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61553

	registered interest
	date	12/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Learning Disability: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to ensure that people with learning disabilities are not excluded from NHS England's five-year strategic plan for National Health Service commissioners to improve quality of and access to health care, outlined in Everyone Counts: Planning for Patients 2014/15–2018/19.
	tabling member printed	Baroness Hollins
	uin	HL322
	answer	answer is ministerial correction date of answer 26/06/2014 answer text <p>The Government's Mandate to NHS England, sets out our ambitions for the health service, which include an objective that NHS England ensures clinical commissioning groups work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. NHS England sets out how it will achieve the objectives in the Mandate in its 2014-15 – 2016-17 business plan. The Government will hold NHS England to account for its achievement.</p><p> </p><p><em>Everyone Counts: Planning for Patients 2014/15 to 2018/19</em>sets out a framework within which commissioners will need to work with providers and partners in local government to develop five year plans to secure the continuity of sustainable high quality care for all. Building on <em>Everyone Counts</em>, NHS England is beginning a programme of work to consider how to improve quality of and access to health care for people with learning disabilities. Within the framework there is specific reference to <em>Transforming Care: A national response to Winterbourne View Hospital. </em>This is a non-negotiable item that NHS England expects to be part of every relationship between commissioners and providers. As part of this, clinical commissioning groups, local authorities and specialised commissioners should work together to implement the core specification which describes the core principles that must be present in all education, health and social care services for children, young people, adults and older people with learning disabilities and/or autism who either display, or are at risk of displaying, behaviour that challenges.</p><p> </p><p>NHS England is committed to work to reduce premature mortality amongst people with learning disability, including actions in response to the Confidential Inquiry into Premature Deaths of People with Learning Disabilities.</p><p> </p> answering member printed Earl Howe question first answered 26/06/2014 14:01:36 question first ministerially corrected 26/06/2014 15:34:49 answering member 2000 label Biography information for Earl Howe previous answer version 6304 answering member printed Earl Baldwin of Bewdley answering member 3446
	tabling member	4190 label Biography information for Baroness Hollins

63270

	registered interest
	date	23/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many general practitioner practices were (a) refurbished and (b) replaced in each of the last 10 years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	201710
	answer	answer is ministerial correction date of answer 26/06/2014 answer text <p>Prior to April 2013, granting funding for the refurbishment and replacement of general practitioner premises was the responsibility of primary care trusts (PCTs). Information pertaining to this period is not held centrally and could only be obtained at disproportionate cost.</p><p> </p><p>Responsibility for funding general practice premises development has now been transferred to NHS England.</p><p> </p><p>Between 1 April 2013 and 1 April 2014, more than 100 business cases for premises development were approved by NHS England. NHS England <ins class="ministerial">will be publishing </ins><del class="ministerial">has now published</del> Principles of Good Practice <ins class="ministerial">later in the autumn. This </ins> <del class="ministerial">that</del> set<ins class="ministerial">s</ins> out how <del class="ministerial">area</del> teams should review and prioritise business case proposals, and since 1 April 2014 a further 46 business cases have been approved.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/06/2014 14:49:17 question first ministerially corrected 11/09/2014 13:48:27 answering member 1439 label Biography information for Norman Lamb previous answer version 6377 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
	tabling member	1503 label Biography information for Mr Jamie Reed

