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444215

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fertility
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 availability of access to fertility treatments in the NHS.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	22070
answer	answer is ministerial correction date of answer 18/01/2016 answer text <p>The level of provision of infertility treatment, as for all health services they commission, is decided by local clinical commissioning groups (CCGs) and will take into account the needs of the population overall. The CCG’s decisions are underpinned by clinical insight and knowledge of local healthcare needs. As such, provision of services will vary in response to local needs.</p><br /><p>NHS England expects that all those involved in commissioning infertility treatment services to be fully aware of the importance of having regard to the National Institute for Health and Care Excellence fertility guidelines.</p><br /><p>On 14 December 2015 I met with stakeholders, together with colleagues from NHS England and Monitor,to discuss the provision of in vitro fertilisation. The Department, along with NHS England and Monitor, will be giving further consideration to the scope for improving the commissioning of these services.</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/01/2016 16:34:46 answering member 3918 label Biography information for Jane Ellison
tabling member	3973 label Biography information for Grahame Morris

444216

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	North Tees and Hartlepool NHS Foundation Trust: Fertility
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients at North Tees and Hartlepool NHS Foundation Trust received fertility treatments in each of the last five years.
tabling member constituency	Easington
tabling member printed	Grahame Morris
uin	22071
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>The information is not available in the format requested. The following table shows a count of finished admission episodes¹ with a main operative procedure² relating to fertility treatments³ at the North Tees and Hartlepool NHS Foundation Trust for 2010-11 to 2014-15.</p><br /><p>These figures do not include treatments where the patient was not admitted to the hospital.</p><br /><table><tbody><tr><td><p>Year</p></td><td><p>Finished admission episodes</p></td></tr><tr><td><p>2010-11</p></td><td><p>176</p></td></tr><tr><td><p>2011-12</p></td><td><p>158</p></td></tr><tr><td><p>2012-13</p></td><td><p>146</p></td></tr><tr><td><p>2013-14</p></td><td><p>188</p></td></tr><tr><td><p>2014-15</p></td><td><p>152</p></td></tr></tbody></table><br /><p><em>Source:</em> Hospital Episode Statistics, Health and Social Care Information Centre.</p><br /><p><em>Notes:</em></p><ol><li>A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</li></ol><br /><ol start="2"><li>The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (eg time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.</li></ol><br /><ol start="3"><li>The following OPCS codes were used:</li></ol><p>The following OPCS-4. 7 codes and categories classify fertility treatments:</p><p>Q13 Introduction of gametes into uterine cavity;</p><p>Q38.3 Endoscopic intrafallopian transfer of gametes;</p><p>The following OPCS-4 category was introduced in the OPCS-4.6 version of the Classification; and</p><p>Q21 Other introduction of gametes into uterine cavity.</p><br /><ol start="4"><li>Hospital Episode Statistics (HES) figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</li></ol><br /><ol start="5"><li>(HES) include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</li></ol><br /> <br /> <br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 17:27:28 answering member 3918 label Biography information for Jane Ellison
tabling member	3973 label Biography information for Grahame Morris

444217

registered interest
date	12/01/2016
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 steps his Department has taken to increase awareness of (a) arthritis and (b) other musculoskeletal conditions; and if he will make a statement.
tabling member constituency	Torridge and West Devon
tabling member printed	Mr Geoffrey Cox
uin	22088
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>Public Health England (PHE) work in partnership with NHS England, professional bodies, the Chief Fire Officers Association, Arthritis Research UK (ARUK), Work Foundation and other private sector system leaders to increase awareness of the prevention of arthritis and musculoskeletal (MSK) conditions.</p><br /><p>PHE’s Chief Knowledge Directorate have worked collaboratively with ARUK to develop a set of local authority briefings on osteoarthritis based on data from ARUK’s MSK Calculator[1]. A musculoskeletal domain has also been created within PHE’s National General Practice Profiles[2]. The Burden of Disease for England was published by PHE in September 2015, which provides analytics on MSK.</p><br /><p>PHE has commissioned and developed a series of resources and tools to raise awareness amongst professionals and the public of Arthritis and MSK conditions such as; a British Medical Journal e-learning module on the benefits of physical activity for osteoarthritis and lower back pain, which has been highly valued by clinicians; a public facing falls prevention booklet.</p><br /><p>[1]http://www.arthritisresearchuk.org/policy-and-public-affairs/policy-priorities-and-projects/musculosketal-health-services/the-musculoskeletal-calculator.aspx</p><p>[2]http://fingertips.phe.org.uk/profile/general-practice/data#mod,1,pyr,2014,pat,19,par,E38000001,are,-,sid1,2000009,ind1,-,sid2,-,ind2,-</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 16:26:32 answering member 3918 label Biography information for Jane Ellison
tabling member	1508 label Biography information for Sir Geoffrey Cox

444219

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mastectomy: Females
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his Department's policy is on the provision of precautionary mastectomies for women who have not been diagnosed with breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22014
answer	answer is ministerial correction date of answer 18/01/2016 answer text <p>The National Institute for Health and Care Excellence published guidance to the National Health Service on bilateral risk-reducing mastectomy in its clinical guideline, <em>Familial breast cancer: classification, care and managing breast cancer and related risks in people with a family history of breast cancer</em> (June 2013). This is available at:</p><br /><p><a href="http://www.nice.org.uk/guidance/cg164/chapter/1-recommendations" target="_blank">www.nice.org.uk/guidance/cg164/chapter/1-recommendations</a></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/01/2016 16:26:07 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

444220

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Depressive Illnesses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people were diagnosed with (a) anxiety and (b) depression in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22015
answer	answer is ministerial correction date of answer 19/01/2016 answer text <p>Data published by the Health and Social Care Information Centre on the number and prevalence of patients aged 18 and over on the Quality and Outcomes Framework (QOF) depression register in England, as at 31 March for the years 2010/11-2014/15 is shown in the table below.</p><br /><p>Data on anxiety is not collected through QOF.</p><br /> <br /><table><tbody><tr><td><p>Year</p></td><td><p>Number of general practitioner (GP) practices</p></td><td><p>Patient list size all ages</p></td><td><p>Percentage aged 18 and over</p></td><td><p>Estimated patient list size of those aged 18 and over</p></td><td><p>Number of patients aged 18 and over on the depression register</p></td><td><p>Prevalance</p></td></tr><tr><td><p>2014/15 <br> 2013/14 <br> 2012/13 <br> 2011/12 <br> 2010/11</p></td><td><p>7,779 <br> 7,921 <br> 8,020 <br> 8,123 <br> 8,245</p></td><td><p>55,817,654 <br> 56,324,887 <br> 56,012,096 <br> 55,525,732 <br> 55,169,643</p></td><td><p>79.3 <br> 79.3 <br> 79.0 <br> 79.0 <br> 79.0</p></td><td><p>45,083,980 <br> 44,667,478 <br> 44,238,483 <br> 43,855,136 <br> 43,578,391</p></td><td><p>3,305,363 <br> 2,912,592 <br> 2,582,233 <br> 5,123,948 <br> 4,878,188</p></td><td><p>7.3 <br> 6.5 <br> 5.8 <br> 11.7 <br> 11.2</p></td></tr></tbody></table><br /><p><em>Source:</em> Quality and Outcomes Framework annual publications, 2010/11 to 2014/15</p><br /> <br /> <br /><p><em>Note: </em></p><p>Data from years prior to 2012/13 are not comparable with data for years 2012/13 onwards as the QOF business rules for including patients on the depression register changed in 2012/13. Prior to 2012/13, all patients with a record of unresolved depression at any point in their GP patient record were included on the register. As of 1 April 2012, the register rules were changed to only include patients with a new diagnosis of depression in the preceding 1 April to 31 March, who have had a bio-psychosocial assessment by the point of diagnosis.</p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/01/2016 16:40:35 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

444221

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
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 Royal College of Nursing on steps to reduce the fat intake of people with diabetes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22007
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>There have been no such recent discussions.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 16:54:06 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

444222

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people there were with epilepsy in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22008
answer	answer is ministerial correction date of answer 18/01/2016 answer text <p>Information concerning the number of people diagnosed with epilepsy on an annual basis is not collected. The National Institute for Health and Care Excellence estimates that epilepsy affects between 362,000 and 415,000 people in England.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/01/2016 16:29:38 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

444223

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people were diagnosed with incontinence in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22009
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>Below are the counts of finished admission episodes with a primary diagnosis of urinary incontinence and faecal incontinence, for the years 2010-11 to 2014-15.</p><br /><table><tbody><tr><td colspan="3"><p>Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td><p>Year</p></td><td><p>Urinary Incontinence</p></td><td><p>Faecal Incontinence</p></td></tr><tr><td><p>2010-11</p></td><td><p>27,797</p></td><td><p>4,973</p></td></tr><tr><td><p>2011-12</p></td><td><p>26,751</p></td><td><p>5,200</p></td></tr><tr><td><p>2012-13</p></td><td><p>24,938</p></td><td><p>5,768</p></td></tr><tr><td><p>2013-14</p></td><td><p>23,498</p></td><td><p>5,753</p></td></tr><tr><td><p>2014-15</p></td><td><p>20,969</p></td><td><p>5,774</p></td></tr></tbody></table><br /><p><em>Source</em>: Hospital Episode Statistics, Health and Social Care Information Centre</p><br /><p>These data only include diagnoses of incontinence where there was an admission to hospital. There is likely to be other cases where the condition was diagnosed in a primary care setting.</p><br /><p>Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 17:08:54 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

444224

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
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 make the Attiva device for the treatment of people with diabetes available on the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22010
answer	answer is ministerial correction date of answer 15/01/2016 answer text <p>Medical devices are required to be CE marked under the European Union medical devices Directives and may not be placed on the market until this process is complete.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 15/01/2016 14:54:52 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

444225

registered interest
date	12/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Screening
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 provide paramedics with on-the-spot blood diagnostic devices for the detection of medical conditions.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	22011
answer	answer is ministerial correction date of answer 20/01/2016 answer text <p>The provision of medical equipment for front-line ambulance service staff falls within the responsibility of individual ambulance trusts. Paramedics already do have access to, and routinely carry, some blood-testing devices for example, to check for blood sugar.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/01/2016 15:58:45 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon