I am delighted that the right hon. Gentleman is supporting the Conservative party’s manifesto commitment to reduce delay repay to 15 minutes. It is lovely that at least some shreds of that coalition co-operation are still in action. He and I have discussed the Southern franchise many times. It is difficult. There are record levels of engineering work taking place on the line, and we are doing all we can, as he knows, to ensure that passengers suffer the least disruption possible and get the compensation to which they are entitled when their trains do not run on time.

The Department receives information on each franchised operators’ performance against respective benchmarks every four weeks. Delays and Peak Short formations have not exceeded the Default Performance level as defined in the Franchise Agreement. However, GTR exceeded the breach performance level for cancellations last year and the Secretary of State issued Govia Thameslink Railway with a Remedial Plan Notice requiring them to set out the measures they will take in order to improve performance. Subsequently, the Secretary of State has accepted the Remedial Plan that sets out the steps the operator is taking to improve their performance.

Since 1 April 2013, the Government has set out high level strategic ambitions for the National Health Service through the Mandate. For patients with long term conditions (LTCs), including musculoskeletal (MSK) conditions, we have asked the NHS to improve the care and support of patients, helping them to live healthily and independently, with much better control over the care they receive.

In response, NHS England has set out a range of actions designed to deliver this, central to which was implementation of the House of Care model, which is designed to support the delivery of person-centred, coordinated care. The House of Care enables individuals to make informed decisions about their treatment and empowers them to self-manage their LTCs in partnership with health and care professionals. NHS England has provided data, tools and guidance to support local services in identifying those most likely to benefit from a care planning approach. Specifically on MSK conditions, the National Clinical Director for MSK, Peter Kay, has been working in partnership with the Arthritis and Musculoskeletal Alliance, to develop new MSK clinical networks across England to build consensus on the way forward for models of care.

In terms of assessment, the first annual report of the National Clinical Audit of Rheumatoid and Early Inflammatory Arthritis, commissioned on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP), was published on 22 January 2016. This report, which includes data from 1 February 2014 to 30 April 2015, assesses the quality of care by specialist rheumatology services using criteria derived from sources such as the Rheumatoid Arthritis Quality Standard, published by the National Institute for Clinical Excellence in June 2013. The report identifies that although most services offer prompt educational support and agree targets for treatment with their patients, performance against criteria for referral and assessment could be improved. Since the audit, HQIP has reported that a number of trusts have successfully reconfigured their services in order to improve patient care. More information can be found at the following link:

www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory

Since 1 April 2013, the Government has set out high level strategic ambitions for the National Health Service through the Mandate. For patients with long term conditions (LTCs), including musculoskeletal (MSK) conditions, we have asked the NHS to improve the care and support of patients, helping them to live healthily and independently, with much better control over the care they receive.

In response, NHS England has set out a range of actions designed to deliver this, central to which was implementation of the House of Care model, which is designed to support the delivery of person-centred, coordinated care. The House of Care enables individuals to make informed decisions about their treatment and empowers them to self-manage their LTCs in partnership with health and care professionals. NHS England has provided data, tools and guidance to support local services in identifying those most likely to benefit from a care planning approach. Specifically on MSK conditions, the National Clinical Director for MSK, Peter Kay, has been working in partnership with the Arthritis and Musculoskeletal Alliance, to develop new MSK clinical networks across England to build consensus on the way forward for models of care.

In terms of assessment, the first annual report of the National Clinical Audit of Rheumatoid and Early Inflammatory Arthritis, commissioned on behalf of NHS England by the Healthcare Quality Improvement Partnership (HQIP), was published on 22 January 2016. This report, which includes data from 1 February 2014 to 30 April 2015, assesses the quality of care by specialist rheumatology services using criteria derived from sources such as the Rheumatoid Arthritis Quality Standard, published by the National Institute for Clinical Excellence in June 2013. The report identifies that although most services offer prompt educational support and agree targets for treatment with their patients, performance against criteria for referral and assessment could be improved. Since the audit, HQIP has reported that a number of trusts have successfully reconfigured their services in order to improve patient care. More information can be found at the following link:

www.hqip.org.uk/national-programmes/a-z-of-nca/arthritis-rheumatoid-and-early-inflammatory

To help understand the needs of local authorities and support them and their partners in delivering the Care Act, together with local government we are have agreed approaches to:

- implementation assurance: to monitor progress with preparations for delivery, including the required actions of all organisations across the whole programme;

- implementation support: identifying requirements for support with implementation, including specific support materials and more bespoke advice and consultancy; and

- benefits realisation and evaluation: to track that changes to the care and support system are being embedding into practice and delivering what was intended.

National stocktake surveys led by the Local Government Association and Association of Directors of Adult Social Service provide an overview of readiness, delivery confidence and key issues, supported by follow-up discussions and analysis to validate results.

The Department has also agreed with the Association of Directors of Adult Social Services and the Local Government Association a process for the ongoing monitoring of specified demand data in all local authorities from 1 April 2015, based on the areas of most significant risk as identified by local authorities.

Over the past year, the national statutory local authority data returns collected by the Health and Social Care Information Centre have all been assessed to ensure that they collect the information required on the Care Act. Consultations were carried out during Summer 2014 and subsequent amendments were disseminated to local authorities for the collections from 1 April 2015 onwards.