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100182

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
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 support paediatric cardiac surgery services across England and Wales.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211215
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>NHS England is currently reviewing congenital heart services for adults and children, including paediatric cardiac surgical services. The review aims to:</p><p> </p><p> </p><p> </p><p>- secure the best outcomes for all patients;</p><p> </p><p>- tackle variation; and</p><p> </p><p>- improve patient experience.</p><p> </p><p> </p><p> </p><p>The review has developed a set of draft standards and service specifications which are currently out to public consultation. The consultation runs until 8 December. Further details can be found at:</p><p> </p><p> </p><p> </p><p>https://www.engage.england.nhs.uk/consultation/congenital-heart-disease-standards</p><p> </p><p> </p><p> </p><p>There are no centres in Wales providing paediatric congenital cardiac surgery and so patients typically travel to England for surgery. NHS England is working with colleagues in Wales to ensure Welsh residents are aware of the review and able to respond to the consultation.</p><p> </p><p> </p><p> </p><p>NHS England will work with providers to help ensure that services meet the required standards.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:42:14 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

100184

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chickenpox: Vaccination
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 breadth of the uptake of the chicken pox vaccine to reduce the risk of stroke in children and young adults; and if he will make a statement.
tabling member constituency	Hartlepool
tabling member printed	Mr Iain Wright
uin	211242
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Public Health England has not made an assessment of the impact of uptake of varicella vaccination on the risk of stroke in children and young adults.</p><p> </p><p> </p><p> </p><p>The Joint Committee on Vaccination and Immunisation, which provides the Government with expert advice on immunisation matters, has not recommended a universal varicella (chickenpox) immunisation programme for children or young adults.</p><p> </p><p> </p><p> </p><p>Varicella immunisation is recommended to protect those people who are at most risk of serious illness. This is done by immunising specific individuals who are in regular or close contact with those at risk, including non-immune healthcare workers and close household contacts of immunocompromised individuals, such as siblings of a child with leukaemia or a child whose parent is undergoing chemotherapy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:27:20 answering member 3918 label Biography information for Jane Ellison
tabling member	1478 label Biography information for Mr Iain Wright

100188

registered interest
date	21/10/2014
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 was spent by each NHS Trust and NHS foundation trust on contract and agency staff in each of the last five years.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	211294
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Following the Francis report many trusts increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their agency and temporary staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>Spend by each National Health Service foundation trust on contract and agency staff[1] in each of the last five years is attached.</p><p> </p><p> </p><p> </p><p>The amount spent by each NHS trust on contract and agency staff in 2013-14 is attached. Amounts for 2009-10 to 2012-13 were not separately identified from other non permanent staff[2].</p><p> </p><p> </p><p> </p><p> </p><p>1. The definition of Contract / Agency staff is: “Agency” employee payments for the employment of staff where the staff remain employees of the agency and “Contract staff” where the NHS trust has control over numbers and qualifications of staff (in contrast to a service obtained under contract) .</p><p> </p><p>[2] non-permanent staff are defined as “others engaged on the objectives of the organisation including staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS Trusts Contract and Agency Spend- 5 Years.xlsx title NHS trusts contract and agency spend- 5 years 2 file name NHS Trusts Contract and Agency Spend 2013-14.xlsx title NHS trusts contract and agency spend- 2013-14 question first answered 24/10/2014 12:25:09 answering member 3918 label Biography information for Jane Ellison
tabling member	478 label Biography information for Lord Field of Birkenhead

100195

registered interest
date	21/10/2014
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 steps the Government is taking to simplify the provision and commissioning of secondary care; and if he will make a statement.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	211309
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
tabling member	4025 label Biography information for Mrs Pauline Latham

100196

registered interest
date	21/10/2014
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, whether the signature authorising Individual Funding Requests made to NHS England for Gamma Knife treatment by University College Hospital London, Queen Square, is that of a senior clinician employed by University College Hospital London.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	211310
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>We are advised by NHS England that the clinician who authorises Individual Funding Requests for Gamma Knife treatment to be undertaken at the Queens Square Radiology Centre Ltd (QSRC) is a surgeon at the National Hospital for Neurosurgery and Neurology (NHNN), part of University College London Hospitals NHS Foundation Trust (UCLH).</p><p> </p><p> </p><p> </p><p>Gamma Knife treatment is not undertaken by UCLH but by the private company QSRC, which is based at NHNN but has no formal relationship with UCLH.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 16:54:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

100203

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Judicial Review
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many judicial review cases have been successfully brought against his Department in each year since 2010.
tabling member constituency	Hammersmith
tabling member printed	Mr Andy Slaughter
uin	211303
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The following table shows the number of judicial review cases brought against the Department and Public Health England (PHE) since 2010. Until 2013, information was not held centrally on whether the decisions challenged in these applications were upheld.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Department of Health</p></td><td><p>Public Health England (an executive agency of the Department)</p></td><td><p> </p></td></tr><tr><td><p> </p></td><td><p>Number of applications for judicial review made during year</p></td><td><p>Number of applications for judicial review made during year</p></td><td><p>Number of applications upheld during year</p></td></tr><tr><td><p>2010</p></td><td><p>35</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2011</p></td><td><p>26</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2012</p></td><td><p>27</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2013</p></td><td><p>29</p></td><td><p>1*</p></td><td><p>2**</p></td></tr><tr><td><p>2014</p></td><td><p>11 to date</p></td><td><p>0 to date</p></td><td><p>0 to date</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>*This application was made prior to 31 March 2013, before the formation of PHE.</p><p> </p><p>** These were successful challenges against decisions of the Department of Health, the two applications were joined and dealt with together.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 12:25:27 answering member 3918 label Biography information for Jane Ellison
tabling member	1516 label Biography information for Andy Slaughter

100205

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidelines his Department issues to clinical commissioning groups; and if he will make a statement.
tabling member constituency	Colchester
tabling member printed	Sir Bob Russell
uin	211371
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The commissioning responsibilities of clinical commissioning groups (CCGs) are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013, as amended.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has responsibility for issuing guidance to CCGs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:30:16 answering member 3918 label Biography information for Jane Ellison
tabling member	35 label Biography information for Sir Bob Russell

100207

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, further to the answer of 21 October 2014 to question 210443, how many clinical commissioning groups commission foetal alcohol spectrum disorder and foetal alcohol syndrome services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211389
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>This information is not held centrally.</p><p> </p><p><strong> </strong></p><p> </p><p>Fetal Alcohol Spectrum Disorder (FASD) is an umbrella term used to describe a range of conditions associated with prenatal alcohol exposure.</p><p> </p><p> </p><p> </p><p>Early intervention services can help reduce some of the effects of Fetal Alcohol Syndrome and prevent some of the secondary disabilities that result.</p><p> </p><p> </p><p> </p><p>Responsibility for commissioning these services lies with clinical commissioning groups.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 11:14:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

100208

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions the Government has had with the private sector and voluntary sector health providers in relation to the Ebola crisis.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211390
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Since July 2014, Public Health England (PHE) has been issuing advice to health care providers about the Ebola outbreak in West Africa. The outbreak was declared an international public health emergency by the United Nations in August. The advice from PHE has been extensive, covering issues such as guidance on the management of patients and infection control and prevention for staff.</p><p> </p><p> </p><p> </p><p>The Chief Medical Officer has issued three Central Alerting System alerts on the Ebola outbreak in West Africa, on 2 July, 1 August and 7 October. The alert reminded healthcare providers to remain vigilant for cases imported to the United Kingdom, emphasising the importance of taking a full travel history when assessing relevant patients and information on identifying and managing possible cases of Ebola virus disease and actions for all clinicians to ensure preparedness for the possibility of an imported case in the UK.</p><p> </p><p> </p><p> </p><p>These alerts were cascaded to the entire NHS in England, as well as PHE, PHE Consultants in Communicable Disease Control, PHE Consultants in Health Protection,</p><p> </p><p>Trust Microbiologists, Virologists and Infectious Disease Clinicians, private hospitals across England and Clinical Commissioning Group Leads. The alert was also sent to the devolved administrations.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 11:32:26 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger