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175260

	registered interest
	date	22/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	York Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people presented at the A&E Department at York Hospital in each month of (a) 2014 and (b) the last 10 years.
	tabling member constituency	York Central
	tabling member printed	Sir Hugh Bayley
	uin	221798
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The configuration of local health services is a matter for the local NHS. The Monkgate walk in service relocated to the emergency department at York Hospital in April 2012 as part of the development of an integrated urgent care centre staffed by multi-disciplinary team of medical and nursing staff to treat minor illness and injury. This followed a period of engagement with patients and the public and key stakeholders including the York Health Overview and Scrutiny Committee.</p><p> </p><p> </p><p> </p><p>Information on presentations at the accident and emergency department at York Hospital is not available in the format requested.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 221796 question first answered 02/02/2015 16:56:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

175261

	registered interest
	date	22/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Direct
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people living in (a) York, (b) Yorkshire and Humber and (c) England sought advice from NHS Direct in each of its last five years of operation.
	tabling member constituency	York Central
	tabling member printed	Sir Hugh Bayley
	uin	221797
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p><strong> </strong></p><p> </p><p>This information is not held centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 16:52:50 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

175271

	registered interest
	date	22/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Walk-in Centres: York
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when and for what reason the NHS walk-in centre in Monkgate, York has closed; and how many people used that centre in its last year of operation.
	tabling member constituency	York Central
	tabling member printed	Sir Hugh Bayley
	uin	221796
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The configuration of local health services is a matter for the local NHS. The Monkgate walk in service relocated to the emergency department at York Hospital in April 2012 as part of the development of an integrated urgent care centre staffed by multi-disciplinary team of medical and nursing staff to treat minor illness and injury. This followed a period of engagement with patients and the public and key stakeholders including the York Health Overview and Scrutiny Committee.</p><p> </p><p> </p><p> </p><p>Information on presentations at the accident and emergency department at York Hospital is not available in the format requested.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 221798 question first answered 02/02/2015 16:56:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	385 label Biography information for Sir Hugh Bayley

