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1007774

registered interest
date	15/11/2018
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	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, when he plans to publish the long-term plan for the NHS.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	191894
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. It will be published later this year.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 20/11/2018 11:14:52 answering member 1585 label Biography information for Stephen Hammond
tabling member	1521 label Biography information for Mrs Sharon Hodgson

1007141

registered interest
date	14/11/2018
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	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of publicly-funded CAMHS in-patient services are delivered by private providers; and what the names are of those providers.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	191397
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows total child and adolescent mental health services (CAMHS) expenditure for the last five years split by type of provider. The information relates to Tier 4 specialised mental health beds for children and young people, aged 13-18, commissioned by NHS England. CAMHS Tier 4 includes general inpatient care and specialised eating disorders services. These figures will include very small elements of non-in-patient services as we are unable to detail spend on inpatients only.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>CAMHS Expenditure</p></td><td><p>Expenditure at Independent Sector (IS) Providers on CAMHS</p></td><td><p>Expenditure at National Health Service Providers on CAMHS</p></td><td><p>Expenditure at IS Providers on CAMHS</p></td><td><p>Expenditure at NHS Providers on CAMHS</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>£ million</p></td><td><p>%</p></td><td><p>%</p></td></tr><tr><td><p>2013/14</p></td><td><p>252.0</p></td><td><p>122.0</p></td><td><p>130.0</p></td><td><p>48%</p></td><td><p>52%</p></td></tr><tr><td><p>2014/15</p></td><td><p>279.6</p></td><td><p>120.3</p></td><td><p>159.3</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2015/16</p></td><td><p>319.1</p></td><td><p>136.6</p></td><td><p>182.5</p></td><td><p>43%</p></td><td><p>57%</p></td></tr><tr><td><p>2016/17</p></td><td><p>341.5</p></td><td><p>156.4</p></td><td><p>185.1</p></td><td><p>46%</p></td><td><p>54%</p></td></tr><tr><td><p>2017/18</p></td><td><p>355.2</p></td><td><p>156.5</p></td><td><p>198.7</p></td><td><p>44%</p></td><td><p>56%</p></td></tr></tbody></table><p> </p><p>Spend in Independent Sector providers in 2017/18 totalled £156.5 million.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 191398 question first answered 19/11/2018 17:23:46 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4036 label Biography information for Luciana Berger

1007155

registered interest
date	14/11/2018
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	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has provided to Child and adolescent mental health services on acceptable waiting times for clinical assessments from the date of referral.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Gill Furniss
uin	191475
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Consultant-led non-urgent mental health treatments are covered by the general National Health Service 18 week waiting time standard.</p><p> </p><p>Additionally, in 2016 NHS England published the Five Year Forward View for Mental Health which includes the following waiting times targets for mental health services, to be achieved by 2020/21:</p><p>- For accessing ‘Improving Access to Psychological Therapies’ services 75% of referrals should be seen within six weeks and 95% should be seen within 18 weeks;</p><p>- For eating disorder services 95% of referrals should be seen within four weeks for routine cases and 95% of urgent referrals should be seen within one week; and</p><p>- For the Early Intervention in Psychosis programme 50% of people experiencing a first episode of psychosis should start a National Institute for Health and Care Excellence recommended package of care within two weeks of referral, rising to 60%.</p><p> </p><p>We are on track to meet these targets, which are tracked on the Five Year Forward View dashboard, available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/" target="_blank">https://www.england.nhs.uk/publication/mental-health-five-year-forward-view-dashboard/</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:38:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4571 label Biography information for Gill Furniss