61086

	registered interest
	date	10/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many training places for general practice were (a) commissioned and (b) filled in each of the last five years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	200007
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The Department set up Health Education England (HEE) to deliver a better health and healthcare workforce for England. HEE is responsible for ensuring a secure workforce supply for the future balancing need against demand, taking into account factors such as the age profile of the existing workforce, the impact of technology, and new drugs.</p><p> </p><p>The Department has recognised the need to increase the general practitioner (GP) workforce and between September 2010 and September 2013, the number of full time equivalent GPs has risen by 1,051. Additionally, the Department has included in the HEE mandate a requirement that “HEE will ensure that 50% of trainees completing foundation level training enter GP training programmes by 2016”.</p><p> </p><p>Further work is being undertaken by HEE to improve applications and fill rate in to GP training to support the mandate target of 3,250 appointments into GP training by 2016 in England. This includes a review of the GP recruitment process, developing a pre-GP year to give exposure to prospective GP applicants of the specialty and careers advice for foundation doctors and medical students.</p><p> </p><p>In recognition of the contribution the GP workforce makes in the NHS, HEE will also undertake additional work on GP recruitment and retention, return to practice and reducing attrition rates, all of which will play a part in increasing the GP workforce.</p><p> </p><p>The following table indicates the number of posts commissioned and filled and the fill rate for GP training in England for the last five years. The numbers of posts have been increased for 2014 to 2,946 to support the government’s mandate requirement for HEE to increase GP training.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Posts Commissioned</p></td><td><p>Posts Filled</p></td><td><p>% Filled</p></td></tr><tr><td><p>2010</p></td><td><p>2,732</p></td><td><p>2,800</p></td><td><p>102.49%</p></td></tr><tr><td><p>2011</p></td><td><p>2,672</p></td><td><p>2,658</p></td><td><p>99.48%</p></td></tr><tr><td><p>2012</p></td><td><p>2,687</p></td><td><p>2,669</p></td><td><p>99.33%</p></td></tr><tr><td><p>2013</p></td><td><p>2,761</p></td><td><p>2,738</p></td><td><p>99.17%</p></td></tr><tr><td><p>2014</p></td><td><p><del class="ministerial">2,946</del> <ins class="ministerial">3,043</ins></p></td><td><p>2,630</p></td><td><p>89.27%</p></td></tr></tbody></table><p> </p><p><em>Source</em>: HEE data</p><p> </p><p>Deferment resulting from factors such as maternity leave can cause a higher than 100% fill rate in some years.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 16:44:34 question first ministerially corrected 14/10/2014 10:52:22 answering member 3932 label Biography information for Dr Dan Poulter previous answer version 1687 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	1503 label Biography information for Mr Jamie Reed

64342

	registered interest
	date	26/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Knee Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS knee replacement operations were carried out in England, by region, in the last three years.
	tabling member constituency	Harlow
	tabling member printed	Robert Halfon
	uin	202780
	answer	answer is ministerial correction date of answer 03/07/2014 answer text <p>The attached table shows how many knee replacement operations were carried out in England, by region, in the last three years.</p><p> </p><p>The following table shows how many knee replacement revisions were carried out by the National Health Service in England in the last three years. Information relating to how long the average time interval was between total knee replacement and subsequent revision procedures is not held centrally.</p><table><tbody><tr><td><p>Year</p></td><td><p>Region</p></td><td><p>Full Knee Replacement</p></td><td><p>Only one bone in the knee joint is replaced</p></td></tr><tr><td><p>2010-11</p></td><td><p>North East</p></td><td><p>456</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>825</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>759</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>551</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>751</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>733</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>738</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>673</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>670</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>868</p></td><td><p>7</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>7,024</p></td><td><p>25</p></td></tr><tr><td><p>2011-12</p></td><td><p>North East</p></td><td><p>422</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>704</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>751</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>547</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>728</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>612</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>747</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>613</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>576</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>839</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>6,539</p></td><td><p>14</p></td></tr><tr><td><p>2012-13</p></td><td><p>North East</p></td><td><p>396</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>759</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>677</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>572</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>713</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>596</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>768</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>584</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>545</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>915</p></td><td><p>8</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>6,525</p></td><td><p>18</p></td></tr></tbody></table><p><em>Notes: </em></p><p>1. Finished Consultant Episode (FCE): Both tables show FCEs. An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. The figures do not represent the number of different patients, as a person.</p><p>2. The data should not be described as a count of people as the same person may have been admitted on one or more occasion.</p><p>3. †Providers that are not based in England have been removed, and therefore the national totals may not be equal to the sum of the regional totals.</p><p>4. To protect patient confidentiality, figures between 1 and 5 have been replaced with “*” (an asterisk). Where it was still possible to identify figures from the total, additional figures have been replaced with &quot;*”.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/07/2014 14:46:03 question first ministerially corrected 28/10/2014 09:31:52 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202780_PQ202778 - Amended Table.docx title Table previous answer version 7888 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202780_PQ202778 - Table.docx title Table
	tabling member	3985 label Biography information for Robert Halfon

47268

	registered interest
	date	07/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether funding allocated to Action on Smoking and Health may be used for campaigning purposes by that body under the terms on which it is allocated.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	195596
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Since 2011, the conditions for the grants provided to Action on Smoking and Health under the Department of Health's “Section 64 General Scheme of Grants to voluntary and Community Organisations” arrangements have explicitly set out that none of the funding provided by the Department should be intended or used for political lobbying or campaigning purposes.</p><p> </p><p>Advocacy work in support of the implementation of existing Government Tobacco Control policies and programmes of work is acceptable.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1565 label Biography information for Sir Philip Davies

