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419871

registered interest
date	09/10/2015
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 steps he plans to take to ensure councils have adequate funding to protect social care following the implementation of the National Living Wage in April 2016.
tabling member constituency	Edmonton
tabling member printed	Kate Osamor
uin	11061
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>Funding decisions for 2016/17 onwards, including for social care, are subject to the ongoing Spending Review which will review expenditure and future demand for services. This includes considerations such as the forthcoming implementation of the National Living Wage. The Spending Review will be published on 25 November 2015.</p><br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/10/2015 13:48:00 answering member 1201 label Biography information for Alistair Burt
tabling member	4515 label Biography information for Kate Osamor

420055

registered interest
date	09/10/2015
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 the NHS spent on (a) nurses and (b) doctors employed through an agency in each of the last five years.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	11264
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>The information that has been requested is not recorded centrally by the Department.</p><br /><p>2013-14 was the first time that the Department collected financial data from National Health Service trusts and foundation trusts in respect of net temporary and agency staffing costs. Available data on spending nationally on all agency staff is set out in the table below. We are not able to separately identify total spending with agencies on nurses and doctors from centrally held data.</p><br /><p>Total cost to the NHS of temporary staff in 2013-14 and 2014-15</p><table><tbody><tr><td><p><br></p></td><td><p>2013-14 £000s</p></td><td><p>2014-15 £000s</p></td></tr><tr><td><p>Total NHS Providers</p></td><td><p>2,605,378</p></td><td><p>3,355,723</p></td></tr></tbody></table><p><em></em></p><p><em>Source: </em>Department of Health Annual Report and Accounts 2014-15</p><br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/10/2015 13:36:34 answering member 1201 label Biography information for Alistair Burt
tabling member	304 label Biography information for Mr Roger Godsiff

420056

registered interest
date	09/10/2015
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, what proportion of (a) the total NHS staff budget, (b) spending on doctors and (c) spending on nurses was spent on agency staff in each of the last five years.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	11265
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>The information requested is not held centrally. The annual National Health Service budget does not specifically identify for a budget for staff costs. While the Department’s Annual Report and Accounts record the total amounts spent on agency staff from 2013-14, these data do not permit the proportion spent on doctors or nurses to be calculated.</p><br /><p>2013-14 was the first year for which the Department collected financial data from NHS trusts and foundation trusts in respect of net temporary and agency staffing costs.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/10/2015 13:28:25 answering member 1201 label Biography information for Alistair Burt
tabling member	304 label Biography information for Mr Roger Godsiff

420064

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism: Blaydon
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England are taking to ensure that autism diagnosis waiting times for (i) children and (ii) adults in Blaydon meet NICE guidance.
tabling member constituency	Blaydon
tabling member printed	Mr David Anderson
uin	10736
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.</p><br /><p>NHS Newcastle Gateshead CCG is working with Northumberland, Tyne and Wear NHS Foundation Trust to refine their autism pathway, from diagnosis through to therapy and support if appropriate, to be in line with the NICE recommendations. In October 2013, Sheffield CCG commissioned a service to be NICE compliant. However, the service has received a higher volume of referrals than had been anticipated, and is currently the subject of a review to ensure the right model and level of service is delivered in Sheffield.We are not aware of any issues in Carshalton and Wallington.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10676 10679 question first answered 19/10/2015 13:39:01 answering member 1201 label Biography information for Alistair Burt
tabling member	1486 label Biography information for Mr David Anderson

420065

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he plans to take to increase the awareness of autism among the public and encourage patients to request a referral for diagnosis from their GP.
tabling member constituency	Blaydon
tabling member printed	Mr David Anderson
uin	10737
answer	answer is ministerial correction date of answer 14/10/2015 answer text <p>The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning, and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.</p><p>NHS England has also been working with the Health and Social Care Information Centre to develop the Mental Health Minimum Data Set. This will include provision for the diagnosis of autism to be recorded. This mandatory data set will, for the first time, provide data about diagnosis rates. The data will be published and available for everyone to use to support and develop services. NHS England has a commitment, over the next five years, to improve waiting times and this data will be invaluable for this. Information on average waiting times for autistic diagnosis in each clinical commissioning group area is not collected centrally.</p><p>The Department issued new statutory guidance in March this year for local authorities and NHS organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This guidance sets out what people seeking an autism diagnosis can expect from local authorities and NHS bodies including general practitioners.</p><p>We are due to consult on how we set the mandate to NHS England prior to publication of the mandate itself. The mandate will be published following the Government’s Spending Review which is due to complete on 25 November.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10675 10818 10841 10843 10844 11039 11100 11101 question first answered 14/10/2015 15:01:34 answering member 1201 label Biography information for Alistair Burt
tabling member	1486 label Biography information for Mr David Anderson

420066

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will initiate all-party discussions on how to ensure that the NHS is financially sustainable in the long-term.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	10717
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>Rising demands and continued fiscal constraint means that the National Health Service faces challenges in ensuring that it remains financially sustainable in the future. The Government believes that the answer to these challenges lies in changing the way services are delivered and keeping people well and independent for longer, not in altering the fundamental principles that underpin the NHS.</p><p><strong></strong></p><p>The Government has committed to increasing spending on the NHS in real terms every year in this Parliament, with spending to be at least £8 billion higher by 2020 over and above inflation. This will fund and support the NHS’s own action plan for the next five years – the NHS Five Year Forward View. Robust discussions on financing the NHS take place regularly in Parliament which will continue to inform the Government.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/10/2015 16:13:54 answering member 1201 label Biography information for Alistair Burt
tabling member	95 label Biography information for Mr Andrew Smith

420078

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism: Sheffield Brightside
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England is taking to ensure that autism diagnosis waiting times for (i) children and (ii) adults in Sheffield Brightside meet NICE guidance.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Harry Harpham
uin	10679
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.</p><br /><p>NHS Newcastle Gateshead CCG is working with Northumberland, Tyne and Wear NHS Foundation Trust to refine their autism pathway, from diagnosis through to therapy and support if appropriate, to be in line with the NICE recommendations. In October 2013, Sheffield CCG commissioned a service to be NICE compliant. However, the service has received a higher volume of referrals than had been anticipated, and is currently the subject of a review to ensure the right model and level of service is delivered in Sheffield.We are not aware of any issues in Carshalton and Wallington.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10676 10736 question first answered 19/10/2015 13:39:01 answering member 1201 label Biography information for Alistair Burt
tabling member	4477 label Biography information for Harry Harpham

420079

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
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 ensure that NHS England collects data on waiting times between referral and first appointment for a diagnosis of autism in line with NICE Quality Standard QS51.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	10675
answer	answer is ministerial correction date of answer 14/10/2015 answer text <p>The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning, and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.</p><p>NHS England has also been working with the Health and Social Care Information Centre to develop the Mental Health Minimum Data Set. This will include provision for the diagnosis of autism to be recorded. This mandatory data set will, for the first time, provide data about diagnosis rates. The data will be published and available for everyone to use to support and develop services. NHS England has a commitment, over the next five years, to improve waiting times and this data will be invaluable for this. Information on average waiting times for autistic diagnosis in each clinical commissioning group area is not collected centrally.</p><p>The Department issued new statutory guidance in March this year for local authorities and NHS organisations to support the continued implementation of the 2010 Autism Strategy, as refreshed by its 2014 Think Autism update. This guidance sets out what people seeking an autism diagnosis can expect from local authorities and NHS bodies including general practitioners.</p><p>We are due to consult on how we set the mandate to NHS England prior to publication of the mandate itself. The mandate will be published following the Government’s Spending Review which is due to complete on 25 November.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10737 10818 10841 10843 10844 11039 11100 11101 question first answered 14/10/2015 15:01:33 answering member 1201 label Biography information for Alistair Burt
tabling member	151 label Biography information for Tom Brake

420080

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism: Carshalton and Wallington
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England is taking to ensure that autism diagnosis waiting times for (i) children and (ii) adults in Carshalton and Wallington constituency meet NICE guidance.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	10676
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>The Department has discussed with NHS England the difficulties that people on the autistic spectrum can have in getting an appropriate diagnosis in a timely manner. With support from the Department, NHS England and the Association of Directors of Social Services will undertake a series of visits to clinical commissioning groups (CCGs) to gather information that can be shared between areas that have arrangements in place to meet National Institute for Health and Care Excellence (NICE) Quality Standard 51 Autism: support for commissioning and those that do not, with the aim of supporting more consistent provision. These NICE guidelines already recommend that there should be a maximum of three months between a referral and a first appointment for a diagnostic assessment for autism. We expect the National Health Service to be working towards meeting the recommendations.</p><br /><p>NHS Newcastle Gateshead CCG is working with Northumberland, Tyne and Wear NHS Foundation Trust to refine their autism pathway, from diagnosis through to therapy and support if appropriate, to be in line with the NICE recommendations. In October 2013, Sheffield CCG commissioned a service to be NICE compliant. However, the service has received a higher volume of referrals than had been anticipated, and is currently the subject of a review to ensure the right model and level of service is delivered in Sheffield.We are not aware of any issues in Carshalton and Wallington.</p><br /> <br /> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10679 10736 question first answered 19/10/2015 13:39:01 answering member 1201 label Biography information for Alistair Burt
tabling member	151 label Biography information for Tom Brake

420085

registered interest
date	09/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health
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 ensure that (a) his Department and (b) the NHS gives mental health parity of esteem with physical health.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	10684
answer	answer is ministerial correction date of answer 19/10/2015 answer text <p>We continue to take mental health as seriously as physical health and to hold the National Health Service to account for achieving the objectives set out in the NHS Mandate, ensuring that mental and physical health conditions are given equal priority. The Mandate makes clear that ‘everyone who needs it should have timely access to evidence-based services’.</p><br /><p>We have legislated for parity of esteem between mental and physical health via the Health and Social Care Act 2012.</p><br /><p>We have already expanded our world-leading psychological therapy services and we have invested over £120 million in order to introduce for the first time waiting times standards for mental health services from April 2015 – a very significant milestone on the road to parity. Next year we will invest £15 million into improving the provision of places of safety, in order to ensure that people in crisis receive assessments in appropriate premises, and not in police custody.</p><br /><p>We have made clear that each clinical commissioning group’s (CCG) spending on Mental Health should increase in real terms.</p><br /><p>NHS England’s published planning guidance for 2015/16 for commissioners made the expectation clear that each CCGs spend on mental health services in 2015/16 should increase in real terms, and grow by at least the same percentage as each CCG’s allocation increase.</p><br /><p>We will monitor this closely to ensure this happens.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 19/10/2015 14:35:52 answering member 1201 label Biography information for Alistair Burt
tabling member	411 label Biography information for Mr Barry Sheerman