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226302

registered interest
date	10/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Specialised Commissioning Oversight Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the remit is of NHS England's Specialised Commissioning Oversight Group; what plans NHS England has for the future of that Group; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	226913
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>NHS England’s Specialised Commissioning Oversight Group has a remit to:</p><p> </p><p>- provide assurance to NHS England that specialised commissioning strategic priorities are being met through operational delivery;</p><p> </p><p>- drive the continuous improvement of standards and outcomes;</p><p> </p><p>- reduce reduction of variation and inequalities for specialised commissioning; and</p><p> </p><p>- provide assurance that there are robust systems and processes in place for the monitoring and assurance of Specialised Commissioning.</p><p> </p><p> </p><p> </p><p>NHS England has advised that the current plans are to continue the group as established.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/03/2015 17:32:01 answering member 3918 label Biography information for Jane Ellison
tabling member	204 label Biography information for Paul Burstow

226303

registered interest
date	10/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	National Institute for Health and Care Excellence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 2 March 2015 to Question 224947, for what reasons the data requested is aggregated over the three years 2012-14; and if he will provide the figures for (a) 2012, (b) 2013 and (c) 2014 separately.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	226914
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>I regret that the information in my answer of 2 March 2015 was not provided in the format requested. I apologise for this oversight.</p><p> </p><p> </p><p> </p><p>The information is shown in the table<sup>1</sup>.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td></tr><tr><td><p>Patient organisations</p></td><td><p>46</p></td><td><p>39</p></td><td><p>40</p></td></tr><tr><td><p>Manufacturers</p></td><td><p>18</p></td><td><p>22</p></td><td><p>32</p></td></tr><tr><td><p>Professional organisations</p></td><td><p>58</p></td><td><p>47</p></td><td><p>49</p></td></tr><tr><td><p>Other organisations</p></td><td><p>23</p></td><td><p>12</p></td><td><p>13</p></td></tr></tbody></table><p> </p><p><sup>1</sup> Some organisations will be involved in more than one year.</p><p> </p><p> </p><p> </p><p><em>Source:</em> National Institute for Health and Care Excellence</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/03/2015 17:30:50 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

226311

registered interest
date	10/03/2015
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, pursuant to the Answer of 2 March 2015 to Question 224949, on what date NHS England began reviewing its policy on individual funding requests; which parties are contributing to that review; when he expects the review to conclude; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	227004
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>NHS England has advised that it will be reviewing its policy on individual funding requests during 2015 and the timescale of this review will be determined in the coming weeks.</p><p> </p><p> </p><p> </p><p>NHS England will consider how the policy will be reviewed and who will be involved.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/03/2015 17:08:30 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

226318

registered interest
date	10/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Levodopa
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 2 March 2015 to Question 224941, what the precise recommendation made by the Clinical Reference Group referred to in that Answer was; whether that recommendation related to (a) in year or (b) ongoing routine commissioning; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	227005
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>NHS England has advised that its Neuroscience Clinical Reference Group’s recommendation was to approve the clinical policy to support the routine commissioning of levodopa-carpidopa intestinal gel for advanced Parkinson’s disease and to go out to full public consultation.</p><p> </p><p> </p><p> </p><p>The recommendation related to an in year commissioning decision.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/03/2015 15:53:34 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

222990

registered interest
date	23/02/2015
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, whether the specialised services circular issued by NHS England on 30 September 2013, ID SSC1315, on Individual Funding Requests for Clinically Urgent Treatment Outside Established Policy, remains in force; whether individual requests for treatments for which a cohort policy is in development will not be funded without evidence of clinical exceptionality; how many individual funding requests for (a) all treatment and (b) Duodopa were (i) approved and (ii) not approved under the (A) critical clinically urgent criteria and (B) urgent non-clinical criteria in each month in which that circular has been in force; if all requests made under the urgent non-clinical criteria received expert opinion from the Chair of the relevant clinical reference group within two weeks; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	224981
answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>NHS England has confirmed that, to be successful, any individual funding request (IFR) for Duodopa must demonstrate exceptionality against the cohort of patients with Parkinson's disease in NHS England’s draft commissioning policy.</p><p> </p><p> </p><p> </p><p>Although it does not routinely commission Duodopa for the treatment of advanced Parkinson’s disease, NHS England has advised that, it will consider funding this treatment in exceptional clinical circumstances. Clinicians can submit IFRs for this treatment to NHS England on behalf of their patients.</p><p> </p><p> </p><p> </p><p>NHS England has IFRs for all treatments/interventions were received by NHS England through the standard IFR process. 238 of these were considered by an NHS England IFR panel.</p><p> </p><p> </p><p> </p><p>21 requests for Duodopa were received as shown in the table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>IFR team</p></td><td><p>Indication</p></td><td><p>Number of IFRs received</p></td><td><p>Approved</p></td><td><p>Not Approved</p></td></tr><tr><td><p>Midlands and East</p></td><td><p>Duodopa</p></td><td><p>3</p></td><td><p>0</p></td><td><p>3</p></td></tr><tr><td><p>North</p></td><td><p>Duodopa</p></td><td><p>5</p></td><td><p>0</p></td><td><p>5</p></td></tr><tr><td><p>London</p></td><td><p>Duodopa</p></td><td><p>11</p></td><td><p>0</p></td><td><p>11</p></td></tr><tr><td><p>South</p></td><td><p>Duodopa</p></td><td><p>2</p></td><td><p>0</p></td><td><p>2</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England is unable to provide monthly figures due to the small volume of requests as this could lead to the identification of individual patients.</p><p> </p><p> </p><p> </p><p>NHS England has advised that the SSC1315 on Individual Funding Requests for Clinically Urgent Treatment Outside Established Policy has officially expired but has been maintained whilst a review is taking place regarding how such cases will be handled in the future.</p><p> </p><p> </p><p> </p><p>It has confirmed that not all non-clinical IFRs require an expert opinion. This is only sought when it is felt that further expert opinion is required. It should be noted that Duodopa became NHS England’s responsibility from April 2014. Prior to then cases were considered by clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>Details of IFRs processed under specialised services circular SSC1315 for the period 1 October 2013 to 24 February 2015 are shown in the table:</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td rowspan="2"><p>IFR team</p></td><td rowspan="2"><p>Indication</p></td><td rowspan="2"><p>Number of IFRs received</p></td><td colspan="2"><p>Approved</p></td><td colspan="2"><p>Not Approved</p></td></tr><tr><td><p>critical clinically urgent</p></td><td><p>urgent non-clinical</p></td><td><p>critical clinically urgent</p></td><td><p>urgent non-clinical</p></td></tr><tr><td rowspan="2"><p>Midlands &amp; East</p></td><td><p>All</p></td><td><p>11</p></td><td><p>5</p></td><td><p>6</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>Duodopa</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td rowspan="2"><p>North</p></td><td><p>All</p></td><td><p>13</p></td><td><p>12</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td></tr><tr><td><p>Duodopa</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td rowspan="2"><p>London</p></td><td><p>All</p></td><td><p>37</p></td><td><p>31</p></td><td><p>3</p></td><td><p>3</p></td><td><p>0</p></td></tr><tr><td><p>Duodopa</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td rowspan="2"><p>South</p></td><td><p>All</p></td><td><p>18</p></td><td><p>10</p></td><td><p>1</p></td><td><p>3</p></td><td><p>4</p></td></tr><tr><td><p>Duodopa</p></td><td><p>6</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS England</p><p> </p><p> </p><p> </p><p>Further information about NHS England’s IFR process is available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/04/cp-03.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/04/cp-03.pdf</a></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 224942 224946 question first answered 02/03/2015 17:40:04 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

222997

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Priorities Advisory Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether NHS England is continuing to consider whether to publish the minutes of meetings of the Clinical Priorities Advisory Group; what factors it is taking into consideration before making that decision; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	224943
answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>NHS England has advised that it is planning to publish the Clinical Priorities Advisory Group (CPAG) minutes for the meeting which took place in February. It plans to publish these minutes and others following the current NHS England consultation on the principles underpinning prioritisation in specialised services. The consultation closes on 27 April 2015 and can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.engage.england.nhs.uk/consultation/investing-in-specialised-commissioning" target="_blank">www.engage.england.nhs.uk/consultation/investing-in-specialised-commissioning</a></p><p> </p><p> </p><p> </p><p>NHS England has advised that it intends to routinely publish minutes of CPAG meetings in the future, and is considering how to make available minutes of previous meetings.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/03/2015 17:42:49 answering member 3918 label Biography information for Jane Ellison
tabling member	204 label Biography information for Paul Burstow

223001

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Levodopa
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what basis NHS England's Clinical Priorities Advisory Group has recommended that Duodopa should not be routinely commissioned by NHS England; what factors NHS England's Clinical Priorities Advisory Group took into consideration in reaching that recommendation; what advice NHS England's Clinical Priorities Advisory Group sought from patient representatives in reaching that decision; what process NHS England follows to allow interested parties to appeal recommendations by the Clinical Priorities Advisory Group; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	224941
answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>NHS England has advised that its Neuroscience Clinical Reference Group (CRG) carefully reviewed the clinical evidence for the treatment of advanced Parkinson’s disease with Duodopa (co-careldopa) and made a recommendation to the Clinical Priorities Advisory Group (CPAG).</p><p> </p><p> </p><p> </p><p>CPAG accepted the CRG’s recommendation that Duodopa should not be routinely commissioned for treatment of this condition and, in turn, made this recommendation to the Directly Commissioned Services Committee of the NHS England Board. The Board committee endorsed the recommendation in June 2014.</p><p> </p><p> </p><p> </p><p>Both patients and carers were involved in the decision-making process. There are four patient /carer representatives on the CRG, and patient and public stakeholders registered with the CRG were given an opportunity to feed in their views before the Group made its recommendations to CPAG. CPAG’s membership includes a lay chair and four patient representatives.</p><p> </p><p> </p><p> </p><p>Further work has been undertaken on Duodopa since NHS England’s Board endorsed CPAG’s decision in June 2014 and NHS England will reconsider whether or not to commission this treatment, alongside a number of other specialised treatments, later this year.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 02/03/2015 17:47:01 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

223004

registered interest
date	23/02/2015
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, if he will request that NHS England review its policy on individual funding requests.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	224949
answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>We have no such plans. We understand that NHS England is currently reviewing its generic policies, including its interim commissioning policy on individual funding requests.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 02/03/2015 17:45:14 answering member 4020 label Biography information for George Freeman
tabling member	204 label Biography information for Paul Burstow

223090

registered interest
date	23/02/2015
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Unemployed People: Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what research he has commissioned into the mental health needs of people claiming jobseeker's allowance.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	224969
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p /> <p><strong> </strong></p><p>We recognise that mental health is a mainstream issue for employment support and are committed to supporting people with common mental health conditions into employment. That is why the Department commissioned research into the effects that unemployment has on the mental health and wellbeing of Jobseeker’s Allowance (JSA) claimants. In 2012 we published <em>The Mental health in context: the national study of work-search and wellbeing</em> <em>report</em> which examined the mental health and wellbeing of JSA claimants.</p><p> </p><p> </p><p>We also commissioned RAND Europe to undertake research to examine the existing evidence on mental health interventions and propose new approaches to develop the evidence base for future policy development. The report suggested a range of approaches to improve the alignment of mental health and employment services for people with common mental health conditions.</p><p> </p><p>With the Department of Health we took forward a number of feasibility pilots based on the recommendations put forward in the report <em>Psychological Wellbeing and Work: Improving Service Provision and Outcomes </em>to explore the most promising and evidence-based approaches to supporting individuals with mental health conditions.</p><p> </p><p>These pilots will contribute to a better evidence base for action and will inform our thinking about next steps not only for government, but for all who have a role to play including employers, commissioners, service providers and individuals.</p><p> </p><p>We will expand these pilots from summer 2015 and use the learning from the early pilots to support the delivery of the next phase.</p> answering member constituency Forest of Dean answering member printed Mr Mark Harper question first answered 26/02/2015 15:26:52 answering member 1520 label Biography information for Mr Mark Harper
tabling member	204 label Biography information for Paul Burstow

173665

registered interest
date	14/01/2015
answering body	Department for Business, Innovation and Skills
answering dept id	26
answering dept short name	Business, Innovation and Skills
answering dept sort name	Business, Innovation and Skills
hansard heading	Social Services: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Business, Innovation and Skills, with reference to the contribution of 13 January 2015 by the Parliamentary Under-Secretary of State for Business, Innovation and Skills, Official Report, columns 218-22WH, on care sector, what discussions his Department has had with the Department for Communities and Local Government and the Department of Health on the effect of commissioning decisions by local authorities on the level of compliance with the national minimum wage in the care sector; and if he will make a statement.
tabling member constituency	Sutton and Cheam
tabling member printed	Paul Burstow
uin	220728
answer	answer is ministerial correction date of answer 19/01/2015 answer text <p>The Government is taking action to improve compliance with the National Minimum Wage (NMW) in the social care sector. We are working closely with the Department of Health, Communities and Local Government and HM Revenue and Customs (HMRC).</p><p> </p><p>Over the period 1 April 2011 to 31 March 2013, HMRC have made enquiries into 224 employers in the social care sector. Over half of these were paying less than the minimum wage between them owing £1,319 729 arrears of pay to 6550 workers, with penalties issued with a total value of £146,931. There are 94 investigations currently underway in the social care sector.</p><p> </p><p>The Department of Health have recently published statutory guidance for local authorities as part of the package of secondary legislation to accompany the Care Act. The chapter of statutory guidance on commissioning and market shaping explicitly states that local authorities should have evidence that contract terms, conditions and fee levels will not compromise care providers’ ability to pay at least minimum wages.</p><p> </p><p>The Department of Health is asking all Local Authorities to sign up to the Social Care Commitment which incorporates a statement about employer compliance with minimum wage legislation. The Association of Directors of Adult Social Services has written out to all its members encouraging them to support the Commitment as a way of raising standards in adult social care.</p><p> </p><p>The Department of Health is also working with the Association of Directors of Adult Social Services (ADASS), the Local Government Association (LGA) and the Health Services Management Centre at Birmingham University to develop as set of Commissioning Standards. Local authorities will be encouraged to use these as a benchmark to support them to improve commissioning practices, including those which have an impact on the social care workforce such as employer compliance with National Minimum Wage.</p><p> </p><p>In addition to the actions we are currently taking to reduce non-compliance in the social care sector, we will also be:</p><p> </p><p>• issuing guidance to employers so that they understand the NMW law, including tips to avoid common mistakes and the records that they should be keeping to prove that they are paying their workers correctly.</p><p> </p><p>• encouraging care sector workers who have been underpaid to make a complaint- making sure that they understand their entitlement.</p><p> </p><p>HMRC have started work on new targeted enforcement work in the care sector.</p><p> </p><p>Any worker who is concerned that they have not received what they are entitled to should call the helpline on 0800 917 2368. HMRC follow up every complaint.</p><p> </p> answering member constituency East Dunbartonshire answering member printed Jo Swinson question first answered 19/01/2015 15:37:41 answering member 1513 label Biography information for Jo Swinson
tabling member	204 label Biography information for Paul Burstow