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50335

registered interest
date	08/05/2014
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 recent work his Department has undertaken to raise awareness of the effects of diabetes on people with that condition; and if he will make a statement.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	198155
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The NHS Health Check raises awareness of diabetes and its symptoms by assessing and discussing with participants the risk factors for this disease, along with other conditions relevant to the programme. Between April and December 2013, over 2 million people were offered an NHS Health Check and almost 1 million people took up the offer.</p><p> </p><p><em>Action for Diabetes</em>, published in January 2014, sets out NHS England's broad vision and direction for supporting improvements in outcomes for people with and at risk of diabetes in the coming years, both as a direct commissioner and by providing support to the commissioning system. The report is available at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/01/act-for-diabetes.pdf</p><p> </p><p>In addition, NHS Improving Quality is working with NHS England's National Clinical Director for Diabetes to identify potential areas of service improvement. Work focusing on the cardiovascular health of people with diabetic-related foot disease is currently being developed and will be delivered during 2014-15.</p><p> </p><p>Ministers have participated in a number of Parliamentary and external events to raise awareness of diabetes. Diabetes and its effects also feature throughout <em>Living Well for Longer</em>, the Department's recent publication on preventing premature mortality.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

50337

registered interest
date	08/05/2014
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 assessment he has made of the quality of foot care provided in primary care to patients with diabetes.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	198163
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p>As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p>The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.</p><p> </p><p>In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 198188 198189 question first answered 14/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

50338

registered interest
date	08/05/2014
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, who is responsible for auditing compliance with National Institute for Health and Care Excellence guidelines relating to the care of patients with diabetes.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	198188
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p>As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p>The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.</p><p> </p><p>In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 198163 198189 question first answered 14/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

50339

registered interest
date	08/05/2014
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 guidance his Department has issued to GPs on the assessment and treatment of foot conditions where a patient has diabetes.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	198189
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent organisation established by Government to provide national guidance and advice to improve health and social care. It has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. Clinical commissioning groups (CCG) should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p>As part of the Quality Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p>The NDA provides information of local practice against NICE guidelines and can be used by local areas to compare their own performance over time and against others, helping to drive service improvement. The latest published NDA report shows that more than 85% of all those with diabetes in England and Wales, received these checks in 2011-12.</p><p> </p><p>In July 2014, NHS England will be launching the National Diabetes Footcare Audit. This is a new module of the NDA, and will provide information on the effectiveness and quality of the entire diabetes foot care pathway, including the elements delivered in primary, community and secondary care settings.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 198163 198188 question first answered 14/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

50340

registered interest
date	08/05/2014
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, pursuant to the Answer of 6 May 2014, Official Report, column 127W, if he will list the outlier practices and the amount each is forecast to lose as a result of removing performance indicators from the Quality Outcomes Framework.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	198248
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The Department does not hold this information centrally, but details of practices identified by NHS England have been sent to area teams.</p><p> </p><p>As part of the changes to the General Medical Services (GMS) contract from April 2014, we have reduced the Quality and Outcomes Framework by more than a third. These changes are intended to free up space for general practitioners to provide more proactive and personalised care for their patients which includes their new responsibility of being accountable for all of their patients aged 75 and over.</p><p> </p><p>These changes were part of changes to GMS contract negotiated with the General Practitioners Committee of the British Medical Association.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

50344

registered interest
date	08/05/2014
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 recent steps his Department has taken to promote potatoes as part of a healthy diet.
tabling member constituency	South Down
tabling member printed	Ms Margaret Ritchie
uin	198227
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p /> <p /> <p> </p><p>The Government recommends eating plenty of starchy foods, including potatoes, as part of a healthy balanced diet, as depicted in the ‘eatwell plate'. This provides a visual representation of the types and proportions of the foods needed for a healthy, balanced diet and advises that starchy foods, such as potatoes, breads, cereals, rice and pasta should make up about a third of our diet.</p><p>The Government utilises the eatwell plate alongside other mechanisms to promote the consumption of starchy foods, such as potatoes. This includes providing tips on healthy eating through the Live Well pages of the NHS Choices website and recipes through Public Health England's social marketing campaign, Change4Life.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

50367

registered interest
date	08/05/2014
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 steps his Department is taking to tackle obesity in the NHS staff.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	198166
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>National Health Service organisations are encouraged to lead the way in supporting staff to address their own weight and health issues, in addition to helping patients do the same. NHS England has committed to supporting the NHS Sports and Activity Challenge which aims to support the importance of staff wellbeing, as well as the opportunities which it offers to deliver the very best care we can to patients, carers and the public more generally.</p><p><strong> </strong></p><p>The Public Health Responsibility Deal health at work pledges include one on Healthier Staff Restaurants which makes it easier for people to choose and maintain a healthier diet while at work. Already 21 NHS trusts have signed up to the Healthier Staff Restaurants pledge.</p><p> </p><p>Public Health England (PHE) has commissioned Liverpool City Council and the Health and Work Centre to produce national standards to support local delivery of the Workplace Wellbeing Charter, which will be launched in the summer. Underpinning the new national standard is a series of workplace health topic guides. Among the first series of guides to be launched in the autumn are guides on improving healthy eating and increasing physical activity in the office.</p><p> </p><p>Many NHS organisations are already taking part in the Workplace Wellbeing Charter schemes and accessing the weight management, physical activity and healthy eating support available locally.</p><p> </p><p>PHE has also commissioned an e-learning module on obesity and weight management through the Royal College of General Practice and this will be launched in the summer.</p><p> </p><p>PHE is working with the Department and NHS Employers to encourage NHS trusts to use the Government Food Buying Standards as a key component of their work to support obese staff by creating a healthier and supportive work environment.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

50368

registered interest
date	08/05/2014
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, if he will investigate reports that the Neurology department at Royal Preston Hospital is allocating appointments to patients and then instructing them not to attend on the date and time given as the appointment is only made for consultants to view the patient's referral letter; whether (a) his Department for (b) NHS England issues guidance on the allocation of appointments which patients are instructed not to attend; and if he will make a statement.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	198218
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p /> <p /> <p>The allocation of appointments is a local matter for the National Health Service and the hon. Member should contact the Chief Executive of Lancashire Teaching Hospitals NHS Foundation Trust for further information. We understand the Trust has already investigated this issue and posted an explanation on its website:</p><p> </p><p>www.lancsteachinghospitals.nhs.uk/neurology-non-appointment-letters</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1588 label Biography information for Barbara Keeley

50369

registered interest
date	08/05/2014
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, whether all abortions commissioned by NHS England from private providers are recorded in the abortion statistics.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	198165
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p /> <p /> <p> </p><p>It is a legal requirement for a medical practitioner terminating a pregnancy to notify the Chief Medical Officer on form HSA4 within 14 days of the procedure whether it is undertaken in an National Health Service hospital or in the independent sector. All procedures are recorded in <em>Abortion Statistics, England and Wales</em> published annually.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4109 label Biography information for Jeremy Lefroy

50370

registered interest
date	08/05/2014
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 scrutiny arrangements the Care Quality Commission applies to (a) abortion and (b) other counselling.
tabling member constituency	Stafford
tabling member printed	Jeremy Lefroy
uin	198157
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The Care Quality Commission (CQC) is responsible for monitoring the providers of abortion services in England, to make sure they comply with the regulations set out under the Health and Social Care Act 2008 (HSCA). If a CQC inspection identifies instances of non-compliance with the HSCA and Regulations then appropriate regulatory action will be taken. The CQC's <em>Essential Standards of quality and safety</em> require that women undergoing termination of pregnancy know that “they are able to discuss their choices and decisions with a trained counsellor” and “where services are provided to children or people with a learning disability, the counsellor available has relevant experience in discussing termination of pregnancy with them”. For other forms of counselling which are registered activities under the 2008 Act and regulations, CQC takes a similar approach to judgement and action.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4109 label Biography information for Jeremy Lefroy