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416154

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Parking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to set conditions for the financing of (a) NHS trusts and (b) NHS Foundations Trusts to ensure that these bodies implement the NHS patient, visitor and staff car parking principles.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	8396
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p><strong> </strong></p><p> </p><p>National Health Service organisations have the freedom to make decisions on their car parking to reflect their local situation and needs. The car parking principles provide clear direction and leadership but a central interference in these freedoms would not help NHS trusts and could result in unwarranted interference in how their clinical services are locally managed and delivered.</p><p> </p><p> </p><p> </p><p>The powers available to the Secretary of State for Health under Section 42 of the NHS Act 2006 to provide funding to NHS organisations in distress are not appropriate for car parking. There are no other levers or other conditions available for the financing of NHS organisations to implement the NHS patient, visitor and staff car parking principles.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 16:21:03 answering member 1201 label Biography information for Alistair Burt
tabling member	151 label Biography information for Tom Brake

416156

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Paediatrics: Audiology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what action his Department will take against paediatric audiology services which are not accredited under the Improving Quality in Physiological Services programme.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	8388
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Paediatric audiology services are a clinical commissioning group (CCG) commissioning responsibility nationally; CCGs will commission services from local National Health Service and community trusts, to provide hearing assessments for children and to take referrals from the NHS New-born Hearing Screening Programme.</p><p> </p><p> </p><p> </p><p>It is not part of NHS England’s role to take action against paediatric audiology services which are not accredited under the Improving Quality in Physiological Services (IQIPS) programme.</p><p> </p><p> </p><p> </p><p>NHS England has committed to increase the number of scientific and diagnostic services which are part of accreditation programmes, and which demonstrate robust quality assurance measures, by the end of March 2016 (NHS England Business Plan (2014-15 to 2016-17).</p><p> </p><p> </p><p> </p><p>NHS England is liaising with The United Kingdom Accreditation Services (UKAS), the Royal College of Physicians and other key partners to improve participation in the IQIPS accreditation scheme.</p><p> </p><p> </p><p> </p><p>Paediatric audiology services which have not been successful in applying to be accredited under the IQIPS programme are not reported.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 8421 question first answered 14/09/2015 16:00:13 answering member 1201 label Biography information for Alistair Burt
tabling member	44 label Biography information for Sir David Amess

416170

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many European Health Insurance cards were issued to (a) Swiss nationals and (b) nationals of other EU-countries in each year since 2010.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8414
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>The Department does not hold data on how many European Health Insurance Cards (EHICs) were issued to Swiss nationals and nationals of other European Union (EU) countries in each year since 2010. This is because data on specific nationality is not recorded as part of the application process.</p><p> </p><p> </p><p> </p><p>The Department takes any allegations of fraud and abuse seriously and has been working with the National Health Service on an on-going basis to detect and tackle any suspected fraud and error since the introduction of the online EHIC application system in 2006.</p><p> </p><p> </p><p> </p><p>It is not possible to accurately quantify the cost of potential fraud at this time.</p><p> </p><p> </p><p> </p><p>The Department is tightening up procedures for issuing EHICs and checking EHIC claims to the United Kingdom.</p><p> </p><p> </p><p> </p><p>The Department is already undertaking a major piece of work to examine with urgency and identify areas for improvement in all the administrative systems relating to European Economic Area (EEA) healthcare payments, including the EHIC.</p><p> </p><p> </p><p> </p><p>Entitlement to EHICs (in all EEA countries) is based on ‘insurability’ under EU law. The UK operates a residency-based healthcare system which means that entitlement to an EHIC is determined by residency in the first instance and not by nationality.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 15:59:31 answering member 1201 label Biography information for Alistair Burt
tabling member	545 label Biography information for Paul Flynn

416172

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he was first made aware of potential fraud involving foreign nationals using European Health Insurance cards; how much this fraud has cost the UK in each year since 2010; and what steps he is taking to eliminate such fraud.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8451
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>The Department does not hold data on how many European Health Insurance Cards (EHICs) were issued to Swiss nationals and nationals of other European Union (EU) countries in each year since 2010. This is because data on specific nationality is not recorded as part of the application process.</p><p> </p><p> </p><p> </p><p>The Department takes any allegations of fraud and abuse seriously and has been working with the National Health Service on an on-going basis to detect and tackle any suspected fraud and error since the introduction of the online EHIC application system in 2006.</p><p> </p><p> </p><p> </p><p>It is not possible to accurately quantify the cost of potential fraud at this time.</p><p> </p><p> </p><p> </p><p>The Department is tightening up procedures for issuing EHICs and checking EHIC claims to the United Kingdom.</p><p> </p><p> </p><p> </p><p>The Department is already undertaking a major piece of work to examine with urgency and identify areas for improvement in all the administrative systems relating to European Economic Area (EEA) healthcare payments, including the EHIC.</p><p> </p><p> </p><p> </p><p>Entitlement to EHICs (in all EEA countries) is based on ‘insurability’ under EU law. The UK operates a residency-based healthcare system which means that entitlement to an EHIC is determined by residency in the first instance and not by nationality.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 16:08:09 answering member 1201 label Biography information for Alistair Burt
tabling member	545 label Biography information for Paul Flynn

