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715496

	registered interest
	date	30/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they intend that rural proofing will be applied to the NHS Sustainability and Transformation Plans.
	tabling member printed	Baroness Byford
	type	WrittenParliamentaryQuestion
	uin	HL6457
	answer	answer is ministerial correction date of answer 06/04/2017 answer text <p>NHS England is aware of <em>Rural proofing: practical guidance to assess impacts of policies on rural areas</em>, published by the Department for Environment, Food and Rural Affairs in March 2017.</p><p> </p><p>All Sustainability and Transformation Plans (STPs) build on the Five Year Forward View to present an overall strategy for their geographic footprint and identify the three to five key priorities required to realise their vision. This should take account of specific challenges facing each area, which could include a dispersed, rural population.</p><p> </p><p>STPs have been in the public domain for several months. Partner organisations within each area are engaging both rural and urban communities on their plans and, where required by law, consulting on service change.</p><p> </p><p>NHS England and NHS Improvement continue to provide ongoing support to each STP area. In September 2016, they published <em>Engaging Local People: A guide for local areas developing Sustainability and Transformation Plans</em>, which set out how STP areas should reach out to stakeholders in their areas. A copy of the guidance is attached.</p><p> </p><p>The NHS is exploring ways to better adapt health provision for rural areas. For example, the vanguard covering Morecambe Bay Health Community is improving healthcare in a geographically isolated area by using a high definition telemedicine link between a general practitioner (GP) surgery in Millom and the accident and emergency (A&amp;E) department in Barrow-in-Furness. This means when GPs can seek a second opinion as to whether a patient needs intensive treatment or can be treated in the community – they can call through and have an A&amp;E specialist examine the patient. This means that over the 1,000 square miles that Morecambe Bay covers, patients can have access to expert opinion without having to travel further than their nearest GP.</p><p> </p><p>On 31 March, <em>Next steps on the NHS Five Year Forward View</em> was published by NHS England. The document outlined a 10-point care and efficiency plan which will further contribute to improving the health outcomes of those living in rural areas. A copy of this document is attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name engag-local-people-stps.pdf title Engaging Local People 2 file name NEXT-STEPS-ON-THE-NHS-FIVE-YEAR-FORWARD-VIEW.pdf title Next Steps on the Five Year Forward View question first answered 06/04/2017 11:02:39 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3343 label Biography information for Baroness Byford

793034

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much his Department has budgeted for 2017-18 for a grant to support implementation of the Tobacco Control Plan for England.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	type	WrittenParliamentaryQuestion
	uin	114819
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114820 114822 114824 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

793035

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State, when his Department plans to complete the approvals process to enable the competition for a grant to support implementation of the Tobacco Control Plan to proceed.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	type	WrittenParliamentaryQuestion
	uin	114820
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114819 114822 114824 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

793037

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State, what plans his Department has to open the competition for the grant to support implementation of the Tobacco Control Plan for England this year.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	type	WrittenParliamentaryQuestion
	uin	114822
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114819 114820 114824 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

793039

	registered interest
	date	21/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the grant competition to support implementation of the Tobacco Control Plan for England will contain provisions for future year funding to cover the full length of the Plan from 2017 to 2022.
	tabling member constituency	Harrow East
	tabling member printed	Bob Blackman
	type	WrittenParliamentaryQuestion
	uin	114824
	answer	answer is ministerial correction date of answer 29/11/2017 answer text <p>The Department is still considering the scope and procurement process for grants to support the implementation of the Tobacco Control Plan. Cabinet Office standards require all new grants to be subject to competition. Our intention is to make any future grant available on a multi-year basis, subject to an appropriate business case and satisfactory performance on the part of the funded bodies.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 114819 114820 114822 question first answered 29/11/2017 14:39:07 answering member 4067 label Biography information for Steve Brine
	tabling member	4005 label Biography information for Bob Blackman

426454

	registered interest
	date	05/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Trade Unions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with NHS trusts and NHS employers on proposals to allow Ministers to cap union facility time contained in the Trade Union Bill.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	type	WrittenParliamentaryQuestion
	uin	15104
	answer	answer is ministerial correction date of answer 11/11/2015 answer text <p>There are no current proposals to cap trade union facility time although the Trade Union Bill includes a reserve power to do so if it is deemed appropriate. Ministers have not held any discussions with National Health Service trusts and NHS employers about this.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/11/2015 09:47:52 answering member 3988 label Biography information for Ben Gummer
	tabling member	4436 label Biography information for Cat Smith

426457

	registered interest
	date	05/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Trade Unions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effect of proposals to allow Ministers to cap union facility time contained in the Trade Union Bill on (a) staff morale, (b) productivity and (c) patient safety in the NHS.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	type	WrittenParliamentaryQuestion
	uin	15105
	answer	answer is ministerial correction date of answer 11/11/2015 answer text <p>There are no current proposals to cap tradeunion facility time although the Trade UnionBill includes a reservepower to do so if it is deemed appropriate.The Department has not assessed the effect on staff morale, productivity and patient safety should this power be implemented and has no evidence that they would be affected.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/11/2015 09:45:54 answering member 3988 label Biography information for Ben Gummer
	tabling member	4436 label Biography information for Cat Smith

