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422650

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of people with (a) urinary incontinence and (b) faecal incontinence in England.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	12564
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.</p><br /><p>The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.</p><br /><p>The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.</p><p>They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.</p><p>Improving continence care provision through integrated services brings many benefits including:</p><br /><p>- a better quality of life and more independence through finding solutions appropriate to individual needs;</p><p>- less reliance on pads and products by using alternative treatments;</p><p>- a reduction in admissions to hospitals and care homes;</p><p>- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and</p><p>- a reduction in costs.</p><br /><p>NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.</p><br /><p>This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.</p><br /><p>In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. <em>Urinary incontinence in women</em> (September 2013), <em>Faecal incontinence in adults</em> (June 2007), <em>Urinary incontinence in neurological disease: assessment and management</em> (August 2012) and <em>Lower urinary tract symptoms in men: management</em> (May 2010).</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 12565 12610 12611 question first answered 28/10/2015 17:38:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4041 label Biography information for Glyn Davies

422651

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
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 improve the quality of care provided for people with incontinence in the UK.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	12565
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.</p><br /><p>The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.</p><br /><p>The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.</p><p>They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.</p><p>Improving continence care provision through integrated services brings many benefits including:</p><br /><p>- a better quality of life and more independence through finding solutions appropriate to individual needs;</p><p>- less reliance on pads and products by using alternative treatments;</p><p>- a reduction in admissions to hospitals and care homes;</p><p>- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and</p><p>- a reduction in costs.</p><br /><p>NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.</p><br /><p>This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.</p><br /><p>In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. <em>Urinary incontinence in women</em> (September 2013), <em>Faecal incontinence in adults</em> (June 2007), <em>Urinary incontinence in neurological disease: assessment and management</em> (August 2012) and <em>Lower urinary tract symptoms in men: management</em> (May 2010).</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 12564 12610 12611 question first answered 28/10/2015 17:38:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4041 label Biography information for Glyn Davies

422652

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how he plans for the Public Health Outcomes Framework to continue to give a comprehensive picture of children's school readiness, when the Early Years Foundation Stage Profile becomes non-compulsory in September 2016; and if he will make a statement.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	12516
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The consultation on updating the Public Health Outcomes Framework was published on 3 September and closed on 2 October. We are considering the responses and intend to publish our proposals early next year.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:38:59 answering member 3918 label Biography information for Jane Ellison
tabling member	4073 label Biography information for Dr Sarah Wollaston

422654

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress he has made in establishing a smaller number of specialist children's heart units, as recommended by the Safe and sustainable review of children's congenital heart services, published by the NHS in February 2011.
tabling member constituency	Newcastle upon Tyne East
tabling member printed	Mr Nicholas Brown
uin	12523
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>On 12 June 2013 my Rt. hon. Friend the Secretary of State announced in Parliament that the Safe and Sustainable review’s proposals for children’s congenital heart services could not go ahead in their current form. In July 2013, after discussions with key stakeholders, NHS England established a new congenital heart disease review, encompassing services for adults as well as children.</p><p>The new review has now been completed and the board of NHS England has agreed its proposals. NHS England is now working on implementation of the proposals and commissioning services against the new requirements. This is being done in collaboration with provider trusts.</p><br /><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:35:15 answering member 3918 label Biography information for Jane Ellison
tabling member	523 label Biography information for Mr Nicholas Brown

422657

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
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 23 July 2015 to Question 7788, whom his Department has consulted on the matter of compensation packages for people affected by NHS contaminated blood.
tabling member constituency	Lewisham, Deptford
tabling member printed	Vicky Foxcroft
uin	12648
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The Department is considering wider reform of the ex-gratia financial assistance and other support for those affected with HIV and/or hepatitis C by infected NHS-supplied blood or blood products. We are doing this within the context of the spending review and in a way that is sustainable for the future.</p><br /><p>In order to help develop the shape and structure of any new scheme, we plan to consult publicly on scheme reform soon. The Department has alrady engaged with representative groups of infected/affected individuals. These individuals were nominated from the Contaminated Blood Campaign, Tainted Blood and The Haemophilia Society. The event was held in a neutral venue and had an independent facilitator. A report from this one off event will be made public soon. Discussions are ongoing with other interested parties.</p><p><strong></strong></p><p>While we are working to establish a full and fair resolution, liability has not been established in the majority of cases, so it would not be appropriate to talk about payments in terms of compensation, particularly on the scale that some may envisage.</p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 16:52:57 answering member 3918 label Biography information for Jane Ellison
tabling member	4491 label Biography information for Vicky Foxcroft

