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169864

	registered interest
	date	11/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer: Raloxifene
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he plans to take to ensure the routine availability of raloxifene to reduce the risk of breast cancer developing in high-risk women.
	tabling member constituency	Coatbridge, Chryston and Bellshill
	tabling member printed	Mr Tom Clarke
	uin	218384
	answer	answer is ministerial correction date of answer 17/12/2014 answer text <p> </p><p /> <p>I refer the hon. Member to the Answer I gave the hon. Member for Bolton South East (<a href="http://www.parliament.uk/biographies/commons/yasmin-qureshi/3924" target="_blank">Yasmin Qureshi</a>) on 19 November 2014 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2014-11-10/213936/" target="_blank">213936</a>.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/12/2014 17:27:43 answering member 4020 label Biography information for George Freeman
	tabling member	583 label Biography information for Mr Tom Clarke

421410

	registered interest
	date	14/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Grants
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what representations his Department has received on the (a) award and (b) disbursement of grants made under section 64 of the Health Services and Public Health Act 1968.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	11791
	answer	answer is ministerial correction date of answer 22/10/2015 answer text <br /> <br /><p>The Department has interpreted the question to mean all official correspondence received since 1 October 2014. The information is attached.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/10/2015 16:47:31 answering member 1201 label Biography information for Alistair Burt attachment 1 file name Representations relating to Section 64 grant funding October 2014 to October 2015.xlsx title Section 64 grant funding representations 2014-15
	tabling member	1565 label Biography information for Sir Philip Davies

421101

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion: Sex Selection
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if Ministers or officials of his Department will meet Jeena International, Karma Nirvana and other organisations representing women who have been the victim of coerced sex-selective abortion to discuss the implications of his Department's assessment of the evidence of termination of pregnancy on grounds of gender.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	11522
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p><em></em></p><p>Officials are happy to meet with these organisations and have already offered to meet Jeena International.</p><br /> <br /> <br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2015 14:04:02 answering member 3918 label Biography information for Jane Ellison
	tabling member	3958 label Biography information for Fiona Bruce

421102

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services and Social Services: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate his Department has made of the likely annual cost of health and social care provision for people aged over 65 during the present Parliament.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	11513
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p>Based upon latest available data (2012/13) the proportion of National Health Service spend on people over 65 was approximately 42.6%. If this same proportion is applied to the 2015/16 budget of £115.4 billion, this would indicate a total spend of around £49.1 billion.</p><br /><p>In 2015/16 the overall spend on adult social care was £14.1 billion. Of this total figure, £4.9 billion would be spent specifically on people aged over 65. The remainder of the adult social care budget, although not specifically spent on people over 65, includes significant expenditure on services which benefit them – for example support for carers and mitigation of social isolation.</p><br /><p>In addition, the Government has implemented the £5.3 billion Better Care Fund, which provides much needed investment in better integrated care through locally developed plans and putting resources where the local NHS and social services identify requirements. Much of this spend relates to people aged over 65. However, a more detailed breakdown is not available.</p><br /><p>Funding decisions for 2016/17 onwards, including spending on health and social care, are subject to the forthcoming Spending Review. This will establish the Government’s spending plans for the next five years.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/10/2015 14:43:51 answering member 1201 label Biography information for Alistair Burt
	tabling member	3958 label Biography information for Fiona Bruce

420751

	registered interest
	date	12/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many district nurses are (a) in training and (b) in service; and how many district nurses were (i) in training and (ii) in service in each of the last five years.
	tabling member constituency	Mid Sussex
	tabling member printed	Sir Nicholas Soames
	uin	11390
	answer	answer is ministerial correction date of answer 19/10/2015 answer text <br /><p>Clinical commissioning groups (CCGs) are responsible for local decisions on services for patients, informed by a wide range of local clinicians. The shape of community nursing services is organised locally, following advice from clinicians. This commissioning process also takes into account the local authority’s views through the Joint Strategic Needs Assessment and the local Health and Wellbeing Strategy.</p><br /><p>NHS England is working with local CCGs to ensure that services are based on the need of the local population, within the resources available and on evidenced-based best practice.</p><br /><p>The latest available data from June 2015 shows that there are 5,033 district nurses in service. The following table contains the number of district nurses that were in service in each of the last five years.</p><br /><table><tbody><tr><td><p>Year</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td></tr><tr><td><p>District Nurses in service</p></td><td><p>7,813</p></td><td><p>7,132</p></td><td><p>6,611</p></td><td><p>5,877</p></td><td><p>5,590</p></td></tr></tbody></table><p><em></em></p><p><em>Source: </em>Health and Social Care Information Centre, Provisional NHS Hospital and Community Health Service (HCHS) monthly workforce statistics</p><br /><p>The following table contains the number of district nurses in training in each of the last five completed financial years, with the exception of the 2013/14 data which was not collected centrally by Health Education England. Data is not yet available for the 2015/16 financial year.</p><br /><table><tbody><tr><td><p>Year</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><td><p>2014/15</p></td></tr><tr><td><p>District Nurses in training</p></td><td><p>236</p></td><td><p>177</p></td><td><p>186</p></td><td><p>n/a</p></td><td><p>381</p></td></tr></tbody></table><p><em></em></p><p><em>Source: </em>multi professional education and training budget monitoring returns</p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 19/10/2015 14:10:20 answering member 3988 label Biography information for Ben Gummer
	tabling member	116 label Biography information for Lord Soames of Fletching

