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442984

	registered interest
	date	06/01/2016
	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, pursuant to the Answer of 17 December 2015 to Question 20082, what the (a) dates, (b) locations and (c) organisations of the 19 visits and meetings referred to in that Answer were.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	21403
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>Details of the 19 visits to or meetings with mental health trusts undertaken by Simon Stevens and Sir Bruce Keogh since their appointments as Chief Executive and Medical Director respectively are given on the attached table <em>Details of meetings with and visits to mental health trusts undertaken by Simon Stevens and Sir Bruce Keogh since their appointments as Chief Executive and Medical Director respectively of NHS England. </em></p><br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/01/2016 17:00:06 question first ministerially corrected 11/01/2016 20:10:15 answering member 1201 label Biography information for Alistair Burt attachment 1 file name PQ21403 Details of meetings and visits undertaken - schedule.docx title Mental health trust visits & meetings previous answer version 38200 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	4036 label Biography information for Luciana Berger

439404

	registered interest
	date	17/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will ensure that records of the training history of the nurses convicted at Nursing and Midwifery Council hearings are kept on the same basis as such data in such cases by the General Medical Council.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	20584
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom. The NMC is responsible for delivery of its statutory functions including maintaining a register of all nurses and midwives eligible to work in the UK and for pursuing fitness to practise investigations against its registrants in the interests of public protection.</p><p> </p><p>On each of the NMC and General Medical Council (GMC) websites there is a facility to search the professional registers and to check the registration status of a registrant. <del class="ministerial">Where an NMC registrant has been struck-off the register, their record is removed from the register and they would not be found on a register search. However, the NMC does publish information about fitness to practise (FtP) allegations, hearings, outcomes and sanctions elsewhere on its website in accordance with its FtP publication and disclosure policy. Where a GMC registrant is erased from the medical register, their record remains and could be found in a register search with details of the FtP sanction. </del><ins class="ministerial">Both of these regulators maintain public records about individuals who have been struck off or erased from their professional registers and these records are available through their respective websites.</ins></p><p>It is a matter for the regulators themselves to determine how they manage their publication and disclosure policy in relation to fitness to practice, within the legislative frameworks in which they operate.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/01/2016 17:09:48 question first ministerially corrected 02/02/2016 11:46:58 answering member 3988 label Biography information for Ben Gummer previous answer version 38218 answering member constituency Ipswich answering member printed Ben Gummer answering member 3988 label Biography information for Ben Gummer
	tabling member	1506 label Biography information for Andrew Gwynne

448320

	registered interest
	date	27/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Irritable Bowel Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people of each age group and gender were diagnosed with irritable bowel syndrome in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	24429
	answer	answer is ministerial correction date of answer 04/02/2016 answer text <p>Data relating to the total number of people diagnosed with irritable bowel syndrome <ins class="ministerial">(IBS)</ins><del class="ministerial">(IBD)</del> in each of the last five years is not collected.</p><p> </p><p><del class="ministerial">The two main forms of IBD are Crohn’s disease and ulcerative colitis. Ulcerative colitis only affects the large intestine whereas Crohn's disease affects the whole of the digestive system.</del></p><p> </p><p>The National Institute for Health and Care Excellence guidance indicates that <ins class="ministerial">IBS prevalence in the general population is estimated to be between 10% and 20%. Recent trends indicate that there is also a significant prevalence of IBS in older people.</ins> <del class="ministerial">ulcerative colitis has an incidence in the United Kingdom of approximately 10 per 100,000 people annually, and a prevalence of approximately 240 per 100,000. This amounts to around 146,000 people in the UK with a diagnosis of ulcerative colitis. In addition to this, there are currently at least 115,000 people in the UK with Crohn's disease.</del></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/02/2016 16:53:22 question first ministerially corrected 08/02/2016 14:58:49 answering member 3918 label Biography information for Jane Ellison previous answer version 43583 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

442964

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Children: Obesity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the change has been in average levels of individual obesity of children between 2005 and 2010.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	21282
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>Data from the Health Survey for England shows that in 2005 18.6% of children aged 2-15 years were obese and 16.0% in 2010.</p><br /><p>Table 1: Annual obesity prevalence for 2005 to 2010</p><table><tbody><tr><td><p>Year</p></td><td><p>Obesity prevalence children aged 2-15 (%)</p></td></tr><tr><td><p>2005</p></td><td><p>18.6</p></td></tr><tr><td><p>2006</p></td><td><p>16.3</p></td></tr><tr><td><p>2007</p></td><td><p>16.8</p></td></tr><tr><td><p>2008</p></td><td><p>16.0</p></td></tr><tr><td><p>2009</p></td><td><p>15.7</p></td></tr><tr><td><p>2010</p></td><td><p>16.0</p></td></tr></tbody></table><p><em>Source: Health Survey for England </em></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/01/2016 17:00:54 answering member 3918 label Biography information for Jane Ellison
	tabling member	1409 label Biography information for Mr Gregory Campbell

442965

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	School Milk
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many portions of milk have been reimbursed by his Department under the nursery milk scheme in each month of the last 10 years.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	21271
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>The Nursery Milk Scheme allows for the reimbursement of the cost of providing portions of one-third of a pint of milk per day to children under the age of five attending childminders or private and local authority nurseries for at least two hours a day. The Scheme covers England, Scotland and Wales; Northern Ireland has its own arrangements. The Department holds information relating to the number of portions of milk reimbursed in respect of claims from eligible settings in Great Britain since January 2009 and this information is in the following table.</p><p><strong></strong></p><table><tbody><tr><td><p>Date</p></td><td><p>Total Portions (1/3 pints) Claimed</p></td></tr><tr><td><p>January 2009</p></td><td><p>18,123,707</p></td></tr><tr><td><p>February 2009</p></td><td><p>17,637,807</p></td></tr><tr><td><p>March 2009</p></td><td><p>21,558,309</p></td></tr><tr><td><p>April 2009</p></td><td><p>17,371,970</p></td></tr><tr><td><p>May 2009</p></td><td><p>16,221,249</p></td></tr><tr><td><p>June 2009</p></td><td><p>13,432,093</p></td></tr><tr><td><p>July 2009</p></td><td><p>15,464,454</p></td></tr><tr><td><p>August 2009</p></td><td><p>11,467,147</p></td></tr><tr><td><p>September 2009</p></td><td><p>16,389,034</p></td></tr><tr><td><p>October 2009</p></td><td><p>20,382,597</p></td></tr><tr><td><p>November 2009</p></td><td><p>16,079,212</p></td></tr><tr><td><p>December 2009</p></td><td><p>17,391,428</p></td></tr><tr><td><p>January 2010</p></td><td><p>15,680,452</p></td></tr><tr><td><p>February 2010</p></td><td><p>24,496,820</p></td></tr><tr><td><p>March 2010</p></td><td><p>33,011,644</p></td></tr><tr><td><p>April 2010</p></td><td><p>22,567,652</p></td></tr><tr><td><p>May 2010</p></td><td><p>17,782,066</p></td></tr><tr><td><p>June 2010</p></td><td><p>21,798,146</p></td></tr><tr><td><p>July 2010</p></td><td><p>21,923,309</p></td></tr><tr><td><p>August 2010</p></td><td><p>23,117,196</p></td></tr><tr><td><p>September 2010</p></td><td><p>15,810,902</p></td></tr><tr><td><p>October 2010</p></td><td><p>20,081,579</p></td></tr><tr><td><p>November 2010</p></td><td><p>23,160,564</p></td></tr><tr><td><p>December 2010</p></td><td><p>20,662,622</p></td></tr><tr><td><p>January 2011</p></td><td><p>23,048,244</p></td></tr><tr><td><p>February 