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347286

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Virtual Wards
	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 potential for virtual wards to improve health care delivery.
	tabling member constituency	Hereford and South Herefordshire
	tabling member printed	Jesse Norman
	uin	900002
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>We recognise the importance of care at home and have identified 800,000 of the most vulnerable patients as part of the Proactive Care Programme.</p><p> </p><p> </p><p>Virtual wards could provide one way of reducing unplanned admissions by providing the staffing, systems and routines of hospital care in the patient’s own home.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 15:52:47 answering member 1201 label Biography information for Alistair Burt
	tabling member	3991 label Biography information for Jesse Norman

347391

	registered interest
	date	28/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Self-harm: Young People
	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 reduce the incidence of self-harm amongst children and young people.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	438
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Self-harm is a symptom of serious emotional distress which must be acted upon to ensure children and young people get the help they need.</p><p> </p><p> </p><p> </p><p>This Government is committed to making children and young people’s mental health a high priority. The Children and Young People's Improving Access to Psychological Therapies programme is being expanded to cover additional areas of clinical practice, and extended so that by 2018 children and young people across England will have access. This will involve additional clinical staff being trained in the most effective evidence based treatment for self-harm, depression and anxiety.</p><p> </p><p> </p><p> </p><p>The Department funds the multicentre study of self-harm, which provides monitoring data on self-harm including children and young people, and underpins knowledge about self-harm in England. The National Institute for Health and Care Excellence guidelines on the short term and longer term management of self-harm cite many outputs from the study.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 13:46:29 answering member 1201 label Biography information for Alistair Burt
	tabling member	4036 label Biography information for Luciana Berger

347795

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of people are waiting a week or more to see or speak to a GP; and what assessment he has made of the effects of access to GPs on attendances at A&E departments.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	900024
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>7% of people who wanted to see or speak to a general practitioner (GP) within a week were unable to do so.</p><p> </p><p> </p><p> </p><p>Latest GP Patient Survey results suggest that less than 2% of patients who want GP appointments attend walk-in centres or accident and emergency departments.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 15:21:05 answering member 1201 label Biography information for Alistair Burt
	tabling member	4518 label Biography information for Tulip Siddiq

347799

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Civil Society
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps the Government has taken to support third-sector organisations in delivering health services in (a) Eddisbury and (b) England.
	tabling member constituency	Eddisbury
	tabling member printed	Antoinette Sandbach
	uin	900017
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>The Department awards around £100 million of grant funding to voluntary sector organisations across the country, including Cheshire, every year. The voluntary sector makes an important contribution to the delivery of local services. We continue to work with commissioners and the sector to encourage effective partnerships.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 15:24:10 answering member 1201 label Biography information for Alistair Burt
	tabling member	4506 label Biography information for Antoinette Sandbach

347801

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress has been made in achieving parity of esteem for mental health services.
	tabling member constituency	Rochdale
	tabling member printed	Simon Danczuk
	uin	900018
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Good mental health is very important to this Government. Having legislated for parity of esteem, this Government will take mental health as seriously as physical health and hold the National Health Service to account for making progress towards parity of esteem. We have committed to introducing new access and waiting standards and will ensure these are delivered.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 02/06/2015 15:42:34 answering member 1201 label Biography information for Alistair Burt
	tabling member	4059 label Biography information for Simon Danczuk

173565

	registered interest
	date	14/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what information, advice and training is provided to doctors and nurses on the symptoms and treatment of Lyme disease; what advice is provided to general practitioners on the reference to specialists of patients exhibiting symptoms of Lyme disease; and which centres provide specialist treatment for that disease.
	tabling member printed	Lord Greaves
	uin	HL4125
	answer	answer is ministerial correction date of answer 28/01/2015 answer text <p>Public Health England (PHE) and the National Health Service have detailed information on the recognition, diagnosis, treatment and management of Lyme disease. PHE has also written a guide on how to refer patients for specialist advice, which is attached. The National Institute for Health and Care Excellence also has an online guide for general practitioners (GP) and other health professionals.</p><p> </p><p> </p><p> </p><p>PHE issues a letter to all GPs on an annual basis at the beginning of the tick season describing Lyme disease and highlighting the need to be aware and to recognise the condition. The majority of cases are managed by GPs without reference to specialists, but problem cases can be referred to neurology, rheumatology, cardiology and infectious disease clinics depending on the local provision and of services and patient’s symptoms. In addition to the attached guidance, <em>Suggested referral pathway for patients with symptoms related to Lyme disease</em>, PHE offers a telephone helpline for GPs and consultants to discuss particular cases. PHE works closely with the patient group Lyme Disease Action, who will also represent individuals who have trouble obtaining specialist advice, and can thus help in suggesting potential routes of referral.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member printed Baroness Jolly question first answered 28/01/2015 14:04:57 answering member 4203 label Biography information for Baroness Jolly attachment 1 file name Lyme disease referral pathway Jan 2015.pdf title Lyme Disease Referral Pathway
	tabling member	2569 label Biography information for Lord Greaves

346917

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mastectomy: Females
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many women in each age cohort have had mastectomies in each of the last five years; and how many of them have had reconstructive breast surgery.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	46
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>The available information is provided in the attached table.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:34:45 answering member 3988 label Biography information for Ben Gummer attachment 1 file name FCEs- mastectomy and breast reconstruction 2009-14.xlsx title FCEs- mastectomies & breast reconstruction 2009-14
	tabling member	4131 label Biography information for Jim Shannon

347053

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Redundancy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on compulsory redundancies in the NHS.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	188
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>Compulsory redundancies are normally only made as a last resort by National Health Service employers. In order to make best use of public money and to retain valuable skills and knowledge within the NHS, organisations will initially consider a range of alternatives to help reduce the number of compulsory redundancies. This may include cutting vacant posts and seeking volunteers. Organisations may also run a voluntary severance scheme to free up posts into which staff who would otherwise be redundant could be re-deployed.</p><p> </p><p> </p><p> </p><p>Staff are not entitled to a redundancy payment if they unreasonably refuse either to apply for, or accept, suitable alternative employment within their own or other NHS employer; or where they obtain suitable alternative employment with the same or another NHS employer within four weeks of their termination date.</p><p> </p><p> </p><p> </p><p>New NHS redundancy terms came in to effect on 1 April 2015 and include limiting payments to a maximum of £160,000 for employees earning £80,000 or more and who have at least 24 years of service. The Government announced plans in the Queen’s speech to legislate to put an end to taxpayer funded six figure redundancy payments.</p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:30:53 answering member 3988 label Biography information for Ben Gummer
	tabling member	4473 label Biography information for Louise Haigh

347796

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Staff
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the £22 billion efficiency savings identified in NHS England's Five Year Forward View will entail reductions in staff numbers.
	tabling member constituency	Wansbeck
	tabling member printed	Ian Lavery
	uin	900021
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>NHS England will be announcing further details about the implementation of the Five Year Forward View in due course.</p><p>Making the best use of available technologies and cutting administration costs will free up £1.5 billion per year in this Parliament for extra resources for front line patient care.</p><p>The Government's manifesto committed that we would continue to ensure that we have enough doctors, nurses and other staff to meet patients’ needs.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:21:59 answering member 3988 label Biography information for Ben Gummer
	tabling member	4139 label Biography information for Ian Lavery

347800

	registered interest
	date	27/05/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Working Hours
	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 how seven-day services will improve patient care.
	tabling member constituency	Lewes
	tabling member printed	Maria Caulfield
	uin	900022
	answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>We know that, in hospitals, patient care suffers at weekends because there are fewer consultants present, and some services are not always up and running. This is reflected in mortality rates being significantly higher for patients admitted at a weekend.</p><p> </p><p> </p><p> </p><p>That is why we are determined to ensure that patients can get the same care at weekends as during the week.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:15:00 answering member 3988 label Biography information for Ben Gummer
	tabling member	4492 label Biography information for Maria Caulfield