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222887

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Wines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of adults in the UK who drink wine.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	225015
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>The published table 2.3 in the Health and Social Care Information Centre, Statistics in Alcohol England, 2013 report, summarises proportions of different types of alcohol consumed in Great Britain according to a self-reported survey in 2009.</p><p> </p><p> </p><p> </p><p>The report is attached and is also available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB10932/alc-eng-2013-rep.pdf" target="_blank">www.hscic.gov.uk/catalogue/PUB10932/alc-eng-2013-rep.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/02/2015 17:44:09 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ225015 - Statistics on Alcohol - England 2013.pdf title Statistics on Alcohol England 2013
tabling member	114 label Biography information for Tim Loughton

222945

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prostate Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the BMA and other medical bodies on when treatment resistant prostate cancer drugs will be available in light of GPR158.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	224994
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>My Rt. hon. Friend the Secretary of State for Health has had no such discussions.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/02/2015 11:32:36 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

222964

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Hygiene
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospitals meet each star level of the Food Standards Agency hygiene standards.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	225020
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>The Food Hygiene Rating Scheme (FHRS) is a Food Standards Agency/local authority partnership initiative operating in England, Wales and Northern Ireland. It provides transparency to consumers on hygiene standards in places where they eat or buy food. A different scheme with similar aims operates in Scotland.</p><p> </p><p> </p><p> </p><p>The ratings range from ‘0’ at the bottom to ‘5’ at the top and reflect the findings of local authority inspections undertaken to check that food establishments are meeting legal requirements.</p><p> </p><p> </p><p> </p><p>Ratings are published at:</p><p> </p><p> </p><p> </p><p><a href="http://www.food.gov.uk/ratings" target="_blank">www.food.gov.uk/ratings</a></p><p> </p><p> </p><p> </p><p>It should be noted that hospitals are included in a wider category which also covers establishments such as day nurseries and care homes and cannot be separated out. The profile of ratings for this category is shown in the table and highlights that the vast majority have hygiene standards that are generally satisfactory or better.</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p>FHRS Rating</p></td><td colspan="2"><p>Hospitals, childcare and caring premises</p></td><td colspan="2"><p>All rated establishments</p></td></tr><tr><td><p>Number</p></td><td><p>%</p></td><td><p>Number</p></td><td><p>%</p></td></tr><tr><td><p>5 - very good</p></td><td><p>26,563</p></td><td><p>77.7</p></td><td><p>234,798</p></td><td><p>58.6</p></td></tr><tr><td><p>4 - good</p></td><td><p>5,633</p></td><td><p>16.5</p></td><td><p>88,753</p></td><td><p>22.1</p></td></tr><tr><td><p>3 - generally satisfactory</p></td><td><p>1,467</p></td><td><p>4.3</p></td><td><p>48,158</p></td><td><p>12.0</p></td></tr><tr><td><p>2 - improvement required</p></td><td><p>242</p></td><td><p>0.7</p></td><td><p>12,245</p></td><td><p>3.1</p></td></tr><tr><td><p>1 - major improvement required</p></td><td><p>255</p></td><td><p>0.7</p></td><td><p>15,394</p></td><td><p>3.8</p></td></tr><tr><td><p>0 - urgent improvement required</p></td><td><p>6</p></td><td><p>0.0</p></td><td><p>1,614</p></td><td><p>0.4</p></td></tr><tr><td><p>Total with rating of 3 and above</p></td><td><p>33,663</p></td><td><p>98.5</p></td><td><p>371,709</p></td><td><p>92.7</p></td></tr><tr><td><p>Total Rated</p></td><td><p>34,166</p></td><td><p>100.0</p></td><td><p>400,962</p></td><td><p>100.0</p></td></tr></tbody></table><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/02/2015 15:32:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

222965

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental 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 on phasing out all block contracts for mental health services; and if he will make a statement.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	225017
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Monitor and NHS England are responsible for the National Tariff Payment System arrangements for 2015/16 and have given a signal to commissioners and mental health providers to move away from unaccountable block contract agreements, where these are not in the best interests of patients. They are also encouraging locally agreed payment arrangements for mental health services that are transparent, reflect the needs of local communities and incentivise innovative models of care that improve the quality of services and outcomes for patients. Monitor and NHS England have been working with the mental health sector to include example payment models for mental health in the National Tariff Payment System arrangements for 2015/16 to support them to do this.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/02/2015 15:28:32 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

222966

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects that the Child and Adolescent Mental Health Services Dataset will start publishing data; and if he will make a statement.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	225018
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p><ins class="ministerial">The Health and Social Care Information Centre advise that the collection of data for the Child and Adolescent Mental Health Services dataset will start at the beginning of February 2016. The first submission period will cover January to March 2016. Statistical reports based on the initial data collection will be published in mid-2016.</ins></p><p> </p><p> </p><p> </p><p><del class="ministerial">The National Institute for Health and Care Excellence guidance <em>Multiple sclerosis: management of multiple sclerosis in primary and secondary care</em>, updated in October 2014, sets out best practice on the diagnosis, treatment, care and support of people with multiple sclerosis (MS). The guidance makes a range of recommendations on drug based treatments for MS, but also highlights the importance of involving professionals who can meet the needs of the patient in the best way, such as physiotherapists and occupational therapists. </del></p><p> </p><p> </p><p><ins class="ministerial"></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><del class="ministerial">With regard to early diagnosis, MS is a difficult condition to diagnose as a number of the symptoms such as fatigue, depression or dizziness may be unrelated. The guidance sets out a number of initial presentations that clinicians should be aware of when looking for signs of MS. It also recommends a number of assessments a clinician should make, including testing of vision and blood tests before referral to a consultant neurologist, who can confirm or exclude a diagnosis of MS, subject to investigation.</del></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/02/2015 15:20:43 question first ministerially corrected 27/02/2015 13:56:12 answering member 1439 label Biography information for Norman Lamb previous answer version 46777 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

222986

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gastrointestinal System
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 ensure that patients have timely and direct access to (a) gastroenterologists and (b) other specialist clinicians.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	224974
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Health Education England (HEE) is responsible for workforce planning and education commissioning activity to ensure that the National Health Service in England has available a future workforce in the right numbers, with the right skills, values and behaviours.</p><p> </p><p> </p><p> </p><p>In December 2014, HEE published its second national Workforce Plan for England for the period 2015/16 which is built upon the needs of local employers, commissioners and other stakeholders. The priorities in the plan are the priorities of the NHS, identified locally and nationally by employers, professional bodies and other stakeholders.</p><p> </p><p> </p><p> </p><p>National recruitment into gastroenterology training posts in 2013 and 2014 achieved 100% fill-rate. There have been no reductions in the planned commissions of gastroenterologists for 2015/16.</p><p> </p><p> </p><p> </p><p>The following table shows the number of full-time equivalent doctors and gastroenterologists, excluding locums, working in hospital and community health services in England.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Full-Time Equivalent</p></td><td><p>May 2010</p></td><td><p>November 2014</p></td><td colspan="2"><p>Change May 2010 to November 2014</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>All Doctors</p></td><td><p>95,421</p></td><td><p>105,001</p></td><td><p>9,580</p></td><td><p>10.0%</p></td></tr><tr><td><p><em>of which, with specialty of:</em></p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Gastroenterology</p></td><td><p>1,788</p></td><td><p>2,309</p></td><td><p>521</p></td><td><p>29.1%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Health and Social Care Information Centre, Monthly Workforce Statistics, Nov 2014</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 224978 question first answered 26/02/2015 11:35:36 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1538 label Biography information for Rosie Cooper

