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100185

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effectiveness of (a) telephone services and (b) face-to-face services intended to relieve loneliness and isolation in elderly people.
	tabling member constituency	Peterborough
	tabling member printed	Mr Stewart Jackson
	uin	211243
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Loneliness and isolation in elderly people is a complex issue and can affect people in different ways. We have not undertaken an assessment of the effectiveness of telephone services or face to face services but we know that it is helpful to have a range of interventions that can address the different needs of people who are lonely or isolated.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:36:55 answering member 1439 label Biography information for Norman Lamb
	tabling member	1551 label Biography information for Lord Jackson of Peterborough

100187

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Thalidomide
	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 ensure the health and independence of UK thalidomide victims.
	tabling member constituency	Montgomeryshire
	tabling member printed	Glyn Davies
	uin	211270
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>On 20 December 2012, I announced a new 10-year grant to the Thalidomide Trust. The grant will be paid on an annual basis, uprated in line with inflation, which means that over the 10-year period it will be worth in the region of £80 million.</p><p> </p><p> </p><p> </p><p>The grant is intended to enable investment in adaptations and preventative measures to improve health and wellbeing and to help minimise further deterioration for this unique group of people.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:38:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	4041 label Biography information for Glyn Davies

100198

	registered interest
	date	21/10/2014
	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 many requests have been made to the Specialist Commissioning team for secure placements or beds for children with mental health issues in the last 12 months.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	211320
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The data requested is not currently available.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England took responsibility for the commissioning of CAMH Tier 4 (inpatient) services in April 2013. A standardised approach to admissions was not in place which meant that a clear understanding of the numbers of cases referred, or the reasons for referral was not available.</p><p> </p><p> </p><p> </p><p>The need for a national process for admissions was highlighted in the Child and Adolescent Mental Health Services (CAMHS) Tier 4 Report, published in July and NHS England have been working with young people and their families during August and September to develop an admissions standard protocol.</p><p> </p><p> </p><p> </p><p>NHS Area Teams are currently discussing with relevant CAMHS providers the introduction of the protocol in November 2014. The protocol will be reviewed in January 2015.</p><p> </p><p> </p><p> </p><p>NHS England anticipates that a standard protocol will be included in contracts from 2015. This will allow the standard recording of information for CAMHS Tier 4 admissions.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:40:56 answering member 1439 label Biography information for Norman Lamb
	tabling member	1552 label Biography information for Alison Seabeck

100199

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with his EU counterpart about their treatment strategy for those with scoliosis; and if he will make a statement.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211372
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211373 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
	tabling member	35 label Biography information for Sir Bob Russell

100200

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the cost of each operation for scoliosis.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211373
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211372 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
	tabling member	35 label Biography information for Sir Bob Russell

100206

	registered interest
	date	21/10/2014
	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
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether any audits have been carried out since April 2012 which consider how many patients may have been detained under the Mental Health Act 1983 because a doctor had been influenced by the fact that doing so might make the provision of a bed for their patient more likely; and what were the findings of those audits.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	211396
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Care Quality Commission (CQC) is the regulator of the Mental Health Act 1983. In their annual report for 2012-13 <em>Monitoring the Mental Health Act in 2012/13</em>, published in January 2014, the CQC noted concerns raised by the House of Commons Health Committee over whether the Act’s powers of detention were being used improperly to access services. They said they found no direct evidence of unlawful practice.</p><p> </p><p> </p><p> </p><p>On 22 August 2014, the CQC published a series of reports relating to its inspection in May 2014 of services provided by Camden and Islington NHS Foundation Trust. The CQC found that that bed occupancy at the Trust averaged 96.4% between October and December last year, compared to the average of 85.9% across England. CQC inspectors were told that the pressures on beds meant that most new admissions to inpatient beds were people detained under the Act.</p><p> </p><p> </p><p> </p><p>The CQC’s annual report on the Act for 2013-14 is expected to be published early in 2015.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/10/2014 11:27:05 answering member 1439 label Biography information for Norman Lamb
	tabling member	1538 label Biography information for Rosie Cooper

