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806029

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the total NHS drugs bill was in each of the last 10 years; and how much of that bill was offset by prescription charges income in each those years.
tabling member constituency	Edinburgh North and Leith
tabling member printed	Deidre Brock
uin	119238
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The table below shows total primary and secondary care drug spend as recorded by the Department for the last 10 years, in England only.</p><p> </p><p>Total Departmental drug spend 2007-08 to 2016-17</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td><p>Total Primary care drugs spend</p></td><td><p>Total Secondary care drugs spend</p></td><td><p>Total Departmental drugs spend</p></td></tr><tr><td><p>(£ billion)</p></td><td><p>(£ billion)</p></td><td><p>(£ billion)</p></td></tr><tr><td><p>2007/08</p></td><td><p>7.7</p></td><td><p>3.3</p></td><td><p>10.9</p></td></tr><tr><td><p>2008/09</p></td><td><p>7.7</p></td><td><p>3.6</p></td><td><p>11.4</p></td></tr><tr><td><p>2009/10</p></td><td><p>7.9</p></td><td><p>4.0</p></td><td><p>11.9</p></td></tr><tr><td><p>2010/11</p></td><td><p>8.3</p></td><td><p>4.3</p></td><td><p>12.5</p></td></tr><tr><td><p>2011/12</p></td><td><p>8.2</p></td><td><p>4.5</p></td><td><p>12.7</p></td></tr><tr><td><p>2012/13</p></td><td><p>7.9</p></td><td><p>5.1</p></td><td><p>12.9</p></td></tr><tr><td><p>2013/14</p></td><td><p>8.0</p></td><td><p>5.3</p></td><td><p>13.3</p></td></tr><tr><td><p>2014/15</p></td><td><p>8.2</p></td><td><p>5.9</p></td><td><p>14.1</p></td></tr><tr><td><p>2015/16</p></td><td><p>8.5</p></td><td><p>6.5</p></td><td><p>15.1</p></td></tr><tr><td><p>2016/17</p></td><td><p>8.5</p></td><td><p>6.9</p></td><td><p>15.4</p></td></tr></tbody></table><p> </p><p>The Department holds income for those prescription charges. The data held is in relation to the National Health Service in England only. The totals for each can be seen in the table below:</p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Income from Fees Charged (£ million)</p></td></tr><tr><td><p>2007-08</p></td><td><p>451.2</p></td></tr><tr><td><p>2008-09</p></td><td><p>459.3</p></td></tr><tr><td><p>2009-10</p></td><td><p>450.4</p></td></tr><tr><td><p>2010-11</p></td><td><p>456.0</p></td></tr><tr><td><p>2011-12</p></td><td><p>426.1</p></td></tr><tr><td><p>2012-13</p></td><td><p>449.6</p></td></tr><tr><td><p>2013-14</p></td><td><p>470.7</p></td></tr><tr><td><p>2014-15</p></td><td><p>503.9</p></td></tr><tr><td><p>2015-16</p></td><td><p>523.5</p></td></tr><tr><td><p>2016-17</p></td><td><p>554.9</p></td></tr></tbody></table> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:53:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4417 label Biography information for Deidre Brock

806063

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Prices
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether any pharmaceutical companies have reduced their pricing schedules as a result his Department's scrutiny; and whether he will place the results in the Library of any investigations undertaken by his Department and the Competition and Markets Authority in the last 10 years.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	119272
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Department aims to ensure the continuity of supply of medicines while ensuring that the National Health Service obtains value for money from its spend on medicines.</p><p> </p><p>The costs of branded medicine are controlled by the Pharmaceutical Price Regulation Scheme and the statutory scheme for branded medicines. For unbranded generic medicines the Department relies on competition to keep prices down. In primary care community pharmacies are incentivised to source products at the lowest possible cost and in secondary care, competitive tenders ensure value-for-money to the NHS.</p><p> </p><p>Where competition does not appear to be working, the Department alerts the Competition and Markets Authority (CMA). Where the CMA finds that a company has breached competition law by charging excessive prices it can impose a fine as well as order companies to reduce their prices. In those instances the Department will seek damages and invest that money back into the NHS.</p><p> </p><p>Investigations and infringements decisions by the CMA are publicly available on the CMA’s website.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 119394 question first answered 18/12/2017 17:38:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

806084

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Crisis Care Concordat Steering Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when the Mental Health Crisis Care Concordat steering group last met; and when he plans to convene that steering group's next meeting.
tabling member constituency	Croydon North
tabling member printed	Mr Steve Reed
uin	119287
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Mental Health Crisis Care Concordat Steering Group last met on 6 September 2016 and the next meeting will take place on 10 January 2018.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 16:57:28 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4268 label Biography information for Steve Reed

