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1125835

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Dental Health: Antibiotics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 4 December 2018 (HL11750), how many antibiotic prescriptions were issued by general dental practitioners in England in 2018.
	tabling member printed	Lord Colwyn
	uin	HL15625
	answer	answer is ministerial correction date of answer 22/05/2019 answer text <p>The Dental Prescribing Dashboard developed by the NHS Business Services Authority and Public Health England, includes data for National Health Service local area teams. Latest available data show general dental practitioners issued 2,912,579 prescriptions for all antimicrobials including antibiotics during April 2017 to March 2018. There were 715,545 prescriptions between January and March 2018. The Dental Prescribing Dashboard will be refreshed in summer 2019.</p><p>Analysis is based on items prescribed by NHS dentists, but some patients may attend a general medical practice with a dental infection and receive a prescription from their general practitioner (GP). These prescriptions are not included, as we cannot determine the reason why a GP prescribed antibiotics.</p><p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance (ESPAUR) Report 2018</em> provides information on NHS dental prescribing in dental practices and consultations. The ESPAUR report for 2019 scheduled for publication later this year will publish data for the 2018 calendar year. The ESPAUR 2018 report is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 22/05/2019 14:52:22 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name ESPAUR_2018_report.pdf title ESPAUR_2018_report
	tabling member	3394 label Biography information for Lord Colwyn

1125613

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospitals: Patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of planned transfers under the Transforming Care programme specify that the person will move into another in-patient facility.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	252527
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The data is not available in the precise format requested.</p><p>Based on the latest Assuring Transformation (AT) data for March 2019, we estimate that around 30% of planned transfers under the Transforming Care programme would be to another inpatient facility.</p><p>The most recent AT data indicates that in March 2019, 25 people were transferred to another hospital setting. This was 16% of the total number of people discharged or transferred within the month.</p><p> </p><p>In March 2019, there were 105 delayed discharges recorded in the AT data. The reason for the delayed discharge was recorded as follows:</p><p> </p><table><tbody><tr><td><p>Reason for delayed discharge</p></td><td><p>Number of inpatients</p></td></tr><tr><td><p>Lack of agreed health care funding</p></td><td><p>10</p></td></tr><tr><td><p>Lack of agreed social care funding</p></td><td><p>15</p></td></tr><tr><td><p>Awaiting non-acute National Health Service care</p></td><td><p>5</p></td></tr><tr><td><p>Awaiting residential home</p></td><td><p>30</p></td></tr><tr><td><p>Awaiting nursing home</p></td><td><p>0</p></td></tr><tr><td><p>Awaiting care package in own home</p></td><td><p>10</p></td></tr><tr><td><p>Awaiting community equipment</p></td><td><p>0</p></td></tr><tr><td><p>Patient or family choice</p></td><td><p>10</p></td></tr><tr><td><p>Lack of local health provision</p></td><td><p>10</p></td></tr><tr><td><p>Lack of social care support</p></td><td><p>20</p></td></tr><tr><td><p>Lack of suitable housing provision</p></td><td><p>40</p></td></tr><tr><td><p>Other reason for delay</p></td><td><p>50</p></td></tr></tbody></table><p> </p><p>The reasons do not sum to the total number of delays as multiple reasons may be assigned to an individual patient.</p><p> </p><p>In March 2019, 965 patients have a discharge planned to a community or residential setting.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 252528 252529 252530 question first answered 16/05/2019 11:33:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1125615

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospitals: Patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of people (a) discharged and (b) transferred under the Transforming Care programme were moved directly into another in-patient facility.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	252528
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The data is not available in the precise format requested.</p><p>Based on the latest Assuring Transformation (AT) data for March 2019, we estimate that around 30% of planned transfers under the Transforming Care programme would be to another inpatient facility.</p><p>The most recent AT data indicates that in March 2019, 25 people were transferred to another hospital setting. This was 16% of the total number of people discharged or transferred within the month.</p><p> </p><p>In March 2019, there were 105 delayed discharges recorded in the AT data. The reason for the delayed discharge was recorded as follows:</p><p> </p><table><tbody><tr><td><p>Reason for delayed discharge</p></td><td><p>Number of inpatients</p></td></tr><tr><td><p>Lack of agreed health care funding</p></td><td><p>10</p></td></tr><tr><td><p>Lack of agreed social care funding</p></td><td><p>15</p></td></tr><tr><td><p>Awaiting non-acute National Health Service care</p></td><td><p>5</p></td></tr><tr><td><p>Awaiting residential home</p></td><td><p>30</p></td></tr><tr><td><p>Awaiting nursing home</p></td><td><p>0</p></td></tr><tr><td><p>Awaiting care package in own home</p></td><td><p>10</p></td></tr><tr><td><p>Awaiting community equipment</p></td><td><p>0</p></td></tr><tr><td><p>Patient or family choice</p></td><td><p>10</p></td></tr><tr><td><p>Lack of local health provision</p></td><td><p>10</p></td></tr><tr><td><p>Lack of social care support</p></td><td><p>20</p></td></tr><tr><td><p>Lack of suitable housing provision</p></td><td><p>40</p></td></tr><tr><td><p>Other reason for delay</p></td><td><p>50</p></td></tr></tbody></table><p> </p><p>The reasons do not sum to the total number of delays as multiple reasons may be assigned to an individual patient.</p><p> </p><p>In March 2019, 965 patients have a discharge planned to a community or residential setting.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 252527 252529 252530 question first answered 16/05/2019 11:33:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1125616

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospitals: Patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many discharges under the Transforming Care programme were delayed as a result of no alternative placement being available.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	252529
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The data is not available in the precise format requested.</p><p>Based on the latest Assuring Transformation (AT) data for March 2019, we estimate that around 30% of planned transfers under the Transforming Care programme would be to another inpatient facility.</p><p>The most recent AT data indicates that in March 2019, 25 people were transferred to another hospital setting. This was 16% of the total number of people discharged or transferred within the month.</p><p> </p><p>In March 2019, there were 105 delayed discharges recorded in the AT data. The reason for the delayed discharge was recorded as follows:</p><p> </p><table><tbody><tr><td><p>Reason for delayed discharge</p></td><td><p>Number of inpatients</p></td></tr><tr><td><p>Lack of agreed health care funding</p></td><td><p>10</p></td></tr><tr><td><p>Lack of agreed social care funding</p></td><td><p>15</p></td></tr><tr><td><p>Awaiting non-acute National Health Service care</p></td><td><p>5</p></td></tr><tr><td><p>Awaiting residential home</p></td><td><p>30</p></td></tr><tr><td><p>Awaiting nursing home</p></td><td><p>0</p></td></tr><tr><td><p>Awaiting care package in own home</p></td><td><p>10</p></td></tr><tr><td><p>Awaiting community equipment</p></td><td><p>0</p></td></tr><tr><td><p>Patient or family choice</p></td><td><p>10</p></td></tr><tr><td><p>Lack of local health provision</p></td><td><p>10</p></td></tr><tr><td><p>Lack of social care support</p></td><td><p>20</p></td></tr><tr><td><p>Lack of suitable housing provision</p></td><td><p>40</p></td></tr><tr><td><p>Other reason for delay</p></td><td><p>50</p></td></tr></tbody></table><p> </p><p>The reasons do not sum to the total number of delays as multiple reasons may be assigned to an individual patient.</p><p> </p><p>In March 2019, 965 patients have a discharge planned to a community or residential setting.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 252527 252528 252530 question first answered 16/05/2019 11:33:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1125617

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Hospitals: Patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many patients have a discharge date planned under the Transforming Care programme.
	tabling member constituency	Worsley and Eccles South
	tabling member printed	Barbara Keeley
	uin	252530
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The data is not available in the precise format requested.</p><p>Based on the latest Assuring Transformation (AT) data for March 2019, we estimate that around 30% of planned transfers under the Transforming Care programme would be to another inpatient facility.</p><p>The most recent AT data indicates that in March 2019, 25 people were transferred to another hospital setting. This was 16% of the total number of people discharged or transferred within the month.</p><p> </p><p>In March 2019, there were 105 delayed discharges recorded in the AT data. The reason for the delayed discharge was recorded as follows:</p><p> </p><table><tbody><tr><td><p>Reason for delayed discharge</p></td><td><p>Number of inpatients</p></td></tr><tr><td><p>Lack of agreed health care funding</p></td><td><p>10</p></td></tr><tr><td><p>Lack of agreed social care funding</p></td><td><p>15</p></td></tr><tr><td><p>Awaiting non-acute National Health Service care</p></td><td><p>5</p></td></tr><tr><td><p>Awaiting residential home</p></td><td><p>30</p></td></tr><tr><td><p>Awaiting nursing home</p></td><td><p>0</p></td></tr><tr><td><p>Awaiting care package in own home</p></td><td><p>10</p></td></tr><tr><td><p>Awaiting community equipment</p></td><td><p>0</p></td></tr><tr><td><p>Patient or family choice</p></td><td><p>10</p></td></tr><tr><td><p>Lack of local health provision</p></td><td><p>10</p></td></tr><tr><td><p>Lack of social care support</p></td><td><p>20</p></td></tr><tr><td><p>Lack of suitable housing provision</p></td><td><p>40</p></td></tr><tr><td><p>Other reason for delay</p></td><td><p>50</p></td></tr></tbody></table><p> </p><p>The reasons do not sum to the total number of delays as multiple reasons may be assigned to an individual patient.</p><p> </p><p>In March 2019, 965 patients have a discharge planned to a community or residential setting.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage grouped question UIN 252527 252528 252529 question first answered 16/05/2019 11:33:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1588 label Biography information for Barbara Keeley

