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142239

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Fees and Charges
	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 his Department’s guidance on charging for residential accommodation on the financial independence of adults in residential care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	213681
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Charging for Residential Accommodation Guidelines (CRAG) supports local authorities to interpret the National Assistance (Assessment of Resources) Regulations 1992. This guidance and the regulations will be repealed from April 2015 when new provisions under the Care Act 2014 come into force.</p><p> </p><p> </p><p> </p><p>The new charging framework introduces minimal changes in order to respond to the call for continuity and to enable local authorities to focus on preparing for implementation of the reforms recommended by the independent Commission on Funding Reform that the Care Act will also introduce. From April 2016 this will see the introduction of a cap on care costs that will protect people from the risk of catastrophic costs and an extension to the point at which means tested support becomes available. As the published impact assessment shows, this means that up to 100,000 more people will be better off by 2024-25. We are in the process of updating the modelling and will publish a revised impact assessment shortly. In addition, from April 2015 we are introducing a universal deferred payment agreement scheme that means people should not be forced to sell their home in their lifetime to pay for care.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 18/11/2014 15:42:59 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

156640

	registered interest
	date	19/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	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 duties relating to adult social care currently carried out by local authorities that could be transferred to charities in order to increase efficiency and quality of care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215170
	answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Under the Care Act, from April 2015 local authorities will have the power to delegate nearly all of their adult care and support functions, except for some powers and duties around safeguarding, integration, and charging.</p><p> </p><p> </p><p> </p><p>The statutory guidance on delegation, published in October 2014, sets out how this will allow local authorities to work more efficiently and innovatively, including with charities, and provide better quality care and support to local populations. The guidance also notes that many external organisations may have specialist expertise or capacity that could mean delegation is the best approach.</p><p> </p><p><strong> </strong></p><p> </p><p>When a local authority delegates any of its functions, it retains ultimate responsibility for the carrying out of that function.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/11/2014 12:40:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

157008

	registered interest
	date	20/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	E. coli
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will issue guidance to hospitals so that a case of E.coli bacteria triggers the procedures that would be followed if a case of MRSA were discovered.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215426
	answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The management of individual cases of <em>E.coli</em> bloodstream infections is the responsibility of local infection prevention and control specialists. However, the Department has asked its expert Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections to consider the options for reducing the number of <em>E.coli</em> infections, which are not always hospital acquired.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 17:18:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4079 label Biography information for Julian Sturdy

166004

	registered interest
	date	25/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance his Department provides to local authorities on adjudication of disputes over who is responsible for the care of an individual.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	215807
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Department has issued comprehensive guidance - <em>“Ordinary Residence: Guidance on the identification of the ordinary residence of people in need of community care services, England”</em>. This guidance provides information and advice for local authorities on determining ordinary residence for people requiring local community care services. The guidance also includes information on the process with which to refer a dispute to the Secretary of State.</p><p> </p><p> </p><p> </p><p>The latest guidance (published October 2013) is attached to this reply.</p><p> </p><p> </p><p> </p><p>Under the Care Act 2014 new statutory guidance will come into force in April 2015.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 16:11:09 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Ordinary Residence- October 2013.pdf title Ordinary Residence- October 2014
	tabling member	4079 label Biography information for Julian Sturdy

171625

	registered interest
	date	18/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Vulnerable Adults
	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 appropriate support systems are in place for older vulnerable people and people with dementia.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	219537
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>We are committed to ensuring that older vulnerable adults and their carers receive the best possible support in all settings through the Proactive Care Programme, and by ensuring all people aged 75 and over have a named general practitioner (GP) with overall responsibility for their care, providing continuity and oversight of their care. People living with dementia will benefit from this patient focused care.</p><p> </p><p> </p><p> </p><p>From April 2015, councils and the National Health Service will pool £5.3 billion of their local budgets under the Better Care Fund. This will require local authorities and the NHS to work together, and engage local partners, including voluntary sector organisations. It is expected that local areas will use some of this to improve care for people with dementia, such as providing access to dementia advisors, reminiscence services and counselling.</p><p> </p><p> </p><p> </p><p>Dementia is a key priority for this Government which is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>Since the launch of the Challenge, we have made significant progress across all three strands of the challenge including:</p><p> </p><p> </p><p> </p><p>- on 28 February 2014, the Secretary of State for Health announced his ambition for improving dementia care and support for people with dementia, their family and carers. This signalled the importance of a tailored plan of care as part of a package of high quality, personalised dementia care and support;</p><p> </p><p> </p><p> </p><p>- in the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed;</p><p> </p><p> </p><p> </p><p>- the Dementia Care and Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families;</p><p> </p><p> </p><p> </p><p>- on 1 April, we put in place a new Dementia Directed Enhanced Service which has had over 80% take up by GPs to reward practices for facilitating timely diagnosis and support for people with dementia;</p><p> </p><p> </p><p> </p><p>- on 22 May, we launched the Dementia Roadmap web based navigation aid with the Royal College of General Practitioners to assist primary care staff effectively support patients, families and carers at the time of diagnosis and throughout the dementia journey; and</p><p> </p><p> </p><p> </p><p>- on 10 September 2014, NHS England published a new Dementia Toolkit aimed at helping GPs make a more timely diagnosis and what they can do in terms of vital post-diagnostic support.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:48:20 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

166001

	registered interest
	date	25/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Complaints
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many complaints per 100,000 people were received by the Care Quality Commission (CQC) from (a) members of the public and (b) staff about CQC- regulated services in each social services authority area in England in (i) the last year and (ii) the last five years.
	tabling member constituency	York Central
	tabling member printed	Hugh Bayley
	uin	215812
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has advised that the information is not collected by 100,000 population, but has provided information on the number of complaints in the attached tables.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 16:31:08 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Complaints received by the CQC by local authority area.docx title Complaints received by CQC by local authority area
	tabling member	385 label Biography information for Sir Hugh Bayley

171811

	registered interest
	date	02/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chemotherapy: Mental Health Services
	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 quality and availability of practical and emotional support services for cancer patients receiving chemotherapy.
	tabling member constituency	Wythenshawe and Sale East
	tabling member printed	Mike Kane
	uin	219596
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The 2014 Cancer Patient Experience Survey reported that 93% of cancer patients surveyed who were being treated with radiotherapy and or chemotherapy received emotional support.</p><p> </p><p> </p><p> </p><p>The survey also reported that the majority of cancer patients who took part in the survey said they received advice on practical matters such as availability of support groups (83%) and free prescriptions (78%). Just over half of patients surveyed reported receiving advice on financial help and benefits. NHS England recognises there may be opportunities for improvement in this area.</p><p> </p><p> </p><p> </p><p>Living With and Beyond Cancer, a new joint initiative between NHS England and Macmillan Cancer Care, is currently in development. Areas the initiative is planning to focus on include ensuring all cancer patients have access to holistic needs assessment, treatment summary, cancer care review and a patient education and support event – the ‘Recovery Package’.</p><p> </p><p><strong> </strong></p><p> </p><p>Cancer Patient Survey Trust level reports are published online at:</p><p> </p><p> </p><p> </p><p><a href="http://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey" target="_blank">http://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 219595 question first answered 09/01/2015 13:47:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4316 label Biography information for Mike Kane

171826

	registered interest
	date	02/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that the trust-level reports of the National Cancer Patient Experience Survey are more readily accessible to patients and the public.
	tabling member constituency	Wythenshawe and Sale East
	tabling member printed	Mike Kane
	uin	219595
	answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The 2014 Cancer Patient Experience Survey reported that 93% of cancer patients surveyed who were being treated with radiotherapy and or chemotherapy received emotional support.</p><p> </p><p> </p><p> </p><p>The survey also reported that the majority of cancer patients who took part in the survey said they received advice on practical matters such as availability of support groups (83%) and free prescriptions (78%). Just over half of patients surveyed reported receiving advice on financial help and benefits. NHS England recognises there may be opportunities for improvement in this area.</p><p> </p><p> </p><p> </p><p>Living With and Beyond Cancer, a new joint initiative between NHS England and Macmillan Cancer Care, is currently in development. Areas the initiative is planning to focus on include ensuring all cancer patients have access to holistic needs assessment, treatment summary, cancer care review and a patient education and support event – the ‘Recovery Package’.</p><p> </p><p><strong> </strong></p><p> </p><p>Cancer Patient Survey Trust level reports are published online at:</p><p> </p><p> </p><p> </p><p><a href="http://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey" target="_blank">http://www.quality-health.co.uk/surveys/national-cancer-patient-experience-survey</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 219596 question first answered 09/01/2015 13:47:01 answering member 3918 label Biography information for Jane Ellison
	tabling member	4316 label Biography information for Mike Kane

142228

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services and Social Services
	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 recent report by Healthwatch England entitled, Suffering in Silence, published in October 2014; and if he will make a statement.
	tabling member constituency	Wycombe
	tabling member printed	Steve Baker
	uin	213739
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Healthwatch England, and the local Healthwatch network, have an important role in the health and care system. They ensure the patient voice is heard nationally and locally and this includes how it feels to make a complaint about your healthcare as set out in <em>Suffering in Silence</em>. Local Healthwatch also signpost people to advice and support in making a complaint.</p><p> </p><p> </p><p> </p><p>There are legislative requirements in place which set out an overall framework on how complaints about health and care services should be handled. In response to <em>Hard Truths</em>, we initiated a wide-ranging programme of work dedicated to improving complaints handling involving stakeholders from across the health and care system. Healthwatch England is a key contributor to this work. Later this year we will set out what has been done to improve complaints handling in the context of our update on Hard Truths.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 18/11/2014 15:12:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	4064 label Biography information for Mr Steve Baker

142210

	registered interest
	date	06/11/2014
	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, how many patient safety incidents have been reported to the National Reporting and Learning System in each month since May 2010.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	213780
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>We do not hold information on the number of patient safety incidents that have occurred in England in each year since 2000. Patient Safety Incidents occurring in the National Health Service are reported to the National Reporting and Learning System (NRLS) whose primary purpose is to enable learning from patient safety incidents. The NRLS was established in late 2003 as a largely voluntary scheme for reporting patient safety incidents, and therefore it does not provide the definitive number of patient safety incidents occurring in the NHS. However, from 1 April 2010 it became mandatory for all providers registered with the Care Quality Commission (including all NHS trusts and foundation trusts) in England to report all serious patient safety incidents to the Care Quality Commission. To avoid duplication of reporting, providers of NHS services are encouraged to report all incidents resulting in death or severe harm to the NRLS which then reports them to the Care Quality Commission.</p><p> </p><p> </p><p> </p><p>At present, more than 100,000 patient safety incidents (including those resulting in no harm) are reported to the NRLS each month. However, these data are collated on a quarterly, rather than monthly basis. Detailed breakdowns on incidents reported are published twice-yearly and can be accessed via the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/" target="_blank">http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/</a></p><p> </p><p> </p><p> </p><p>The most recent spreadsheet providing quarterly data for the number of patient safety incidents reported to the NRLS from October 2003 to June 2014 is attached.</p><p> </p><p> </p><p> </p><p>The NRLS is a dynamic reporting system, and the number of incidents recorded as occurring at any point in time may increase as a greater proportion of incidents are reported. Experience in other industries has shown that as an organisation’s reporting culture matures, staff become more likely to report incidents.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213775 question first answered 18/11/2014 16:22:48 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name NRLS Quarterly Data Workbook- Patient Safety Incidents.xls title Patient Safety Incidents- October 2003- June 2014
	tabling member	4078 label Biography information for Paul Uppal