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61302

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which GP practices have been identified by NHS England as potentially losing more than £3 per patient in 2014-15 following the withdrawal of the Minimum Practice Income Guarantee.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	200213
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>NHS England has published an anonymised list of ‘outliers' which can be found at:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2014/02/gp-gms-practices.pdf</p><p> </p><p>Because the information is commercially sensitive, details that could identify individual practices have not been released.</p><p> </p><p>The Minimum Practice Income Guarantee is being phased out over a period of seven years because it is inequitable, and the money released will be reinvested into basic payments made to all General Medical Services practices.</p><p><strong> </strong></p><p>NHS England is supporting the most affected practices.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:40:30 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

61303

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of being able to access a GP appointment within 48 hours on levels of patient satisfaction.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	200214
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>Overall patient satisfaction is driven by a range of factors, including accessing a general practitioner (GP) appointment at a convenient time, ability to see a preferred GP and the quality of the conversation with the GP.</p><p> </p><p>The Government recognises the importance of timely access to general practice. The PM Challenge Fund has allocated £50 million to pilot ways to improve access around the country, to give GPs the flexibility to meet the needs of the local population.</p><p> </p><p>In addition, the new GP contract introduced a new Enhanced Service, which includes a commitment to same day phone consultations with a professional in the GP surgery, where necessary, for the most at risk in the population.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:27:12 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

61314

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cystic Fibrosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will review prescription charges for adults with cystic fibrosis.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	200281
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>In 2010, responding to Professor Sir Ian Gilmore's review into extending entitlement to free prescriptions to all those with a long-term condition, the Government made clear that in light of the challenging financial context, no changes would be made to the current list of exemptions. Prescription charges in England raise valuable income, in the region of £450 million each year, which helps the National Health Service to maintain vital services for patients.</p><p> </p><p>The extensive system of exemption arrangements, including for those on low incomes who may struggle to pay for their prescriptions, which is in place means that around 90% of all prescription items are already dispensed free of charge. Prescription Prepayment Certificates (PPCs) are also available for those who have to pay NHS prescription charges and need multiple prescriptions. This is the fifth year the cost of an annual certificate, and the third year the cost of a three month certificate, have been frozen. Both certificates will also remain at £104 and £29.10 respectively, next year. There is no limit to the number of items that can be obtained through a PPC. The annual certificate benefits anyone needing more than 12 items a year, and the three month certificate anyone needing more than three items in that three month period.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:38:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4124 label Biography information for Chi Onwurah

61324

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much NHS trusts have spent (a) on agency and contract staff and (b) on all staff in each financial year since 2009-10.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	200211
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>As part of the response to the issues in Mid-Staffordshire hospital, and following the recommendations of the Francis report, many trusts have increased agency spend in the short-term to protect patients and improve patient care. Over the longer term, a key objective for the NHS is to keep agency spend to a minimum, an increase in the number of permanent front-line staff is vital to both improving patient care and delivering value for money. The number of frontline clinical staff has increased by more than 16,300 since 2010.</p><p> </p><p>In 2013-14, NHS foundation trusts planned to spend £523 million on agency and contract staff and spent £1,373.0 million. NHS trusts spent £1,209.1 million, how much they planned to spend is not available.</p><p> </p><p>Sources: for NHS trusts – unaudited data in NHS trust summarisation schedules; for NHS foundation trusts – quarterly monitoring information.</p><p> </p><p>Plans are in place in Better Procurement to reduce by £450 million spend on agency and contract staff by the end of 2016.</p><p> </p><p>NHS Trusts spent £1,209.1 million on agency and contract staff n 2013/14.</p><p> </p><p>Source: Unaudited data in NHS Trust Summarisation Schedules.</p><p> </p><p>Amounts for 2009-10 to 2012-13 were not separately identified from other non-permanent staff.</p><p> </p><p>Spend by NHS Foundation Trusts on agency and contract staff is in the following table.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>764.1</p></td></tr><tr><td><p>2010/11</p></td><td><p>854.7</p></td></tr><tr><td><p>2011/12</p></td><td><p>907.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>1,101.0</p></td></tr><tr><td><p>2013/14</p></td><td><p>1,373.0</p></td></tr></tbody></table><p><em> </em></p><p><em>Notes</em>: For 2009/10 - 2012/13 actual figures are based on gross staff costs as per notes in the NHS FT consolidated accounts. The figures from the consolidated accounts may differ to the Board reports due to adjustments made on redundancy, early retirement, capitalisation of staff costs and costs of R&amp;D staff. 2013/14 figures are from quarterly monitoring information.</p><p> </p><p>Information available about spend on all staff is set out in the tables below.</p><p> </p><p>NHS Trusts</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>18,225.1</p></td></tr><tr><td><p>2010/11</p></td><td><p>18,929.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>19,839.5</p></td></tr><tr><td><p>2012/13</p></td><td><p>19,344.7</p></td></tr></tbody></table><p><em> </em></p><p><em>Source: NHS (England) Summarised Accounts 2009/10, 2010/11; NHS Trust Audited Summarisation Schedules 2011/12, 2012/13. </em></p><p><em> </em></p><p><em>Note: </em>Total staff costs for 2013/14 are not yet available.</p><p> </p><p>NHS Foundation Trusts</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>17,599.7</p></td></tr><tr><td><p>2010/11</p></td><td><p>19,442.9</p></td></tr><tr><td><p>2011/12</p></td><td><p>23,046.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>24,709.0</p></td></tr><tr><td><p>2013/14</p></td><td><p>26,246.0</p></td></tr></tbody></table><p> </p><p><em>Notes</em>: For 2009/10 - 2012/13 actual figures are based on gross staff costs as per notes in the NHS FT consolidated accounts. The figures from the consolidated accounts may differ to the Board reports due to adjustments made on redundancy, early retirement, capitalisation of staff costs and costs of R&amp;D staff. 2013/14 figures are from quarterly monitoring information.</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 200212 question first answered 16/06/2014 16:51:14 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4026 label Biography information for Liz Kendall

61325

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Temporary Employment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much NHS trusts (a) planned to spend and (b) spent on agency and contract staff in 2013-14.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	200212
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>As part of the response to the issues in Mid-Staffordshire hospital, and following the recommendations of the Francis report, many trusts have increased agency spend in the short-term to protect patients and improve patient care. Over the longer term, a key objective for the NHS is to keep agency spend to a minimum, an increase in the number of permanent front-line staff is vital to both improving patient care and delivering value for money. The number of frontline clinical staff has increased by more than 16,300 since 2010.</p><p> </p><p>In 2013-14, NHS foundation trusts planned to spend £523 million on agency and contract staff and spent £1,373.0 million. NHS trusts spent £1,209.1 million, how much they planned to spend is not available.</p><p> </p><p>Sources: for NHS trusts – unaudited data in NHS trust summarisation schedules; for NHS foundation trusts – quarterly monitoring information.</p><p> </p><p>Plans are in place in Better Procurement to reduce by £450 million spend on agency and contract staff by the end of 2016.</p><p> </p><p>NHS Trusts spent £1,209.1 million on agency and contract staff n 2013/14.</p><p> </p><p>Source: Unaudited data in NHS Trust Summarisation Schedules.</p><p> </p><p>Amounts for 2009-10 to 2012-13 were not separately identified from other non-permanent staff.</p><p> </p><p>Spend by NHS Foundation Trusts on agency and contract staff is in the following table.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>764.1</p></td></tr><tr><td><p>2010/11</p></td><td><p>854.7</p></td></tr><tr><td><p>2011/12</p></td><td><p>907.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>1,101.0</p></td></tr><tr><td><p>2013/14</p></td><td><p>1,373.0</p></td></tr></tbody></table><p><em> </em></p><p><em>Notes</em>: For 2009/10 - 2012/13 actual figures are based on gross staff costs as per notes in the NHS FT consolidated accounts. The figures from the consolidated accounts may differ to the Board reports due to adjustments made on redundancy, early retirement, capitalisation of staff costs and costs of R&amp;D staff. 2013/14 figures are from quarterly monitoring information.</p><p> </p><p>Information available about spend on all staff is set out in the tables below.</p><p> </p><p>NHS Trusts</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>18,225.1</p></td></tr><tr><td><p>2010/11</p></td><td><p>18,929.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>19,839.5</p></td></tr><tr><td><p>2012/13</p></td><td><p>19,344.7</p></td></tr></tbody></table><p><em> </em></p><p><em>Source: NHS (England) Summarised Accounts 2009/10, 2010/11; NHS Trust Audited Summarisation Schedules 2011/12, 2012/13. </em></p><p><em> </em></p><p><em>Note: </em>Total staff costs for 2013/14 are not yet available.</p><p> </p><p>NHS Foundation Trusts</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>£ million</p></td></tr><tr><td><p>2009/10</p></td><td><p>17,599.7</p></td></tr><tr><td><p>2010/11</p></td><td><p>19,442.9</p></td></tr><tr><td><p>2011/12</p></td><td><p>23,046.0</p></td></tr><tr><td><p>2012/13</p></td><td><p>24,709.0</p></td></tr><tr><td><p>2013/14</p></td><td><p>26,246.0</p></td></tr></tbody></table><p> </p><p><em>Notes</em>: For 2009/10 - 2012/13 actual figures are based on gross staff costs as per notes in the NHS FT consolidated accounts. The figures from the consolidated accounts may differ to the Board reports due to adjustments made on redundancy, early retirement, capitalisation of staff costs and costs of R&amp;D staff. 2013/14 figures are from quarterly monitoring information.</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 200211 question first answered 16/06/2014 16:51:15 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4026 label Biography information for Liz Kendall

61349

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Answer to the hon. Member for Suffolk Coastal of 8 January 2014, Official Report, column 265W, on general practitioners: Suffolk, how much his Department spent funding each general practice in England in 2012-13; and what spending type and GP Practice code applies in each case.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	200278
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The requested information is not collected centrally. The Investment in General Practice report published by the Health and Social Care Information Centre includes the investment in General Practice and the reimbursement of drugs dispensed in General Practices at national level. A copy has been placed in the Library.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 16:23:46 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ200278 - Lib Doc - Report.pdf title Investment in General Practice
tabling member	1414 label Biography information for Mr Mark Hoban

61368

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Melanotan
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 (a) prevalence and (b) effect of the sale of the unlicensed drug Melanotan (i) online and (ii) in shops.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	200340
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>There are strict legal controls governing the sale and supply of medicinal products in the United Kingdom.</p><p> </p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) considers Melanotan products to be medicinal products within the meaning of the Human Medicines Regulations 2012 and as such, the manufacture, sale and supply are subject to UK regulatory control. No Melanotan product holds a marketing authorisation (product licence) for use in the UK and consequently advertising and sale or supply would be in breach of regulatory requirements.</p><p> </p><p>The MHRA is aware that Melanotan is being sold through some outlets such as gyms and beauty salons and is available more widely on the Internet through certain websites.</p><p> </p><p>During the past 12 months, the MHRA has worked with Internet Service Providers in the UK and abroad to suspend more than 100 websites illegally trading in Melanotan.</p><p> </p><p>The MHRA issues regular warnings to the public about the dangers involved in the use of unlicensed medicines, including Melanotan and officials have participated in Press campaigns and specific media coverage of the problem.</p><p> </p><p>As of 12 June 2014, the MHRA has received a total of 22 reports of Adverse Drug Reactions associated with the use of Melanotan (product names Melanotan I, Melanotan II and Ubertan), describing a total of 93 adverse reactions. However, it is important to note that the reporting of a suspected adverse reaction does not necessarily mean it is related to the drug.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:47:09 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

61387

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: North East
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 provision of primary care in Middlesbrough South and East Cleveland.
tabling member constituency	Middlesbrough South and East Cleveland
tabling member printed	Tom Blenkinsop
uin	200222
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>No assessment has been made centrally. NHS England is responsible for the commissioning of primary care health services and for securing the best possible outcomes for patients.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:24:54 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4037 label Biography information for Tom Blenkinsop

61388

registered interest
date	11/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: North East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will meet the hon. Member for Middlesbrough South and East Cleveland to discuss the proposed closure of (a) minor injuries units at Guisborough and East Cleveland Hospitals, (b) Skelton Medical Centre, (c) Park End Clinic and (d) Skelton NHS Walk-in-Centre.
tabling member constituency	Middlesbrough South and East Cleveland
tabling member printed	Tom Blenkinsop
uin	200221
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>These are matters for the local National Health Service. The hon. Member should engage with the NHS at a local level.</p><p> </p><p>This Government is committed to devolving decision-making about local NHS services to local clinicians and communities. It is general practitioners clinicians, patients and local authorities who are best placed to determine the nature of their NHS services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:50:31 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4037 label Biography information for Tom Blenkinsop

60933

registered interest
date	10/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many children spent (a) up to two weeks, (b) two to four weeks, (c) four to six weeks and (d) more than six weeks in hospital immediately after being born in England in the last year for which figures are available.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	200003
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The information requested is set out in the following table.</p><p> </p><p>This is based on finished discharge episodes with a primary or secondary diagnosis of &quot;Z38 - Live born infants according to place of birth&quot;, by length of stay for the year 2012/13 and covers activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><p>It should be noted that the length of stay in hospital is only available on the final episode of care in a hospital provider. Therefore the total of &quot;other / unknown&quot; lengths of stay recorded includes those births that have not resulted in a discharge, such as where the baby has been transferred to the care of another consultant.</p><p> </p><table><tbody><tr><td><p>Length of stay</p></td><td><p>Finished Discharge Episodes</p></td></tr><tr><td><p>Up to 2 weeks</p></td><td><p>617,189</p></td></tr><tr><td><p>2-4 weeks</p></td><td><p>5,227</p></td></tr><tr><td><p>4-6 weeks</p></td><td><p>1,680</p></td></tr><tr><td><p>6 weeks+</p></td><td><p>1,778</p></td></tr><tr><td><p>Other/unknown</p></td><td><p>47,133</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p><em>Notes: </em></p><p>1. Finished Discharge Episode: A discharge episode is the last episode during a hospital stay (a spell), where the patient is discharged from the hospital or transferred to another hospital.</p><p>2. Primary or secondary diagnosis: The number of episodes where this diagnosis was recorded in any of the 20 diagnosis fields in the Hospital Episode Statistics (HES) record. Each episode is counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</p><p>3. ICD10 code: The following ICD10 code was used to identify a live born infant: Z38 - Live born infants according to place of birth.</p><p>4. Length of stay (duration of spell): The difference in days between the admission date and the episode end date (duration of episode) or discharge date (duration of spell), where both dates are given. LOS is based on hospital stays and only applies to ordinary admissions not day cases (unless otherwise stated). Information relating to LOS, including discharge method/destination, diagnoses and any operative procedures, is based only on the final episode of the spell.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 13:49:10 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1521 label Biography information for Mrs Sharon Hodgson