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100877

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma
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 cost to the NHS of treating asthma in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211847
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The following table sets out expenditure on asthma from 2008-09 to 2012-13<sup>1 </sup></p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>Expenditure (£ billion)</p></td></tr><tr><td><p>2008-09</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>0.87</p></td><td><p>0.91</p></td><td><p>0.99</p></td><td><p>1.01</p></td><td><p>1.05</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p><sup>1</sup> Aggregate primary care trust (PCT) expenditure on own population from programme budgeting collection. Programme budgeting is an annual collection of expenditure on healthcare conditions by NHS Commissioners. Programme budgeting figures are only estimates.</p><p> </p><p> </p><p> </p><p>It should be noted that this does not include expenditure on primary care appointments which is included as a separate category. Other areas of expenditure such as Outpatients and Community Care cannot always be allocated to sub-categories so some expenditure on asthma may be included in ‘Problems of the Respiratory System – Other’ or ‘Other - Miscellaneous’.</p><p> </p><p><strong> </strong></p><p> </p><p>Further notes on interpretation of data:</p><p> </p><p>- Expenditure data are calculated from programme budgeting returns for 2003-04 to 2012-13. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</p><p> </p><p> </p><p> </p><p>- Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other’ expenditure.</p><p> </p><p> </p><p> </p><p>- The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.</p><p> </p><p> </p><p> </p><p>- In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.</p><p> </p><p> </p><p> </p><p>- Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.</p><p> </p><p> </p><p> </p><p>- PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.</p><p> </p><p> </p><p> </p><p>- Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, strategic health authorities and special health authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.</p><p> </p><p> </p><p> </p><p>- For 2003-04, figures are based on PCT net expenditure. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:06:29 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall

100878

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 23 October 2014 to Question 211152, which terms used to describe mental health conditions experienced by women during pregnancy and in the first year after their child is born are classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics database.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211869
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>More than 10% of women experience perinatal mental health problems or mental illness (i.e. during pregnancy or in the first postnatal year) and that is why improving diagnosis and services for women with perinatal mental health problems is one of the Department’s key objectives for maternity care.</p><p> </p><p> </p><p> </p><p>Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.</p><p> </p><p> </p><p> </p><p>The ICD-10 classification system categorises conditions experienced by women during pregnancy and childbirth under ‘mental and behavioural disorders in pregnancy, childbirth and the puerperium’. There are eight ICD-10 codes for perinatal mental health diagnoses. F53.0 is the code assigned to postnatal depression.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:10:26 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

100884

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ipswich Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the Parliamentary Under-Secretary of State for Health has visited Ipswich Hospital in his ministerial capacity.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211901
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since September 2012, I have visited Ipswich Hospital twice in my ministerial capacity. This was on 25 December 2012 and 5 December 2013, and on many other occasions as a constituency MP, most recently on 10 October 2014.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:15:20 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

100398

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Motor Neurone Disease: North West
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 adequacy of the availability of augmentative and alternative communication aids for sufferers of motor neurone disease in (a) East Lancashire and (b) the North West.
tabling member constituency	Pendle
tabling member printed	Andrew Stephenson
uin	211529
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since April 1 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease (MND). Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services and supports equity of access to a nationally consistent, high quality service for patients across the country including in East Lancashire and the North West. The specification can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf</a></p><p> </p><p> </p><p> </p><p>NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:33:32 answering member 1439 label Biography information for Norman Lamb
tabling member	4044 label Biography information for Andrew Stephenson

100412

registered interest
date	22/10/2014
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 steps he is taking to ensure that people with dementia receive an early diagnosis.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	211631
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Improving dementia diagnosis is a key component of the Prime Minister’s Challenge on dementia. NHS England has set the first ever national ambition to improve dementia diagnosis. By March 2015, our aim is that two-thirds of the estimated number of people with dementia receive a diagnosis and appropriate post diagnostic support.</p><p> </p><p> </p><p> </p><p>We have taken the following steps in order to ensure that people with dementia receive a timely diagnosis;</p><p> </p><p> </p><p> </p><p>- We have put in place a new Dementia Directed Enhanced Service which has had over 80% take up by general practitioners (GPs) to reward practices for facilitating timely diagnosis and support for people with dementia. NHS England has allocated £5 million 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 10 September 2014 NHS England published a new Dementia Toolkit aimed at helping 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>- In the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed.</p><p> </p><p> </p><p> </p><p>- All National Health Service staff looking after people with dementia will go through a dementia awareness programme. Health Education England will provide Tier 1 training to an additional 250,000 staff by March 2015, and will ensure that the tools and training opportunities are available to all staff by the end of 2018.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:00:31 answering member 1439 label Biography information for Norman Lamb
tabling member	478 label Biography information for Lord Field of Birkenhead

100417

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Aids
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what clinical guidance local commissioners are expected to consider when making decisions about commissioning of hearing aids for mild to moderate hearing loss.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	211641
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Local commissioners are responsible for the provision of hearing aids for mild to moderate hearing loss. Commissioners should take into consideration assessments of local need and any relevant clinical guidance, which may include guidance from appropriate national bodies such as the National Institute for Health and Care Excellence.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:22:28 answering member 1439 label Biography information for Norman Lamb
tabling member	1604 label Biography information for Mr Virendra Sharma

100424

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS hospital pharmacies have had their dispensary services put out to tender to private companies since the coming into force of the Health and Social Care Act 2012; what the equivalent figure was prior to that date; how many such companies dispense or deliver medication to NHS (a) outpatients and (b) hospital inpatients; and what the total amount of VAT (i) reclaimed by all such companies since that date and (ii) paid by all the incumbent NHS hospital pharmacies whose services have not been put out to tender to private companies since that date was.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	211532
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>This information is not collected by either the Department or NHS England.</p><p> </p><p> </p><p> </p><p>The decision to put hospital pharmacy services out to tender is a matter for individual trusts.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 211526 question first answered 29/10/2014 15:26:43 answering member 4020 label Biography information for George Freeman
tabling member	4244 label Biography information for Jonathan Ashworth

100425

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Pharmacy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS hospital pharmacies there are.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	211526
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>This information is not collected by either the Department or NHS England.</p><p> </p><p> </p><p> </p><p>The decision to put hospital pharmacy services out to tender is a matter for individual trusts.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 211532 question first answered 29/10/2014 15:26:43 answering member 4020 label Biography information for George Freeman
tabling member	4244 label Biography information for Jonathan Ashworth