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105958

registered interest
date	03/11/2014
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: Dental Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of admissions to hospital via accident and emergency departments were related to dental problems in each of the last four years.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	212900
answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>The information requested is shown in the following table.</p><p> </p><p> </p><p> </p><p>A count of (a) finished admission episodes<sup>1</sup> admitted via accident and emergency<sup>2</sup> (A&amp;E) where the consultant's main specialty was dental<sup>3</sup>, (b) all finished admission episodes admitted via A&amp;E and (c) the percentage of all admissions via A&amp;E that were under a consultant with a dental specialty for the years 2009-10 to 2012-13<sup>4</sup>, the last four years of published data.</p><p> </p><p> </p><p> </p><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>(a) Dental FAEs admitted via A&amp;E</p></td><td><p>(b) All FAEs admitted via A&amp;E</p></td><td><p>(c) Percentage of all FAEs admitted via A&amp;E that were Dental</p></td></tr><tr><td><p>2009-10</p></td><td><p>20,317</p></td><td><p>3,968,881</p></td><td><p>0.51%</p></td></tr><tr><td><p>2010-11</p></td><td><p>21,285</p></td><td><p>4,104,995</p></td><td><p>0.52%</p></td></tr><tr><td><p>2011-12</p></td><td><p>22,356</p></td><td><p>4,124,390</p></td><td><p>0.54%</p></td></tr><tr><td><p>2012-13</p></td><td><p>21,265</p></td><td><p>4,235,976</p></td><td><p>0.50%</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><sup>1</sup>Finished admission episodes</p><p> </p><p>A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.</p><p> </p><p><sup>2</sup> Admission via A&amp;E</p><p> </p><p>Admissions where the method of admission is recorded as</p><p> </p><p>21 - Emergency Admission via A&amp;E</p><p> </p><p>28 - Emergency Admission - Other (including A&amp;E of a different provider)</p><p> </p><p><sup>3</sup>Consultant Main Specialty</p><p> </p><p>The specialty under which the consultant responsible for the care of the patient at that time is registered. Care is needed when analysing Hospital Episode Statistics (HES) data by specialty, or by groups of specialties (such as &quot;acute&quot;). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other patient or service information.</p><p> </p><p>Consultant Main Specialty Codes</p><p> </p><p>140 Oral Surgery</p><p> </p><p>141 Restorative Dentistry</p><p> </p><p>142 Paediatric Dentistry (available from 1999-2000)</p><p> </p><p>143 Orthodontics</p><p> </p><p>145 Oral &amp; Maxillo Facial Surgery (available from 2004-05)</p><p> </p><p>146 Endodontics</p><p> </p><p>147 Periodontics</p><p> </p><p>148 Prosthodontics</p><p> </p><p><sup>4</sup>Assessing growth through time</p><p> </p><p>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:37:55 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

105961

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bowel Cancer: Screening
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 results of pilots of flexible sigmoidoscopy screening for bowel cancer; and what plans he has for a nationwide rollout of such screening.
tabling member constituency	Crawley
tabling member printed	Henry Smith
uin	212890
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>A randomised controlled trial funded by Cancer Research UK, the Medical Research Council and National Health Service Research and Development took place in 14 United Kingdom and six Italian centres, and evaluated screening for bowel cancer using a single Bowel Scope Screening (flexible sigmoidoscopy) between 55 and 64 years of age, removing small polyps by Bowel Scope Screening and providing full colonoscopy for &quot;high risk&quot; polyps. The study concluded that Bowel Scope Screening is a safe and practical test and, when offered only once between ages 55 and 64 years, confers a substantial and long lasting benefit. The UK National Screening Committee reviewed the evidence, and in April 2011 concluded that screening for bowel cancer using Bowel Scope Screening meets the United Kingdom National Screening Committee criteria for a screening test. In England its implementation will be managed by National Health Service Cancer Screening Programmes.</p><p> </p><p> </p><p> </p><p>As at 31 March 2014, 36.6% of Bowel Scope Screening centres in England were operational, exceeding the commitment of 30%<sup>1</sup>. As set out in the third annual report of <em>Improving Outcomes: A Strategy for Cancer</em> (December 2013), NHS England will work with Public Health England to help deliver the involvement of screening centres sufficient to meet the 60% commitment by March 2015 and to support preparatory steps in other screening centres to implement by the end of 2016.</p><p> </p><p> </p><p> </p><p>As at the end of October 2014, 20,603 examinations had taken place. 919 people had gone on to have a colonoscopy with 20 cancers being detected. A further 365 people have had an advanced adenoma found and removed.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>[1] <a href="https://www.gov.uk/government/news/latest-bowel-cancer-screening-technique-reaps-benefits" target="_blank">https://www.gov.uk/government/news/latest-bowel-cancer-screening-technique-reaps-benefits</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:54:15 answering member 3918 label Biography information for Jane Ellison
tabling member	3960 label Biography information for Henry Smith

105962

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
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 reduce variation in the price of IVF cycles between clinical commissioning groups.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	212894
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>For National Health Service funded in-vitro fertilisation treatment, it is for clinical commissioning groups to decide with which fertility clinics to contract and agree the price payable with the service provider.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:39:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4079 label Biography information for Julian Sturdy

105966

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Misuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will place in the Library the responses to Public Health England's consultation on drug misuse and dependence.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	212946
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Public Health England (PHE) has convened an expert group, chaired by Professor John Strang, to consider the responses to the consultation on a possible update to the United Kingdom guidelines on the clinical management of drug misuse and dependence.</p><p> </p><p> </p><p> </p><p>PHE is providing secretariat to the group, and we will place consultation responses in the Library after the expert group has had the opportunity to review them in full. The expert group has not yet determined when this will be.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:27:54 answering member 3918 label Biography information for Jane Ellison
tabling member	4141 label Biography information for Eric Ollerenshaw

105971

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many UK health workers have gone to West Africa to help tackle the Ebola virus.
tabling member constituency	South Antrim
tabling member printed	Dr William McCrea
uin	212924
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The Chief Medical Officer wrote to National Health Service medical and nursing directors on 19 September seeking volunteers to help efforts on the ground in West Africa. Currently over 1000 NHS staff and 185 staff from Public Health England have put their names forward through UK MED which runs the <em>UK International Emergency Medical Register </em>(UKIEMR).</p><p> </p><p> </p><p> </p><p>The programme comprises a robust selection process, pre-deployment vaccinations and occupational health and psychological screening, training in the UK with further training and mentoring in Sierra Leone, and advice and support on monitoring health on return. We do not expect everyone on the register to be deployed.</p><p> </p><p> </p><p> </p><p>We do not know how many UK health care workers are currently deployed with non-governmental organisations on the ground in West Africa.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:29:12 answering member 3918 label Biography information for Jane Ellison
tabling member	655 label Biography information for Lord McCrea of Magherafelt and Cookstown

105977

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Strokes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the adequacy of support services for stroke survivors.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	212948
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The Sentinel Stroke National Audit Programme, run by the Royal College of Physicians and funded through the Healthcare Quality Improvement Partnership, aims to improve the quality of stroke care by auditing stroke services against evidence based standards.</p><p> </p><p> </p><p> </p><p>We know that when stroke survivors leave hospital, it is important that the right services are in place to ensure they have the support they need to make the best possible recovery. The audit shows that about 40% of stroke survivors are discharged with plans for on-going rehabilitation from a specialist team and that progress continues to be made in terms of the intensity of therapy provided by all of the disciplines (occupational, physiotherapy and speech and language therapy).</p><p> </p><p> </p><p> </p><p>However, there is still progress to be made and the cardiovascular disease Strategic Clinical Networks continue to work with commissioners and providers to improve stroke rehabilitation services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 16:50:48 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

105985

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of people in defined at risk groups who were eligible for pneumococcal vaccinations were vaccinated against pneumococcal disease in each of the last five year for which figures are available.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	213014
answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>The following tables show the percentage who received the pneumococcal vaccinations (PPV) in that financial year, and the percentage of people 65 years and over who have ever received PPV vaccine.</p><p> </p><p> </p><p> </p><p>Percentage of those aged 65 years+ vaccinated against PPV in each of last five years:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Period vaccinated</p></td><td><p>Percentage of &gt;=65 years received PPV vaccine</p></td><td><p> </p></td><td><p>Period vaccinated</p></td><td><p>Percentage of &gt;=65 years received PPV vaccine</p></td></tr><tr><td><p>From 1 April 2008 to 31 March 2009</p></td><td><p>4.1%</p></td><td><p> </p></td><td><p>Anytime up to 31 March 2009</p></td><td><p>68.2%</p></td></tr><tr><td><p>From 1 April 2009 to 31 March 2010</p></td><td><p>3.9%</p></td><td><p> </p></td><td><p>Anytime up to 31 March 2010</p></td><td><p>69.4%</p></td></tr><tr><td><p>From 1 April 2010 to 31 March 2011</p></td><td><p>3.8%</p></td><td><p> </p></td><td><p>Anytime up to 31 March 2011</p></td><td><p>70.5%</p></td></tr><tr><td><p>From 1 April 2011 to 31 March 2012</p></td><td><p>3.6%</p></td><td><p> </p></td><td><p>Anytime up to 31 March 2012</p></td><td><p>68.3%</p></td></tr><tr><td><p>From 1 April 2012 to 31 March 2013</p></td><td><p>3.9%</p></td><td><p> </p></td><td><p>Anytime up to 31 March 2013</p></td><td><p>69.1%</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>There has only been one survey of pneumococcal vaccine uptake for clinical risk groups under 65 years of age which was undertaken in 2009. The proportion who had received vaccine in the financial year (1 April 2008 to 31 March 2009) was 3.7%. The cumulative vaccine uptake for those in a clinical at risk group aged 2 to 65 years up and until 31 March 2009 (i.e. those who had received pneumococcal vaccine at any time up to that date) was 53.0%.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:31:16 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

105987

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease
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 number of cases of invasive pneumococcal disease which were preventable in each of the last five years.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	213013
answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>Data for England and Wales are analysed six months after the end of the reporting year based on laboratory confirmed reports of invasive pneumococcal disease (IPD) and the results of serotyping.</p><p> </p><p> </p><p> </p><p>The data provided below relates to the total number of IPD cases in England and Wales for all ages up to June 2013 with serotypes that are in the current Pneumococcal Conjugate Vaccine-13 (PCV-13) vaccine recommended in the childhood schedule and which are potentially preventable. PCV-13, which was introduced in 2010, is routinely offered to children aged two, four and 12 months.</p><p> </p><p> </p><p> </p><p>Number of IPD cases for all ages, up to June 2013:</p><p> </p><p> </p><p> </p><table><thead><tr><td><p>Year</p></td><td><p>Number of IPD cases</p></td></tr></thead><tbody><tr><td><p>2008-09</p></td><td><p>3,049</p></td></tr><tr><td><p>2009-10</p></td><td><p>2,759</p></td></tr><tr><td><p>2010-11</p></td><td><p>2,690</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,768</p></td></tr><tr><td><p>2012-13</p></td><td><p>1,448</p></td></tr></tbody></table><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:27:10 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

105988

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the cost to the NHS was of treating invasive pneumococcal disease in each year from 2008 to 2013.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	213011
answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>We are advised that NHS England does not hold estimates of the cost of treating invasive pneumococcal disease covering the years from 2008-2013.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 13:07:52 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

105989

registered interest
date	03/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease
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 his Department's pneumococcal vaccination targets are met.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	213012
answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>Immunisation against pneumococcal disease is offered to children at two, four and 12-13 months of age, and adults aged 65 years or over. It is also recommended to those at increased risk of pneumococcal infection.</p><p> </p><p> </p><p> </p><p>There are no targets set for the pneumococcal programmes. The need to aim for as high an uptake rate as possible is set out in the Section 7A service agreement between the Department and NHS England for each individual vaccination programme. This agreement states that the objectives of the programme concerned is to improve or at least maintain the vaccination coverage from the previous year’s annual uptake results.</p><p> </p><p> </p><p> </p><p>Vaccinating risk groups is now in the general practitioners (GPs) contract and GP practices have systems to ensure eligible patients are invited for vaccine to improve coverage.</p><p> </p><p> </p><p> </p><p>Leaflets and other promotional material explaining the benefits of pneumococcal immunisation are produced by Public Health England (PHE) for the use of GPs and other health professionals. Information about this immunisation is also available on the NHS Choices and PHE websites.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:40:07 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham