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142239

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Fees and Charges
	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 of his Department’s guidance on charging for residential accommodation on the financial independence of adults in residential care.
	tabling member constituency	York Outer
	tabling member printed	Julian Sturdy
	uin	213681
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Charging for Residential Accommodation Guidelines (CRAG) supports local authorities to interpret the National Assistance (Assessment of Resources) Regulations 1992. This guidance and the regulations will be repealed from April 2015 when new provisions under the Care Act 2014 come into force.</p><p> </p><p> </p><p> </p><p>The new charging framework introduces minimal changes in order to respond to the call for continuity and to enable local authorities to focus on preparing for implementation of the reforms recommended by the independent Commission on Funding Reform that the Care Act will also introduce. From April 2016 this will see the introduction of a cap on care costs that will protect people from the risk of catastrophic costs and an extension to the point at which means tested support becomes available. As the published impact assessment shows, this means that up to 100,000 more people will be better off by 2024-25. We are in the process of updating the modelling and will publish a revised impact assessment shortly. In addition, from April 2015 we are introducing a universal deferred payment agreement scheme that means people should not be forced to sell their home in their lifetime to pay for care.</p><p> </p><p> </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 18/11/2014 15:42:59 answering member 1439 label Biography information for Norman Lamb
	tabling member	4079 label Biography information for Julian Sturdy

142228

	registered interest
	date	06/11/2014
	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
	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 recent report by Healthwatch England entitled, Suffering in Silence, published in October 2014; and if he will make a statement.
	tabling member constituency	Wycombe
	tabling member printed	Steve Baker
	uin	213739
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Healthwatch England, and the local Healthwatch network, have an important role in the health and care system. They ensure the patient voice is heard nationally and locally and this includes how it feels to make a complaint about your healthcare as set out in <em>Suffering in Silence</em>. Local Healthwatch also signpost people to advice and support in making a complaint.</p><p> </p><p> </p><p> </p><p>There are legislative requirements in place which set out an overall framework on how complaints about health and care services should be handled. In response to <em>Hard Truths</em>, we initiated a wide-ranging programme of work dedicated to improving complaints handling involving stakeholders from across the health and care system. Healthwatch England is a key contributor to this work. Later this year we will set out what has been done to improve complaints handling in the context of our update on Hard Truths.</p><p> </p><p> </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 18/11/2014 15:12:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	4064 label Biography information for Mr Steve Baker

142210

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patient safety incidents have been reported to the National Reporting and Learning System in each month since May 2010.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	213780
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>We do not hold information on the number of patient safety incidents that have occurred in England in each year since 2000. Patient Safety Incidents occurring in the National Health Service are reported to the National Reporting and Learning System (NRLS) whose primary purpose is to enable learning from patient safety incidents. The NRLS was established in late 2003 as a largely voluntary scheme for reporting patient safety incidents, and therefore it does not provide the definitive number of patient safety incidents occurring in the NHS. However, from 1 April 2010 it became mandatory for all providers registered with the Care Quality Commission (including all NHS trusts and foundation trusts) in England to report all serious patient safety incidents to the Care Quality Commission. To avoid duplication of reporting, providers of NHS services are encouraged to report all incidents resulting in death or severe harm to the NRLS which then reports them to the Care Quality Commission.</p><p> </p><p> </p><p> </p><p>At present, more than 100,000 patient safety incidents (including those resulting in no harm) are reported to the NRLS each month. However, these data are collated on a quarterly, rather than monthly basis. Detailed breakdowns on incidents reported are published twice-yearly and can be accessed via the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/" target="_blank">http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/</a></p><p> </p><p> </p><p> </p><p>The most recent spreadsheet providing quarterly data for the number of patient safety incidents reported to the NRLS from October 2003 to June 2014 is attached.</p><p> </p><p> </p><p> </p><p>The NRLS is a dynamic reporting system, and the number of incidents recorded as occurring at any point in time may increase as a greater proportion of incidents are reported. Experience in other industries has shown that as an organisation’s reporting culture matures, staff become more likely to report incidents.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213775 question first answered 18/11/2014 16:22:48 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name NRLS Quarterly Data Workbook- Patient Safety Incidents.xls title Patient Safety Incidents- October 2003- June 2014
	tabling member	4078 label Biography information for Paul Uppal

142212

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patient safety alerts have occurred in each month since May 2010.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	213781
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Patient safety alerts are a crucial part of NHS England’s work to alert the healthcare system rapidly to risks and provide guidance on preventing potential incidents that may lead to harm or death. They are publications providing urgent information to healthcare providers via the Central Alerting System. Prior to the establishment of NHS England, patient safety alerts were issued by the National Patient Safety Agency (NPSA).</p><p> </p><p> </p><p> </p><p>We do not record the number of patient safety alerts issued by month; however, a list of alerts with their issue dates for the period 2013-2014 is attached.</p><p> </p><p> </p><p> </p><p>A full list of alerts issued by NPSA from 2002-2012 can be viewed at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/alerts/" target="_blank">http://www.nrls.npsa.nhs.uk/alerts/</a></p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/11/2014 16:15:31 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Patient safety alerts.xlsx title List of Patient Safety Alerts 2013-14
	tabling member	4078 label Biography information for Paul Uppal

142222

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	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 uptake of the Sign up to Safety campaign in each (a) region and (b) clinical commissioning group area.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	213774
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>As at the end of October 2014, a total number of 136 organisations have agreed to participate in the Sign up to Safety campaign. A breakdown by Academic Health Science Network (AHSN) is as follows:</p><p> </p><table><tbody><tr><td><p><strong> </strong></p><p>By AHSN region</p></td><td> </td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>9</p></td></tr><tr><td><p>West of England</p></td><td><p>7</p></td></tr><tr><td><p>West Midlands</p></td><td><p>8</p></td></tr><tr><td><p>Wessex</p></td><td><p>4</p></td></tr><tr><td><p>London</p></td><td><p>24</p></td></tr><tr><td><p>South West Peninsula</p></td><td><p>5</p></td></tr><tr><td><p>Oxford</p></td><td><p>4</p></td></tr><tr><td><p>North West Coast</p></td><td><p>15</p></td></tr><tr><td><p>North East and North Cumbria</p></td><td><p>8</p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p>13</p></td></tr><tr><td><p>Greater Manchester</p></td><td><p>9</p></td></tr><tr><td><p>Eastern</p></td><td><p>11</p></td></tr><tr><td><p>East Midlands</p></td><td><p>16</p></td></tr><tr><td><p>Other</p></td><td><p>3</p></td></tr><tr><td> </td><td><p>136</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>The information has not been split by clinical commissioning group. However 16 clinical commissioning groups have signed up to the campaign to date.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 18/11/2014 15:40:10 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4078 label Biography information for Paul Uppal

142224

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patient safety incidents have occurred in England in each year since 2000.
	tabling member constituency	Wolverhampton South West
	tabling member printed	Paul Uppal
	uin	213775
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>We do not hold information on the number of patient safety incidents that have occurred in England in each year since 2000. Patient Safety Incidents occurring in the National Health Service are reported to the National Reporting and Learning System (NRLS) whose primary purpose is to enable learning from patient safety incidents. The NRLS was established in late 2003 as a largely voluntary scheme for reporting patient safety incidents, and therefore it does not provide the definitive number of patient safety incidents occurring in the NHS. However, from 1 April 2010 it became mandatory for all providers registered with the Care Quality Commission (including all NHS trusts and foundation trusts) in England to report all serious patient safety incidents to the Care Quality Commission. To avoid duplication of reporting, providers of NHS services are encouraged to report all incidents resulting in death or severe harm to the NRLS which then reports them to the Care Quality Commission.</p><p> </p><p> </p><p> </p><p>At present, more than 100,000 patient safety incidents (including those resulting in no harm) are reported to the NRLS each month. However, these data are collated on a quarterly, rather than monthly basis. Detailed breakdowns on incidents reported are published twice-yearly and can be accessed via the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/" target="_blank">http://www.nrls.npsa.nhs.uk/resources/collections/quarterly-data-summaries/</a></p><p> </p><p> </p><p> </p><p>The most recent spreadsheet providing quarterly data for the number of patient safety incidents reported to the NRLS from October 2003 to June 2014 is attached.</p><p> </p><p> </p><p> </p><p>The NRLS is a dynamic reporting system, and the number of incidents recorded as occurring at any point in time may increase as a greater proportion of incidents are reported. Experience in other industries has shown that as an organisation’s reporting culture matures, staff become more likely to report incidents.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213780 question first answered 18/11/2014 16:22:48 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name NRLS Quarterly Data Workbook- Patient Safety Incidents.xls title Patient Safety Incidents- October 2003- June 2014
	tabling member	4078 label Biography information for Paul Uppal