420097

	registered interest
	date	09/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Nurses: Children
	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 (a) address geographic inequalities in and (b) move towards comprehensive coverage for Community Children's Nursing provision; and if he will make a statement.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	10805
	answer	answer is ministerial correction date of answer 19/10/2015 answer text <br /><p>Community Children’s Nurses are commissioned by clinical commissioning groups (CCGs). Since the publication of <em>Facing the Future Together</em>, by the Royal College of Paediatrics and Child Health, the Royal College of Nursing and the Royal College of General Practitioners, CCGs are considering how Community-based Children’s Nurses can provide a safe, high-quality service that meets the health needs of every child and young person. This includes training Advanced Practitioners, with additional skills such as prescribing, and considering how children’s community nurses should support continuing care and new integrated arrangements for children with special educational needs and disability.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/10/2015 16:57:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	4518 label Biography information for Tulip Siddiq

421105

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans his Department has for future levels of provision of NHS-funded hospice care.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	11516
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p>Levels of provision of NHS funded hospice care are determined locally by clinical commissioning groups (CCGs). CCGs are responsible for ensuring that the services they commission meet the needs of their local population.</p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 21/10/2015 13:58:23 answering member 3988 label Biography information for Ben Gummer
	tabling member	3958 label Biography information for Fiona Bruce

421935

	registered interest
	date	16/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Breast Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 15 September 2015 to Question 9845, what steps have been taken with Breast Cancer Now since the roundtable event.
	tabling member constituency	Christchurch
	tabling member printed	Mr Christopher Chope
	uin	12247
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <br /><p>Since the Roundtable Event, the Department has engaged with a number of key stakeholders to progress various outputs. I met Breast Cancer Now and the hon. Member for Torfaen (Nick Thomas-Symonds) who is sponsoring the Off Patent Drugs Bill recently where we discussed their views. The Government’s position on the Bill will be shared in full at its second reading on 6 November 2015.</p><br /> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2015 15:29:43 answering member 4020 label Biography information for George Freeman
	tabling member	242 label Biography information for Sir Christopher Chope

420134

	registered interest
	date	09/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to his Department's response to e-petition No. 104334, what the evidential basis is of the statement that (a) if you are admitted to hospital on a weekend, you have 16 per cent. greater chance of dying and (b) the average earnings for a hospital consultant are £118,000.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	11036
	answer	answer is ministerial correction date of answer 19/10/2015 answer text <br /><p>The 16% figure is taken from a study published in 2012 in the Journal of the Royal Society of Medicine entitled <em>‘Weekend hospitalization and additional risk of death: an analysis of inpatient data’</em> by Freemantle et al. The authors analysed all hospital admissions in 2009-10 and found that patients admitted to hospital on a Saturday had a 11% increased chance of dying compared to a Wednesday, and patients admitted on a Sunday had a 16% increased chance of dying compared to a Wednesday.</p><br /><p>This analysis has recently been updated by the study’s authors to look at 2013-14 admissions. The latest study, published in the British Medical Journal in September 2015, found that patients admitted to hospital on a Saturday had a 10% increased chance of dying compared to a Wednesday, and patients admitted on a Sunday had a 15% increased chance of dying compared to a Wednesday.</p><br /><p>The figure of average hospital consultant earnings is an estimate of the derived average earnings of consultants per full time equivalent, and is based on data covering the 2013/14 financial year. The figure was published as part of evidence submitted by the NHS Employers organisation to the Review Body on Doctors’ and Dentists Remuneration ahead of their report published in July, ‘<em>Contract reform for consultants and doctors and dentists in training – supporting healthcare services seven days a week’</em>. The evidence is publicly available here:</p><br /><p><a href="http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/medical-pay/ddrb-evidence---in-detail" target="_blank">http://www.nhsemployers.org/your-workforce/pay-and-reward/pay/medical-pay/ddrb-evidence---in-detail</a></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 19/10/2015 14:15:52 answering member 3988 label Biography information for Ben Gummer
	tabling member	4518 label Biography information for Tulip Siddiq

