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599455

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many midwives from other EU countries work at hospitals in (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust and (f) Warrington and Halton Hospitals NHS Foundation Trust.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48121
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>Information is not available in the format requested. Information showing the number of midwives from other European Union countries for specified National Health Service trusts as at 30 June 2016 is shown in the following table.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Full-time equivalent</p></td></tr><tr><td><p>Aintree University Hospital NHS Foundation Trust</p></td><td><p>-</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td><td><p>-</p></td></tr><tr><td><p>Southport and Ormskirk Hospital NHS Trust</p></td><td><p>2</p></td></tr><tr><td><p>St Helens and Knowsley Hospitals NHS Trust</p></td><td><p>2</p></td></tr><tr><td><p>Warrington and Halton Hospitals NHS Foundation Trust</p></td><td><p>3</p></td></tr><tr><td><p>Wirral University Teaching Hospital NHS Foundation Trust</p></td><td><p>1</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p><p><em>Notes:</em></p><ol><li>EU countries include the following countries; Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden, as per the link:</li></ol><p><a href="https://www.gov.uk/eu-eea" target="_blank">https://www.gov.uk/eu-eea</a></p><ol start="2"><li>The nationality field available within the Electronic Staff Record system upon which these figures are based, contains self-reported information from individual employees.</li><li>Nationally over 95,000 NHS staff records do not contain useful data with people choosing not to specify their nationality or not asked to.</li><li>In addition, as nationality is self-reported, the value entered by an individual may reflect their cultural heritage rather than their country of birth. As such, these figures should be treated with a significant degree of caution. Therefore these figures do not necessarily equate to migrants from other countries, and such data is not captured elsewhere in the workforce systems.</li><li>Full-time equivalent figures are rounded to the nearest whole number. ‘-‘ denotes zero.</li><li>Following a public consultation in 2015, categorisation of trusts and staff groups has changed therefore restricting comparability with previous publications. Because of these changes, these statistics are classed as experimental. More details regarding these changes can be found in the outcomes of the consultation document available at the following link:</li></ol><p><a href="http://content.digital.nhs.uk/hchs" target="_blank">http://content.digital.nhs.uk/hchs</a></p><ol start="7"><li>NHS Digital seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 15:52:20 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599457

