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449397

	registered interest
	date	01/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Compulsorily Detained Psychiatric Patients: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many young people aged 17 or under of each age were sectioned under the Mental Health Act in each of the last 10 years for which figures are available.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	25024
	answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The National Police Chiefs Council has reported figures on the number of children held in police custody as a place of safety under section 136 of the Mental Health Act for only three years. These were as follows:</p><p> </p><p>2012-13 <ins class="ministerial">256</ins> <del class="ministerial">255</del>;</p><p>2013-14 <ins class="ministerial">161</ins> <del class="ministerial">256</del>; and</p><p>2014-15 <ins class="ministerial">145</ins> <del class="ministerial">161</del>.</p><p> </p><p>Data on children and young people sectioned under other sections of the Mental Health Act are not available centrally.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/02/2016 12:58:21 question first ministerially corrected 12/02/2016 15:22:26 answering member 1201 label Biography information for Alistair Burt previous answer version 43916 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	1439 label Biography information for Norman Lamb

449400

	registered interest
	date	01/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Compulsorily Detained Psychiatric Patients: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many young people aged 17 or under of each age were held in police custody as a place of safety in each of the last 10 years for which figures are available.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	25025
	answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The National Police Chiefs Council has reported figures on the number of children held in police custody as a place of safety under section 136 of the Mental Health Act for only three years. These were as follows:</p><p> </p><p>2012-13 <ins class="ministerial">256</ins> <del class="ministerial">255</del>;</p><p>2013-14 <ins class="ministerial">161</ins> <del class="ministerial">256</del>; and</p><p>2014-15 <ins class="ministerial">145</ins> <del class="ministerial">161</del>.</p><p> </p><p>Data on children and young people sectioned under other sections of the Mental Health Act are not available centrally.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/02/2016 12:58:21 question first ministerially corrected 12/02/2016 15:22:17 answering member 1201 label Biography information for Alistair Burt previous answer version 43918 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	1439 label Biography information for Norman Lamb

439404

	registered interest
	date	17/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will ensure that records of the training history of the nurses convicted at Nursing and Midwifery Council hearings are kept on the same basis as such data in such cases by the General Medical Council.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	20584
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom. The NMC is responsible for delivery of its statutory functions including maintaining a register of all nurses and midwives eligible to work in the UK and for pursuing fitness to practise investigations against its registrants in the interests of public protection.</p><p> </p><p>On each of the NMC and General Medical Council (GMC) websites there is a facility to search the professional registers and to check the registration status of a registrant. <del class="ministerial">Where an NMC registrant has been struck-off the register, their record is removed from the register and they would not be found on a register search. However, the NMC does publish information about fitness to practise (FtP) allegations, hearings, outcomes and sanctions elsewhere on its website in accordance with its FtP publication and disclosure policy. Where a GMC registrant is erased from the medical register, their record remains and could be found in a register search with details of the FtP sanction. </del><ins class="ministerial">Both of these regulators maintain public records about individuals who have been struck off or erased from their professional registers and these records are available through their respective websites.</ins></p><p>It is a matter for the regulators themselves to determine how they manage their publication and disclosure policy in relation to fitness to practice, within the legislative frameworks in which they operate.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/01/2016 17:09:48 question first ministerially corrected 02/02/2016 11:46:58 answering member 3988 label Biography information for Ben Gummer previous answer version 38218 answering member constituency Ipswich answering member printed Ben Gummer answering member 3988 label Biography information for Ben Gummer
	tabling member	1506 label Biography information for Andrew Gwynne

449851

	registered interest
	date	02/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Professions: Migrant Workers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many nationals of (a) the EEA, excluding the UK and (b) non-EEA countries who are (i) doctors, (ii) dentists, (iii) other dental care professionals and (iv) nurses have been (A) suspended and (B) brought before a fitness to practise panel by their professional regulator as a result of poor English language skills in the last three years.
	tabling member constituency	Bristol North West
	tabling member printed	Charlotte Leslie
	uin	25540
	answer	answer is ministerial correction date of answer 08/02/2016 answer text <p>The information requested is not held by the Department. The nine <a href="http://www.professionalstandards.org.uk/regulators/statutory-regulators-directory" target="_blank">health and care professional regulatory bodies</a> within the United Kingdom are responsible for operational matters concerning the discharge of their statutory duties including fitness-to-practise (FtP) investigations against their registrants. Relevant information provided by the General Medical Council (GMC), Nursing and Midwifery Council (NMC) and General Dental Council (GDC) is included below.</p><p> </p><p>The GMC reports that four European Economic Area (EEA) doctors and no non-EEA doctors have appeared at a FtP tribunal <del class="ministerial">and been suspended</del> due wholly or partly to lack of English language skills, since its legislation changed in June 2014 to introduce inadequate English language skills as a grounds for finding a doctor’s fitness to practise is impaired. <ins class="ministerial">Of the four, two were suspended and two had conditions imposed on their registration. Conditions restrict a doctor’s practice or require them to take remedial action. In these cases, the purpose of conditions is to help protect patients while allowing the doctor to remedy any deficiencies in their practice or knowledge of English. </ins>In addition, since the GMC was given new powers in relation to the language skills of doctors, it has dealt with 3,289 registration applications from EEA doctors. 1,970 of them were able to demonstrate that they met the English language requirements as part of their application and were granted registration with a licence to practise. 1,319 doctors were registered but have not been granted a licence to practise either because they did not provide any evidence of their English language skills or the evidence they provided was insufficient. Doctors cannot practise in the UK without a licence to practise.</p><p> </p><p>The NMC reports that until legislative change took effect in January 2016, it did not record poor English language skills as a case type within FtP. Previously all cases were recorded under an umbrella category of ‘Lack of competence – communication issues’. This category covered a range of communication topics including failure to delegate appropriately. Since the new language control power was introduced in 2016 the NMC has been coding English language skills as a separate code.</p><p> </p><p>The GDC reports that following an update to its Standards in 2013, it takes the requirement to be sufficiently fluent in written and spoken English into account when assessing FtP cases. Since this change there have been no suspensions and one EEA Dentist has been struck-off the GDC register where the category of ‘not fluent in English’ was recorded as a consideration. The GDC notes that as a result of recent legislative change, it is taking forward associated changes to registration processes and FtP rules, which will result in further language control requirements being introduced by the end of summer.</p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 08/02/2016 14:54:34 question first ministerially corrected 01/03/2016 17:55:31 answering member 3988 label Biography information for Ben Gummer previous answer version 44025 answering member constituency Ipswich answering member printed Ben Gummer answering member 3988 label Biography information for Ben Gummer
	tabling member	3933 label Biography information for Charlotte Leslie

448320

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Irritable Bowel Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people of each age group and gender were diagnosed with irritable bowel syndrome in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	24429
	answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>Data relating to the total number of people diagnosed with irritable bowel syndrome <ins class="ministerial">(IBS)</ins><del class="ministerial">(IBD)</del> in each of the last five years is not collected.</p><p> </p><p><del class="ministerial">The two main forms of IBD are Crohn’s disease and ulcerative colitis. Ulcerative colitis only affects the large intestine whereas Crohn's disease affects the whole of the digestive system.</del></p><p> </p><p>The National Institute for Health and Care Excellence guidance indicates that <ins class="ministerial">IBS prevalence in the general population is estimated to be between 10% and 20%. Recent trends indicate that there is also a significant prevalence of IBS in older people.</ins> <del class="ministerial">ulcerative colitis has an incidence in the United Kingdom of approximately 10 per 100,000 people annually, and a prevalence of approximately 240 per 100,000. This amounts to around 146,000 people in the UK with a diagnosis of ulcerative colitis. In addition to this, there are currently at least 115,000 people in the UK with Crohn's disease.</del></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/02/2016 16:53:22 question first ministerially corrected 08/02/2016 14:58:49 answering member 3918 label Biography information for Jane Ellison previous answer version 43583 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

445967

	registered interest
	date	19/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer: Chemotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the recent Report of the Independent Cancer Taskforce, what steps his Department is taking to urge NHS England to prioritise a Best Practice Tariff for NICE-recommended molecular diagnostic services for guiding adjuvant chemotherapy decisions in early breast cancer management.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	23235
	answer	answer is ministerial correction date of answer 22/01/2016 answer text <p>In July 2015, NHS England published a new Clinical Commissioning Policy: Genetic Testing for BRCA1 and BRCA2 Mutations. In accordance with the criteria set out in that document, NHS England will commission genetic testing for (breast cancer genes 1 and 2) <em>BRCA1 </em>and <em>BRCA2 </em>in those that have a pre-test <em>BRCA1 </em>and <em>BRCA2 </em>carrier probability risk of 10% or more as recommended in NICE clinical guideline (CG)164. The document is available at:</p><br /><p><a href="http://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/10/e01pb-brca-ovarian-cancer-oct15.pdf" target="_blank">www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/10/e01pb-brca-ovarian-cancer-oct15.pdf</a></p><br /><p>The independent Cancer Taskforce recognised the need for more accessible molecular diagnostic provision in its report,<em> Achieving World-Class Cancer Outcomes, </em>published in July 2015. NHS England is currently working with partners across the healthcare system to determine how best to take forward the Taskforce’s recommendations. A cross-system Cancer Transformation Board is being established to oversee implementation of the Taskforce recommendations, alongside an independent Advisory Group, chaired by Dr Harpal Kumar, Chief Executive of Cancer Research UK.</p><br /> <br /><p>Regional Genetic Laboratories are central to all NHS Genomic Medicine Centres (GMCs) and have been the focal point for adoption of genomic technologies into healthcare for over 40 years. These laboratories are currently the focus of an NHS England Specialised Commissioning intended procurement exercise. The procurement aims to create a new genomic laboratory infrastructure for the National Health Service in England based on centralised and local genomic laboratory hubs to support rare, inherited and acquired disease as well as the future personalised medicine requirements inclusive of molecular diagnostics in stratified medicine.</p><br /><p>In addition, in September 2015, the NHS England Board approved the development of a Personalised Medicine Strategy for the NHS by March 2016. The Strategy will build on the 100,000 Genomes Project, in which the NHS is a key delivery partner.The Project will sequence whole genomes from eligible patients with rare diseases and cancers.It is moving the NHS to a new model of diagnosis and treatment based on understanding of underlying genetic causes and drivers of disease and a comprehensive phenotypic characterisation of the disease (rather than deduction from symptoms and individual diagnostic tests).</p><br /><p>The high-level vision and strategy is to create a Personalised Medicine service embracing four overarching principles: the prediction and prevention of disease; more precise diagnoses; targeted and personalised interventions; and a more participatory role for patients. Personalised medicine informs the selection of the most appropriate treatment and better outcomes for individual patients – the right drug at the right time, earlier screening and treatment, smarter monitoring and the adjustment of treatments.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 23233 23234 question first answered 22/01/2016 13:58:50 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

448311

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Agency Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, which NHS (a) trusts and (b) foundation trusts have reported that their planned agency nursing spend (i) will and (ii) will not exceed the ceiling trajectory set by Monitor.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	24545
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24544 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
	tabling member	4418 label Biography information for Justin Madders

448312

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Agency Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, what the planned agency costs are forecast to be as a proportion of the total nursing costs in each NHS (a) trust and (b) foundation trust in 2015-16.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	24544
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24545 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
	tabling member	4418 label Biography information for Justin Madders

448339

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Agency Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, what the (a) year to date and (b) forecast outturn spend is in each NHS (i) trust and (ii) foundation trust on total agency nursing costs, excluding outsourced bank, in 2015-16.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	24546
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24544 24545 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
	tabling member	4418 label Biography information for Justin Madders

448336

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the announcement by the Prime Minister on enhancing mental health services on 11 January 2016, what the basis is for the figure of £290 million to be invested in perinatal mental health care; how that funding will be allocated; and how the efficacy of that funding will be measured.
	tabling member constituency	Wolverhampton North East
	tabling member printed	Emma Reynolds
	uin	24405
	answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>This Government is committed to improving access to perinatal mental health services for women during pregnancy and in the first postnatal year. In January 2016 the Government set out that an additional £290 million will be made available over the next five years to 2020/21, over and above the money identified in the Spring Budget, to invest in perinatal mental health services. This is funded from within the Department’s overall Spending Review settlement and means that in total from 2015/16 to 2020/21 £365 million will be invested in perinatal mental health services.</p><p> </p><p>We are aware that there is unacceptable variation in the levels of access to high quality, NICE-recommended specialist perinatal mental health care for women across England. A 2014 census identified that 40% of women in England have no access to specialist perinatal mental health services and that is why we have confirmed this additional investment. The funding should enable significant progress towards closing this gap and will help to enable women across the country to access evidence-based specialist support, in the community or through inpatient mother and baby services, closer to their home, when they need it. It is anticipated that, by 2020/21, around 30,000 more women should be able to access appropriate specialist support.</p><p><br> This new funding, together with the recommendations of the forthcoming report of the independent Mental Health Taskforce, will enable NHS England to work with partners to design a longer-term transformation programme to build capacity and capability in specialist perinatal mental health services over the next five years. This will include setting detailed plans for how the additional investment will be targeted over the period to 2020/21 and setting clear outcome measures and metrics to monitor the impact of the funding on perinatal mental health provision.</p><p> </p><p>In 2015/16 work is already underway to lay the foundations for this longer-term work programme through targeted funding of activities to build capacity in specialist services. This will include, for example, a £1 million investment in strengthening clinical networks across the country. It is also expected to include the provision of national and regional benchmarking data and analytical support to regions, and work to develop clinical leadership capacity. Work will also continue to support the development of specialist mother and baby units in the regions identified as most in need of new services.</p><p> </p><p>To ensure the workforce are available and appropriately trained, NHS England is working closely with Health Education England and key stakeholders to better understand the future workforce commissioning requirements and how it is best to meet multi professional education and training needs.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24403 24404 24406 24407 question first answered 01/02/2016 18:19:37 answering member 1201 label Biography information for Alistair Burt
	tabling member	4077 label Biography information for Emma Reynolds