142221

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will commission research on the potential implications for his Department's policy and resources of the comparative effect on (a) mental and (b) physical health of (i) death of a close relative, (ii) divorce and (iii) moving out of a long-term family home.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	213808
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Death of a close relative, divorce, and moving out of a long-term family home are all life events that can have significant impact on health and wellbeing. The Department has no plans to commission research specifically on the potential implications for the Department’s policies and resources of the comparative effect of these life events on mental and physical health.</p><p> </p><p> </p><p> </p><p>The Department’s Policy Research Programme (PRP) commissions high quality, research-based evidence relevant to the full policy remit of the Department. Details of commissioned projects are available on the website of the PRP Central Commissioning Facility at:</p><p> </p><p> </p><p> </p><p><a href="http://www.prp-ccf.org.uk/" target="_blank">http://www.prp-ccf.org.uk/</a></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 18/11/2014 16:09:31 answering member 4020 label Biography information for George Freeman
	tabling member	534 label Biography information for Chris Ruane

142225

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Obstructive Pulmonary Disease
	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 tackle late diagnosis for people with chronic obstructive pulmonary disease.
	tabling member constituency	Stevenage
	tabling member printed	Stephen McPartland
	uin	213762
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Public Health England has developed a campaign to raise awareness of the symptom of breathlessness. The Breathlessness campaign aims to encourage those with inappropriate breathlessness (breathlessness that is disproportionate to the level of activity undertaken i.e. at rest or on minimal exertion) to go and see their general practitioner (GP). It is primarily aimed at earlier diagnosis of heart and lung disease, including chronic obstructive pulmonary disease (COPD), with scope to reduce premature mortality and to improve the quality of life of those living with these conditions.</p><p> </p><p> </p><p> </p><p>The campaign ran as a local pilot and will be run at a regional level in the East of England in February 2015. Evaluation of the local pilot is still underway, although early findings are positive from follow-up in-depth interviews with a sample of local GPs and pharmacists and pre and post awareness tracking research among the public.</p><p> </p><p> </p><p> </p><p>The Department also published An Outcomes Strategy for People with COPD and Asthma in England in 2011, which sets out six high-level objectives to improve outcomes in these areas through high quality prevention, detection, treatment and care services, and the National Health Service Companion Document to the Outcomes Strategy, setting out how the NHS can implement changes at a local level in 2012.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/11/2014 15:53:32 answering member 3918 label Biography information for Jane Ellison
	tabling member	4093 label Biography information for Stephen McPartland

142227

	registered interest
	date	06/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Obstructive Pulmonary Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many cases of chronic obstructive pulmonary disease were diagnosed in accident and emergency settings in each of the last five years.
	tabling member constituency	Stevenage
	tabling member printed	Stephen McPartland
	uin	213763
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>Specific information on how many cases of chronic obstructive pulmonary disease were diagnosed in accident and emergency settings in each of the last five years is not held centrally.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/11/2014 15:45:49 answering member 3918 label Biography information for Jane Ellison
	tabling member	4093 label Biography information for Stephen McPartland

147558

	registered interest
	date	10/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	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 develop and support the cancer screening programme.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	uin	214020
	answer	answer is ministerial correction date of answer 18/11/2014 answer text <p>The NHS Cancer Screening Programmes screen millions of people each year in order to detect cancer or abnormalities which could develop into cancer if left undetected and untreated. They are supported by a national co-ordinating team and regional quality assurance teams in Public Health England (PHE).</p><p> </p><p> </p><p> </p><p>On the specific programmes, NHS England and PHE are working together to set up screening centres for Bowel Scope Screening (BSS) for 55 year-olds as an addition to the current NHS Bowel Cancer Screening Programme. Our commitment is to have BSS rolled out to 60% of screening centres in England by the end of March 2015, and to all screening centres in England by the end of 2016. In addition, as part of the original programme, PHE are piloting a new form of home testing kit (faecal immunochemical testing - FIT) which is easier to use and potentially more accurate than the current faecal occult blood (FOB) test used in the programme.</p><p> </p><p> </p><p> </p><p>The NHS Breast Cancer Screening Programme has developed considerably with the use of digital mammography in screening clinics and the extensions to the age range for screening women, including the current randomised controlled trial screening 47-49 and 71-73 year-old women. Around 97.1% of women who have had invasive breast cancer detected by screening are alive five years later and over three quarters of the women whose cancer is detected by the programme do not need chemotherapy.</p><p> </p><p> </p><p> </p><p>The NHS Cervical Screening Programme is currently piloting the use of human papillomavirus (HPV) testing as the primary screen for cervical disease in order to achieve better, more personalised outcomes for women. Through early detection and treatment the NHS Cervical Screening Programme can prevent around 75% of cervical cancers developing; where an early cancer is found, women with cervical cancer diagnosed by screening have a better chance of being cured than those who present with symptoms.</p><p> </p><p> </p><p> </p><p>All NHS screening programmes are based on National Screening Committee recommendations using the best evidence available.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 18/11/2014 14:08:12 answering member 3918 label Biography information for Jane Ellison
	tabling member	4025 label Biography information for Mrs Pauline Latham