1007175

registered interest
date	14/11/2018
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	Chronic Obstructive Pulmonary Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what proportion of patients with chronic obstructive pulmonary disease have been referred for pulmonary rehabilitation in accordance with NICE guidelines in the most recent period for which figures are available; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	191255
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>National Institute for Health and Care Excellence (NICE) Guidelines state that “Pulmonary rehabilitation should be made available to all appropriate people with chronic obstructive pulmonary disease (COPD) including those who have had a recent hospitalisation for an acute exacerbation” <sup>1</sup>.</p><p> </p><p>NHS England supports the national Asthma and COPD Audit Programme – led by the Royal College of Physicians – which provides data on a range of indicators to show opportunities for improving COPD outcomes. The audit shows that 13% of people with COPD are referred to pulmonary rehabilitation services<sup>2</sup>. A continuous clinical audit of service provision and delivery of pulmonary rehabilitation is due to start in March 2019.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Chronic obstructive pulmonary disease in over 16s: diagnosis and management Clinical guideline Published 23 June 2010 <a href="http://www.nice.org.uk/guidance/cg101" target="_blank">www.nice.org.uk/guidance/cg101</a></p><p> </p><p><sup>2</sup><a href="https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream" target="_blank">https://www.rcplondon.ac.uk/projects/national-asthma-and-copd-audit-programme-nacap-pulmonary-rehabilitation-workstream</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 11:24:39 answering member 4067 label Biography information for Steve Brine previous answer version 85821 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
tabling member	165 label Biography information for Clive Efford

1006134

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	Self-harm: South Yorkshire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many people under the age of 18 were admitted to A&E for deliberate self harm in (a) the Sheffield City Region combined authority area and (b) Barnsley in the last two years.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	190894
answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows the number of attendances at accident and emergency departments by patients aged under 18 with a recorded patient group of 'deliberate self harm', for 2016/17 and 2017/18, where the clinical commissioning group (CCG) of residence covers the Sheffield City Region combined authority area and Barnsley.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p>Sheffield City Region Combined Authority area</p></td><td><p>170</p></td><td><p>130</p></td></tr><tr><td><p>NHS Barnsley CCG</p></td><td><p>25</p></td><td><p>35</p></td></tr><tr><td><p>NHS Doncaster CCG</p></td><td><p>55</p></td><td><p>60</p></td></tr><tr><td><p>NHS Rotherham CCG</p></td><td><p>25</p></td><td><p>10</p></td></tr><tr><td><p>NHS Sheffield CCG</p></td><td><p>60</p></td><td><p>30</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p><em> </em></p><p>Notes:</p><p>- Attendances do not represent the number of patients, as a person may attend a National Health Service hospital on more than one occasion within the period.</p><p>- Data for the CCGs containing the patient’s normal home address has been provided. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.</p><p>- The following four CCGs make up the Sheffield City Region Combined Authority Area – data has been provided for each individual CCG as well as the combined total for the Sheffield City area:</p><p>- NHS Barnsley CCG;</p><p>- NHS Doncaster CCG;</p><p>- NHS Rotherham CCG; and</p><p>- NHS Sheffield CCG.</p><p>- Due to disclosure control rules, NHS Digital must round sub-national HES data to the nearest five, which explains why the sum of the individual CCG breakdown does not match with the total figure for the Sheffield City Region Combined Authority Area.</p><p>- HES figures are available from 2007-08 onwards. Changes to the figures over time should be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:33:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4243 label Biography information for Dan Jarvis

1005671

registered interest
date	12/11/2018
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	Tobacco: EU Law
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 UK's potential ability to tackle (a) the concentration limit on nicotine in vape bottles, (b) the size of those bottles and (c) other aspects of the EU Tobacco Products Directive after the UK leaves the EU.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190465
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Vaping products are defined as nicotine inhaling products in the European Union Tobacco Products Directive 2014/40/EU (TPD). The TPD is implemented into United Kingdom domestic law and, after the UK leaves the EU this legislation will remain in force, subject to the European Union (Withdrawal) Act 2018. The scope of these amendments is limited to ensuring that tobacco control policy and legislation continue to function effectively after EU exit.</p><p> </p><p>The Department has committed to reviewing the Tobacco and Related Products Regulations (2016), and a range of tobacco legislation by 2021. As announced in the Tobacco Control Plan (2017) the Government will review where the UK’s exit from the EU offers us opportunities to re-appraise current regulation to ensure this continues to protect the nation’s health.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190464 190466 question first answered 20/11/2018 15:13:59 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005673

registered interest
date	12/11/2018
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	Electronic Cigarettes: Regulation
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 effectiveness of current regulations in ensuring (a) the growth of the vaping sector and (b) high product manufacturing standards for consumers after the UK leaves the EU.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190467
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The Government published a detailed impact assessment of the Tobacco Products Directive in April 2016. No further assessment has yet been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/11/2018 15:12:22 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005674

registered interest
date	12/11/2018
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	Electronic Cigarettes: Regulation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether (a) nicotine shots and (b) shortfills are regulated under (i) UK and (ii) EU law.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	190468
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Nicotine shots are regulated under the Tobacco and Related Products Regulation 2016 as they are a nicotine containing product. As shortfills do not contain nicotine when sold they are not regulated under the Tobacco and Related Products Regulations 2016 (TRPR), but are covered by General Product Safety Regulations.</p><p> </p><p>The Government is committed to conduct a review of the TRPR at a later date.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 190469 question first answered 20/11/2018 15:23:24 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1005890

registered interest
date	12/11/2018
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	Eating Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether his Department has undertaken a baseline audit of levels of (a) investment, (b) capacity and (c) in (i) inpatient and (ii) community services for adults with eating disorders.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190565
answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>In 2017/18, NHS England commissioned NHS Benchmarking to collect data on current levels of provision for adults with an eating disorder across community and inpatient services for adults with an eating disorder including levels of investment, mapping of services, quantifying the workforce, understanding waiting times and distances travelled for inpatient care. The outputs were reported to NHS England in 2018, and are being used by NHS England to assess levels of geographical variation, and to model the cost and workforce implications of any future commitments to service improvements.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 15/11/2018 16:52:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1003702

registered interest
date	09/11/2018
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	Musculoskeletal Disorders
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 musculoskeletal disorders in the long-term plan for the NHS to reduce loss of working days; and if he will make a statement.
tabling member constituency	Eltham
tabling member printed	Clive Efford
uin	189526
answer	answer is ministerial correction date of answer 14/11/2018 answer text <p>In 2017, there was a historic low of working days lost due to musculoskeletal disorders (MSK) related sickness absence. However, MSK disorders remain the second largest reason for working days lost due to sickness absence – second only to minor illnesses (like colds and flu)<sup>1</sup>.</p><p> </p><p>This is why in ‘Improving Lives, the Future of Work, Health and Disability’<sup>2</sup> this Government committed itself to ensuring that individuals suffering from MSK disorders get higher-quality, more joined up support - in the workplace and across the health and welfare systems.</p><p> </p><p>The Government’s own strategy, includes research to build our understanding of existing MSK provision and piloting new models of service provision. The intention is to build our understanding of ‘what works’ to improve employment outcomes for individuals with MSK disorders, in order to inform future action.</p><p> </p><p>The Government expects National Health Service leaders, clinicians and experts to develop the long-term plan to ensure that the NHS can cope with the serious demand and cost pressures it faces in the future. The plan should be published later this year.</p><p> </p><p>Notes:</p><p> </p><p><sup>1</sup>Labour Force Survey person datasets, ONS. 2018.</p><p> </p><p><a href="https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016" target="_blank">https://www.ons.gov.uk/employmentandlabourmarket/peopleinwork/labourproductivity/articles/sicknessabsenceinthelabourmarket/2016</a></p><p> </p><p><sup>2</sup>Improving lives: the future of work, health and disability November 2017</p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability" target="_blank">https://www.gov.uk/government/publications/improving-lives-the-future-of-work-health-and-disability</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 189525 question first answered 14/11/2018 16:24:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	165 label Biography information for Clive Efford