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168659

	registered interest
	date	08/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what monies have been set aside to fund litigation proceedings launched by independent practitioners in response to the recently acknowledged failings of the Care Quality Commission's Intelligent Monitoring methodology.
	tabling member constituency	Sheffield, Brightside and Hillsborough
	tabling member printed	Mr David Blunkett
	uin	217678
	answer	answer is ministerial correction date of answer 11/12/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. As the CQC is responsible for developing its own methodology for assessing whether providers are meeting the registration requirements, the CQC would be responsible for any legal proceedings that arose in relation to that methodology.</p><p> </p><p> </p><p> </p><p>The CQC has advised that it will deal with any legal proceedings that may be brought against it. It has made no specific arrangements, as each case must be reviewed on its merits.</p><p> </p><p><strong> </strong></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 11/12/2014 16:10:12 answering member 1439 label Biography information for Norman Lamb
	tabling member	395 label Biography information for Lord Blunkett

173108

	registered interest
	date	12/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients with long-term medical conditions in (a) England, (b) Greater Manchester, (c) Tameside and Glossop and (d) Stockport visited A&E before they were able to visit a GP or walk-in centre in the last three months.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	220381
	answer	answer is ministerial correction date of answer 19/01/2015 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 19/01/2015 15:25:38 answering member 1439 label Biography information for Norman Lamb
	tabling member	1506 label Biography information for Andrew Gwynne

173270

	registered interest
	date	07/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients waited longer than four hours in A&E departments in 2014.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	906972
	answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>Of almost 22.4 million attendances at all accident and emergency departments in England in 2014, 94.5% of patients were seen within the four hour standard. Of these, just over 1.2 million patients spent over four hours in accident and emergency from arrival to admission, transfer or discharge.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 13/01/2015 15:12:17 answering member 1439 label Biography information for Norman Lamb
	tabling member	4012 label Biography information for Graeme Morrice

173272

	registered interest
	date	07/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	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 effect of social care budget changes on A&E attendances.
	tabling member constituency	Glasgow North West
	tabling member printed	John Robertson
	uin	906970
	answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>There has been no assessment made of the effect of social care budget changes on accident and emergency (A&amp;E) attendances. However, the Government has legislated to establish the Better Care Fund from 2015-16 to provide better integrated care. One of the conditions of the Better Care Fund is to improve the delivery of health and social care by preventing people reaching crisis point, and to reduce the quantity of non-elective admissions to acute care, which may serve to ease the pressures on A&amp;E departments.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 13/01/2015 15:13:07 answering member 1439 label Biography information for Norman Lamb
	tabling member	605 label Biography information for John Robertson

170724

	registered interest
	date	16/12/2014
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges and the Alzheimer's Society about DNA and memory loss and the prospects for reducing the incidence of Alzheimer's.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	218885
	answer	answer is ministerial correction date of answer 07/01/2015 answer text <p>Improving the treatment and care of people with dementia, reducing the incidence of dementia including Alzheimer’s disease and improving dementia research, is a key priority for the Government.</p><p> </p><p> </p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health has and continues to have discussions with a range of stakeholders on these key issues including Royal Colleges such as the Royal College for General Practitioners and the Alzheimer’s Society.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/01/2015 17:13:06 answering member 1439 label Biography information for Norman Lamb
	tabling member	4131 label Biography information for Jim Shannon

179310

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anaemia
	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 10 Febraury 2015 to Question 223094, what assessment he has made of the implications for his policies of the findings by the Pernicious Anaemia Society members' survey, published in the British Journal of Nursing in April 2014, that over 60 per cent of people with pernicious anaemia are unhappy with their treatment and that many such people self-medicate to reduce their pain; and if he will consider the potential merits of revising the relevant guidelines to recommend more regular treatment.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	224293
	answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>The treatment of pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, is well established and reported in the British Committee for Standards in Haematology (BCSH) document, <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders</em>, which was updated in May 2014. The BCSH operates independently of the Department and NHS England.</p><p> </p><p> </p><p> </p><p>Current clinical practice within the United Kingdom is to treat pernicious anaemia with Vitamin B12 intramuscular injections. The BCSH produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. The guidelines can be found via the BCSH website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.bcshguidelines.com/" target="_blank">www.bcshguidelines.com</a></p><p> </p><p> </p><p> </p><p>Any patient with pernicious anaemia who has concerns about their treatment should discuss this matter with their general practitioner.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/02/2015 13:57:27 answering member 1439 label Biography information for Norman Lamb
	tabling member	1604 label Biography information for Mr Virendra Sharma

177512

	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	Anaemia: Vitamin B12
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, on what evidence the standard time between prescribed injections of replacement vitamin B12 for pernicious anaemia sufferers was determined; and if he will review the guidance on that time.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	223094
	answer	answer is ministerial correction date of answer 10/02/2015 answer text <p>The treatment of pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, is well established and reported in the British Committee for Standards in Haematology (BCSH) document, <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders</em>, which was updated in May 2014.</p><p> </p><p> </p><p> </p><p>Current clinical practice within the United Kingdom is to treat pernicious anaemia with Vitamin B12 intramuscular injections. The guideline states that standard maintenance therapy for patients presenting without neurological symptoms is 1,000 microgrammes every three months. Those with initial neurological symptoms should receive 1,000 microgrammes every two months. The guideline can be found via the BCSH website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.bcshguidelines.com/" target="_blank">www.bcshguidelines.com</a></p><p> </p><p> </p><p> </p><p>However, the frequency with which vitamin B12 injections are provided to patients with pernicious anaemia is matter for individual clinicians, taking into account the relevant clinical guidance, the prescribed dose and the patient’s response to the treatment.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/02/2015 12:16:40 answering member 1439 label Biography information for Norman Lamb
	tabling member	1604 label Biography information for Mr Virendra Sharma

176478

	registered interest
	date	28/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Arthritis
	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 level of uptake of care plans amongst people with arthritis; and what steps his Department plans to take to widen access to care planning.
	tabling member constituency	Eastleigh
	tabling member printed	Mr Michael Thornton
	uin	222472
	answer	answer is ministerial correction date of answer 04/02/2015 answer text <p>On 8 January 2015, NHS England published the results from the latest GP Patient Survey. The survey provides information on over 880,000 patients’ overall experience of primary care services and their overall experience of accessing these services<em>.</em> The survey contains the questions, <em>Do you have a written care plan?</em>, and the following table provides the results from patients who identified themselves as having either <em>arthritis or a long term joint problem</em> or <em>a long term back problem </em>.</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p> </p></td><td colspan="3"><p>Do you have a written care plan?</p></td></tr><tr><td><p>Yes</p></td><td><p>No</p></td><td><p>Don’t Know</p></td></tr><tr><td><p>Of patients who have arthritis or a long-term joint problem</p></td><td><p>5.6%</p></td><td><p>90.8%</p></td><td><p>3.6%</p></td></tr><tr><td><p>Of patients who have a long-term back problem</p></td><td><p>4.5%</p></td><td><p>91.2%</p></td><td><p>4.3%</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>More information about the GP Survey can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/statistics/2015/01/08/gp-patient-survey-2014/" target="_blank">www.england.nhs.uk/statistics/2015/01/08/gp-patient-survey-2014/</a></p><p> </p><p> </p><p> </p><p>The Government’s Mandate to NHS England makes clear that all patients with a long-term condition should be offered a personalised care plan. NHS England is developing resources to support practitioners and commissioners to introduce effective personalised care planning in their local areas, including the recently launched handbooks on personalised care and support planning, which can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/ltc-care/" target="_blank">www.england.nhs.uk/resources/resources-for-ccgs/out-frwrk/dom-2/ltc-care/</a></p><p> </p><p> </p><p> </p><p>NHS England is also working with GP practices to identify the 2% of their patient population most at risk of hospital admissions so care plans can be developed for them as the top priority.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 222471 question first answered 04/02/2015 17:34:21 answering member 1439 label Biography information for Norman Lamb
	tabling member	4273 label Biography information for Mr Mike Thornton

174389

	registered interest
	date	19/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Attention Deficit Hyperactivity Disorder: Children
	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 comparative recovery rates of children who have attention deficit hyperactivity disorder and have received (a) drug interventions, (b) psychological treatment and (c) no treatment.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	221201
	answer	answer is ministerial correction date of answer 26/01/2015 answer text <p>Comparative recovery rates for the different interventions for attention deficit hyperactivity disorder are not collected nationally. Recovery data will be included in the children and adolescent mental health services Minimum Data Set which is due to flow to the Health and Social Care Information Centre from January 2016.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence (NICE) has previously reviewed the results of therapies in detail (Clinical Practice Guideline No. 72), with the conclusion that both drug interventions and psychological interventions carry benefit over no treatment, and should be used according to individual need. There has been recent research on the value of the two approaches; and NICE is at present reviewing the research and how to update its recommendations.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/01/2015 16:46:51 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

169769

	registered interest
	date	11/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many local authorities have an autism strategy.
	tabling member constituency	Plymouth, Sutton and Devonport
	tabling member printed	Oliver Colvile
	uin	218270
	answer	answer is ministerial correction date of answer 17/12/2014 answer text <p>This information is not recorded centrally. Local joint commissioning plans for services for adults with autism should be developed and updated based on effective joint strategic needs assessment. The second national Public Health England self-assessment exercise reported on progress being made by the end of September 2013 across all 152 local authority areas in England.</p><p> </p><p><br> Details can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.ihal.org.uk/projects/autism2013" target="_blank">www.ihal.org.uk/projects/autism2013</a></p><p> </p><p> </p><p> </p><p>The exercise is a key means of identifying progress in implementing the strategy as a whole and for demonstrating local accountability. The most recent exercise started on 12 December 2014 for completion by 9 March 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/12/2014 17:42:56 answering member 1439 label Biography information for Norman Lamb
	tabling member	4022 label Biography information for Oliver Colvile

170417

	registered interest
	date	15/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to his Department's report, Think Autism, published in April 2014, what discussions his Department has had with other departments on feedback on the type of apprenticeships offered to people with autism.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	218815
	answer	answer is ministerial correction date of answer 06/01/2015 answer text <p>Information on sharing population data across local agencies for the purpose of planning autism services across local authorities and the National Health Service was set out in Think Autism, the April 2014 update to the 2010 Adult Autism Strategy, and is in the draft statutory guidance to implement it. The statutory guidance was out for consultation from 7 November until 19 December. The Department also funded the National Autistic Society to look at data issues and wider discussions are planned. Officials have also discussed the issue of apprenticeships for people with autism with the Departments for Work and Pensions and Business, Innovation &amp; Skills and these discussions will continue. A number of the recently announced Autism Innovation Fund projects focus on employment and apprenticeships and their outcomes will also help work in this area. A summary of progress achieved across all actions in Think Autism will be published in August 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 218814 question first answered 06/01/2015 13:39:25 answering member 1439 label Biography information for Norman Lamb
	tabling member	1604 label Biography information for Mr Virendra Sharma

170436

	registered interest
	date	15/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance his Department provides on sharing population data across local agencies for the purposes of planning autism services to (a) local authorities, (b) clinical commissioning groups, (c) NHS trusts, (d) NHS foundation trusts and (e) health and wellbeing boards.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	218814
	answer	answer is ministerial correction date of answer 06/01/2015 answer text <p>Information on sharing population data across local agencies for the purpose of planning autism services across local authorities and the National Health Service was set out in Think Autism, the April 2014 update to the 2010 Adult Autism Strategy, and is in the draft statutory guidance to implement it. The statutory guidance was out for consultation from 7 November until 19 December. The Department also funded the National Autistic Society to look at data issues and wider discussions are planned. Officials have also discussed the issue of apprenticeships for people with autism with the Departments for Work and Pensions and Business, Innovation &amp; Skills and these discussions will continue. A number of the recently announced Autism Innovation Fund projects focus on employment and apprenticeships and their outcomes will also help work in this area. A summary of progress achieved across all actions in Think Autism will be published in August 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 218815 question first answered 06/01/2015 13:39:25 answering member 1439 label Biography information for Norman Lamb
	tabling member	1604 label Biography information for Mr Virendra Sharma

170713

	registered interest
	date	16/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions his Department has had with organisations representing health and care workers on the development of the draft statutory guidance implementing the adult autism strategy.
	tabling member constituency	Penistone and Stocksbridge
	tabling member printed	Angela Smith
	uin	218956
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p>A number of events around the draft guidance for implementing the Adult Autism Strategy have taken place during the consultation period which began on 7 November and closed on 19 December 2014. These events included representatives of National Health Service provider and commissioning organisations.</p><p> </p><p> </p><p> </p><p>In addition, the consultation was widely promoted to health and social care organisations, by third sector partners and through social media networks to reach a wide range of people and groups, including adults with autism, families and carers, and health and social care organisations that plan, commission and provide services for people with autism and their families.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/01/2015 17:15:01 answering member 1439 label Biography information for Norman Lamb
	tabling member	1564 label Biography information for Angela Smith

171157

	registered interest
	date	17/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department plans to take to encourage NHS foundation trusts to follow the statutory guidance implementing the adult autism strategy.
	tabling member constituency	Penistone and Stocksbridge
	tabling member printed	Angela Smith
	uin	219270
	answer	answer is ministerial correction date of answer 05/01/2015 answer text <p>The guidance for implementing the adult autism strategy for the NHS and local authorities is statutory. Therefore, NHS foundation trusts are expected to follow the guidance and the Department will be working with NHS England and other stakeholders to ensure it is widely disseminated and followed in the NHS.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 05/01/2015 16:29:39 answering member 1439 label Biography information for Norman Lamb
	tabling member	1564 label Biography information for Angela Smith

177874

	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	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when his Department plans to publish the final Autism Act 2009 Statutory Guidance.
	tabling member constituency	Chesham and Amersham
	tabling member printed	Mrs Cheryl Gillan
	uin	223405
	answer	answer is ministerial correction date of answer 09/02/2015 answer text <p>The revised Autism statutory guidance will be published shortly.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/02/2015 17:32:59 answering member 1439 label Biography information for Norman Lamb
	tabling member	18 label Biography information for Dame Cheryl Gillan

222593

	registered interest
	date	20/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to provide additional support for girls with autism.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	224806
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>National Institute for Health and Care Excellence (NICE) guidance on autism recommends a multi-disciplinary diagnostic pathway, involving different professionals according to the child’s presentation, and it highlights that girls are an at-risk group for under-diagnosis.</p><p> </p><p> </p><p> </p><p>Responsibility sits with clinical commissioning groups to ensure that diagnostic services are commissioned in their area in accordance with the NICE guidance.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/02/2015 15:04:03 answering member 1439 label Biography information for Norman Lamb
	tabling member	1533 label Biography information for Dame Diana Johnson

222595

	registered interest
	date	20/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to ensure that sufficient numbers of clinicians capable of diagnosing and treating autism are being trained in (a) Hull and (b) England.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	224803
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>It is the responsibility of local employers to ensure that they have the right numbers of staff, with the right skills available to provide a high quality service to their patients. Locally there should be specialist training for those in roles that have a direct impact on and make decisions about people with autism.</p><p> </p><p> </p><p> </p><p>This will be re-enforced in new statutory guidance on autism for local authorities and the National Health Service which is to be issued shortly. In addition clinical staff such as psychiatrists and clinical psychologists should be undertaking their own clinical professional development. In support of this Health Education England will provide support in raising awareness of autism. In Hull, the clinical commissioning group is working with local providers, particularly Humber NHS Foundation Trust, to recruit additional staff for its Autism Diagnosis Team.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/02/2015 14:40:50 answering member 1439 label Biography information for Norman Lamb
	tabling member	1533 label Biography information for Dame Diana Johnson

222597

	registered interest
	date	20/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Children and Young People's Mental Health and Wellbeing Taskforce will examine local commissioning of autism services.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	224805
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>The Children and Young People's Mental Health and Wellbeing Taskforce has nearly completed its work - a Government report of the Taskforce’s work including key findings and proposals will be published in the spring.</p><p> </p><p> </p><p> </p><p>The remit of the Children and Young People's Mental Health and Wellbeing Taskforce is set out in its published Terms of Reference, available at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/groups/children-and-young-peoples-mental-health-and-well-being-taskforce#terms-of-reference" target="_blank">https://www.gov.uk/government/groups/children-and-young-peoples-mental-health-and-well-being-taskforce#terms-of-reference</a></p><p> </p><p> </p><p> </p><p>The Government established the Children and Young People’s Mental Health and Wellbeing Taskforce to look at how to improve access to mental health services that are more responsive to children and young people’s needs, though was not intended to address specific health conditions. However, the Taskforce did have a particular focus on the needs of the most vulnerable children, including those with learning disabilities and those with autistic spectrum disorder.</p><p> </p><p> </p><p> </p><p>The Children and Young People's Mental Health and Wellbeing Taskforce also addressed what changes were needed in commissioning services for children and young people with mental health conditions though were not asked to address this in relation to specific health conditions.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 224804 question first answered 25/02/2015 14:35:51 answering member 1439 label Biography information for Norman Lamb
	tabling member	1533 label Biography information for Dame Diana Johnson

222596

	registered interest
	date	20/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the Children and Young People's Mental Health and Wellbeing Taskforce will examine the specific issue of challenges accessing a diagnostic assessment for children with suspected autism.
	tabling member constituency	Kingston upon Hull North
	tabling member printed	Diana Johnson
	uin	224804
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>The Children and Young People's Mental Health and Wellbeing Taskforce has nearly completed its work - a Government report of the Taskforce’s work including key findings and proposals will be published in the spring.</p><p> </p><p> </p><p> </p><p>The remit of the Children and Young People's Mental Health and Wellbeing Taskforce is set out in its published Terms of Reference, available at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/groups/children-and-young-peoples-mental-health-and-well-being-taskforce#terms-of-reference" target="_blank">https://www.gov.uk/government/groups/children-and-young-peoples-mental-health-and-well-being-taskforce#terms-of-reference</a></p><p> </p><p> </p><p> </p><p>The Government established the Children and Young People’s Mental Health and Wellbeing Taskforce to look at how to improve access to mental health services that are more responsive to children and young people’s needs, though was not intended to address specific health conditions. However, the Taskforce did have a particular focus on the needs of the most vulnerable children, including those with learning disabilities and those with autistic spectrum disorder.</p><p> </p><p> </p><p> </p><p>The Children and Young People's Mental Health and Wellbeing Taskforce also addressed what changes were needed in commissioning services for children and young people with mental health conditions though were not asked to address this in relation to specific health conditions.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 224805 question first answered 25/02/2015 14:35:51 answering member 1439 label Biography information for Norman Lamb
	tabling member	1533 label Biography information for Dame Diana Johnson

223013

	registered interest
	date	23/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Autism: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what (a) measures and (b) guidelines NHS England has in place to ensure quality care for children with autism in the hospital system; and when those measures and guidelines were last updated.
	tabling member constituency	Barnsley East
	tabling member printed	Michael Dugher
	uin	224852
	answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>The Care Quality Commission’s inspection of hospitals will include assessment of whether or not children’s needs are being assessed and care and treatment delivered in line with legislation, standards and evidence-based guidance. The inspection framework for National Health Service acute hospitals for services for children and young people was last updated in October 2014. Hospital trusts are able to measure effectiveness through, for example, the Friends and Family test, the NHS National Children's Inpatient and Day Case Survey and other means of engaging with children and their families.</p><p> </p><p> </p><p> </p><p>The guidance which the NHS should follow in ensuring the quality of care provided for children with autism in hospital is issued by the National Institute for Health and Care Excellence, chiefly the quality standard [QS51] on Autism, published in January 2014 and guidelines, autism: the management and support of children and young people on the autism spectrum (August 2013), which is available at <a href="https://www.nice.org.uk/guidance/cg170" target="_blank">https://www.nice.org.uk/guidance/cg170</a></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/03/2015 17:41:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	3916 label Biography information for Michael Dugher

228169

	registered interest
	date	18/03/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Barts Health NHS Trust
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans Barts and the London NHS Trust has for neuromuscular care co-ordinator support to meet the neurosciences: specialised neurology (adult) service specification.
	tabling member constituency	West Ham
	tabling member printed	Lyn Brown
	uin	228126
	answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>NHS England has advised that the provision of a neuromuscular care co-ordinator within the multidisciplinary team was a key requirement of the specialised commissioning, service specification compliance exercise.</p><p> </p><p> </p><p> </p><p>At the time of the initial assessment in 2013, the service at Barts Health NHS Trust was rated compliant in this area, which included the provision of a neuromuscular care co-ordinator.</p><p> </p><p> </p><p> </p><p>The NHS Trust Development Authority has advised that Barts Health NHS Trust has agreed to prepare a business case to explore the possibility of creating a trust funded neuromuscular care coordinator post and will explore the possibility of obtaining charity funding for this post.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 25/03/2015 16:34:03 answering member 1439 label Biography information for Norman Lamb
	tabling member	1583 label Biography information for Ms Lyn Brown

174428

	registered interest
	date	19/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Behaviour Disorders: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average cost is of treating a child with conduct disorder.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	221157
	answer	answer is ministerial correction date of answer 26/01/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>Children and young people with mental health disorders, such as conduct disorders, are provided with treatment by a wide range of services and organisations and in a variety of settings, including local authorities, schools, children’s services, voluntary organisations as well as Child and Adolescent Mental Health Services. It is not possible to calculate an average cost across all these organisations.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/01/2015 14:43:26 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

174212

	registered interest
	date	16/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Depressive Illnesses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the (a) recovery and (b) mortality rates of cancer patients who (i) suffer and (ii) do not suffer from depression.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	221077
	answer	answer is ministerial correction date of answer 23/01/2015 answer text <p>The Department has made no estimate of the recovery or mortality rates of cancer patients or patients who have had a heart attack, who also experience depression.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence advises that treating depression in people with a chronic physical health problem has the potential to increase their quality of life and life expectancy. Depression often has a remitting and relapsing course, and symptoms may persist between episodes. Where possible, the key goal of an intervention for depression should be complete relief of symptoms (recovery) – this is associated with better functioning and a lower likelihood of relapse than lesser degrees of response, as well as potentially better physical health outcomes.</p><p> </p><p> </p><p> </p><p>Over £400 million is being invested over the spending review period to make a choice of psychological therapies available for those who need them in all parts of England.</p><p> </p><p> </p><p> </p><p>We are also investing in improving provision for children and young people, older people and carers, people from black minority and ethnic groups, people with severe mental illness and people with long-term physical health problems.</p><p> </p><p> </p><p> </p><p>The Department’s 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’, this includes services for people with depression. The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapies programme – providing access to therapies for 15% of those eligible (around 900,000 people), with a recovery rate of 50%.</p><p> </p><p> </p><p> </p><p>NHS England is also currently carrying out a pilot aimed at improving access to psychological therapies for people with long term conditions and/or medically unexplained symptoms including diabetes, chronic obstructive pulmonary disease, stroke and other illnesses/disorders.</p><p> </p><p> </p><p> </p><p>The refreshed Mandate to NHS England for 2015-16 makes clear that by March 2016 we expect NHS England to have made further measurable progress towards achieving true parity of esteem where everyone who needs it has timely access to evidenced based services that are better integrated with physical health services.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 221078 question first answered 23/01/2015 11:48:23 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

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

223630

	registered interest
	date	25/02/2015
	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, pursuant to the Answer of 1 July 2014 to Question 202551, how many residents of care homes had an emergency admission to a hospital in 2013-14.
	tabling member constituency	Leicester West
	tabling member printed	Liz Kendall
	uin	225499
	answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>Information on the number of emergency admissions from care homes to a hospital in 2013-14 is shown in the following table, alongside the total number of emergency admissions.</p><p> </p><p>Number of finished admission episodes for emergency admissions by source of admission in England, 2013-14</p><p> </p><table><tbody><tr><td><p>Source of admission</p></td><td><p>2013-14</p></td></tr><tr><td><p>NHS run care home (from 1 April 2004)</p></td><td><p>3,541</p></td></tr><tr><td><p>Non-NHS (other than local authority) run care home</p></td><td><p>16,037</p></td></tr><tr><td><p>All sources of admission</p></td><td><p>5,415,462</p></td></tr></tbody></table><p> </p><p><em>Source:</em></p><p> </p><p>Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p>1. Includes activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><p>2. A finished admission episode (FAE) is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</p><p> </p><p>3. 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.</p><p> </p><p>4. FAEs recorded as &quot;The usual place of residence, including no fixed abode&quot; may contain a number of episodes where patients may have resided in care homes, subsequently designating it as their usual place of residence. Consequently, these episodes were not recorded as admissions from a care home. The number of times this may have occurred is unknown.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/03/2015 17:45:27 answering member 1439 label Biography information for Norman Lamb
	tabling member	4026 label Biography information for Liz Kendall