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419486

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Standards
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 improve the quality of adult social care provided by local authorities; and if he will make a statement.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	10559
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Government is committed to improving the quality of adult social care. We have taken a number of recent steps to do so.</p><p>In October 2014, we introduced a tougher inspection system by the Care Quality Commission (CQC). Following inspections, the CQC now also awards each care service a single quality rating with providers rated as “Outstanding”, “Good”, “Requires Improvement” or “Inadequate”. Services rated “Inadequate” are being placed into Special Measure which means they could face closure if they fail to improve.</p><p>These new ratings and other information about the type and quality of care at every care home and homecare service in the country are now available on NHS Choices and the MyNHS Transparency website, making it much easier for people to compare the quality of services.</p><p>This year we introduced a <em>Certificate of Fundamental Care</em>, now known as the Care Certificate. This will help ensure that care workers can deliver a consistently high quality standard of care.</p><p>The Department is funding and working with a number of organisations including the National Institute for Health and Care Excellence (NICE), Skills for Care, the Social Care Institute for Excellence, the Association of Directors of Adult Social Services and the Local Government Association on a range of projects to help adult social care organisations and staff improve the quality of care. These resources include new NICE Quality Standards and Guidelines which bring clarity to what excellence looks like in care and <em>Commissioning for Better Outcomes – A Route Map*</em> that sets out a series of commissioning standards that will be used as part of local government sector-led improvement to drive best practices in local authority commissioning under their new duties in the Care Act 2015.</p><p>*Available at:</p><p><a href="http://www.local.gov.uk/documents/10180/5756320/Commissioning+for+Better+Outcomes+A+route+map/8f18c36f-805c-4d5e-b1f5-d3755394cfab" target="_blank">http://www.local.gov.uk/documents/10180/5756320/Commissioning+for+Better+Outcomes+A+route+map/8f18c36f-805c-4d5e-b1f5-d3755394cfab</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10428 question first answered 13/10/2015 16:14:27 answering member 1201 label Biography information for Alistair Burt
tabling member	116 label Biography information for Lord Soames of Fletching

419541

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Beds: Sussex
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 the number of delayed transfers in West Sussex; and if he will make a statement.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	10560
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>Action taken to address delayed transfers in West Sussex is a matter for the local health and social care community.</p><p>We understand that Crawley Clinical Commissioning Group (CCG) and Horsham and Mid Sussex CCG are monitoring any delays on a daily basis, and working closely with colleagues in social care and community health teams. Coordinated actions between health and social care include dedicated meetings focusing on delayed transfers of care held each week; proactive management of patient flow via daily ward rounds; implementation of a daily “SITREP” and escalation process for patients who are significantly delayed; and ward sponsorship by local managers to support change.</p><p>Sussex Community NHS Trust is undertaking a detailed review of these issues, and has put an action plan in place to address them.</p><p>The CCGs are also working in partnership with West Sussex County Council to develop an integrated hospital discharge model, and have already established a Hospital Rapid Discharge Team at Princess Royal Hospital which is reducing the number of patients that go on to the wards by between 25% - 30%.</p><p>We are advised that these efforts have resulted in a steady reduction in average length of stay over recent months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/10/2015 14:30:47 answering member 1201 label Biography information for Alistair Burt
tabling member	116 label Biography information for Lord Soames of Fletching

419546

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: 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 role of community pharmacies in keeping people healthy.
tabling member constituency	Rother Valley
tabling member printed	Kevin Barron
uin	10674
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>We have long recognised that community pharmacy teams play a vital role in improving people’s health, preventing ill-health and helping to reduce health inequalities. Informed by a growing evidence base, we have enabled community pharmacy to deliver a wide range of public health services. We have actively supported the implementation of Healthy Living Pharmacies, with qualified health champions on site reaching out to, and improving the health of, people in their communities.</p><p>Public Health England (PHE) keeps under review the progress that pharmacy is making on keeping people healthy and is providing system leadership for pharmacy’s public health role and strategic leadership for the acceleration and spread of Healthy Living Pharmacies across the country. PHE’s vision for pharmacy is one in which community pharmacy teams are fully integrated into the local primary care networks, playing an appropriate and pivotal role in improving the health of people in England. PHE has built a strong relationship with the sector, seeking to utilise its unique offering of access, location and an informal environment, with trusted staff that reflect the background of the communities that they serve. PHE is embedding pharmacy in its priority public health programmes such as prevention, early detection and management of blood pressure, NHS Health Checks and smoking cessation.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/10/2015 16:11:15 answering member 1201 label Biography information for Alistair Burt
tabling member	392 label Biography information for Sir Kevin Barron

