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228557

	registered interest
	date	19/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Carers: Pendle
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many family members looking after a relative at home were registered as carers with Pendle Borough Council in (a) April 2010 and (b) each subsequent April.
	tabling member constituency	Pendle
	tabling member printed	Andrew Stephenson
	uin	228332
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The data are not available as requested.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 11:12:46 answering member 1439 label Biography information for Norman Lamb
	tabling member	4044 label Biography information for Andrew Stephenson

228561

	registered interest
	date	19/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Domestic Accidents: Pendle
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many falls (a) at home and (b) in total were recorded by health and social care providers in Pendle constituency in 2010 and each subsequent year.
	tabling member constituency	Pendle
	tabling member printed	Andrew Stephenson
	uin	228348
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The information is not available in the format requested. Data is only held in relation to falls which lead to a hospital admission. We have provided a count of finished admission episodes where an external cause of fall was recorded.</p><p> </p><p> </p><p> </p><p>Count of finished admission episodes (FAEs)<sup>1</sup> where an external cause<sup>2</sup> of fall was recorded, for Pendle parliamentary constituency3, 2010-11 to 2013-14<sup>4</sup></p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p> </p><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p></td><td colspan="3"> </td></tr><tr><td> </td><td><p>Year</p></td><td><p>FAEs</p></td><td colspan="7"> </td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>760</p></td><td colspan="7"> </td></tr><tr><td> </td><td><p>2011-12</p></td><td><p>790</p></td><td colspan="7"> </td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>709</p></td><td colspan="7"> </td></tr><tr><td> </td><td><p>2013-14</p></td><td><p>750</p></td><td colspan="7"> </td></tr><tr><td colspan="6"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td colspan="4"> </td></tr><tr><td colspan="4"><p> </p><p><sup>1</sup>Finished admission episodes</p></td><td colspan="6"> </td></tr><tr><td colspan="10"><p>A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the period.</p></td></tr><tr><td colspan="3"><p><sup>2</sup>External cause codes</p></td><td colspan="7"> </td></tr><tr><td colspan="10"><p>Falls are categorised by the following external cause codes:<br> <br> W00 Fall on same level involving ice and snow<br> W01 Fall on same level from slipping tripping and stumbling<br> W02 Fall involving ice-skates skis roller-skates or skateboards<br> W03 Other fall same level due collision/pushing by another person<br> W04 Fall while being carried or supported by other persons<br> W05 Fall involving wheelchair<br> W06 Fall involving bed<br> W07 Fall involving chair<br> W08 Fall involving other furniture<br> W09 Fall involving playground equipment<br> W10 Fall on and from stairs and steps<br> W11 Fall on and from ladder<br> W12 Fall on and from scaffolding<br> W13 Fall from out of or through building or structure<br> W14 Fall from tree<br> W15 Fall from cliff<br> W16 Diving/jumping into water causing injury other than drowning or submersion<br> W17 Other fall from one level to another<br> W18 Other fall on same level<br> W19 Unspecified fall</p></td></tr><tr><td colspan="4"><p><sup>3</sup>Parliamentary constituency of residence</p></td><td colspan="6"> </td></tr><tr><td colspan="10"><p>The parliamentary constituency containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another parliamentary constituency for treatment. This field is only available from 2009-10 onwards.</p></td></tr><tr><td colspan="5"><p><sup>4</sup>Assessing growth through time (Admitted patient care)</p></td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="10"><p>Hospital Episode Statistics (HES) figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.<br> Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:32:15 answering member 1439 label Biography information for Norman Lamb
	tabling member	4044 label Biography information for Andrew Stephenson

228809

	registered interest
	date	20/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Video Games: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if his Department will commission research on the long-term effects of video game addiction on primary school-aged children.
	tabling member constituency	Upper Bann
	tabling member printed	David Simpson
	uin	228517
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>We have no plans to commission further research into video game addiction.</p><p> </p><p> </p><p> </p><p>Children who spend more time on computers, watching television and playing video games tend to experience higher levels of emotional distress, anxiety and depression. This relationship is particularly negative among those who engage in high levels of screen use (more than four hours a day).</p><p> </p><p> </p><p> </p><p>Following an in-depth look at mental health and wellbeing support for children and young people, the Government has set out a blueprint for improving care over the next five years. The Government report of the Children and Young People’s Mental Health and Well-Being Taskforce’s findings, Future in mind, published on 17 March 2015, sets out a clear national ambition in the form of key aspirations that the Government would wish to see by 2020.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 12:22:13 answering member 1439 label Biography information for Norman Lamb
	tabling member	1597 label Biography information for David Simpson

229128

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Impairment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients waited more than six weeks for (a) an initial NHS hearing assessment and (b) a follow-up NHS hearing aid assessment in each of the last five years.
	tabling member constituency	Barrow and Furness
	tabling member printed	John Woodcock
	uin	228784
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Information concerning the number of patients who waited more than six weeks for an initial NHS hearing assessment and a follow-up NHS hearing aid assessment in each of the last five years is not available. Audiology is not one of the key referral to treatment functions which are recorded as a data set.</p><p> </p><p> </p><p> </p><p>In the following table, we have provided a count of finished consultant episodes (FCEs) with a primary or secondary operative procedure of 'operation on cochlea' by five year age brackets for the years 2013-14, and provisional data for April to November 2014-15.</p><p> </p><p> </p><p> </p><p>It should be noted that FCEs are not the number of patients because one patient may have had more than one episode of care within the time period.</p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p><p> </p><p>Age</p></td><td><p>2013-14</p></td><td><p>2014-15 <br> April to November<br> provisional</p></td></tr><tr><td><p>0-4</p></td><td><p>346</p></td><td><p>219</p></td></tr><tr><td><p>5-9</p></td><td><p>95</p></td><td><p>65</p></td></tr><tr><td><p>10-14</p></td><td><p>89</p></td><td><p>35</p></td></tr><tr><td><p>15-19</p></td><td><p>47</p></td><td><p>35</p></td></tr><tr><td><p>20-24</p></td><td><p>31</p></td><td><p>12</p></td></tr><tr><td><p>25-29</p></td><td><p>25</p></td><td><p>23</p></td></tr><tr><td><p>30-34</p></td><td><p>26</p></td><td><p>16</p></td></tr><tr><td><p>35-39</p></td><td><p>46</p></td><td><p>23</p></td></tr><tr><td><p>40-44</p></td><td><p>49</p></td><td><p>28</p></td></tr><tr><td><p>45-49</p></td><td><p>31</p></td><td><p>30</p></td></tr><tr><td><p>50-54</p></td><td><p>43</p></td><td><p>31</p></td></tr><tr><td><p>55-59</p></td><td><p>34</p></td><td><p>35</p></td></tr><tr><td><p>60-64</p></td><td><p>53</p></td><td><p>32</p></td></tr><tr><td><p>65-69</p></td><td><p>60</p></td><td><p>44</p></td></tr><tr><td><p>70-74</p></td><td><p>54</p></td><td><p>38</p></td></tr><tr><td><p>75-79</p></td><td><p>46</p></td><td><p>38</p></td></tr><tr><td><p>80+</p></td><td><p>46</p></td><td><p>32</p></td></tr><tr><td><p>Unknown</p></td><td><p>3</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>1,124</p></td><td><p>736</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source:</em> Hospital Episodes Statistics (HES) Health and Social Care Information Centre.<br> <br></p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. A finished consultant episode (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. 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.</p><p> </p><p> </p><p> </p><p>2. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p> </p><p> </p><p>3. The data for 2014-15 is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, ie November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 228811 question first answered 26/03/2015 13:09:37 answering member 1439 label Biography information for Norman Lamb
	tabling member	3917 label Biography information for Lord Walney

229130

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Aids
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) children and (b) adults in each region of England were fitted with cochlear hearing aids in each of the last five years.
	tabling member constituency	Croydon North
	tabling member printed	Mr Steve Reed
	uin	228773
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The data is not available in the format requested. Since data for local area teams is not available prior to 2010-11 we have only provided a four year time series for this data.</p><p> </p><p> </p><p> </p><p>We have provided a count of finished consultant episodes (FCE) with a primary or secondary operative procedure of 'cochlear implant' for children (0-17) and adults (18+) by NHS England local area team from 2010-11 to 2013-14. 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. This information has been attached.</p><p> </p><p> </p><p> </p><p>Data concerning the number of NHS patients who have had a hearing test in an audiology clinic, an ear, nose and throat clinic of an audiology department at a local hospital in each of the last five years is not collected. The vast majority of this activity is provided as outpatient care where the recording of procedure and intervention data is not mandated.</p><p> </p><p> </p><p> </p><p>In the following table we have provided information concerning the number of FCEs with a main or secondary procedure of the fitting of a bone anchored hearing aid for children aged 0-17 and adults aged 18 and over, 2009-10 to 2013-144.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Age</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>0-17</p></td><td><p>190</p></td><td><p>156</p></td><td><p>175</p></td><td><p>195</p></td><td><p>200</p></td></tr><tr><td><p>18+</p></td><td><p>916</p></td><td><p>957</p></td><td><p>1,011</p></td><td><p>917</p></td><td><p>1,111</p></td></tr><tr><td><p>Unknown</p></td><td><p>-</p></td><td><p>1</p></td><td><p>2</p></td><td><p>-</p></td><td><p>-</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Source</em>:</p><p> </p><p> </p><p> </p><p>Hospital Episodes Statistics (HES) Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. ‘–‘ in the table represents no available data.</p><p> </p><p> </p><p> </p><p>2. 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. <br></p><p> </p><p>3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 228769 228772 question first answered 26/03/2015 12:14:24 answering member 1439 label Biography information for Norman Lamb attachment 1 file name PQ228773.xlsx title Finished consultant episodes of cochlear implants
	tabling member	4268 label Biography information for Steve Reed

229132

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Impairment
	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 audiology services in each of the last five years.
	tabling member constituency	Croydon North
	tabling member printed	Mr Steve Reed
	uin	228770
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Information on spend for audiology services and specific procedures for hearing problems are not available in the format requested. The following table provides NHS programme budgeting figures on ‘problems of hearing’ for the five year period 2008-09 to 2012-13, which is the latest available data.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2008-09</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>Expenditure (£ billion)</p></td><td><p>0.42</p></td><td><p>0.50</p></td><td><p>0.45</p></td><td><p>0.46</p></td><td><p>0.46</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>More information about programme budgeting data can be found on the NHS England website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/" target="_blank">http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/</a></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 228771 question first answered 26/03/2015 13:04:11 answering member 1439 label Biography information for Norman Lamb
	tabling member	4268 label Biography information for Steve Reed

229136

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Aids
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) children and (b) adults in England were fitted with bone anchored hearing aids in each of the last five years.
	tabling member constituency	Croydon North
	tabling member printed	Mr Steve Reed
	uin	228772
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The data is not available in the format requested. Since data for local area teams is not available prior to 2010-11 we have only provided a four year time series for this data.</p><p> </p><p> </p><p> </p><p>We have provided a count of finished consultant episodes (FCE) with a primary or secondary operative procedure of 'cochlear implant' for children (0-17) and adults (18+) by NHS England local area team from 2010-11 to 2013-14. 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. This information has been attached.</p><p> </p><p> </p><p> </p><p>Data concerning the number of NHS patients who have had a hearing test in an audiology clinic, an ear, nose and throat clinic of an audiology department at a local hospital in each of the last five years is not collected. The vast majority of this activity is provided as outpatient care where the recording of procedure and intervention data is not mandated.</p><p> </p><p> </p><p> </p><p>In the following table we have provided information concerning the number of FCEs with a main or secondary procedure of the fitting of a bone anchored hearing aid for children aged 0-17 and adults aged 18 and over, 2009-10 to 2013-144.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Age</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>0-17</p></td><td><p>190</p></td><td><p>156</p></td><td><p>175</p></td><td><p>195</p></td><td><p>200</p></td></tr><tr><td><p>18+</p></td><td><p>916</p></td><td><p>957</p></td><td><p>1,011</p></td><td><p>917</p></td><td><p>1,111</p></td></tr><tr><td><p>Unknown</p></td><td><p>-</p></td><td><p>1</p></td><td><p>2</p></td><td><p>-</p></td><td><p>-</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Source</em>:</p><p> </p><p> </p><p> </p><p>Hospital Episodes Statistics (HES) Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. ‘–‘ in the table represents no available data.</p><p> </p><p> </p><p> </p><p>2. 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. <br></p><p> </p><p>3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 228769 228773 question first answered 26/03/2015 12:14:25 answering member 1439 label Biography information for Norman Lamb attachment 1 file name PQ228773.xlsx title Finished consultant episodes of cochlear implants
	tabling member	4268 label Biography information for Steve Reed

