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61717

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the savings to the NHS from the use of mindfulness interventions to reduce the number of GP visits.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200397
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>No such assessment of the saving to the National Health Service from the use of mindfulness interventions to reduce the number of general practitioner visits has been made.</p><p> </p><p>The Department is aware of the Mental Health Foundation's research into the impact of mindfulness. The benefits of mindfulness are widely recognised. The National Institute for Clinical Excellence guidance for the NHS has recommended Mindfulness-Based Cognitive Therapy (MBCT) for recurrent depression since 2004. MBCT is available through a number of Improving Access to Psychological Therapy services in England.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 200425 question first answered 18/06/2014 15:02:11 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

61718

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the relationship of the length of time of GP patient consultation and successful diagnosis.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200399
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>No assessment has been made of the relationship between the length of time of general practitioner (GP) patient consultation and successful diagnosis. Data on the length of GP appointments is not held centrally.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/06/2014 15:19:38 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	534 label Biography information for Chris Ruane

61719

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the benefits of nurse-led patient health checks immediately before GP consultations.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200400
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>We understand from NHS England that, to date, no assessment has been made of the benefits of nurse-led patient health checks immediately before general practitioner appointments.</p><p> </p><p>However, practice nurses play an invaluable role as part of the multidisciplinary practice team. For example, in some areas nurses will deliver the NHS Health Check Programme, which aims to prevent heart disease, stroke, diabetes and kidney disease.</p><p> </p><p>NHE England will also shortly be employing a practice nurse advisor who will be working at national level to help inform and disseminate best practice in relation to health checks and the Chief Nursing Officer will work closely with the Medical Director to support further work on the Health Check Programme.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/06/2014 15:23:54 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	534 label Biography information for Chris Ruane

61720

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the relationship between the length of time of GP patient consultation and patient satisfaction.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200401
answer	answer is ministerial correction date of answer 18/06/2014 answer text <p>Overall patient satisfaction is driven by a range of factors, including accessing general practitioner (GP) appointments at a convenient time, the ability to see a preferred GP and the quality of the conversation with the GP.</p><p> </p><p>Data is not held centrally on the average length of a GP appointment, and we are not aware of any formal assessment being made of the relationship between the length of time of a GP patient consultation and patient satisfaction.</p><p> </p><p>However, the GP Patient Survey includes the following question:</p><p> </p><p>“Last time you saw or spoke to a GP from your GP surgery, how good was that GP at each of the following?</p><p>- Giving you enough time</p><p>- Listening to you</p><p>- Explaining tests and treatments</p><p>- Involving you in decisions about your care</p><p>- Treating you with care and concern”</p><p> </p><p>In the most recent GP Patient Survey, published in December 2013, 85.8% of respondents said that their GP was either ‘very good' or ‘good' at giving them enough time.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/06/2014 15:21:13 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	534 label Biography information for Chris Ruane

61721

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the effect of stress on heart failure.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200404
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.</p><p> </p><p>The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.</p><p> </p><p>The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.</p><p> </p><p>However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 200402 200405 question first answered 19/06/2014 15:44:17 answering member 3918 label Biography information for Jane Ellison
tabling member	534 label Biography information for Chris Ruane

61722

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the incidence of heart attacks among workers who work (a) 40 and (b) 60 hours a week.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200405
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.</p><p> </p><p>The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.</p><p> </p><p>The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.</p><p> </p><p>However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 200402 200404 question first answered 19/06/2014 15:44:17 answering member 3918 label Biography information for Jane Ellison
tabling member	534 label Biography information for Chris Ruane

