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

    Robert Flello – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Robert Flello on 2016-03-23.

    To ask the Secretary of State for Health, if will he take steps to ensure that British Pregnancy Advisory Service abortion clinics do not act outside the licence for anaesthetics and do not share single doses between patients.

    Jane Ellison

    One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

    Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

    Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.

  • Frank Field – 2016 Parliamentary Question to the Department of Health

    Frank Field – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Frank Field on 2016-03-23.

    To ask the Secretary of State for Health, whether a visitor to the UK from another European Economic area state who is not in possession of an EHIC card can register as a temporary patient with a GP practice and receive treatment free of charge.

    Alistair Burt

    Possession of a European Health Insurance Card is not required to register with a practice. Anyone can seek to register as a National Health Service patient with a general practitioner (GP) practice by approaching one directly and submitting a written and signed application. A practice cannot legally refuse to register someone because they do not possess identification or documents.

    Individual GP practices can have a policy where they ask prospective patients to provide identification, however they must ensure that this is applied to all patients and not done in a discriminatory manner.

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

    Robert Flello – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Robert Flello on 2016-03-23.

    To ask the Secretary of State for Health, what steps he is taking to ensure compliance with safety regulations and basic standards of hygiene at abortion clinics.

    Jane Ellison

    One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

    Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

    Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.

  • Nicholas Soames – 2016 Parliamentary Question to the Department of Health

    Nicholas Soames – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nicholas Soames on 2016-03-23.

    To ask the Secretary of State for Health, what steps he is taking to (a) better identify visitors to the UK from other EEA countries who are being treated in NHS hospitals and (b) ensure that such visitors’ home countries are charged for their treatment.

    Alistair Burt

    Since its inception in 2013, the Department of Health’s Visitor and Migrant NHS Cost Recovery Programme has been working to design and implement key improvements to ensure that those people who should pay for National Health Service care in England are identified and charged. The Department has also been working closely with the NHS to improve rates of recovery where these healthcare costs are the responsibility of other member states of the European Economic Area (EEA) via the European Health Insurance Card (EHIC), S1 and S2 mechanisms.

    Achievements include:

    – the revision of the NHS (Charges to Overseas Visitors) Regulations that came into force on 6 April 2015, reducing the number of exemption from charge categories and realigning the Regulations to the principle that the NHS is a residency-based healthcare system;

    – support of and engagement with NHS providers through meetings with senior trust employees, plus the launch of a Cost Recovery Support Team to provide bespoke assistance to trusts to support them in improving their processes for identifying chargeable patients and recovering funds owed, including those from Europe;

    – the launch of the European Health Insurance Card reporting incentive on 1 October 2014. Through this, all EHIC activity correctly reported by NHS secondary providers that enables the UK to make appropriate reimbursement claims from other member states attracts an additional 25% funding of the costs of providing treatment for the benefit of the reporting organisation.

    The Department has recently concluded a consultation on the extension of charging overseas visitors and migrants using the NHS in England. Part of the consultation proposes to amend the residence definition for EEA nationals, by which they qualify for free NHS treatment in England. The Government will set out its response to the consultation in due course.

    EEA countries and Switzerland reimburse the UK for the cost of the NHS providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.

  • Justin Madders – 2016 Parliamentary Question to the Department of Health

    Justin Madders – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Justin Madders on 2016-03-23.

    To ask the Secretary of State for Health, how many paramedics have moved from that role to that of a hospital-based practitioner in each of the last five years for which figures are available.

    Ben Gummer

    Information on the number of paramedics who moved to the role of hospital based practitioner is not collected by the Department.

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

    Robert Flello – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Robert Flello on 2016-03-23.

    To ask the Secretary of State for Health, what recent discussions he has had with British Pregnancy Advisory Service (BPAS) about safety concerns in the Care Quality Commission Report on the BPAS abortion clinic in Richmond.

    Jane Ellison

    One representation has been received in relation to the Care Quality Commission’s (CQC) inspection of BPAS Richmond. The CQC is responsible for ensuring that requirements under the Health and Social Care (HSC) Act 2008 are met by the providers of termination of pregnancy services including meeting the fundamental standards of quality and safety as set out in Part 3 to the 2014 Regulations, and Regulation 20 of the Care Quality Commission (Registration) Regulations 2009, which is specific to independent sector termination of pregnancy providers. The CQC is responsible for ensuring that the requirements under the HSC Act 2008 are maintained through a system of monitoring and, where appropriate, inspection visits. It is for the CQC and the provider to address required and recommended actions identified following an inspection.

    Independent sector providers are also required to comply with the Department of Health’s Required Standard Operating Procedures.

    Departmental officials meet regularly with representatives from the British Pregnancy Advisory Service (BPAS) but have not met since the CQC report on BPAS Richmond was published.

  • Richard Burgon – 2016 Parliamentary Question to the Department of Health

    Richard Burgon – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Richard Burgon on 2016-03-23.

    To ask the Secretary of State for Health, what statutory duty there is on NHS England or clinical commissioning groups to provide notice of closure of a GP practice to its patients.

    Alistair Burt

    GP Contract regulations require a practice to give NHS England written notice of their intention to terminate their contract. Where the contract is with a partnership, the contract terminates six months from the date of the notice. In the case of a single handed practice, the contract terminates three months from the date of the notice.

    There is no specific statutory duty on NHS England to notify patients of the closure of a practice however the National Health Service Act 2006 requires NHS England to ensure the provision of primary medical services throughout England.

    However, NHS England take the closure of a practice very seriously and will look to engage with patients at the earliest opportunity.

  • Greg Mulholland – 2016 Parliamentary Question to the Department of Health

    Greg Mulholland – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Greg Mulholland on 2016-03-23.

    To ask the Secretary of State for Health, what assessment he has made of the availability in the UK of clinical expertise to treat scarlet fever and Kawasaki disease.

    George Freeman

    The Government published the UK Strategy for Rare Diseases in November 2013. The strategy contains over 50 commitments to ensure people living with a rare disease, such as Kawasaki disease, have access to the best evidence-based care and treatment that health and social services, working with charities, researchers and industry can provide.

    It is the responsibility of the professional regulators to set the standards and outcomes for education and training and approve training curricular to ensure newly qualified healthcare professionals are equipped with the knowledge, skills and attitudes to provide high quality patient care. This includes training in both scarlet fever and Kawasaki disease.

    Health Education England works with bodies that set curricula such as the General Medical Council and the Royal Colleges to seek to ensure training meets the needs of patients.

    The Department and its arm’s length bodies have not published any specific guidance on the similarities between Kawasaki disease and scarlet fever.

    The National Institute for Health and Care Excellence’s guideline on the assessment and initial management of fever in under 5s sets out the circumstances in which a diagnosis of Kawasaki disease should be considered, and Public Health England (PHE) has endeavoured to keep healthcare professionals, schools and the general public informed of the increased incidence of scarlet fever through timely information, news stories and updates on the PHE website and by using social and other media. These awareness raising measures assist general practitioners and other frontline healthcare professionals in reaching a correct diagnosis more quickly and encourage patients to seek medical advice early so that suspected cases receive prompt antibiotic treatment to reduce the risk of complications and limit further transmission.

  • 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 2016-03-23.

    To ask the Secretary of State for Health, what steps he is taking to reduce regional variation of access to (a) minimally invasive technology and (b) drug eluting stents designed to tackle peripheral arterial disease.

    George Freeman

    Vascular services manage the treatment and care of patients with diseases related to disorders of the arteries, veins and lymphatic system. These can be managed by medical therapy, minimally-invasive catheter procedures and surgical reconstruction. NHS England commissions these services as part of its specialised commissioning portfolio.

    The vascular disease specialised commissioning clinical reference group has prepared a service specification for specialised vascular services. This aims to ensure that services deliver improved patient experience, provide equality of access to the full range of vascular diagnostics and interventions, and ensue that patients are receiving a high quality of service, with access to the most modern techniques.

    Implementation of the service specification for specialised vascular services through the local service review processes is designed to reduce regional variation.

    The service specification can be found at:

    https://www.england.nhs.uk/wp-content/uploads/2013/06/a04-spec-vascu-adult.pdf

    The Government has made no assessment of the effects of drug eluting stents on lower limb amputation rates.

    “

  • 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 2016-03-23.

    To ask the Secretary of State for Health, what assessment he has made of the direct effect of drug eluting stents on the reduction of lower limb amputations.

    George Freeman

    Vascular services manage the treatment and care of patients with diseases related to disorders of the arteries, veins and lymphatic system. These can be managed by medical therapy, minimally-invasive catheter procedures and surgical reconstruction. NHS England commissions these services as part of its specialised commissioning portfolio.

    The vascular disease specialised commissioning clinical reference group has prepared a service specification for specialised vascular services. This aims to ensure that services deliver improved patient experience, provide equality of access to the full range of vascular diagnostics and interventions, and ensue that patients are receiving a high quality of service, with access to the most modern techniques.

    Implementation of the service specification for specialised vascular services through the local service review processes is designed to reduce regional variation.

    The service specification can be found at:

    https://www.england.nhs.uk/wp-content/uploads/2013/06/a04-spec-vascu-adult.pdf

    The Government has made no assessment of the effects of drug eluting stents on lower limb amputation rates.

    “