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1015361

registered interest
date	27/11/2018
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	Locums: Qualifications
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 Sir Keith Pearson’s review entitled Taking revalidation forward: improving the process of relicensing for doctors, published in January 2017, what steps his Department have taken in response to identified weaknesses in the appraisal and revalidation processes for doctors working as locums; and if he will publish a timeline showing when such steps were (a) initiated and (b) completed.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	196142
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>Sir Keith Pearson’s review of medical revalidation, Taking Revalidation Forward (TRF), was published in January 2017. Sir Keith reviewed evidence on the impact of revalidation and concluded &quot;that revalidation has already delivered significant benefits&quot;.</p><p> </p><p>The review made recommendations to improve some aspects of revalidation, for the benefit of both doctors and patients. Implementation of the recommendations was overseen by the Revalidation Oversight Group, chaired by the General Medical Council (GMC). The GMC has advised that all recommendations have been implemented, except for those which may require legislative change.</p><p> </p><p>As recommended by TRF, the Department is working with the GMC, NHS England and other stakeholders to consider whether any amendments are needed to the Medical Profession (Responsible Officer) Regulations 2010 and 2013.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 03/12/2018 11:42:43 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1015137

registered interest
date	26/11/2018
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	Zholia Alemi
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what forms of redress are available to (a) patients and (b) family members of patients who were treated or assessed by Zholia Alemi who was employed as an NHS psychiatrist despite without qualifications for the role; and what steps his Department plans to take to contact those patients to provide guidance on those forms of redress.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	195560
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>Redress for actions of National Health Service bodies may be obtained by making a complaint to the provider or the commissioner of the NHS service. A clinical negligence claim against the NHS may also be made.</p><p> </p><p>Patients or family members who have a concern about contact with Zholia Alemi or the care received by her have been advised to contact the local NHS service where they were treated.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 14:06:33 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1015153

registered interest
date	26/11/2018
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	Zholia Alemi
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 inform (a) patients and (b) family members of patients who were treated or assessed by Zholia Alemi that she was employed as an NHS psychiatrist without qualifications for the role.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	195569
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>NHS England has advised that it has established an Incident Management Group (IMG) to identify and assess any clinical concerns relating to the practise of Zholia Alemi. The IMG aims to confirm Zholia Alemi’s employment history, to assess clinical decisions made by her and to consider whether individuals need to be contacted in due course.</p><p> </p><p>Patients or family members who have a concern about Zholia Alemi or the care received by her have been advised to contact the local NHS service where they were treated.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 29/11/2018 14:08:16 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1012339

registered interest
date	22/11/2018
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	Doctors: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, which health trusts have employed the approximately 3,000 individuals who were allowed to join the medical register because they claimed to have a qualification from another country which exempted them from taking the Professional and Linguistic Assessment Board exam.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	194647
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>This information is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194648 194649 194651 question first answered 27/11/2018 18:27:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1012340

registered interest
date	22/11/2018
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	Doctors: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the medical discipline was of each of the approximately 3,000 individuals who were allowed to join the medical register because they claimed to have a qualification from another country which exempted them from taking the Professional and Linguistic Assessment Board exam.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	194648
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>This information is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194647 194649 194651 question first answered 27/11/2018 18:27:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1012341

registered interest
date	22/11/2018
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	Doctors: Migrant Workers
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 of the approximately 3,000 individuals who were allowed to join the medical register because they claimed to have a qualification from another country which exempted them from taking the Professional and Linguistic Assessment Board exam are employed in the NHS in each (a) health trust and (b) medical discipline.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	194649
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>This information is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194647 194648 194651 question first answered 27/11/2018 18:27:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1012344

registered interest
date	22/11/2018
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	Doctors: Migrant Workers
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 are being taken to verify the qualifications of the approximately 3,000 individuals who were allowed to join the medical register because they claimed to have a qualification from another country which exempted them from taking the Professional and Linguistic Assessment Board exam; and how long that process is estimated to take.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	194651
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>This information is not held centrally.</p> answering member constituency Wimbledon answering member printed Stephen Hammond grouped question UIN 194647 194648 194649 question first answered 27/11/2018 18:27:49 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

1012346

registered interest
date	22/11/2018
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	Doctors: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if the Government will take steps to suspend from the medical register individuals who have been allowed to join that register because they claimed to have a qualification from another country which exempted them from taking the Professional and Linguistic Assessment Board exam until that qualification has been independently verified.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	194652
answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>It is a function of the General Medical Council (GMC), the independent regulator of doctors across the United Kingdom, to maintain a register of doctors in the United Kingdom. Where appropriate, it is for the GMC to investigate complaints about doctors on their register and assess whether they should be referred to the Medical Practitioners Tribunal Service, who determine whether any sanction should be applied with respect to their registration.</p><p> </p><p>The GMC is currently reviewing the qualification of currently licensed doctors, who applied for registration via a route allowing graduates of medical schools in certain Commonwealth countries to obtain registration based on their qualification alone. This route to registration ceased in 2003.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 27/11/2018 17:18:57 answering member 1585 label Biography information for Stephen Hammond
tabling member	3917 label Biography information for Lord Walney

