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724558

	registered interest
	date	26/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Health Services: Liverpool
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to Liverpool Community Health NHS Trust's announcement of 30 March 2017 on the new arrangement to manage community services in Liverpool, what future bidding process NHS Improvement plans to use relating to the Liverpool Community Health Contract.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	72015
	answer	answer is ministerial correction date of answer 02/05/2017 answer text <p><B>The House of Commons was prorogued before the earliest date of answer for this Question.</B></p> answering member constituency answering member printed question first answered 02/05/2017 10:00:00 answering member 0
	tabling member	1538 label Biography information for Rosie Cooper

724559

	registered interest
	date	26/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Improvement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 13 April 2017 to Question 70905, on Department of Health, for what reasons NHS Improvement placed (a) Bernie Cuthell at Manchester Mental Health Trust and (b) Karen Jackson at Southport and Ormskirk NHS Trust.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	72016
	answer	answer is ministerial correction date of answer 02/05/2017 answer text <p><B>The House of Commons was prorogued before the earliest date of answer for this Question.</B></p> answering member constituency answering member printed question first answered 02/05/2017 10:00:00 answering member 0
	tabling member	1538 label Biography information for Rosie Cooper

724560

	registered interest
	date	26/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Microplastics: Health Hazards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 18 April 2017 to Question 70013, for what reason that Answer does not refer to any plans by his Department to conduct an assessment of the effect of microplastics entering the marine environment on human health.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	72013
	answer	answer is ministerial correction date of answer 02/05/2017 answer text <p><B>The House of Commons was prorogued before the earliest date of answer for this Question.</B></p> answering member constituency answering member printed question first answered 02/05/2017 10:00:00 answering member 0
	tabling member	1447 label Biography information for Andrew Rosindell

346944

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Offences against Children: Counselling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of whether there are financial savings to the public purse from providing long-term counselling in local communities to adults sexually abused in their childhood.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	149
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p> </p><p> </p><p>National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them in all parts of England reflecting the objective in the Government’s Mandate to NHS England to provide access to therapies for around 900,000 people per year by 2015, with a recovery rate of 50%. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p> </p><p> </p><p>In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its Arms Length Bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 150 151 question first answered 04/06/2015 14:31:02 answering member 1201 label Biography information for Alistair Burt
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

346945

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Offences against Children: Counselling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many non-statutory organisations providing counselling without pre-determined time-limits to adults who were sexually abused as children were funded by his Department in (a) 2013-14 and (b) 2014-15.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	150
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p> </p><p> </p><p>National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them in all parts of England reflecting the objective in the Government’s Mandate to NHS England to provide access to therapies for around 900,000 people per year by 2015, with a recovery rate of 50%. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p> </p><p> </p><p>In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its Arms Length Bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 149 151 question first answered 04/06/2015 14:31:02 answering member 1201 label Biography information for Alistair Burt
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

346947

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Offences against Children: Counselling
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance he has given to NHS England and Public Health England on how they should respond to the demand for counselling support from adults who have come forward with traumatic experiences of child sexual abuse.
	tabling member constituency	West Bromwich East
	tabling member printed	Tom Watson
	uin	151
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p> </p><p> </p><p>National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them in all parts of England reflecting the objective in the Government’s Mandate to NHS England to provide access to therapies for around 900,000 people per year by 2015, with a recovery rate of 50%. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p> </p><p> </p><p>In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its Arms Length Bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 149 150 question first answered 04/06/2015 14:31:02 answering member 1201 label Biography information for Alistair Burt
	tabling member	1463 label Biography information for Lord Watson of Wyre Forest

347055

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	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 temporary staff in each of the last three years.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	189
	answer	answer is ministerial correction date of answer 04/06/2015 answer text <p>National Health Service spend on temporary staff for 2012/13, 2013/14 and 2014/15 as included within the Q4 data collection is shown below.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2014/15 Q4 data collection</p><p>Unaudited (£ billion)<sup> 1</sup></p></td><td><p>2013/14 Unaudited</p><p>(£ billion)<sup> 2</sup></p></td><td><p>2012/2013</p><p>(£ billion)<sup> 3</sup></p></td></tr><tr><td><p>Total NHS Spend</p></td><td><p>3.34</p></td><td><p>2.61</p></td><td><p>2.33</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Following the Francis<sup>4</sup> report many trusts increased their spend on temporary staffing to meet safe staffing levels. The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend (including use of locums) responsibly through effective and efficient workforce planning and management and to minimise temporary staffing costs in future years.</p><p> </p><p><strong> </strong></p><p> </p><p>The Government is clear that the current rate of spending is unsustainable. The Secretary of State has announced a comprehensive package of measures to address the problem including:</p><p> </p><p>- setting a maximum hourly rate for doctors and nurses;</p><p> </p><p>- banning the use of agencies that are not approved;</p><p> </p><p>- putting a cap on total agency staff spending for each NHS trust in financial difficulty; and</p><p> </p><p>- requiring specific approval for any expensive consultancy contracts over £50,000.</p><p> </p><p> </p><p> </p><p><sup>1</sup> The 2014/15 figures reflect data collected from NHS trusts and foundation trusts as part of the Q4 data collection which is unpublished and unaudited. Whilst this data would not ordinarily be provided as part of a Parliamentary Question contribution, it has been included within this response as both Monitor and NHS Trust Development Authority have separately released data relating to temporary agency staff spend. It should be noted that their figures vary slightly from those included above. These figures may also be subject to revision as part of the 2014/15 final audited accounts production, and should therefore not be used once the final published Department of Health Annual Report and Accounts.</p><p> </p><p> </p><p> </p><p><sup>2</sup> For the first time, the Department collected unaudited financial data from NHS trusts for 2013/14 on Contract and Agency staffing costs and income to give a net expenditure figure. The data was collected on the NHS Summarisation Schedules that form the basis of the Department’s Annual Report and Accounts.</p><p> </p><p> </p><p> </p><p><sup>3 </sup>The 2012/13 figures included in the 2013/14 published accounts have been included in the same table; however they were compiled on a different basis to the 2013/14 figures. The figures published for 2012/13 for trusts are based on non-permanently employed staff which is defined as “others engaged on the objectives of the organisation and will include staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.” This reconciles to the figures for those organisations in note 3 (Staff Costs 2012/13), whereas the 2013/14 figures were compiled for the first time under a stricter definition of contingent labour.</p><p> </p><p> </p><p> </p><p><sup>4</sup> http://www.midstaffspublicinquiry.com/</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 04/06/2015 14:21:32 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

347431

	registered interest
	date	29/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many non-UK nationals accessed NHS services in England in (a) 2012-13 and (b) 2013-14; how many such nationals were charged for those services in each of those years; and how much revenue the NHS raised from those charges in each of those years.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	517
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>The Department does not hold this information.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/06/2015 14:24:53 answering member 1201 label Biography information for Alistair Burt
	tabling member	4109 label Biography information for Jeremy Lefroy

347687

	registered interest
	date	01/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	East Cheshire NHS Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to publish the report Distressed Health Communities in East Cheshire NHS Trust.
	tabling member constituency	City of Chester
	tabling member printed	Christian Matheson
	uin	537
	answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>The Department has not commissioned such a report. In 2014, NHS England, Monitor and the NHS Trust Development Authority (TDA) commissioned research from four consultancies to support 11 challenged local health economies with the development and strengthening of their strategic plans. Eastern Cheshire is one of the 11 health economies covered by this research. An overarching summary, ‘Making Local Health Economies Work Better For Patients’, was published by NHS England, Monitor and TDA in December 2014.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 09/06/2015 12:13:49 answering member 1201 label Biography information for Alistair Burt
	tabling member	4408 label Biography information for Christian Matheson

347688

	registered interest
	date	01/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	East Cheshire NHS Trust: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the financial viability of East Cheshire NHS Trust.
	tabling member constituency	City of Chester
	tabling member printed	Christian Matheson
	uin	538
	answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>No such assessment has been made by the Department.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 09/06/2015 12:03:08 answering member 1201 label Biography information for Alistair Burt
	tabling member	4408 label Biography information for Christian Matheson