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100181

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many meetings he has had with Simon Stevens, Chief Executive of NHS England since 1 April 2014.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	211214
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>My Rt. hon. Friend, the Secretary of State, meets with Mr Stevens on a weekly basis with additional meetings arranged as and when required, which often include other members of the Ministerial team.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:31:37 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4089 label Biography information for Tessa Munt

100182

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support paediatric cardiac surgery services across England and Wales.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211215
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>NHS England is currently reviewing congenital heart services for adults and children, including paediatric cardiac surgical services. The review aims to:</p><p> </p><p> </p><p> </p><p>- secure the best outcomes for all patients;</p><p> </p><p>- tackle variation; and</p><p> </p><p>- improve patient experience.</p><p> </p><p> </p><p> </p><p>The review has developed a set of draft standards and service specifications which are currently out to public consultation. The consultation runs until 8 December. Further details can be found at:</p><p> </p><p> </p><p> </p><p>https://www.engage.england.nhs.uk/consultation/congenital-heart-disease-standards</p><p> </p><p> </p><p> </p><p>There are no centres in Wales providing paediatric congenital cardiac surgery and so patients typically travel to England for surgery. NHS England is working with colleagues in Wales to ensure Welsh residents are aware of the review and able to respond to the consultation.</p><p> </p><p> </p><p> </p><p>NHS England will work with providers to help ensure that services meet the required standards.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:42:14 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

100185

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Older People
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 effectiveness of (a) telephone services and (b) face-to-face services intended to relieve loneliness and isolation in elderly people.
tabling member constituency	Peterborough
tabling member printed	Mr Stewart Jackson
uin	211243
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Loneliness and isolation in elderly people is a complex issue and can affect people in different ways. We have not undertaken an assessment of the effectiveness of telephone services or face to face services but we know that it is helpful to have a range of interventions that can address the different needs of people who are lonely or isolated.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:36:55 answering member 1439 label Biography information for Norman Lamb
tabling member	1551 label Biography information for Lord Jackson of Peterborough

100186

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether missed or inadequate hydrocortisone administration is included in the NHS list of Never Events.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	211233
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Missed or inadequate hydrocortisone administration is not currently included in the list of ‘never events’.</p><p> </p><p> </p><p> </p><p>We can confirm that the current list of Never Events is under review and there is a consultation underway which opened online on the 6 October 2014 and closes on 31 October 2014.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 28/10/2014 15:28:25 question first ministerially corrected 28/10/2014 16:30:53 answering member 4020 label Biography information for George Freeman previous answer version 24770 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	95 label Biography information for Mr Andrew Smith

100187

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Thalidomide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to ensure the health and independence of UK thalidomide victims.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	211270
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>On 20 December 2012, I announced a new 10-year grant to the Thalidomide Trust. The grant will be paid on an annual basis, uprated in line with inflation, which means that over the 10-year period it will be worth in the region of £80 million.</p><p> </p><p> </p><p> </p><p>The grant is intended to enable investment in adaptations and preventative measures to improve health and wellbeing and to help minimise further deterioration for this unique group of people.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:38:35 answering member 1439 label Biography information for Norman Lamb
tabling member	4041 label Biography information for Glyn Davies

100193

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicine: Education
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 the number of places for medical students to undertake training in cardiac units.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211221
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. It has the general function of promoting high standards of education and to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p> </p><p> </p><p>Medical schools design curricula for undergraduate medical education, which includes the type of placements students may undertake during the course. In doing so they must ensure that teaching meets the standards of the GMC in order to both gain and maintain GMC recognition of their course.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:33:50 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1597 label Biography information for David Simpson

100198

registered interest
date	21/10/2014
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, how many requests have been made to the Specialist Commissioning team for secure placements or beds for children with mental health issues in the last 12 months.
tabling member constituency	Plymouth, Moor View
tabling member printed	Alison Seabeck
uin	211320
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The data requested is not currently available.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England took responsibility for the commissioning of CAMH Tier 4 (inpatient) services in April 2013. A standardised approach to admissions was not in place which meant that a clear understanding of the numbers of cases referred, or the reasons for referral was not available.</p><p> </p><p> </p><p> </p><p>The need for a national process for admissions was highlighted in the Child and Adolescent Mental Health Services (CAMHS) Tier 4 Report, published in July and NHS England have been working with young people and their families during August and September to develop an admissions standard protocol.</p><p> </p><p> </p><p> </p><p>NHS Area Teams are currently discussing with relevant CAMHS providers the introduction of the protocol in November 2014. The protocol will be reviewed in January 2015.</p><p> </p><p> </p><p> </p><p>NHS England anticipates that a standard protocol will be included in contracts from 2015. This will allow the standard recording of information for CAMHS Tier 4 admissions.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:40:56 answering member 1439 label Biography information for Norman Lamb
tabling member	1552 label Biography information for Alison Seabeck

100199

registered interest
date	21/10/2014
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 discussions he has had with his EU counterpart about their treatment strategy for those with scoliosis; and if he will make a statement.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211372
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211373 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
tabling member	35 label Biography information for Sir Bob Russell

100200

registered interest
date	21/10/2014
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 estimate he has made of the cost of each operation for scoliosis.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211373
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211372 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
tabling member	35 label Biography information for Sir Bob Russell

100205

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidelines his Department issues to clinical commissioning groups; and if he will make a statement.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211371
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The commissioning responsibilities of clinical commissioning groups (CCGs) are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013, as amended.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has responsibility for issuing guidance to CCGs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:30:16 answering member 3918 label Biography information for Jane Ellison
tabling member	35 label Biography information for Sir Bob Russell