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390793

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when care.data will be rolled out nationally; and if he will make a statement.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7540
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>A full evaluation of the pathfinder stage will take place and further rollout of the programme is dependent on this evaluation. It is a programme led evaluation and the timing of it is subject to the National Data Guardian’s (Dame Fiona Caldicott) assessment of the arrangements and safeguards which will precede it. NHS England anticipates it will conclude in early 2016. The evaluation will involve the care.data pathfinder practices and clinical commissioning groups.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:13:31 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390794

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many representations he has received from (a) individuals and (b) groups (i) in favour of and (ii) against care.data in the last six months.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7541
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>NHS England carried out an extensive listening exercise following the decision to pause the programme in February 2014. More than 3,000 people took part in over 180 local and regional meetings and events including patients, general practitioners, practice managers, patient groups and the research community. A range of views were expressed during this engagement and these have helped to shape the programme, including the addition of a phased approach to implementation starting with a pathfinder stage.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:11:46 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390795

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
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 variations in the length of time NHS trusts take to implement NICE guidance.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	7529
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>We have made no such assessment.</p><p> </p><p> </p><p> </p><p>Commissioners are legally required to fund treatments recommended in the National Institute for Health and Care Excellence (NICE) technology appraisals or highly specialised technology evaluations, normally within three months of NICE’s guidance being published. Other guidance from NICE is not mandatory.</p><p> </p><p> </p><p> </p><p>We expect commissioners to take NICE’s guidance into account in their decision making. The Innovation Scorecard provides data on local level uptake of some NICE approved products over a period of time. This data can be used by local commissioners to support identification of variation in uptake of some newer products.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 14:57:54 answering member 4020 label Biography information for George Freeman
tabling member	44 label Biography information for Sir David Amess

390796

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department has made in developing a HIV prevention strategy; and what timetable he has set for the development of that strategy.
tabling member constituency	Finchley and Golders Green
tabling member printed	Mike Freer
uin	7527
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>The Department’s Framework for Sexual Health Improvement in England (2013) addresses HIV prevention as part of wider action to improve sexual health and modernise sexual health services. It sets out the evidence base for sexual health improvement, including for people at risk of HIV. In addition, Public Health England (PHE) is currently consulting on its Health Promotion Strategic Plan for Sexual and Reproductive Health and HIV. This will complement the Department’s Framework and PHE expect to publish their strategic plan later this year.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/07/2015 14:39:38 answering member 3918 label Biography information for Jane Ellison
tabling member	4004 label Biography information for Mike Freer

390802

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Data Protection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support and guidance has been provided by his Department and the NHS to ensure that (a) NHS establishments, (b) private and medical establishments, (c) registered medical practitioners and (d) medical practitioner regulatory bodies are aware of their obligations under the Data Protection Act; and what plans he has to provide such support and guidance to each of those entities.
tabling member constituency	St Helens South and Whiston
tabling member printed	Marie Rimmer
uin	7701
answer	answer is ministerial correction date of answer 22/07/2015 answer text <p>Each National Health Service organisation, private medical organisation and general practitioner (GP) practice is a Data Controller and responsible for ensuring compliance with the Data Protection Act 1998.</p><p> </p><p> </p><p> </p><p>In addition to their legal responsibilities, these organisations are also subject to contractual obligations for data protection. Most NHS organisations, including non-NHS organisations providing NHS services are required to complete an annual assessment of information governance practice using the Department’s online Information Governance Toolkit to provide assurance of compliance. The Health and Social Care Information Centre provides an online Information Governance Training Tool which covers the Data Protection Act as well as other relevant law and legislation. This Training can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.igtt.hscic.gov.uk/igte/index.cfm" target="_blank">https://www.igtt.hscic.gov.uk/igte/index.cfm</a></p><p> </p><p> </p><p> </p><p>Members of the public can view an organisation's annual report.</p><p> </p><p> </p><p> </p><p>NHS England has provided specific Data Protection Act guidance to commissioners and GPs/primary care on data processing for risk stratification, invoice validation, fair processing, identity verification (for patient on-line services) and safeguarding. Specific NHS England programmes include work on Data Protection, alongside other relevant issues. Further guidance is in development to support organisations delivering primary care innovation under the Prime Minister's Challenge Fund. NHS England also provides dedicated Information Governance support for this programme to deal with day to day issues and strategic direction.</p><p> </p><p> </p><p> </p><p>Medical practitioner regulatory bodies are independent of Government and it would be inappropriate for the Department to influence their work in this area.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 22/07/2015 16:10:21 answering member 4020 label Biography information for George Freeman
tabling member	4457 label Biography information for Ms Marie Rimmer

390805

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have opted out of the care.data scheme in each of the pathfinder areas.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7710
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>July 2015 figures covering 61% of the care.data pathfinder general practitioner (GP) practices suggest that, across those practices, 1.8% of patients have registered a type 1 objection, to their identifiable data being shared outside their GP practice for purposes other than their direct care. Some practices have higher volumes of objections than others, but the majority fall within 0.5-2.5% range.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:21:21 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390806

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessments he has made of the deliverability of care.data during the pathfinder stage.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7709
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>No information will be collected until Dame Fiona Caldicott, the National Patient Data Guardian, advises she is satisfied with the care.data pathfinder’s proposals and safeguards. A full evaluation of the pathfinder stage will take place before national rollout begins.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:11:40 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390814

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records: Publicity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to initiate a public awareness campaign before the national rollout of care.data.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7629
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>Pathfinder practices are planning to begin communicating with their patients in autumn 2015. Patients who are over 16, registered at a pathfinder practice, will receive a letter and booklet about information sharing and an opt-out form. Awareness raising activities are planned in each pathfinder area to complement the delivery of the letter and the decision to send patient communications will be made with each pathfinder area based on their readiness to proceed. No artificial timeframes are being imposed by the programme.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:22:28 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390815

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Databases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GP practices in each pathfinder area have signed up to care.data.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7630
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>The care.data pathfinder clinical commissioning groups (CCGs) are, Blackburn with Darwen, Leeds North, Leeds West, Leeds South and East, West Hampshire and Somerset.</p><p> </p><p> </p><p> </p><p>The number of general practitioner practices who have signed up as pathfinders across West Hampshire, Somerset and Blackburn with Darwen is over 70%.</p><p> </p><p> </p><p> </p><p>The numbers are as follows:</p><p> </p><p> </p><p> </p><p>Blackburn with Darwen – 23</p><p> </p><p>Somerset - 47</p><p> </p><p>West Hampshire - 31</p><p> </p><p> </p><p> </p><p>The three Leeds CCGs are still recruiting practices.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 23/07/2015 10:09:40 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

390816

registered interest
date	16/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many (a) children and (b) adults in (i) Copeland constituency, (ii) Cumbria and (iii) England are classed as (A) overweight, (B) obese and (C) morbidly obese.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	7628
answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>Table 1 shows the prevalence of children who are classified as overweight and obese in Copeland constituency, Cumbria and England. Public Health England (PHE) does not calculate severe obesity for children. The National Child Measurement Programme (NCMP) data only consider children in Year 6 and Reception, rather than all children, and collects information on overweight and obese children. There is currently no universal definition of severe paediatric obesity</p><p> </p><p> </p><p> </p><p>Table 1: Prevalence data presented as count and percentage</p><p> </p><table><tbody><tr><td><p>Children</p></td><td><p>Overweight</p></td><td><p>Obese</p></td><td><p>Morbidly obese</p></td></tr><tr><td><p>Copeland constituency</p></td><td><p>Reception - 104 (15.3%)</p><p>Year 6 - 91 (13.4%)</p></td><td><p>Reception – 67 (10.8%)</p><p>Year 6 - 128 (20.6%)</p></td><td><p>Not available</p></td></tr><tr><td><p>Cumbria</p></td><td><p>Reception - 720 (15.2%)</p><p>Year 6 - 671 (14.1%)</p></td><td><p>Reception 448 (10.0%)</p><p>Year 6 – 869 (19.3%)</p></td><td><p>Not available</p></td></tr><tr><td><p>England</p></td><td><p>Reception – 76718 (13.1%)</p><p>Year 6 – 84,758 (14.4%)</p></td><td><p>Reception - 48748 (9.5%)</p><p>Year 6 – 98,190 (19.1%)</p></td><td><p>Not available</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Health and Social Care Information Centre</p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB16070/nati-chil-meas-prog-eng-2013-2014-tab.xlsx" target="_blank">http://www.hscic.gov.uk/catalogue/PUB16070/nati-chil-meas-prog-eng-2013-2014-tab.xlsx</a></p><p> </p><p> </p><p> </p><p>Table 2 below shows the prevalence of adults who are classified as overweight and obese in Copeland constituency, Cumbria and England. The data used by PHE in its Public Health Outcomes Framework are weight data for adults collected on a sample basis by Sport England, through its Active People Survey. The survey methodology determines the availability of final figures at local level.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Table 2: Percentage of adults classified as overweight or obese</p><p> </p><table><tbody><tr><td><p>Adults</p></td><td><p>Overweight</p></td><td><p>Obese</p></td><td><p>Morbidly obese</p></td></tr><tr><td><p>Copeland constituency</p></td><td><p>47.6%</p></td><td><p>28.3%</p></td><td><p>Not available</p></td></tr><tr><td><p>Cumbria</p></td><td><p>44.5%</p></td><td><p>23.9%</p></td><td><p>Not available</p></td></tr><tr><td><p>England</p></td><td><p>40.8%</p></td><td><p>23.0%</p></td><td><p>Not available</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Public Health England Public Health Outcomes Framework, using Active People Survey, Sport England, 2012 data</p><p> </p><p><a href="http://www.phoutcomes.info/public-health-outcomes-framework#gid/1000042/pat/6/ati/102/page/3/par/E12000002/are/E10000006/iid/90640/age/164/sex/4" target="_blank">http://www.phoutcomes.info/public-health-outcomes-framework#gid/1000042/pat/6/ati/102/page/3/par/E12000002/are/E10000006/iid/90640/age/164/sex/4</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/07/2015 14:55:29 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed