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518234

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 21 April 2016 to Question 34094, by what deadline clinical commissioning groups will be required to report on whether they have increased investment in mental health services above their overall increase in allocation each year.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36812
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>Spending on mental health is expected to increase to £11.7 billion and clinical commissioning groups (CCGs) are required to continue to increase their spend on mental health each year.</p><p>NHS England’s published planning guidance for 2015/16 for commissioners made the expectation clear that each CCG’s spend on mental health services in 2015/16 should increase in real terms, and grow by at least the same percentage as each CCG’s allocation increase.</p><p>Detail on planned spend on mental health is captured as part of the National Health Service financial plan returns for 2016/17 with follow up as part of the plan assurance process. This information is being assessed during May by NHS England.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/05/2016 15:20:04 answering member 1201 label Biography information for Alistair Burt
tabling member	44 label Biography information for Sir David Amess

518239

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on the effect of early health interventions on reducing work disability in patients with long-term musculoskeletal conditions.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36810
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36761 36762 36763 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518240

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 21 April 2016 to Question 34094, if he will provide examples of what his Department might consider an adequate justification for clinical commissioning groups not investing in mental health services as planned.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36811
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>The Mental Health Taskforce report was published on 15 February 2016. The taskforce marks a big step towards our ambition of parity of esteem for mental and physical health. The spending of clinical commissioning group (CCG) resources on mental health as indicated in proportionate increases to general CCG spending is a priority for the Department.</p><p> </p><p>Mental Health Parity of Esteem is a key plan metric for NHS England and any commissioners not planning to achieve this are being scrutinised locally at regional level and centrally at director level. NHS England’s central and regional teams are working with local commissioners to assure that spend on mental health services increases in line with the growth in each organisations programme allocation other than in exceptional circumstances.</p><p> </p><p>In assessing whether a case is exceptional, consideration is made of the level of medium term investment in mental health services by individual commissioners and instances where individual commissioners are working with other commissioners to increase spend for the wider health economy. But any such instances will require clear evidence that will be scrutinised as part of the assurance process.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/05/2016 17:17:40 answering member 1201 label Biography information for Alistair Burt
tabling member	44 label Biography information for Sir David Amess

518245

registered interest
date	09/05/2016
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Industrial Health and Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what steps his Department is taking to support workplace incentives to promote employee health and reduce sickness-related unemployment.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36846
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>We plan to publish a Green Paper later this year, which will set out reforms to improve support for people with health conditions and disabilities, including exploring the roles of employers.</p><p> </p><p>Employers are key partners in our ambition to halve the disability employment gap, reduce sick absence and promote employee health.</p><p> </p><p>Support is offered to employers through initiatives such as Access to Work and Disability Confident which help employers to recruit and retain people with a disability.</p><p> </p><p>Public Health England supports local authorities in the provision of a range of resources and services for employers in the area of preventing ill health, including the Workplace Wellbeing Charter.</p> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 11/05/2016 15:53:35 answering member 4105 label Biography information for Justin Tomlinson
tabling member	44 label Biography information for Sir David Amess

518252

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many individuals with musculoskeletal conditions have (a) been offered patient education programmes and (b) attended patient education programmes.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36760
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36761 36762 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518253

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support his Department provides to people with long-term musculoskeletal conditions in the workplace.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36762
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36761 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518254

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the cost to the UK economy is of people with musculoskeletal conditions being out of work as a result of their conditions.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36761
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36762 36763 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518255

registered interest
date	09/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
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 how the Government, as a public sector employer and commissioner, can increase employment for people with long-term musculoskeletal conditions.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36763
answer	answer is ministerial correction date of answer 12/05/2016 answer text <p>Data concerning the number of individuals who have been offered or who have attended patient education programmes is not collected. The National Institute for Health and Care Excellence (NICE) guidance on osteoarthritis (OA) and rheumatoid arthritis (RA) recommends that patients should be offered patient education programmes, if appropriate. The first annual report of the national clinical audit of rheumatoid and early inflammatory arthritis, published on 22 January 2016, identifies that most services offer prompt educational support.</p><p>Whilst the Department has no specific information in relation to early intervention in musculoskeletal (MSK) conditions reducing work related disability, earlier treatment of RA and OA can help reduce symptoms and improve mobility. The NICE RA Quality Standard specifically recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral. This is because once an RA diagnosis has been made, patients can be considered for anti-TNF drugs which can significantly reduce progression of disease. The OA Quality Standard states that core treatments for osteoarthritis should include physical activity and exercise, as well as weight loss advice, if appropriate.</p><p>Information concerning the cost to the United Kingdom economy of people with MSK conditions being out of work as a result of their conditions is not collected by the Department, though there are a number of studies that have sought to estimate such costs. The NICE guideline on RA and OA both contain such estimates, with the former stating that the total costs of RA in the UK, including indirect costs and work related disability, have been estimated at between £3.8 billion and £4.75 billion per year, and the latter stating that in 1999-2000, 36 million working days were lost due to OA alone, at an estimated cost of £3.2 billion in lost production. Both sets of NICE guidance can be found at the following links:</p><p><a href="http://www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517" target="_blank">www.nice.org.uk/guidance/cg177/resources/osteoarthritis-care-and-management-35109757272517</a></p><p><a href="https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525" target="_blank">https://www.nice.org.uk/guidance/cg79/resources/rheumatoid-arthritis-in-adults-management-975636823525</a></p><p>The Government is working to increase employment for people with long-term conditions, such as MSK conditions, in a number of ways. The Work and Health Unit, now located in the Department for Work and Pensions, has been established to lead the drive for improving work and health outcomes for people with health conditions and disabilities, as well as improving prevention and support for people absent from work through ill health and those at risk of leaving the workforce. The Unit will seek to do this by improving integration across healthcare and employment services as well as supporting employers to recruit and retain more disabled people and people with long term health conditions.</p><p>In 2015 the Government launched the Fit for Work scheme which is free and helps employees stay in or return to work. It provides an occupational health assessment and general health and work advice to employees, employers and general practitioners. Fit for Work complements existing occupational health services provided by employers. More information can be found at the following link:</p><p><a href="http://www.gov.uk/government/collections/fit-for-work-guidance" target="_blank">www.gov.uk/government/collections/fit-for-work-guidance</a></p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 36760 36761 36762 36810 question first answered 12/05/2016 08:44:23 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

518335

registered interest
date	09/05/2016
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Work and Health Innovation Fund: Arthritis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what proportion of the Health and Work Innovation Fund his Department plans to allocate to programmes for people with arthritis.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36756
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>At the spending review, the Work and Health Unit secured £115m of funding, including at least £40m for a Work and Health innovation fund.</p><p> </p><p>The Work and Health Innovation Fund will trial new ways to help working age disabled people and people with health conditions get in, stay in, and return to work as well as benefit from improved health outcomes. This will include support for people with musculoskeletal conditions, including arthritis.</p> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 11/05/2016 14:45:13 answering member 4105 label Biography information for Justin Tomlinson
tabling member	44 label Biography information for Sir David Amess

518336

registered interest
date	09/05/2016
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Access to Work Programme: Arthritis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Work and Pensions, what proportion of Access to Work funding supports people with arthritis.
tabling member constituency	Southend West
tabling member printed	Sir David Amess
uin	36757
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>Access to Work does not record arthritis as a separate primary medical condition.</p><p> </p><p>Access to Work statistics, which include a breakdown of numbers helped by primary medical condition, are published quarterly here:</p><p> </p><p><a href="https://www.gov.uk/government/collections/access-to-work-statistics-on-recipients--2" target="_blank">https://www.gov.uk/government/collections/access-to-work-statistics-on-recipients--2</a>’</p> answering member constituency North Swindon answering member printed Justin Tomlinson question first answered 11/05/2016 15:22:36 answering member 4105 label Biography information for Justin Tomlinson
tabling member	44 label Biography information for Sir David Amess