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669014

	registered interest
	date	06/01/2017
	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 much the NHS has spent on child mental health services in England and Wales in each year since 2010.
	tabling member constituency	Westmorland and Lonsdale
	tabling member printed	Tim Farron
	uin	58724
	answer	answer is ministerial correction date of answer 11/01/2017 answer text <p>The available estimated National Health Service spend on children and young people’s mental health services in England only from 2010 is provided below. Healthcare is a devolved responsibility and the Department is not able to give information on the amount spent by the Welsh Government.</p><p> </p><p>NHS Programme Budgeting data included estimated spending on children and young people’s mental health between 2009/10 and 2012/13 are found on NHS England’s website here:</p><p><a href="https://www.networks.nhs.uk/nhs-networks/health-investment-network/news/2012-13-programme-budgeting-data-is-now-available" target="_blank">https://www.networks.nhs.uk/nhs-networks/health-investment-network/news/2012-13-programme-budgeting-data-is-now-available</a></p><p>NHS England’s financial reporting system estimated spending on children and young people’s mental health services in 2015/16 is set out in the following table.</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group Spend</p></td><td><p>2015 to 2016 Outturn <ins class="ministerial">(thousands)</ins> <del class="ministerial">(millions)</del></p></td></tr><tr><td><p>Children and young people’s mental health (excluding learning disability)</p></td><td><p>476,875</p></td></tr><tr><td><p>Children and young people’s eating disorders</p></td><td><p>39,518</p></td></tr><tr><td><p>Total Clinical Commissioning Group Children and Young People’s Mental Health (excluding learning disability)</p></td><td><p>516,393</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Specialised Commissioning Spend</p></td><td><p>2015 to 2016 Outturn <ins class="ministerial">(thousands)</ins> <del class="ministerial">(millions)</del></p></td></tr><tr><td><p>Tier 4</p></td><td><p>295,301</p></td></tr><tr><td><p>Total Specialised Commissioning Children and Young People’s Mental Health</p></td><td><p>295,301</p></td></tr></tbody></table><p>* Children and young people’s mental health spend data is not available from NHS England’s formal financial planning and reporting before 2015/16.</p><p> </p><p>NHS England published the Clinical Commissioning Guidance Improvement and Assessment Framework for Mental Health on 27 October 2016. It includes a specific indicator on children and young people’s mental health that takes in planning, quality assurance and finance and is weighted towards those meeting the mental health investment standard for children and young people.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 11/01/2017 17:56:19 question first ministerially corrected 12/01/2017 14:31:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 29419 answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1591 label Biography information for Tim Farron

533866

	registered interest
	date	08/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Antimicrobials: Drug Resistance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the potential effect of proposed insurance-based reimbursement funding models, including cap and collar models, on the UK's ability to appropriately reward innovation whilst also tackling antimicrobial resistance.
	tabling member constituency	Cambridge
	tabling member printed	Daniel Zeichner
	uin	42242
	answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>The Department is in discussions with the Association of the British Pharmaceutical Industry regarding possible future approaches to the pricing and reimbursement of new antimicrobial products, including insurance-based reimbursement arrangements such as ‘cap and collar’ models.</p><p> </p><p>These discussions are not yet at a point where an assessment of their effect can be made. However there is potential for such models to reconcile the current contradiction between conservation goals and industry revenue, facilitating appropriate stewardship of antibiotics.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/07/2016 15:01:59 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4382 label Biography information for Daniel Zeichner

533875

	registered interest
	date	08/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Food: Advertising
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of television advertising of junk food before the 9pm watershed on the health of children and young people.
	tabling member constituency	Glasgow North
	tabling member printed	Patrick Grady
	uin	42265
	answer	answer is ministerial correction date of answer 21/07/2016 answer text <p>Our forthcoming Childhood Obesity Strategy will look at everything that contributes to a child becoming overweight and obese. The Prime Minister and the Cabinet will be working over the coming days and weeks to establish their priorities and how we deliver on these commitments.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 21/07/2016 14:32:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4432 label Biography information for Patrick Grady

535265

	registered interest
	date	11/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Answer of 23 May 2016 to Question 37122, on variations in access to transcatheter interventions for heart valve disease, whether the next iteration of the NHS England service specifications and policy for the surgical and interventional treatment of heart valve disease will take into account (a) the need to commission for a growing patient population, (b) anticipated doubling in the over-65 population in the UK by 2050 and (c) lower levels of transcatheter interventions performed in the UK compared to European comparator countries.
	tabling member constituency	St Ives
	tabling member printed	Derek Thomas
	uin	42375
	answer	answer is ministerial correction date of answer 19/07/2016 answer text <p>NHS England’s policy development process includes assessment of current published evidence nationally and internationally and will review population projections for up to five years.</p><p> </p><p>Decisions to set commissioning criteria for which patients will most likely benefit from the intervention will be based on a range of clinical, academic and financial information and a proposition will be put forward through the NHS England prioritisation process. Within the transcatheter aortic valve implantation (TAVI) development process, NHS England accepts that there is an ageing population and it will review all available evidence including the encouraging results of the TAVI trials and consider the options around the best use of National Health Service resources. A policy proposition will be produced as part of the 2016/17 work programme.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/07/2016 13:45:52 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4532 label Biography information for Derek Thomas

535266

	registered interest
	date	11/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health: Disadvantaged
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the effect of welfare reform on health inequalities in (a) Glasgow, (b) Scotland and (c) the UK.
	tabling member constituency	Glasgow East
	tabling member printed	Natalie McGarry
	uin	42366
	answer	answer is ministerial correction date of answer 19/07/2016 answer text <p>The policy responsibility for welfare reform sits with the Department for Work and Pensions (DWP). The Department of Health (DH) has not made a separate assessment of the effect of welfare reform on health inequalities in England or Scotland. It is for the Scottish Government to assess the impact of welfare reform in Scotland.</p><p> </p><p>Although no assessment has been made in England, DWP has engaged across government on its proposals for welfare reform. DH has been involved in discussions on the introduction of Universal Credit and its impact on health inequalities for programmes such as Healthy Start and Help with Health Costs.</p><p> </p><p>Healthy Start is a United Kingdom-wide statutory benefit, funded by DH, which aims to provide additional support to improve the diets of low income pregnant women and families with children under the age of four years. Currently, regulations are being put in place which will enable the scheme to function under Universal Credit. An equality analysis, which will include a consideration of the impact on health inequalities, will be published shortly.</p><p> </p><p>Help with Health Costs is a set of arrangements which provide help with the cost of a range of National Health Services for example free NHS prescriptions or NHS dental treatment. On 1 November 2015, DH put in place criteria to determine entitlement to Help with Health Costs to those in receipt of Universal Credit. An equality analysis was produced to inform these changes, outlining the potential impact, including on health inequalities, on groups affected by the change from the previous benefits and tax credits exemption arrangements to the new criteria for Universal Credit exemption. A copy of the equality analysis is attached.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/07/2016 13:42:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name PQ42366 Equality analysis.pdf title Equality Analysis
	tabling member	4428 label Biography information for Natalie McGarry

535535

	registered interest
	date	12/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Records: Databases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when the decision was taken to end the care.data programme; and with whom he consulted prior to taking that decision.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	42511
	answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>On 6 July 2016, two independent reviews published recommendation about data security in the health and care system in England and a new consent/opt-out model for data sharing. These were notified to Parliament in the associated Written Ministerial Statement (HCWS62):</p><p> </p><p><a href="https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2016-07-06/HCWS62/" target="_blank">https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2016-07-06/HCWS62/</a></p><p> </p><p>In light of those independent reviews, NHS England has taken the decision to close the care.data programme.</p><p> </p><p>The Government and the health and care system remain committed to realising the benefits of sharing information, as an essential part of improving outcomes for patients. This work will now be overseen by the National Information Board, in close collaboration with the primary care community, in order to retain public confidence and drive better care for patients.</p><p> </p><p>This work will be incorporated into the <em>Paperless 2020 </em>programme on technology and improving patient care, in close collaboration with the primary care community.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/07/2016 16:25:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4124 label Biography information for Chi Onwurah

535536

	registered interest
	date	12/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Records: Databases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients whose records are contained in Clinical Practice Research Datalink datasets have a GP note of malnutrition contained in such records; what proportion of the population have GP records contained in Clinical Practice Research Datalink datasets; and if he will make a statement.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	42558
	answer	answer is ministerial correction date of answer 20/07/2016 answer text <p>The Clinical Practice Research Datalink (CPRD) hosts the world's largest validated computerised database of anonymised longitudinal medical records from primary care. We have searched the CPRD database for patients with a record indicative of Malnutrition. There are 582 patients with a record of Malnutrition currently registered with practices which are actively contributing data to the CPRD database.</p><p> </p><p> </p><p>The CPRD database of patients whose details are available for query by the disease code for malnutrition represents 4.30% of the United Kingdom population.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 20/07/2016 14:40:59 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1506 label Biography information for Andrew Gwynne

