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424933

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Hove
	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 effect of the closure of Goodwood Court medical practice in Hove on patient access to primary care in that town.
	tabling member constituency	Hove
	tabling member printed	Peter Kyle
	uin	14039
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <br /> <br /><p>We are advised by NHS England that Goodwood Court Medical Practice in Hove closed in June 2015 after the Care Quality Commission (CQC) took immediate action to remove the practice’s registration with the regulator. This was in order to protect the safety and welfare of patients following the findings of a CQC inspection at the practice.</p><br /><p>NHS England subsequently agreed an interim contract with doctors from the Charter Medical Centre to ensure ongoing care could be provided to affected patients following the closure of the Goodwood Court practice.</p><br /><p>The current arrangements with Charter Medical Centre, for the care of former Goodwood Court patients, are due to come to an end on 31 March 2016.</p><br /><p>NHS England has recently written to patients and local stakeholders asking for their views which will help to inform future care for patients of Goodwood Court.</p><br /> answering member constituency Ipswich answering member printed Ben Gummer question first answered 03/11/2015 17:49:41 answering member 3988 label Biography information for Ben Gummer
	tabling member	4505 label Biography information for Peter Kyle

424949

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many new cases of psychosis were diagnosed in (a) the UK, (b) London, (c) each London borough and (d) each health trust in London in each year between 2010 and 2015.
	tabling member constituency	Tooting
	tabling member printed	Sadiq Khan
	uin	14122
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <br /><p>Sadiq Khan (Tooting):</p><br /> <br /><p>To ask the Secretary of State for Health, how many new cases of psychosis were diagnosed in (a) the UK, (b) London, (c) each London borough and (d) each health trust in London in each year between 2010 and 2015. [14122]</p><br /> <br /><p>ALISTAIR BURT</p><br /> <br /><p>Data on new cases of psychosis is not collected at United Kingdom level.</p><br /><p>Data for England is provided in the table below:</p><table><tbody><tr><td><p><br> England Level Data</p></td><td><p><br></p></td></tr><tr><td><p>Financial Year</p></td><td><p>The number of new cases of psychosis served by early intervention teams</p></td></tr><tr><td><p>2014-15</p></td><td><p>10,186</p></td></tr><tr><td><p>2013-14</p></td><td><p>10,475</p></td></tr><tr><td><p>2012-13</p></td><td><p>10,375</p></td></tr><tr><td><p>2011-12</p></td><td><p>10,099</p></td></tr><tr><td><p>2010-11</p></td><td><p>10,312</p></td></tr></tbody></table><br /><p>Data for new cases of psychosis in London is provided in the table below:</p><p><strong></strong></p><p><strong></strong></p><table><tbody><tr><td><p>Financial Year</p></td><td><p>The number of new cases of psychosis served by early intervention teams</p></td></tr><tr><td><p>2014-15</p></td><td><p>1,993</p></td></tr><tr><td><p>2013-14</p></td><td><p>2,177</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,198</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,952</p></td></tr><tr><td><p>2010-11</p></td><td><p>2,051</p></td></tr></tbody></table><br /><p>Data on a London borough level is not available centrally.</p><p>Data for new cases of psychosis diagnosed in each London Trust are provided in the attached table.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/11/2015 17:11:14 answering member 1201 label Biography information for Alistair Burt attachment 1 file name New diagnosed cases of psychosis- London Trusts.docx title New diagnosed cases of psychosis- London Trusts
	tabling member	1577 label Biography information for Sadiq Khan

424927

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Drugs
	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 drugs available on the NHS for the treatment of people diagnosed with (a) MS and (b) Alzheimer's disease.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	13997
	answer	answer is ministerial correction date of answer 06/11/2015 answer text <br /><p>The National Institute for Health and Care Excellence (NICE) is the independent body which makes decisions on the clinical and cost effectiveness of drugs based on a thorough assessment of the best available evidence. National Health Service commissioners are required to fund drugs and treatments recommended by NICE technology appraisals.</p><br /><p>NICE has recommended a number of drugs as treatment options for multiple sclerosis and Alzheimer's disease and further information is available at:</p><br /><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions/multiple-sclerosis" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/neurological-conditions</a></p><br /><p><strong></strong></p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 06/11/2015 14:29:14 answering member 4020 label Biography information for George Freeman
	tabling member	1540 label Biography information for Greg Mulholland

424951

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) lesbian, gay, bisexual or transgender and (b) black and minority ethic people were diagnosed with mental health problems in (i) the UK, (ii) London, (iii) each London borough and (iv) each health trust in London on 1 October (A) 2010, (B) 2011, (C) 2012, (D) 2013, (E) 2014 and (F) 2015.
	tabling member constituency	Tooting
	tabling member printed	Sadiq Khan
	uin	14121
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <br /><p>The data is not collected in the format requested.Data is not available for the lesbian, gay, bisexual or transgender community.</p><br /><p>The attachment ‘black and minority ethnic mental health contact’ contains the latest data available on the number of people from black and minority ethnic groups who have been in contact with mental health services in London-based providers between 2011/12 and 2014/15 and clinical commissioning groups between 2013/14 and 2014/15.</p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/11/2015 17:46:52 answering member 1201 label Biography information for Alistair Burt attachment 1 file name black and minority ethnic Mental Health contact.xlsx title Black and minority ethnic mental health contact
	tabling member	1577 label Biography information for Sadiq Khan

424938

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hypothermia
	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 number of cases of hypothermia diagnosed in (a) Barnsley Central constituency, (b) Yorkshire and Humber and (c) the UK in each year since May 2010.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	uin	13979
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <br /><p>The table below sets out the count of finished admission episodes (FAEs)<sup>1</sup> with a primary diagnosis<sup>2</sup> of hypothermia<sup>3 </sup>in Barnsley Central constituency<sup>4</sup>, North Yorkshire and Humber, West Yorkshire, and South Yorkshire and Bassetlaw Area Teams of residence<sup>5</sup> and England for years 2010-11 to 2013-14<sup>6</sup></p><br /><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p><br /><table><tbody><tr><td><p><br></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>Barnsley Central constituency</p></td><td><p>*</p></td><td><p>*</p></td><td><p>*</p></td><td><p>*</p></td></tr><tr><td><p>North Yorkshire &amp; Humber Area Team of Residence</p></td><td><p>53</p></td><td><p>60</p></td><td><p>61</p></td><td><p>73</p></td></tr><tr><td><p>South Yorkshire &amp; Bassetlaw Area Team of Residence</p></td><td><p>33</p></td><td><p>50</p></td><td><p>36</p></td><td><p>55</p></td></tr><tr><td><p>West Yorkshire Area Team of Residence</p></td><td><p>73</p></td><td><p>78</p></td><td><p>76</p></td><td><p>78</p></td></tr><tr><td><p>England</p></td><td><p>3,390</p></td><td><p>3,406</p></td><td><p>3,942</p></td><td><p>3,837</p></td></tr></tbody></table><br /><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><br /><p><em>Notes: </em></p><p>1. Finished admission episode</p><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><br /><p>2. Primary diagnosis</p><p>The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><br /><p>3. ICD-10 Codes</p><p>The following ICD-10 codes were used to identify hypothermia:</p><p>T68.X Hypothermia</p><p>R68.0 Hypothermia, not associated with low environmental temperature</p><p>P80.- Hypothermia of newborn</p><br /><p>4. Parliamentary constituency of residence</p><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><br /><p>5. Area Team of residence</p><p>The area team containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.</p><br /><p>6. Assessing growth through time (Inpatients)</p><p>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, changes in activity may be due to changes in the provision of care.</p><br /><p>7. Small numbers</p><p>To protect patient confidentiality, figures between 1 and 5 have been replaced with “*” (an asterisk). Where it was still possible to identify figures from the total, additional figures have been replaced with &quot;*&quot;. Where the symbol &quot;-&quot; (dash) appears this represents the absence of data.</p><p>Note that HES disclosure control rules only apply to 'known' values, e.g. small numbers where the age is unknown do not need to be replaced with &quot;*&quot;.</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2015 16:43:38 answering member 3918 label Biography information for Jane Ellison
	tabling member	4243 label Biography information for Dan Jarvis

424940

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when NHS England plans to publish guidance to commissioners on their duty to pay excess treatment costs.
	tabling member constituency	Dulwich and West Norwood
	tabling member printed	Helen Hayes
	uin	13975
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <p><strong></strong></p><p>NHS England has confirmed that guidance to commissioners on their duty to pay excess treatment costs will be published by the middle of November 2015.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2015 16:31:56 answering member 4020 label Biography information for George Freeman
	tabling member	4510 label Biography information for Helen Hayes

424918

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: North East
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the adequacy of GP retention in the North East Essex Clinical Commissioning Group area; and what steps he is taking to improve GP retention.
	tabling member constituency	Clacton
	tabling member printed	Mr Douglas Carswell
	uin	14026
	answer	answer is ministerial correction date of answer 03/11/2015 answer text <p><strong></strong></p><p>We are advised by NHS England that it commissioned the Essex GP Workforce Audit in autumn 2014 to define the extent of the general practitioner (GP) recruitment and retention problem in Essex, including the North East Essex Clinical Commissioning Group (CCG) area.</p><br /><p>In response to the audit’s findings, the Essex Primary Care Inter-Professional Centre for Workforce Development was launched in September. This has been developed by the Essex Workforce Group (comprising NHS England, local CCGs and Health Education England) to address the ongoing difficulty in recruiting, developing and retaining GPs, practice nurses and primary care staff in Essex. The centre will act as a ‘resource, networking and support hub’ and has a website allowing primary care staff to access training opportunities and mentoring opportunities through which they can develop their skills and careers.</p><br /><p>Nationally, we understand that NHS England is working with partners, including the Royal College of GPs and Health Education England, to increase GP numbers, reduce bureaucracy and use the skills of other healthcare professionals, such as community pharmacists, to ensure high-quality, and, above all else, safe, patient care.</p><br /><p>On 26 January, NHS England announced a £10 million investment to boost the GP workforce. The money will be used to recruit new GPs, retain those who are thinking of leaving the profession and encourage doctors to return to general practice, to better meet the needs of patients now and for the future.</p><br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/11/2015 16:57:00 answering member 1201 label Biography information for Alistair Burt
	tabling member	1527 label Biography information for Mr Douglas Carswell

424942

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: 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 the effect on advanced nurse practitioners of proposed adjustments of GPs working hours.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	14070
	answer	answer is ministerial correction date of answer 06/11/2015 answer text <p>An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.</p><br /><p>Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.</p><br /><p>Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.</p><br /><p>We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.</p><br /><p>Although not explicitly mentioned in NHS England’s <em>Five Year Forward view</em>, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.</p><br /><p>Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.</p><br /><p>The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”</p><br /> <br /><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 14067 14068 14069 14071 question first answered 06/11/2015 14:45:16 answering member 3988 label Biography information for Ben Gummer
	tabling member	1540 label Biography information for Greg Mulholland

424943

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: 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 the effect on advanced nurse practitioners of his plans for a seven-day NHS.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	14069
	answer	answer is ministerial correction date of answer 06/11/2015 answer text <p>An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.</p><br /><p>Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.</p><br /><p>Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.</p><br /><p>We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.</p><br /><p>Although not explicitly mentioned in NHS England’s <em>Five Year Forward view</em>, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.</p><br /><p>Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.</p><br /><p>The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”</p><br /> <br /><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 14067 14068 14070 14071 question first answered 06/11/2015 14:45:15 answering member 3988 label Biography information for Ben Gummer
	tabling member	1540 label Biography information for Greg Mulholland

424944

	registered interest
	date	29/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his Department's definition is of an advanced nurse practitioner.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	14067
	answer	answer is ministerial correction date of answer 06/11/2015 answer text <p>An advanced nurse practitioner is generally accepted to be a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context of practice. A Master’s Degree is recommended for entry level to an Advanced Nurse Practitioner (ANPs) role. This role is not defined by the Nursing Midwifery Council or the Department.</p><br /><p>Today ANPs work in a variety of health care settings and in a number of different roles, which range from a nurse consultant managing a specialist service in a hospital to being a nurse partner within a general practice.</p><br /><p>Information on how many ANPs are employed by the National Health Service in each region of the United Kingdom in each of the last five years is not held by the Department.</p><br /><p>We have made it clear that we are not planning to impose a ‘one size fits all model’ for our plan to provide a seven-day NHS. It will be for local commissioners and providers to decide how best to deliver seven day services in hospitals and for them to work with their Local Education and Training Boards to develop workforce plans to support this.</p><br /><p>Although not explicitly mentioned in NHS England’s <em>Five Year Forward view</em>, ANPs are part of the solution to addressing the health and well-being gap; care and quality gap; and funding gap. For example, ANPs are involved in the new care models such as in Derbyshire. The Derbyshire Vanguard site will develop a prevention team made up of health and care professionals including general practitioners (GPs), ANPs, mental health nurses, extended care support and therapy support.</p><br /><p>Seven day access does not mean that every GP must work every day or that all practices must open at evenings and weekends. Through schemes such as the Prime Minister’s GP Access Fund, practices are encouraged to collaborate together in delivering more convenient and accessible services for patients in the evenings and weekends through multiple methods including innovative use of technology, working together at scale, and better use of skill mix to both improve patient care and release GP capacity.</p><br /><p>The recent independent evaluation of the first wave of the PM’s GP Access Fund reported that “evidence to date suggests that the strategy of making more use of nursing staff, particularly Advance Nurse Practitioners (ANPs), is resulting in benefits including released GP capacity…”</p><br /> <br /><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 14068 14069 14070 14071 question first answered 06/11/2015 14:45:15 answering member 3988 label Biography information for Ben Gummer
	tabling member	1540 label Biography information for Greg Mulholland