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78490

registered interest
date	16/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Lancashire
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many Lancashire residents were admitted to a mental health unit that was not their nearest facility in urgent or emergency situations because of a lack of beds since April 2012; how many such patients lived in West Lancashire constituency; and how much has been spent on private sector provision for such patients.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	206122
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>The data is not collected centrally.</p><p><strong> </strong></p><p>Information on out of area placements for mental health patients in Lancashire and the costs of private sector provision for such patients may be obtained from NHS England’s Cheshire, Warrington and Wirral Area Team.</p><p> </p><p>Patients may be referred out of area for specialised mental health treatment for a number of reasons. In all cases, places will be found in the nearest possible facility.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:43:56 answering member 1439 label Biography information for Norman Lamb
tabling member	1538 label Biography information for Rosie Cooper

78496

registered interest
date	16/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to co-ordinate with the devolved administrations to plan for the effects of an ageing population.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	206395
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>Health and care is generally a devolved issue for the devolved administrations. Nonetheless, the Department works with the devolved administrations on matters of mutual interest, including the effects of an ageing population.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:36:51 answering member 1439 label Biography information for Norman Lamb
tabling member	4131 label Biography information for Jim Shannon

78498

registered interest
date	16/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Quality Commission
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether the Care Quality Commission look at (a) current and (b) historic patient files and consent forms.
tabling member constituency	Bristol North West
tabling member printed	Charlotte Leslie
uin	206241
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England and has a key responsibility in the overall assurance of safety and quality of health and adult social care services.</p><p> </p><p>The CQC has provided the following information.</p><p><strong> </strong></p><p>CQC looks at current and historic patient records when appropriate in order to assess the quality and safety of services registered with it. Patient records are commonly reviewed during CQC inspections, in compliance with the Data Protection Act, to see how well care at a service is planned, delivered and reviewed, and form an integral part of judging the quality of care. In order to protect the confidentiality of people who use services, and to comply with legal requirements, CQC will only look at patient files where it has decided that it is both necessary and proportionate to do so for the purpose of CQC’s regulatory functions. This approach is set out in CQC’s <em>Code of Practice on Confidential Personal Information </em>and in guidance for inspectors on using CQC’s powers to access health and care records.</p><p> </p><p>The <em>Code of Practice on Confidential Personal Information</em> is available on CQC’s website at :</p><p><strong> </strong></p><p>www.cqc.org.uk/sites/default/files/documents/20121105_code_of_practice_on_cpi.pdf</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:35:33 answering member 1439 label Biography information for Norman Lamb
tabling member	3933 label Biography information for Charlotte Leslie

78511

registered interest
date	16/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Procurement
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and which private sector companies awarded NHS contracts have subcontracted work from NHS hospitals and surgeries to prisons in England; and which prisons are involved in such contracts.
tabling member constituency	Liverpool, Walton
tabling member printed	Steve Rotheram
uin	206161
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>This information is not collected centrally by NHS England.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:36:49 answering member 1439 label Biography information for Norman Lamb
tabling member	4035 label Biography information for Steve Rotheram

78514

registered interest
date	16/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eating Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of (a) eating disorder beds and (b) eating disorder services have been delivered by the private sector in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206351
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>In April 2013, NHS England became responsible for commissioning specialised Eating Disorder Services. There are currently 460 beds available across England. 255 of these beds are provided by the National Health Service and the remainder by the Independent sector. Therefore 55.4% are provided by the NHS. Historical figures are not available as this data is maintained as a real-time list.</p><p> </p><p> </p><p>NHS England does not hold data on services commissioned by clinical commissioning groups (CCGs) which include non-specialised and community eating disorder services. CCG’s commissioning decisions are based on the needs of the local population and they are expected to take account of National Institute for Health and Care Excellence guidelines.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:46:40 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

78010

registered interest
date	15/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what role NHS England plays in the development of advice given by the Prescribed Specialised Services Advisory Group to Ministers on which specialised services should be included in regulations setting out those services which NHS England must commission.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	206003
answer	answer is ministerial correction date of answer 21/07/2014 answer text NHS England puts forward proposals to the Prescribed Specialised Services Advisory Group (PSSAG), and provides information to support the Group's considerations chiefly via its Clinical Reference Groups. NHS England also provides expert members of PSSAG in areas such as finance, informatics, medicine and nursing. Further information about NHS England's input to the process by which advice is prepared for ministers is set out in the publication "Prescribed Specialised Services Advisory Group - Recommendations to Ministers" published on 2 May 2014, which includes a complete list of PSSAG members. www.gov.uk/government/publications/specialised-service-recommendations-to-ministers In addition, as required by section 3B of the National Health Service Act 2006 (as amended), NHS England is consulted before regulations are made by the Secretary of State. answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:33:41 answering member 1439 label Biography information for Norman Lamb
tabling member	1538 label Biography information for Rosie Cooper

78011

registered interest
date	15/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Homicide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the new Single Operating Model for investigating mental health homicides for the NHS in England will become operational.
tabling member constituency	Leeds North East
tabling member printed	Fabian Hamilton
uin	205925
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>The NHS Serious Incident Framework issued by NHS England in March 2013 updated the National Framework for reporting and learning from serious incidents requiring investigation. It explains the responsibilities for actions and investigations following serious incidents, these include incidents where there may have been shortcomings in NHS-funded care prior to homicides committed by those receiving mental health care services.</p><p> </p><p>The NHS Serious Incident Framework is currently under review, to improve alignment and consistency of serious incident management and to provide further clarity to the NHS about principles, processes and expectations in response to serious incidents. As part of this work, NHS England is keen to develop systems to ensure that investigations are managed in a robust and transparent way. This includes ensuring that the carers and family members of both victims and perpetrators are supported from the onset, including being fully involved in the investigation process and the subsequent action planning and response.</p><p> </p><p>The framework will be published in autumn 2014 and will be implemented by spring 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 205926 206063 question first answered 21/07/2014 14:27:43 answering member 1439 label Biography information for Norman Lamb
tabling member	415 label Biography information for Fabian Hamilton

78013

registered interest
date	15/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many individual funding requests per indication were received by NHS England for radiotherapy treatment in the last financial year; and how many requests, per indication, were refused by NHS England.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	205953
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>Since April 2013, radiotherapy treatment has been planned and paid for nationally by NHS England.</p><p> </p><p>NHS England has informed us that information on the number of individual funding requests made to NHS England is not currently available. NHS England is improving its data collection mechanisms and aims to improve availability of such information in the future.</p><p><br><br></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/07/2014 16:41:28 answering member 1439 label Biography information for Norman Lamb
tabling member	4089 label Biography information for Tessa Munt

78015

registered interest
date	15/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness: Homicide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will issue new guidance to NHS Trusts on the timely provision of information to victims' families following a mental health homicide.
tabling member constituency	Leeds North East
tabling member printed	Fabian Hamilton
uin	205926
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>The NHS Serious Incident Framework issued by NHS England in March 2013 updated the National Framework for reporting and learning from serious incidents requiring investigation. It explains the responsibilities for actions and investigations following serious incidents, these include incidents where there may have been shortcomings in NHS-funded care prior to homicides committed by those receiving mental health care services.</p><p> </p><p>The NHS Serious Incident Framework is currently under review, to improve alignment and consistency of serious incident management and to provide further clarity to the NHS about principles, processes and expectations in response to serious incidents. As part of this work, NHS England is keen to develop systems to ensure that investigations are managed in a robust and transparent way. This includes ensuring that the carers and family members of both victims and perpetrators are supported from the onset, including being fully involved in the investigation process and the subsequent action planning and response.</p><p> </p><p>The framework will be published in autumn 2014 and will be implemented by spring 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 205925 206063 question first answered 21/07/2014 14:27:43 answering member 1439 label Biography information for Norman Lamb
tabling member	415 label Biography information for Fabian Hamilton

78024

registered interest
date	15/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gender Recognition: Greater London
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on (a) the current waiting time following referral for a first appointment at Charing Cross Gender Identity Clinic (GIC), (b) how many people are currently receiving treatment at that clinic and how long the average wait is between appointments; what assessment his Department has made of how many patients Charing Cross GIC can treat in a year according to best practice guidelines and within existing resources; what discussions he has had with the Chief Executive of NHS England on the steps necessary to increase provision of services for trans people; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	206001
answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>We are advised by NHS England that there are currently seven gender identity clinics (GICs) in England and three providers of gender reassignment surgery. The nearest GIC to Brighton and Hove is located in London. These GIC clinics have considerable experience of delivering this highly specialised service and are able to accept referrals from all over the United Kingdom. At present there are no plans to undertake a procurement exercise to increase the number of providers.</p><p> </p><p>NHS England report that waiting times for pre-surgical assessment at Imperial College Healthcare NHS Trust one of the three NHS England commissioned providers of gender surgery are currently running at around 12 months, compared to 10 months in 2013-14. The increase in waiting times is due to the increase in demand for the service nationally that has seen referrals increase from 195 in 2011-12 to 300 in 2013-14.</p><p> </p><p>Individual patient waits vary according to the needs of the patient. Currently, the average wait for surgery is just under a year from the point at which funding is confirmed.</p><p> </p><p>Information from the website of Imperial College Healthcare NHS Trust shows that there are currently 279 patients approved for this surgery and that it carried out 178 male to female gender reassignment operations in 2013-14.</p><p> </p><p>Following a change in staffing, Imperial appointed a new gender reassignment surgeon who will start performing gender reassignment surgeries in September 2014. As a temporary measure, the trust is referring a small number of patients who have waited longer than others to a private provider under a sub-contracting arrangement with that provider, Imperial retain responsibility for managing all patient pathways.</p><p> </p><p>Imperial College Healthcare NHS Trust has published an update of the position on its website, which can be viewed at the following link:</p><p> </p><p>www.imperial.nhs.uk/aboutus/news/news_044629</p><p> </p><p>The trust is also sending this information directly to patients.</p><p> </p><p>These issues have not been the subject of discussions between Ministers and the Chief Executive of NHS England.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 206002 question first answered 21/07/2014 16:18:23 answering member 1439 label Biography information for Norman Lamb
tabling member	3930 label Biography information for Caroline Lucas