806117

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Continuing Care
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 number of medically optimised patients in hospital because they do not have a care package in place by (a) hospital and (b) local authority area.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	119318
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>This data is not available in the format requested.<sup>1 </sup>NHS England publishes monthly data on delayed transfers of care. The latest data is for October 2017 and can be accessed via the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/delayed-transfers-of-care/</a></p><p> </p><p>Note:</p><p> </p><p><sup>1</sup>As of April 2017, data on the number of patients delayed on the last Thursday of the month is no longer being collected. This measure has been replaced in the Delayed Transfers of Care (DTOC) publication files by a similar measure called DTOC Beds. The DTOC Beds figure is calculated by dividing the number of delayed days during the month by the number of calendar days in the month. This provides a similar figure to the patient snapshot, but is more representative of the entire month rather than providing a view on one particular day. The time series for patient snapshot data is available for the period August 2010 to March 2017.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:13:36 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	429 label Biography information for Derek Twigg

806118

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incinerators: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the health effects of vapour plumes emitted from waste incinerators on the local population.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	119319
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The effects of modern municipal waste incinerators on human health were reviewed by the Health Protection Agency, whose functions were transferred to Public Health England (PHE) on 1 April 2013. The report, published in September 2009, concluded “Modern, well managed incinerators make only a small contribution to local concentrations of air pollutants. It is possible that such small additions could have an impact on health but such effects, if they exist, are likely to be very small and not detectable.”</p><p> </p><p>PHE will review its advice in light of new substantial research on the health effects of incinerators published in peer reviewed journals. To date, PHE is not aware of any evidence that requires a change in their position statement.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:43:39 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	429 label Biography information for Derek Twigg

806160

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Gambling: Children and Young People
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 the number of people between the age of 16 and 21 who were receiving treatment for gambling addiction in (a) 2010 and (b) 2017 to date.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	119361
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Department does not hold information on the numbers of people who have received counselling or other treatment for an addiction to gambling in 2010 to 2017.</p><p> </p><p>Problem gamblers can access services in primary care and secondary care including specialised mental health and addiction services. Any decisions on the commissioning of effective treatment services are the responsibility of local commissioners, based on an assessment of local need.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:44:31 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

806162

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to his Department's publication Future in Mind, published in March 2015, whether his Department has plans to review the target for 35 per cent of children with diagnosable mental health conditions to receive treatment by 2020-21 as a result of the publication of the green paper, Transforming children and young people’s mental health provision.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119363
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Government remains committed to meeting the goals set out in NHS England’s Five Year Forward View for Mental Health and accompanying implementation plan. However, as set out in Implementing the Five Year Forward View for Mental Health, the target of 35% of children with a diagnosable mental health condition receiving treatment by 2020/21 will be reviewed in 2018 following publication of a new national prevalence study.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:08:29 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

806163

registered interest
date	13/12/2017
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, whether his Department intends to ringfence mental health budgets in the NHS.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119364
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The Department has no such plans.</p><p> </p><p>The Department does not generally ringfence budgets within the National Health Service. Clinicians in clinical commissioning groups (CCGs), who know their patients, have the autonomy to make decisions about the health services that best meet the health needs of their local population. They do this based on patient needs and clinical evidence.</p><p> </p><p>The NHS Operational Planning and Contracting Guidance applies to CCGs and sets out specific requirements, including commissioning mental health services that meet the needs of local populations. This guidance also requires CCGs and NHS England specialised commissioning hubs to increase their spend on mental health services by a greater amount than the growth in their overall programme allocation.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 16:58:23 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth

806166

registered interest
date	13/12/2017
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, how many analyses have been jointly undertaken by (a) the NHS, (b) his Department and (c) Public Health England with the (i) Global Burden of Disease or (ii) Institute for Health Metrics and Evaluation in each of the last five years; and if he will place copies of any published reports of those studies in the Library.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	119367
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>Since 2014, Public Health England has an on-going contractual relationship with the Institute for Health Metrics and Evaluation (IHME) to provide data and quality assure the modelling work undertaken by IHME.</p><p> </p><p>The Global Burden of Disease study (GBD) 2013 findings were published in a series of papers on subjects such as: smoking; overweight and obesity; HIV/AIDS, malaria, and tuberculosis; disability-adjusted life years, and risk factors. The papers are available at:</p><p><a href="http://www.thelancet.com/gbd/2013" target="_blank">http://www.thelancet.com/gbd/2013</a></p><p>Starting with GBD 2015, annual updates of GBD estimates are being produced to provide policymakers, donors, and other decision-makers with the most timely and useful picture of population health. GBD 2015 findings have been published in a series of papers and reports and can be found here:</p><p><a href="http://www.healthdata.org/gbd/publications" target="_blank">http://www.healthdata.org/gbd/publications</a></p><p>GBD collaborators are currently at work on the next update.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 17:42:42 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	534 label Biography information for Chris Ruane

806172

registered interest
date	13/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Education
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the proposed ratio is between Mental Health Support Teams and schools and colleges.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119373
answer	answer is ministerial correction date of answer 18/12/2017 answer text <p>The ratio of Mental Health Support Teams to schools and colleges, as well as staffing ratios, will be determined according to local circumstances, and will be informed through responses to the Green Paper consultation and tested by initial trailblazer sites.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/12/2017 16:55:06 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4244 label Biography information for Jonathan Ashworth