2011</p></td><td><p>25,351,169</p></td></tr><tr><td><p>March 2011</p></td><td><p>26,415,006</p></td></tr><tr><td><p>April 2011</p></td><td><p>22,494,397</p></td></tr><tr><td><p>May 2011</p></td><td><p>18,211,857</p></td></tr><tr><td><p>June 2011</p></td><td><p>24,807,226</p></td></tr><tr><td><p>July 2011</p></td><td><p>24,435,096</p></td></tr><tr><td><p>August 2011</p></td><td><p>20,694,290</p></td></tr><tr><td><p>September 2011</p></td><td><p>15,889,141</p></td></tr><tr><td><p>October 2011</p></td><td><p>20,655,967</p></td></tr><tr><td><p>November 2011</p></td><td><p>21,672,552</p></td></tr><tr><td><p>December 2011</p></td><td><p>24,047,889</p></td></tr><tr><td><p>January 2012</p></td><td><p>23,045,503</p></td></tr><tr><td><p>February 2012</p></td><td><p>25,555,512</p></td></tr><tr><td><p>March 2012</p></td><td><p>29,047,089</p></td></tr><tr><td><p>April 2012</p></td><td><p>26,723,281</p></td></tr><tr><td><p>May 2012</p></td><td><p>21,223,680</p></td></tr><tr><td><p>June 2012</p></td><td><p>23,990,408</p></td></tr><tr><td><p>July 2012</p></td><td><p>23,634,192</p></td></tr><tr><td><p>August 2012</p></td><td><p>23,634,192</p></td></tr><tr><td><p>September 2012</p></td><td><p>10,813,985</p></td></tr><tr><td><p>October 2012</p></td><td><p>18,973,780</p></td></tr><tr><td><p>November 2012</p></td><td><p>22,527,849</p></td></tr><tr><td><p>December 2012</p></td><td><p>21,635,603</p></td></tr><tr><td><p>January 2013</p></td><td><p>20,907,751</p></td></tr><tr><td><p>February 2013</p></td><td><p>27,996,321</p></td></tr><tr><td><p>March 2013</p></td><td><p>23,764,641</p></td></tr><tr><td><p>April 2013</p></td><td><p>23,390,936</p></td></tr><tr><td><p>May 2013</p></td><td><p>20,100,589</p></td></tr><tr><td><p>June 2013</p></td><td><p>21,982,896</p></td></tr><tr><td><p>July 2013</p></td><td><p>23,393,113</p></td></tr><tr><td><p>August 2013</p></td><td><p>22,317,209</p></td></tr><tr><td><p>September 2013</p></td><td><p>13,218,322</p></td></tr><tr><td><p>October 2013</p></td><td><p>22,600,819</p></td></tr><tr><td><p>November 2013</p></td><td><p>25,334,664</p></td></tr><tr><td><p>December 2013</p></td><td><p>24,340,053</p></td></tr><tr><td><p>January 2014</p></td><td><p>20,978,012</p></td></tr><tr><td><p>February 2014</p></td><td><p>26,176,219</p></td></tr><tr><td><p>March 2014</p></td><td><p>26,673,043</p></td></tr><tr><td><p>April 2014</p></td><td><p>22,229,447</p></td></tr><tr><td><p>May 2014</p></td><td><p>20,175,242</p></td></tr><tr><td><p>June 2014</p></td><td><p>22,182,139</p></td></tr><tr><td><p>July 2014</p></td><td><p>26,207,194</p></td></tr><tr><td><p>August 2014</p></td><td><p>20,259,095</p></td></tr><tr><td><p>September 2014</p></td><td><p>13,121,733</p></td></tr><tr><td><p>October 2014</p></td><td><p>22,573,963</p></td></tr><tr><td><p>November 2014</p></td><td><p>26,413,799</p></td></tr><tr><td><p>December 2014</p></td><td><p>24,221,524</p></td></tr><tr><td><p>January 2015</p></td><td><p>24,901,748</p></td></tr><tr><td><p>February 2015</p></td><td><p>25,079,913</p></td></tr><tr><td><p>March 2015</p></td><td><p>25,432,666</p></td></tr><tr><td><p>April 2015</p></td><td><p>25,831,561</p></td></tr><tr><td><p>May 2015</p></td><td><p>19,519,236</p></td></tr><tr><td><p>June 2015</p></td><td><p>23,815,213</p></td></tr><tr><td><p>July 2015</p></td><td><p>27,758,159</p></td></tr><tr><td><p>August 2015</p></td><td><p>20,262,151</p></td></tr><tr><td><p>September 2015</p></td><td><p>16,068,770</p></td></tr><tr><td><p>October 2015</p></td><td><p>25,258,995</p></td></tr><tr><td><p>November 2015</p></td><td><p>26,127,900</p></td></tr><tr><td><p>December 2015</p></td><td><p>28,076,574</p></td></tr></tbody></table> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/01/2016 17:01:34 answering member 3918 label Biography information for Jane Ellison
	tabling member	1506 label Biography information for Andrew Gwynne

442975

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anaemia: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many children in England were diagnosed as anaemic or iron deficient in each of the last 10 years for which figures are available.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	21373
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>There are no figures available centrally for how many children in England were diagnosed as anaemic or iron deficient in each of the last 10 years.</p><br /><p>However, the National Diet and Nutrition Survey (NDNS) UK report has figures for the proportion of children in the United Kingdom with haemoglobin concentrations below a certain level that indicate anaemia, but are not necessarily diagnosed.</p><br /><p>Lower limits for haemoglobin have been set by the World Health Organization and are endorsed by the Scientific Advisory Committee for Nutrition.</p><br /><p>The figures below for the UK cover years 1, 2, 3 and 4 (combined) of the NDNS Rolling Programme (2008/09 to 2011/12).</p><br /><p>The estimated proportion of children in the UK with a haemoglobin concentration below the lower limits was:</p><br /><table><tbody><tr><td><p>Age Group</p></td><td><p>% below the lower limits</p></td></tr><tr><td><p>1.5 to three years</p></td><td><p>12.9</p></td></tr><tr><td><p>four to ten years (boys)</p></td><td><p>3.1</p></td></tr><tr><td><p>11 to 18 years (boys)</p></td><td><p>1.8</p></td></tr><tr><td><p>four to ten years (girls)</p></td><td><p>5.7</p></td></tr><tr><td><p>11 to 18 years (girls)</p></td><td><p>7.4</p></td></tr></tbody></table> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/01/2016 17:02:19 answering member 3918 label Biography information for Jane Ellison
	tabling member	478 label Biography information for Lord Field of Birkenhead

442987

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answer of 16 December 2015 to Question 19338, how the effect of the Equality Act 2010 on service provision in the NHS is monitored.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	21405
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>The Equality and Human Rights Commission (EHRC), a statutory body established under the Equality Act 2006, is the regulator of the public sector equality duty (PSED). The EHRC works with National Health Service bodies as public authorities to encourage, guide, monitor and regulate activity on the public sector equality duty, including the extent to which NHS service provision is meeting the requirements of the equality duty.</p><p>NHS England hosts the Equality and Diversity Council (EDC) and thereby helps to support organisations to meet the PSED, through initiatives and levers such as the Equality Delivery System (EDS2) and the development of information standards to enable consistent monitoring of access, experience and outcomes from healthcare across protected groups. The EDC has also committed to develop workforce equality standards across the protected groups.</p><p>The Care Quality Commission includes equality in its inspection regime and forthcoming waves of inspection will specifically include EDS2.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/01/2016 17:05:03 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

443002

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Strokes
	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 effectiveness of the national stroke strategy in improving stroke outcomes.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	21167
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>Since the publication ofthe National Stroke Strategy, diagnosis and treatment of stroke has improved in a number of areas:</p><br /><p>- access to immediate brain scanning has improved with 46% of patients being scanned within one hour of hospital arrival and 90% within 12 hours;</p><br /><p>- stroke patients do better when they are treated on a stroke unit. 83% of stroke patients now spend more than 90% of their time in hospitalon a stroke unit;and</p><br /><p>- clot busting drugs give a certain cohort of stroke patients a better chance of regaining their independence. Almost 12% of all stroke patients admitted to hospital receive these drugs – a rate that is higher than most other developed countries.</p><br /><p>Since publication of the strategy, the National Institute for Health and Care Excellence has published technology appraisal and interventional procedures guidance on a number of new technologies to treat or prevent stroke and transient ischaemic attacks. Further information is available at:</p><br /><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack</a></p><br /><p>The strategy has also encouraged the development of specialist care for stroke both in the acute phase and during rehabilitation. This combined with the Stroke Research Network (and subsequently the Clinical Research Network),funded through the National Institute for Health Research, has led to a huge increase in the number of people with stroke taking part in research, particularly randomised controlled trials.</p><br /><p>In terms of improvements in rehabilitation, there has been a significant growth in availability of services such as early supported discharge and community neuro-rehabilitation teams over recent years. For example, recent data shows that 74% of hospitals had access to stroke specific early supported discharge and 72% to specialist community rehabilitation teams.</p><br /><p>Although these figures are encouraging, there is more to do. NHS England recognises this and, in collaboration with the Royal College of Physicians stroke programme and the Strategic Clinic Networks, is working with clinical commissioning groups to support areas where improvement is needed.</p><br /><p>The strategy remains valid and implementation of it continues.There are, therefore, no current plans to renew the national stroke strategy. Action is being taken to ensure the progress made on stroke continues. This includes:</p><br /><p>- ongoing work in virtually all parts of the country to organise acute stroke care to ensure that all stroke patients, regardless of where they live or what time of the day or week they have their stroke, have access to high quality specialist care;</p><br /><p>- publication of the Cardiovascular Disease (CVD) Outcomes Strategy in 2013, which includes many stroke specific strategic ambitions;</p><br /><p>- a CVD expert forum, hosted by NHS England, to coordinate delivery of the work which was initiated in the CVD Outcomes Strategy; and</p><br /><p>- NHS England’s National Clinical Director for Stroke works with the Strategic Clinical Networks, CCGs, voluntary agencies and individual providers to support better commissioning and provision of stroke care.</p><br /><p>More generally, the NHS Five Year Forward Viewrecognises thatquality of care, including stroke care, can be variable and that patients’ needs are changing and new treatment options are emerging. The Five Year Forward View sets out high level objectives to address these issues.</p><br /><p>NHS England uses a wide variety of mechanisms to inform thinking about the clinical priorities for the NHS, including public involvement (such as through the NHS citizen process) and analysis of the clinical challenges and opportunities to deliver improvement which exist. In addition, the recommendations of Parliament and the National Audit Office are key considerations.Final decisions about the priorities for the NHS are determined through the Government’s Mandate to NHS England.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 21168 21169 21226 21288 question first answered 11/01/2016 17:06:25 answering member 3918 label Biography information for Jane Ellison
	tabling member	432 label Biography information for Helen Jones

