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49737

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) elective and (b) emergency admissions to hospital with a (i) primary and (ii) secondary diagnosis of prostate cancer there have been in each year since 2005, (A) in England and (B) by commissioning area of responsibility.
	tabling member constituency	Sutton and Cheam
	tabling member printed	Paul Burstow
	uin	197888
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Figures showing the number of finished admission episodes with primary and secondary (but not primary) diagnosis of prostate cancer by admission method for 2005-06 to 2012-13 by primary care trust (PCT) of responsibility and for England in total have been placed in the Library.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ197888 - Library Doc - Table.xlsx title Finished Admission Episodes - Prostate Cancer
	tabling member	204 label Biography information for Paul Burstow

49682

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the rate of liver disease amongst adults was in the most recent period for which figures are available in each clinical commissioning group area.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197868
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The table attached shows finished admission episodes for liver disease in 2012-13 by clinical commissioning group of residence, where the patient was 18 years or older. The rate is supplied per 100,000 of the population.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ197868 - Liver Disease - Table.xlsx title Liver Disease
	tabling member	1604 label Biography information for Mr Virendra Sharma

49675

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many finished consultant episodes relating to liver disease there have been for patients aged (a) under and (b) over 18 years old in (i) England and (ii) each parliamentary constituency in England in each year since 1997-98.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197867
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The information is not collected centrally in the format requested. A count of finished consultant episodes with a primary diagnosis of liver disease for patients aged 0-17 and over 18 years old, by primary care trust of residence and England in total for the years 1997-98 to 2012-13 has been placed in the Library.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ197867 - Library Doc - Table.xlsx title Finished Consultant Episodes - Liver Disease
	tabling member	1604 label Biography information for Mr Virendra Sharma

50023

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average ambulance response time was in (a) Liverpool, (b) Merseyside and (c) England in each month since May 2007.
	tabling member constituency	Liverpool, Walton
	tabling member printed	Steve Rotheram
	uin	197760
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The information is not available in the format requested. Such information as is available is shown in the following table.</p><p> </p><p>Table: The median ambulance response times to treatment for category A<sup>1</sup> calls in the North West Ambulance Service NHS Trust<sup>2,3</sup>, April 2011<sup>4</sup> to March 2014</p><p> </p><table><tbody><tr><td><p>Month</p></td><td><p>Median time to treatment for Category A calls (in minutes)</p></td></tr><tr><td><p>April 2011</p></td><td><p>4.2</p></td></tr><tr><td><p>May 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>June 2011</p></td><td><p>5.2</p></td></tr><tr><td><p>July 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>August 2011</p></td><td><p>4.7</p></td></tr><tr><td><p>September 2011</p></td><td><p>4.8</p></td></tr><tr><td><p>October 2011</p></td><td><p>4.9</p></td></tr><tr><td><p>November 2011</p></td><td><p>4.9</p></td></tr><tr><td><p>December 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>January 2012</p></td><td><p>4.8</p></td></tr><tr><td><p>February 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>March 2012</p></td><td><p>5.0</p></td></tr><tr><td><p>April 2012</p></td><td><p>5.6</p></td></tr><tr><td><p>May 2012</p></td><td><p>5.7</p></td></tr><tr><td><p>June 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>July 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>August 2012</p></td><td><p>5.2</p></td></tr><tr><td><p>September 2012</p></td><td><p>5.3</p></td></tr><tr><td><p>October 2012</p></td><td><p>5.4</p></td></tr><tr><td><p>November 2012</p></td><td><p>5.4</p></td></tr><tr><td><p>December 2012</p></td><td><p>5.7</p></td></tr><tr><td><p>January 2013</p></td><td><p>5.5</p></td></tr><tr><td><p>February 2013</p></td><td><p>5.6</p></td></tr><tr><td><p>March 2013</p></td><td><p>5.6</p></td></tr><tr><td><p>April 2013</p></td><td><p>5.8</p></td></tr><tr><td><p>May 2013</p></td><td><p>5.4</p></td></tr><tr><td><p>June 2013</p></td><td><p>5.5</p></td></tr><tr><td><p>July 2013</p></td><td><p>5.8</p></td></tr><tr><td><p>August 2013</p></td><td><p>5.7</p></td></tr><tr><td><p>September 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>October 2013</p></td><td><p>6.0</p></td></tr><tr><td><p>November 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>December 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>January 2014</p></td><td><p>5.8</p></td></tr><tr><td><p>February 2014</p></td><td><p>6.1</p></td></tr><tr><td><p>March 2014</p></td><td><p>6.1</p></td></tr></tbody></table><p><em>Source</em>: Ambulance quality indicators, NHS England</p><p> </p><p><em>Notes:</em></p><p><sup>1</sup>Category A calls are defined as those that are the result of immediately life threatening incidents.</p><p><sup>2</sup>North West Ambulance Service NHS Trust provides services to the Liverpool and Merseyside areas. Ambulance response times are not readily available for areas smaller than those covered by one Ambulance Trust.</p><p><sup>3</sup>It is not possible to calculate the median time to treatment for England from the medians for individual ambulance trusts.</p><p><sup>4</sup>Information is not available before April 2011.</p><p> </p><p>Before April 2011, data was collected annually in the KA34 Ambulance Statistics. This shows the annual trend in national ambulance activity has been increasing since 2007/08: from 4.3 million emergency journeys in 2007/08 to 5 million in 2012/13 (latest available).</p><p> </p><p>The performance of ambulance services is performance measured on a monthly basis against three response time standards. On the basis of these standards performance in the North West Ambulance Trust is broadly stable.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Category A calls responded to by North West Ambulance Trust 2011-14.docx title North West Ambulance Category A Calls 2011-14
	tabling member	4035 label Biography information for Steve Rotheram

49671

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when he discussed liver disease with his Department's Chief Medical Officer in the last 12 months; what the content of those discussions was; and if he will make a statement.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197861
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p /> <p /> <p> </p><p>A wide variety of issues, including liver disease, are discussed at regular meetings between the Chief Medical Officer and my Rt. hon. Friend the Secretary of State. As these meetings are not routinely minuted it is not possible to specify at which meetings liver disease was discussed, or the specific contents of individual meetings. There have been no meetings specifically focused on liver disease between the Chief Medical Officer and the Secretary of State within the last 12 months.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma

49672

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how his Department will take into account NHS England's responsibility for commitments in the UK Strategy for Rare Diseases in its delivery of the strategy as a whole.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197755
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>NHS England recently published its statement of intent showing how it will play its part in delivering the UK Strategy for Rare Diseases in England. A more detailed plan will be built into NHS England's five year strategy for specialised services.</p><p> </p><p>The UK Rare Disease Forum, supported by the Department, will monitor activity against the 51 commitments outlined in the UK Strategy for Rare Diseases. It will report progress to the health ministers of the four UK countries.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma

49673

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when NHS England plans to publish its report on specialised service derogations; and what additional steps it is taking to ensure compliance.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197751
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>NHS England advises that the publication date has yet to be determined. However, the report will not be published until after the pre-election period for the forthcoming local authority and European Parliamentary elections is completed on 22 May 2014.</p><p> </p><p>NHS England continues to work with their Area Teams on ensuring that all providers have robust plans for delivering services that meet the service specification.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma

49674

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, when his Department has held meetings with external organisations to discuss a strategy for combating liver disease since 11 May 2010; if he will place minutes of those meetings in the Library; and if he will make a statement.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197866
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>NHS England is responsible for the overall national approach to improving clinical outcomes for people with liver disease. It is adopting a broad strategy to reduce premature mortality, including mortality from liver disease.</p><p> </p><p>My Rt. hon. Friend the Secretary of State for Health has not met any external organisations to discuss a strategy for combating liver disease since 11 May 2010. The Secretary of State and current Ministers at the Department have not met with representatives of people living with liver disease since September 2012.</p><p> </p><p>NHS England and Public Health England are supporting clinical commissioning groups and local authorities to reduce premature mortality by providing commissioners with a suite of tools to help them maximise the best possible outcomes for their local communities such as Local Authority Profiles. These can help local authorities and clinical commissioning groups identify the significance of liver disease in their local area compared with the rest of the country and the actions they could prioritise to tackle it.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197862 question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma

49676

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 people (a) infected and (b) diagnosed with viral hepatitis in each of the last 10 years.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197865
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Hepatitis A, B, C and E are viruses that affect the liver. Where tests can differentiate acute from chronic infections data is presented as newly acquired infections and where not data is presented as newly diagnosed cases.</p><p> </p><p>Cases of confirmed newly acquired hepatitis A virus infection are reported by laboratories to Public Health England.</p><p><strong> </strong></p><p>Table 1: Hepatitis A laboratory reports (newly acquired infections) , England (2002-2012).</p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of hepatitis A reports</p></td></tr><tr><td><p>2002</p></td><td><p>1,278</p></td></tr><tr><td><p>2003</p></td><td><p>999</p></td></tr><tr><td><p>2004</p></td><td><p>610</p></td></tr><tr><td><p>2005</p></td><td><p>469</p></td></tr><tr><td><p>2006</p></td><td><p>374</p></td></tr><tr><td><p>2007</p></td><td><p>344</p></td></tr><tr><td><p>2008</p></td><td><p>344</p></td></tr><tr><td><p>2009</p></td><td><p>341</p></td></tr><tr><td><p>2010</p></td><td><p>359</p></td></tr><tr><td><p>2011</p></td><td><p>252</p></td></tr><tr><td><p>2012</p></td><td><p>279</p></td></tr></tbody></table><p><strong> </strong></p><p>Data on acute hepatitis B infections are reported both from laboratories and from Health Protection Teams to Public Health England. Reporting in this way commenced in 2008.</p><p><strong> </strong></p><p> </p><p>Table 2: Reports of acute hepatitis B infections (newly acquired infections), England (2008-2012)</p><p><strong> </strong></p><table><tbody><tr><td><p>Year</p></td><td><p>Number of hepatitis B reports</p></td></tr><tr><td><p>2008</p></td><td><p>620</p></td></tr><tr><td><p>2009</p></td><td><p>597</p></td></tr><tr><td><p>2010</p></td><td><p>512</p></td></tr><tr><td><p>2011</p></td><td><p>589</p></td></tr><tr><td><p>2012</p></td><td><p>554</p></td></tr></tbody></table><p><strong> </strong></p><p>Laboratory reports of newly diagnosed cases of hepatitis C are reported to Public Health England.</p><p> </p><p>Table 3: Laboratory reports of hepatitis C (newly diagnosed cases) , England (2002-2012)</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of hepatitis C reports</p></td></tr><tr><td><p>2002</p></td><td><p>4,809</p></td></tr><tr><td><p>2003</p></td><td><p>5,570</p></td></tr><tr><td><p>2004</p></td><td><p>6,240</p></td></tr><tr><td><p>2005</p></td><td><p>6,295</p></td></tr><tr><td><p>2006</p></td><td><p>6,961</p></td></tr><tr><td><p>2007</p></td><td><p>7,808</p></td></tr><tr><td><p>2008</p></td><td><p>8,407</p></td></tr><tr><td><p>2009</p></td><td><p>8,662</p></td></tr><tr><td><p>2010</p></td><td><p>7,882</p></td></tr><tr><td><p>2011</p></td><td><p>9,917</p></td></tr><tr><td><p>2012</p></td><td><p>10,873</p></td></tr></tbody></table><p> </p><p><em>Notes: </em></p><p>1. At present serological tests are not able to differentiate between acute and chronic cases of hepatitis C infection. Therefore, laboratory reports of hepatitis C contain both recently acquired infections and past infections. For this reason the data represent newly diagnosed cases of hepatitis C as opposed to newly acquired infections.</p><p> </p><p>2. Hepatitis surveillance data for 2013 will be available in August 2014.</p><p><strong> </strong></p><p>Laboratory reports of confirmed cases of hepatitis E are reported to Public Health England. Surveillance began in 2003.</p><p><strong> </strong></p><p>Table 4: Laboratory reports of hepatitis E (newly acquired infections) , England (2003-2012)</p><p><strong> </strong></p><table><tbody><tr><td><p>Year</p></td><td><p>Number of hepatitis E reports</p></td></tr><tr><td><p>2003</p></td><td><p>122</p></td></tr><tr><td><p>2004</p></td><td><p>145</p></td></tr><tr><td><p>2005</p></td><td><p>294</p></td></tr><tr><td><p>2006</p></td><td><p>239</p></td></tr><tr><td><p>2007</p></td><td><p>161</p></td></tr><tr><td><p>2008</p></td><td><p>168</p></td></tr><tr><td><p>2009</p></td><td><p>166</p></td></tr><tr><td><p>2010</p></td><td><p>258</p></td></tr><tr><td><p>2011</p></td><td><p>435</p></td></tr><tr><td><p>2012</p></td><td><p>530</p></td></tr></tbody></table><p><strong> </strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma

49677

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have been diagnosed with (a) liver disease and (b) viral hepatitis in each of the last 10 years.
	tabling member constituency	Ealing, Southall
	tabling member printed	Mr Virendra Sharma
	uin	197864
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Data is not collected on new cases of liver disease. Liver disease covers many individual diseases caused by different factors, such as alcoholic liver disease, fatty liver disease as well as hepatitis related diseases. The identification of new cases will take place in different settings, from general practice to hospital outpatients.</p><p> </p><p>The nearest proxy measure that we have is hospital admissions. However, hospital admissions only reflect the most serious cases when people are admitted to hospital. The number of hospital admissions for liver disease rose from 35,581 in 2001-02 to 57,682 in 2011-12, an increase of 62%.</p><p> </p><p>Hepatitis A, B, C and E are viruses that affect the liver. Where tests can differentiate acute from chronic infections, data is presented as newly acquired infections and where not, data is presented as newly diagnosed cases. Hepatitis surveillance data for 2013 will be available in August 2014.</p><p> </p><p>Cases of confirmed newly acquired hepatitis A virus infection are reported by laboratories to Public Health England.</p><p> </p><p>Table 1: Hepatitis A laboratory reports (newly acquired infections), England (2002-2012).</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2002</p></td><td><p>2003</p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Number of hepatitis</p><p>A reports</p></td><td><p>1,278</p></td><td><p>999</p></td><td><p>610</p></td><td><p>469</p></td><td><p>374</p></td><td><p>344</p></td><td><p>344</p></td><td><p>341</p></td><td><p>359</p></td><td><p>252</p></td><td><p>279</p></td></tr></tbody></table><p> </p><p>Data on acute hepatitis B infections are reported both from laboratories and from Health Protection Teams to Public Health England. Reporting in this way commenced in 2008.</p><p> </p><p>Table 2: Reports of acute hepatitis B infections (newly acquired infections), England (2008-2012)</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Number of hepatitis</p><p>B reports</p></td><td><p>620</p></td><td><p>597</p></td><td><p>512</p></td><td><p>589</p></td><td><p>554</p></td></tr></tbody></table><p> </p><p>Laboratory reports of newly diagnosed cases of hepatitis C are reported to Public Health England.</p><p> </p><p>Table 3: Laboratory reports of hepatitis C (newly diagnosed cases), England (2002-2012)</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2002</p></td><td><p>2003</p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Number of hepatitis</p><p>C reports</p></td><td><p>4,809</p></td><td><p>5,570</p></td><td><p>6,240</p></td><td><p>6,295</p></td><td><p>6,961</p></td><td><p>7,808</p></td><td><p>8,407</p></td><td><p>8,862</p></td><td><p>7,882</p></td><td><p>9,917</p></td><td><p>10,873</p></td></tr></tbody></table><p> </p><p><em>Note: </em></p><p>At present serological tests are not able to differentiate between acute and chronic cases of hepatitis C infection. Therefore, laboratory reports of hepatitis C contain both recently acquired infections and past infections. For this reason the data represent newly diagnosed cases of hepatitis C as opposed to newly acquired infections.</p><p> </p><p>Laboratory reports of confirmed cases of hepatitis E are reported to Public Health England. Surveillance began in 2003.</p><p> </p><p>Table 4: Laboratory reports of hepatitis E (newly acquired infections), England (2003-2012)</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>2003</p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Number of hepatitis</p><p>E reports</p></td><td><p>122</p></td><td><p>145</p></td><td><p>294</p></td><td><p>239</p></td><td><p>161</p></td><td><p>168</p></td><td><p>166</p></td><td><p>258</p></td><td><p>435</p></td><td><p>530</p></td></tr></tbody></table><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	1604 label Biography information for Mr Virendra Sharma