229137

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hearing Aids
	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 (a) hearing aids, (b) cochlear hearing aids and (c) bone anchored hearing aids in each of the last five years.
	tabling member constituency	Croydon North
	tabling member printed	Mr Steve Reed
	uin	228771
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Information on spend for audiology services and specific procedures for hearing problems are not available in the format requested. The following table provides NHS programme budgeting figures on ‘problems of hearing’ for the five year period 2008-09 to 2012-13, which is the latest available data.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2008-09</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>Expenditure (£ billion)</p></td><td><p>0.42</p></td><td><p>0.50</p></td><td><p>0.45</p></td><td><p>0.46</p></td><td><p>0.46</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>More information about programme budgeting data can be found on the NHS England website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/" target="_blank">http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/</a></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 228770 question first answered 26/03/2015 13:04:11 answering member 1439 label Biography information for Norman Lamb
	tabling member	4268 label Biography information for Steve Reed

229139

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: 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 causes of increases in the number of hospital admissions of older people for cold-related illnesses since 2012.
	tabling member constituency	Leigh
	tabling member printed	Andy Burnham
	uin	228717
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>A greater number of people die, or are admitted to hospital, during the winter than any other time of year. There are, on average, around 25,000 excess winter deaths each year in England; for every one excess winter death it has been estimated that there are approximately eight extra hospital admissions.</p><p> </p><p> </p><p> </p><p>The causes of excess winter death and illness are complex and interlinked, and include circulating diseases such as influenza, cold temperatures and wider determinants of health, such as poor housing. It is difficult to precisely attribute the relative impacts of each on overall levels of death and illness and there is a degree of variation year on year.</p><p> </p><p> </p><p> </p><p>Cold weather directly increases the risk of heart attacks, strokes, lung disease, flu, falls and injuries and hypothermia. Indirect effects of cold include mental health illnesses such as depression, risk of carbon monoxide poisoning if appliances are poorly maintained or poorly ventilated, and disruption to service provision. Some groups, such as older people, very young children, and people with serious medical conditions are particularly vulnerable to the effects of cold weather.</p><p> </p><p> </p><p> </p><p>Public Health England publishes the Cold Weather Plan for England to avoid preventable illness and deaths in winter by setting out a series of actions for organisations, communities and individuals, to take throughout the year.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 13:06:19 answering member 1439 label Biography information for Norman Lamb
	tabling member	1427 label Biography information for Andy Burnham

229140

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness: Suicide
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients discharged from mental health in-patient care have taken their own life within (a) one week and (b) two weeks of that discharge in each year since 2010; and how many investigations have been undertaken into those deaths.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	228774
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The first three months after discharge remain a time of particularly high suicide risk – this is especially true in the first 1-2 weeks. Between 2002 and 2012 there were 3,225 suicides in the United Kingdom by mental health patients in the post-discharge period, 18% of all patient suicides.</p><p> </p><p> </p><p> </p><p>Post-discharge suicides were most frequent in the first week after leaving hospital when 380 deaths occurred, an average of 35 per year.</p><p> </p><p> </p><p> </p><p>The number and proportion who died in the first week after discharge has not changed over the report period.</p><p> </p><p> </p><p> </p><p>380 of the 3,225 people counted as post-discharge suicides between 2002-12 died in the first week after leaving hospital. 292 people died in the second week.</p><p> </p><p> </p><p> </p><p>The total number of people who died within three months of in-patient discharge is, as follows:</p><p> </p><p> </p><p> </p><p>2010: 202</p><p> </p><p>2011: 220</p><p> </p><p>2012: 177 (estimate)</p><p> </p><p> </p><p> </p><p>We have reviewed the serious incident framework (due to be launched for April 2015) to support better recognition, reporting and investigation of serious incidents (which would include suicide/ self-inflicted death, but also other serious incidents affecting people with mental health needs). We are also exploring changes to the Serious Incident reporting system (STEIS) database to enable incidents, risks, trends and opportunities for learning to be more easily identified.</p><p> </p><p><strong> </strong></p><p> </p><p>This Government is seeking to change the culture that suicide is inevitable for some people. In January this year the Deputy Prime Minister announced our ambition for ‘zero suicides’. This set out an aspiration for every part of the NHS to commit to a ‘zero suicide’ ambition. This ambition has already been adopted in some local areas and we are certain that this kind of approach can work to dramatically reduce suicides.</p><p> </p><p> </p><p> </p><p>Pioneering work in Liverpool, the South-West and in the East of England means that health workers are already focusing on how they care for people with mental health conditions with a view to preventing suicide. The Deputy Prime Minister called on the health service to look at this work being done by these three pioneering areas.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/03/2015 13:00:55 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger