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Written Question
Health Services
Monday 23rd March 2015

Asked by: Stephen Gilbert (Liberal Democrat - St Austell and Newquay)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, whether it is his policy that specialised commissioning hubs will be able to deviate from national standards in their commissioning of specialised care.

Answered by Jane Ellison

NHS England has a number of direct commissioning responsibilities, including for a range of prescribed specialised services for which national commissioning policies and service specifications are developed and published.

The majority of other NHS services fall within the commissioning responsibilities of clinical commissioning groups (CCGs) and for these services it is for CCGs to determine commissioning policies and service requirements on a local basis.

It is important that the respective commissioning approaches fit together in a way that provides clinically and cost effective and cohesive care for patients and for that reason NHS England is supporting a range of collaborative commissioning approaches between its specialised commissioning teams, clinical advisors and CCGs.

National service specifications and clinical commissioning policies will still apply for those specialised services that will be collaboratively commissioned with CCGs.


Written Question
Hepatitis: Drugs
Thursday 12th February 2015

Asked by: Stephen Gilbert (Liberal Democrat - St Austell and Newquay)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what recent discussions officials in his Department have had with NHS England on the fast track interim policy agreed by NHS England during the appraisal of sofosbuvir by the National Institute of Health and Care Excellence.

Answered by George Freeman

NHS England has advised that it is currently developing interim proposals to allow selected patients with cirrhosis to have early access to some of the new drugs that are expected to be available to treat hepatitis C later in 2015. NHS England aims to have these interim policies in place by the first half of 2015.

These will provide access to treatment in advance of the National Institute for Health and Care Excellence’s final technology appraisal guidance on these products which is expected to be published shortly.


Written Question
Hepatitis: Drugs
Thursday 12th February 2015

Asked by: Stephen Gilbert (Liberal Democrat - St Austell and Newquay)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what plans NHS England has to support patients with cirrhosis to access treatment for hepatitis C after the waiver for the implementation period of National Institute for Health and Care Excellence guidance for the medicine sofosbuvir.

Answered by George Freeman

NHS England has advised that it is currently developing interim proposals to allow selected patients with cirrhosis to have early access to some of the new drugs that are expected to be available to treat hepatitis C later in 2015. NHS England aims to have these interim policies in place by the first half of 2015.

These will provide access to treatment in advance of the National Institute for Health and Care Excellence’s final technology appraisal guidance on these products which is expected to be published shortly.


Speech in Commons Chamber - Wed 28 Jan 2015
NHS (Government Spending)

"Does the Minister agree that money can be spent only once? Labours say it wants to invest £2.5 billion from the mansion tax in the NHS, but it has already promised that to deficit reduction and introducing a 10p tax rate. That is nonsense...."
Stephen Gilbert - View Speech

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Speech in Commons Chamber - Wed 28 Jan 2015
NHS (Government Spending)

"The Minister missed one thing from the list. A written parliamentary question revealed to me in 2010 that the Labour party spent £250 million paying private providers to do precisely nothing...."
Stephen Gilbert - View Speech

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Speech in Westminster Hall - Thu 15 Jan 2015
NHS Specialised Services

"It is a pleasure to open this debate and to serve under your chairmanship, Sir David. May I be one of the first to congratulate you on your recent knighthood? “Sir David Amess” looks very good on the name plate. I welcome the many hon. and right hon. Members who …..."
Stephen Gilbert - View Speech

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Speech in Westminster Hall - Thu 15 Jan 2015
NHS Specialised Services

"The hon. Lady is absolutely right. It is a testament to the value of the House being made up of people from all walks of life and with different experiences that she can bring personal experience to the debate. She underlines many of the points that I will go on …..."
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Speech in Westminster Hall - Thu 15 Jan 2015
NHS Specialised Services

"There is a huge danger that we will move away from the improved patient experience that we have seen during the past year while national commissioning has been in place for specialised services towards more of a patchwork quilt approach in which patients may not get the same care in …..."
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Speech in Westminster Hall - Thu 15 Jan 2015
NHS Specialised Services

"The hon. Lady is entirely right. I will continue to set out the case that she so powerfully makes from personal experience.

In a board paper last November, NHS England published its next steps on specialised commissioning. Frankly, that was to the dismay of patient organisations, some of whom have …..."

Stephen Gilbert - View Speech

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Speech in Westminster Hall - Thu 15 Jan 2015
NHS Specialised Services

"I thank my hon. Friend for his remarks, which are exactly on the money. Every organisation that I engaged with expressed real concern about the proposals. He puts on the record a further organisation that shares concerns on the direction in which NHS England is taking specialised health services.

Will …..."

Stephen Gilbert - View Speech

View all Stephen Gilbert (LD - St Austell and Newquay) contributions to the debate on: NHS Specialised Services