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61086

	registered interest
	date	10/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many training places for general practice were (a) commissioned and (b) filled in each of the last five years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	200007
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The Department set up Health Education England (HEE) to deliver a better health and healthcare workforce for England. HEE is responsible for ensuring a secure workforce supply for the future balancing need against demand, taking into account factors such as the age profile of the existing workforce, the impact of technology, and new drugs.</p><p> </p><p>The Department has recognised the need to increase the general practitioner (GP) workforce and between September 2010 and September 2013, the number of full time equivalent GPs has risen by 1,051. Additionally, the Department has included in the HEE mandate a requirement that “HEE will ensure that 50% of trainees completing foundation level training enter GP training programmes by 2016”.</p><p> </p><p>Further work is being undertaken by HEE to improve applications and fill rate in to GP training to support the mandate target of 3,250 appointments into GP training by 2016 in England. This includes a review of the GP recruitment process, developing a pre-GP year to give exposure to prospective GP applicants of the specialty and careers advice for foundation doctors and medical students.</p><p> </p><p>In recognition of the contribution the GP workforce makes in the NHS, HEE will also undertake additional work on GP recruitment and retention, return to practice and reducing attrition rates, all of which will play a part in increasing the GP workforce.</p><p> </p><p>The following table indicates the number of posts commissioned and filled and the fill rate for GP training in England for the last five years. The numbers of posts have been increased for 2014 to 2,946 to support the government’s mandate requirement for HEE to increase GP training.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Posts Commissioned</p></td><td><p>Posts Filled</p></td><td><p>% Filled</p></td></tr><tr><td><p>2010</p></td><td><p>2,732</p></td><td><p>2,800</p></td><td><p>102.49%</p></td></tr><tr><td><p>2011</p></td><td><p>2,672</p></td><td><p>2,658</p></td><td><p>99.48%</p></td></tr><tr><td><p>2012</p></td><td><p>2,687</p></td><td><p>2,669</p></td><td><p>99.33%</p></td></tr><tr><td><p>2013</p></td><td><p>2,761</p></td><td><p>2,738</p></td><td><p>99.17%</p></td></tr><tr><td><p>2014</p></td><td><p><del class="ministerial">2,946</del> <ins class="ministerial">3,043</ins></p></td><td><p>2,630</p></td><td><p>89.27%</p></td></tr></tbody></table><p> </p><p><em>Source</em>: HEE data</p><p> </p><p>Deferment resulting from factors such as maternity leave can cause a higher than 100% fill rate in some years.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 16:44:34 question first ministerially corrected 14/10/2014 10:52:22 answering member 3932 label Biography information for Dr Dan Poulter previous answer version 1687 answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1503 label Biography information for Mr Jamie Reed

57539

	registered interest
	date	04/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether there exists a standard contract for general practitioners working within the National Health Service; and if so, whether they will place a copy of that contract in the Library of the House.
	tabling member printed	Lord Trefgarne
	uin	HL12
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>NHS England has responsibility for commissioning National Health Service primary medical services.</p><p> </p><p>NHS England has an NHS England Standard General Medical Services contract, which covers around half the GP practices. A copy of the contract is available at:</p><p> </p><p>www.england.nhs.uk/ourwork/commissioning/gp-contract/</p><p> </p><p>NHS England also intend to provide a standard Personal Medical Services contract.</p> answering member printed Earl Howe question first answered 16/06/2014 11:42:02 answering member 2000 label Biography information for Earl Howe
	tabling member	1813 label Biography information for Lord Trefgarne

57555

	registered interest
	date	04/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Leigh's Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government why funding for the selective dorsal rhizotomy procedure was withdrawn by NHS England in the case of Jake Foster who suffers from Leigh's disease.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL28
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised services. As a procedure, Selective dorsal rhizotomy (SDR) falls within this remit.</p><p> </p><p>SDR is not typically considered as a treatment for patients with Leigh's Disease. For this reason, NHS England has not to date considered developing or publishing a policy on the use of SDR for this condition.</p> answering member printed Earl Howe question first answered 16/06/2014 11:37:35 answering member 2000 label Biography information for Earl Howe
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

57556

	registered interest
	date	04/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dyspraxia
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to improve support for children and adults with dyspraxia, a form of developmental co-ordination disorder.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL29
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>It is for local clinical commissioning groups (CCGs) to assess the needs of the local populations they serve. CCGs work with their local providers to gain an understanding of the nature of local provision, and the part it should play in their future commissioning plans.</p><p> </p><p>The Children and Families Act has introduced new arrangements for supporting young people with a special educational need and disability, including dyspraxia, and their families. A single assessment involving professionals and commissioners, and the child's family, will identify the care needs for the child or young person (from ages 0 to 25) to inform an individual Education, Health and Care Plan focusing on outcomes and the integrated services to deliver them.</p><p> </p><p>The Government is committed to ensuring all children and young people should be supported to achieve their best, regardless of their disability or circumstances. The new special educational needs and disability (SEND) Code of Practice due to come into force in September, sets out clear guidance for educational settings on the process for appropriate identifying, assessing and securing further support for children with SEND which can include those with dyspraxia. Through the Code we are ensuring all educational settings have arrangements in place for monitoring the progress of all pupils and responding quickly to their needs.</p><p> </p><p>Chapter 6 of the draft Code of Practice makes specific reference to dyspraxia amongst examples of conditions that educational settings should be aware of when planning SEND provisions.</p> answering member printed Earl Howe question first answered 16/06/2014 11:36:59 answering member 2000 label Biography information for Earl Howe
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

57558

	registered interest
	date	04/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Alzheimer's Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much public money is spent annually on research into Alzheimer's disease; and what is their estimate of the amount spent on such research by commercial and charitable sources.
	tabling member printed	Lord Jenkin of Roding
	uin	HL31
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>Since 2009-10, dementia research funded by Government through the National Institute for Health Research, the Medical Research Council and the Economic and Social Research Council has almost doubled, from £28.2 million to £52.2 million in 2012-13. Over the same period, funding by the charitable sector has increased, from £4.2 million to £6.8 million in the case of Alzheimer's Research UK and from £2 million to £5.3 million in the case of the Alzheimer's Society. Data on annual expenditure on dementia research by commercial sources are not available.</p> answering member printed Earl Howe question first answered 16/06/2014 11:35:35 answering member 2000 label Biography information for Earl Howe
	tabling member	1097 label Biography information for Lord Jenkin of Roding

58318

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Waiting Lists
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the current average waiting time is for elective surgery in (a) St Albans constituency, (b) Hertfordshire, (c) the East of England and (d) England.
	tabling member constituency	St Albans
	tabling member printed	Mrs Anne Main
	uin	199445
	answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The information is shown in the following table.</p><p> </p><p>Average (median) waiting time in weeks from referral to admission to hospital for consultant-led elective treatment, March 2014</p><p> </p><table><tbody><tr><td><p>Area</p></td><td><p>National Health Service organisation</p></td><td><p>Number of weeks</p></td></tr><tr><td><p>St Albans</p></td><td><p>NHS Herts Valley Clinical Commissioning Group (CCG)</p></td><td><p>10.0</p></td></tr><tr><td rowspan="2"><p>Hertfordshire</p></td><td><p>NHS Herts Valley CCG</p></td><td><p>10.0</p></td></tr><tr><td><p>NHS East and North Hertfordshire CCG</p></td><td><p>8.6</p></td></tr><tr><td rowspan="3"><p>East of England</p></td><td><p>East Anglia Area Team</p></td><td><p>8.6</p></td></tr><tr><td><p>Essex Area Team</p></td><td><p>10.2</p></td></tr><tr><td><p>Hertfordshire and the South Midlands Area Team</p></td><td><p>8.3</p></td></tr><tr><td><p>England</p></td><td><p> </p></td><td><p>8.8</p></td></tr></tbody></table><p> </p><p><em>Source:</em></p><p>Consultant-led referral to treatment waiting times, commissioner data for admitted patient pathways, March 2014. Published by NHS England at:</p><p> </p><p>www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2013-14/#Mar14</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 15:31:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	1568 label Biography information for Mrs Anne Main

58319

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Waiting Lists
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many operations have been cancelled because of scheduling error in (a) St Albans, (b) Hertfordshire and (c) England since 2005.
	tabling member constituency	St Albans
	tabling member printed	Mrs Anne Main
	uin	199361
	answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>Information is not available in the format requested. Such information as is available is shown in the following table.</p><p><strong> </strong></p><p>Table: Cancelled elective operations, 2005-06 to 2013-14</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>West Hertfordshire Hospitals NHS Trust</p></td><td><p>East and North Hertfordshire NHS Trust</p></td><td><p> </p><p>England</p></td></tr><tr><td><p>2005-06</p></td><td><p> </p><p>621</p></td><td><p> </p><p>856</p></td><td><p>60,803</p></td></tr><tr><td><p>2006-07</p></td><td><p> </p><p>929</p></td><td><p> </p><p>682</p></td><td><p>52,005</p></td></tr><tr><td><p>2007-08</p></td><td><p> </p><p>1,081</p></td><td><p> </p><p>873</p></td><td><p>57,382</p></td></tr><tr><td><p>2008-09</p></td><td><p> </p><p>527</p></td><td><p> </p><p>965</p></td><td><p>63,644</p></td></tr><tr><td><p>2009-10</p></td><td><p> </p><p>383</p></td><td><p> </p><p>358</p></td><td><p>62,296</p></td></tr><tr><td><p>2010-11</p></td><td><p> </p><p>314</p></td><td><p> </p><p>297</p></td><td><p>58,295</p></td></tr><tr><td><p>2011-12</p></td><td><p> </p><p>367</p></td><td><p> </p><p>220</p></td><td><p>57,087</p></td></tr><tr><td><p>2012-13</p></td><td><p> </p><p>486</p></td><td><p> </p><p>150</p></td><td><p>63,517</p></td></tr><tr><td><p>2013-14</p></td><td><p> </p><p>357</p></td><td><p> </p><p>179</p></td><td><p>64,192</p></td></tr></tbody></table><p><strong> </strong></p><p><em>Notes: </em></p><p>Cancelled elective operations are defined as operations that were cancelled by the hospital for non-clinical reasons on the day the patient was due to arrive in hospital, or after the patient has arrived in hospital, or on the day of the operation or surgery. The data does not distinguish between scheduling errors and other non-clinical reasons for cancellation.</p><p><em> </em></p><p><em>Source:</em></p><p>Cancelled elective operations. Published quarterly by NHS England at www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/</p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 15:35:53 answering member 3918 label Biography information for Jane Ellison
	tabling member	1568 label Biography information for Mrs Anne Main

58322

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sleep Apnoea
	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 introduce clinical guidelines for the diagnosis, treatment and management of obstructive sleep apnoea; and if he will make a statement.
	tabling member constituency	Bolton West
	tabling member printed	Julie Hilling
	uin	199292
	answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199266 199267 199286 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	3925 label Biography information for Julie Hilling

58323

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sleep Apnoea
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department has taken to ensure that commissioning of service provision for obstructive sleep apnoea is appropriate to the predicted prevalence in local areas in England.
	tabling member constituency	Bolton West
	tabling member printed	Julie Hilling
	uin	199266
	answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199267 199286 199292 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	3925 label Biography information for Julie Hilling

58324

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sleep Apnoea
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what body has responsibility for the implementation of recommendations made by his Department's former Obstructive Sleep Apnoea Working Group.
	tabling member constituency	Bolton West
	tabling member printed	Julie Hilling
	uin	199267
	answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199266 199286 199292 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	3925 label Biography information for Julie Hilling