NHS England contracts with general practitioners (GPs) as independent providers of medical services for the National Health Service. Under the terms of their contract, GPs are required to provide certain medical reports or complete certain forms, including those related to claiming disability benefits, free of charge to their registered patients.<\/p>
<\/p>
Outside their contractual requirements, GPs also offer a variety of other services which successive governments have regarded as private matters between the patient and the GP. In such cases, decisions on whether to charge a fee and the level of the fee charged are at the GP\u2019s discretion.<\/p>
<\/p>
Where GPs intend to charge for services to patients, the British Medical Association (BMA) advises them to forewarn patients, at the earliest opportunity, of the likely level of fees. The BMA also produces guidance on the level of fees that should be charged for commonly provided services.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-07-10", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "2928"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-10T14:17:17.057Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "General Practitioners: Social Security Benefits"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, whether the Government provides guidance to GP surgeries on whether they should provide supporting letters for disability benefit claims if patients request them.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/304", "label" : {"_value" : "Biography information for Mr Roger Godsiff"} } , "tablingMemberConstituency" : {"_value" : "Birmingham, Hall Green"} , "tablingMemberPrinted" : [{"_value" : "Mr Roger Godsiff"} ], "uin" : "2927"} , {"_about" : "http://data.parliament.uk/resources/748192", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748192/answer", "answerText" : {"_value" : "
The National Health Service estate encompasses a huge, varied and complex set of buildings and facilities. Currently annual running costs of the NHS estates are over £8 billion, and NHS providers also spend some £3 billion annually on capital investment, in particular on maintaining and improving their estates and infrastructure. The use of resources to find and remedy fire safety issues remains an absolute priority.<\/p>
As part of the response to the tragic events at Grenfell Tower, actions have been implemented across the NHS to assess the risks of similar issues and ensure that the NHS estate is safe.<\/p>
Fire safety checks of NHS facilities are regularly undertaken in line with legislation and guidance. Hospitals are well prepared \u2013 each one has a tailored fire safety plan, which includes assessment of the provision of fire safety precautions including alarms and evacuation plans. But nothing is more important than the safety of patients and staff, so on a precautionary basis we asked all hospitals to conduct additional checks. Jim Mackey, Chief Executive of NHS Improvement instigated inspections by local fire and rescue services on 24 June 2017.<\/p>
All NHS trusts and foundation trusts were asked to carry out urgent fire safety checks following the Grenfell Tower fire. All NHS trusts have provided assurance that they have undertaken a fire risk assessment in the past 12 months.<\/p>
NHS Improvement has identified 38 organisations requiring support to carry out urgent checks to ascertain if they had cladding similar to that used on the Grenfell Tower. All 38 of these \u2018priority 1\u2019 trusts have started 24-hour fire warden patrols. As of 6 July, of those trusts and foundation trusts:<\/p>
- 19 have had fire safety inspections and a review of additional technical information supplied to NHS Improvement and no further action is necessary at this stage;<\/p>
- 16 are not required to take further action at this stage as the building material sampled is not aluminium composite material (ACM) cladding;<\/p>
- samples of ACM cladding taken from three providers have failed combustibility tests;<\/p>
- The three providers that have failed ACM tests are taking all necessary steps to ensure the safety of those buildings and occupants, in line with updated fire safety guidance issued by NHS Improvement. Of these three providers:<\/p>
- a test sample taken from an office building at King\u2019s College Hospital NHS Foundation Trust failed an ACM fire safety test. The Trust has already removed the cladding as a precautionary measure. This was not a building used by patients;<\/p>
- Sheffield Children\u2019s NHS Foundation Trust is taking steps to remove cladding from one of its buildings following a failed ACM test result. The building is not used for inpatient accommodation and measures are being put in place to ensure the safety of the building while the ACM is removed; and<\/p>
- samples from a building at North Middlesex University Hospitals NHS Trust have also failed the ACM combustibility test. The cladded areas do not house any inpatients.<\/p>
NHS Improvement have confirmed that patient safety is paramount, and that there will be no disruptions to patient services or continuity of care.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"} } , "answeringMemberConstituency" : {"_value" : "Ludlow"} , "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"} , "dateOfAnswer" : {"_value" : "2017-07-10", "_datatype" : "dateTime"} , "groupedQuestionUIN" : [{"_value" : "2937"} , {"_value" : "2941"} ], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-10T15:02:10.683Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Hospitals: Insulation"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, how many hospitals have been identified which are clad with (a) material similar to the Grenfell Tower and (b) other fire-risk material; what remedial work has been carried out on those hospitals; and whether additional funding will be provided by the Government to ensure remedial work on those hospitals is not met from existing NHS budgets.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4244", "label" : {"_value" : "Biography information for Jonathan Ashworth"} } , "tablingMemberConstituency" : {"_value" : "Leicester South"} , "tablingMemberPrinted" : [{"_value" : "Jonathan Ashworth"} ], "uin" : "2936"} , {"_about" : "http://data.parliament.uk/resources/748193", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748193/answer", "answerText" : {"_value" : "
It is for local National Health Service commissioners to make decisions on whether to fund new treatments, taking into account National Institute for Health and Care Excellence guidance, available evidence and individual patient\u2019s clinical circumstances.<\/p>
<\/p>
The future availability of any new or novel treatments would be subject to large scale clinical trials demonstrating the safety and efficacy of the treatment approach and subsequent assessments of its cost effectiveness for routine use.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-07-07", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-07T09:56:28.037Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Visual Impairment: Medical Treatments"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, when magnetic implants to improve eyesight will be available on the NHS.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "2707"} , {"_about" : "http://data.parliament.uk/resources/748194", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748194/answer", "answerText" : {"_value" : "