61723

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what comparative assessment he has made of the rates of mental ill health caused by (a) working long hours and (b) being unemployed.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200406
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>Numerous studies, including the Marmot Review into health inequalities in England (published in 2010) draw attention to the impacts of unemployment, and particularly long-term unemployment, on mental health.</p><p> </p><p>Research also demonstrates that work related stress and mental health problems often go together. Work related stress may trigger an existing mental health problem that the person may otherwise have successfully managed.</p><p> </p><p>However, common mental health problems and stress can exist independently. For example, people can have work related stress leading to physical symptoms such as high blood pressure, without experiencing anxiety and depression. They can also have anxiety and depression that is unrelated to stress.</p><p> </p><p>Gainful employment promotes mental well-being. Unfortunately, the workplace can also be the source of nonproductive stress leading to physical and mental health problems, including suicidal thoughts and behaviours and suicide.</p><p> </p><p>A number of studies demonstrate an association between the areas of England worst affected during the recent financial crisis and increased suicide rates. Between 2008 and 2010, there were approximately 800 more suicides among men and 155 more among women than would have been expected based on historical trends. This was supported by a recent review of the international impact of the global economic crisis. A rise in poor health status associated with the recession has also been found not only for the unemployed, but also among people who remain employed.</p><p> </p><p>People come into contact with the welfare system at a time when they may be vulnerable because of unemployment and its associated consequences. The Department for Work and Pensions provides guidance and training for staff to help them identify and support people who are vulnerable, including those who may be at risk of suicide or self-harm.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 200412 question first answered 19/06/2014 11:54:11 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

61724

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the potential benefits of using mobile telephone apps to use GPS to locate trained resuscitators and atrial fibrilation equipment to bring a rapid response to those who have suffered a heart attack.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200407
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>The development of mobile device based Apps are being considered by NHS England across health and care settings and are still in development and launched the Health Apps Library in March 2013.</p><p> </p><p>NHS England is taking a leading role on apps in a number of areas:</p><p> </p><p>- Health Apps Library: In recognition of needing to support patients and the public in knowing which apps they can trust and that are safe. Only apps that have successfully completed a clinical safety review process are listed.</p><p> </p><p>- Overall United Kingdom Apps Review Framework: In recognising the need to help apps developers understand what review and regulation they need to go through, NHS England, the Health and Social Care Information Centre and the Medicines and Healthcare products Regulatory Agency are jointly working together to create an overall review framework for health apps.</p><p> </p><p>- Integrated apps: The future direction of apps is to move from lots of individual apps for specific purposes that are not linked to “integrated apps” that brings different pieces of information together.</p><p><strong> </strong></p><p>Sudden and unexpected cardiac arrest remains a major public health concern in all countries and can affect all ages.</p><p> </p><p>Defibrillators that can save many lives within minutes of the event are widely available, but rapid location of these and also trained community responders is an urgent and unmet need. Apps have been developed and several are in use but they will not achieve their full potential until integrated into a national scheme which NHS England is considering.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/06/2014 15:47:45 answering member 3918 label Biography information for Jane Ellison
tabling member	534 label Biography information for Chris Ruane

61725

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the out-of-hospital survival rates are for patients who suffer a heart attack in each year since 1984 for which information is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	200402
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.</p><p> </p><p>The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.</p><p> </p><p>The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.</p><p> </p><p>However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 200404 200405 question first answered 19/06/2014 15:44:17 answering member 3918 label Biography information for Jane Ellison
tabling member	534 label Biography information for Chris Ruane

61726

registered interest
date	12/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Hospitals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what future plans he has for community hospitals in the NHS; and if he will make a statement.
tabling member constituency	Thirsk and Malton
tabling member printed	Miss Anne McIntosh
uin	200420
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>The majority of NHS services, including services provided in community hospitals, are commissioned by clinical commissioning groups (CCGs). Future plans for community hospitals therefore need to be developed locally rather than determined at a national level.</p><p> </p><p>NHS England expects CCGs' commissioning decisions to be underpinned by clinical insight and knowledge of local healthcare needs and to have regard to the need to address health inequalities.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/06/2014 15:08:45 answering member 3918 label Biography information for Jane Ellison
tabling member	384 label Biography information for Baroness McIntosh of Pickering