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1130512

	registered interest
	date	06/06/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Freight
	house id	1
	legislature	25259 pref label House of Commons
	question text	suggested redraft: To ask the Secretary of State for Transport, what estimate his Department has made of the potential effect on the viability of rail freight of a 25 per cent reduction in (a) mode shift revenue support and (b) waterborne freight grant.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	261186
	answer	answer is ministerial correction date of answer 14/06/2019 answer text <p>The Government provides grants worth £15.6m per year to support rail and water freight services which deliver environmental and economic benefits over road transport, but whose operating costs are higher. This level is net of a significant efficiency saving implemented since 2015.</p><p> </p><p>Rail flows of intermodal freight continue to be healthy and the grants deliver high value for money. A research project is underway to inform decisions about future funding and operation of the grants and will consider stakeholder feedback.</p> answering member constituency Harrogate and Knaresborough answering member printed Andrew Jones question first answered 14/06/2019 10:38:31 answering member 3996 label Biography information for Andrew Jones
	tabling member	3957 label Biography information for Martin Vickers

1083715

	registered interest
	date	07/03/2019
	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	Physiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To asks the Secretary of State for Health and Social Care, what the timetable is for the implementation of all of the pilots for first contact physiotherapy practitioners; and when the outcomes of those pilots will be reported.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	229698
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The First Contact Practitioners (FCP) pilot is part of NHS England’s plan to increase staff working in primary care to help ease pressure on general practice. FCPs are physiotherapists with advance practice, who are able to support patient management in primary care. To date, 41 of 42 physiotherapy practitioner pilot sites have commenced, with a further site scheduled to go live on 1 April 2019.</p><p> </p><p>An evaluation report is due to be completed in spring 2019, which is based on pilot site mobilisation. Evaluation will continue during 2019/20.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/03/2019 10:51:39 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

1110599

	registered interest
	date	09/04/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Tickets
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, whether he has plans to reform the rail ticketing and settlement agreement to enable a more (a) transparent, (b) innovative and (c) simpler fares and ticketing system.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	242794
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Ticketing and Settlement Agreement (TSA) is maintained and managed by the Rail Delivery Group (RDG) on behalf of the train operators. It is for the industry to propose changes to the TSA, and for Secretary of State to approve those changes where he is required to do so. The RDG has submitted to the Williams Rail Review its proposals for reform of the fares system, including reform of the TSA, and we are ready to work with the industry to consider how its proposals might work and be tested in the real world.</p><p> </p> answering member constituency Harrogate and Knaresborough answering member printed Andrew Jones grouped question UIN 242792 242793 question first answered 15/04/2019 13:06:26 answering member 3996 label Biography information for Andrew Jones
	tabling member	3957 label Biography information for Martin Vickers

1110556

	registered interest
	date	09/04/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Tickets
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, what recent assessment he has made of the effectiveness of the rail ticketing and settlement agreement, and if he will make a statement.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	242793
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Ticketing and Settlement Agreement (TSA) is maintained and managed by the Rail Delivery Group (RDG) on behalf of the train operators. It is for the industry to propose changes to the TSA, and for Secretary of State to approve those changes where he is required to do so. The RDG has submitted to the Williams Rail Review its proposals for reform of the fares system, including reform of the TSA, and we are ready to work with the industry to consider how its proposals might work and be tested in the real world.</p><p> </p> answering member constituency Harrogate and Knaresborough answering member printed Andrew Jones grouped question UIN 242792 242794 question first answered 15/04/2019 13:06:26 answering member 3996 label Biography information for Andrew Jones
	tabling member	3957 label Biography information for Martin Vickers

1110555

	registered interest
	date	09/04/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Railways: Tickets
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Transport, how many amendments his Department has made to the rail ticketing and settlement agreement since the establishment of that scheme.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	242792
	answer	answer is ministerial correction date of answer 15/04/2019 answer text <p>The Ticketing and Settlement Agreement (TSA) is maintained and managed by the Rail Delivery Group (RDG) on behalf of the train operators. It is for the industry to propose changes to the TSA, and for Secretary of State to approve those changes where he is required to do so. The RDG has submitted to the Williams Rail Review its proposals for reform of the fares system, including reform of the TSA, and we are ready to work with the industry to consider how its proposals might work and be tested in the real world.</p><p> </p> answering member constituency Harrogate and Knaresborough answering member printed Andrew Jones grouped question UIN 242793 242794 question first answered 15/04/2019 13:06:26 answering member 3996 label Biography information for Andrew Jones
	tabling member	3957 label Biography information for Martin Vickers

1110760

	registered interest
	date	09/04/2019
	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	Pain: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the recommendations on page 75 of the Faculty of Pain Medicine published in The Core Standards for Pain Management Services and the recommendations on page 8 of the General Medical Council published in Good practice in prescribing and managing medicines and devices, what assessment he has made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	242797
	answer	answer is ministerial correction date of answer 12/04/2019 answer text <p>No specific assessment has been made of the potential benefit to people with chronic pain of receiving an annual review for their pain management services.</p><p> </p><p>Whilst ultimately a matter for local processes and individual clinicians, annual reviews of patients with long term conditions or ongoing medication needs are a routine part of patient care. Annual reviews are also a key feature in guidance on the management of long-term diseases and disorders produced by the National Institute for Health and Care Excellence (NICE), such as ‘Neuropathic pain in adults’, and in clinical guidance produced by other organisations. NICE is in the process of developing a new clinical guideline ‘Chronic pain: assessment and management’, due for publication in August 2020.</p><p> </p><p>More information about this work can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/indevelopment/gid-ng10069" target="_blank">www.nice.org.uk/guidance/indevelopment/gid-ng10069</a></p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 12/04/2019 14:04:19 answering member 4455 label Biography information for Seema Kennedy
	tabling member	3957 label Biography information for Martin Vickers

1083655

	registered interest
	date	07/03/2019
	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	Northern Lincolnshire and Goole NHS Foundation Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what the timeframe is for Getting It Right First Time units to visit (a) Northern Lincolnshire and (b) Goole NHS Trust in relation to (i) gastroenterology and (ii) dermatology.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	229671
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>A timeframe for the Getting It Right First Time (GIRFT) programme to begin work with Northern Lincolnshire and Goole NHS Foundation Trust regarding its gastroenterology and dermatology specialties has yet to be established. The GIRFT team has been in touch with the Trust about this work and it has agreed that the Trust will notify the team when it is ready to commence.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 14/03/2019 13:31:11 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	3957 label Biography information for Martin Vickers

1105868

	registered interest
	date	28/03/2019
	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	World Health Assembly: Taiwan
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to support Taiwan's participation in the World Health Assembly as an observer; and whether his Department has encouraged Taiwan to participate in technical meetings of the World Health Organisation.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	238323
	answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The Department continues to support the Foreign and Commonwealth Office on this topic. The Government is working with likeminded countries to lobby the World Health Organization (WHO) at official level to issue an invitation to Taiwan to observe the World Health Assembly (WHA) in May.</p><p> </p><p>The United Kingdom continues to support Taiwan’s meaningful participation in international organisations where statehood is not a prerequisite and where Taiwan can make a valuable contribution. The UK believes the WHA and related technical meetings of the WHO meet these criteria.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 05/04/2019 11:17:08 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3957 label Biography information for Martin Vickers

1083714

	registered interest
	date	07/03/2019
	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	Pain
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that general practitioners, nurses and pharmacists are competent in the routine assessment and management of chronic pain.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	229697
	answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>The routine assessment and management of pain is a required competency of all healthcare professionals. Many patients with chronic pain can be successfully supported and managed through routine primary and secondary care pain management services. Approaches to treatment are not all pharmacological; education in self-management techniques to aid symptom control may also be appropriate for some patients.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) is currently developing guidance on the assessment and management of chronic pain aimed at all settings in which National Health Service and local authority commissioned care is provided. The guidance is expected to be published on 19 August 2020. Guidance scope for the NICE clinical guidance document in development can be found via the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/gid-ng10069/documents/final-scope" target="_blank">www.nice.org.uk/guidance/gid-ng10069/documents/final-scope</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 229696 question first answered 15/03/2019 12:29:36 answering member 4067 label Biography information for Steve Brine
	tabling member	3957 label Biography information for Martin Vickers

1083656

	registered interest
	date	07/03/2019
	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	Inflammatory Bowel Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the savings accrued to the public purse by North Lincolnshire Care Commissioning Group as a result of the implementation of Yorkshire and Humber AHSN’s improved faecal calprotectin pathway for diagnosis of Inflammatory Bowel Disease; and if he will make a statement.
	tabling member constituency	Cleethorpes
	tabling member printed	Martin Vickers
	type	WrittenParliamentaryQuestion
	uin	229672
	answer	answer is ministerial correction date of answer 15/03/2019 answer text <p>No estimate has been made. The National Institute for Health and Care Excellence (NICE) recommends faecal calprotectin testing as an option to help doctors distinguish between inflammatory bowel diseases (IBDs), such as Crohn’s disease and ulcerative colitis, and non-IBDs, such as irritable bowel syndrome.</p><p> </p><p>The NICE IBD Quality Standard states that general practitioners (GP) and GP practices should ensure that testing is offered and clinical commissioning groups should ensure the diagnostic services are in place to support this.</p><p> </p><p>NHS England has produced a consensus guidance document that supports implementation of the NICE guidance. Both the guidance and statement can be found at the following link:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/dg11/resources/endorsed-resource-the-use-of-faecal-calprotectin-in-primary-care-as-a-decision-diagnostic-for-inflammatory-bowel-disease-and-irritable-bowel-syndrome-4595859613" target="_blank">www.nice.org.uk/guidance/dg11/resources/endorsed-resource-the-use-of-faecal-calprotectin-in-primary-care-as-a-decision-diagnostic-for-inflammatory-bowel-disease-and-irritable-bowel-syndrome-4595859613</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/03/2019 13:37:36 answering member 4067 label Biography information for Steve Brine
	tabling member	3957 label Biography information for Martin Vickers