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867295

registered interest
date	20/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	What steps he is taking to improve the provision of mental health services for children and young people.
tabling member constituency	Thornbury and Yate
tabling member printed	Luke Hall
uin	904476
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>We are making an additional £1.4 billion available until 2019/20 in order to transform services and ensure access to specialist mental health services for 70,000 additional children and young people each year by 2020/21.</p><p> </p><p>Our recent Green Paper published jointly with the Department for Education, will revolutionise services in schools, bolster links between schools and commits us to pilot a four week waiting time for National Health Service specialist services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/03/2018 14:43:54 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4450 label Biography information for Luke Hall

866427

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care what assessment he has made of the effect of charging VAT on the affordability and accessibility of medicines.
tabling member constituency	Brentford and Isleworth
tabling member printed	Ruth Cadbury
uin	904465
answer	answer is ministerial correction date of answer 20/03/2018 answer text <p>Value Added Tax (VAT) paid by the National Health Service on the purchase of medicines is fully incorporated within the funding allocated to the NHS each year.</p><p>As is the case with many other goods and services, VAT is chargeable at 20% to members of the public when purchasing over the counter and non-prescription medicines.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/03/2018 15:37:51 answering member 4067 label Biography information for Steve Brine
tabling member	4389 label Biography information for Ruth Cadbury

866984

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Urology
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what role the NHS has nationally in assisting with the review of the Stoma Care National Clinical Guidelines.
tabling member constituency	Preston
tabling member printed	Sir Mark Hendrick
uin	133102
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The National Health Service has no formal role nationally in assisting with the review of the Stoma Care National Clinical Guidelines.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/03/2018 17:14:25 answering member 4067 label Biography information for Steve Brine
tabling member	473 label Biography information for Sir Mark Hendrick

866996

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Smoking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of trends in the level of smoking cessations as a result of the introduction of regulations on the minimum size of tobacco and cigarette packs in 2017.
tabling member constituency	Leeds North West
tabling member printed	Alex Sobel
uin	133114
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The Standardised Packaging of Tobacco Products Regulations 2015 came into force on 20 May 2016. It is too soon to effectively evaluate the impact of this legislation; however, the Government is committed to completing and publishing a full post-implementation review before 20 May 2021, and to publishing subsequent reports at intervals not exceeding five years.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/03/2018 17:38:05 answering member 4067 label Biography information for Steve Brine
tabling member	4658 label Biography information for Alex Sobel

867029

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Psychiatry: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many NHS child and adolescent psychiatrists have been employed in the East of England in each of the last five years for which data is available.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	133147
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>NHS Digital publishes workforce statistics and the following table shows the number of child and adolescent psychiatrists employed in the Health Education East of England region between September 2012 and September 2017 and latest data available.</p><p> </p><p>National Health Service Hospital and Community Health Services (HCHS): Child and adolescent psychiatrists, as at 30 September for each specified year and latest data available, full time equivalents (FTE):</p><table><tbody><tr><td><p>Year</p></td><td><p>Child and Adolescent Psychiatrists in Health Education East of England region (FTE)</p></td></tr><tr><td><p>September 2012</p></td><td><p>83</p></td></tr><tr><td><p>September 2013</p></td><td><p>83</p></td></tr><tr><td><p>September 2014</p></td><td><p>84</p></td></tr><tr><td><p>September 2015</p></td><td><p>73</p></td></tr><tr><td><p>September 2016</p></td><td><p>62</p></td></tr><tr><td><p>September 2017</p></td><td><p>65</p></td></tr><tr><td><p>December 2017</p></td><td><p>69</p></td></tr></tbody></table><p>Source: NHS Digital Monthly HCHS workforce statistics.</p><p> </p><p>Notes:</p><p> </p><p>FTE figures are given as this is the most accurate measure of service capacity.</p><p> </p><p>FTE figures are rounded to the nearest whole number.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 22/03/2018 12:20:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1439 label Biography information for Norman Lamb

867038

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Orthopaedics: Cardiovascular Diseases and Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many lower limb amputations associated with peripheral arterial disease and diabetes have taken place in the NHS in each year since 2008-09; and how many of those amputations have taken place in each (a) strategic health authority area prior to 2012-13 and (b) clinical commissioning group area since 2012-13 .
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	133156
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>NHS Digital have provided us with data that detail a count of finished consultant episodes, with a primary diagnosis of diabetes or peripheral arterial disease and a main procedure of lower limb amputation. These are tabulated by strategic health authority area for the financial years between 2008-09 and 2011-12 and clinical commissioning group for treatment for the financial years between 2012-13 and 2016-17.</p><p> </p><p>The Clinical Coding team have advised that I73.9 - Peripheral vascular disease unspecified includes but is not limited to peripheral arterial disease.</p><p> </p><p>Tables and data are attached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/03/2018 17:12:42 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ133156 Tables.docx title PQ133156 attached document
tabling member	4666 label Biography information for Dr Paul Williams

867039

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Orthopaedics
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much the NHS has spent on lower limb amputations in each of the last five years.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	133157
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information is not available in the format requested.</p><p> </p><p>The table below shows the estimated total cost of limb amputations. The table shows the cost of amputation of single or multiple limb but does not differentiate between lower or upper and single or multiple amputation stump or partial foot amputation procedures for diabetes or arterial disease.</p><p> </p><table><tbody><tr><td colspan="4"><p>Estimated total cost (£ million)</p></td></tr><tr><td><p>Year</p></td><td><p>Limb amputations unspecified</p></td><td><p>Amputation for diabetes or arterial disease</p></td><td><p>Total</p></td></tr><tr><td><p>2012-13</p></td><td><p>£53.0</p></td><td><p>£23.0</p></td><td><p>£76.0</p></td></tr><tr><td><p>2013-14</p></td><td><p>£52.7</p></td><td><p>£45.0</p></td><td><p>£97.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>£56.5</p></td><td><p>£44.4</p></td><td><p>£100.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£59.1</p></td><td><p>£47.1</p></td><td><p>£106.2</p></td></tr><tr><td><p>2016-17</p></td><td><p>£59.2</p></td><td><p>£48.3</p></td><td><p>£107.5</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The table below shows the estimated total cost of rehabilitation for the amputation of limb in each of the last five years.</p><table><tbody><tr><td><p>Year</p></td><td><p>Estimated costs (£ million)</p></td></tr><tr><td><p>2012-13</p></td><td><p>£5.4</p></td></tr><tr><td><p>2013-14</p></td><td><p>£7.3</p></td></tr><tr><td><p>2014-15</p></td><td><p>£6.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£7.3</p></td></tr><tr><td><p>2016-17</p></td><td><p>£6.8</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The data source for the table is from reference costs, which are the average unit costs to National Health Service trusts and NHS foundation trusts of providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by healthcare resource group, which are standard groupings of clinically similar treatments which use common levels of healthcare resource. Reference costs represent the cost to the NHS provider, not the cost to the commissioner.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 133158 question first answered 22/03/2018 11:46:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

867040

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Orthopaedics: Rehabilitation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much the NHS has spent on rehabilitation following lower limb amputations in each of the last five years.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	133158
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information is not available in the format requested.</p><p> </p><p>The table below shows the estimated total cost of limb amputations. The table shows the cost of amputation of single or multiple limb but does not differentiate between lower or upper and single or multiple amputation stump or partial foot amputation procedures for diabetes or arterial disease.</p><p> </p><table><tbody><tr><td colspan="4"><p>Estimated total cost (£ million)</p></td></tr><tr><td><p>Year</p></td><td><p>Limb amputations unspecified</p></td><td><p>Amputation for diabetes or arterial disease</p></td><td><p>Total</p></td></tr><tr><td><p>2012-13</p></td><td><p>£53.0</p></td><td><p>£23.0</p></td><td><p>£76.0</p></td></tr><tr><td><p>2013-14</p></td><td><p>£52.7</p></td><td><p>£45.0</p></td><td><p>£97.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>£56.5</p></td><td><p>£44.4</p></td><td><p>£100.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£59.1</p></td><td><p>£47.1</p></td><td><p>£106.2</p></td></tr><tr><td><p>2016-17</p></td><td><p>£59.2</p></td><td><p>£48.3</p></td><td><p>£107.5</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The table below shows the estimated total cost of rehabilitation for the amputation of limb in each of the last five years.</p><table><tbody><tr><td><p>Year</p></td><td><p>Estimated costs (£ million)</p></td></tr><tr><td><p>2012-13</p></td><td><p>£5.4</p></td></tr><tr><td><p>2013-14</p></td><td><p>£7.3</p></td></tr><tr><td><p>2014-15</p></td><td><p>£6.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>£7.3</p></td></tr><tr><td><p>2016-17</p></td><td><p>£6.8</p></td></tr></tbody></table><p>Source: Department of Health and Social Care, Reference Costs</p><p> </p><p>The data source for the table is from reference costs, which are the average unit costs to National Health Service trusts and NHS foundation trusts of providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by healthcare resource group, which are standard groupings of clinically similar treatments which use common levels of healthcare resource. Reference costs represent the cost to the NHS provider, not the cost to the commissioner.</p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 133157 question first answered 22/03/2018 11:46:46 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4666 label Biography information for Dr Paul Williams

867041

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes: Podiatry
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how much the NHS has spent on treating diabetic foot ulcers in each of the last five years.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	133159
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information requested is not centrally held.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/03/2018 17:37:05 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams

867042

registered interest
date	19/03/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Podiatry
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many multidisciplinary foot care teams there are in the NHS; and how many of those teams have been established in each of the last five years.
tabling member constituency	Stockton South
tabling member printed	Dr Paul Williams
uin	133160
answer	answer is ministerial correction date of answer 22/03/2018 answer text <p>The information requested is not centrally held.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/03/2018 17:36:21 answering member 4067 label Biography information for Steve Brine
tabling member	4666 label Biography information for Dr Paul Williams