443003

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Strokes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what contribution the national stroke strategy has made to developing new technologies for use in treating stroke; and if he will make a statement.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	21168
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>Since the publication ofthe National Stroke Strategy, diagnosis and treatment of stroke has improved in a number of areas:</p><br /><p>- access to immediate brain scanning has improved with 46% of patients being scanned within one hour of hospital arrival and 90% within 12 hours;</p><br /><p>- stroke patients do better when they are treated on a stroke unit. 83% of stroke patients now spend more than 90% of their time in hospitalon a stroke unit;and</p><br /><p>- clot busting drugs give a certain cohort of stroke patients a better chance of regaining their independence. Almost 12% of all stroke patients admitted to hospital receive these drugs – a rate that is higher than most other developed countries.</p><br /><p>Since publication of the strategy, the National Institute for Health and Care Excellence has published technology appraisal and interventional procedures guidance on a number of new technologies to treat or prevent stroke and transient ischaemic attacks. Further information is available at:</p><br /><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack</a></p><br /><p>The strategy has also encouraged the development of specialist care for stroke both in the acute phase and during rehabilitation. This combined with the Stroke Research Network (and subsequently the Clinical Research Network),funded through the National Institute for Health Research, has led to a huge increase in the number of people with stroke taking part in research, particularly randomised controlled trials.</p><br /><p>In terms of improvements in rehabilitation, there has been a significant growth in availability of services such as early supported discharge and community neuro-rehabilitation teams over recent years. For example, recent data shows that 74% of hospitals had access to stroke specific early supported discharge and 72% to specialist community rehabilitation teams.</p><br /><p>Although these figures are encouraging, there is more to do. NHS England recognises this and, in collaboration with the Royal College of Physicians stroke programme and the Strategic Clinic Networks, is working with clinical commissioning groups to support areas where improvement is needed.</p><br /><p>The strategy remains valid and implementation of it continues.There are, therefore, no current plans to renew the national stroke strategy. Action is being taken to ensure the progress made on stroke continues. This includes:</p><br /><p>- ongoing work in virtually all parts of the country to organise acute stroke care to ensure that all stroke patients, regardless of where they live or what time of the day or week they have their stroke, have access to high quality specialist care;</p><br /><p>- publication of the Cardiovascular Disease (CVD) Outcomes Strategy in 2013, which includes many stroke specific strategic ambitions;</p><br /><p>- a CVD expert forum, hosted by NHS England, to coordinate delivery of the work which was initiated in the CVD Outcomes Strategy; and</p><br /><p>- NHS England’s National Clinical Director for Stroke works with the Strategic Clinical Networks, CCGs, voluntary agencies and individual providers to support better commissioning and provision of stroke care.</p><br /><p>More generally, the NHS Five Year Forward Viewrecognises thatquality of care, including stroke care, can be variable and that patients’ needs are changing and new treatment options are emerging. The Five Year Forward View sets out high level objectives to address these issues.</p><br /><p>NHS England uses a wide variety of mechanisms to inform thinking about the clinical priorities for the NHS, including public involvement (such as through the NHS citizen process) and analysis of the clinical challenges and opportunities to deliver improvement which exist. In addition, the recommendations of Parliament and the National Audit Office are key considerations.Final decisions about the priorities for the NHS are determined through the Government’s Mandate to NHS England.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 21167 21169 21226 21288 question first answered 11/01/2016 17:06:26 answering member 3918 label Biography information for Jane Ellison
	tabling member	432 label Biography information for Helen Jones

443004

	registered interest
	date	06/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what criteria are used by his Department to determine which health priorities require a national strategy.
	tabling member constituency	Warrington North
	tabling member printed	Helen Jones
	uin	21169
	answer	answer is ministerial correction date of answer 11/01/2016 answer text <p>Since the publication ofthe National Stroke Strategy, diagnosis and treatment of stroke has improved in a number of areas:</p><br /><p>- access to immediate brain scanning has improved with 46% of patients being scanned within one hour of hospital arrival and 90% within 12 hours;</p><br /><p>- stroke patients do better when they are treated on a stroke unit. 83% of stroke patients now spend more than 90% of their time in hospitalon a stroke unit;and</p><br /><p>- clot busting drugs give a certain cohort of stroke patients a better chance of regaining their independence. Almost 12% of all stroke patients admitted to hospital receive these drugs – a rate that is higher than most other developed countries.</p><br /><p>Since publication of the strategy, the National Institute for Health and Care Excellence has published technology appraisal and interventional procedures guidance on a number of new technologies to treat or prevent stroke and transient ischaemic attacks. Further information is available at:</p><br /><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack" target="_blank">www.nice.org.uk/guidance/conditions-and-diseases/cardiovascular-conditions/stroke-and-transient-ischaemic-attack</a></p><br /><p>The strategy has also encouraged the development of specialist care for stroke both in the acute phase and during rehabilitation. This combined with the Stroke Research Network (and subsequently the Clinical Research Network),funded through the National Institute for Health Research, has led to a huge increase in the number of people with stroke taking part in research, particularly randomised controlled trials.</p><br /><p>In terms of improvements in rehabilitation, there has been a significant growth in availability of services such as early supported discharge and community neuro-rehabilitation teams over recent years. For example, recent data shows that 74% of hospitals had access to stroke specific early supported discharge and 72% to specialist community rehabilitation teams.</p><br /><p>Although these figures are encouraging, there is more to do. NHS England recognises this and, in collaboration with the Royal College of Physicians stroke programme and the Strategic Clinic Networks, is working with clinical commissioning groups to support areas where improvement is needed.</p><br /><p>The strategy remains valid and implementation of it continues.There are, therefore, no current plans to renew the national stroke strategy. Action is being taken to ensure the progress made on stroke continues. This includes:</p><br /><p>- ongoing work in virtually all parts of the country to organise acute stroke care to ensure that all stroke patients, regardless of where they live or what time of the day or week they have their stroke, have access to high quality specialist care;</p><br /><p>- publication of the Cardiovascular Disease (CVD) Outcomes Strategy in 2013, which includes many stroke specific strategic ambitions;</p><br /><p>- a CVD expert forum, hosted by NHS England, to coordinate delivery of the work which was initiated in the CVD Outcomes Strategy; and</p><br /><p>- NHS England’s National Clinical Director for Stroke works with the Strategic Clinical Networks, CCGs, voluntary agencies and individual providers to support better commissioning and provision of stroke care.</p><br /><p>More generally, the NHS Five Year Forward Viewrecognises thatquality of care, including stroke care, can be variable and that patients’ needs are changing and new treatment options are emerging. The Five Year Forward View sets out high level objectives to address these issues.</p><br /><p>NHS England uses a wide variety of mechanisms to inform thinking about the clinical priorities for the NHS, including public involvement (such as through the NHS citizen process) and analysis of the clinical challenges and opportunities to deliver improvement which exist. In addition, the recommendations of Parliament and the National Audit Office are key considerations.Final decisions about the priorities for the NHS are determined through the Government’s Mandate to NHS England.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 21167 21168 21226 21288 question first answered 11/01/2016 17:06:26 answering member 3918 label Biography information for Jane Ellison
	tabling member	432 label Biography information for Helen Jones