48229

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 the role independent pharmacies play in relieving pressures on other health and welfare services; and what steps he has taken to disseminate best practice.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	196239
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Pharmacy already plays a vital role in supporting the health of people in their local communities, providing high quality care and support, improving people's health and reducing health inequalities. However, as we move to more integrated care, there is real potential for pharmacists and their teams to play an even greater role in the future, particularly in keeping people healthy, supporting those with long term conditions and helping make sure patients and the National Health Service get the best use from medicines.</p><p> </p><p>NHS England's public consultation, <em>Improving care through community pharmacy –</em> <em>a call to action</em>, which closed on 18 March, has provided an important opportunity to explore the contribution community pharmacists and their teams can make. This will inform a strategic framework for commissioning wider primary care services in the autumn. A copy of the consultation document is at:</p><p> </p><p>www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/pharm-cta/</p><p> </p><p>In the meantime, NHS England's <em>The earlier, the better</em> campaign, launched in January 2014, specifically sought to raise the profile of community pharmacy with the public, to increase the number of people accessing community pharmacy services when they have a minor ailment and reduce pressures on other parts of the NHS.</p><p> </p><p>On 14 April, the Department and NHS England published <em>Transforming Primary Care - Safe, proactive, personalised care for those who need it most</em>. This sets out plans for more proactive, personalised and joined up care, part of which is harnessing the potential of pharmacists. This recognises the vital role that pharmacists have in optimising medicines use, helping to prevent avoidable hospital admissions and supporting people to manage their own care. A copy has been placed in the Library.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196241 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb attachment 1 file name 196239_and_196241_-_Library_document[1].pdf title Transforming Primary Care document
	tabling member	4006 label Biography information for Dr Matthew Offord

48231

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what levels of stock his Department holds of (a) stationery, (b) printer cartridges, (c) treasury tags and other fasteners and (d) other office consumables.
	tabling member constituency	Wokingham
	tabling member printed	Mr John Redwood
	uin	196208
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department makes use of the Government Office Supplies contract to obtain supplies of stationery and associated items. In March 2014, the Department ordered 1,957 units of stationery which included 54 boxes of foldback clips, 41 boxes of bar tags and 15 boxes of paperclips. These items are ordered directly from Banner on an as required basis by individual directorates and no records of any small local stocks are maintained.</p><p> </p><p>The Department does not hold central stocks of the consumables associated with the provision of multi functional device services such as printers. These items are replenished automatically by the supplier when required.</p><p> </p><p>In a small number of cases, standalone printer cartridges are sourced through XMA Ltd under the Government Office Supplies Contract. In March 2014, the Department sourced 13 units through this contract. A small number of these items may be held locally but these are not recorded.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	14 label Biography information for Sir John Redwood

48233

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate has he made of the cost to the economy of untreated mental illness.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196255
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196254 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48234

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 effectiveness of dementia awareness training in the health and social care sector; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196253
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The Government's Mandate to Health Education England (HEE), published in May 2013, included the following deliverables:</p><p> </p><p>- All National Health Service staff who look after patients with dementia can have foundation level dementia training; and</p><p>- 100,000 NHS staff will have received foundation level training by 31 March 2014.</p><p> </p><p>The latest data available from HEE shows that over 108,000 NHS staff had completed Tier 1 dementia awareness training by 14 October 2013.</p><p><strong> </strong></p><p>The Department has commissioned a number of projects on dementia education and training for health and social care staff and is working closely with its Workforce Advisory Group on dementia to consider the effectiveness of this work.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48235

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that numbers of community children's nurses meet future demand; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196251
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Secretary of State has delegated to Health Education England (HEE) the responsibility for delivering a better health and healthcare workforce for England. HEE plans and develops the workforce to ensure a secure workforce supply for the future, balancing need against demand. HEE's Workforce Plan, published in December 2013, confirmed an increase of 31 (1.4%) in education and training commissions for children's nurses for 2014-15.</p><p> </p><p>The local education and training boards, which are sub-committees of HEE, work with local providers, including employers, to contribute to HEE's overall future workforce plan. It is the responsibility of employers to ensure they have the right staff, with the right skills to deliver high quality care, which includes supporting their continuing professional development.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch