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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

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

92623

registered interest
date	10/10/2014
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 change there has been in the number of people requiring healthcare (a) at home and (b) in the community between May 2010 and May 2014.
tabling member constituency	Erith and Thamesmead
tabling member printed	Teresa Pearce
uin	209320
answer	answer is ministerial correction date of answer 17/10/2014 answer text <p>Data on the number of people requiring healthcare at home and in the community is not held centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/10/2014 13:21:07 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4003 label Biography information for Teresa Pearce

91993

registered interest
date	26/09/2014
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, whether the NHS England internal taskforce currently reviewing specialised commissioning plans to seek input from internal stakeholders.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209453
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 209452 question first answered 15/10/2014 17:50:31 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

91996

registered interest
date	26/09/2014
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 discussions he has had in the last six months with NHS England's Executive Team on the review of specialised commissioning.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209452
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 209453 question first answered 15/10/2014 17:50:31 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

92010

registered interest
date	26/09/2014
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, whether any changes proposed as a result of the current review of the commissioning of specialised services will be subject to public consulation.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	209449
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 15/10/2014 15:11:28 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed