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  • Kevin Foster – 2016 Parliamentary Question to the Department of Health

    Kevin Foster – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Kevin Foster on 2016-10-07.

    To ask the Secretary of State for Health, based on today’s values, what the expected lifetime earnings are for a junior doctor starting in training in August 2016 if they become (a) a consultant, (b) a GP and (c) remain a junior doctor; and what assessment his Department has made of how those earnings compare to other (i) public and (ii) private sector professionals.

    Mr Philip Dunne

    The career earnings of a doctor will depend on many factors and are therefore highly specific to individual circumstances. They will depend on decisions around gap years and career breaks, part-time working, the choice between general practice and other specialties, when they leave the National Health Service or retire and on the speed of progression through training. However, indications can be provided by constructing a hypothetical career based on reasonable assumptions in-line with current data.

    It is estimated that assuming a 40 year full time career from Foundation Programme up to consultant or partner in General Practice, a junior doctor starting training in August 2016 could expect to earn around £4 million or an average of around £100,000 per year in 2016/17 prices.

    Comparisons of pay across industries and sectors are notoriously difficult, capturing differences in pressures and working patterns is particularly complicated. Comparison of recent earnings growth for doctors compared with other high-earning occupations shows that doctors remain one of the very highest-earning occupations in the United Kingdom.

  • Charlotte Leslie – 2016 Parliamentary Question to the Department of Health

    Charlotte Leslie – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Charlotte Leslie on 2016-10-07.

    To ask the Secretary of State for Health, pursuant to the Answer of 28 June 2016 to Question 40810, on NHS Protect, what the categories of offence were for each of the prosecutions listed.

    Mr Philip Dunne

    Information on the date a prosecution commenced for each case from 2010-11 to 2015-16 and the category of offence from 2010-11 to 2012-13 could only be obtained at disproportionate cost. The date the investigation commenced for each case and the category of offence from 2013-14 onwards are shown in the attached table.

  • Robert Neill – 2016 Parliamentary Question to the Department of Health

    Robert Neill – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Robert Neill on 2016-10-07.

    To ask the Secretary of State for Health, what discussions he has had with the Law Commission as part of its scoping work on reform of surrogacy law.

    Nicola Blackwood

    The Law Commission is currently consulting on proposals for its 13th programme of law reform, and has asked consultees for their views on whether a project about surrogacy should be included in the programme. The consultation closes on 31 October 2016. The Department wrote to the Law Commission on 20 May 2016 supporting the inclusion of a project about surrogacy in the list of suggested possible projects being considered for the programme. No discussions have taken place with the Law Commission about scoping.

  • James Cartlidge – 2016 Parliamentary Question to the Department of Health

    James Cartlidge – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by James Cartlidge on 2016-10-07.

    To ask the Secretary of State for Health, what the total cost to the NHS was of (a) aspirin, (b) ibuprofen and (c) equivalent medication prescribed by GPs in each of the last five years.

    David Mowat

    Information on the net ingredient cost of prescription items dispensed in the community in England is provided in the table below.

    Year

    Net ingredient cost2: aspirin (excluding combination medicines) £000

    Net ingredient cost: ibuprofen £000

    Net ingredient cost: other non-steroidal anti-inflammatory drugs1 £000

    2010

    590.3

    9,999.3

    80,767.1

    2011

    443.9

    9,927.1

    71,045.5

    2012

    495.3

    12,182.8

    71,915.7

    2013

    593.0

    13,788.0

    63,617.2

    2014

    512.8

    12,929.8

    62,270.0

    2015

    499.4

    12,835.7

    59,922.9

    Source: Prescription Cost Analysis system provided by NHS Digital

    1 All other non-steroidal anti-inflammatory drugs included in British National Formulary section 10.1.1, using the classification system prior to edition 70.

    2 Net ingredient cost is the basic cost of a drug. It does not take account of discounts, dispensing costs, fees or prescription charges income.

  • Imran Hussain – 2016 Parliamentary Question to the Department of Health

    Imran Hussain – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Imran Hussain on 2016-10-07.

    To ask the Secretary of State for Health, what steps he is taking to ensure that mental health services are not deprioritised in the commissioning process for budgetary reasons.

    Nicola Blackwood

    NHS England has a clear commitment that spending on mental health should increase year-on-year by an amount at least as great as the overall growth in clinical commissioning group (CCG) baseline allocations. From this year, NHS England’s budget and financial reporting will be aligned to specific mental health priorities, increasing transparency and allowing additional resources to be tracked at CCG level.

  • Imran Hussain – 2016 Parliamentary Question to the Department of Health

    Imran Hussain – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Imran Hussain on 2016-10-07.

    To ask the Secretary of State for Health, what steps his Department is taking to ensure that NHS England is able to meet its aim of extending waiting time standards for mental health.

    Nicola Blackwood

    The National Health Service is already meeting standards on access to psychological therapies and we have introduced waiting time standards for early intervention in psychosis.

    NHS England published an Implementation Plan in July 2016 setting out the actions required to deliver their Five Year Forward View for Mental Health, including developing the right pathways and access and waiting time standards for the treatment of mental health conditions. We are working with NHS England and health delivery partners to ensure that these actions are delivered.

  • Imran Hussain – 2016 Parliamentary Question to the Department of Health

    Imran Hussain – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Imran Hussain on 2016-10-07.

    To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the mental health crisis care concordat in improving cooperation between mental health services, non-mental health NHS services and other government services.

    Nicola Blackwood

    MIND, which has been supporting implementation of the national Mental Health Crisis Care Concordat, commissioned an evaluation of the work being undertaken to implement the national statement. This included an assessment of how local partners were working together to improve the experience of people in mental health crisis.

    The evaluation report, which was published in January 2016, can be found at the following link:

    http://www.crisiscareconcordat.org.uk/wp-content/uploads/2016/03/CCC-Evaluation_Report.pdf

  • Imran Hussain – 2016 Parliamentary Question to the Department of Health

    Imran Hussain – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Imran Hussain on 2016-10-07.

    To ask the Secretary of State for Health, what steps his Department is taking to increase transparency in mental health service block contracts.

    Nicola Blackwood

    In line with the principle of parity of esteem between all health services, NHS England together with NHS Improvement are supporting providers and commissioners of adult and older people’s mental health services to move away from block contracts and implement more transparent payment approaches. Two new payment options that providers and commissioners can choose between are a capitated payment approach or an episode of treatment (year-of-care) payment approach.

  • Imran Hussain – 2016 Parliamentary Question to the Department of Health

    Imran Hussain – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Imran Hussain on 2016-10-07.

    To ask the Secretary of State for Health, what steps his Department is taking to incentivise the provision of higher quality mental health services.

    Nicola Blackwood

    Mental health is one of the six core clinical areas to be covered by NHS England’s new CCG Improvement and Assessment Framework. NHS England is working to ensure that this will provide as broad a view as possible of how well commissioners are supporting and driving improvement in mental health.

    A dashboard for mental health will be published this autumn, containing a set of standard indicators to articulate progress in mental health services at a national level and allow benchmarking of services across the country.

    NHS England will continue to ensure that mental health is represented within the full suite of levers and incentives at its disposal including Commissioning for Quality and Innovation payment framework (CQUINs), Quality Premium, the NHS Standard Contract and within the design of new models of care. The Technical Guidance for NHS planning covering 2017/18 and 2018/19 that accompanied the publication of the main NHS Planning Guidance earlier this autumn included a number of draft proposals for specific mental health CQUINs:

    – Improving services for people with Mental Health needs who present to A&E;

    – Improving physical health care for people with Severe Mental Illnesses; and

    – Improving transitions for children and young people.

    The Quality Premium is based on measures that cover a combination of national and local priorities, and on delivery of the fundamentals of commissioning. The Premium is paid to clinical commissioning groups (CCGs) in 2018/19 and 2019/20 reflects the quality of the health services commissioned by them in 2017/18 and 2018/19. There will be six mandated indicators including a mental health indicator.

    Mental health service providers are responsible for the consistency and quality in the services that they provide. Services in England are regulated by the Care Quality Commission which introduced a new regulation and inspection regime in 2014. CCGs are expected to increase their spending on mental health in line with overall growth in their baseline allocations.

  • Nick Thomas-Symonds – 2016 Parliamentary Question to the Department of Health

    Nick Thomas-Symonds – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nick Thomas-Symonds on 2016-10-07.

    To ask the Secretary of State for Health, what assessment he has made of the potential effect of NHS England’s decision not to fund second stem cell transplants on the long-term outcomes of patients.

    Nicola Blackwood

    Decisions related to the commissioning of National Health Service treatments in England are made by NHS England using a published process that involves an impact assessment. The Department has not made any further assessment of the decision related to the commissioning of second stem cell transplants.