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1006199

	registered interest
	date	13/11/2018
	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
	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 he is taking to prioritise end-of-life care in the NHS.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	type	WrittenParliamentaryQuestion
	uin	190790
	answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Delivering improvements to end of life care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for the National Health Service. NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders before its publication later this year.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/11/2018 11:12:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

988842

	registered interest
	date	16/10/2018
	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
	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 end of life patients are able to die at home.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	type	WrittenParliamentaryQuestion
	uin	180295
	answer	answer is ministerial correction date of answer 22/10/2018 answer text <p>Our Commitment to you for end of life care’, published in 2016, set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation; improve care quality; enhance education and training in end of life care; and encourage the spread of innovative models of care. The Commitment also sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home.</p><p>Through the Mandate to NHS England, we have asked NHS England to deliver the Choice Commitment, and for 2018-19, we have set NHS England the objective of increasing the percentage of people identified as likely to be in their last year of life. Earlier identification should mean that a person’s end of life care can be improved by personalising it according to their needs and preferences at an earlier stage and to enable the right care planning can take place which is key to supporting someone to die in a place of choice. NHS England will use the Quality and Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations. Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period.</p><p>NHS England has launched an ‘Identification Project’ with four integrated care systems/sustainability and transformation partnership areas to demonstrate how the number of people identified in the last year of life can be increased in practice, to train staff and share learning.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 22/10/2018 16:27:06 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4658 label Biography information for Alex Sobel

984364

	registered interest
	date	09/10/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to include end of life care in the NHS Long Term Plan.
	tabling member constituency	Stroud
	tabling member printed	Dr David Drew
	type	WrittenParliamentaryQuestion
	uin	177163
	answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Delivering improvements to end of care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for National Health Service.</p><p> </p><p>NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders to test the plan before its publication in November 2018.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 176700 question first answered 16/10/2018 11:08:34 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	252 label Biography information for Dr David Drew

982939

	registered interest
	date	08/10/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will include end of life care in the long-term plan for the NHS; and what steps are being taken to improve end of life care.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	type	WrittenParliamentaryQuestion
	uin	175929
	answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Delivering improvements to end of care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for National Health Service.</p><p> </p><p>NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders to test the plan before its publication in November 2018<em>. </em></p><p> </p><p>In ‘Our Commitment to you for end of life care’, published in July 2016, the Government set out what everyone should expect from their care at the end of life and the actions being taking to make high quality and personalisation a reality for all and to reduce variation in end of life care. NHS England is responsible for delivering the commitment, in partnership with system partners and key stakeholders, through its National End of Life Care Programme Board. Key steps over the first two years include:</p><p> </p><p>- Working with Public Health England and the Care Quality Commission to provide bespoke end of life care data and support packs to Sustainability and Transformation Partnerships to plan for, and improve, end of life care services;</p><p>- Testing Personal Health Budgets for people approaching the end of life;</p><p>- Working with Health Education England to ensure that all staff involved in the delivery of end of life care have appropriate education and training choice and quality of care at the end of life and strengthening medical curricula to support choice and quality and the of life;</p><p>- Inspecting and rating NHS hospital and community services for end of life care. This new inspection approach has a clear focus on end of life care and applies in all services where end of life care is delivered;</p><p>- Developing a new indicator for the Clinical Commissioning Group Improvement and Assessment Framework (CCG IAF) to measure deaths in hospital after three or more emergency admissions in the final 90 days of life to help assess choice and quality in end of life care; and</p><p>- Supporting to trusts rated as ’inadequate or ‘needs improvement’ to improve end of life care services. At the start of 2017/18, 66 trusts were in these categories (four were inadequate). This is now down to 56.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality and Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations. Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/10/2018 11:10:03 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	304 label Biography information for Mr Roger Godsiff

983119

	registered interest
	date	08/10/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what provision he plans to make for end-of-life care in the long-term plan for the NHS.
	tabling member constituency	Lewisham East
	tabling member printed	Janet Daby
	type	WrittenParliamentaryQuestion
	uin	176700
	answer	answer is ministerial correction date of answer 16/10/2018 answer text <p>Delivering improvements to end of care is a key priority for this Government and end of life care is an important part of the proposals which are helping to shape the long-term plan for National Health Service.</p><p> </p><p>NHS England is now considering the many responses and submissions it has received, including those from end of life care charities, as part of the listening exercise it held to help develop and refine policy proposals for inclusion in the plan. NHS England will continue working with key stakeholders to test the plan before its publication in November 2018.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 177163 question first answered 16/10/2018 11:08:34 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4698 label Biography information for Janet Daby

932245

	registered interest
	date	28/06/2018
	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
	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 he is taking to develop new indicators for the Clinical Commissioning Group Improvement and Assessment Framework to enable better scrutiny of choice and quality in end of life care.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	158726
	answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>The NHS England End of Life Care team, its partners and stakeholders regularly seek to identify suitable indicators to better measure choice and quality in end of life care. The NHS England End of Life Programme Board and the Ambitions Partnership for Palliative and End of Life Care meet on a regular basis throughout the year. The review and assessment of the effectiveness of datasets and metrics relating to palliative and end of life care features frequently on the agenda for both groups.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2018 13:55:23 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

932246

	registered interest
	date	28/06/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with which stakeholders his Department will consult to develop new indicators on end of life care for inclusion in the Clinical Commissioning Group Improvement and Assessment Framework.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	158727
	answer	answer is ministerial correction date of answer 05/07/2018 answer text <p>The NHS England End of Life Care team would consult with their Ambitions Partners (which includes professional bodies and third sector colleagues) as well as their clinical network colleagues across the country in such development. Information about the Ambitions Partners can be accessed at the following link:</p><p> </p><p><a href="http://endoflifecareambitions.org.uk/partners/" target="_blank">http://endoflifecareambitions.org.uk/partners/</a></p><p> </p><p>The current plan is to understand the outcomes from the indicator on proportion of people with three or more emergency admissions in 90 days of life before looking at further indicators for End of Life Care in the Clinical Commissioning Group Improvement and Assessment Framework.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 05/07/2018 13:51:44 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

931403

	registered interest
	date	26/06/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what his policy is on the funding of hospices; and what levels of funding his Department plans to provide for palliative care in each financial year until 2025.
	tabling member constituency	St Helens North
	tabling member printed	Conor McGinn
	type	WrittenParliamentaryQuestion
	uin	157792
	answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>The vast majority of hospices are primarily charity-funded but receive some statutory funding from clinical commissioning groups (CCGS) for providing local services. The amount of funding varies between CCGs, but on average adult hospices receive approximately 30% of their overall funding from National Health Service sources. CCGs are responsible for determining the level of NHS-funded hospice care locally and they are responsible for ensuring that the services they commission meet the needs of their local population.</p><p> </p><p>Children’s hospices tend to receive less statutory funding than adult hospices due to differences in their development and type of non-NHS supportive care they provide. Therefore, in addition to NHS funding for locally commissioned services, children’s hospices will receive £11 million in 2018/19 through the Children’s Hospice Grant, which is awarded annually and administered by NHS England.</p><p> </p><p>As with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and fund services to meet those needs from the overall resource allocations they receive.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 02/07/2018 15:26:25 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4458 label Biography information for Conor McGinn

923996

	registered interest
	date	14/06/2018
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what funding is available for palliative care services.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	type	WrittenParliamentaryQuestion
	uin	153898
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>As with the vast majority of NHS services, the commissioning of palliative and end of life care is a local matter, over which individual clinical commissioning groups (CCGs) have responsibility. CCGs are best placed to understand the needs of local populations and fund services to meet those needs from the overall resource allocations they receive.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2018 11:10:55 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4478 label Biography information for Royston Smith

917217

	registered interest
	date	04/06/2018
	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
	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 taken to increase the provision of high quality end-of-life care.
	tabling member constituency	Knowsley
	tabling member printed	Mr George Howarth
	type	WrittenParliamentaryQuestion
	uin	149610
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>Place of death is an important measure of the quality of end of life care. We know more people would, given the choice and conditions being right, prefer to die at home and fewer wish to die in hospital than is currently the case. However, we also know that preferences can change over time, and that it is important we work to ensure patients receive the right care and support wherever they are being cared for.</p><p> </p><p>Nationally, hospital is currently the most common place of death, with the latest rolling annual data (2016/17 quarter 4 – to 2017/18 quarter 3) showing that 46% of patients (all deaths) died in hospital, but it is important to note this has reduced since 2004 when the figure was 57%. Between clinical commissioning groups (CCGs) the percentage of deaths in hospital ranges from 35% to 63%. Reasons for variation are complex, and in addition to the differences between geographical areas, there are also differences between the conditions people may be dying of at the end of life; between ethnic groups and between deprivation groups.</p><p> </p><p>Public Health England’s (PHE) National End of life care intelligence network collects and publishes data and analysis on services and outcomes for care at the end of life care, including place of death nationally, regionally, by CCG and local authority, and a range of resources to support commissioners to improve delivery of their end of life care services can be found on the Intelligence Network’s website at the following link, including PHE’s ‘What we know now’ series, which examines issues of variation in end of life care:</p><p> </p><p><a href="http://www.endoflifecare-intelligence.org.uk" target="_blank">www.endoflifecare-intelligence.org.uk</a></p><p> </p><p>On 5 July 2016 we published ‘Our Commitment to you for end of life care’, which set out what everyone should expect from their care at the end of life and the actions we are taking to make high quality, personalised care a reality for everyone. This includes measures to enable personalisation; improve care quality; enhance education and training in end of life care; and encourage the spread of innovative models of care. The commitment sets out that by 2020 we want to significantly improve patient choice, including ensuring an increase in the number of people able to die in the place of their choice, including at home. On 21 September 2017 we published ‘One Year On: The Government commitment to everyone at the end of life’, setting out the good progress made over the first year in implementing the Choice Commitment. Copies of ‘Our Commitment to you for end of life care’; and ‘One year on: the government response to the review of choice in end of life care’ can be found at the following links:</p><p> </p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-response" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-response</a></p><p> </p><p><a href="http://www.gov.uk/government/publications/choice-in-end-of-life-care-government-progress" target="_blank">www.gov.uk/government/publications/choice-in-end-of-life-care-government-progress</a></p><p> </p><p>We remain committed to improving services and ending variation in end of life care by 2020. Through the Mandate, we have asked NHS England to deliver the Choice Commitment, and through NHS England’s National Programme Board for End of life Care, a range of activity is being undertaken with all key system partners and stakeholders to achieve this. NHS England works to support local commissioners in improving the services they provide, including palliative care, and has recently collaborated PHE and the Care Quality Commission to provide bespoke end of life care support to all sustainability and transformation partnerships.</p><p> </p><p>For 2018-19, the Government’s Mandate asks NHS England to increase the percentage of people identified as likely to be in their last year of life, so that their end of life care can be improved by personalising it according to their needs and preferences at an earlier stage. NHS England will use the Quality and Outcomes Framework to demonstrate such an increase by looking at the percentage of people who are on the general practitioner register for supportive and palliative care, and consider expected levels based on local populations. Currently the national English average is 0.37%, it is anticipated this figure will increase in the 2018/19 period. Further work will also be undertaken to develop indicators that will enable NHS England to scrutinise the effectiveness of local health economies in delivering choice and quality in end of life care.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 12/06/2018 11:34:38 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	481 label Biography information for Sir George Howarth