 2017/18 NHS England and NHS Improvement funded Combat Stress £3.2 million per annum. For the few months Combat Stress delivered the NHS funded contract in 2018/19, £552,000 was given.</p><p>This £3.2 million annual allocation was reallocated to fund the Complex Treatment Service in April 2018 to support an enhanced service offer to the Transition Intervention and Liaison service for an increased number of veterans.</p><p>NHS England and NHS Improvement have agreed to provide Combat Stress financial support of £1 million per annum for two years with a potential further million in year three subject to a review in year.</p><p>The funding has been put in place to ensure that we have continuity of service while providing time for Combat Stress to move to their new operating model.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 22389 question first answered 04/03/2020 16:09:46 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4243 label Biography information for Dan Jarvis

1181556

registered interest
date	28/02/2020
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	Combat Stress
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much funding his Department plans to allocate from the public purse to Combat Stress in each of the next five years.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	22389
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>From 2015/16 – 2017/18 NHS England and NHS Improvement funded Combat Stress £3.2 million per annum. For the few months Combat Stress delivered the NHS funded contract in 2018/19, £552,000 was given.</p><p>This £3.2 million annual allocation was reallocated to fund the Complex Treatment Service in April 2018 to support an enhanced service offer to the Transition Intervention and Liaison service for an increased number of veterans.</p><p>NHS England and NHS Improvement have agreed to provide Combat Stress financial support of £1 million per annum for two years with a potential further million in year three subject to a review in year.</p><p>The funding has been put in place to ensure that we have continuity of service while providing time for Combat Stress to move to their new operating model.</p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 22388 question first answered 04/03/2020 16:09:46 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4243 label Biography information for Dan Jarvis

1181557

registered interest
date	28/02/2020
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	Paediatric Acute-onset Neuropsychiatric Syndrome
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 increase awareness among GPs of paediatric acute-onset neuropsychiatric syndrome.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	22390
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>We recognise that more research is necessary to understand the multiple factors leading to paediatric acute-onset childhood neuropsychiatric symptoms and how best to raise awareness among general practitioners on how to diagnose this condition and support affected children and their families.</p><p> </p><p>General practitioners are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This includes taking account of new research and guidance. Training on paediatric acute-onset neuropsychiatric syndrome is included in the Royal College of Paediatric and Child Health curriculum.</p><p> </p><p>Children with these conditions should be offered the evidence-based treatments for their physical and psychiatric symptoms in line with national guidance and with the involvement of multidisciplinary teams. Accessing education opportunities is a matter for the Department for Education.</p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 22391 22392 question first answered 04/03/2020 16:09:01 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4243 label Biography information for Dan Jarvis

1181558

registered interest
date	28/02/2020
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	Paediatric Acute-onset Neuropsychiatric Syndrome
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 children and young people with paediatric acute-onset neuropsychiatric syndrome have access to (a) NHS treatment and (b) education opportunities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	22391
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>We recognise that more research is necessary to understand the multiple factors leading to paediatric acute-onset childhood neuropsychiatric symptoms and how best to raise awareness among general practitioners on how to diagnose this condition and support affected children and their families.</p><p> </p><p>General practitioners are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This includes taking account of new research and guidance. Training on paediatric acute-onset neuropsychiatric syndrome is included in the Royal College of Paediatric and Child Health curriculum.</p><p> </p><p>Children with these conditions should be offered the evidence-based treatments for their physical and psychiatric symptoms in line with national guidance and with the involvement of multidisciplinary teams. Accessing education opportunities is a matter for the Department for Education.</p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 22390 22392 question first answered 04/03/2020 16:09:01 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4243 label Biography information for Dan Jarvis

1181559

registered interest
date	28/02/2020
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	Paediatric Acute-onset Neuropsychiatric Syndrome: Diagnosis
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 tackle the misdiagnosis of paediatric acute-onset neuropsychiatric syndrome.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	22392
answer	answer is ministerial correction date of answer 04/03/2020 answer text <p>We recognise that more research is necessary to understand the multiple factors leading to paediatric acute-onset childhood neuropsychiatric symptoms and how best to raise awareness among general practitioners on how to diagnose this condition and support affected children and their families.</p><p> </p><p>General practitioners are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This includes taking account of new research and guidance. Training on paediatric acute-onset neuropsychiatric syndrome is included in the Royal College of Paediatric and Child Health curriculum.</p><p> </p><p>Children with these conditions should be offered the evidence-based treatments for their physical and psychiatric symptoms in line with national guidance and with the involvement of multidisciplinary teams. Accessing education opportunities is a matter for the Department for Education.</p><p> </p><p> </p> answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries grouped question UIN 22390 22391 question first answered 04/03/2020 16:09:01 answering member 1481 label Biography information for Ms Nadine Dorries
tabling member	4243 label Biography information for Dan Jarvis