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100021

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Home Care Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will bring forward proposals to facilitate the portability of home-based care packages between local authorities in different countries in the UK.
	tabling member constituency	Edinburgh East
	tabling member printed	Sheila Gilmore
	uin	905560
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Adults with care and support needs should be able to move between countries within the United Kingdom knowing that their care will continue during the move.</p><p> </p><p> </p><p> </p><p>As the care and support systems in the four countries are different, we are developing principles with the Devolved Administrations to ensure continuity of care for people moving.</p><p> </p><p>These should be published in November.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:45:44 answering member 1439 label Biography information for Norman Lamb
	tabling member	3965 label Biography information for Sheila Gilmore

100024

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Health Services: Devon
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will increase funding from the Better Care Fund to improve the transition of community services in Devon.
	tabling member constituency	North Devon
	tabling member printed	Sir Nick Harvey
	uin	905558
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Better Care Fund is a pooled budget of £3.8 billion to be spent on integrating Health and Social care. Local areas will decide how best to use their funding to transform the provision of services to their communities, both improving outcomes for people, and driving efficiencies.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:44:45 answering member 1439 label Biography information for Norman Lamb
	tabling member	231 label Biography information for Sir Nick Harvey

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

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