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457766

	registered interest
	date	04/03/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Out-patients: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many outpatient (a) medical ophthalmology, (b) optometry and (c) orthotics appointments for children under 19 years of age were (i) cancelled and (ii) missed because the patient did not attend in 2014-15; and what the median waiting time for an (A) outpatient ophthalmology (B) medical ophthalmology (C) outpatient optometry, and (D) outpatient orthoptics appointment was in 2014-15.
	tabling member constituency	Mitcham and Morden
	tabling member printed	Siobhain McDonagh
	uin	29822
	answer	answer is ministerial correction date of answer 14/03/2016 answer text <p>The information is shown in the following table.</p><p> </p><p>Information on outpatient ophthalmology,<ins class="ministerial"> medical ophthalmology,</ins> optometry, orthotics and orthoptics appointments for patients under 19 years of age in 2014-15</p><p> </p><table><tbody><tr><td><p><del class="ministerial"> </del></p></td><td colspan="2"><p><del class="ministerial">Outpatient appointments<sup>1</sup> for patients under 19 years of age</del></p></td><td><p><del class="ministerial">All patients</del></p></td></tr><tr><td><p><del class="ministerial">Treatment specialty</del></p></td><td><p><del class="ministerial">Cancelled (by hospital or by patient)</del></p></td><td><p><del class="ministerial">Patient did not attend</del></p></td><td><p><del class="ministerial">Median wait time (days)<sup>2</sup></del></p></td></tr><tr><td><p><del class="ministerial">Ophthamology<sup>3</sup></del></p></td><td><p><del class="ministerial">98,774</del></p></td><td><p><del class="ministerial">93,099</del></p></td><td><p><del class="ministerial">35</del></p></td></tr><tr><td><p><del class="ministerial">Optometry</del></p></td><td><p><del class="ministerial">1,884</del></p></td><td><p><del class="ministerial">1,028</del></p></td><td><p><del class="ministerial">33</del></p></td></tr><tr><td><p><del class="ministerial">Orthotics</del></p></td><td><p><del class="ministerial">6,519</del></p></td><td><p><del class="ministerial">5,162</del></p></td><td><p><del class="ministerial">40</del></p></td></tr><tr><td><p><del class="ministerial">Orthoptics</del></p></td><td><p><del class="ministerial">70,327</del></p></td><td><p><del class="ministerial">54,062</del></p></td><td><p><del class="ministerial">35</del></p></td></tr></tbody></table><p><ins class="ministerial"><table><tbody><tr><td colspan="2"><p><ins class="ministerial">Outpatient appointments<sup>1</sup> for patients under 19 years of age</ins></p></td><td><p><ins class="ministerial">All patients</ins></p></td></tr><tr><td><p><ins class="ministerial">Treatment specialty</ins></p></td><td><p><ins class="ministerial">Cancelled (by hospital or by patient)</ins></p></td><td><p><ins class="ministerial">Patient did not attend</ins></p></td><td><p><ins class="ministerial">Median wait time (days)<sup>2</sup></ins></p></td></tr><tr><td><p><ins class="ministerial">Ophthalmology</ins></p></td><td><p><ins class="ministerial">98,774</ins></p></td><td><p><ins class="ministerial">93,099</ins></p></td><td><p><ins class="ministerial">35</ins></p></td></tr><tr><td><p><ins class="ministerial">Medical ophthalmology</ins></p></td><td><p><ins class="ministerial">565</ins></p></td><td><p><ins class="ministerial">5,448</ins></p></td><td><p><ins class="ministerial">28</ins></p></td></tr><tr><td><p><ins class="ministerial">Optometry</ins></p></td><td><p><ins class="ministerial">1,884</ins></p></td><td><p><ins class="ministerial">1,028</ins></p></td><td><p><ins class="ministerial">33</ins></p></td></tr><tr><td><p><ins class="ministerial">Orthotics</ins></p></td><td><p><ins class="ministerial">6,519</ins></p></td><td><p><ins class="ministerial">5,162</ins></p></td><td><p><ins class="ministerial">40</ins></p></td></tr><tr><td><p><ins class="ministerial">Orthoptics</ins></p></td><td><p><ins class="ministerial">70,327</ins></p></td><td><p><ins class="ministerial">54,062</ins></p></td><td><p><ins class="ministerial">35</ins></p></td></tr></tbody></table></ins></p><p> </p><p> </p><p><em>Sources:</em></p><p>Hospital episode statistics, Health and Social Care Information Centre</p><p> </p><p><em>Notes:</em></p><ol><li>These are not counts of people as the same person may have had more than one appointment within the same time period.</li><li>Waiting time is defined as the time in days between the date the referral request was received and the date of the first appointment, whether it was attended or not.</li><li><del class="ministerial">Within the Hospital Episode Statistics database it is not possible to distinguish between &quot;ophthamology&quot; and &quot;medical ophthamology&quot; treatment specialties.</del></li></ol><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/03/2016 11:31:27 question first ministerially corrected 25/04/2016 17:06:31 answering member 1201 label Biography information for Alistair Burt previous answer version 50914 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	193 label Biography information for Dame Siobhain McDonagh

522571

	registered interest
	date	03/06/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Primary Health Care
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he has taken to introduce (a) video consultations and (b) other new technology into primary care service delivery.
	tabling member constituency	Southampton, Itchen
	tabling member printed	Royston Smith
	uin	39251
	answer	answer is ministerial correction date of answer 10/06/2016 answer text <p>From April 2014 to April 2016, the Government has invested £175 million in developing innovative approaches to extend access to general practice through the Prime Minister’s GP Access Fund which has included testing, adoption, and evaluation of:</p><p> </p><p>― new types of consultation such as phone, video and online consultations;</p><p>― online pre-referral diagnosis tools; and</p><p>― telehealth, telecare and healthy living apps.</p><p> </p><p>During 2017/18<ins class="ministerial"> and 2018/19</ins>, £171 million will be made available <del class="ministerial">to</del> <ins class="ministerial">from </ins>clinical commissioning groups (CCGs) to enable practices to upscale and implement measures tested through the Access Fund.</p><p> </p><p>A further £1 billion multiyear investment has been committed via the Estates and Technology Transformation Fund from April 2015 to April 2019, to help GP practices go further and faster to increase the use of technology and develop the primary care estate. Funding will be aligned with local digital roadmaps priorities and will support technology led improvement and innovation which improve patient and clinician experience of services, and access to primary care.</p><p> </p><p>The ‘General Practice Forward View’, released in April 2016, announced a commitment to greater use of technology. This includes an increase of over 18% in allocations to CCGs for provision of IT services and technology for general practice, alongside revised funding arrangements for GP IT in 2016-18. This will allow CCGs sufficient local flexibility to commission and procure GP IT services to meet local need. There will also be an additional £45 million multiyear national programme to stimulate uptake of online consultation technology for every practice.</p><p> </p><p>The National Information Board also has a programme of work known as Transforming General Practice which will use technology to free GPs from time consuming administrative tasks and provide patients with online services.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 10/06/2016 11:08:23 question first ministerially corrected 16/06/2016 10:28:13 answering member 1201 label Biography information for Alistair Burt previous answer version 2969 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	4478 label Biography information for Royston Smith

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

731348

	registered interest
	date	21/06/2017
	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 and Young People
	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 (a) improve mental health provision and (b) support the needs of children and young people.
	tabling member constituency	Easington
	tabling member printed	Grahame Morris
	uin	328
	answer	answer is ministerial correction date of answer 29/06/2017 answer text <p>We are making £1.4 billion available by 2020 to improve the provision of children and young people’s mental health services (CYP MH), including £<ins class="ministerial">150</ins><del class="ministerial">250</del> million specifically to tackle eating disorders.</p><p> </p><p>This funding is delivering a major system-wide transformation programme to improve access and make services more widely available across the country, and implementing the vision set out in Future in Mind. To this end all clinical commissioning groups working with their partners, developed CYP MH Transformation Plans in 2015/16, incorporating them last year into their wider National Health Service Sustainability and Transformation Plans. These set out how local agencies are working together to improve children and young people’s mental health across the full spectrum of need.</p><p> </p><p>Later this year, the Government will publish a Green Paper on Children and Young People’s Mental Health focused on helping our youngest and most vulnerable members of society receive the best start in life. This will make sure best practice is being used consistently and will help to accelerate improvements across all services so that children and young people get the right mix of prevention and specialist support.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 29/06/2017 14:46:46 question first ministerially corrected 04/07/2017 15:00:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 791 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3973 label Biography information for Grahame Morris

776154

	registered interest
	date	23/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the increase is in the (a) size of the mental health staff workforce and (b) number of professionally qualified clinical mental health staff employed since 2010.
	tabling member constituency	Morecambe and Lunesdale
	tabling member printed	David Morris
	uin	109144
	answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>NHS Digital data shows that the number of National Health Service staff (full-time equivalent) working in Mental Health and Learning Disability trusts increased by 4,295 from July 2013 to July 2017, of these 2,156 are professionally qualified clinical mental health staff. The number of Improving Access to Psychological Therapies (IAPT) staff (headcount) increased by <del class="ministerial">2,278</del> <ins class="ministerial">2,728 </ins>between 2012 and 2015.</p><p> </p><p>Figures begin in 2012/13 due to the changes in services resulting from the dissolution of primary care trusts in 2012/13.</p><p>Source:</p><p>1. Health Education England (July 2017). Stepping forward to 2020/21: The mental health workforce plan for England.</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf</a></p><p>2. NHS Digital, Monthly workforce statistics as at July.</p><p><a href="https://digital.nhs.uk/catalogue/PUB30100" target="_blank">https://digital.nhs.uk/catalogue/PUB30100</a></p><p>3. 2012 IAPT Workforce Census paragraph 5.1.</p><p><a href="https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de" target="_blank">https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de</a></p><p>4. The overall IAPT workforce number from the 2015 census was calculated as follows: sum of Low Intensity Therapy: Total Number of individuals (Staff in Post) on page 17 and High Intensity Therapy (HIT): Total Number of individuals (Staff in Post) on page 21. The 2015 IAPT workforce census is available at the following link:</p><p><a href="https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf" target="_blank">https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf</a></p><p>5. The overall IAPT workforce number from the 2014 census was calculated by adding total headcount for Cognitive behavioural therapy (CBT), non CBT HIT modalities and non-qualified counsellors and therapist, Table 4, page.11. The total funded establishment for whole-time equivalent psychological wellbeing practitioners was obtained from table 2, p. 9. The 2014 IAPT workforce census is available at the following link:</p><p><a href="http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report." target="_blank">http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report.</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/10/2017 13:56:22 question first ministerially corrected 01/12/2017 15:29:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 18029 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4135 label Biography information for David Morris

789103

	registered interest
	date	14/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Prisons
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will publish the name of the commissioned provider for health services in each prison in England and Wales.
	tabling member constituency	Stockton South
	tabling member printed	Dr Paul Williams
	uin	113023
	answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>Since 2013, NHS England has been responsible for commissioning healthcare in all prisons in England. However, there are five prisons where primary healthcare services are commissioned by the Ministry of Justice (MOJ). In these five prisons some secondary healthcare services, including substance misuse and mental health, are commissioned by NHS England.</p><p> </p><p>Local Health Boards are responsible for commissioning healthcare services in public sector prisons in Wales.</p><p> </p><p>NHS England and the MOJ have provided the information in the attached table, which lists the healthcare provider for each prison in England and Wales.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 20/11/2017 15:53:27 question first ministerially corrected 01/12/2017 15:30:02 answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name Revised PQ 113023 data table.docx title Commissioned Health providers for prisons previous answer version 23550 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price attachment 1 file name PQ113023 data table.docx title PQ113023 attached table
	tabling member	4666 label Biography information for Dr Paul Williams

631887

	registered interest
	date	08/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Hospitals: Dorset
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many community hospital beds are currently available in Dorset; and for which locations are there plans to increase the number of community beds available to patients in South East Dorset.
	tabling member constituency	Christchurch
	tabling member printed	Mr Christopher Chope
	uin	52427
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>NHS England advises that there are currently<ins class="ministerial">347</ins> <del class="ministerial">357 </del> community hospital beds in Dorset. Dorset Clinical Commissioning Group is proposing under its current Clinical Services Review to provide an additional 69 community beds, increasing numbers in the east of the county and reducing numbers in the west. The proposals are based on projected local demand and any changes will be subject to full public consultation.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 14/11/2016 15:58:22 question first ministerially corrected 12/12/2016 16:11:22 answering member 4080 label Biography information for David Mowat previous answer version 20240 answering member constituency Warrington South answering member printed David Mowat answering member 4080 label Biography information for David Mowat
	tabling member	242 label Biography information for Sir Christopher Chope

522126

	registered interest
	date	26/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Human Papillomavirus: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Medicines and Healthcare Products Regulatory Agency holds any clinical trial data for HPV vaccines which is not in the public domain.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	38833
	answer	answer is ministerial correction date of answer 07/06/2016 answer text <p>There are <del class="ministerial">two</del> <ins class="ministerial">three </ins>human papilloma virus vaccines licensed in the European Union: Cervarix<ins class="ministerial">,</ins> <del class="ministerial">and</del> <ins class="ministerial">Gardasil and </ins>Gardasil 9. These products are licensed centrally throughout Europe by the European Commission via the European Medicines Agency (EMA). Applicants for centrally authorised products are required to submit all relevant supporting clinical trials data, whether published or not, to the EMA directly and not to the Medicines and Healthcare products Regulatory Agency.</p><p> </p><p>Under current medicines legislation, the EMA database registers all EU-approved clinical trials of investigational medicinal products. Since March 2011 this information has been publicly accessible through the EU Clinical Trials Register (except adult Phase 1 trials). The EU Clinical Trials Register includes all EU-conducted trials since May 2004 when the Clinical Trials Directive was implemented and can be found here:</p><p> </p><p><a href="https://www.clinicaltrialsregister.eu/ctr-search/search" target="_blank">https://www.clinicaltrialsregister.eu/ctr-search/search</a></p><p> </p><p>Furthermore since July 2014 clinical trial sponsors have been required to provide a summary of their trial results uploaded onto the EU Clinical Trials Register within one year of their trial completing. There is a two year programme of back-loading underway to provide summaries of trial results for all trials on the Register back to when the EudraCT database was initiated in May 2004.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 07/06/2016 10:57:37 question first ministerially corrected 13/06/2016 10:14:27 answering member 4020 label Biography information for George Freeman previous answer version 2228 answering member constituency Mid Norfolk answering member printed George Freeman answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

522843

	registered interest
	date	06/06/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Business: Billing
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answers by Earl Howe on 28 October 2013 (WA 213) and 5 December 2013 (WA 60–1), whether they will now answer the question why Public Health England, in comparing the percentages with dental fluorosis in fluoridated populations published by McGrady et al in 2012 with those from the York systematic review, cited small categories of fluorosis which were not found in the York review, but omitted the statistically comparable total-fluorosis figures of 55 per cent in fluoridated Newcastle against 48 per cent worldwide in the York review in 2000.
	tabling member printed	Earl Baldwin of Bewdley
	uin	HL394
	answer	answer is ministerial correction date of answer 17/06/2016 answer text <p>Most dental fluorosis in England is mild and unlikely to be of any concern from a cosmetic perspective. When discussing the public health impact of this condition, it is useful to distinguish between mild to moderate dental fluorosis and more severe fluorosis which is likely to be of concern from a cosmetic perspective, rather than overall levels.</p><p> </p><p>The study described in the paper by McGrady et al in 2012 photographed teeth in order to reducing potential examiner bias, a key recommendation of the York Review. The results might therefore not be directly comparable to the results of studies using older methodology.</p><p> </p><p>Public Health England’s 2014 water fluoridation health monitoring report was published subsequent to the responses given on 28 October 2013 and 5 December 2013 and included a section on dental fluorosis, drawing upon the 2012 report by McGrady et al. A copy of <em>Water Fluoridation Health Monitoring Report for England 2014</em> is attached.</p><p> </p><p>The report displayed the individual categories of dental fluorosis that were used in the 2012 report by McGrady et al, including the proportion who showed no signs of dental fluorosis in the two cities studied. This is shown in the following table.</p><p> </p><p> </p><p> </p><p> </p><p>Descriptive data for fluorosis total-fluorosis (TF) scores by city</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="4"><p>City</p></td><td rowspan="3"><p>p-value (probability value)</p></td></tr><tr><td><p> </p></td><td colspan="2"><p>Newcastle (fluoridated)</p></td><td colspan="2"><p>Manchester (non-fluoridated)</p></td></tr><tr><td><p> </p></td><td><p>Number</p></td><td><p>%</p></td><td><p>Number</p></td><td><p>%</p></td></tr><tr><td><p>Fluorosis TF Score</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>0</p></td><td><p>410</p></td><td><p>45%</p></td><td><p>638</p></td><td><p>73%</p></td><td rowspan="7"><p>P <del class="ministerial">&gt;</del> <ins class="ministerial">less than</ins><ins class="ministerial"> </ins>0.0001</p></td></tr><tr><td><p>1</p></td><td><p>355</p></td><td><p>39%</p></td><td><p>209</p></td><td><p>24%</p></td></tr><tr><td><p>2</p></td><td><p>79</p></td><td><p>9%</p></td><td><p>16</p></td><td><p>2%</p></td></tr><tr><td><p>3</p></td><td><p>53</p></td><td><p>6%</p></td><td><p>4</p></td><td><p>1%</p></td></tr><tr><td><p>4</p></td><td><p>8</p></td><td><p>1%</p></td><td><p>0</p></td><td><p>0%</p></td></tr><tr><td><p>5</p></td><td><p>1</p></td><td><p>0.1%</p></td><td><p>2</p></td><td><p>0.2%</p></td></tr><tr><td><p>Total</p></td><td><p>906</p></td><td><p> </p></td><td><p>869</p></td><td><p> </p></td></tr></tbody></table><p> </p><p>The probability values show that levels of dental fluorosis overall in fluoridated Newcastle were higher than in non-fluoridated Manchester. The proportion of children with dental fluorosis (TF score &gt;0) was 55% in Newcastle compared to 27% in Manchester. Fluorosis recorded at a level of TF3, considered to be mild or mild to moderate, was 6% in Newcastle and 1% in Manchester. The prevalence of higher scores (TF4 or greater) was very low in both cities.</p><p> </p><p>The methodology described in the 2012 paper by McGrady et al may give higher estimates of dental fluorosis compared to the direct examination by a dentist used in other surveys. The results give further assurance that there are low levels of dental fluorosis which might be of concern from a cosmetic perspective in both fluoridated and non-fluoridated areas.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 17/06/2016 10:42:12 question first ministerially corrected 17/06/2016 12:57:51 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Water_fluoridation_health_monitoring_for_england__full_report_1Apr2014.pdf title Water Fluoridation Monitoring Report previous answer version 4271 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Water_fluoridation_health_monitoring_for_england__full_report_1Apr2014.pdf title Water Fluoridation Monitoring Report
	tabling member	3446 label Biography information for Earl Baldwin of Bewdley

628245

	registered interest
	date	03/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Greater London
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what was the ratio of GPs to patients in each Clinical Commissioning Group in London in each of the last five years.
	tabling member printed	Baroness Kramer
	uin	HL2980
	answer	answer is ministerial correction date of answer 16/11/2016 answer text <p>Due to the size of the data, the information requested is shown in the attached table.</p> answering member printed Lord Prior of Brampton question first answered 16/11/2016 16:34:05 question first ministerially corrected 21/12/2016 11:49:39 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Copy of 161129 HL2980 amended PQ data.xlsx title GP to Patient ratio table amended previous answer version 20761 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 161107 GP to patient ratio HL2980_Final.xls title GP to Patient ratio table
	tabling member	1557 label Biography information for Baroness Kramer