1125609

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Heart Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what comparative estimate he has made of the number of emergency ambulance dispatches for coronary heart disease in affected areas in England during the pollution episode in April 2019 and (a) the expected average and (b) the average over the last five years.
	tabling member constituency	Southampton, Test
	tabling member printed	Dr Alan Whitehead
	uin	252463
	answer	answer is ministerial correction date of answer 17/05/2019 answer text <p>According to the Daily Air Quality Index, there were ‘moderate’ to ‘very high’ levels of air pollution in some areas of the UK between 7 and 8 April 2019 and between 15 and 25 April 2019. The figures for emergency ambulance dispatches relating to coronary heart disease in this period are not available in the format requested and a comparative assessment has not been made.</p><p>In January 2019, the Government launched the Clean Air Strategy, which sets out plans for dealing with all sources of air pollution to save lives, protect nature and boost the economy.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 17/05/2019 12:30:27 answering member 4455 label Biography information for Seema Kennedy
	tabling member	62 label Biography information for Dr Alan Whitehead

1125596

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Royal College of Obstetricians and Gynaecologists
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what structures and procedures are in place to (a) monitor and (b) assess the effectiveness of the work of the Royal College of Obstetricians and Gynaecologists.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	252526
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The Royal College of Obstetricians and Gynaecologists (RCOG) is a professional membership association, independent of government, working to improve health care for women both in the United Kingdom and worldwide.</p><p>The College is governed by a Royal Charter, from which are derived the College Regulations. These guide the governance, management and business arrangements of the College.</p><p>The RCOG is a registered charity in England and Wales and is subject to charity law. The Charity Commission is the independent regulator of charities.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 16/05/2019 11:46:05 answering member 1585 label Biography information for Stephen Hammond
	tabling member	3958 label Biography information for Fiona Bruce

1125703

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Homelessness: Death
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the Answer of 11 April 2019 to Question 244122 on Homelessness: Death, what definitions of abuse and neglect are provided to local authorities.
	tabling member constituency	South Shields
	tabling member printed	Mrs Emma Lewell-Buck
	uin	252631
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The Department has published the Care and Support Statutory Guidance, which provides information on what constitutes abuse or neglect. The list is not intended to be exhaustive, rather it provides guidance on the sort of behaviour which could give rise to a safeguarding concern. It includes physical, domestic, sexual, psychological, discriminatory, financial and material abuse. Local authorities should not limit their view of what constitutes abuse and should consider the circumstances of the individual’s case.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/05/2019 12:05:34 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4277 label Biography information for Mrs Emma Lewell-Buck

1125591

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Dementia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to Alzheimer’s UK May 2019 report entitled Fix Dementia Care and that report’s identification of a dementia penalty on people with that condition, what plans he has to ensure that costs associated with dementia are covered by the NHS.
	tabling member constituency	Newcastle-under-Lyme
	tabling member printed	Paul Farrelly
	uin	252497
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>The Government has committed to publishing a Green Paper on adult social care at the earliest opportunity, setting out proposals for reform and will bring forward ideas for including an element of risk pooling in the system, which will help to protect people from the highest costs. We are committed to ensuring everyone has access to the care and support they need, based on a principle of shared responsibility.</p><p>The NHS Long Term Plan, published on 7 January 2019, commits the National Health Service to continuing to improve the care provided to people with dementia and their carers. The National Implementation Framework, to be published imminently, will provide further information on how the Long Term Plan will be implemented. Additional details, based on local health system five year plans, will be brought together in a detailed National Implementation Programme in the autumn.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 16/05/2019 13:31:34 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	1436 label Biography information for Paul Farrelly

1125788

	registered interest
	date	09/05/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Prisoners: Injuries
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he will introduce a pilot to trial screening for traumatic brain injuries on entry into prison.
	tabling member constituency	Leeds East
	tabling member printed	Richard Burgon
	uin	252677
	answer	answer is ministerial correction date of answer 16/05/2019 answer text <p>NHS England has commissioned liaison and diversion services in custody suites and courts aimed at identifying those who are vulnerable. It is anticipated that by 2020-21, that service will cover the whole of England.</p><p>All children and young people within the secure estate are screened for brain injury through the comprehensive health assessment tool.</p><p>The NHS England prison health care national standards service specification requires providers to screen individuals where it is suspected that they may have an acquired brain injury. If an adult prisoner presents with a significant brain injury, a specialist neurological referral is made.</p><p>There are specific diagnostics for those whose presentations suggest a cause for concern. Where individuals so assessed are then sentenced to custody, this information will be passed to the escorts for prison reception.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 16/05/2019 11:47:27 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4493 label Biography information for Richard Burgon