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100726

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many clinical commissioning groups in England provide some form of falls service.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211728
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs) and data on numbers is not collected centrally. NHS England advises that it is aware that provision of good FLS is not uniform across the country and is working with CCGs to support them to develop appropriate local services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted. In addition to this, the guidance from the National Institute for Health and Care Excellence (NICE) ‘Falls: assessment and prevention of falls in older people’ sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.</p><p> </p><p> </p><p> </p><p>Regarding the cost to the National Health Service of treating fractures attributable to osteoporosis, whilst programme budgeting data provides figures for annual NHS spend on musculoskeletal services in England, the cost of treating individual musculoskeletal conditions, such as osteoporosis or specific services such as FLS, is not available as part of this.</p><p> </p><p> </p><p> </p><p>Information concerning the number of people affected by osteoporosis in each of the last five years is not collected. NICE estimates that over 300,000 patients present with fragility fractures to hospitals in the United Kingdom each year.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211736 211737 211738 211740 question first answered 30/10/2014 16:37:15 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall

100731

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much clinical commissioning groups in England spent on falls services in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211736
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs) and data on numbers is not collected centrally. NHS England advises that it is aware that provision of good FLS is not uniform across the country and is working with CCGs to support them to develop appropriate local services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted. In addition to this, the guidance from the National Institute for Health and Care Excellence (NICE) ‘Falls: assessment and prevention of falls in older people’ sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.</p><p> </p><p> </p><p> </p><p>Regarding the cost to the National Health Service of treating fractures attributable to osteoporosis, whilst programme budgeting data provides figures for annual NHS spend on musculoskeletal services in England, the cost of treating individual musculoskeletal conditions, such as osteoporosis or specific services such as FLS, is not available as part of this.</p><p> </p><p> </p><p> </p><p>Information concerning the number of people affected by osteoporosis in each of the last five years is not collected. NICE estimates that over 300,000 patients present with fragility fractures to hospitals in the United Kingdom each year.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211728 211737 211738 211740 question first answered 30/10/2014 16:37:15 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall

100195

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to simplify the provision and commissioning of secondary care; and if he will make a statement.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	211309
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
tabling member	4025 label Biography information for Mrs Pauline Latham

100204

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to ensure the effectiveness of National Health Service purchasing and promote procurement on a regional or national scale.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	211312
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Individual National Health Service trusts are responsible for their own procurement activity and are supported by collaborative procurement organisations working at regional and national level.</p><p> </p><p> </p><p> </p><p>The Department launched a Procurement Efficiency Programme (<em>Better Procurement Better Value Better Care</em>) in August 2013, further details of which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/publications/improving-procurement-in-the-nhs" target="_blank">https://www.gov.uk/government/publications/improving-procurement-in-the-nhs</a></p><p> </p><p> </p><p> </p><p>This programme focussed on the need to improve local capability, data and leadership in the longer term and the need to drive £1.5-£2 billion of efficiency savings in the immediate term. As part of this efficiency programme the Department is working with NHS trusts and collaborative procurement organisations to determine the most effective procurement approaches going forward.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:38:12 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4025 label Biography information for Mrs Pauline Latham

93841

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he will publish the response to the public consultation on the NHS National Tariff Payment System 2015-16.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210854
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>In accordance with section 118(1) of the Health and Social Care Act 2012, Monitor is required to send a notice of the proposals for the National Tariff to all licensed providers and unlicensed providers who provide NHS healthcare services where there is a proposed national price. These providers may comment on any of the policy proposals that are contained in the consultation notice and, in particular, may object to any method proposed under section 118(3)(b) of the Act.</p><p> </p><p> </p><p> </p><p>It is currently Monitor’s intention to release this notice at the end of October. Responses to this consultation will be released along with the final tariff publication.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 15:51:38 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

93399

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the nature of the relationship between Ministers, the Prescribed Specialised Services Advisory Group and NHS England in prescribing specialised services under the Health and Social Care Act 2012.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2065
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2066 HL2067 question first answered 24/10/2014 11:31:33 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93400

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they plan to change the scope of specialised services directly commissioned by NHS England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2066
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2065 HL2067 question first answered 24/10/2014 11:31:34 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93401

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the commissioning of specialised services by NHS England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2067
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2065 HL2066 question first answered 24/10/2014 11:31:31 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

92814

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to implement a national outreach service for diseases such as tuberculosis, HIV and diabetes for areas with high health inequalities.
tabling member printed	Baroness Suttie
uin	HL2050
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Department through NHS England has a legal duty to have regard to reducing health inequalities and this will be reflected in any assessment for the potential development of national services.</p><p> </p><p> </p><p> </p><p>Diagnosing, treating and preventing transmission of TB among under-served groups will prevent transmission of infection to the wider population and reduce health and social inequalities. Public Health England and NHS England will launch the Collaborative TB Strategy for England 2015-2020 this year. The strategy sets out the improvements that need to be achieved across 10 key evidence based areas of action to reduce TB in England, and the mechanisms by which these should be delivered. One of the key evidence based areas of action is to reduce incidence of TB in under-served populations by providing specific and targeted outreach interventions (informed by proven models such as “Find &amp; Treat” in London). These include specific services for active case finding for TB of the lungs among homeless people and those attending substance misuse services, use of mobile X-ray units (MXUs) with incentives for people to have chest X-rays, enhanced case management and return to service interventions to prevent loss to follow up.</p><p> </p><p><strong> </strong></p><p> </p><p>There are a number of actions being taken to improve access to HIV testing and reduce late diagnosis, especially in areas with high inequalities. These include the Terrence Higgins Trust to manage a national HIV Prevention Contract which the Department funds; information PHE publishes on rates of late HIV diagnoses by LA, socio-demography, and risk group; and joint PHE and DH approaches to increase HIV testing through funding a national home-sampling service that resulted in a large number of the most at-risk getting tested for HIV.</p><p> </p><p> </p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services, so they would decide, depending on local needs and circumstances, whether an outreach service was appropriate. The NHS Health Check plays an important role in reducing the risk of diabetes and identifying people earlier who have the disease and plays a key role in tackling health inequalities.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:35:23 answering member 2000 label Biography information for Earl Howe
tabling member	4298 label Biography information for Baroness Suttie

92992

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department provides to clinical commissioning groups about commissioning services on treatments from hospitals (a) in Scotland and (b) outside their own area.
tabling member constituency	Berwick-upon-Tweed
tabling member printed	Sir Alan Beith
uin	210196
answer	answer is ministerial correction date of answer 16/10/2014 answer text <p>Clinical commissioning groups’ (CCGs) commissioning responsibilities are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (SI 2012/2996) and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013 (SI 2013/350), as amended.</p><p> </p><p> </p><p> </p><p>NHS England have published the document ‘Who Pays? Determining responsibility for payments to providers’ which provides guidance for CCGs on commissioning services from hospitals in Scotland and outside their own area.</p><p> </p><p> </p><p> </p><p>A copy is attached.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 16/10/2014 15:10:39 answering member 1439 label Biography information for Norman Lamb attachment 1 file name who-pays.pdf title Who Pays? NHS England August 2013
tabling member	513 label Biography information for Lord Beith