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931522

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	Dental Services: Fees and Charges
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 his Department has made of public opinion towards the NHS Business Services Authority’s penalty charge scheme for dentistry.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	157862
answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>No such assessment has been carried out by the Department. Many patients are exempt from National Health Service patient charges. The dentist, when collecting the charge on behalf of the NHS, is dependent if evidence is not provided on the patient’s statement that he or she is exempt. Retrospective checks on eligibility are undertaken to protect the overall NHS budget to which patient charges make an important contribution.</p><p> </p><p>The NHS Business Services Authority (NHS BSA) carries this checking and penalty service out on behalf of NHS England. It includes an appeals process.</p><p> </p><p>The NHS BSA and NHS England however recognise there is concern that some patients may not be clear on whether they are exempt from charges. The NHS BSA is working to further improve information available. This includes steps to promote easy read patient information amongst vulnerable patient groups, creating an online eligibility checker and developing a national awareness campaign.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/07/2018 14:17:17 answering member 4067 label Biography information for Steve Brine
tabling member	4667 label Biography information for Mike Amesbury

931524

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	Dental Services: Fees and Charges
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 (a) the effectiveness of the NHS Business Services Authority’s approach to issuing penalty charges, (b) trends in the number of appeals against those charges which are upheld; and how lessons are learned from such upheld appeals.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	157863
answer	answer is ministerial correction date of answer 02/07/2018 answer text <p>The Department has made no such assessment. The attached table shows a breakdown of successful and unsuccessful appeals against the Benefit Exemption Checking Service (BECS) only.</p><p> </p><p>A table showing the total number of Penalty Charge Notices (PCN) issued for the BECS, the Prescription Exemption Checking Service and the Dental Exemption Checking Service (DECS) is attached.</p><p> </p><p>The NHS Business Services Authority continuously review contact from patients who feel they have incorrectly received a PCN. This allows valuable insight and understanding into customer behaviour including exceptional circumstances provided by patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 02/07/2018 14:16:06 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ157863 attached tables.docx title PQ157863 attached document
tabling member	4667 label Biography information for Mike Amesbury

905555

registered interest
date	16/05/2018
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	Babies: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when the Health Service Investigation Branch plans to being its investigation into avoidable baby deaths.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144994
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144995 144996 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

905556

registered interest
date	16/05/2018
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	Babies: Death
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 (a) funding and (b) resources have been allocated to the Health Service Investigation Branch for its investigation into avoidable baby deaths; and what the timeframe is for that funding.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144995
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144994 144996 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

905557

registered interest
date	16/05/2018
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	Babies: Death
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether hospitals are compelled to accept and act on Health Service Investigation Branch recommendations that result from the investigation of avoidable baby deaths.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	144996
answer	answer is ministerial correction date of answer 21/05/2018 answer text <p>In November 2017, my Rt. hon. Friend the Secretary of State announced that, from April 2018, the Health Service Investigation Branch (HSIB) would investigate each case of early neonatal death, term intrapartum stillbirth and severe brain injury in babies, as well as each case of maternal death in England. This remit and the definition of qualifying maternity cases was set out in the Secretary of State’s directions, NHS Trust Development Authority (HSIB Maternity Investigations) Directions 2018, published on 26 April 2018.</p><p> </p><p>The new investigative approach began in a single region in April 2018 and will roll out to all areas of England during 2018/19. Rollout will be complete by the end of March 2019. It is estimated that there are approximately 1,000 cases of birth-related deaths or serious brain injuries in babies in England every year. The expectation is that the learning from investigations will spur system improvements leading to fewer deaths and injuries in the future.</p><p> </p><p>The HSIB has been allocated £8 million of additional funding to implement the new maternity investigation programme in 2018/19.</p><p> </p><p>The HSIB will produce an investigation report for each maternity investigation it undertakes and will make recommendations to the relevant National Health Service trust or foundation trust.</p><p> </p><p>It will be for individual trusts to put into place actions to address the recommendations of individual reports and ensure that the learning from HSIB investigations is put into practice so that avoidable harms are reduced. The Care Quality Commission, which monitors, inspects and regulates NHS providers does, in carrying out its functions, take into account a variety of data and intelligence sources. The HSIB maternity investigation recommendations and the actions NHS trusts and foundation trusts have taken in response could form part of these data sources and be taken into account where relevant.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 144994 144995 question first answered 21/05/2018 14:01:43 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4667 label Biography information for Mike Amesbury

873741

registered interest
date	28/03/2018
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	Halton Hospital
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 announcement of 28 March 2018 that Halton Hospital within Warrington and Halton Hospitals NHS Foundation Trust, was unsuccessful in its bid to receive Sustainability and Transformation Partnership capital funding, whether he plans to allocate additional funding for (a) capital investment and (b) health provision to that area.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	134855
answer	answer is ministerial correction date of answer 16/04/2018 answer text <p>Following assessment by the Department, NHS England and NHS Improvement, the Warrington and Halton Hospitals NHS Foundation Trust was not one of the successful bids for sustainability and transformation partnership (STP) capital funding announced on 28 March.</p><p> </p><p>NHS England and NHS Improvement will be providing written feedback to the Trust and there will be a further opportunity later in the year to submit new or revised bids.</p><p> </p><p>It is for the local STP (Cheshire and Merseyside Health and Care Partnership) and the Trust, to set out in their proposals how they can drive health and service improvements in relation to the current services in making their case, demonstrate value for money, affordability and fit with the STP’s wider estates strategy.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 134856 question first answered 16/04/2018 10:48:23 answering member 4095 label Biography information for Steve Barclay
tabling member	4667 label Biography information for Mike Amesbury

873742

registered interest
date	28/03/2018
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	Hospitals: Halton
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 of his Department's decision of 28 March 2018 not fund a new Hospital at Halton though sustainability and transformation partnership capital funding on the provision of health services in Halton and Warrington NHS Trust area.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	134856
answer	answer is ministerial correction date of answer 16/04/2018 answer text <p>Following assessment by the Department, NHS England and NHS Improvement, the Warrington and Halton Hospitals NHS Foundation Trust was not one of the successful bids for sustainability and transformation partnership (STP) capital funding announced on 28 March.</p><p> </p><p>NHS England and NHS Improvement will be providing written feedback to the Trust and there will be a further opportunity later in the year to submit new or revised bids.</p><p> </p><p>It is for the local STP (Cheshire and Merseyside Health and Care Partnership) and the Trust, to set out in their proposals how they can drive health and service improvements in relation to the current services in making their case, demonstrate value for money, affordability and fit with the STP’s wider estates strategy.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay grouped question UIN 134855 question first answered 16/04/2018 10:48:23 answering member 4095 label Biography information for Steve Barclay
tabling member	4667 label Biography information for Mike Amesbury

846198

registered interest
date	21/02/2018
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	Brain: Tumours
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 link between early diagnosis of brain tumours following MRI scans and cancer survival rates; and what steps his Department is taking to improve the early detection of such tumours.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	128883
answer	answer is ministerial correction date of answer 26/02/2018 answer text <p>Cancerous brain tumours are difficult to diagnose and often require immediate treatment. Adults with suspected brain and central nervous system cancers are urgently referred for an MRI scan of the brain for assessment<sup>1</sup>. For diagnosed patients, the survival statistics<sup>2</sup> are:</p><p>- 14% of patients survive for ten years or more;</p><p>- 19% of patients survive for five years or more; and</p><p>- 40% of patients survive for one year or more.</p><p> </p><p>Earlier diagnosis is a key priority for NHS England. We are investing £200 million in transformation funding for earlier diagnosis and better post-treatment care and support for cancer patients.</p><p> </p><p>The National Cancer Programme has established a number of initiatives to support ambitions of improving earlier diagnosis including:</p><p>- The Accelerate, Coordinate, Evaluate (ACE) programme tests a new, multi-disciplinary diagnostic centre approach to diagnosing patients. The model is focussed on patients with vague or unclear but concerning symptoms, to ensure they receive a diagnosis as quickly as possible; and</p><p>- The Faster Diagnosis Standard aims to ensure that patients that are referred for an investigation with a suspicion of cancer, including brain tumours, are diagnosed or have cancer ruled out within 28 days, and we are continuing to move towards national implementation, with a new measurement system going live in hospitals from 1 April 2018.</p><p> </p><p>The Government is also supportive of HeadSmart, a United Kingdom-wide campaign to reduce diagnosis times of childhood brain tumours. The campaign aims to raise national awareness of the common signs and symptoms of a brain tumour in children and young people by equipping parents, the public and healthcare professionals with the information they need.</p><p> </p><p>Finally, last week the Government announced a package, alongside Cancer Research UK and Brain Tumour Research, to boost research and investment into brain tumours. We will commit £20 million, through the National Institute for Health Research (NIHR), over the next five years – with the aim of doubling this amount once new high-quality research proposals become available. Cancer Research UK has also confirmed £25 million over five years in major research centres and programmes dedicated to brain tumours. This research will make new discoveries that the NIHR can then translate into treatments for patients.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>National Institute for Health and Care Excellence – <a href="https://www.nice.org.uk/guidance/ng12/chapter/1-recommendations-organised-by-site-of-cancer#brain-and-central-nervous-system-cancers" target="_blank">https://www.nice.org.uk/guidance/ng12/chapter/1-recommendations-organised-by-site-of-cancer#brain-and-central-nervous-system-cancers</a></p><p><sup>2</sup>Cancer Research UK - <a href="http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/brain-other-cns-and-intracranial-tumours#heading-Zero" target="_blank">http://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/brain-other-cns-and-intracranial-tumours#heading-Zero</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2018 17:15:03 answering member 4067 label Biography information for Steve Brine
tabling member	4667 label Biography information for Mike Amesbury

816844

registered interest
date	05/01/2018
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has received any representations on difficulties experienced by GPs in obtaining (a) diamorphine and (b) other prescription drugs; and whether he is taking steps to increase the ease of access to such drugs by GPs.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	121271
answer	answer is ministerial correction date of answer 10/01/2018 answer text <p>The Department has not received any queries on behalf of general practitioners about diamorphine supplies. However, we are aware that supply issues do occasionally occur with prescription drugs. The Department works closely with the Medicines and Healthcare products Regulatory Agency, the pharmaceutical industry, NHS England, clinical experts, and others operating in the supply chain to help prevent shortages and to ensure that the impact on patients is minimised when they do arise.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 10/01/2018 11:14:34 answering member 4067 label Biography information for Steve Brine
tabling member	4667 label Biography information for Mike Amesbury

786234

registered interest
date	07/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Hazards: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of any risks to the health of 16 to 18-year olds that may be caused by voting.
tabling member constituency	Weaver Vale
tabling member printed	Mike Amesbury
uin	111907
answer	answer is ministerial correction date of answer 13/11/2017 answer text <p>No such assessment has been made.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 13/11/2017 17:29:00 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4667 label Biography information for Mike Amesbury