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments: Merseyside
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 average waiting times for treatment in the accident and emergency departments of the (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust in the last six months.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48123
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>NHS Digital, Hospital Episode Statistics measure accident and emergency waiting times from arrival to assessment, treatment and departure. A table showing the mean and median waiting times for the last six months is below for Royal Liverpool and Broadgreen University Hospital NHS Trust, St Helens and Knowsley Hospital Services NHS Trust, Aintree University Hospitals NHS Foundation Trust, Wirral University Teaching Hospital NHS Foundation Trust, Southport and Ormskirk NHS Trust. Data for 2015-16 and 2016-17 is provisional and may be subject to in-year changes.</p><p> </p><p>Mean and median duration in minutes to assessment<sup>1</sup>, treatment<sup>2</sup> and departure<sup>3</sup> for unplanned accident and emergency (A&amp;E) attendances<sup>4</sup> at specified providers for February to July 2016 (provisional data)<sup>5</sup></p><table><tbody><tr><td rowspan="3"><p>Provider Name</p></td><td rowspan="3"><p>Period</p></td><td colspan="2"><p>Duration to Assessment<sup>2</sup></p></td><td colspan="2"><p>Duration to Treatment<sup>3</sup></p></td><td colspan="2"><p>Duration to Departure<sup>4</sup></p></td></tr><tr><td><p>Mean<sup>1</sup></p></td><td><p>Median<sup>1</sup></p></td><td><p>Mean<sup>1</sup></p></td><td><p>Median<sup>1</sup></p></td><td><p>Mean<sup>1</sup></p></td><td><p>Median<sup>1</sup></p></td></tr><tr><td><p>(minutes)</p></td><td><p>(minutes)</p></td><td><p>(minutes)</p></td><td><p>(minutes)</p></td><td><p>(minutes)</p></td><td><p>(minutes)</p></td></tr><tr><td rowspan="6"><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td><td><p>February 2016</p></td><td><p>14</p></td><td><p>5</p></td><td><p>61</p></td><td><p>29</p></td><td><p>150</p></td><td><p>103</p></td></tr><tr><td><p>March 2016</p></td><td><p>21</p></td><td><p>7</p></td><td><p>68</p></td><td><p>39</p></td><td><p>162</p></td><td><p>115</p></td></tr><tr><td><p>April 2016</p></td><td><p>3</p></td><td><p>1</p></td><td><p>91</p></td><td><p>59</p></td><td><p>223</p></td><td><p>178</p></td></tr><tr><td><p>May 2016</p></td><td><p>4</p></td><td><p>1</p></td><td><p>80</p></td><td><p>55</p></td><td><p>214</p></td><td><p>168</p></td></tr><tr><td><p>June 2016</p></td><td><p>4</p></td><td><p>1</p></td><td><p>86</p></td><td><p>63</p></td><td><p>202</p></td><td><p>171</p></td></tr><tr><td><p>July 2016</p></td><td><p>9</p></td><td><p>2</p></td><td><p>106</p></td><td><p>87</p></td><td><p>203</p></td><td><p>176</p></td></tr><tr><td rowspan="6"><p>St Helens and Knowsley Hospitals NHS Trust</p></td><td><p>February 2016</p></td><td><p>30</p></td><td><p>19</p></td><td><p>77</p></td><td><p>60</p></td><td><p>188</p></td><td><p>129</p></td></tr><tr><td><p>March 2016</p></td><td><p>31</p></td><td><p>21</p></td><td><p>87</p></td><td><p>71</p></td><td><p>194</p></td><td><p>136</p></td></tr><tr><td><p>April 2016</p></td><td><p>35</p></td><td><p>18</p></td><td><p>77</p></td><td><p>57</p></td><td><p>160</p></td><td><p>120</p></td></tr><tr><td><p>May 2016</p></td><td><p>30</p></td><td><p>21</p></td><td><p>83</p></td><td><p>66</p></td><td><p>169</p></td><td><p>137</p></td></tr><tr><td><p>June 2016</p></td><td><p>34</p></td><td><p>21</p></td><td><p>83</p></td><td><p>59</p></td><td><p>182</p></td><td><p>133</p></td></tr><tr><td><p>July 2016</p></td><td><p>33</p></td><td><p>21</p></td><td><p>73</p></td><td><p>55</p></td><td><p>182</p></td><td><p>127</p></td></tr><tr><td rowspan="6"><p>Aintree University Hospital NHS Foundation Trust</p></td><td><p>February 2016</p></td><td><p>15</p></td><td><p>11</p></td><td><p>68</p></td><td><p>54</p></td><td><p>161</p></td><td><p>120</p></td></tr><tr><td><p>March 2016</p></td><td><p>15</p></td><td><p>12</p></td><td><p>72</p></td><td><p>56</p></td><td><p>166</p></td><td><p>122</p></td></tr><tr><td><p>April 2016</p></td><td><p>12</p></td><td><p>9</p></td><td><p>59</p></td><td><p>42</p></td><td><p>144</p></td><td><p>104</p></td></tr><tr><td><p>May 2016</p></td><td><p>18</p></td><td><p>9</p></td><td><p>66</p></td><td><p>43</p></td><td><p>154</p></td><td><p>106</p></td></tr><tr><td><p>June 2016</p></td><td><p>14</p></td><td><p>10</p></td><td><p>64</p></td><td><p>44</p></td><td><p>145</p></td><td><p>100</p></td></tr><tr><td><p>July 2016</p></td><td><p>15</p></td><td><p>11</p></td><td><p>68</p></td><td><p>46</p></td><td><p>151</p></td><td><p>104</p></td></tr><tr><td rowspan="6"><p>Wirral University Teaching Hospital NHS Foundation Trust</p></td><td><p>February 2016</p></td><td><p>29</p></td><td><p>19</p></td><td><p>98</p></td><td><p>89</p></td><td><p>228</p></td><td><p>193</p></td></tr><tr><td><p>March 2016</p></td><td><p>33</p></td><td><p>23</p></td><td><p>106</p></td><td><p>96</p></td><td><p>231</p></td><td><p>197</p></td></tr><tr><td><p>April 2016</p></td><td><p>21</p></td><td><p>15</p></td><td><p>91</p></td><td><p>84</p></td><td><p>206</p></td><td><p>187</p></td></tr><tr><td><p>May 2016</p></td><td><p>25</p></td><td><p>17</p></td><td><p>99</p></td><td><p>91</p></td><td><p>212</p></td><td><p>184</p></td></tr><tr><td><p>June 2016</p></td><td><p>22</p></td><td><p>16</p></td><td><p>92</p></td><td><p>82</p></td><td><p>188</p></td><td><p>173</p></td></tr><tr><td><p>July 2016</p></td><td><p>26</p></td><td><p>19</p></td><td><p>83</p></td><td><p>78</p></td><td><p>192</p></td><td><p>170</p></td></tr><tr><td rowspan="6"><p>Southport and Ormskirk Hospital NHS Trust</p></td><td><p>February 2016</p></td><td><p>11</p></td><td><p>3</p></td><td><p>88</p></td><td><p>66</p></td><td><p>157</p></td><td><p>112</p></td></tr><tr><td><p>March 2016</p></td><td><p>12</p></td><td><p>4</p></td><td><p>92</p></td><td><p>71</p></td><td><p>162</p></td><td><p>118</p></td></tr><tr><td><p>April 2016</p></td><td><p>7</p></td><td><p>2</p></td><td><p>70</p></td><td><p>51</p></td><td><p>139</p></td><td><p>95</p></td></tr><tr><td><p>May 2016</p></td><td><p>6</p></td><td><p>2</p></td><td><p>67</p></td><td><p>47</p></td><td><p>135</p></td><td><p>91</p></td></tr><tr><td><p>June 2016</p></td><td><p>7</p></td><td><p>4</p></td><td><p>64</p></td><td><p>45</p></td><td><p>127</p></td><td><p>88</p></td></tr><tr><td><p>July 2016</p></td><td><p>8</p></td><td><p>4</p></td><td><p>71</p></td><td><p>49</p></td><td><p>138</p></td><td><p>91</p></td></tr></tbody></table><p><em>Source: </em>Hospital Episode Statistics, NHS Digital</p><p> </p><p><em>Notes</em>:</p><p> </p><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><p><sup>1 </sup>Mean and Median: The mean (average) and median (middle) in ranking when all values are sorted in order) duration in minutes to assessment, treatment or duration.</p><p> </p><p><sup>2</sup> Duration to assessment: This is the total amount of time in minutes between the patients’ arrival and their initial assessment in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is initially assessed.</p><p> </p><p><sup>3 </sup>Duration to treatment: This is the total amount of time in minutes between the patients’ arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient began treatment.</p><p> </p><p><sup>4 </sup>Duration to departure: This is total amount of time spent in minutes in an A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, dying in the department, discharged with no follow up or discharged and referred to another specialist department.</p><p> </p><p><sup>5 </sup>2015-16 and 2016-17 is provisional data and may be incomplete or contain errors for which no adjustments have yet been made.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 10:15:24 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599460

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery: Merseyside
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 number of cancelled elective operations in the (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust and (f) Warrington and Halton Hospitals NHS Foundation Trust in the last six months.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48124
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>NHS England publishes information each quarter on the number of last minute elective operations cancelled for non-clinical reasons. The following table shows this information for the specified trusts in the two most recent quarters. A last minute cancellation is defined as when a patient’s operation is cancelled by the hospital on or after the day of admission, including the day of surgery, for non-clinical reasons.</p><p> </p><p>Number of last minute elective operations cancelled for non-clinical reasons for specified trusts, Quarter 4 2015/16 and Quarter 1 2016/17</p><table><tbody><tr><td><p> </p></td><td><p>Quarter 4 2015/16</p></td><td><p>Quarter 1 2016/17</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td><td><p>113</p></td><td><p>93</p></td></tr><tr><td><p>St Helens and Knowsley Hospital Services NHS Trust</p></td><td><p>161</p></td><td><p>102</p></td></tr><tr><td><p>Aintree University Hospital NHS Foundation Trust</p></td><td><p>67</p></td><td><p>39</p></td></tr><tr><td><p>Wirral University Teaching Hospital NHS Foundation Trust</p></td><td><p>55</p></td><td><p>61</p></td></tr><tr><td><p>Southport And Ormskirk Hospital NHS Trust</p></td><td><p>77</p></td><td><p>27</p></td></tr><tr><td><p>Warrington and Halton Hospitals NHS Foundation Trust</p></td><td><p>0</p></td><td><p>31</p></td></tr></tbody></table><p><em>Source: </em>Cancelled elective operations, NHS England</p><p><em> </em></p><p><em>Note</em>:</p><p>Quarter 2 data will be published on 11 November 2016.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 10:16:36 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599461

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Alcoholic Drinks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he take steps to raise awareness among pregnant women of the (a) risks of alcohol consumption and (b) benefits of zero alcohol consumption.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	48111
answer	answer is ministerial correction date of answer 18/10/2016 answer text <p>The new United Kingdom Chief Medical Officers’ (CMO) low risk drinking guidelines provide the public with the most up to date scientific information to help people make informed decisions about their own drinking.</p><p>The guideline for women who are pregnant or think they could become pregnant, is that the safest approach is not to drink alcohol at all, to reduce risks to the baby to a minimum.</p><p>The UK CMOs’ low risk drinking guidelines can be found at Gov.uk at:</p><p><a href="https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking" target="_blank">https://www.gov.uk/government/publications/alcohol-consumption-advice-on-low-risk-drinking</a></p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/10/2016 10:54:05 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4131 label Biography information for Jim Shannon

599462

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the budget deficits are at the (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust and (f) Warrington and Halton Hospitals NHS Foundation Trust.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48125
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>The latest financial positions of individual National Health Service trusts are published in NHS trust Board papers, available on NHS trust websites.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 15:44:46 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599465

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the number of (a) obese and (b) overweight children under the age of 11; and if he will take steps to cooperate with (a) his counterparts in the devolved administrations, (b) GPs, (c) teachers and (d) parents to help reduce that number.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	48108
answer	answer is ministerial correction date of answer 18/10/2016 answer text <p>We launched <em>Childhood Obesity: A Plan for Action</em> on 18 August. Our plan focuses on actions that are likely to have the biggest impact on reducing childhood obesity and maintaining a healthy weight. It presents a bold package of policy proposals, informed by the available evidence. We will work with the devolved administrations, general practitioners and other healthcare professionals, teachers and parents to improve the health and wellbeing of children across the United Kingdom.</p><p>We are confident that the measures announced will make a real difference and estimate that they could reduce childhood obesity rates by around a fifth (330,000) over the next 10 years.</p><p>A copy of <em>Childhood Obesity: A Plan for Action</em> is attached and is available at:</p><p><a href="http://www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf" target="_blank">www.gov.uk/government/uploads/system/uploads/attachment_data/file/546588/Childhood_obesity_2016__2__acc.pdf</a></p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/10/2016 10:49:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Childhood Obesity Plan.pdf title Childhood Obesity Plan
tabling member	4131 label Biography information for Jim Shannon

599466

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Migrant Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many doctors from other EU countries work at hospitals in (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust and (f) Warrington and Halton Hospitals NHS Foundation Trust.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48120
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>Information is not available in the format requested. Information showing the number of medical and dental staff from other EU countries for specified National Health Service trusts as at 30 June 2016 is shown in the following table.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Full-time equivalent</p></td></tr><tr><td><p>Aintree University Hospital NHS Foundation Trust</p></td><td><p>53</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen University Hospitals NHS Trust</p></td><td><p>76</p></td></tr><tr><td><p>Southport and Ormskirk Hospital NHS Trust</p></td><td><p>20</p></td></tr><tr><td><p>St Helens and Knowsley Hospitals NHS Trust</p></td><td><p>46</p></td></tr><tr><td><p>Warrington and Halton Hospitals NHS Foundation Trust</p></td><td><p>27</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p><p><em>Notes:</em></p><ol><li>EU countries include the following countries; Austria, Belgium, Bulgaria, Croatia, Republic of Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Poland, Portugal, Romania, Slovakia, Slovenia, Spain and Sweden, as per the link:</li></ol><p><a href="https://www.gov.uk/eu-eea" target="_blank">https://www.gov.uk/eu-eea</a></p><ol start="2"><li>The nationality field available within the Electronic Staff Record system upon which these figures are based, contains self-reported information from individual employees.</li><li>Nationally over 95,000 NHS staff records do not contain useful data with people choosing not to specify their nationality or not asked to.</li><li>In addition, as nationality is self-reported, the value entered by an individual may reflect their cultural heritage rather than their country of birth. As such, these figures should be treated with a significant degree of caution. Therefore these figures do not necessarily equate to migrants from other countries, and such data is not captured elsewhere in the workforce systems.</li><li>Full-time equivalent figures are rounded to the nearest whole number.</li><li>Following a public consultation in 2015, categorisation of trusts and staff groups has changed therefore restricting comparability with previous publications. Because of these changes, these statistics are classed as experimental. More details regarding these changes can be found in the outcomes of the consultation document available at the following link:</li></ol><p><a href="http://content.digital.nhs.uk/hchs" target="_blank">http://content.digital.nhs.uk/hchs</a></p><ol start="7"><li>NHS Digital seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 15:49:10 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599470

