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92992

registered interest
date	13/10/2014
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 guidance his Department provides to clinical commissioning groups about commissioning services on treatments from hospitals (a) in Scotland and (b) outside their own area.
tabling member constituency	Berwick-upon-Tweed
tabling member printed	Sir Alan Beith
uin	210196
answer	answer is ministerial correction date of answer 16/10/2014 answer text <p>Clinical commissioning groups’ (CCGs) commissioning responsibilities are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 (SI 2012/2996) and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013 (SI 2013/350), as amended.</p><p> </p><p> </p><p> </p><p>NHS England have published the document ‘Who Pays? Determining responsibility for payments to providers’ which provides guidance for CCGs on commissioning services from hospitals in Scotland and outside their own area.</p><p> </p><p> </p><p> </p><p>A copy is attached.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 16/10/2014 15:10:39 answering member 1439 label Biography information for Norman Lamb attachment 1 file name who-pays.pdf title Who Pays? NHS England August 2013
tabling member	513 label Biography information for Lord Beith

92586

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent steps he has taken to tackle dementia.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	209308
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>Dementia is a key priority for this Government and we are committed to ensuring people with dementia and their carers receive the best possible care in all care settings. That is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>Since the launch of the Challenge, the Government has made significant progress across all three strands of the challenge. On 7 May 2014 the Co-Chairs of the Dementia Challenge champion groups wrote to the Prime Minister to update him on progress. They highlighted the important achievements in the two years since the challenge was launched. The letter also reiterates the champion groups’ ambition for England to become among the best countries in the world for dementia care and support. More recently;</p><p> </p><p> </p><p> </p><p>- The Government’s refreshed Mandate to Health Education England, published on 1 May 2014, builds on the existing ambition to have 100,000 NHS staff receive Tier 1 training on dementia by setting an ambition for a further 250,000 NHS staff to receive Tier 1 training on dementia by March 2015, with the tools and training opportunities being made available to all staff by the end of 2018.</p><p> </p><p> </p><p> </p><p>- On 7 May 2014 Public Health England and the Alzheimer’s Society launched a major new campaign with the aim of securing one million people to become dementia friends by March 2015. There are currently over 520,000 Dementia Friends.</p><p> </p><p> </p><p> </p><p>- At the UK Dementia Legacy event held in London on 19 June 2014 following on from the successful Dementia G8 Summit in December 2013 the Prime Minister committed to new action to accelerate progress on dementia drugs, with focus on patents, funding and patient access to new medicines.</p><p> </p><p> </p><p> </p><p>- The Medical Research Council announced the world’s biggest research cohort involving 2 million people as part of a 16 million Public-Private Partnership.</p><p> </p><p> </p><p> </p><p>- Alzheimer’s Research UK announced a £100 million research pledge. This builds on the Alzheimer’s Society announcement made in December 2013, to spend at least £100 million over the next 10 years on dementia research.</p><p> </p><p> </p><p> </p><p>- On 10 September 2014 NHS England published a new Dementia Toolkit aimed at helping general practitioners (GPs) making a more timely diagnosis and what they can do in terms of vital post-diagnostic support.</p><p> </p><p> </p><p> </p><p>- On 3 October 2014 NHS England announced that £5 million will be made available to fund an additional enhanced service for GPs to run between October 2014 and March 2015 to drive improvements in dementia diagnosis.</p><p> </p><p> </p><p> </p><p>- On 13 October 2014 NHS England announced that seven new ambassadors had been appointed to begin spreading the word about the importance of diagnosing more patients with dementia in a bid to help improve patients and their carers quality of life.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 15:18:15 answering member 1439 label Biography information for Norman Lamb
tabling member	1540 label Biography information for Greg Mulholland

92591

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will commission an assessment of the ability of the Child and Adolescent Mental Health Services to provide appropriate counselling and support for those who have suffered sexual abuse; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	209988
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>Child and Adolescent Mental Health Services provide assessment and support for children and young people with a wide range of mental health problems. This will include some who have suffered sexual abuse or exploitation, depending on their presenting difficulties, particular clinical needs and local referral protocols. In some areas, counselling and support for children and young people who have been sexually abused are provided through voluntary sector services, including some specialised services which may be commissioned locally.</p><p> </p><p>The Department does not intend to commission an assessment of the ability of Child and Adolescent Mental Health Services to provide appropriate counselling and support for this group, since this must be a matter for local decision-making based on an assessment of local needs. In addition, the Children and Young People’s Mental Health and Well-Being Taskforce will consider how best to improve outcomes for children with mental health problems. The Taskforce includes a specific working group on vulnerable children and young people, which will be asked to consider the needs of children and young people who have suffered sexual abuse or exploitation.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 15:14:09 answering member 1439 label Biography information for Norman Lamb
tabling member	432 label Biography information for Helen Jones

92603

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Rochdale
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of people in Rochdale who are seeking talking therapy treatment have to wait for over three months to find out whether they will receive such treatment.
tabling member constituency	Rochdale
tabling member printed	Simon Danczuk
uin	209270
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>The data is not available in the format requested. Data from the Health and Social Care Information Centre shows that in 2013-14 21.2% of patients requiring Improving Access to Psychological Therapies treatment in Heywood, Middleton and Rochdale Clinical Commissioning Group area waited over 90 days from referral to first treatment.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 16:02:06 answering member 1439 label Biography information for Norman Lamb
tabling member	4059 label Biography information for Simon Danczuk

92606

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting time is for talking therapies in (a) Rochdale and (b) nationwide.
tabling member constituency	Rochdale
tabling member printed	Simon Danczuk
uin	209269
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>The following table shows the mean and median waiting times nationally and for Heywood, Middleton and Rochdale Clinical Commissioning Group (CCG) area from referral to first treatment for Improving Access to Psychological Therapies services in 2013-14.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Area</p></td><td><p>Median waiting time (days)</p></td><td><p>Mean waiting time</p><p>(days)</p></td></tr><tr><td><p>England</p></td><td><p>21</p></td><td><p>39.5</p></td></tr><tr><td><p>Heywood, Middleton &amp; Rochdale CCG</p></td><td><p>29</p></td><td><p>61.9</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source: </em>Health and Social Care Information Centre</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 16:05:59 answering member 1439 label Biography information for Norman Lamb
tabling member	4059 label Biography information for Simon Danczuk

92627

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of people who accessed mental health crisis care in the last year had not accessed a mental health service before.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210002
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>The following table shows the number of people within the Mental Health Minimum Dataset (MHMDS) that had contact with mental health crisis care in mental health trusts in 2013/14, and of those the people who had not been in contact with mental health services between April 2011 and that contact.</p><p> </p><p> </p><p> </p><p>Data for people who had contact with specialist mental health services prior to April 2011 are not available.</p><p> </p><p><strong> </strong></p><p> </p><p>Table 1: Number of people that accessed a crisis care team in 2013/14 that had no prior mental health services contact from April 2011 onwards.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Total number of people who have been in contact with Mental Health crisis services in 2013/14.</p></td><td><p>151,522</p></td></tr><tr><td><p>The number of those people who had not been in contact with secondary mental health services between April 2011 and their first contact with a mental health crisis team.</p></td><td><p>44,907</p></td></tr><tr><td><p>The percentage of people that accessed a crisis care team in 2013/14 that had no prior mental health services contact between April 2011 and their first contact with a mental health crisis team.</p></td><td><p>29.6%</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Note:</em></p><p> </p><p>For the purpose of this analysis we have defined people who have accessed mental health crisis care as people who have had an attended contact with the following teams;</p><p> </p><p>- Crisis Resolution Team/Home Treatment</p><p> </p><p> </p><p> </p><p><em>Source:</em> Annual Files 2011/12 - 2013/14 MHMDS</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 15:20:28 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

92628

registered interest
date	10/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when updated guidance for commissioners, GPs and providers on patients' choice in mental healthcare will be published.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210003
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>NHS England published interim guidance for commissioners, general practitioners and providers on patients’ choice in mental healthcare in May. This was consulted upon until August and the final guidance is scheduled for publication at the end of October.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 15:16:27 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

91998

registered interest
date	26/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Home Care Services: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Secretary of State for Business, Innovation and Skills and Mr Chancellor of the Exchequer on homecare workers receiving less than the minimum wage; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	209597
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>The Department is clear that care providers must abide by the law with regards to payment of the national minimum wage and will continue to take steps to ensure this happens.</p><p> </p><p> </p><p> </p><p>Departmental officials are liaising with the Department for Business, Innovation and Skills on the issue of social care providers who do not comply with the national minimum wage, and with HMRC on their ongoing enforcement investigations. Under new arrangements that came into force in October 2013, employers found not to be paying the national minimum wage, including care providers, will be publically named.</p><p> </p><p> </p><p> </p><p>The Department is also developing a range of work to ensure providers are aware of their responsibilities, and have the practical tools, to ensure they are paying at least the national minimum wage.</p><p> </p><p> </p><p> </p><p>Local Authorities’ commissioning can also play an important role in ensuring that care workers receive the national minimum wage to which they are entitled. The Department has recently consulted on statutory guidance for local authorities as part of the package of secondary legislation to accompany the Care Act, including guidance on commissioning and market shaping. The draft guidance explicitly states that local authorities should have evidence that contract terms, conditions and fee levels will not compromise care providers’ ability to pay at least minimum wages. Responses to the consultation are currently being analysed and the final guidance will be published in October. The Department is also working with the Association of Directors of Adult Social Services, the Local Government Association and the Health Services Management Centre at Birmingham University to develop a set of Commissioning Standards. Local authorities will be encouraged to use these as a benchmark to support them to improve commissioning practices, including those which have an impact on the social care workforce such as employer compliance with national minimum wage.</p><p> </p><p> </p><p> </p><p>The Department has recently provided a contribution to the Interim Evidence to the Low Pay Commission.</p><p> </p><p> </p><p> </p><p>Ministers have not had recent direct discussions with the Chancellor of the Exchequer on homecare workers receiving less than the minimum wage.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 15:12:54 answering member 1439 label Biography information for Norman Lamb
tabling member	432 label Biography information for Helen Jones

92261

registered interest
date	26/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Levodopa
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will commission a review of the application process for Parkinson's disease Duodopa treatment, with a view to simplifying and speeding up applications.
tabling member constituency	Bishop Auckland
tabling member printed	Helen Goodman
uin	209724
answer	answer is ministerial correction date of answer 15/10/2014 answer text <p>In April 2013 NHS England assumed responsibility for commissioning adult specialist neurosciences services, including the majority of services for people with Parkinson’s disease.</p><p> </p><p> </p><p> </p><p>Individual funding requests relating to treatments that NHS England is responsible for commissioning are handled in line with NHS England’s individual funding requests standard operating procedure, which is at:</p><p> </p><p> </p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/04/cp-04.pdf</p><p> </p><p> </p><p> </p><p>NHS England has informed me that there are no current plans to review these arrangements.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/10/2014 14:04:59 answering member 1439 label Biography information for Norman Lamb
tabling member	1484 label Biography information for Helen Goodman

91637

registered interest
date	11/09/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Children: Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support his Department offers to people who were abused as children.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	209084
answer	answer is ministerial correction date of answer 13/10/2014 answer text <p>Childhood sexual abuse can have a huge effect on an individual’s mental health and result in conditions like post-traumatic stress disorder (PTSD), depression, anxiety, eating disorders, self-harm and suicide. Adults who have mental health difficulties as a result of abuse or trauma that they suffered as children should be referred to mental health services, depending on their particular needs.</p><p> </p><p> </p><p> </p><p>The Government has invested over £400 million in Improving Access to Psychological Therapies (IAPT) services. IAPT services provide trauma based Cognitive Behavioural Therapy (CBT) as standard and increasingly Eye Movement Desensitization and Reprocessing (EMDR) for the treatment of PTSD that may be present for individuals who have experienced childhood sexual abuse.</p><p> </p><p> </p><p> </p><p>Cognitive Behavioural Therapy (CBT) is approved by National Institute for Health and Care Excellence as a treatment for PTSD and is available routinely through IAPT services based in primary care and funded by the National Health Service.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 13/10/2014 14:17:23 answering member 1439 label Biography information for Norman Lamb
tabling member	3931 label Biography information for Dr Julian Huppert