416191

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total cost to the NHS of temporary staff has been in each of the last five years.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8645
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>The total cost to the National Health Service of temporary staff in 2013-14 and 2014-15 are shown in the table below.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2013-14<br> £000s</p></td><td><p>2014-15<br> £000s</p></td></tr><tr><td><p>Total NHS Providers</p></td><td><p>2,605,378</p></td><td><p>3,355,723</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source: </em>Department of Health Annual Report and Accounts 2014-15</p><p> </p><p><em> </em></p><p> </p><p>We have interpreted “temporary staff” to mean the number of temporary and agency staff employed by NHS providers. NHS providers are defined as NHS trusts and foundation trusts.</p><p> </p><p> </p><p> </p><p>2013-14 was the first time that the Department collected unaudited financial data from NHS trusts and foundation trusts in respect of net temporary and agency staffing costs.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/09/2015 08:59:29 answering member 3988 label Biography information for Ben Gummer
tabling member	545 label Biography information for Paul Flynn

416196

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
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 effectiveness of Clinical Commissioning Groups incentive schemes.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8673
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Incentive schemes for clinical commissioning group (CCGs) commissioning are primarily a matter for NHS England.</p><p> </p><p> </p><p> </p><p>NHS England’s Commissioning Committee reviewed the incentives for CCGs and providers in July 2015, and noted that “there is inconclusive evidence as to the consistent effectiveness of current incentives” .</p><p> </p><p> </p><p> </p><p>The Committee asked for futher work to be done and for proposals to simplify the incentive schemes to be brought back later in the year.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 14/09/2015 15:40:27 answering member 4020 label Biography information for George Freeman
tabling member	545 label Biography information for Paul Flynn

416199

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on reducing the cost to the NHS of temporary staffing.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8681
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>On 2 June 2015, my Rt. Hon. friend the Secretary of State announced a series of measures to reduce the cost to the National Health Service of agency spend. These measures were rolled out on 1 September 2015 and include:</p><p> </p><p> </p><p> </p><p>- the setting of an annual ceiling for total nursing agency spend for each NHS trust for October 2015 to March 2016, and 2016/17 to 2018/19;</p><p> </p><p> </p><p> </p><p>- mandatory use of approved frameworks for procuring agency staff; and</p><p> </p><p> </p><p> </p><p>- a price cap will be set for nursing agency staff and will be implemented later this year, with rules on spending on other clinical and management staff to follow.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 14/09/2015 08:58:22 answering member 3988 label Biography information for Ben Gummer
tabling member	545 label Biography information for Paul Flynn

416200

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Telephone Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the reasons are for the time taken in the procurement of NHS 111 and out-of-hours call handling services.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8682
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>A letter from Dame Barbara Hakin, the National Director of Commissioning Operations at NHS England, to commissioners in July recommended the introduction of an integrated 24/7 urgent care access, treatment and clinical advice service. NHS England is working to ensure that the procurement of these services is consistent with these standards, which will be published shortly.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 16:48:45 answering member 3918 label Biography information for Jane Ellison
tabling member	545 label Biography information for Paul Flynn

416201

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Telephone Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable is for the completion of the tendering and procurement process for NHS 111 and out-of-hours call handling services.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8683
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Many clinical commissioning groups (CCGs) have been working with stakeholders to design new care pathways that improve the experience and outcomes for patients accessing NHS 111 and GP Out of Hours. Timescales for the re-procurement of NHS 111 and GP Out of Hours vary across the country, depending on contract end dates.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 16:48:24 answering member 3918 label Biography information for Jane Ellison
tabling member	545 label Biography information for Paul Flynn

416204

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: 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 implications for his policies of the recommendation of the King's Fund in its report published in July 2015, Making change possible, that a dedicated transformation fund for the NHS be established.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	8693
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>The Department will consider the report’s recommendations in developing our plans for working with the National Health Service in implementing the Five Year Forward View.</p><p> </p><p> </p><p> </p><p>The Government has already committed £1 billion of transformation funding over four years (2015-16 to 2018-19) for Primary Care and Community Facilities and £200 million in 2015-16 for piloting new models of care.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 15:54:38 answering member 1201 label Biography information for Alistair Burt
tabling member	545 label Biography information for Paul Flynn