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  • Ruth Cadbury – 2016 Parliamentary Question to the Department of Health

    Ruth Cadbury – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Ruth Cadbury on 2016-06-07.

    To ask the Secretary of State for Health, if he will take steps to reduce indemnity costs on general practice.

    Alistair Burt

    The Department and NHS England committed in the recently published General Practice Forward View to review the current arrangements for indemnity cover for general practitioners. To take this review forward, a General Practice Indemnity Steering Group has been established by the Department with NHS England to look at the rising cost of indemnity, and to bring forward proposals for discussion by the end of July 2016.

  • Andrew Smith – 2016 Parliamentary Question to the Department of Health

    Andrew Smith – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Andrew Smith on 2016-06-07.

    To ask the Secretary of State for Health, what accountability mechanics are in place related to decisions in Sustainability and Transformation Plan footprints.

    George Freeman

    Each Sustainability and Transformation Plan (STP) footprint is convened by a senior leader who has agreed to chair and lead the meetings on behalf of their peers. Each footprint has agreed its own governance and representation, depending on local circumstances and to ensure that all relevant National Health Service bodies and partners are included. An STP footprint supports organisations to come together to agree how best to improve and sustain services and health for their local populations.

    The local, statutory architecture for health and care remains. The arm’s length bodies Regional Directors will retain accountability for delivery in their regions. Existing accountabilities for Chief Executives of provider organisations and Accountable Officers of Clinical Commissioning Groups are unchanged.

  • Cat Smith – 2016 Parliamentary Question to the Department of Health

    Cat Smith – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Cat Smith on 2016-06-07.

    To ask the Secretary of State for Health, what steps his Department is taking to ensure that GPs are able to routinely to offer 15 minute, or longer, consultations where necessary for patients with greater needs.

    Alistair Burt

    It is important that practices are free to meet the needs of individual patients according to clinical need. Therefore there is no requirement on general practitioner practices to offer appointments of a specific length or a specific mix of workforce to meet population need.

    However, in recognition of the increased demands being placed on general practice, NHS England has:

    1. Placed a requirement on clinical commissioning groups (CCGs) in the NHS Planning Guidance for 2016/17 to develop and implement a local plan to address the sustainability and quality of general practice, including workforce and workload issues. This is the first time specific requirements have been placed on local commissioners to support and develop general practice.

    2. Provided advice about specific ways to invest in general practice for National Health Service leaders as they prepare Sustainability and Transformation Plans for the future. In both of these, there is a dual focus on maintaining quality and access to care in existing services, while also supporting the introduction of new ways of working. Areas where support is required include increased funding, growth and diversification in the workforce, development of premises and information technology, and specific help to develop networks and federations with patient benefit at their heart.

    The ‘General Practice Forward View’ released in April 2016, announced a major new programme of development and improvement support for practices over the next three years. This will help groups of practices to redesign care in order to simultaneously release staff time and improve care for patients. As part of the development programme, support and advice will be provided to federations and CCGs on ways to engage patients and voluntary and community sector groups as partners. This will help local people shape priorities, contribute to the co-design of improved services and build assets in the community.

  • Cat Smith – 2016 Parliamentary Question to the Department of Health

    Cat Smith – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Cat Smith on 2016-06-07.

    To ask the Secretary of State for Health, if he will take steps to reduce the financial burden of indemnity costs on general practice.

    Alistair Burt

    The Department and NHS England committed in the recently published General Practice Forward View to review the current arrangements for indemnity cover for general practitioners. To take this review forward, a General Practice Indemnity Steering Group has been established by the Department with NHS England to look at the rising cost of indemnity, and to bring forward proposals for discussion by the end of July 2016.

  • Adam Afriyie – 2016 Parliamentary Question to the Department of Health

    Adam Afriyie – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Adam Afriyie on 2016-06-07.

    To ask the Secretary of State for Health, whether he plans that the new tobacco control plan will address the effects of (a) electronic vaping devices and (b) heat not burn devices.

    Jane Ellison

    The new tobacco control plan will cover the use and effects of electronic vaping devices and novel tobacco products, including heat not burn devices.

  • Andrew Smith – 2016 Parliamentary Question to the Department of Health

    Andrew Smith – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Andrew Smith on 2016-06-07.

    To ask the Secretary of State for Health, what the legal status is of the changes to health and social care proposed in Sustainability and Transformation Plans.

    George Freeman

    The Sustainability and Transformation Plans (STP) has no legal basis. Any plans submitted will be proposals that will form the basis for discussion. Depending on the level of local and national agreement, they may form the basis for further plans and actions that will be subject to the same legal and best practice requirements that govern the National Health Service.

    The local, statutory architecture for health and care remains, as do the existing accountabilities for Chief Executives of provider organisations and Accountable Officers of clinical commissioning groups. Organisations are still accountable for their individual organisational plans, which should form part of the first year of their footprint’s STP.

    The June STP submissions will be work-in-progress, and as such we do not anticipate the requirement for formal approval from boards and/or consultation at this early stage. Plans have no status until they are agreed. When plans are ready, normal rules around engagement and public consultation will apply.

  • Derek Thomas – 2016 Parliamentary Question to the Department of Health

    Derek Thomas – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Derek Thomas on 2016-06-07.

    To ask the Secretary of State for Health, what steps he is taking to improve GP access to natriuretic peptide testing.

    Jane Ellison

    NHS England is working with key partners to ensure better co-ordination and integration of all services with the aim of delivering person-centred and coordinated care which is tailored to the needs and preferences of the individual, their carer and family.

