Earlier this year, I met the Cockermouth and Maryport primary care network, which told me about the increasing challenge of supporting my constituents with their mental health. Has the Secretary of State considered relaxing the additional roles reimbursement scheme funding rules to allow mental health nurses to be employed wholly by a PCN, and not need to be under the employment of a local mental health trust? That flexibility could help GP practices to intervene earlier and reduce referrals to secondary care quickly.

Earlier this year, I met the Cockermouth and Maryport primary care network, which told me about the increasing challenge of supporting my constituents with their mental health. Has the Secretary of State considered relaxing the additional roles reimbursement scheme funding rules to allow mental health nurses to be employed wholly by a PCN, and not need to be under the employment of a local mental health trust? That flexibility could help GP practices to intervene earlier and reduce referrals to secondary care quickly.

We have, in fact, relaxed the rules on ARRS so that a mental health worker can be employed by the PCN. My hon. Friend is absolutely right that that is an important part of stepping from hospital to community, but there is more we can do on that. We continue to do whatever we can to ensure that mental health and GP surgeries are actively integrating.

We have, in fact, relaxed the rules on ARRS so that a mental health worker can be employed by the PCN. My hon. Friend is absolutely right that that is an important part of stepping from hospital to community, but there is more we can do on that. We continue to do whatever we can to ensure that mental health and GP surgeries are actively integrating.

To ask the Secretary of State for Health, what steps his Department is taking to encourage GPs to undertake out-of-hours shifts in primary care.

To ask the Secretary of State for Health, what steps his Department is taking to encourage GPs to undertake out-of-hours shifts in primary care.

To ask the Secretary of State for Health what recent estimate he has made of the change in the number of full-time equivalent posts as a result of the completion of the transition from primary care trusts to clinical commissioning groups; and what he expects the likely annual savings to...

To ask the Secretary of State for Health what recent estimate he has made of the change in the number of full-time equivalent posts as a result of the completion of the transition from primary care trusts to clinical commissioning groups; and what he expects the likely annual savings to...

To ask the Secretary of State for Health (1) how many primary care trust staff in the North East of England covered by his Department's initial redundancy consultation launched in June 2012 he estimates could be re-employed by clinical commissioning groups;

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To ask the Secretary of State for Health (1) how many primary care trust staff in the North East of England covered by his Department's initial redundancy consultation launched in June 2012 he estimates could be re-employed by clinical commissioning groups;

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To ask the Secretary of State for Health what recent estimate he has made of expenditure by primary care trusts on management consultants contracted to support shadow clinical commissioning groups in (a) 2010-11 and (b) 2011-12 to date.

To ask the Secretary of State for Health what recent estimate he has made of expenditure by primary care trusts on management consultants contracted to support shadow clinical commissioning groups in (a) 2010-11 and (b) 2011-12 to date.

These amendments—the last group that we shall consider tonight—contain important issues, including that of local community involvement, which was raised by the hon. Member for Leicester West (Liz Kendall). Like other Members, I have an interest in the subject, and have done so throughout my time in politics. I happen...

These amendments—the last group that we shall consider tonight—contain important issues, including that of local community involvement, which was raised by the hon. Member for Leicester West (Liz Kendall). Like other Members, I have an interest in the subject, and have done so throughout my time in politics. I happen...

I absolutely concur with my right hon. Friend. For the record in this House, I pay tribute to our colleagues in the Lords for their achievements and their efforts in securing some of the protections for the NHS that we are debating today. There was absolutely no mention of education...

I absolutely concur with my right hon. Friend. For the record in this House, I pay tribute to our colleagues in the Lords for their achievements and their efforts in securing some of the protections for the NHS that we are debating today. There was absolutely no mention of education...

I will finish this point. However, under the Bill, clinical commissioning groups—the newest bodies in the NHS, and with the least experience—will have the weakest corporate governance of any public body in the country. They are required to have only two lay members. However, there has been no reassurance in...

I will finish this point. However, under the Bill, clinical commissioning groups—the newest bodies in the NHS, and with the least experience—will have the weakest corporate governance of any public body in the country. They are required to have only two lay members. However, there has been no reassurance in...

I hope that my hon. Friend will be reassured by two points. First, the Bill contains far greater duties and responsibilities for integration over the whole provision of care within the NHS, and that will obviously include children's services. Secondly and more precisely on the narrow issue that he raised,...

I hope that my hon. Friend will be reassured by two points. First, the Bill contains far greater duties and responsibilities for integration over the whole provision of care within the NHS, and that will obviously include children's services. Secondly and more precisely on the narrow issue that he raised,...

There have been 1,000 Government amendments to this disastrous Health and Social Care Bill—374 in the other place alone—and it is unacceptable that elected Members in this House have been given so little time to debate amendments that will affect patients and the public in every constituency in England. It...

There have been 1,000 Government amendments to this disastrous Health and Social Care Bill—374 in the other place alone—and it is unacceptable that elected Members in this House have been given so little time to debate amendments that will affect patients and the public in every constituency in England. It...

I appreciate the hon. Gentleman's intervention, but I am afraid I do not share that view. I hope that what I shall go on to say will help to give him additional reassurance on that. There will be additional safeguards in the Bill to ensure that those processes are transparent,...

I appreciate the hon. Gentleman's intervention, but I am afraid I do not share that view. I hope that what I shall go on to say will help to give him additional reassurance on that. There will be additional safeguards in the Bill to ensure that those processes are transparent,...

I will in a moment, but I want to pose a few questions first. The Secretary of State clearly cannot answer for private companies that are exempt from FOI requests. He cannot answer for GP commissioning groups, which are essentially independent contractors and private bodies. Surely, it is clear that...

I will in a moment, but I want to pose a few questions first. The Secretary of State clearly cannot answer for private companies that are exempt from FOI requests. He cannot answer for GP commissioning groups, which are essentially independent contractors and private bodies. Surely, it is clear that...

There is almost—no, there is—an air of déjà vu to this part of the hon. Gentleman's speech, as there always is. We discussed this in Committee, and I am a bit frustrated that he cannot quite get it. The fact is that at the moment there is virtually no transparency...

There is almost—no, there is—an air of déjà vu to this part of the hon. Gentleman's speech, as there always is. We discussed this in Committee, and I am a bit frustrated that he cannot quite get it. The fact is that at the moment there is virtually no transparency...