421416

	registered interest
	date	14/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners and Social Services: Inspections
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of (a) adult social care providers and (b) GP practices have been inspected by the Care Quality Commission since September 2013.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	11994
	answer	answer is ministerial correction date of answer 19/10/2015 answer text <br /><p>The Care Quality Commission (CQC) is the independent regulator of Health and Adult Social Care in England and is responsible for the inspection of providers. CQC has provided the following information.</p><br /><p>CQC monitors, inspects and regulates services to make sure they meet fundamental standards of quality and safety and it publishes what it finds, including performance ratings to help people choose care. From 1 October 2014 CQC formally introduced its new style of inspection across the organisation, which had been developed and tested since September 2013. Under its new approach CQC no longer inspects all locations each year, and have made this clear in its co-production and publications. This enables CQC to ensure its inspection reports are comprehensive and of high quality.</p><br /><p>Below are three tables which describe the number of active registered locations broken down by year and published inspection reports broken down by year and expressed as a percentage for CQC’s old and new style of inspections. The category Adult Social Care includes; care homes, domiciliary care, supported living services, extra care housing services and a range of other service types.</p><p>CQC counts completed inspections as those where the final reports are now published.</p><br /><p>Table 1: Total number of GPs/out-of-hours locations and Adult Social Care locations that were registered and active, as at 1 April for each financial year.</p><table><tbody><tr><td><p>Location Type/Sector</p></td><td colspan="2"><p>1 April 2013</p></td><td><p>1 April 2014</p></td><td><p>1 April 2015</p></td></tr><tr><td><p>GPs/out-of-hours services</p></td><td colspan="2"><p>8,656</p></td><td><p>8,652</p></td><td><p>8,614</p></td></tr><tr><td><p>Adult Social Care</p></td><td colspan="2"><p>25,284</p></td><td><p>25,489</p></td><td><p>25,383</p></td></tr><tr><td colspan="5"><p><strong></strong> <strong></strong> Table 2: Total number of GPs/out-of-hours locations and Adult Social Care locations with published inspections under CQC’s old inspection approach, by financial year and expressed as a percentage.</p></td></tr><tr><td colspan="2"><p>Location Type</p></td><td><p>Financial year report published</p></td><td><p>Number of locations with a published inspection report</p></td><td><p>% of total number of active locations with a published inspection report under the old approach</p></td></tr><tr><td colspan="2" rowspan="3"><p>GPs/out-of-hours services</p></td><td><p>2013/14</p></td><td><p>1,591</p></td><td><p>18.38%</p></td></tr><tr><td><p>2014/15</p></td><td><p>527</p></td><td><p>6.09%</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>6</p></td><td><p>0.07%</p></td></tr><tr><td colspan="2" rowspan="3"><p>Adult Social Care</p></td><td><p>2013/14</p></td><td><p>23,098</p></td><td><p>91.35%</p></td></tr><tr><td><p>2014/15</p></td><td><p>8,713</p></td><td><p>34.18%</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>122</p></td><td><p>0.48%</p></td></tr><tr><td colspan="5"><p><sup></sup> <sup>1</sup>1 April 2015 - 15 October 2015 inclusive <br> <br> Table 3: Total number of GPs/out-of-hours locations and Adult Social Care locations with published inspections under CQC’s new inspection approach, by financial year and expressed as a percentage.</p></td></tr><tr><td colspan="2"><p>Location type</p></td><td><p>Financial year report published</p></td><td><p>Number of locations with a published inspection report</p></td><td><p>% of total number of active locations with a published inspection report under the new approach</p></td></tr><tr><td colspan="2" rowspan="2"><p>GPs/out-of-hours services</p></td><td><p>2014/15</p></td><td><p>916</p></td><td><p>10.59%</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>1,349</p></td><td><p>15.66%</p></td></tr><tr><td colspan="2" rowspan="3"><p>Adult Social Care</p></td></tr><tr><td><p>2014/15</p></td><td><p>2,721</p></td><td><p>10.66%</p></td></tr><tr><td><p>2015/16<sup>1</sup></p></td><td><p>6,118</p></td><td><p>24.10%</p></td></tr></tbody></table><br /> <br /><p><sup>1</sup>1 April 2015 - 15 October 2015 inclusive</p><br /><p>NB: There is an overlap between the two approaches, due to the pilot phases of the new approach and also the lag between an inspection being carried out under the old approach and the publication date.</p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 19/10/2015 16:51:19 answering member 3988 label Biography information for Ben Gummer
	tabling member	1588 label Biography information for Barbara Keeley