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448700

registered interest
date	28/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Pregnancy
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 January 2016 to Question 23676, how much funding has been allocated to the HEE Perinatal Mental Health programme in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	24674
answer	answer is ministerial correction date of answer 02/02/2016 answer text <p>Health Education England (HEE) was formed in 2013. For data since 2013, HEE does not have information at this level. HEE has various workforce development programmes managed through its thirteen local offices that might support perinatal mental health, but information on expenditure is not collected to this level of detail.</p><p> </p><p>HEE has a mandate commitment to ensure that trained specialist mental health staff are available to support mothers in every birthing unit by 2017. And a further mandate commitment requires HEE to work with the Royal Colleges to support perinatal mental health training being incorporated into the postgraduate training syllabus for doctors by 2017.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/02/2016 11:21:36 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

448720

registered interest
date	28/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Closures
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what contingency plans the Government has in the event a major care provider is in a financial position where it is no longer able to continue to provide its services.
tabling member constituency	Sheffield Central
tabling member printed	Paul Blomfield
uin	24742
answer	answer is ministerial correction date of answer 02/02/2016 answer text <p>Local authorities retain responsibility for managing provider failure in the social care market. The Government has worked with the Association of Directors of Adult Social Services and partners to publish guidance to support local authorities to develop contingency plans for managing the failure of a social care provider in their local area. The guidance can be found at:</p><p> </p><p><a href="http://www.lgiu.org.uk/report/care-and-continuity-guide/" target="_blank">http://www.lgiu.org.uk/report/care-and-continuity-guide/</a></p><p> </p><p> </p><p>The Government is working with local authorities to ensure they have effective and up to date plans in place.</p><p> </p><p>The Care Act also gave the Care Quality Commission (CQC) a new function to oversee the finances of care providers which are either large or whose provision is geographically concentrated as their financial failure would make it difficult for local authorities to discharge their statutory responsibilities.</p><p> </p><p>The oversight function will provide early warning to relevant local authorities in the event that one of these providers is likely to fail and their services cease. This will allow local authorities time to implement contingency plans.</p><p> </p><p>The Government is working with the CQC and the sector to monitor risks to the system and will develop bespoke contingency plans to support local government to manage provider failure, where appropriate.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/02/2016 11:27:02 answering member 1201 label Biography information for Alistair Burt
tabling member	4058 label Biography information for Paul Blomfield

448310

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Living Wage
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 22 January 2016 to Question 23722, what estimate his Department has made of the additional cost to social care providers of paying the new national living wage.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	24584
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Our analysis of the cost of the national living wage was based on projections and data on pay including the national living wage from the Office of Budget Responsibility and Skills for Care.</p><p> </p><p>This analysis informed the decision to provide a settlement which means local government has access to the funding it needs to increase adult social care spending in real terms by the end of the Parliament.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 01/02/2016 12:52:55 answering member 1201 label Biography information for Alistair Burt
tabling member	1588 label Biography information for Barbara Keeley

448311

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Agency Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, which NHS (a) trusts and (b) foundation trusts have reported that their planned agency nursing spend (i) will and (ii) will not exceed the ceiling trajectory set by Monitor.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	24545
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24544 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

448312

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Agency Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, what the planned agency costs are forecast to be as a proportion of the total nursing costs in each NHS (a) trust and (b) foundation trust in 2015-16.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	24544
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24545 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

448313

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what forecast his Department has made of the budget of his Department's consultation, entitled Infected blood: reform of financial and other support; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	24488
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>As announced on 21 January 2016, the Department has identified £100 million from its budget for the Spending Review period for the proposals set out in the consultation. This is in addition to the current spend and the £25 million already announced in March 2015.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 14:49:30 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

448314

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rheumatoid Arthritis: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to support earlier diagnosis and treatment of rheumatoid arthritis to allow people with that condition to stay in work for longer.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	24541
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>In February 2015, Public Health England, in partnership with the Department, ran a local pilot campaign to raise public awareness of the signs and symptoms of rheumatoid arthritis (RA) symptoms in Nottingham City and Hardwick Clinical Commissioning Group. The aim of the campaign was to support earlier diagnosis and thereby enable treatment to begin earlier to improve the quality of life for people with the condition. The results of the campaign are currently being evaluated.</p><p><strong><br> </strong>To help clinicians to identify the symptoms of RA and make prompt referral to specialists the National Institute for Health and Care Excellence (NICE) published <em>Rheumatoid arthritis: The management of rheumatoid arthritis in adults </em>in 2009. The guideline emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of RA. The guidance is available at:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg79" target="_blank">https://www.nice.org.uk/guidance/cg79</a></p><p> </p><p>In addition, NICE has also published a Quality Standard on RA in June 2013. Quality standards are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. The standard makes seven statements which are indicators of good care, including one on that sets out that people with suspected RA are referred to a rheumatology service within three working days of presentation. It also includes a statement on assessment which recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 13:04:44 answering member 3918 label Biography information for Jane Ellison
tabling member	481 label Biography information for Sir George Howarth

448315

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients have been infected with HIV and hepatitis C through treatment with NHS-supplied blood or blood products; how much his Department has paid to patients so infected with those diseases to date; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	24489
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Published data estimates that around 4,700 people with bleeding disorders (such as haemophilia) and around 28,000 other people were exposed to hepatitis C in the United Kingdom. This information is from the UK Haemophilia Doctors’ Organisation 2011 annual report. Around 1,200 people with bleeding disorders and 100 other individuals were infected with HIV through treatment with National Health Service-supplied blood products or blood transfusions in the UK. Many of those infected with HIV were also infected with hepatitis C.</p><p> </p><p>To date over £390 million has been paid out in the UK through the schemes, since they were set up in 1988.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 14:42:45 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

448316

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to improve pancreatic cancer survival rates.
tabling member constituency	Belfast South
tabling member printed	Dr Alasdair McDonnell
uin	24548
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Services for pancreatic cancer have been significantly strengthened within the National Health Service in recent years. This includes clearer diagnostic pathways; decision making by specialist multi-disciplinary teams; and centralisation of pancreas surgery within specialist teams.</p><p> </p><p>However, we know more needs to be done. The Independent Cancer Taskforce’s report, <em>Achieving World-Class Outcomes a Cancer Strategy for England 2015 – 2020</em>, notes that whilst survival to date has improved significantly for some cancers, it has remained stubbornly low for other cancers, including pancreatic cancer.</p><p> </p><p>The strategy makes recommendations for speeding up diagnosis of cancers with non-specific but concerning symptoms through the use of a multidisciplinary diagnostic centre. In terms of delivery, NHS England has appointed Cally Palmer as National Cancer Director. She will lead on implementation; as well as new cancer vanguards to redesign care and patient experience. She has set up a new Cancer Transformation Board to implement the strategy, and this met for the first time on Monday 25 January. There will also be a Cancer Advisory group, chaired by Sir Harpal Kumar, to oversee and scrutinise the work of the Transformation Board.</p><p> </p><p> </p><p>In addition, NHS England has a published a service specification for pancreatic cancer which clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective pancreatic cancer services. This service specification has been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe core and developmental service standards.</p><p> </p><p>The full service specification can be found at:</p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) published updated guideline, <em>Suspected cancer: recognition and referral</em>, in June 2015, to ensure that it reflects latest evidence and can continue to support general practitioner’s (GPs) to identify patients, including children &amp; young people and urgently refer them as appropriate. NICE noted that 5,000 more lives could be saved each year in England if GPs followed the new guideline, which encourage GPs to think of cancer sooner and lower the referral threshold.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 17:24:05 answering member 3918 label Biography information for Jane Ellison
tabling member	1596 label Biography information for Dr Alasdair McDonnell

448317

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bowel Cancer: Screening
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 19 January 2016 to Question 21837, what the average cost to the NHS is of a colonoscopy performed following a positive screening test for bowel cancer.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	24445
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>NHS England, commissioners of the NHS Bowel Cancer Screening Programme, closely monitor the coverage rates for bowel cancer screening in all eligible age groups and is committed to increasing uptake and reducing variation across England. Local NHS England commissioners analyse coverage rates within their area and seek to improve uptake by sharing best practice.</p><p> </p><p>The Independent Cancer Taskforce published its report, Achieving World-Class Cancer Outcomes in July last year, and recognised the importance of early diagnosis and screening. The taskforce recommended an ambition that 75% of people participate in bowel screening by 2020. To facilitate this change, they recommended a change to a new test, the Faecal Immunochemical Test (FIT) which is an easier to use test than the current Faecal Occult Blood (FOB) test and improves uptake. On 15 January 2016 the UK National Screening Committee (UK NSC) announced the recommendations it made at its 19 November 2015 meeting. The UK NSC has recommended that FIT be used as the primary test for bowel cancer instead of the currently used FOB test. Ministers are now considering the UK NSC’s recommendation.</p><p> </p><p>Information on the average cost to the National Health Service of a colonoscopy performed following a positive screening test for bowel cancer is not held centrally. Information is available in the following table and is from reference costs, which are the average unit costs to NHS trusts and foundation trusts of providing defined services to patients. Reference costs for acute care are published by healthcare resource group (HRG), which are standard groupings of similar treatments that use similar resources.</p><p> </p><p> </p><p>Estimated average unit cost of a diagnostic colonoscopy reported by NHS trusts and foundation trusts, 2014-15</p><p> </p><table><tbody><tr><td><p>Procedure</p></td><td><p>Average unit cost</p></td></tr><tr><td><p>Diagnostic colonoscopy, 19 years and over</p></td><td><p>£519</p></td></tr><tr><td><p>Diagnostic colonoscopy with biopsy, 19 years and over</p></td><td><p>£604</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Reference costs, Department of Health</p><p> </p><p><em> Note:</em></p><p>The unit costs shown are the average of costs reported across a range of settings including elective inpatient, non-elective inpatient, day case and regular day and night attenders.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 24443 question first answered 01/02/2016 16:13:46 answering member 3918 label Biography information for Jane Ellison
tabling member	474 label Biography information for Mr Nigel Evans