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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

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

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

226708

	registered interest
	date	11/03/2015
	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, how many care homes with (a) a dementia service band and (b) an older people service band there were in (i) England, (ii) the North West and (iii) Lancashire in the latest period for which figures are available.
	tabling member constituency	Pendle
	tabling member printed	Andrew Stephenson
	uin	227230
	answer	answer is ministerial correction date of answer 18/03/2015 answer text <p>The Care Quality Commission (CQC), as the independent regulator of health and adult social care in England, registers and regulates all providers. We are informed by CQC that, as at 1 March 2015, the information requested was as follows:</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p>Area</p></td><td colspan="2"><p>Numbers of care homes registered in service bands</p></td></tr><tr><td><p>Dementia</p></td><td><p>Older people</p></td></tr><tr><td><p>England</p></td><td><p>7,043</p></td><td><p>11,056</p></td></tr><tr><td><p>North West</p></td><td><p>884</p></td><td><p>1,535</p></td></tr><tr><td><p>Lancashire County</p></td><td><p>232</p></td><td><p>434</p></td></tr><tr><td colspan="3"><p><em>Source:</em> CQC database as at 1 March 2015</p></td></tr><tr><td colspan="3"><p><em> </em></p><p><em>Notes:</em></p></td></tr><tr><td colspan="3"><p>1. Service bands are not mutually exclusive. The number of care homes caring for older people may be higher than the number registered under the “Older people” service band. Care homes may be registered under a service band such as &quot;Dementia&quot; and not under &quot;Older people&quot;, even though it is highly likely that they will care for people aged over 65.</p></td></tr><tr><td colspan="3"><p>2. Data for the North West comprises the counties of Cheshire, Cumbria, Greater Manchester, Merseyside and Lancashire.</p></td></tr><tr><td colspan="3"><p>3. Data for Lancashire County comprises:</p><p> </p><p>- Lancashire (which includes districts of West Lancashire, Chorley, South Ribble, Fylde, Preston, Wyre, Lancaster, Ribble Valley, Pendle, Burnley, Rossendale, Hyndburn)</p><p>- Blackburn with Darwen (unitary authority)</p><p>- Blackpool (unitary authority)</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 18/03/2015 17:13:35 answering member 1439 label Biography information for Norman Lamb
	tabling member	4044 label Biography information for Andrew Stephenson

178554

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Quality Commission
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of Care Quality Commission inspection reports have been published within the 50-day target period in the last 12 months.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	223752
	answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. The CQC is responsible for developing and consulting on its methodology for assessing whether providers are meeting the levels of safety and quality, including the decisions of when to publish an inspection report.</p><p> </p><p> </p><p> </p><p>The CQC has provided the following information.</p><p> </p><p> </p><p> </p><p>The CQC has published 20% of inspection reports within the 50 days for the period 1 February 2014 to 31 January 2015. The CQC has provided the following further information about its performance in hospital, adult social care and primary medical service settings.</p><p> </p><p> </p><p> </p><p>In CQC’s Business Plan for 2014/15 to 2015/16 it listed its operations key performance indicators which included an aim to publish final reports of inspections undertaken with CQC’s new approach within 50 days. Since the Business Plan published in May 2014, there have been differences in the time taken to publish inspection reports across the sectors (detailed below).</p><p> </p><p> </p><p> </p><p>The reasons for these variations are due in part to processes being refined. The Hospitals directorate in CQC now works to a deadline of 65 working days after finding 50 days did not allow sufficient time for the post-inspection process.</p><p> </p><p> </p><p> </p><p>The new approach to inspection reports are also more detailed and in-depth and require more time to prepare, especially for the more complex inspections that CQC now undertakes. A timeline of 11 – 12 weeks from conclusion of the physical inspection to publication of the final report balances speed with accuracy to produce a comprehensive report.</p><p> </p><p> </p><p> </p><p>Hospitals data summary - Hospitals data includes community and mental health services</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Total number of new approach inspection reports published by CQC from the period 1 February 2014 to 31 January 2015</p></td><td><p>64</p></td></tr><tr><td><p>Total number of new approach inspection reports published within 50 days</p></td><td><p>12</p></td></tr><tr><td><p>Total number of new approach inspection reports published within 50 days as a percentage</p></td><td><p>18.75%</p></td></tr><tr><td><p>Total number of new approach inspection reports published within 65 days</p></td><td><p>42</p></td></tr><tr><td><p>Total number of new approach inspection reports published within 65 days as a percentage</p></td><td><p>65.63%</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Adult Social Care<sup>1</sup> data summary</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td colspan="2"><p>New approach inspection reports published by CQC from the period 1 February 2014 to 31 January 2015</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Completed within 50 days</p></td><td><p>Total</p></td></tr><tr><td><p>Number of inspection reports</p></td><td><p>205</p></td><td><p>902</p></td></tr><tr><td><p>Percentage of inspection reports</p></td><td><p>22.7%</p></td><td><p>100.0%</p></td></tr></tbody></table><p> </p><p><sup> </sup></p><p> </p><p><sup>1 </sup>The data presented is limited to reports where there is a publication date and last site visit date recorded.</p><p> </p><p> </p><p> </p><p>Primary Medical Services<sup>2</sup> data summary</p><p> </p><p> </p><p> </p><table><tbody><tr><td rowspan="2"><p> </p></td><td colspan="2" rowspan="2"><p>New approach inspection reports published by CQC from the period 1 February 2014 to 31 January 2015</p></td><td> </td></tr><tr><td> </td></tr><tr><td><p> </p></td><td><p>Completed within 50 days</p></td><td><p>Total</p></td><td><p> </p></td></tr><tr><td><p>Number of inspection reports</p></td><td><p>48</p></td><td><p>373</p></td><td><p> </p></td></tr><tr><td><p>Percentage of inspection reports</p></td><td><p>12.9%</p></td><td><p>100.0%</p></td><td><p> </p></td></tr></tbody></table><p> </p><p><sup> </sup></p><p> </p><p><sup>2 </sup>The data presented is limited to reports where there is a publication date and last site visit date recorded.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 24/02/2015 14:29:49 answering member 1439 label Biography information for Norman Lamb
	tabling member	1503 label Biography information for Mr Jamie Reed