419050

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Living Wage
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 potential effect of the national living wage on social care providers.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	10452
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The impact of the new National Living Wage on local authority finances will be considered during the Spending Review as part of an overall assessment of spending pressures on local authorities.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/10/2015 16:08:12 answering member 1201 label Biography information for Alistair Burt
tabling member	95 label Biography information for Mr Andrew Smith

419062

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
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 reductions in local authority social care budgets on the prevalence of delayed discharges in the NHS; and if he will make a statement.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	10427
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Department has not formally assessed the relationship between local authority social care budgets and the prevalence of delayed discharges in the National Health Service.</p><p>Internal analysis has been unable to demonstrate a statistical relationship between local authority budgets and delayed transfer of care performance, although qualitative evidence from the sector does indicate the importance of strong and effective social care services in supporting delivery of NHS services.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/10/2015 14:35:23 answering member 1201 label Biography information for Alistair Burt
tabling member	116 label Biography information for Lord Soames of Fletching

419110

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Glaucoma
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 patients with glaucoma in (a) 2012, (b) 2013 and (c) 2014.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	10416
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>Cost information is shown in the following table from reference costs, which are the average unit cost to National Health Service trusts and foundation trusts of providing defined services in a given financial year. The table shows the costs of a surgical procedure covering one episode of care under one consultant in an admitted patient or outpatient setting and does not include other elements of the patient pathway such as general practitioner consultations or outpatient appointments. It is not possible to separately identify the costs of glaucoma in non-surgical appointments.</p><p>Costs associated with glaucoma procedures, 2011/12 – 2013/14</p><table><tbody><tr><td><p>Healthcare Resource Group (HRG)</p></td><td><p>Activity</p></td><td><p>National average unit cost £</p></td><td><p>Estimated total cost £million</p></td></tr><tr><td><p>2011/12</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Major Glaucoma Procedures</p></td><td><p>2,248</p></td><td><p>£1,440</p></td><td><p>£3.2m</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures</p></td><td><p>33,842</p></td><td><p>£387</p></td><td><p>£13.1m</p></td></tr><tr><td><p>Minor Glaucoma Procedures</p></td><td><p>17,194</p></td><td><p>£293</p></td><td><p>£5.0m</p></td></tr></tbody></table><table><tbody><tr><td><p>Total</p></td><td><p> </p></td><td><p> </p></td><td><p>£21.3m</p></td></tr><tr><td><p>2012/13</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Major Glaucoma Procedures, with CC Score 1+</p></td><td><p>1,206</p></td><td><p>£1,665</p></td><td><p>£2.0m</p></td></tr><tr><td><p>Major Glaucoma Procedures, with CC Score 0</p></td><td><p>2,622</p></td><td><p>£885</p></td><td><p>£2.3m</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures, with CC Score 1+</p></td><td><p>3,167</p></td><td><p>£1,250</p></td><td><p>£4.0m</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures, with CC Score 0</p></td><td><p>17,410</p></td><td><p>£451</p></td><td><p>£7.9m</p></td></tr><tr><td><p>Minor Glaucoma Procedures, with CC Score 1+</p></td><td><p>2,014</p></td><td><p>£773</p></td><td><p>£1.6m</p></td></tr><tr><td><p>Minor Glaucoma Procedures, with CC Score 0</p></td><td><p>19,243</p></td><td><p>£198</p></td><td><p>£3.8m</p></td></tr><tr><td><p>Total</p></td><td><p> </p></td><td><p> </p></td><td><p>£21.6m</p></td></tr><tr><td><p>2013/14</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Major Glaucoma Procedures with CC Score 1+</p></td><td><p>1,709</p></td><td><p>£1,689</p></td><td><p>£2.9m</p></td></tr><tr><td><p>Major Glaucoma Procedures with CC Score 0</p></td><td><p>3,129</p></td><td><p>£884</p></td><td><p>£2.8m</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures with CC Score 1+</p></td><td><p>3,384</p></td><td><p>£1,236</p></td><td><p>£4.2m</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures with CC Score 0</p></td><td><p>9,297</p></td><td><p>£772</p></td><td><p>£7.2m</p></td></tr><tr><td><p>Minor Glaucoma Procedures with CC Score 1+</p></td><td><p>2,142</p></td><td><p>£680</p></td><td><p>£1.5m</p></td></tr><tr><td><p>Minor Glaucoma Procedures with CC Score 0</p></td><td><p>24,688</p></td><td><p>£181</p></td><td><p>£4.5m</p></td></tr><tr><td><p>Total</p></td><td><p> </p></td><td><p> </p></td><td><p>£23.1m</p></td></tr></tbody></table><p><em>Source: </em>Reference costs, Department of Health</p><p>Notes:</p><ol><li>The HRG classification groups procedures into categories such as major, intermediate and minor, according to their complexity.</li><li>Complication and comorbidity scores describe the illness severity and complexity of patients, and the additional resources required for their treatment.</li></ol><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 13/10/2015 15:49:28 answering member 1201 label Biography information for Alistair Burt
tabling member	481 label Biography information for Sir George Howarth