535537

	registered interest
	date	12/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Records
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on the (a) ownership and (b) control by patients of data relating to them.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	42522
	answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>Patients have the legal right to access their records. It is unacceptable in anything other than the most exceptional circumstances for health and care organisations to deny patients access to their health records.</p><p> </p><p>The Government is committed to providing patients with online access to their records, without charge. By 2019 individuals will be able to write comments, preferences and upload information into their electronic records. By 2020, all care records will be digital, real-time and interoperable. The Department is currently consulting on the National Data Guardian’s recommendations for a new consent and opt-out model for information sharing in the health and care system, and following that consultation will implement new arrangements that will give patients greater control over who can access their records for purposes other than direct care.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/07/2016 15:17:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4124 label Biography information for Chi Onwurah

535544

	registered interest
	date	12/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Written Questions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Answer of 24 March 2016 to Question 30023, on malnutrition, if he will provide the information requested in the same format as that provided to the hon. Member for Eddisbury in the Answer of 18 December 2007 to Question 174970; and if he will make a statement.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	42560
	answer	answer is ministerial correction date of answer 20/07/2016 answer text <p>The information requested is not available in a published form, but has been extracted from Hospital Episode Statistics (HES) data and is presented in Table 1.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="6"><p>Primary Diagnosis</p></td><td colspan="6"><p>Secondary Diagnosis</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>Malnutrition</p></td><td colspan="2"><p>Nutritional Anaemia</p></td><td colspan="2"><p>Other Nutritional Deficiency</p></td><td colspan="2"><p>Malnutrition</p></td><td colspan="2"><p>Nutritional Anaemia</p></td><td colspan="2"><p>Other Nutritional Deficiency</p></td></tr><tr><td><p>Year</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td><td><p>Admissions</p></td><td><p>Discharges</p></td></tr><tr><td><p>2010/11</p></td><td><p>543</p></td><td><p>585</p></td><td><p>69,152</p></td><td><p>70,674</p></td><td><p>3,267</p></td><td><p>3,438</p></td><td><p>4,167</p></td><td><p>5,027</p></td><td><p>124,662</p></td><td><p>134,808</p></td><td><p>31,235</p></td><td><p>33,688</p></td></tr><tr><td><p>2011/12</p></td><td><p>662</p></td><td><p>706</p></td><td><p>72,931</p></td><td><p>74,537</p></td><td><p>3,281</p></td><td><p>3,479</p></td><td><p>4,772</p></td><td><p>5,761</p></td><td><p>125,253</p></td><td><p>135,522</p></td><td><p>39,184</p></td><td><p>42,387</p></td></tr><tr><td><p>2012/13</p></td><td><p>682</p></td><td><p>732</p></td><td><p>76,541</p></td><td><p>78,133</p></td><td><p>3,850</p></td><td><p>4,046</p></td><td><p>4,893</p></td><td><p>6,034</p></td><td><p>130,546</p></td><td><p>141,620</p></td><td><p>52,969</p></td><td><p>57,794</p></td></tr><tr><td><p>2013/14</p></td><td><p>625</p></td><td><p>686</p></td><td><p>84,269</p></td><td><p>85,871</p></td><td><p>4,161</p></td><td><p>4,394</p></td><td><p>6,078</p></td><td><p>7,455</p></td><td><p>142,463</p></td><td><p>154,591</p></td><td><p>61,394</p></td><td><p>67,010</p></td></tr><tr><td><p>2014/15</p></td><td><p>746</p></td><td><p>812</p></td><td><p>92,978</p></td><td><p>94,821</p></td><td><p>4,078</p></td><td><p>4,318</p></td><td><p>6,649</p></td><td><p>8,110</p></td><td><p>155,495</p></td><td><p>169,198</p></td><td><p>74,870</p></td><td><p>82,030</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p>Table 1 (unpublished HES data)</p><p>Note:</p><p>Finished admission and discharge episodes are counted against the year or month in which the episode finishes. They do not represent the number of patients, as a person may have more than one admission/discharge within the period.</p><p>Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage, improvements in coverage of independent sector activity and changes in National Health Service practice. For example, apparent increases in activity may be due to improved recording of diagnosis or procedure information. Note 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.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 20/07/2016 14:45:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1506 label Biography information for Andrew Gwynne

535546

	registered interest
	date	12/07/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Food: Advertising
	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 effect of the advertising of junk food on children's diets and health; and if he will make a statement.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	42484
	answer	answer is ministerial correction date of answer 18/07/2016 answer text <p>Our forthcoming Childhood Obesity Strategy will look at everything that contributes to a child becoming overweight and obese. The Prime Minister and the Cabinet will be working over the coming days and weeks to establish their priorities and how we deliver on these commitments.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 18/07/2016 15:16:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	432 label Biography information for Helen Jones