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Agency Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much (a) Royal Liverpool and Broadgreen University Hospital NHS Trust, (b) St Helens and Knowsley Hospital Services NHS Trust, (c) Aintree University Hospitals NHS Foundation Trust, (d) Wirral University Teaching Hospital NHS Foundation Trust, (e) Southport and Ormskirk NHS Trust and (f) Warrington and Halton Hospitals NHS Foundation Trust spent on agency medical staff in (i) 2014-15 and (ii) 2015-16.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	48122
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>The Department does not collect data on which specific area of employment provider expenditure was incurred under. Data is however collected in totality for employees under temporary or agency contracts. The total temporary and agency staff expenditure incurred by the six providers for 2014-15 and 2015-16 is shown in the table below.</p><p> </p><table><tbody><tr><td><p>Provider body</p></td><td><p>2014-15 £000</p></td><td><p>2015-16 £000</p></td></tr><tr><td><p>Royal Liverpool and Broadgreen</p></td><td><p>11,652</p></td><td><p>11,244</p></td></tr><tr><td><p>St Helens and Knowsley</p></td><td><p>8,403</p></td><td><p>12,251</p></td></tr><tr><td><p>Aintree</p></td><td><p>14,927</p></td><td><p>11,253</p></td></tr><tr><td><p>Wirral</p></td><td><p>6,181</p></td><td><p>12,849</p></td></tr><tr><td><p>Southport and Ormskirk</p></td><td><p>11,115</p></td><td><p>15.080</p></td></tr><tr><td><p>Warrington and Halton</p></td><td><p>11,562</p></td><td><p>15,957</p></td></tr></tbody></table><p> </p><p>In addition to payments made for medical staff, the figures in the above table include the costs of temporary and agency workers engaged in other activities, such as employees contracted for provision of other administration and support services.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/10/2016 15:53:29 answering member 1542 label Biography information for Philip Dunne
tabling member	481 label Biography information for Sir George Howarth

599471

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to improve early diagnosis of childhood cancers; and if he will make available additional funding to improve such early diagnosis.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	48110
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>Improving early diagnosis of cancer is a priority for this Government, and was clearly highlighted in the report Achieving World-Class Cancer Outcomes published last year by the Independent Cancer Taskforce. Earlier diagnosis makes it more likely that patients, including children with cancer, will receive effective treatments. We have committed to implementing all the recommendations of the Taskforce including that, by 2020, everyone referred with a suspicion of cancer will receive either a definitive diagnosis or the all-clear within four weeks (28 days).</p><p>NHS England has the funds necessary to improve cancer services over the next five years, including up to £300 million by 2020 to support earlier diagnosis of cancer and the £10 billion of real terms increase in National Health Service funding by 2020-21. The recommendations in the Taskforce report give direction as to where these funds should be targeted.</p><p>In order to continue to support general practitioners (GPs) to identify patients whose symptoms may indicate cancer and urgently refer them as appropriate, the National Institute for Health and Care Excellence (NICE) published an updated suspected cancer referral guideline in June 2015. The guideline ‘Suspected cancer: recognition and referral’ includes new recommendations for childhood cancers.</p><p>NICE also addressed generally, non-site specific symptoms of concern in children and young people, recommending that GPs should take into account the insight and knowledge of parents and carers when considering making a referral for suspected cancer. NICE noted that more lives could be saved each year in England if GPs followed the new guideline, which encourages GPs to think of cancer sooner and lower the referral threshold.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 19/10/2016 14:41:21 answering member 4080 label Biography information for David Mowat
tabling member	4131 label Biography information for Jim Shannon

599473

registered interest
date	11/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Chemotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions the Chemotherapy Clinical Reference Group has had on the use of bisphosphonates for the indication of preventing secondary breast cancer since July 2015.
tabling member constituency	Meriden
tabling member printed	Dame Caroline Spelman
uin	48107
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>NHS England has advised that the Chemotherapy Clinical Reference Group (CRG) discussed the use of bisphosphonates for the indication of preventing secondary breast cancer during a meeting held in September 2015. It was raised in the context of guidance being developed by the Breast Cancer Clinical Reference Group and whether, through the Chemotherapy CRG, NHS England could implement any policy to support the use of these drugs. It was confirmed that these drugs would need to be commissioned by clinical commissioning groups.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/10/2016 15:04:06 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	312 label Biography information for Dame Caroline Spelman