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  • Nick Clegg – 2016 Parliamentary Question to the Department of Health

    Nick Clegg – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nick Clegg on 2016-02-19.

    To ask the Secretary of State for Health, what measures NHS England uses to assess GP service provision to an area.

    Alistair Burt

    NHS England is statutorily accountable for ensuring that patients have access to a general practitioner (GP) practice. In the event of a practice closure, NHS England will assess the need for a replacement provider before dispersing a list when a GP surgery closes. A decision to disperse a list will be made on the basis that there is capacity in neighbouring practices to absorb the additional patient numbers.

    To assess GP service provision in an area, NHS England works with the Care Quality Commission and local clinical commissioning groups. The Primary Care Outcomes Framework is published nationally and is derived from data submitted by individual practices on service levels and outcomes alongside national patient survey data on patient satisfaction. In terms of overall strategy, the provision of primary care will be part of the Joint Strategic Needs Assessment (JSNA) which is published in each local authority area and reported through the local Health & Well-being Board. The JSNA will identify any gaps and risks in the provision of primary care to the local population which, in turn, will then inform commissioning strategies for that area.

    There is no national guidance on the ratio of patients to doctors in GP practices. In recent years, the development of the wider primary care teams (with nurses, healthcare assistants, pharmacists and therapists) means that a focus on the ratio of patients to doctors has less meaning than in previous years. The national workforce survey allows NHS England to benchmark individual practices in terms of the staffing to patient ratio.

  • Nick Clegg – 2016 Parliamentary Question to the Department of Health

    Nick Clegg – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nick Clegg on 2016-02-19.

    To ask the Secretary of State for Health, what obligations NHS England has to provide patients access to a GP practice.

    Alistair Burt

    NHS England is statutorily accountable for ensuring that patients have access to a general practitioner (GP) practice. In the event of a practice closure, NHS England will assess the need for a replacement provider before dispersing a list when a GP surgery closes. A decision to disperse a list will be made on the basis that there is capacity in neighbouring practices to absorb the additional patient numbers.

    To assess GP service provision in an area, NHS England works with the Care Quality Commission and local clinical commissioning groups. The Primary Care Outcomes Framework is published nationally and is derived from data submitted by individual practices on service levels and outcomes alongside national patient survey data on patient satisfaction. In terms of overall strategy, the provision of primary care will be part of the Joint Strategic Needs Assessment (JSNA) which is published in each local authority area and reported through the local Health & Well-being Board. The JSNA will identify any gaps and risks in the provision of primary care to the local population which, in turn, will then inform commissioning strategies for that area.

    There is no national guidance on the ratio of patients to doctors in GP practices. In recent years, the development of the wider primary care teams (with nurses, healthcare assistants, pharmacists and therapists) means that a focus on the ratio of patients to doctors has less meaning than in previous years. The national workforce survey allows NHS England to benchmark individual practices in terms of the staffing to patient ratio.

  • Nick Clegg – 2016 Parliamentary Question to the Department of Health

    Nick Clegg – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nick Clegg on 2016-02-19.

    To ask the Secretary of State for Health, what contingency plans are in place to alleviate the increased demands on neighbouring GP practices when a practice closes.

    Alistair Burt

    NHS England is statutorily accountable for ensuring that patients have access to a general practitioner (GP) practice. In the event of a practice closure, NHS England will assess the need for a replacement provider before dispersing a list when a GP surgery closes. A decision to disperse a list will be made on the basis that there is capacity in neighbouring practices to absorb the additional patient numbers.

    To assess GP service provision in an area, NHS England works with the Care Quality Commission and local clinical commissioning groups. The Primary Care Outcomes Framework is published nationally and is derived from data submitted by individual practices on service levels and outcomes alongside national patient survey data on patient satisfaction. In terms of overall strategy, the provision of primary care will be part of the Joint Strategic Needs Assessment (JSNA) which is published in each local authority area and reported through the local Health & Well-being Board. The JSNA will identify any gaps and risks in the provision of primary care to the local population which, in turn, will then inform commissioning strategies for that area.

    There is no national guidance on the ratio of patients to doctors in GP practices. In recent years, the development of the wider primary care teams (with nurses, healthcare assistants, pharmacists and therapists) means that a focus on the ratio of patients to doctors has less meaning than in previous years. The national workforce survey allows NHS England to benchmark individual practices in terms of the staffing to patient ratio.

  • Julie Cooper – 2016 Parliamentary Question to the Department of Health

    Julie Cooper – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Julie Cooper on 2016-02-19.

    To ask the Secretary of State for Health, what the average cost to the NHS has been of supporting a patient on dialysis in each of the last three years.

    Jane Ellison

    The information is not available in the format requested.

    National Health Service reference costs are the average unit costs to NHS hospital trusts of providing defined services to patients in a given year. Reference costs for acute care are published by healthcare resource group (HRG), which are standard groupings of similar treatments that use similar resources. The HRGs describe renal dialysis activity for the treatment of chronic kidney disease and acute kidney injury separately. NHS reference costs data for each of the years requested can be found at the following links:

    https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/480791/2014-15_National_Schedules.xlsx

    https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/397469/03a_2013-14_National_Schedule_-_CF-NET_updated.xls

    https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/260405/2012-13_national_schedule_of_reference_costs.xls.