175465

	registered interest
	date	23/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ovarian Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to improve early diagnosis of ovarian cancer.
	tabling member constituency	Washington and Sunderland West
	tabling member printed	Mrs Sharon Hodgson
	uin	221905
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p><em>Improving Outcomes: A Strategy for Cancer</em>, published on 12 January 2011, backed by over £750 million, committed over £450 million over the four years up to 2014-15 to achieve earlier diagnosis of cancer, including supporting direct general practitioner (GP) access to key diagnostic tests such as non-obstetric ultrasound to support the diagnosis of ovarian cancer. In 2012, the Department published ‘Direct access to diagnostic tests for cancer: best practice referral pathways for general practitioners’. The guide aims to raise awareness of the symptoms that require urgent referral to specialists and sets out where a direct referral for tests may benefit patients and lead to a faster diagnosis.</p><p> </p><p> </p><p> </p><p>Diagnostic Imaging Dataset collected by NHS England showed that in August 2014, GPs requested almost a quarter of all tests that may have been used to diagnose or discount cancer, under direct access arrangements. Of these, the test with the highest proportion of GP referral was ultrasounds that may have been used to diagnose ovarian cancer (45% of which were requested by GPs).</p><p> </p><p> </p><p> </p><p>The earlier diagnosis money also included some central funding for Be Clear on Cancer (BCOC) campaigns, which aim to raise awareness of the symptoms of cancer and get symptomatic patients to present earlier. Public Health England ran a regional ovarian pilot campaign which ran from 10 February to 16 March 2014 in the North West of England Television region. The campaign was aimed at women over 50, the age group most at risk of developing ovarian cancer, and their friends and family to raise awareness of bloating as a symptom of ovarian cancer and to encourage women with this symptom to visit their GP. Full evaluation results are awaited.</p><p> </p><p> </p><p> </p><p>The National Institute for health and Care Excellence’s most recent guidelines recommend offering genetic testing to people with a 10% risk of carrying a BRCA mutation, which is lower than the 20% risk previously recommended. The draft policy proposal for BRCA testing is amongst those awaiting consultation by NHS England’s Clinical Priorities Advisory Group. This will take place following the 90-day public consultation on the decision-making framework which NHS England will use to make decisions on specialised services proposals, which is now live.</p><p> </p><p> </p><p> </p><p>Following this consultation period, the Clinical Priorities Advisory Group will review the proposal and make a recommendation to the NHS England Specialised Services Committee, who will make a final decision.</p><p> </p><p> </p><p> </p><p>On 11 January NHS England announced a new independent cancer taskforce to develop a five-year action plan for cancer services to improve survival rates and save thousands of lives.</p><p> </p><p> </p><p> </p><p>The taskforce has been set up to produce a new national cancer strategy for the next five years to 2020, building on NHS England’s vision for improving cancer outcomes set out in the NHS Five Year Forward View. The taskforce will be set up in partnership with the cancer community and other health system leaders, and will be chaired by Dr Harpal Kumar, Chief Executive of Cancer Research UK. The new strategy will cover prevention, early and faster diagnosis, better treatment and care for all, recovery, reablement and living with and beyond cancer. The strategy will also cover research and innovation, end-of-life care, data and metrics, and workforce. The taskforce will produce a statement of intent by March 2015, and will aim to publish the new strategy in the summer.</p><p> </p><p> </p><p> </p><p>NHS England also launched a major early-diagnosis programme, working jointly with Cancer Research UK and Macmillan Cancer Support to test new approaches to identifying cancer more quickly. These include offering patients the option to self-refer for diagnostic tests, lowering the threshold for GP referrals, and setting up multi-disciplinary diagnostic centres, so that patients can have several tests done at the same place on the same day. NHS England’s aim is to evaluate these innovative initiatives across more than 60 centres around England, in order to collect evidence on approaches that could be implemented from 2016-17.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 17:32:40 answering member 3918 label Biography information for Jane Ellison
	tabling member	1521 label Biography information for Mrs Sharon Hodgson

175744

	registered interest
	date	26/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many discharge episodes there have been with a (a) primary and (b) secondary diagnosis of coronary heart disease in (i) each clinical commissioning group or its predecessor organisation and (ii) England in each of the last 10 years.
	tabling member constituency	Sutton and Cheam
	tabling member printed	Paul Burstow
	uin	222024
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The attached tables show a count of finished discharge episodes with a primary diagnosis and secondary diagnosis of coronary heart disease by primary care trust of treatment for the years 2004/05 to 2012/13 and by clinical commissioning group of treatment for 2013/14.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 16:00:08 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ222024 discharge episodes.xlsx title Finished discharge episodes CHD: primary&secondary
	tabling member	204 label Biography information for Paul Burstow

175953

	registered interest
	date	27/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Influenza
	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 reduce influenza infections in the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	222115
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The Flu Plan: Winter 2014/15, and the Annual Flu letter highlights the importance of vaccinating health and social care workers with direct patient contact. Frontline health and social care workers have a duty of care to protect their patients from infection. This includes getting vaccinated against flu. A copy of both documents are attached.</p><p> </p><p> </p><p> </p><p>In September 2014, a letter was sent to the National Health Service and local authorities from the Department of Health, Public Health England and NHS England to seek their support in increasing flu vaccination uptake among front line health and social care workers. On 15 January 2015, the Chief Medical Officer wrote to NHS Medical Directors urging them to continue to vaccinate health care workers and requesting that they consider requiring unvaccinated staff to wear face masks when undertaking direct clinical work with patients to prevent the risk of influenza infection.</p><p> </p><p> </p><p> </p><p>The flu fighter campaign, run by NHS Employers provides support to NHS trusts to encourage staff to protect themselves, their patients and their families by having the seasonal flu vaccination. NHS Employers provides advice and guidance on running local healthcare worker vaccination campaigns, as well as posters and other campaign resources.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name FluPlan 2014-15.pdf title The Flu Plan: Winter 2014/15 2 file name Flu Immunisation Letter 2014-15.pdf title The Annual Flu Letter 2014/15 question first answered 02/02/2015 16:45:16 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

175944

	registered interest
	date	27/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Diabetes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if his Department will launch a public campaign to stem the rise in the number of people with Type 2 diabetes.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	222167
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>Public Health England in partnership with NHS England and Diabetes UK are currently developing proposals for a nationally scaled diabetes prevention programme. This will consider the contribution of public campaigns to raise awareness of the risks of Type 2 diabetes and the lifestyle modifications that can prevent and reduce risk.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 16:37:11 answering member 3918 label Biography information for Jane Ellison
	tabling member	474 label Biography information for Mr Nigel Evans

175945

	registered interest
	date	27/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Diabetes
	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 how many diabetes sufferers are not getting the recommended number of annual checks in (a) Lancashire and (b) England.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	222168
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The table below shows the completion rate for all eight measurable care processes assessed in the National Diabetes Audit (NDA), the number of patients completing all eight care processes and the number not completing all eight care processes. This is provided for England and the eight clinical commissioning groups (CCGs) in the Lancashire area. Also provided is the participation rate for England and each CCG.</p><p> </p><p> </p><p> </p><p>The care processes are those which the National Institute of Health and Care Excellence recommend should be part of an annual check for people with diabetes.</p><p> </p><p> </p><p> </p><p>Data is not available in the format requested as figures on the completion of annual checks are not held centrally at county level.</p><p> </p><p> </p><p> </p><p>The data provided is from the 2012-13 audit year.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Registrations - all diabetes<sup>1</sup> 2012-13 NDA</p></td><td><p>All 8<sup>2</sup> care process completion rate</p></td><td><p>Number of registrations completed all 8 processes</p></td><td><p>Number of registrations not completed all 8 processes</p></td><td><p>Participation rate<sup>3</sup></p></td></tr><tr><td><p>England</p></td><td><p>1,858,974</p></td><td><p>59.5%</p></td><td><p>1,106,561</p></td><td><p>752,413</p></td><td><p>70.8%</p></td></tr><tr><td><p>NHS Blackburn with Darwen CCG</p></td><td><p>9,070</p></td><td><p>70.6%</p></td><td><p>6,400</p></td><td><p>2,670</p></td><td><p>100.0%</p></td></tr><tr><td><p>NHS Blackpool CCG</p></td><td><p>9,659</p></td><td><p>65.9%</p></td><td><p>6,362</p></td><td><p>3,297</p></td><td><p>100.0%</p></td></tr><tr><td><p>NHS Chorley and South Ribble CCG</p></td><td><p>8,718</p></td><td><p>66.0%</p></td><td><p>5,756</p></td><td><p>2,962</p></td><td><p>96.8%</p></td></tr><tr><td><p>NHS East Lancashire CCG</p></td><td><p>17,856</p></td><td><p>66.7%</p></td><td><p>11,907</p></td><td><p>5,949</p></td><td><p>94.9%</p></td></tr><tr><td><p>NHS Greater Preston CCG</p></td><td><p>8,114</p></td><td><p>62.6%</p></td><td><p>5,079</p></td><td><p>3,035</p></td><td><p>79.4%</p></td></tr><tr><td><p>NHS Lancashire North CCG</p></td><td><p>3,895</p></td><td><p>72.0%</p></td><td><p>2,805</p></td><td><p>1,090</p></td><td><p>61.5%</p></td></tr><tr><td><p>NHS West Lancashire CCG</p></td><td><p>5,539</p></td><td><p>63.9%</p></td><td><p>3,541</p></td><td><p>1,998</p></td><td><p>100.0%</p></td></tr><tr><td><p>NHS Fylde and Wyre CCG</p></td><td><p>7,016</p></td><td><p>71.5%</p></td><td><p>5,019</p></td><td><p>1,997</p></td><td><p>85.7%</p></td></tr></tbody></table><p> </p><p><sup>1</sup>All diabetes includes maturity onset diabetes of the young, other specified diabetes and not specified diabetes</p><p> </p><p><sup>2</sup>The eye screening care process has been removed from this figure due to data quality issues. This figure comprises the following care processes:</p><p> </p><p>HbA1c</p><p> </p><p>Blood pressure</p><p> </p><p>Cholesterol</p><p> </p><p>Serum creatinine</p><p> </p><p>Urine albumin</p><p> </p><p>Foot surveillance</p><p> </p><p>Body Mass Index</p><p> </p><p>Smoking</p><p> </p><p><sup>3</sup>Participation is calculated from the percentage of general practices (GP) practices participating in the NDA 2012-13 out of all GP practices within the CCG</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 18:00:59 answering member 3918 label Biography information for Jane Ellison
	tabling member	474 label Biography information for Mr Nigel Evans

175956

	registered interest
	date	27/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Diabetes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will re-introduce the NHS Diabetes dedicated improvement service.
	tabling member constituency	Ribble Valley
	tabling member printed	Mr Nigel Evans
	uin	222169
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>NHS Improving Quality (NHS IQ) was founded on 1 April 2013 through a collaboration agreement between the Department of Health and NHS England. This was in recognition of the need for a system wide focus on improvement to be provided by establishing an improvement body within NHS England. The responsibilities of NHS Diabetes have now been passed to NHS IQ.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS IQ has a number of programmes of work under way to reduce premature mortality from diabetes and improve the care of people with diabetes including:</p><p> </p><p>- piloting new pathways of care to detect and manage asymptomatic coronary heart disease in patient groups with diabetic foot disease with the aim of reducing premature mortality in these patients by 600 lives per year from 2015-16;</p><p> </p><p>- supporting the NHS Health Check programme, a key component of which is detecting the risk factors for diabetes;</p><p> </p><p>- supporting the implementation of the Cardiovascular Disease Outcomes Strategy;</p><p> </p><p>- working to achieve patient centred, co-ordinated services for people living with long-term conditions, including diabetes; and</p><p> </p><p>- providing signposting and links to useful improvement resources relating to diabetes.</p><p> </p><p> </p><p> </p><p>More information on this work can be found on the NHS IQ website at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhsiq.nhs.uk/" target="_blank">www.nhsiq.nhs.uk</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 17:22:50 answering member 3918 label Biography information for Jane Ellison
	tabling member	474 label Biography information for Mr Nigel Evans

175456

	registered interest
	date	23/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Defibrillators
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what research has been undertaken by his Department into the effect that an individual's knowledge of cardiopulmonary resuscitation has on their (a) confidence and (b) efficacy in using an automated emergency defibrillator.
	tabling member constituency	Redditch
	tabling member printed	Karen Lumley
	uin	221846
	answer	answer is ministerial correction date of answer 02/02/2015 answer text <p>The Department has not funded research into the effect that an individual's knowledge of cardiopulmonary resuscitation has on their confidence and efficacy in using an automated external defibrillator. However, Professor Gray, the National Clinical Director for heart disease in NHS England, contributed to a study, the findings of which were published last year, which suggested that improving public confidence in using public access defibrillators was probably a factor in the successful deployment of these devices. The article can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://heart.bmj.com/content/100/8/619.full?sid=eeec7a42-ee93-4458-b5cc-ec29680245a3" target="_blank">http://heart.bmj.com/content/100/8/619.full?sid=eeec7a42-ee93-4458-b5cc-ec29680245a3</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2015 16:54:44 answering member 3918 label Biography information for Jane Ellison
	tabling member	4023 label Biography information for Karen Lumley