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63270

	registered interest
	date	23/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many general practitioner practices were (a) refurbished and (b) replaced in each of the last 10 years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	201710
	answer	answer is ministerial correction date of answer 26/06/2014 answer text <p>Prior to April 2013, granting funding for the refurbishment and replacement of general practitioner premises was the responsibility of primary care trusts (PCTs). Information pertaining to this period is not held centrally and could only be obtained at disproportionate cost.</p><p> </p><p>Responsibility for funding general practice premises development has now been transferred to NHS England.</p><p> </p><p>Between 1 April 2013 and 1 April 2014, more than 100 business cases for premises development were approved by NHS England. NHS England <ins class="ministerial">will be publishing </ins><del class="ministerial">has now published</del> Principles of Good Practice <ins class="ministerial">later in the autumn. This </ins> <del class="ministerial">that</del> set<ins class="ministerial">s</ins> out how <del class="ministerial">area</del> teams should review and prioritise business case proposals, and since 1 April 2014 a further 46 business cases have been approved.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/06/2014 14:49:17 question first ministerially corrected 11/09/2014 13:48:27 answering member 1439 label Biography information for Norman Lamb previous answer version 6377 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
	tabling member	1503 label Biography information for Mr Jamie Reed

171266

	registered interest
	date	17/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) actual and (b) percentage change was in expenditure per head of population aged 65 and over on adult social care services in each English local authority in 2009-10 and 2013-14.
	tabling member constituency	Westminster North
	tabling member printed	Ms Karen Buck
	uin	219191
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p><del class="ministerial">Data on expenditure per head of population aged 65 and over on adult social care services is not held centrally and could only be obtained at disproportionate cost. The attached table provides the net current expenditure per head of population who receive adult social care aged 65 and over, broken down by local authority and year. The last column shows the percentage change between 2009-10 and 2013-14.</del></p><p> </p><p><ins class="ministerial">Local authorities in England spent £6.7 billion on social care for people aged over 65 and over in 2013-14, compared with £7.4 billion in 2009-10. In 2013-14 the National Health Service transferred £859 million to social care but we are unable to include this investment in the overall spending figure as we do not hold information on how much of it was spent on people aged 65 and over.</ins></p><p><ins class="ministerial">The attached table provides a breakdown of expenditure on social care per head of population aged 65 and over broken down by local authority in 2009-10 and 2013-14. The table also details the percentage change and actual change between those two financial years. The figures do not include NHS transfer funding.</ins></p><p><ins class="ministerial"> <p> </p><p> </p><p /> <p> </p></ins></p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/01/2015 16:21:02 question first ministerially corrected 13/01/2015 14:57:52 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Revised table PQ 219191.docx title Social care spend per head of population 2009-14 previous answer version 36913 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb attachment 1 file name 2014-12-22 PQ219191 Karen Buck Table on over 65 LA Expenditure.docx title Over 65 LA expenditure
	tabling member	199 label Biography information for Ms Karen Buck

