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748191

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Social Security Benefits
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the Government provides guidance to GP surgeries on whether they should provide supporting letters for disability benefit claims if patients request them.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	2927
answer	answer is ministerial correction date of answer 10/07/2017 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, including those related to claiming disability benefits, 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 GPs intend to charge for services to patients, the British Medical Association (BMA) advises them to forewarn patients, at the earliest opportunity, of the likely level of fees. The BMA also produces guidance on the level of fees that should be charged for commonly provided services.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 2928 question first answered 10/07/2017 14:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	304 label Biography information for Mr Roger Godsiff

748192

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Insulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospitals have been identified which are clad with (a) material similar to the Grenfell Tower and (b) other fire-risk material; what remedial work has been carried out on those hospitals; and whether additional funding will be provided by the Government to ensure remedial work on those hospitals is not met from existing NHS budgets.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	2936
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The National Health Service estate encompasses a huge, varied and complex set of buildings and facilities. Currently annual running costs of the NHS estates are over £8 billion, and NHS providers also spend some £3 billion annually on capital investment, in particular on maintaining and improving their estates and infrastructure. The use of resources to find and remedy fire safety issues remains an absolute priority.</p><p>As part of the response to the tragic events at Grenfell Tower, actions have been implemented across the NHS to assess the risks of similar issues and ensure that the NHS estate is safe.</p><p>Fire safety checks of NHS facilities are regularly undertaken in line with legislation and guidance. Hospitals are well prepared – each one has a tailored fire safety plan, which includes assessment of the provision of fire safety precautions including alarms and evacuation plans. But nothing is more important than the safety of patients and staff, so on a precautionary basis we asked all hospitals to conduct additional checks. Jim Mackey, Chief Executive of NHS Improvement instigated inspections by local fire and rescue services on 24 June 2017.</p><p>All NHS trusts and foundation trusts were asked to carry out urgent fire safety checks following the Grenfell Tower fire. All NHS trusts have provided assurance that they have undertaken a fire risk assessment in the past 12 months.</p><p>NHS Improvement has identified 38 organisations requiring support to carry out urgent checks to ascertain if they had cladding similar to that used on the Grenfell Tower. All 38 of these ‘priority 1’ trusts have started 24-hour fire warden patrols. As of 6 July, of those trusts and foundation trusts:</p><p>- 19 have had fire safety inspections and a review of additional technical information supplied to NHS Improvement and no further action is necessary at this stage;</p><p>- 16 are not required to take further action at this stage as the building material sampled is not aluminium composite material (ACM) cladding;</p><p>- samples of ACM cladding taken from three providers have failed combustibility tests;</p><p>- The three providers that have failed ACM tests are taking all necessary steps to ensure the safety of those buildings and occupants, in line with updated fire safety guidance issued by NHS Improvement. Of these three providers:</p><p>- a test sample taken from an office building at King’s College Hospital NHS Foundation Trust failed an ACM fire safety test. The Trust has already removed the cladding as a precautionary measure. This was not a building used by patients;</p><p>- Sheffield Children’s NHS Foundation Trust is taking steps to remove cladding from one of its buildings following a failed ACM test result. The building is not used for inpatient accommodation and measures are being put in place to ensure the safety of the building while the ACM is removed; and</p><p>- samples from a building at North Middlesex University Hospitals NHS Trust have also failed the ACM combustibility test. The cladded areas do not house any inpatients.</p><p>NHS Improvement have confirmed that patient safety is paramount, and that there will be no disruptions to patient services or continuity of care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2937 2941 question first answered 10/07/2017 15:02:10 answering member 1542 label Biography information for Philip Dunne
tabling member	4244 label Biography information for Jonathan Ashworth

748193

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Visual Impairment: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when magnetic implants to improve eyesight will be available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2707
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>It is for local National Health Service commissioners to make decisions on whether to fund new treatments, taking into account National Institute for Health and Care Excellence guidance, available evidence and individual patient’s clinical circumstances.</p><p> </p><p>The future availability of any new or novel treatments would be subject to large scale clinical trials demonstrating the safety and efficacy of the treatment approach and subsequent assessments of its cost effectiveness for routine use.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/07/2017 09:56:28 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748194

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure that mental health patients can receive treatment closer to where they live.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2708
answer	answer is ministerial correction date of answer 07/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health is committed to ensuring that patients with mental health conditions can receive treatment as close as possible to where they live. Inappropriate out of area placements are unacceptable and the Government has set a target to eliminate these in non-specialist, acute mental health care by 2020/21.</p><p> </p><p>To support the delivery of this ambition, in October 2016 the Government put in place the first data collection to secure much-needed national transparency on the number of patients that are sent out of their local area for acute inpatient treatment.</p><p> </p><p>NHS England is using this new data to support local health systems to develop and deliver trajectories to eliminate inappropriate out of area placements.</p><p> </p><p>More than £400 million which has been made available for investment in mental health crisis resolution home treatment teams over the next four years, enabling them to provide 24/7 crisis response and intensive home treatment as a genuine alternative to admission where appropriate.</p><p> </p><p>Shared learning and best-practice advice on reducing out of area placements through improved system capacity management will be included in acute care commissioning guidance.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 07/07/2017 09:57:21 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4131 label Biography information for Jim Shannon

748195

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to continue the reduction in the number of HIV cases in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2709
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Good practice followed at five specialist sexual health clinics (SHCs) that saw a large fall in new diagnoses of HIV among gay and bisexual men will be promoted at other SHCs across the country. The practices include increasing the uptake of testing for all gay and bisexual men by promoting repeat testing among those at higher risk of HIV acquisition and the early commencement of treatment for those who are diagnosed.</p><p> </p><p>In addition to HIV testing at SHCs and self-sampling funded by local authorities Public Health England (PHE) has contracted HIV Prevention England to undertake a national programme of HIV prevention for high risk populations to promote key HIV prevention messages including HIV testing and safer sexual behaviours. PHE is also working with NHS England to clarify commissioning arrangements for treatment as prevention to accelerate this progress.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 11/07/2017 09:51:11 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

748196

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Antenatal Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the occurrence of post-natal illness.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	2710
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department is committed to improving maternity outcomes and experience of care for women and babies.</p><p> </p><p>In November 2015, my Rt. hon. Friend the Secretary of State announced a national ambition to halve the rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2030. Action includes tackling issues of culture, leadership and learning, to improve safety in maternity units as well as the outcomes and experience of care for mothers and babies.</p><p> </p><p>The Our Chance campaign promotes advice about healthy pregnancy, highlighting the crucial risk factors during pregnancy and the postnatal period which may lead to adverse outcomes for mother and baby. In addition, the Avoiding Term Admission in Neonatal Units programme seeks to prevent the separation of mother and baby (except in cases with a compelling medical reason) and avoid admissions of full-term babies to neonatal units.</p><p> </p><p>The Department has invested £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 12/07/2017 13:44:23 answering member 1542 label Biography information for Philip Dunne
tabling member	4131 label Biography information for Jim Shannon

748197

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Suicide: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of how many suicides involving (a) 10 to 14-year olds and (b) 15 to 19-year olds were the result of online bullying.
tabling member constituency	Manchester Central
tabling member printed	Lucy Powell
uin	2721
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department does not hold information on the number of suicides by people aged 10-19 years of age as a result of online bullying.</p><p> </p><p>However, the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. A copy of the report is available at the following link:</p><p><a href="http://www.hqip.org.uk/resources/report-suicide-by-children-and-young-people-in-england/" target="_blank">http://www.hqip.org.uk/resources/report-suicide-by-children-and-young-people-in-england/</a></p><p> </p><p>The report identified ten common themes relating to suicides by people under 20 years of age between 2014 and 2015, including bullying (online and face-to-face) and suicide-related internet use.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 2728 question first answered 12/07/2017 09:38:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4263 label Biography information for Lucy Powell

748198

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	East and North Hertfordshire NHS Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether East and North Hertfordshire NHS Trust is required to consult on proposed changes to delivery of acute services in South-West Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2702
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>All service changes should be based on clear evidence that they will deliver better outcomes for patients. It is right that these decisions are led by local clinicians, who best understand the healthcare needs of their local populations, and in consultation with local people.</p><p> </p><p>Any changes should meet the four Government tests for significant service change: they should have support from general practitioner commissioners, be based on clinical evidence, demonstrate public and patient engagement, and consider patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 10/07/2017 14:57:49 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning

748199

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Hertfordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual administration costs are for the NHS in Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2703
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The administration costs for Hertfordshire clinical commissioning groups in 2016-17 was:</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group</p></td><td><p>Administrative Costs</p></td></tr><tr><td><p>East and North Hertfordshire</p></td><td><p>£11.0 million</p></td></tr><tr><td><p>Herts Valleys</p></td><td><p>£13.2 million</p></td></tr></tbody></table><p> </p><p>The Department does not hold administration costs for National Health Service trusts or foundation trusts.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2704 question first answered 10/07/2017 14:54:40 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning

748200

registered interest
date	04/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups: Hertfordshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual administration costs are of each clinical commissioning group in Hertfordshire.
tabling member constituency	Hemel Hempstead
tabling member printed	Mike Penning
uin	2704
answer	answer is ministerial correction date of answer 10/07/2017 answer text <p>The administration costs for Hertfordshire clinical commissioning groups in 2016-17 was:</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group</p></td><td><p>Administrative Costs</p></td></tr><tr><td><p>East and North Hertfordshire</p></td><td><p>£11.0 million</p></td></tr><tr><td><p>Herts Valleys</p></td><td><p>£13.2 million</p></td></tr></tbody></table><p> </p><p>The Department does not hold administration costs for National Health Service trusts or foundation trusts.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 2703 question first answered 10/07/2017 14:54:40 answering member 1542 label Biography information for Philip Dunne
tabling member	1528 label Biography information for Sir Mike Penning