422665

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Action on Smoking and Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 16 October 2015 to Question 10530, what the job titles are of those officials undertaking the assessment of the grant funding for Action on Smoking and Health; and what transparency measures have been built into the assessment process.
tabling member constituency	Shipley
tabling member printed	Philip Davies
uin	12657
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The assessment of the grant application for funding from Action on Smoking and Health is undertaken by members of the Tobacco Control policy team.</p><br /><p>The assessment process is the same for all grants awarded under Section 64 powers. The assessment process uses standard business case criteria and consists of a Strategic Case, Economic Case, Financial Case, Commercial Case and Project Governance.</p><br /><p>The assessment is reviewed by the Department’s Voluntary Sector Grants Hub to ensure that the grant proposal is affordable within Departmental budgets; relevant Efficiency Review Group Controls have been considered;the grant has been assessed as delivering value for money and the grant is considered to be appropriate for the Grant funding route rather than procurement.</p><br /><p>A grant application is currently under assessment and a decision on funding has not yet been made.</p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p><p><strong></strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:11:54 answering member 3918 label Biography information for Jane Ellison
tabling member	1565 label Biography information for Sir Philip Davies

422666

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take further steps to support Anthony Nolan's Destination Cure campaign.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	12658
answer	answer is ministerial correction date of answer 28/10/2015 answer text <br /> <br /><p>Since 2011, the Department of Health has provided our delivery partners, NHS Blood and Transplant and Anthony Nolan, a total of £16 million in additional, new funding to improve stem cell transplantation services in the United Kingdom. A further £3 million investment was announced in March 2015.</p><br /><p>The Government remains committed to improving stem cell transplantation services and doing all we can to help those in need of a transplant to find a suitable donor. The report ‘Destination Cure – arriving at a better future’ from Anthony Nolan provides a timely contribution to this work.</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:09:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4079 label Biography information for Julian Sturdy

422671

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department has made on raising awareness and promoting understanding of incontinence amongst (a) health and social care staff and (b) the general public; and if he will make a statement.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	12610
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.</p><br /><p>The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.</p><br /><p>The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.</p><p>They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.</p><p>Improving continence care provision through integrated services brings many benefits including:</p><br /><p>- a better quality of life and more independence through finding solutions appropriate to individual needs;</p><p>- less reliance on pads and products by using alternative treatments;</p><p>- a reduction in admissions to hospitals and care homes;</p><p>- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and</p><p>- a reduction in costs.</p><br /><p>NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.</p><br /><p>This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.</p><br /><p>In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. <em>Urinary incontinence in women</em> (September 2013), <em>Faecal incontinence in adults</em> (June 2007), <em>Urinary incontinence in neurological disease: assessment and management</em> (August 2012) and <em>Lower urinary tract symptoms in men: management</em> (May 2010).</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 12564 12565 12611 question first answered 28/10/2015 17:38:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4041 label Biography information for Glyn Davies

422672

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of people living with (a) urinary incontinence and (b) faecal incontinence in (i) Northern Ireland, (ii) Scotland and (iii) Wales.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	12611
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.</p><br /><p>The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.</p><br /><p>The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.</p><p>They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.</p><p>Improving continence care provision through integrated services brings many benefits including:</p><br /><p>- a better quality of life and more independence through finding solutions appropriate to individual needs;</p><p>- less reliance on pads and products by using alternative treatments;</p><p>- a reduction in admissions to hospitals and care homes;</p><p>- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and</p><p>- a reduction in costs.</p><br /><p>NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.</p><br /><p>This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.</p><br /><p>In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. <em>Urinary incontinence in women</em> (September 2013), <em>Faecal incontinence in adults</em> (June 2007), <em>Urinary incontinence in neurological disease: assessment and management</em> (August 2012) and <em>Lower urinary tract symptoms in men: management</em> (May 2010).</p><br /> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 12564 12565 12610 question first answered 28/10/2015 17:38:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4041 label Biography information for Glyn Davies

422675

registered interest
date	20/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent steps he has taken to ensure that people diagnosed with cancer are (a) diagnosed early and (b) treated immediately.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	12592
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The Independent Cancer Taskforce’s report recognised the importance of early, and faster, diagnosis to improve both patient outcomes and experience. The Taskforce particularly recommended the implementation of a new cancer waiting times standard that, by 2020, everyone referred with a suspicion of cancer would receive either a definitive diagnosis or the all-clear within four weeks. We have committed to implementing this, and NHS England is working with partners across the health system to consider how best to take this forward.</p><br /><p>NHS England has launched a major early diagnosis programme, Accelerate, Co-ordinate, Evaluate (ACE), working jointly with Cancer Research UK and Macmillan Cancer Support to test new innovative approaches to identifying cancer more quickly. Outputs from the first wave of test sites, which commenced in April 2015, will be delivered on a phased basis, with the majority falling between September 2015 and December 2016. A number of the Proactive Lung cluster projects are running for 2-3 years but is hoped that there will be sufficient data after one year to enable evaluation. It is expected that ACE Wave 1 evaluation will be complete by mid-2017.</p><br /><p>We welcome the very positive reaction we saw earlier this year to the publication of the National Institute for Health and Care Excellence updated referral guidelines for suspected cancer. The new guideline focuses on key symptoms rather than which cancer a patient might have, to help make it easier to use and more applicable to the day-to-day experience of general practitioners and their patients.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:10:43 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon