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423565

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Trusts: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what new performance target for Trusts and Foundation Trusts has been introduced since May 2010; and which new performance targets he plans to introduce for those bodies over the next five years.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	13250
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>A number of operational standards related to access and waiting times have been introduced or amended since May 2010. All the changes were based on recommendations from clinical experts.</p><br /><p>As part of our response to the Independent Cancer Taskforce’s report, we have announced our commitment that – by 2020 – 95% of National Health Service patients will be given a definitive cancer diagnosis or the all clear within 28 days of being referred by a general practitioner. This will be underpinned by investment - expected to be £300 million more in diagnostics a year by 2020.</p><p><strong></strong></p><p>We are also introducing the first waiting times standards specifically for mental health so that, from April 2016:</p><br /><p>- 75% of people will be referred to the Improving Access to Psychological Therapies programme within six weeks, with 95% of people being referred within 18 weeks; and</p><p>- 50% of people experiencing a first episode of psychosis will be treated within two weeks.</p><br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:29:53 answering member 3918 label Biography information for Jane Ellison
tabling member	4418 label Biography information for Justin Madders

423566

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Public Expenditure
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to maintain ringfencing for total NHS funding in the Autumn Statement.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	13249
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The Government has protected the funding the National Health Service receives and increased the Department’s budget in real terms year on year. There is no plan to change this, fulfilling the Government’s manifesto commitment. By 2020-21, the Government will increase funding for the NHS by £10 billion a year in real terms compared to 2014-15 to support the implementation of the NHS’s own plan - the NHS Five Year Forward View - to transform services across the country.</p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 28/10/2015 17:01:45 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

423570

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many training places in the Improving Access to Psychological Therapies service there were in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	13214
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>There were 756 training places commissioned for improving access to psychological therapies (IAPT) programmes in 2014/15. In addition 509 trainees attended Child and Young People’s (CYP) IAPT courses in 2014/15.</p><br /><p>The following table contains an aggregate of the number of training places that have been commissioned in each of the last four financial years for the IAPT programmes. Comparable information relating to the IAPT programmes is not held centrally for the 2011/12 financial year.</p><br /><table><tbody><tr><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>IAPT training places commissioned</p></td><td><p>634</p></td><td><p>859</p></td><td><p>756</p></td><td><p>946</p></td></tr></tbody></table><p><em>Source: </em>multi professional education and training budget monitoring returns</p><br /><p>The following table details the number of trainees attending CYP IAPT courses per year of the programme in the last five years.</p><br /><table><tbody><tr><td><p><br></p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>Trainee Therapist</p></td><td><p>97</p></td><td><p>142</p></td><td><p>252</p></td><td><p>372</p></td><td><p>537</p></td></tr><tr><td><p>Supervisor <br></p></td><td><p>30</p></td><td><p>45</p></td><td><p>88</p></td><td><p>86</p></td><td><p>113</p></td></tr><tr><td><p>Service Lead</p></td><td><p>35</p></td><td><p>48</p></td><td><p>73</p></td><td><p>51</p></td><td><p>114</p></td></tr><tr><td><p>TOTAL <br></p></td><td><p>162</p></td><td><p>235</p></td><td><p>413</p></td><td><p>509</p></td><td><p>764</p></td></tr></tbody></table><p><em>Source: </em>NHS England</p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 13216 question first answered 28/10/2015 17:03:52 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

423571

registered interest
date	23/10/2015
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 training GPs receive on eating disorders.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	13215
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>It is the responsibility of the General Medical Council (GMC) to set the standards and outcomes for education and training and approve training curricular to ensure newly qualified doctors are equipped with the knowledge, skills and attitudes to provide high quality patient care.This includes training on treating patients with eating disorders as required.</p><br /><p>Health Education England will work with bodies that set curricula such as the GMC and the royal colleges to seek to ensure training meets the needs of patients.</p><p><strong></strong></p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 28/10/2015 17:31:53 answering member 3988 label Biography information for Ben Gummer
tabling member	4036 label Biography information for Luciana Berger

423572

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many Improving Access to Psychological Therapies Training service places were commissioned in 2014-15.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	13216
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>There were 756 training places commissioned for improving access to psychological therapies (IAPT) programmes in 2014/15. In addition 509 trainees attended Child and Young People’s (CYP) IAPT courses in 2014/15.</p><br /><p>The following table contains an aggregate of the number of training places that have been commissioned in each of the last four financial years for the IAPT programmes. Comparable information relating to the IAPT programmes is not held centrally for the 2011/12 financial year.</p><br /><table><tbody><tr><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>IAPT training places commissioned</p></td><td><p>634</p></td><td><p>859</p></td><td><p>756</p></td><td><p>946</p></td></tr></tbody></table><p><em>Source: </em>multi professional education and training budget monitoring returns</p><br /><p>The following table details the number of trainees attending CYP IAPT courses per year of the programme in the last five years.</p><br /><table><tbody><tr><td><p><br></p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p>Trainee Therapist</p></td><td><p>97</p></td><td><p>142</p></td><td><p>252</p></td><td><p>372</p></td><td><p>537</p></td></tr><tr><td><p>Supervisor <br></p></td><td><p>30</p></td><td><p>45</p></td><td><p>88</p></td><td><p>86</p></td><td><p>113</p></td></tr><tr><td><p>Service Lead</p></td><td><p>35</p></td><td><p>48</p></td><td><p>73</p></td><td><p>51</p></td><td><p>114</p></td></tr><tr><td><p>TOTAL <br></p></td><td><p>162</p></td><td><p>235</p></td><td><p>413</p></td><td><p>509</p></td><td><p>764</p></td></tr></tbody></table><p><em>Source: </em>NHS England</p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 13214 question first answered 28/10/2015 17:03:52 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

423574

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Carers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make an assessment of the implications for his policies of the findings of the report, A Charge on Caring?, published by the Carers Trust in September 2015, on the level of compliance by councils with their duty under the Care Act 2014 to prevent carers developing a need for support.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	13247
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>The Government recognises the valuable contribution made by carers, many of whom spend a significant proportion of their life providing support to family members or friends.</p><br /><p>The Care Act guidance is clear about policy on charging carers. The Care Act statutory guidance, at paragraph 8.50 states that:</p><br /><p>“Local authorities are not required to charge a carer for support and indeed in many cases it would be a false economy to do so. When deciding whether to charge, and in determining what an appropriate charge is, a local authority should consider how it wishes to express the way it values carers within its local community as partners in care, and recognise the significant contribution carers make.”</p><br /><p>The Care Act replicates the previous position where charging carers was permissible. It would not have been appropriate to impose a blanket ban on charging for carers services, because in some cases small charges are necessary to the viability of services. However, the Care Act provides additional protection to carers by making it clear that local authorities cannot charge carers for services provided to the person being cared for. This means that carers may only be charged for services provided directly to them.</p><br /><p>Most local authorities (currently only 5%) do not routinely charge carers in recognition of the valuable contribution carers make to their local communities, and the Carers Trust report confirms that this is still the case. We will continue to make the case against routine charging of carers and to monitor the situation closely.</p><p>The Care Act and guidance are clear about the provision of preventative services. Under the Care Act, local authorities have a responsibility to support carers in a number of ways. This includes duties on local authorities to provide information and advice and universal preventative services for carers.</p><br /><p>We continue to support implementation of the Care Act 2014.</p><br /><p>To support implementation of the reform programme, we have established a joint Programme Management Office between the Department, Local Government Association and Association of Directors of Adults Social Services (ADASS). This unprecedented partnership is driving collaborative working with the sector, influencing the local implementation of these changes to support a consistent and coherent approach. This approach was recognised by the National Audit Office as best practice and should be adopted by other programmes.</p><br /><p>The programme includes a series of stocktakes of local authority readiness and the latest, from June 2015, demonstrates an overall positive picture on implementation:</p><p>- Councils’ confidence in their ability to deliver the Care Act Reforms in 2015/16 remains high, with 99% very or fairly confident.</p><p>- 89% of councils say that they are ‘on track’ with their implementation. The remaining 11% report themselves as only slightly behind.</p><br /><p>The Department is also leading on the development of a new National Carers’ Strategy that will examine what more we can do to support existing carers and the new carers.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 28/10/2015 17:37:48 answering member 1201 label Biography information for Alistair Burt
tabling member	1588 label Biography information for Baroness Keeley

423575

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Eating Disorders: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much of the funding distributed by NHS England to improve eating disorder services has been spent; and what that funding has been spent on.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	13212
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>For 2015/16, NHS England has distributed £30 million to clinical commissioning groups in order to improve services for children and young people with eating disorders. The funding will be used to reduce waiting times and to improve the way in which services are delivered for people with eating disorders. A specific aim is to move towards providing specialist care on an out-patient basis so that fewer young people will need admission to hospital. The expectation is this will improve outcomes and allow more young people to receive treatment closer to home.</p><br /><p>Clinical commissioning groups have led the development of Local Transformation Plans for Children and Young People’s Mental Health and Wellbeing that include plans for how the eating disorder allocation will be spent. The deadline for submission was Friday 16 October and the plans are being assured by NHS England’s regional assurance teams. Expenditure will be monitored against the plans over the remainder of the financial year.</p><p><strong></strong></p><p><strong></strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 28/10/2015 17:36:50 answering member 1201 label Biography information for Alistair Burt
tabling member	4036 label Biography information for Luciana Berger

423587

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Alcoholic Drinks
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 study of the prevalence of births of children damaged as a result of alcohol consumed by their mothers during pregnancy.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	13138
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>We recognise the fact that too many women may be unaware of the health risks and possible harmful fetal effects associated with drinking during pregnancy. The Chief Medical Officer’s review of the alcohol guidelines will include consideration to the current Government’s advice on drinking during pregnancy.</p><br /><p>Whilst we have no current plans to commission a study of the prevalence of births of children damaged as a result of alcohol consumed by their mothers during pregnancy the World Health Organization is starting a global prevalence study on fetal alcohol spectrum disorder, recognising that this information is lacking in many countries. There are a number of challenges on the feasibility of estimating prevalence, which should be addressed in this study. We welcome this study and will consider participating.</p><p><strong></strong></p><br /> <br /> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:00:39 answering member 3918 label Biography information for Jane Ellison
tabling member	4061 label Biography information for Bill Esterson

423588

registered interest
date	23/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Alcoholic Drinks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of adults with brain damage caused by alcohol consumed by their mothers during pregnancy; and what assessment he has made of the level of awareness of health and other care professionals of the disability, and the consequences of that disability, which result from that activity.
tabling member constituency	Sefton Central
tabling member printed	Bill Esterson
uin	13139
answer	answer is ministerial correction date of answer 28/10/2015 answer text <p>This information is not held centrally.</p><p>Health Education England (HEE) works with the General Medical Council, the Nursing and Midwifery Council and the Royal Colleges to seek to ensure training of health and care professionals meets the needs of the public.</p><p>HEE has established a Patient Advisory Forum which provides advice to the HEE Board and other advisory groups to ensure that the needs of the patient are at the heart of the education, training and workforce planning process.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2015 17:34:04 answering member 3918 label Biography information for Jane Ellison
tabling member	4061 label Biography information for Bill Esterson

422960

registered interest
date	21/10/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to improve out-of-hour services for palliative care.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	12729
answer	answer is ministerial correction date of answer 28/10/2015 answer text <br /><p>This Government is committed to improving the quality of palliative care. Earlier this year, the Review of Choice in End of Life Care made a number of recommendations on how to enable greater choice and improve quality in palliative and end of life care nationally, including on the provision of out-of-hour palliative care services.</p><br /><p>We agree with the vision set out by the Review and are working with NHS England and others to see how this can best be achieved. We intend to respond to the Review recommendations in due course.</p> answering member constituency Ipswich answering member printed Ben Gummer grouped question UIN 12730 question first answered 28/10/2015 17:30:53 answering member 3988 label Biography information for Ben Gummer
tabling member	4046 label Biography information for Bridget Phillipson