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60677

registered interest
date	09/06/2014
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 the money allocated by his Department to improve birthing environments was spent in (a) 2012-13 and (b) 2013-14.
tabling member constituency	Daventry
tabling member printed	Chris Heaton-Harris
uin	199589
answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>Information on the breakdown of the money allocated by the Department to improve birthing environments in 2012-13 and 2013-14 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 14:49:46 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Maternity_Capital_Funding_Allocations_2012-13_and_2013-14.pdf title Maternity Capital Funding Allocations 2012-14
tabling member	3977 label Biography information for Chris Heaton-Harris

60707

registered interest
date	09/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Food Banks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he or other Ministers of his Department have visited a foodbank in order to assess the contribution of foodbanks to public health and nutrition.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	199814
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>No Departmental Ministers have made a visit to a food bank since May 2010 on official Departmental business, but this does not preclude visits in their personal capacities or as constituency MPs.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 12/06/2014 15:13:05 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

58346

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average charge levied by healthcare professionals for written reports requested by patients who require them for (a) setting up power of attorney and (b) other purposes is in each commissioning area.
tabling member constituency	Plymouth, Moor View
tabling member printed	Alison Seabeck
uin	199246
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The information is not held centrally on charges by health professionals, other than general practitioners (GPs).</p><p> </p><p>As regards GPs, they are required under terms of contracts for the provision of National Health Services primary medical services to provide certain medical reports free of charge to their registered patients.</p><p> </p><p>GPs may also provide other services outside of their contract. Regulations prevent a GP for charging a registered patient a fee for treatment under the contract or otherwise, except in certain prescribed circumstances. However, the provision of reports is not classed as treatment. Consequently, GPs are able to charge for those reports which are not deemed free.</p><p> </p><p>The Professional Fees Committee of the British Medical Association (BMA) suggests fees for such services to help doctors set their own professional fees. However, these fees are guidelines only, and a doctor is not obliged to charge the rates suggested. Where doctors intend to charge for services to patients, the BMA advises them to forewarn patients, at the earliest opportunity, of the likely level of fees.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 12/06/2014 15:06:54 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1552 label Biography information for Alison Seabeck

58348

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eyesight: Health Services
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 costs of a patient who presents with eye conditions as a first point of call (a) a GP, (b) a hospital eye service, (c) an accident and emergency department and (d) a primary eyecare acute referral scheme.
tabling member constituency	Plymouth, Moor View
tabling member printed	Alison Seabeck
uin	199248
answer	answer is ministerial correction date of answer 11/06/2014 answer text <p>The information is not available in the format requested. Such information as is available is shown in the following table.</p><p> </p><p>Estimated unit costs of a patient contact , 2012-13</p><p> </p><table><tbody><tr><td><p>Type of patient contact</p></td><td><p>Unit cost</p></td></tr><tr><td><p>General practitioner (GP) consultation<sup>1</sup></p></td><td><p>£37</p></td></tr><tr><td><p>First consultant-led appointment in an ophthalmology outpatient clinic<sup>2</sup></p></td><td><p>£108</p></td></tr><tr><td><p>Accident and emergency attendance<sup>3</sup></p></td><td><p>£130</p></td></tr><tr><td><p>Primary eyecare acute referral scheme</p></td><td><p>Not known</p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p><sup>1</sup>The Department does not collect information on the unit cost of a GP consultation. An estimate of £37 per patient contact lasting 11.7 minutes, including direct care staff costs and excluding qualification costs, is included in page 198 of Unit Costs of Health and Social Care 2013 at www.pssru.ac.uk/project-pages/unit-costs/2013/. The data does not separately identify patients presenting with eye conditions or any other conditions.</p><p> </p><p><sup>2</sup>The average unit cost of first, face-to-face, consultant-led contacts in ophthalmology, medical ophthalmology and paediatric ophthalmology, weighted for activity. The information is from reference costs, which are the unit costs to NHS trusts and NHS foundation trusts of providing defined services in a given financial year to NHS patients, collected annually and published by the Department for 2012-13 at www.gov.uk/government/publications/nhs-reference-costs-2012-to-2013</p><p> </p><p><sup>3</sup>The average unit of cost of accident and emergency attendances from 2012-13 reference costs. Includes attendances resulting in and not resulting in an admission. Excludes attendances submitted against Healthcare Resource Groups (HRGs) for Emergency Medicine, Dental Care (VB10Z) and Emergency Medicine, No Investigation with No Significant Treatment (VB11Z). The data does not separately identify patients presenting with eye conditions or any other conditions.</p><p> </p><p><em>Sources:</em></p><p>2012/13 reference costs, Department of Health</p><p>Unit Costs of Health and Social Care 2013, Personal Social Services Research Unit</p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 11/06/2014 15:43:52 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1552 label Biography information for Alison Seabeck

58391

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
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 increase the amount of research undertaken into ways to detect the origin of primary cancer in those suffering from cancer of the unknown primary.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	199372
answer	answer is ministerial correction date of answer 11/06/2014 answer text <p>Research infrastructure funded by the Department's National Institute for Health Research (NIHR) is currently hosting the following study:</p><p> </p><p>A multi-centre phase II trial to assess the efficacy of epirubicin, cisplatin and capecitabine in carcinomas of unknown primary: incorporating the prospective validation of molecular classifiers in diagnosis and classification and exploratory metabonomics.</p><p> </p><p>Overall NIHR investment in cancer research increased from £102 million in 2009-10 to £133 million in 2012-13. The NIHR welcomes funding applications for research into any aspect of human health, including cancer of unknown primary. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and the National Health Service, value for money and scientific quality.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 11/06/2014 15:28:17 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

58397

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bone Diseases: Children
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 maintain and improve specialist services for children suffering from brittle bone disease.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	199226
answer	answer is ministerial correction date of answer 11/06/2014 answer text <p>The nature of brittle bone disease requires care across the healthcare system, the majority being provided in the community by a variety of therapists with involvement from a wide multi-disciplinary team. The provision of services for children with brittle bone disease in Northern Ireland will be a matter for the Northern Ireland Executive and the health service in Northern Ireland.</p><p> </p><p>In England, in the majority of cases the local clinical commissioning group (CCG) will decide on the level of provision of services, taking into account the needs of the population it serves. The CCG's decisions are underpinned by clinical insight and knowledge of local healthcare needs.</p><p> </p><p>Complex childhood brittle bone services in England are commissioned by NHS England which has developed a specification for these services. This can be found at:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/e13-child-osteo-imperfecta.pdf</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 11/06/2014 15:23:02 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1597 label Biography information for David Simpson

58426

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Health: Children
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 trends in the incidence of dental caries among school children (a) in Bolton and (b) nationally since 2010.
tabling member constituency	Bolton North East
tabling member printed	Mr David Crausby
uin	199206
answer	answer is ministerial correction date of answer 11/06/2014 answer text <p>There has been only one published survey of dental caries among schoolchildren which includes the Bolton area since 2010. This is the <em>National Dental Epidemiology Programme for England: oral health survey of five-year-old children 2012, A report on the prevalence and severity of dental decay</em>. This can be found at the following link:</p><p> </p><p>www.nwph.net/dentalhealth/survey-results5.aspx?id=1</p><p> </p><p>A comparison of selected findings from the survey, and from the previous survey of five year old children in England, published in 2009, the <em>NHS Dental Epidemiology Programme for England, Oral Health Survey of 5 year old Children, 2007/2008</em> can be found at the following link:</p><p> </p><p>www.nwph.info/dentalhealth/survey-results.aspx?id=1</p><p> </p><p>The comparisons are supplied in the following table:</p><p> </p><table><tbody><tr><td><p>Bolton Local Authority area</p></td><td><p>2008</p></td><td><p>2012</p></td></tr><tr><td><p>Number of children examined</p></td><td><p>298</p></td><td><p>262</p></td></tr><tr><td><p>Mean number decayed, missing or filled teeth (dmft)</p></td><td><p>1.91</p></td><td><p>1.85</p></td></tr><tr><td><p>Proportion of children with lifetimes caries experience (% dmft&gt;0)</p></td><td><p>46.3%</p></td><td><p>43.4%</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p>National (England)</p></td><td><p>2008</p></td><td><p>2012</p></td></tr><tr><td><p>Number of children examined</p></td><td><p>139,727</p></td><td><p>133,516</p></td></tr><tr><td><p>Mean number decayed, missing or filled teeth (dmft)</p></td><td><p>1.11</p></td><td><p>0.94</p></td></tr><tr><td><p>Proportion of children with lifetimes caries experience (% dmft&gt;0)</p></td><td><p>30.9%</p></td><td><p>27.9%</p></td></tr></tbody></table><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 11/06/2014 15:46:49 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	437 label Biography information for Sir David Crausby