    Specifically on heart failure, NHS England is working with Health Education England to look at ways of improving the provision of and increase access to echocardiography, which is used for the diagnosis of heart failure.

    NHS England has also established a best practice tariff for acute heart failure. This aims to encourage better practice in the caring for heart failure patients. In addition, the National Institute for Health and Care Excellence (NICE) has published quality standards for acute heart failure and chronic heart failure, which can be found at:

    https://www.nice.org.uk/Guidance/QS9

    https://www.nice.org.uk/guidance/qs103

    NHS England expects commissioners and providers to take account of quality standards in the services that are delivered to patients.

    The use of natriuretic peptides in diagnosing heart failure is widely understood and pathology laboratories are used to measuring them. The NICE’s guidance on acute heart failure and chronic heart failure both cover the use of natriuretic peptides. This guidance can be found at:

    https://www.nice.org.uk/guidance/cg108

    https://www.nice.org.uk/guidance/cg187

    The NICE has also developed a commissioning toolkit for the use of natriuretic peptides assessment in primary care for suspected heart failure:

    https://www.nice.org.uk/sharedlearning/a-commissioning-toolkit-for-use-of-natriuretic-peptide-assessment-for-suspected-heart-failure-in-primary-care

  • Derek Thomas – 2016 Parliamentary Question to the Department of Health

    Derek Thomas – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Derek Thomas on 2016-06-07.

    To ask the Secretary of State for Health, what steps he is taking to improve the speed and accuracy of diagnosis for heart failure patients.

    Jane Ellison

    NHS England is working with key partners to ensure better co-ordination and integration of all services with the aim of delivering person-centred and coordinated care which is tailored to the needs and preferences of the individual, their carer and family.

    Specifically on heart failure, NHS England is working with Health Education England to look at ways of improving the provision of and increase access to echocardiography, which is used for the diagnosis of heart failure.

    NHS England has also established a best practice tariff for acute heart failure. This aims to encourage better practice in the caring for heart failure patients. In addition, the National Institute for Health and Care Excellence (NICE) has published quality standards for acute heart failure and chronic heart failure, which can be found at:

    https://www.nice.org.uk/Guidance/QS9

    https://www.nice.org.uk/guidance/qs103

    NHS England expects commissioners and providers to take account of quality standards in the services that are delivered to patients.

    The use of natriuretic peptides in diagnosing heart failure is widely understood and pathology laboratories are used to measuring them. The NICE’s guidance on acute heart failure and chronic heart failure both cover the use of natriuretic peptides. This guidance can be found at:

    https://www.nice.org.uk/guidance/cg108

    https://www.nice.org.uk/guidance/cg187

    The NICE has also developed a commissioning toolkit for the use of natriuretic peptides assessment in primary care for suspected heart failure:

    https://www.nice.org.uk/sharedlearning/a-commissioning-toolkit-for-use-of-natriuretic-peptide-assessment-for-suspected-heart-failure-in-primary-care

  • Derek Thomas – 2016 Parliamentary Question to the Department of Health

    Derek Thomas – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Derek Thomas on 2016-06-07.

    To ask the Secretary of State for Health, what steps he is taking to improve co-ordination of care for heart failure patients across primary and secondary care.

    Jane Ellison

    NHS England is working with key partners to ensure better co-ordination and integration of all services with the aim of delivering person-centred and coordinated care which is tailored to the needs and preferences of the individual, their carer and family.

    Specifically on heart failure, NHS England is working with Health Education England to look at ways of improving the provision of and increase access to echocardiography, which is used for the diagnosis of heart failure.

    NHS England has also established a best practice tariff for acute heart failure. This aims to encourage better practice in the caring for heart failure patients. In addition, the National Institute for Health and Care Excellence (NICE) has published quality standards for acute heart failure and chronic heart failure, which can be found at:

    https://www.nice.org.uk/Guidance/QS9

    https://www.nice.org.uk/guidance/qs103

    NHS England expects commissioners and providers to take account of quality standards in the services that are delivered to patients.

    The use of natriuretic peptides in diagnosing heart failure is widely understood and pathology laboratories are used to measuring them. The NICE’s guidance on acute heart failure and chronic heart failure both cover the use of natriuretic peptides. This guidance can be found at:

    https://www.nice.org.uk/guidance/cg108

    https://www.nice.org.uk/guidance/cg187

    The NICE has also developed a commissioning toolkit for the use of natriuretic peptides assessment in primary care for suspected heart failure:

    https://www.nice.org.uk/sharedlearning/a-commissioning-toolkit-for-use-of-natriuretic-peptide-assessment-for-suspected-heart-failure-in-primary-care

  • Fiona Bruce – 2016 Parliamentary Question to the Department of Health

    Fiona Bruce – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Fiona Bruce on 2016-06-07.

    To ask the Secretary of State for Health, if he will take steps to ensure that NHS staff receive religious literacy training.

    Ben Gummer

    Religion or belief (or lack thereof) is a protected characteristic under the Equality Act 2010. Public authorities, including all National Health Service organisations, must have due regard to the need to eliminate discrimination, harassment, victimisation and other conduct prohibited under that Act towards people sharing that protected characteristic in discharging their public functions. Employers have a responsibility to ensure that their employees do not behave unlawfully and should take all reasonable steps to prevent unlawful acts from happening. Employees can also be personally liable for any unlawful conduct.

    NHS organisations are subject to duties under the Equality Act in their own right. They are also directly subject to regulation by the Equality and Human Rights Commission. To help them meet their statutory equality duties, NHS England published an Equality Delivery System for the NHS (https://www.england.nhs.uk/about/gov/equality-hub/eds/) which became part of the NHS Standard Contract from 2015.