426458

	registered interest
	date	05/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Trade Unions
	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 the cost to NHS trusts of nursing staff turnover as a result of proposals to cap union facility time in the Trade Union Bill.
	tabling member constituency	Lancaster and Fleetwood
	tabling member printed	Cat Smith
	type	WrittenParliamentaryQuestion
	uin	15106
	answer	answer is ministerial correction date of answer 11/11/2015 answer text <p>There are no current proposals to cap tradeunion facility time although the Trade UnionBill includes a reservepower to do so if it is deemed appropriate.The Department has not estimated the cost to National Health Service trusts of nursing staff turnover should the power to do so be implemented and has no evidence that it would be affected.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/11/2015 09:49:13 answering member 3988 label Biography information for Ben Gummer
	tabling member	4436 label Biography information for Cat Smith

691926

	registered interest
	date	20/02/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Equality
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many equality impact assessments have been carried out in the last three years on public service reforms which impact on (a) departmental staff and (b) members of the public; and if he will make a statement.
	tabling member constituency	Glasgow South West
	tabling member printed	Chris Stephens
	type	WrittenParliamentaryQuestion
	uin	64446
	answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>The number of equality impact assessments in each of the last three years is contained in the following links:</p><p> </p><p>- Equality analysis published in 2016:</p><p><a href="https://www.gov.uk/government/publications/meeting-the-public-sector-equality-duty-in-2016/meeting-the-public-sector-equality-duty-in-2016" target="_blank">https://www.gov.uk/government/publications/meeting-the-public-sector-equality-duty-in-2016/meeting-the-public-sector-equality-duty-in-2016</a></p><p> </p><p>- Equality analysis published in 2015:</p><p><a href="https://www.gov.uk/government/publications/dh-public-sector-equality-duty-compliance-2015/meeting-the-public-sector-equality-duty-in-2015#equality-analyses-published-in-2015" target="_blank">https://www.gov.uk/government/publications/dh-public-sector-equality-duty-compliance-2015/meeting-the-public-sector-equality-duty-in-2015#equality-analyses-published-in-2015</a></p><p> </p><p>- Equality analysis published in 2014:</p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/401180/DH_equalities_2015_acc.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/401180/DH_equalities_2015_acc.pdf</a> (see page 18)</p> answering member constituency Warrington South answering member printed David Mowat question first answered 28/02/2017 14:04:06 answering member 4080 label Biography information for David Mowat
	tabling member	4463 label Biography information for Chris Stephens

598282

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pharmacy: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effect of proposed reductions in pharmacy funding on specific patient populations.
	tabling member constituency	South Thanet
	tabling member printed	Craig Mackinlay
	type	WrittenParliamentaryQuestion
	uin	47762
	answer	answer is ministerial correction date of answer 13/10/2016 answer text <p>The Government’s proposals for community pharmacy in 2016/17 and beyond, on which we have consulted, are being considered against the public sector equality duty, the family test and the relevant duties of my Rt. hon. Friend, the Secretary of State for Health, under the National Health Service Act 2006.</p><p> </p><p>Our assessments include consideration of the potential impacts on the adequate provision of NHS pharmaceutical services, including the supply of medicines, access to NHS pharmaceutical services, supplementary hours, non-commissioned services, individuals with protected characteristics, impacts on other NHS services, health inequalities, individuals with restricted mobility and access to healthcare for deprived communities.</p><p> </p><p>An impact assessment will be completed to inform final decisions and published in due course.</p><p> </p><p>Our proposals are about improving services for patients and the public and securing efficiencies and savings. We believe these efficiencies can be made within community pharmacy without compromising the quality of services or public access to them.</p><p> </p><p>Our aim is to ensure that those community pharmacies upon which people depend continue to thrive. We are consulting on the introduction of a Pharmacy Access Scheme, which will provide more NHS funds to certain pharmacies compared with others, considering factors such as location and the health needs of the local population.</p><p> </p><p>We want a clinically focussed community pharmacy service that is better integrated with primary care and public health in line with the Five Year Forward View. This will help relieve the pressure on general practitioners and accident and emergency departments, ensure better use of medicines and better patient outcomes, and contribute to delivering seven day health and care services.</p><p> </p><p>The Chief Pharmaceutical Officer for England, Dr Keith Ridge has commissioned an independent review of community pharmacy clinical services. The review is being led by Richard Murray, Director of Policy at The King’s Fund. The final recommendations will be considered as part of the development of clinical and cost effective patient care by pharmacists and their teams.</p><p> </p><p>NHS England is also setting up a Pharmacy Integration Fund to support the development of clinical pharmacy practice in a wider range of primary care settings, resulting in a more integrated and effective NHS primary care patient pathway.</p><p> </p><p>The rollout of the additional 1,500 clinical pharmacists announced by NHS England will help to ease current pressures in general practice by working with patients who have long term conditions and others with multiple medications. Having a pharmacist on site will mean that patients who receive care from their general practice will be able to benefit from the expertise in medicines that these pharmacists provide.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 47751 47752 47761 47806 47809 47871 47916 47920 47921 question first answered 13/10/2016 16:34:00 answering member 4080 label Biography information for David Mowat
	tabling member	4529 label Biography information for Craig Mackinlay