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1005983

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	Hospitals: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what evidence his Department holds on the effect on the quality of care of fines levied as a result of hospitals breaching targets; and whether he is taking steps to ensure that such fines do not detract from the provision of care to potentially affected populations.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190930
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>All providers of National Health Service-funded healthcare services are expected to meet a range of national standards, other operational standards and quality requirements. These are set out in the NHS Standard Contract along with the consequences of breaches of these. In many cases, the consequence would be a financial sanction.</p><p> </p><p>Since April 2016, most NHS providers agreeing to meet financial control targets as part of the sustainability funding programme are exempt from such sanctions. However, any revenue withheld is reinvested in the local healthcare system.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:47:35 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005984

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	Health Services: Standards
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 potential effectiveness of quality incentive schemes in improving the quality of care to patients.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190931
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>Several different quality incentive schemes operate in the National Health Service.</p><p> </p><p>The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.</p><p> </p><p>The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.</p><p> </p><p>CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:43:31 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4657 label Biography information for Anneliese Dodds

1005985

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	Integrated Care Systems
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether he is taking steps to ensure that the proposed whole population annual budget for Integrated Care Provider contracts does not create (a) incentives to underbid to obtain contracts and (b) other perverse incentives.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190932
answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England launched a 12 week public consultation on the proposed contracting arrangements for integrated care providers (ICPs) on 3 August 2018 which concluded on 26 October. More information is available at the following link:</p><p> </p><p><a href="https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/" target="_blank">https://www.engage.england.nhs.uk/consultation/proposed-contracting-arrangements-for-icps/</a></p><p> </p><p>NHS England will publish a response to the consultation following full consideration of responses and feedback.</p><p> </p><p>The consultation documents provide more detail about NHS England’s current proposals for ICPs, including the proposed integrated budget.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 21/11/2018 14:48:51 answering member 1585 label Biography information for Stephen Hammond
tabling member	4657 label Biography information for Anneliese Dodds

1005990

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	Female Genital Mutilation
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 has been made of the effect of the legal duty to inform police of FGM on the rates of (a) disclosure of FGM and (b) medical treatment on the after-effects of FGM.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190934
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>The decision by a patient to disclose female genital mutilation (FGM) to a healthcare professional is complex, and depends on many considerations. The FGM Mandatory Reporting duty (which applies only when the patient is under 18) is just one aspect of this.</p><p> </p><p>The Home Office amended the police Annual Data Requirement (ADR) to allow police forces the opportunity from April 2018 to record, on a voluntary basis, offences of FGM which were initially reported to the police under the FGM Mandatory Reporting Duty. Subject to data quality checks, we expect the first dataset under this new voluntary ADR collection to be published in late 2019.</p><p> </p><p>With this information in combination with the FGM Enhanced Dataset, published by NHS Digital, we will be able to consider whether there is evidence of impact of the FGM Mandatory Reporting duty.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/11/2018 14:58:30 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4657 label Biography information for Anneliese Dodds

1005991

registered interest
date	13/11/2018
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Female Genital Mutilation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, what assessment his Department has made of the effectiveness of the approaches taken by different police forces when they are notified by a body which is legally bound to report FGM that a girl or woman has been subject to FGM.
tabling member constituency	Oxford East
tabling member printed	Anneliese Dodds
uin	190935
answer	answer is ministerial correction date of answer 20/11/2018 answer text <p>Female Genital Mutilation (FGM) is a crime and it is child abuse. The Government is clear that we will not tolerate a practice that can cause extreme and lifelong suffering to women and girls.</p><p>The Serious Crime Act 2015 introduced a new FGM mandatory reporting duty requiring all regulated health, social care and teaching professionals to report known cases of FGM in under 18s directly to the police.</p><p>The Home Office has published information for the professionals subject to the duty and the police on GOV.uk. This makes clear that upon receipt of a report the police will record the information and initiate a multi-agency response, in line with local safeguarding arrangements.</p><p>To improve understanding of the prevalence of so-called ‘Honour Based Violence’ including FGM, we amended the police Annual Data Requirement (ADR) to allow police forces the opportunity from April 2018 to record on a voluntary basis where a crime has been committed in the context of preserving the ‘honour’ of a family or community. This new voluntary collection is also capturing police recorded offences of FGM which were initially reported to the police under the duty.</p><p> </p> answering member constituency Louth and Horncastle answering member printed Victoria Atkins question first answered 20/11/2018 16:17:13 answering member 4399 label Biography information for Victoria Atkins
tabling member	4657 label Biography information for Anneliese Dodds