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  • Stephen Kinnock – 2016 Parliamentary Question to the Department of Health

    Stephen Kinnock – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Stephen Kinnock on 2016-02-19.

    To ask the Secretary of State for Health, pursuant to the oral contribution of the Parliamentary Under Secretary of State for Quality of 20 July 2015, Official Report, column 1227, for what reasons dependent children are not included in the consultation seeking views on proposed reforms to the schemes supporting those infected with, or affected by, HIV and/or hepatitis C through NHS-supplied blood products.

    Jane Ellison

    Those already infected with hepatitis C and/or HIV through National Health Service-supplied blood or blood products and all bereaved partners/spouses of those infected are entitled to apply for discretionary means-tested payments of support, which could be used for dependent children. The charitable bodies make payments on the basis of need, in accordance with their specific objectives, enabling such support to be targeted to those in greater financial need. The consultation seeks views on providing discretionary payments for travel and accommodation costs relating to ill health. These payments are not guaranteed from year to year and those in receipt of these payments are informed of this. Responses to the consultation will help us to decide if this is a viable proposal and we welcome any suggestions respondents may have in relation to the proposals and what would be of benefit to them. No decisions will be made about the shape and structure of a new scheme until after the consultation closes on 15 April 2016.

  • Stephen Kinnock – 2016 Parliamentary Question to the Department of Health

    Stephen Kinnock – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Stephen Kinnock on 2016-02-19.

    To ask the Secretary of State for Health, pursuant to the Answer of 22 January 2016 to Question 22461, on blood: contamination, how many cases of liability have been established for people with haemophilia infected with HIV and/or hepatitis C through NHS-supplied contaminated blood or blood products.

    Jane Ellison

    These infections are a tragedy for those affected but they occurred before blood donor screening tests or methods of viral inactivation were available in the United Kingdom. In 1991, a case brought by haemophilia patients infected with HIV was settled out of court with no liability established. In 2001 the National Blood Authority was found liable under the Consumer Protection Act for infection with hepatitis C in relation to whole blood caused to 117 patients infected between 1988 and 1991. It is not known if any of these plaintiffs were haemophilia patients. Since 1988, ex-gratia financial support schemes have been set up for people who have been affected by HIV and/or hepatitis C through treatment with National Health Service-supplied blood or blood products. To date over £390 million has been paid out to those affected through five different organisations funded by the health departments.

  • Julie Cooper – 2016 Parliamentary Question to the Department of Health

    Julie Cooper – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Julie Cooper on 2016-02-19.

    To ask the Secretary of State for Health, if he will commission a review into the effectiveness of NHS England in discharging its duties in implementing the Rare Diseases Strategy.

    George Freeman

    There are no plans to commission a review into NHS England’s implementation of the UK Strategy for Rare Diseases. The UK Forum for Rare Diseases has been established to monitor implementation of the strategy across the United Kingdom. We have received a copy of the Forum’s first progress report on implementation of the strategy and this will be published on 29 February 2016 – UK Rare Disease Day.

  • Julie Cooper – 2016 Parliamentary Question to the Department of Health

    Julie Cooper – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Julie Cooper on 2016-02-19.

    To ask the Secretary of State for Health, whether NHS England’s workplan for 2016-17 will include developing a policy for the effective delivery of care for people with tuberous sclerosis complex.

    George Freeman

    Most services for patients with tuberous sclerosis complex (TSC) are commissioned locally by clinical commissioning groups. There will only be very specific items relating to TSC included in NHS England’s clinical commissioning priorities for 2016/17. NHS England is currently identifying its clinical commissioning priorities for all services or conditions that fall within its commissioning responsibility for 2016/17; work which we are advised will be completed in April 2016.

  • 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 2016-02-19.

    To ask the Secretary of State for Health, what proportion of children in England received the meningitis B vaccine in 2015-16; and what steps he is taking to maximise take-up rates.

    Jane Ellison

    Meningitis B (MenB) immunisation for infants was introduced on 1 September 2015 on the basis of expert advice from the Joint Committee on Vaccination and Immunisation, the independent body which advises Government on all immunisation matters. The vaccine is offered alongside other routine immunisations at two and four months of age, with a booster dose at 12-13 months. A limited one-off catch-up programme was also offered, targeting infants born in May and June 2015.

    Preliminary vaccine coverage for children born in July 2015 was 94.0% for one dose and 84.8% for two doses when measured at six months of age.

    The introduction of MenB immunisation has been supported by a comprehensive media and communications campaign in partnership with health partners and meningitis charities. This resulted in significant coverage across national, local, parenting and social media. New patient information leaflets and posters have also supported the campaign, and comprehensive guidance has been added to the NHS Choices website. Existing children’s immunisation information booklets and leaflets have been amended to reflect the new immunisation schedule. A training factsheet and video for health professionals have also been produced.

  • Tom Brake – 2016 Parliamentary Question to the Department of Health

    Tom Brake – 2016 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Tom Brake on 2016-02-19.

    To ask the Secretary of State for Health, what assessment he has made of the implications for his policies of the conclusions of the report by the Carers Trust, A charge on caring, published in September 2015, that an increasing number of local councils are considering charging carers for the support that they receive to help them in their caring role.

    Alistair Burt

    I refer the hon. Member to the answer I gave on 30 October 2015 to Question 13008.

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