419113

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Visual Impairment
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 (a) number of people with sight loss in the UK and (b) likely number of people who will have sight loss in 2050.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	10411
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Department has made no recent estimate of the number of people with sight loss, the likely number who will have sight loss in the future, or of the costs in treating sight loss and eye health issues.</p><p>Information on the number of patients who are blind or have sight loss is not collected centrally. However information is available on the number of people who are registered by local authorities as blind or partially sighted. At March 2014, the number of people on the register of blind people was 143,000 and on the register of partially sighted people 147,700.</p><p>Registration as blind or partially sighted is voluntary so the numbers registered are likely to be an underestimate of the total number of people living with sight loss. Research funded by the Royal National Institute of Blind People, published in 2009<sup>1</sup>, estimated there were almost 2 million people in the United Kingdom living with sight loss and that this number would double to 4 million by 2050.</p><p>Information is collected centrally and published on NHS expenditure on `problems of vision’ across both primary and secondary care. In the latest year for which data has been published<sup>2 </sup>for both primary and secondary care, 2012/13, primary care trust expenditure was £2.3 billion. The Department expects NHS England to commission services for eye health to meet any increased demand, as it would in any other area of healthcare. The ‘Five Year Forward View’<sup>3</sup> sets out the vision for how services may be organised going forward.</p><p><strong></strong></p><p><sup>1</sup> <a href="http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf" target="_blank">http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf</a></p><p><sup>2</sup> <a href="http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/" target="_blank">http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/</a></p><p><sup>3</sup> <a href="http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10412 10413 question first answered 13/10/2015 14:27:28 answering member 1201 label Biography information for Alistair Burt
tabling member	481 label Biography information for Sir George Howarth

419114

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Visual Impairment
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 average annual cost to the NHS of the effects of sight loss; and if he will make a statement.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	10412
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Department has made no recent estimate of the number of people with sight loss, the likely number who will have sight loss in the future, or of the costs in treating sight loss and eye health issues.</p><p>Information on the number of patients who are blind or have sight loss is not collected centrally. However information is available on the number of people who are registered by local authorities as blind or partially sighted. At March 2014, the number of people on the register of blind people was 143,000 and on the register of partially sighted people 147,700.</p><p>Registration as blind or partially sighted is voluntary so the numbers registered are likely to be an underestimate of the total number of people living with sight loss. Research funded by the Royal National Institute of Blind People, published in 2009<sup>1</sup>, estimated there were almost 2 million people in the United Kingdom living with sight loss and that this number would double to 4 million by 2050.</p><p>Information is collected centrally and published on NHS expenditure on `problems of vision’ across both primary and secondary care. In the latest year for which data has been published<sup>2 </sup>for both primary and secondary care, 2012/13, primary care trust expenditure was £2.3 billion. The Department expects NHS England to commission services for eye health to meet any increased demand, as it would in any other area of healthcare. The ‘Five Year Forward View’<sup>3</sup> sets out the vision for how services may be organised going forward.</p><p><strong></strong></p><p><sup>1</sup> <a href="http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf" target="_blank">http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf</a></p><p><sup>2</sup> <a href="http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/" target="_blank">http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/</a></p><p><sup>3</sup> <a href="http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10411 10413 question first answered 13/10/2015 14:27:28 answering member 1201 label Biography information for Alistair Burt
tabling member	481 label Biography information for Sir George Howarth