891520

registered interest
date	25/04/2018
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	Liothyronine
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 the (a) affordability and (b) NHS procurement options for Liothyronine T3.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	138020
answer	answer is ministerial correction date of answer 30/04/2018 answer text <p>The costs of branded medicines are controlled by the Pharmaceutical Price Regulation Scheme and the statutory scheme for branded medicines. Liothyronine is an unbranded generic medicine. For unbranded generic medicines, the Department encourages competition between suppliers to keep prices down. In primary care, community pharmacies are incentivised to source products at the lowest possible cost and in secondary care, competitive tenders ensure value-for-money to the National Health Service.</p><p> </p><p>Liothyronine is currently the subject of an investigation by the Competition and Markets Authority, which has provisionally found that the single supplier of the product abused its dominant position to overcharge the NHS by millions of pounds for liothyronine tablets. A provisional decision does not necessarily lead to an infringement decision. Where companies have breached competition law, the Department will seek damages and invest that money back into the NHS.</p><p> </p><p>Liothyronine was included in NHS England guidance last year; ‘Items which should not routinely be prescribed in primary care’ because more cost effective products than liothyronine are available. That guidance recommends that:</p><p>- prescribers in primary care should not initiate liothyronine for any new patient;</p><p>- individuals currently prescribed liothyronine should be reviewed by a consultant NHS endocrinologist with consideration given to switching to levothyroxine where clinically appropriate; and</p><p>- a local decision, involving the Area Prescribing Committee (or equivalent) informed by National guidance (e.g. from the National Institute of Health and Care Excellence or the Regional Medicines Optimisation Committee), should be made regarding arrangements for on-going prescribing of liothyronine. This should be for individuals who, in exceptional circumstances, have an on-going need for liothyronine as confirmed by a consultant NHS endocrinologist.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 30/04/2018 13:15:19 answering member 4067 label Biography information for Steve Brine
tabling member	3917 label Biography information for Lord Walney

751808

registered interest
date	13/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Crimes of Violence: Females
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress has been made on meeting priority 23 of the Ending Violence against Women and Girls Strategy 2016-2020, published in March 2016.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	4893
answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>Progress continues to be made by the health sector against all three of these actions in the Violence against Women and Girls (VAWG) Action Plan.</p><p> </p><p>On priority 21, discussions are ongoing between the Chief Medical Officer and relevant policy officials. A survey has been completed of domestic violence teaching in medical schools and this has been accepted for publication. Medical Royal Colleges are considering how to increase the profile of VAWG teaching at undergraduate and postgraduate level.</p><p> </p><p>On priority 22, the Department produced in March 2017 an online publication, ‘Responding to Domestic Abuse – a resource for health professionals’ is available at:</p><p><a href="https://www.gov.uk/government/publications/domestic-abuse-a-resource-for-health-professionals" target="_blank">https://www.gov.uk/government/publications/domestic-abuse-a-resource-for-health-professionals</a></p><p>The publication calls for routine enquiry into domestic abuse to become a fundamental part of the skills and practice of every health professional. More broadly the National Health Service provides care and support to victims of domestic abuse and domestic violence through a wide range of health care services, including services for physical and mental health. Routine enquiry is already in place in maternity and mental health services, to improve earlier disclosure and support people to get the care that they need. The Department has supported the Royal College of General Practitioners to develop a Violence Against Women and Children e-learning training course for general practitioners (GPs) and other primary care professionals to improve their recognition of and response to patients suffering from violence and abuse is available at:</p><p><a href="http://elearning.rcgp.org.uk/course/search.php?search=violence+against+women+and+children" target="_blank">http://elearning.rcgp.org.uk/course/search.php?search=violence+against+women+and+children</a></p><p> </p><p>The Identification and Referral to Improve Safety (IRIS) programme provides staff training and a support programme to bridge the gap between the voluntary sector and primary care, providing an improved domestic violence service. It is designed to encourage clinicians and administrative staff to ask clients about domestic abuse and violence and then either to react with an appropriate support, treatment and care). IRIS has been developed as a commissionable model for implementation nationally – it has been commissioned in 34 sites in England and one in Wales, where it is running in over 1,000 GPs. IRIS Advise is a further development of IRIS targeted precisely at sexual health services and has been successful in pilots in Bristol and east London.</p><p> </p><p>On priority 23, the Department is working with NHS Digital to develop a work programme to support this commitment. In October 2017 NHS Digital will be submitting the Emergency Care Dataset (ECDS). This addresses an identified information gap, and will achieve substantial benefits for patients and the wider urgent care system. It will be implemented across emergency departments in England including all Type 1 Accident and Emergency (A&amp;E) wards, and injury data will be collected as an integral part of the dataset. The introduction of ECDS should encourage consistent data collection, helping A&amp;E wards to meet the Information Sharing to Tackle Violence standards. The new version of the Mental Health Services Dataset went live in April 2017. Discussions are ongoing regarding how mental health data can support delivery of priority 23.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 4892 4894 question first answered 18/07/2017 11:38:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3917 label Biography information for Lord Walney