My Rt. hon. Friend the Secretary of State for Health is committed to ensuring that patients with mental health conditions can receive treatment as close as possible to where they live. Inappropriate out of area placements are unacceptable and the Government has set a target to eliminate these in non-specialist, acute mental health care by 2020/21.<\/p>
<\/p>
To support the delivery of this ambition, in October 2016 the Government put in place the first data collection to secure much-needed national transparency on the number of patients that are sent out of their local area for acute inpatient treatment.<\/p>
<\/p>
NHS England is using this new data to support local health systems to develop and deliver trajectories to eliminate inappropriate out of area placements.<\/p>
<\/p>
More than £400 million which has been made available for investment in mental health crisis resolution home treatment teams over the next four years, enabling them to provide 24/7 crisis response and intensive home treatment as a genuine alternative to admission where appropriate.<\/p>
<\/p>
Shared learning and best-practice advice on reducing out of area placements through improved system capacity management will be included in acute care commissioning guidance.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2017-07-07", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-07T09:57:21.01Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Mental Health Services"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps he is taking to ensure that mental health patients can receive treatment closer to where they live.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "2708"} , {"_about" : "http://data.parliament.uk/resources/748195", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748195/answer", "answerText" : {"_value" : "
Good practice followed at five specialist sexual health clinics (SHCs) that saw a large fall in new diagnoses of HIV among gay and bisexual men will be promoted at other SHCs across the country. The practices include increasing the uptake of testing for all gay and bisexual men by promoting repeat testing among those at higher risk of HIV acquisition and the early commencement of treatment for those who are diagnosed.<\/p>
<\/p>
In addition to HIV testing at SHCs and self-sampling funded by local authorities Public Health England (PHE) has contracted HIV Prevention England to undertake a national programme of HIV prevention for high risk populations to promote key HIV prevention messages including HIV testing and safer sexual behaviours. PHE is also working with NHS England to clarify commissioning arrangements for treatment as prevention to accelerate this progress.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4067", "label" : {"_value" : "Biography information for Steve Brine"} } , "answeringMemberConstituency" : {"_value" : "Winchester"} , "answeringMemberPrinted" : {"_value" : "Steve Brine"} , "dateOfAnswer" : {"_value" : "2017-07-11", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-11T09:51:11.037Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "HIV Infection"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps he is taking to continue the reduction in the number of HIV cases in the UK.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "2709"} , {"_about" : "http://data.parliament.uk/resources/748196", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748196/answer", "answerText" : {"_value" : "
The Department is committed to improving maternity outcomes and experience of care for women and babies.<\/p>
<\/p>
In November 2015, my Rt. hon. Friend the Secretary of State announced a national ambition to halve the rates of stillbirths, neonatal and maternal deaths and brain injuries that occur during or soon after birth by 2030. Action includes tackling issues of culture, leadership and learning, to improve safety in maternity units as well as the outcomes and experience of care for mothers and babies.<\/p>
<\/p>
The Our Chance campaign promotes advice about healthy pregnancy, highlighting the crucial risk factors during pregnancy and the postnatal period which may lead to adverse outcomes for mother and baby. In addition, the Avoiding Term Admission in Neonatal Units programme seeks to prevent the separation of mother and baby (except in cases with a compelling medical reason) and avoid admissions of full-term babies to neonatal units.<\/p>
<\/p>
The Department has invested £365 million from 2015/16 to 2020/21 in perinatal mental health services, and NHS England is leading a transformation programme to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"} } , "answeringMemberConstituency" : {"_value" : "Ludlow"} , "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"} , "dateOfAnswer" : {"_value" : "2017-07-12", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-12T13:44:23.907Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Antenatal Care"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps he is taking to reduce the occurrence of post-natal illness.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4131", "label" : {"_value" : "Biography information for Jim Shannon"} } , "tablingMemberConstituency" : {"_value" : "Strangford"} , "tablingMemberPrinted" : [{"_value" : "Jim Shannon"} ], "uin" : "2710"} , {"_about" : "http://data.parliament.uk/resources/748197", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748197/answer", "answerText" : {"_value" : "
The Department does not hold information on the number of suicides by people aged 10-19 years of age as a result of online bullying.<\/p>
<\/p>
However, the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. A copy of the report is available at the following link:<\/p>
Clinical Commissioning Group<\/p><\/td> | Administrative Costs<\/p><\/td><\/tr> | ||||||
East and North Hertfordshire<\/p><\/td> | £11.0 million<\/p><\/td><\/tr> | ||||||
Herts Valleys<\/p><\/td> | £13.2 million<\/p><\/td><\/tr><\/tbody><\/table> <\/p> The Department does not hold administration costs for National Health Service trusts or foundation trusts.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1542", "label" : {"_value" : "Biography information for Philip Dunne"} } , "answeringMemberConstituency" : {"_value" : "Ludlow"} , "answeringMemberPrinted" : {"_value" : "Mr Philip Dunne"} , "dateOfAnswer" : {"_value" : "2017-07-10", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "2704"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-07-10T14:54:40.767Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2017-07-04", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "NHS: Hertfordshire"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what the annual administration costs are for the NHS in Hertfordshire.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1528", "label" : {"_value" : "Biography information for Sir Mike Penning"} } , "tablingMemberConstituency" : {"_value" : "Hemel Hempstead"} , "tablingMemberPrinted" : [{"_value" : "Mike Penning"} ], "uin" : "2703"} , {"_about" : "http://data.parliament.uk/resources/748200", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/748200/answer", "answerText" : {"_value" : " The administration costs for Hertfordshire clinical commissioning groups in 2016-17 was:<\/p> <\/p>
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