175097

	registered interest
	date	21/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds: North West
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many delayed discharges there were from (a) St Helens and Knowsley Hospitals Trust and (b) Warrington and Halton Hospitals NHS Foundation Trust in each month since January 2014.
	tabling member constituency	Halton
	tabling member printed	Derek Twigg
	uin	221512
	answer	answer is ministerial correction date of answer 26/01/2015 answer text <p>Information is not available in the format requested. The data that is available is shown in the following tables.</p><p> </p><p> </p><p> </p><p>Table 1: St Helens and Knowsley Hospitals NHS Trust</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Month</p></td><td><p>Patients</p></td><td><p>Days</p></td><td> </td></tr><tr><td><p>January 2014</p></td><td><p>8</p></td><td><p>282</p></td><td> </td></tr><tr><td><p>February 2014</p></td><td><p>5</p></td><td><p>233</p></td><td> </td></tr><tr><td><p>March 2014</p></td><td><p>5</p></td><td><p>253</p></td><td> </td></tr><tr><td><p>April 2014</p></td><td><p>3</p></td><td><p>186</p></td><td> </td></tr><tr><td><p>May 2014</p></td><td><p>7</p></td><td><p>188</p></td><td> </td></tr><tr><td><p>June 2014</p></td><td><p>7</p></td><td><p>158</p></td><td> </td></tr><tr><td><p>July 2014</p></td><td><p>4</p></td><td><p>227</p></td><td> </td></tr><tr><td><p>August 2014</p></td><td><p>4</p></td><td><p>155</p></td><td> </td></tr><tr><td><p>September 2014</p></td><td><p>3</p></td><td><p>166</p></td><td> </td></tr><tr><td><p>October 2014</p></td><td><p>5</p></td><td><p>186</p></td><td> </td></tr><tr><td><p>November 2014</p></td><td><p>3</p></td><td><p>143</p></td><td> </td></tr><tr><td><p>December 2014</p></td><td><p>3</p></td><td><p>149</p></td><td> </td></tr><tr><td> </td><td colspan="3"> </td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>Patients: The number of patients whose transfer is delayed at midnight on the last Thursday of the month.</li><li>Days: The number of days delayed within the month for all patients delayed throughout the month.</li></ol><p> </p><p> </p><p> </p><p> </p><p> </p><p>Table 2: Warrington and Halton Hospitals NHS Foundation Trust</p><p> </p><table><tbody><tr><td colspan="3"> </td></tr><tr><td><p>Month</p></td><td><p>Patients</p></td><td><p>Days</p></td></tr><tr><td><p>January 2014</p></td><td><p>20</p></td><td><p>407</p></td></tr><tr><td><p>February 2014</p></td><td><p>19</p></td><td><p>591</p></td></tr><tr><td><p>March 2014</p></td><td><p>16</p></td><td><p>535</p></td></tr><tr><td><p>April 2014</p></td><td><p>26</p></td><td><p>513</p></td></tr><tr><td><p>May 2014</p></td><td><p>24</p></td><td><p>548</p></td></tr><tr><td><p>June 2014</p></td><td><p>14</p></td><td><p>537</p></td></tr><tr><td><p>July 2014</p></td><td><p>20</p></td><td><p>688</p></td></tr><tr><td><p>August 2014</p></td><td><p>26</p></td><td><p>880</p></td></tr><tr><td><p>September 2014</p></td><td><p>24</p></td><td><p>576</p></td></tr><tr><td><p>October 2014</p></td><td><p>20</p></td><td><p>458</p></td></tr><tr><td><p>November 2014</p></td><td><p>9</p></td><td><p>425</p></td></tr><tr><td><p>December 2014</p></td><td><p>11</p></td><td><p>222</p></td></tr><tr><td> </td><td colspan="2"> </td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>Patients: The number of patients whose transfer is delayed at midnight on the last Thursday of the month.</li><li>Days: The number of days delayed within the month for all patients delayed throughout the month.</li></ol><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/01/2015 16:57:42 question first ministerially corrected 26/01/2015 17:14:04 answering member 1439 label Biography information for Norman Lamb previous answer version 41239 answering member constituency Battersea answering member printed Jane Ellison answering member 3918
	tabling member	429 label Biography information for Derek Twigg

222966

	registered interest
	date	23/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when he expects that the Child and Adolescent Mental Health Services Dataset will start publishing data; and if he will make a statement.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	225018
	answer	answer is ministerial correction date of answer 26/02/2015 answer text <p><ins class="ministerial">The Health and Social Care Information Centre advise that the collection of data for the Child and Adolescent Mental Health Services dataset will start at the beginning of February 2016. The first submission period will cover January to March 2016. Statistical reports based on the initial data collection will be published in mid-2016.</ins></p><p> </p><p> </p><p> </p><p><del class="ministerial">The National Institute for Health and Care Excellence guidance <em>Multiple sclerosis: management of multiple sclerosis in primary and secondary care</em>, updated in October 2014, sets out best practice on the diagnosis, treatment, care and support of people with multiple sclerosis (MS). The guidance makes a range of recommendations on drug based treatments for MS, but also highlights the importance of involving professionals who can meet the needs of the patient in the best way, such as physiotherapists and occupational therapists. </del></p><p> </p><p> </p><p><ins class="ministerial"></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><del class="ministerial">With regard to early diagnosis, MS is a difficult condition to diagnose as a number of the symptoms such as fatigue, depression or dizziness may be unrelated. The guidance sets out a number of initial presentations that clinicians should be aware of when looking for signs of MS. It also recommends a number of assessments a clinician should make, including testing of vision and blood tests before referral to a consultant neurologist, who can confirm or exclude a diagnosis of MS, subject to investigation.</del></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/02/2015 15:20:43 question first ministerially corrected 27/02/2015 13:56:12 answering member 1439 label Biography information for Norman Lamb previous answer version 46777 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

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

48233

	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 estimate has he made of the cost to the economy of untreated mental illness.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196255
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196254 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48237

	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 proportion of NHS funding is allocated to (a) mental and (b) physical health care.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196254
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48241

	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 steps he has taken to increase public understanding of the services offered by independent pharmacies.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	196241
	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 196239 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

48242

	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 criteria his Department use to define illness as mental as opposed to physical.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196245
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196254 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48260

	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 he has made of the reduction of avoidable harm by better medicines reconciliation for hospital patients with Parkinson's.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	196344
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department has made no such assessment.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) and the National Patient Safety Agency (NPSA) issued joint guidance, <em>Technical patient safety solutions for medicines reconciliation on admission of adults to hospital</em> in December 2007, which aims to reduce medication errors, which occur most commonly on transfer between care settings and on admission to hospital. This guidance applies to all patients, including those with Parkinson's disease and is available at:</p><p> </p><p>www.nice.org.uk/nicemedia/live/11897/38560/38560.pdf</p><p> </p><p>The NPSA also issued a Rapid Response Report on <em>Reducing harm from omitted and delayed medicines in hospital </em>in February 2010. This makes reference to medicines where timeliness of administration is crucial, including those for Parkinson's disease. This is available at:</p><p> </p><p>www.nrls.npsa.nhs.uk/alerts/?entryid45=66720</p><p> </p><p>NICE, the NPSA and the Royal Pharmaceutical Society have all identified the key role of pharmacists in medicines reconciliation and the majority of hospitals now have pharmacists on admission wards to help ensure patients' medicines are reconciled promptly.</p><p> </p><p>A strong reporting culture, where safety incidents are reported and monitored is essential to improving safety for all patients, including those with Parkinson's disease. NHS England and the <a title="Medicines and Healthcare products Regulatory Agency (MHRA) website - Opens in a new window" href="http://www.mhra.gov.uk/" target="_blank">Medicines and Healthcare products Regulatory Agency</a> jointly issued two patient safety alerts on 20 March 2014 to help healthcare providers increase incident reporting for <a href="http://www.england.nhs.uk/2014/03/20/med-devices#mederr" target="_blank">medication errors</a> and <a href="http://www.england.nhs.uk/2014/03/20/med-devices#meddev" target="_blank">medical devices</a>. The alerts instruct providers to take specific steps that will improve data reporting quality; and will see the establishment of national networks to maximise learning and provide guidance on minimising harm relating to these incident types.</p><p> </p><p>The measures announced by my Rt Hon Friend, the Secretary of State for Health on 26 March, as part of his invitation to NHS organisations to ‘Sign up to Safety', are also likely to lead to an increase in the number of reported incidents of harm in the National Health Service even though care will be getting safer.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196360 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	1490 label Biography information for Mrs Madeleine Moon