100209

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients with scoliosis were operated on in each of the last five years for which figures are available.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211378
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211372 211373 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
	tabling member	35 label Biography information for Sir Bob Russell

100398

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Motor Neurone Disease: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the adequacy of the availability of augmentative and alternative communication aids for sufferers of motor neurone disease in (a) East Lancashire and (b) the North West.
	tabling member constituency	Pendle
	tabling member printed	Andrew Stephenson
	uin	211529
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since April 1 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease (MND). Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services and supports equity of access to a nationally consistent, high quality service for patients across the country including in East Lancashire and the North West. The specification can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf</a></p><p> </p><p> </p><p> </p><p>NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:33:32 answering member 1439 label Biography information for Norman Lamb
	tabling member	4044 label Biography information for Andrew Stephenson

100399

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dementia: Pendle
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in Pendle constituency have been diagnosed with dementia in each year since 2006-07.
	tabling member constituency	Pendle
	tabling member printed	Andrew Stephenson
	uin	211530
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Information is not available in the format requested. The number of people on the dementia register is available. This is a measure of prevalence rather than incidence. The number of people recorded on practice disease registers is taken from the Quality and Outcomes Framework (QOF), published by the Health and Social Care Information Centre. The following table shows all available data for East Lancashire Primary Care Trust (PCT) and East Lancashire Clinical Commissioning Group (CCG) as these cover the Pendle constituency.</p><p> </p><p><strong> </strong></p><p> </p><p>Number of patients on the QOF dementia register for East Lancashire Clinical Commissioning Group/Primary Care Trust</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Practices<sup>1</sup></p></td><td><p>Practice List size<sup>1</sup></p></td><td><p>Number of patients on Dementia Register<sup>1</sup></p></td></tr><tr><td><p>East Lancashire CCG</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2013-14<sup>2</sup></p></td><td><p>59</p></td><td><p>371,608</p></td><td><p>2,323</p></td></tr><tr><td><p>2012-13</p></td><td><p>61</p></td><td><p>367,891</p></td><td><p>2,197</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>East Lancashire PCT</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2011-12</p></td><td><p>65</p></td><td><p>386,187</p></td><td><p>2,183</p></td></tr><tr><td><p>2010-11</p></td><td><p>67</p></td><td><p>388,324</p></td><td><p>1,975</p></td></tr><tr><td><p>2009-10</p></td><td><p>67</p></td><td><p>388,267</p></td><td><p>1,848</p></td></tr><tr><td><p>2008-09</p></td><td><p>65</p></td><td><p>388,345</p></td><td><p>1,715</p></td></tr><tr><td><p>2007-08</p></td><td><p>65</p></td><td><p>387,543</p></td><td><p>1,774</p></td></tr><tr><td><p>2006-07</p></td><td><p>65</p></td><td><p>386,260</p></td><td><p>1,744</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><sup>1</sup> Practices, Practice List sizes and Number of patients on Dementia Register are based only on those GP practices that participated in QOF.</p><p> </p><p> </p><p> </p><p><sup>2</sup> Information for 2013-14 is based only on those practices that participated in QOF in both 2012-13 and 2013-14. Therefore, 2013-14 figures are provisional and are subject to change once the full QOF is published 28 October 2014.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 14:42:30 answering member 1439 label Biography information for Norman Lamb
	tabling member	4044 label Biography information for Andrew Stephenson

100401

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Motor Neurone Disease
	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 the NHS is meeting the communication needs of people with motor neurone disease.
	tabling member constituency	Birkenhead
	tabling member printed	Mr Frank Field
	uin	211515
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since 1 April 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease. Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services. The specification can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf</a></p><p> </p><p> </p><p> </p><p>NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 17:16:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	478 label Biography information for Lord Field of Birkenhead