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min answer › question first ministerially corrected	2015-03-17T16:58:03.727Z
answering body	Department of Health
min answer › question first answered	2014-12-15T17:43:27.733Z
max answer › question first ministerially corrected	2015-10-29T10:29:54.26Z

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registered interest

date

exactly:

or between:
and

answering body

answering dept id

answering dept short name

answering dept sort name

hansard heading

house id

legislature


pref label

question text

tabling member constituency

tabling member printed

uin

answer

is ministerial correction

date of answer

exactly:

or between:
and

answer text

answering member constituency

answering member printed

question first answered

question first ministerially corrected

answering member


label

attachment


file name
title

previous answer version

answering member constituency

answering member printed

answering member


label

tabling member


label

421090

registered interest

date

13/10/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Mental Health Services

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, what proportion of people referred for talking therapies received cognitive behaviour therapy in each of the last five years.

tabling member constituency

Liverpool, Wavertree

tabling member printed

Luciana Berger

uin

11784

answer

is ministerial correction

date of answer

16/10/2015

answer text

Information on the proportion of people referred for talking therapies who received cognitive behavioural therapy during 2013/14 is given on the attached table Proportion of Improving Access to Psychological Therapies (IAPT) referrals that finished a course of treatment between 1st April 2013 and 31st March 2014, for selected therapy types, England. Information for previous years is not available centrally. Information on 2014/15 will be published in November 2015.

answering member constituency

North East Bedfordshire

answering member printed

Alistair Burt

question first answered

16/10/2015 12:56:33

question first ministerially corrected

16/10/2015 13:29:49

answering member

1201

	label	Biography information for Alistair Burt

attachment

1

	file name	PQ 11784 IAPT referrals 2013-14.xlsx
	title	IAPT Referrals for Selected Therapy Types 2013-14

previous answer version

23809

answering member constituency

North East Bedfordshire

answering member printed

Alistair Burt

answering member

1201

	label	Biography information for Alistair Burt

tabling member

4036

	label	Biography information for Luciana Berger

422660

registered interest

date

20/10/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Pregnancy: Mental Health Services

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, what the net change has been in the number of inpatient perinatal mental health beds since 2010.

tabling member constituency

Liverpool, Wavertree

tabling member printed

Luciana Berger

uin

12670

answer

is ministerial correction

date of answer

23/10/2015

answer text

<ins class="ministerial">Since 2010 there has been a net reduction in the number of inpatient perinatal mental health beds from 118 beds in 2010 to 115 beds in 2015.</ins><del class="ministerial">Since 2010 there has been a net reduction of mother and baby units from 17 units to 15 units.</del>

answering member constituency

North East Bedfordshire

answering member printed

Alistair Burt

question first answered

23/10/2015 13:48:26

question first ministerially corrected

29/10/2015 10:29:54

answering member

1201

	label	Biography information for Alistair Burt

previous answer version

25494

answering member constituency

North East Bedfordshire

answering member printed

Alistair Burt

answering member

1201

	label	Biography information for Alistair Burt

tabling member

4036

	label	Biography information for Luciana Berger

224722

registered interest

date

03/03/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Mid Staffordshire NHS Foundation Trust

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, what (a) public dividend capital and (b) other non-tariff payments have been made to the Mid-Stafforshire NHS Foundation Trust in (i) 2009-10, (ii) 2010-11, (iii) 2011-12, (iv) 2012-13, (v) 2013-14 and (vi) 2014-15 to date.

tabling member constituency

Stafford

tabling member printed

Jeremy Lefroy

uin

225961

answer

is ministerial correction

date of answer

10/03/2015

answer text

The Department holds records of the total capital allocated to the respective recipient bodies as a result of the transfer of Mid-Staffordshire NHS Foundation Trust services but does not have details of the breakdown by individual hospital site. The capital provided to date is as follows: <table><tbody><tr><td>The Royal Wolverhampton NHS Trust</td><td>£12,109,000</td></tr><tr><td>University Hospitals of North Midlands NHS Trust</td><td>£12,153,000</td></tr><tr><td>Walsall Healthcare NHS Trust</td><td>£4,000,000</td></tr><tr><td>Grand Total</td><td>£28,262,000</td></tr></tbody></table> Revenue funding provided to date is set out in the following table: <table><tbody><tr><td><del class="ministerial">The Royal Wolverhampton NHS Trust</del><ins class="ministerial">University Hospitals of North Midlands NHS Trust</ins> </td><td>£32,420,000</td></tr><tr><td><del class="ministerial">University Hospitals of North Midlands NHS Trust</del><ins class="ministerial">The Royal Wolverhampton NHS Trust</ins></td><td>£5,480,000</td></tr><tr><td>Grand Total</td><td>£37,900,000</td></tr></tbody></table> The amount of public dividend capital issued to the Trust by the Department is as follows: <table><tbody><tr><td>2009/10</td><td>£214,000</td></tr><tr><td>2010/11</td><td>£0</td></tr><tr><td>2011/12</td><td>£21,000,000</td></tr><tr><td>2012/13</td><td>£21,385,000</td></tr><tr><td>2013/14</td><td>£30,397,000</td></tr><tr><td>2014/15</td><td>£64,425,000</td></tr></tbody></table> The Department does not hold central records of non-tariff payments made by local commissioning bodies to NHS providers. The work of the trust special administrators (TSAs) to secure safe and sustainable services at Mid Staffordshire NHS Trust cost Monitor almost £19.5 million, including VAT, over 18 months. The first phase of trust special administration cost £9 million, including expenses and VAT. During this phase there was a team of up to 30 members of staff who carried out three core tasks - to help to run the Trust, to design the future of services provided at Stafford and Cannock hospitals, and to run a large public consultation involving thousands of responses and a series of public meetings. The second phase cost £10.5 million, including expenses and VAT. We are informed by Monitor that this second phase included a team of up to 50 people, which was required to continue to help run the hospital and implement the TSA’s recommendations. We are also informed by Monitor that trust special administration at Mid-Staffordshire NHS Trust amounted to the rounded figure of 10,900 person-days for teams working on both phases of the process. In the table below, expenses incurred during the TSA process are split by the two phases of the TSA and totals are also provided. These expenses include: (a) accommodation; (b) travel (car, taxi and train); (c) subsistence; and (d) other expenses incurred; and what other costs to the TSA were incurred Breakdown of expenses, these exclude VAT: <table><tbody><tr><td> </td><td>TSA1</td><td>TSA2</td><td>Total</td></tr><tr><td>Accommodation</td><td>£82,242.89</td><td>£170,622.67</td><td>£252,865.56</td></tr><tr><td>Travel</td><td>£144,122.38</td><td>£226,600.29</td><td>£370,722.67</td></tr><tr><td>Subsistence</td><td>£16,171.73</td><td>£43,176.88</td><td>£59,348.61</td></tr><tr><td>Other (incidentals such as printing, room hire and meeting refreshments)</td><td>£1,939.11</td><td>£3052.73</td><td>£4991.84</td></tr><tr><td>Total</td><td>£244,476.11</td><td>£443,452.57</td><td>£687,928.68</td></tr></tbody></table>

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

question first answered

10/03/2015 17:13:10

question first ministerially corrected

17/03/2015 16:58:22

answering member

3932

	label	Biography information for Dr Dan Poulter

previous answer version

49060

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

answering member

3932

	label	Biography information for Dr Dan Poulter

tabling member

4109

	label	Biography information for Jeremy Lefroy

224723

registered interest

date

03/03/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Mid Staffordshire NHS Foundation Trust

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, how many consultants have been employed by the Trust Special Administration (TSA) of the Mid-Staffordshire NHS Foundation Trust since its inception; how many person-days they have worked; what (a) accommodation, (b) travel, (c) subsistence and (d) other expenses they have incurred; and what other costs to the TSA they have incurred.

tabling member constituency

Stafford

tabling member printed

Jeremy Lefroy

uin

225962

answer

is ministerial correction

date of answer

10/03/2015

answer text

The Department holds records of the total capital allocated to the respective recipient bodies as a result of the transfer of Mid-Staffordshire NHS Foundation Trust services but does not have details of the breakdown by individual hospital site. The capital provided to date is as follows: <table><tbody><tr><td>The Royal Wolverhampton NHS Trust</td><td>£12,109,000</td></tr><tr><td>University Hospitals of North Midlands NHS Trust</td><td>£12,153,000</td></tr><tr><td>Walsall Healthcare NHS Trust</td><td>£4,000,000</td></tr><tr><td>Grand Total</td><td>£28,262,000</td></tr></tbody></table> Revenue funding provided to date is set out in the following table: <table><tbody><tr><td><del class="ministerial">The Royal Wolverhampton NHS Trust</del><ins class="ministerial">University Hospitals of North Midlands NHS Trust</ins></td><td>£32,420,000</td></tr><tr><td><del class="ministerial">University Hospitals of North Midlands NHS Trust</del><ins class="ministerial">The Royal Wolverhampton NHS Trust</ins></td><td>£5,480,000</td></tr><tr><td>Grand Total</td><td>£37,900,000</td></tr></tbody></table> The amount of public dividend capital issued to the Trust by the Department is as follows: <table><tbody><tr><td>2009/10</td><td>£214,000</td></tr><tr><td>2010/11</td><td>£0</td></tr><tr><td>2011/12</td><td>£21,000,000</td></tr><tr><td>2012/13</td><td>£21,385,000</td></tr><tr><td>2013/14</td><td>£30,397,000</td></tr><tr><td>2014/15</td><td>£64,425,000</td></tr></tbody></table> The Department does not hold central records of non-tariff payments made by local commissioning bodies to NHS providers. The work of the trust special administrators (TSAs) to secure safe and sustainable services at Mid Staffordshire NHS Trust cost Monitor almost £19.5 million, including VAT, over 18 months. The first phase of trust special administration cost £9 million, including expenses and VAT. During this phase there was a team of up to 30 members of staff who carried out three core tasks - to help to run the Trust, to design the future of services provided at Stafford and Cannock hospitals, and to run a large public consultation involving thousands of responses and a series of public meetings. The second phase cost £10.5 million, including expenses and VAT. We are informed by Monitor that this second phase included a team of up to 50 people, which was required to continue to help run the hospital and implement the TSA’s recommendations. We are also informed by Monitor that trust special administration at Mid-Staffordshire NHS Trust amounted to the rounded figure of 10,900 person-days for teams working on both phases of the process. In the table below, expenses incurred during the TSA process are split by the two phases of the TSA and totals are also provided. These expenses include: (a) accommodation; (b) travel (car, taxi and train); (c) subsistence; and (d) other expenses incurred; and what other costs to the TSA were incurred Breakdown of expenses, these exclude VAT: <table><tbody><tr><td> </td><td>TSA1</td><td>TSA2</td><td>Total</td></tr><tr><td>Accommodation</td><td>£82,242.89</td><td>£170,622.67</td><td>£252,865.56</td></tr><tr><td>Travel</td><td>£144,122.38</td><td>£226,600.29</td><td>£370,722.67</td></tr><tr><td>Subsistence</td><td>£16,171.73</td><td>£43,176.88</td><td>£59,348.61</td></tr><tr><td>Other (incidentals such as printing, room hire and meeting refreshments)</td><td>£1,939.11</td><td>£3052.73</td><td>£4991.84</td></tr><tr><td>Total</td><td>£244,476.11</td><td>£443,452.57</td><td>£687,928.68</td></tr></tbody></table>

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

question first answered

10/03/2015 17:13:10

question first ministerially corrected

17/03/2015 17:12:17

answering member

3932

	label	Biography information for Dr Dan Poulter

previous answer version

49061

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

answering member

3932

	label	Biography information for Dr Dan Poulter

tabling member

4109

	label	Biography information for Jeremy Lefroy

224727

registered interest

date

03/03/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Hospitals: West Midlands

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, how much his Department has provided to implement the recommendations of the Trust Special Administration of Mid-Staffordshire NHS Foundation Trust on (a) capital investment in Stafford Hospital, (b) capital investment in Royal Stoke University Hospital, (c) capital investment in Cannock Hospital, (d) capital investment in New Cross Hospital, (e) other capital investment, (f) revenue support for the University Hospitals of the North Midlands NHS Trust, (g) revenue support for the Royal Wolverhampton Hospitals Trust and (h) other revenue support.

tabling member constituency

Stafford

tabling member printed

Jeremy Lefroy

uin

226012

answer

is ministerial correction

date of answer

10/03/2015

answer text

The Department holds records of the total capital allocated to the respective recipient bodies as a result of the transfer of Mid-Staffordshire NHS Foundation Trust services but does not have details of the breakdown by individual hospital site. The capital provided to date is as follows: <table><tbody><tr><td>The Royal Wolverhampton NHS Trust</td><td>£12,109,000</td></tr><tr><td>University Hospitals of North Midlands NHS Trust</td><td>£12,153,000</td></tr><tr><td>Walsall Healthcare NHS Trust</td><td>£4,000,000</td></tr><tr><td>Grand Total</td><td>£28,262,000</td></tr></tbody></table> Revenue funding provided to date is set out in the following table: <table><tbody><tr><td><del class="ministerial">The Royal Wolverhampton NHS Trust</del><ins class="ministerial">University Hospitals of North Midlands NHS Trust</ins></td><td>£32,420,000</td></tr><tr><td><del class="ministerial">University Hospitals of North Midlands NHS Trust</del><ins class="ministerial">The Royal Wolverhampton NHS Trust</ins></td><td>£5,480,000</td></tr><tr><td>Grand Total</td><td>£37,900,000</td></tr></tbody></table> The amount of public dividend capital issued to the Trust by the Department is as follows: <table><tbody><tr><td>2009/10</td><td>£214,000</td></tr><tr><td>2010/11</td><td>£0</td></tr><tr><td>2011/12</td><td>£21,000,000</td></tr><tr><td>2012/13</td><td>£21,385,000</td></tr><tr><td>2013/14</td><td>£30,397,000</td></tr><tr><td>2014/15</td><td>£64,425,000</td></tr></tbody></table> The Department does not hold central records of non-tariff payments made by local commissioning bodies to NHS providers. The work of the trust special administrators (TSAs) to secure safe and sustainable services at Mid Staffordshire NHS Trust cost Monitor almost £19.5 million, including VAT, over 18 months. The first phase of trust special administration cost £9 million, including expenses and VAT. During this phase there was a team of up to 30 members of staff who carried out three core tasks - to help to run the Trust, to design the future of services provided at Stafford and Cannock hospitals, and to run a large public consultation involving thousands of responses and a series of public meetings. The second phase cost £10.5 million, including expenses and VAT. We are informed by Monitor that this second phase included a team of up to 50 people, which was required to continue to help run the hospital and implement the TSA’s recommendations. We are also informed by Monitor that trust special administration at Mid-Staffordshire NHS Trust amounted to the rounded figure of 10,900 person-days for teams working on both phases of the process. In the table below, expenses incurred during the TSA process are split by the two phases of the TSA and totals are also provided. These expenses include: (a) accommodation; (b) travel (car, taxi and train); (c) subsistence; and (d) other expenses incurred; and what other costs to the TSA were incurred Breakdown of expenses, these exclude VAT: <table><tbody><tr><td> </td><td>TSA1</td><td>TSA2</td><td>Total</td></tr><tr><td>Accommodation</td><td>£82,242.89</td><td>£170,622.67</td><td>£252,865.56</td></tr><tr><td>Travel</td><td>£144,122.38</td><td>£226,600.29</td><td>£370,722.67</td></tr><tr><td>Subsistence</td><td>£16,171.73</td><td>£43,176.88</td><td>£59,348.61</td></tr><tr><td>Other (incidentals such as printing, room hire and meeting refreshments)</td><td>£1,939.11</td><td>£3052.73</td><td>£4991.84</td></tr><tr><td>Total</td><td>£244,476.11</td><td>£443,452.57</td><td>£687,928.68</td></tr></tbody></table>

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

question first answered

10/03/2015 17:13:10

question first ministerially corrected

17/03/2015 16:58:03

answering member

3932

	label	Biography information for Dr Dan Poulter

previous answer version

49059

answering member constituency

Central Suffolk and North Ipswich

answering member printed

Dr Daniel Poulter

answering member

3932

	label	Biography information for Dr Dan Poulter

tabling member

4109

	label	Biography information for Jeremy Lefroy

224735

registered interest

date

03/03/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Clinical Commissioning Groups: Cumbria

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, what funding (a) in total and (b) per capita has been allocated for Cumbria Clinical Commissioning Group for each year from 2013-14 to 2019-20.

tabling member constituency

Copeland

tabling member printed

Mr Jamie Reed

uin

226114

answer

is ministerial correction

date of answer

06/03/2015

answer text

Clinical commissioning group (CCG) funding has not been decided beyond 2015/16. Notified revenue allocations and per capita allocations for Cumbria CCG are: <table><tbody><tr><td>Year</td><td>Allocation £000</td><td>Per capita £</td></tr><tr><td>2013/14</td><td><del class="ministerial">692,122</del><ins class="ministerial">663,133</ins></td><td><del class="ministerial">1,330</del><ins class="ministerial">1,274</ins></td></tr><tr><td>2014/15</td><td>677,324</td><td>1,299</td></tr><tr><td>2015/16</td><td>685,654</td><td>1,313</td></tr></tbody></table> These figures exclude running cost and Better Care Fund allocations.

answering member constituency

Mid Norfolk

answering member printed

George Freeman

question first answered

06/03/2015 14:39:07

question first ministerially corrected

19/03/2015 18:02:16

answering member

4020

	label	Biography information for George Freeman

previous answer version

48371

answering member constituency

Mid Norfolk

answering member printed

George Freeman

answering member

4020

	label	Biography information for George Freeman

tabling member

1503

	label	Biography information for Mr Jamie Reed

416385

registered interest

date

04/09/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Accident and Emergency Departments

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, by what indicators he plans to use to assess the improvement of Trusts receiving support from the Emergency Care Improvement Programme.

tabling member constituency

Copeland

tabling member printed

Mr Jamie Reed

uin

8995

answer

is ministerial correction

date of answer

14/09/2015

answer text

<del class="ministerial">Public Health England has developed a campaign to raise awareness of the symptom of breathlessness which ran as a local pilot in Oldham and Rochdale from 24 February – 23 March 2014 and as a regional pilot in the East of England 2 February – 1 March 2015.</del> <del class="ministerial">The Breathlessness campaign aims to encourage those with inappropriate breathlessness (breathlessness that is disproportionate to the level of activity undertaken i.e. at rest or on minimal exertion) to go and see their general practitioner (GP). It is primarily aimed at earlier diagnosis of heart and lung disease, including chronic obstructive pulmonary disease, with scope to reduce premature mortality and to improve the quality of life of those living with these conditions. The key message of the campaign is “If you get out of breath doing things that you used to be able to do, see your GP. Getting out of breath could be a sign of heart or lung disease. Finding it early makes it more treatable, so don’t ignore it, tell your doctor”.</del> <del class="ministerial">Evaluation of the regional pilot is still underway, although early findings from follow-up in-depth interviews with a sample of local GPs and pharmacists and pre and post awareness tracking research among the public, are positive.</del> <ins class="ministerial"> <ins class="ministerial">The Emergency Care Improvement Programme (ECIP) is a clinically led programme that will offer practical help and support to the 27 urgent and emergency care systems across England that are under the most pressure. </ins> <ins class="ministerial"> </ins> <ins class="ministerial">The progress of trusts taking part in ECIP will be measured by monitoring improvements in their accident and emergency (A&E) four hour waiting time standard, along with patient outcome and experience indicators. The urgent and emergency care systems taking part in this programme were selected based on performance against the A&E four hour standard in 2014/15 and Q1 of 2015/16 alongside discussions with regional teams from NHS England, Monitor and the Trust Development Authority.</ins><ins class="ministerial"> </ins></ins>

answering member constituency

Battersea

answering member printed

Jane Ellison

question first answered

14/09/2015 15:55:26

question first ministerially corrected

14/09/2015 17:19:34

answering member

3918

	label	Biography information for Jane Ellison

previous answer version

21204

answering member constituency

Battersea

answering member printed

Jane Ellison

answering member

3918

	label	Biography information for Jane Ellison

tabling member

1503

	label	Biography information for Mr Jamie Reed

420822

registered interest

date

17/09/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Department of Health: Legal Costs

house id

legislature

25259

	pref label	House of Commons

question text

To ask the Secretary of State for Health, what proportion of his Department's budget is spent on legal fees and damages.

tabling member constituency

Warrington South

tabling member printed

David Mowat

uin

901477

answer

is ministerial correction

date of answer

13/10/2015

answer text

The Departmental Group spend on legal fees is captured in the Annual Report and Accounts for 2014-15. The Departmental Group spend on legal fees is separately identified under Legal Fees in Other Administration Costs,<del class="ministerial"> £61,159k</del> <ins class="ministerial">£61.159 million </ins>and Programme Costs <del class="ministerial">£128,642k,</del> <ins class="ministerial">£128,642 million </ins>totalling <del class="ministerial">£189,801k.</del><ins class="ministerial">£189,801 million.</ins>The majority of the Core Department’s spend on legal fees is captured as part of ‘Other’ spend under ‘Other Administration Costs’, ‘Programme Costs’ and in “Consultancy services”. The Annual Report and Accounts is available at:<a href="https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2014-to-2015" target="_blank">https://www.gov.uk/government/publications/department-of-health-annual-report-and-accounts-2014-to-2015</a>It is intended that from the 2015-16 financial year, spend on legal fees for the core Department will be discussed separately in the accounts.

answering member constituency

Battersea

answering member printed

Jane Ellison

question first answered

13/10/2015 16:48:38

question first ministerially corrected

14/10/2015 14:55:18

answering member

3918

	label	Biography information for Jane Ellison

previous answer version

23237

answering member constituency

Battersea

answering member printed

Jane Ellison

answering member

3918

	label	Biography information for Jane Ellison

tabling member

4080

	label	Biography information for David Mowat

347943

registered interest

date

02/06/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Human Papillomavirus: Vaccination

house id

legislature

25277

	pref label	House of Lords

question text

To ask Her Majesty’s Government, to date, how many adverse reactions to (1) Cervarix, (2) Gardasil and (3) generic human papilloma virus vaccines have been reported to the Medicines and Healthcare products Regulatory Agency; for each category, how many of those reports are of serious adverse reactions; and what age-specific rate those figures represent.

tabling member printed

The Countess of Mar

uin

HL229

answer

is ministerial correction

date of answer

16/06/2015

answer text

A total of 8,243 suspected adverse drug reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA), via the Yellow Card Scheme, up to 3 June 2015. To date, more than 8 million doses of HPV vaccine have been given across the United Kingdom as part of the routine immunisation programme. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated. It is important to note that a Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Yellow Card data cannot be used as a reliable indicator of the frequency of suspected ADRs to vaccines or medicines. The level of ADR reporting may fluctuate between given years due to a variety of reasons such as a medicine being new (reporting rates are generally higher when a product is first introduced), stimulated interest/publicity and variations in exposure to the medicine. The possible known side effects, and the frequency, are listed in the product information which is provided with the vaccines. The vast majority of the 8,243 ADRs relate to the known risks of vaccination that are well-described in the available product information. The proportion of suspected ADRs for HPV vaccines that were reported as serious (32%) is less than the proportion reported as serious for other routinely used vaccines (68% overall) during the same time period. The expected benefits in protecting against HPV-related mortality and disease outweigh the known side effects of HPV vaccine. The following table provides a breakdown of UK suspected spontaneous ADRs received via the Yellow Card Scheme in association with the HPV vaccine. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated. <table><tbody><tr><td>Vaccine Brand</td><td>Total number of reports</td><td>Number of serious reports (% of total)</td><td>Reporting rate per 1000 doses (serious reporting rates per 1000)</td></tr><tr><td>Cervarix</td><td>6,266</td><td>1,768 (28%)</td><td><ins class="ministerial">n/a **</ins><del class="ministerial">0.78 (0.22)</del></td></tr><tr><td>Gardasil</td><td>1,471</td><td>504 (34%)</td><td><ins class="ministerial">n/a **</ins><del class="ministerial">0.18 (0.06)</del></td></tr><tr><td>HPV Brand unspecified</td><td>507</td><td>326 (64%)</td><td><ins class="ministerial">n/a ** </ins><del class="ministerial">0.06 (0.04)</del></td></tr><tr><td>Total for Human Papilloma virus vaccines</td><td>*8,244</td><td>2,598 (32%)</td><td>1.03 (0.32)</td></tr></tbody></table> Source: MHRA sentinel database for adverse reactions. * It should be noted that the total number of reports received will not be equal to the totals in the table above as some reports of suspected adverse reactions may have included more than one vaccine.<ins class="ministerial">**Updated UK-wide brand-specific usage data are not available to MHRA at the time of writing based on a minimum of 8 million combined doses of Cervarix and Gardasil administered across the UK to date.</ins> <ins class="ministerial"> </ins> The seriousness criteria for ADR reporting were determined by a working group of the Council for International Organizations of Medical Sciences (CIOMS) and are defined as 6 possible categories which are explained on the Yellow Card. The MHRA asks reporters to select one of the following criteria by ticking the appropriate box on the Yellow Card: (1) patient died due to reaction; (2) life threatening; (3) resulted in hospitalisation or prolonged inpatient hospitalisation; (4) congenital abnormality; and (5) involved persistent or significant disability or incapacity; or (6) if the reaction was deemed medically significant. In addition to this, seriousness of reaction terms has also been defined by the MHRA in its medical dictionary. Therefore an ADR report can be serious because the reporter considers the reaction to be serious or because the reaction term itself is considered serious in the MHRA medical dictionary.

answering member printed

Lord Prior of Brampton

question first answered

16/06/2015 14:35:02

question first ministerially corrected

03/07/2015 14:01:13

answering member

127

	label	Biography information for Lord Prior of Brampton

previous answer version

5462

answering member printed

Lord Prior of Brampton

answering member

127

	label	Biography information for Lord Prior of Brampton

tabling member

1861

	label	Biography information for The Countess of Mar

348423

registered interest

date

03/06/2015

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

General Practitioners

house id

legislature

25277

	pref label	House of Lords

question text

To ask Her Majesty’s Government what assessment they have made of the results of a survey on behalf of Monitor, which found that one in ten people are dissatisfied with their general practitioner surgery.

tabling member printed

Lord Taylor of Warwick

uin

HL235

answer

is ministerial correction

date of answer

17/06/2015

answer text

On 1 June 2015, Monitor published Improving GP Services: Commissioners and Patient Choice, which included the findings of a nationally representative survey conducted by Ipsos Mori. The report noted a high level of satisfaction with general practice overall. It found that 81% of patients were satisfied with their general practitioner (GP) practice, while only 10% were dissatisfied. Monitor’s report found that, after location, patients most value the ease of getting an appointment when choosing a GP practice. In order to improve access for patients, the Government has invested £175 million over two years through the Prime Minister’s GP Access Fund. This is testing improved and innovative access to GP services through longer opening hours, such as at evenings and weekends, but also different ways of accessing services, for example the use of Skype consultations. Altogether, there are now 57 schemes covering over 2,500 practices, meaning that over 18 million patients are expected to benefit from improved access and transformational change at local level by March 2016.Additionally, the Primary Care Infrastructure Fund is investing £1 billion<ins class="ministerial">, including</ins> <del class="ministerial">and</del> £25 million as part of the Prime Minister’s GP Access Fund, over four years to improve premises and information technology, which will also improve access.

answering member printed

Lord Prior of Brampton

question first answered

17/06/2015 13:19:17

question first ministerially corrected

19/06/2015 11:00:07

answering member

127

	label	Biography information for Lord Prior of Brampton

previous answer version

5697

answering member printed

Lord Prior of Brampton

answering member

127

	label	Biography information for Lord Prior of Brampton

tabling member

1796

	label	Biography information for Lord Taylor of Warwick