222992

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gastrointestinal System
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 ensure that there are sufficient (a) specialist clinician trainees and (b) gastroenterologist trainees in the health education and training system.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	224978
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Health Education England (HEE) is responsible for workforce planning and education commissioning activity to ensure that the National Health Service in England has available a future workforce in the right numbers, with the right skills, values and behaviours.</p><p> </p><p> </p><p> </p><p>In December 2014, HEE published its second national Workforce Plan for England for the period 2015/16 which is built upon the needs of local employers, commissioners and other stakeholders. The priorities in the plan are the priorities of the NHS, identified locally and nationally by employers, professional bodies and other stakeholders.</p><p> </p><p> </p><p> </p><p>National recruitment into gastroenterology training posts in 2013 and 2014 achieved 100% fill-rate. There have been no reductions in the planned commissions of gastroenterologists for 2015/16.</p><p> </p><p> </p><p> </p><p>The following table shows the number of full-time equivalent doctors and gastroenterologists, excluding locums, working in hospital and community health services in England.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Full-Time Equivalent</p></td><td><p>May 2010</p></td><td><p>November 2014</p></td><td colspan="2"><p>Change May 2010 to November 2014</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>All Doctors</p></td><td><p>95,421</p></td><td><p>105,001</p></td><td><p>9,580</p></td><td><p>10.0%</p></td></tr><tr><td><p><em>of which, with specialty of:</em></p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Gastroenterology</p></td><td><p>1,788</p></td><td><p>2,309</p></td><td><p>521</p></td><td><p>29.1%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Health and Social Care Information Centre, Monthly Workforce Statistics, Nov 2014</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 224974 question first answered 26/02/2015 11:35:36 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1538 label Biography information for Rosie Cooper

222994

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Legal Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average legal costs to the NHS of bringing legal proceedings against doctors who have been excluded from their hospitals were in each of the last three years.
tabling member constituency	Henley
tabling member printed	John Howell
uin	224968
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Maintaining High Professional Standards sets out the agreed procedure for legal involvement in National Health Service disciplinary proceedings against doctors, but no information is held centrally on the legal costs.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 26/02/2015 11:36:48 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1606 label Biography information for John Howell

222996

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gastrointestinal Cancer
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 increase targeted screening for gastrointestinal cancers to better target those most at risk.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	224976
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation. Using research evidence, pilot programmes and economic evaluation, it assesses the evidence for programmes against a set of internationally recognised criteria. It is for the National Institute for Health and Care Excellence (NICE) or its accredited guideline producing bodies to recommend care and testing of people at high risk.</p><p> </p><p> </p><p> </p><p>The UK NSC supports the work of the NHS Bowel Cancer Screening Programme which is offered to both men and women aged between 60-74 years, every two years and is one of the first national bowel cancer screening programmes worldwide.</p><p> </p><p> </p><p> </p><p>The NHS Bowel Cancer Screening Programme has introduced a new screening test, where both men and women are invited for 'bowel scope screening' around the time of their 55th birthday. Bowel scope screening is an examination called 'flexible sigmoidoscopy' which looks inside the lower bowel. The aim is to prevent bowel cancer by finding and treating any polyps which may develop into bowel cancer if left untreated. Bowel scope screening is an addition to the existing NHS Bowel Cancer Screening Programme, and is a one off examination which will play a significant role in preventing bowel cancer. The pilot was carried out in six sites (South of Tyne, West Kent, Norwich, St Marks, Wolverhampton and Surrey). All bowel screening centres are expected to offer bowel scope screening by the end of 2016 and the programme is on target to reach the Secretary of State’s commitment to have Bowel Scope Screening in 60% of centres around England by the end of March 2015.</p><p> </p><p> </p><p> </p><p>The Bowel Screening Advisory Committee who advise on the development of the NHS Bowel Cancer Screening Programme, met earlier this month. It was agreed a working party will be formed to look into the implications of including those who have a condition with a raised risk of colorectal cancer (such as Lynch Syndrome) to be screened under the NHS Bowel Cancer Screening Programme.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/02/2015 15:31:08 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

222998

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gastrointestinal Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many gastrointestinal cancers were diagnosed in emergency and urgent care settings in each year since 2010-11.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	224977
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Information is not available in the format requested. Figures for 2010-11 will be published in June 2015.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 26/02/2015 15:30:26 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper