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100854

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Workers: Minimum Wage
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether his Department has made an assessment of or received evidence on the effect on care standards of non-payment of the national minimum wage in the social care sector.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	211866
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The Department has not conducted any recent research on the effect of treatment of staff on standards of care and on the relationship between levels of pay and quality of social care services.</p><p> </p><p> </p><p> </p><p>As part of the development of Caring for our Future white paper in 2011, the Department undertook extensive engagement with both service users and carers who highlighted a range of issues they felt needed addressing to ensure high quality care and support is available. In addressing this, the Department, working with the Sector Skills Council – Skills for Care – and other partners, has implemented a range of policies that has included setting out clear minimum training standards, recruiting more apprentices and supporting the transformation of the social work profession.</p><p> </p><p> </p><p> </p><p>There are a number of factors that determine the quality of care provided in the social care sector, including the way staff are treated. Pay is not the single most significant factor in delivering high quality services.</p><p> </p><p> </p><p> </p><p>The Department is clear however that care providers must abide by the law with regards to payment of the national minimum wage and is taking steps to ensure this happens. The Department is liaising with the Department for Business, Innovation and Skills to name and shame any social care providers who do not comply with the national minimum wage legislation and Her Majesty’s Revenue and Customs is continuing to carry out enforcement action in the social care sector and will investigate all complaints made by care workers that their employer is not paying them the national minimum wage. In addition, it is looking to ensure that the statutory guidance that will accompany the Care Act on commissioning and market shaping explicitly states local authorities should have evidence that contract terms, conditions and fee levels are appropriate to provide the agreed care packages with agreed quality of care.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:37:18 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

177533

	registered interest
	date	03/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Zero Hours Contracts
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will bring forward proposals to amend the statutory guidance for the Care Act 2014 to ensure that local authorities take steps to discourage the use of zero-hours contracts by the care providers they commission.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	223229
	answer	answer is ministerial correction date of answer 10/02/2015 answer text <p>High quality, compassionate care for the most vulnerable in society can only be delivered by a well-trained, motivated and appropriately remunerated workforce. Zero-hours contracts in the care and support sector are often inconsistent with high quality services, risk continuity of support for those who need it, and in some cases may be exploitative.</p><p> </p><p> </p><p> </p><p>However, we know that some care workers and care businesses value the flexibility that zero-hour or part-time contracts provide and, in limited circumstances, they can be appropriate.</p><p> </p><p> </p><p> </p><p>The Government is taking action to improve working conditions for care workers, for example, working with the sector to launch the Recruitment and Retention Strategy. More widely, the new Care Act gives local authorities a core duty to promote their local markets in care and support services, with a particular focus on diversity, sustainability and quality. The Act will require local authorities to consider the impact of their own commissioning decisions on the quality of services individuals receive. Whilst local authorities do not directly employ the vast majority of care workers, they will now need to consider how to encourage an effective workforce able to deliver services to those individuals for whom they arrange care and support.</p><p> </p><p> </p><p> </p><p>The Department has recently published statutory guidance to support the implementation of the Care Act that describes how local authorities must meet these new duties when commissioning, including assuring themselves that providers they contract with provide services through a remunerated workforce capable of delivering high quality care.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/02/2015 12:13:16 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

178521

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Veterans
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in receipt of war disablement pensions access local authority support for non-residential care in (a) England, (b) Wales, (c) Scotland and (d) Northern Ireland.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	223835
	answer	answer is ministerial correction date of answer 12/02/2015 answer text <p>The Department has jurisdiction over England only and does not collect information on the number of war disablement pensioners accessing care.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 223820 223821 223836 question first answered 12/02/2015 15:00:22 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

178542

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Veterans
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in receipt of a war disablement pension access local authority support for residential social care in (a) England, (b) Wales, (c) Scotland and (d) Northern Ireland.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	223836
	answer	answer is ministerial correction date of answer 12/02/2015 answer text <p>The Department has jurisdiction over England only and does not collect information on the number of war disablement pensioners accessing care.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 223820 223821 223835 question first answered 12/02/2015 15:00:22 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

227538

	registered interest
	date	16/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of people in England referred for talking therapies for treatment of depression and anxiety in the second quarter of 2014-15 started their treatment within (a) six and (b) 18 weeks.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	227689
	answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>We do not collect the data in the format requested. The following table shows the number of days from referral to first treatment within the reporting period Quarter 2 2014/15 for Improving Access to Psychological Therapies (IAPT) services in England:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Total with first treatment in Quarter 2, 2014/15</p></td><td><p>Of which waited 28 days or less</p></td><td><p>Of which waited between 29 and 56 days</p></td><td><p>Of which waited between 57 and 90 days</p></td><td><p>Of which waited more than 90 days</p></td></tr><tr><td><p>England</p></td><td><p>191,532</p></td><td><p>122,909</p></td><td><p>35,151</p></td><td><p>14,497</p></td><td><p>18,975</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>We will be publishing national waiting times data for IAPT, reporting by six and 18 weeks for the first time on 21 April 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/03/2015 16:55:10 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

229144

	registered interest
	date	23/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many finished hospital episodes with a primary diagnosis of Parkinson's disease there were in England in each of the last five years.
	tabling member constituency	Wirral South
	tabling member printed	Alison McGovern
	uin	228780
	answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>The following table provides a count of finished consultant episodes (FCEs) where the primary diagnosis was Parkinson's disease, for the years 2009-10 to 2013-14.</p><p> </p><p> </p><p> </p><p>These figures do not represent the number of different patients as the same person may have had more than one episode of care within any given time period.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FCEs</p></td><td> </td></tr><tr><td><p>2009-10</p></td><td><p>10,847</p></td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>11,029</p></td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>10,685</p></td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>11,189</p></td><td> </td></tr><tr><td><p>2013-14</p></td><td><p>11,246</p></td><td> </td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p>2. The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p>3. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Source:</em> Hospital Episodes Statistics (HES) Health and Social Care Information Centre.<br> <br></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 26/03/2015 12:48:19 answering member 1439 label Biography information for Norman Lamb
	tabling member	4083 label Biography information for Alison McGovern

177721

	registered interest
	date	04/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether it is a requirement of (a) the CQC monitoring process and (b) another source for each care home to have a registered manager on site; what information his Department holds on the number of registered managers in England; and whether the training of registered managers is monitored and assessed by the CQC.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	223300
	answer	answer is ministerial correction date of answer 11/02/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. Under the Health and Social Care Act 2008 (the 2008 Act) all providers of regulated activities, including National Health Service and independent providers, have to register with the CQC and meet a set of requirements of safety and quality.</p><p> </p><p> </p><p> </p><p>The 2008 Act, together with the CQC (Registration) Regulations 2009 require that all providers must have in place one or more registered managers for its regulated activities. The regulations set out some exceptions to this (for example if the provider is a health service body, or a lone individual who meets certain criteria) but in practice, the vast majority of registered providers in the social care sector must have a registered manager.</p><p> </p><p> </p><p> </p><p>Registered managers have legal responsibilities in relation to their position. The person appointed as registered manager should be in day-to-day charge of carrying on the regulated activity or activities they apply to be registered for. The regulations do not specify that the registered manager must be on the premises at all times, but in all cases, the registered manager must be able to demonstrate how they will manage the day-to-day running of the regulated activities at each of their locations.</p><p> </p><p> </p><p> </p><p>The CQC has supplied the following information about the registered manager regulations:</p><p> </p><p><strong> </strong></p><p> </p><p>As of 5 February 2015 there are 16,426 locations which provide the regulated activity of accommodation for people who require nursing or personal care. The provider is required to have a registered manager in place for each of these locations. 14,758 locations have a registered manager in place and 1,668 locations do not.</p><p> </p><p> </p><p> </p><p>The CQC inspectors ensure that where a manager is not in place the provider complies with <em>Regulation 14 Care Quality Commission (Registration) Regulations 2009, Notice of absence</em><strong>, </strong>to ensure the safe management of the home while a manager is absence or in the process of being appointed. The expectation is that providers will take timely and strenuous action to appoint a manager who is suitably competent and qualified to apply for and secure registration. If providers fail to do so, in addition to enforcement action which can include the issue of a Fixed Penalty Notice or prosecution CQC will limit the rating when judging the “Well led” question as part of CQC’s new approach to inspection and ratings.</p><p> </p><p> </p><p> </p><p>The requirements state that registered managers must have the necessary qualifications, skills and experience to manage the carrying on of the regulated activity. The CQC assesses against the requirements in Regulation 7(2) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 when it registers providers and managers (by asking about qualification, induction and ongoing training programmes, for example), as well as monitoring continuing compliance with this requirement through inspection. In CQC’s Key Lines of Enquiry, CQC inspectors are prompted to look at how providers are making sure that staffing levels have the right mix of skills, competencies, qualifications, experience and knowledge, to meet people’s individual needs, to determine whether or not a care home provider is delivering safe care.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 11/02/2015 14:52:14 answering member 1439 label Biography information for Norman Lamb
	tabling member	1552 label Biography information for Alison Seabeck

177723

	registered interest
	date	04/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Fractures
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which local commissioning bodies have commissioned a fracture liaison service; and what steps he is taking to encourage such commissioning.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	223302
	answer	answer is ministerial correction date of answer 11/02/2015 answer text <p>The provision of fracture liaison services (FLS) is a matter for local clinical commissioning groups (CCGs) and data on numbers is not collected centrally. NHS England advises that it is aware that provision of good FLS is not uniform across the country and is working with CCGs to support them to develop appropriate local services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 11/02/2015 12:35:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	1552 label Biography information for Alison Seabeck

223294

	registered interest
	date	24/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prosthetics
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) children and (b) adults in the civilian population in England have been fitted with recreational prosthetics in each of the last four years.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	225192
	answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>There is currently no policy on the use of 3D printers.</p><p> </p><p> </p><p> </p><p>Information on the provision of recreational prosthetics is not held centrally.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 225147 question first answered 03/03/2015 11:23:56 answering member 1439 label Biography information for Norman Lamb
	tabling member	1552 label Biography information for Alison Seabeck

223313

	registered interest
	date	24/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prosthetics: 3D Printing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on the use of 3D printing in research, design and production of recreational prosthetics.
	tabling member constituency	Plymouth, Moor View
	tabling member printed	Alison Seabeck
	uin	225147
	answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>There is currently no policy on the use of 3D printers.</p><p> </p><p> </p><p> </p><p>Information on the provision of recreational prosthetics is not held centrally.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 225192 question first answered 03/03/2015 11:23:55 answering member 1439 label Biography information for Norman Lamb
	tabling member	1552 label Biography information for Alison Seabeck