419116

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Visual Impairment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the likely effects of the ageing population on the costs of treating sight loss and eye health issues.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	10413
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Department has made no recent estimate of the number of people with sight loss, the likely number who will have sight loss in the future, or of the costs in treating sight loss and eye health issues.</p><p>Information on the number of patients who are blind or have sight loss is not collected centrally. However information is available on the number of people who are registered by local authorities as blind or partially sighted. At March 2014, the number of people on the register of blind people was 143,000 and on the register of partially sighted people 147,700.</p><p>Registration as blind or partially sighted is voluntary so the numbers registered are likely to be an underestimate of the total number of people living with sight loss. Research funded by the Royal National Institute of Blind People, published in 2009<sup>1</sup>, estimated there were almost 2 million people in the United Kingdom living with sight loss and that this number would double to 4 million by 2050.</p><p>Information is collected centrally and published on NHS expenditure on `problems of vision’ across both primary and secondary care. In the latest year for which data has been published<sup>2 </sup>for both primary and secondary care, 2012/13, primary care trust expenditure was £2.3 billion. The Department expects NHS England to commission services for eye health to meet any increased demand, as it would in any other area of healthcare. The ‘Five Year Forward View’<sup>3</sup> sets out the vision for how services may be organised going forward.</p><p><strong></strong></p><p><sup>1</sup> <a href="http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf" target="_blank">http://www.rnib.org.uk/sites/default/files/FSUK_Report.pdf</a></p><p><sup>2</sup> <a href="http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/" target="_blank">http://www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting/</a></p><p><sup>3</sup> <a href="http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10411 10412 question first answered 13/10/2015 14:27:29 answering member 1201 label Biography information for Alistair Burt
tabling member	481 label Biography information for Sir George Howarth

419118

registered interest
date	16/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to improve the quality of adult social care; and if he will make a statement.
tabling member constituency	Mid Sussex
tabling member printed	Sir Nicholas Soames
uin	10428
answer	answer is ministerial correction date of answer 13/10/2015 answer text <p>The Government is committed to improving the quality of adult social care. We have taken a number of recent steps to do so.</p><p>In October 2014, we introduced a tougher inspection system by the Care Quality Commission (CQC). Following inspections, the CQC now also awards each care service a single quality rating with providers rated as “Outstanding”, “Good”, “Requires Improvement” or “Inadequate”. Services rated “Inadequate” are being placed into Special Measure which means they could face closure if they fail to improve.</p><p>These new ratings and other information about the type and quality of care at every care home and homecare service in the country are now available on NHS Choices and the MyNHS Transparency website, making it much easier for people to compare the quality of services.</p><p>This year we introduced a <em>Certificate of Fundamental Care</em>, now known as the Care Certificate. This will help ensure that care workers can deliver a consistently high quality standard of care.</p><p>The Department is funding and working with a number of organisations including the National Institute for Health and Care Excellence (NICE), Skills for Care, the Social Care Institute for Excellence, the Association of Directors of Adult Social Services and the Local Government Association on a range of projects to help adult social care organisations and staff improve the quality of care. These resources include new NICE Quality Standards and Guidelines which bring clarity to what excellence looks like in care and <em>Commissioning for Better Outcomes – A Route Map*</em> that sets out a series of commissioning standards that will be used as part of local government sector-led improvement to drive best practices in local authority commissioning under their new duties in the Care Act 2015.</p><p>*Available at:</p><p><a href="http://www.local.gov.uk/documents/10180/5756320/Commissioning+for+Better+Outcomes+A+route+map/8f18c36f-805c-4d5e-b1f5-d3755394cfab" target="_blank">http://www.local.gov.uk/documents/10180/5756320/Commissioning+for+Better+Outcomes+A+route+map/8f18c36f-805c-4d5e-b1f5-d3755394cfab</a></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10559 question first answered 13/10/2015 16:14:26 answering member 1201 label Biography information for Alistair Burt
tabling member	116 label Biography information for Lord Soames of Fletching