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76618

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurofibromatosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to develop a national service framework for neurofibromatosis Type 1 sufferers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL960
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The number of people with neurofibromatosis type 1 (NF1) in England is estimated to number 11,267. The condition can be mild in some patients, manifesting itself only in patches of skin discolouration and soft benign bumps under the skin (neurofibromas), but for others NF1 causes more serious complications, including a rare form of cancer, curvature of the spine and nerve problems caused by more invasive neurofibromas.</p><p> </p><p>Since 1 April 2013, NHS England has been responsible for securing high quality care for all patients with complex NF1 as part of its specialised commissioning responsibilities. NHS England's NF1 service specification clearly sets out what needs to be in place for providers to offer evidence-based, safe and effective care, ensuring equity of access to a nationally consistent, high quality service. Specialist care is delivered by two designated centres based in Manchester (Central Manchester University Hospitals NHS Foundation Trust) and London (Guys and St. Thomas' NHS Foundation Trust, London) and these provide outreach support into other cities. The service is available to all patients with a suspected or confirmed diagnosis of NF1.</p><p> </p><p>The service specification can be viewed on the NHS England website at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/b13-comp-neurofib-1.pdf.</p> answering member printed Earl Howe grouped question UIN HL961 HL962 question first answered 14/07/2014 16:18:37 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76619

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurofibromatosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how they will ensure a co-ordinated response at local level for neurofibromatosis Type 1 sufferers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL961
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The number of people with neurofibromatosis type 1 (NF1) in England is estimated to number 11,267. The condition can be mild in some patients, manifesting itself only in patches of skin discolouration and soft benign bumps under the skin (neurofibromas), but for others NF1 causes more serious complications, including a rare form of cancer, curvature of the spine and nerve problems caused by more invasive neurofibromas.</p><p> </p><p>Since 1 April 2013, NHS England has been responsible for securing high quality care for all patients with complex NF1 as part of its specialised commissioning responsibilities. NHS England's NF1 service specification clearly sets out what needs to be in place for providers to offer evidence-based, safe and effective care, ensuring equity of access to a nationally consistent, high quality service. Specialist care is delivered by two designated centres based in Manchester (Central Manchester University Hospitals NHS Foundation Trust) and London (Guys and St. Thomas' NHS Foundation Trust, London) and these provide outreach support into other cities. The service is available to all patients with a suspected or confirmed diagnosis of NF1.</p><p> </p><p>The service specification can be viewed on the NHS England website at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/b13-comp-neurofib-1.pdf.</p> answering member printed Earl Howe grouped question UIN HL960 HL962 question first answered 14/07/2014 16:18:38 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76620

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurofibromatosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the scale of neurofibromatosis Type 1 in the United Kingdom.
tabling member printed	Lord Hunt of Kings Heath
uin	HL962
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The number of people with neurofibromatosis type 1 (NF1) in England is estimated to number 11,267. The condition can be mild in some patients, manifesting itself only in patches of skin discolouration and soft benign bumps under the skin (neurofibromas), but for others NF1 causes more serious complications, including a rare form of cancer, curvature of the spine and nerve problems caused by more invasive neurofibromas.</p><p> </p><p>Since 1 April 2013, NHS England has been responsible for securing high quality care for all patients with complex NF1 as part of its specialised commissioning responsibilities. NHS England's NF1 service specification clearly sets out what needs to be in place for providers to offer evidence-based, safe and effective care, ensuring equity of access to a nationally consistent, high quality service. Specialist care is delivered by two designated centres based in Manchester (Central Manchester University Hospitals NHS Foundation Trust) and London (Guys and St. Thomas' NHS Foundation Trust, London) and these provide outreach support into other cities. The service is available to all patients with a suspected or confirmed diagnosis of NF1.</p><p> </p><p>The service specification can be viewed on the NHS England website at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/b13-comp-neurofib-1.pdf.</p> answering member printed Earl Howe grouped question UIN HL960 HL961 question first answered 14/07/2014 16:18:38 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76803

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Act 2014
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will include forming and developing relationship in the eligibility criteria of the Care Act 2014 Part 1 regulations.
tabling member constituency	Plymouth, Sutton and Devonport
tabling member printed	Oliver Colvile
uin	204705
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The Care Act 2014 will introduce a modern system thatwill promote and maintain the wellbeing of people who have care and support needs and support them in living independent lives. These enhance the areas of action set out in the 2010 Autism Strategy and reaffirmed recently in <em>Think Autism</em>.</p><p>The Care Act includes a power to make regulations to set the national eligibility criteria for adult care and support. The national eligibility threshold will provide a similar level of access to care and support when we move from the current system to the reformed system in April 2015.</p><p> </p><p>The Department is currently consulting on the draft regulations and statutory guidance that will support the implementation of the Care Act. This includes the draft eligibility regulations which set the level of the threshold, and your comments will be considered when we finalise and publish the regulations in October. The public consultation started on 6 June and runs until 15 August 2014.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 14/07/2014 14:55:28 answering member 1439 label Biography information for Norman Lamb
tabling member	4022 label Biography information for Oliver Colvile

76811

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Private Sector
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 proportion of funding from the NHS's budget which goes to private sector companies and which is spent on (a) healthcare and (b) shareholder dividend.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	204856
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The information requested is not held centrally.</p><p> </p><p>All providers – whether from the National Health Service, voluntary or independent sector –need to reinvest surpluses in their services in order for them to be sustainable.</p><p><strong> </strong></p><p>The Government is clear that where NHS commissioners decide to use competition this must always be as a means to improve the quality of NHS services and achieve best value, as opposed to being driven by price alone.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/07/2014 15:05:34 answering member 3918 label Biography information for Jane Ellison
tabling member	304 label Biography information for Mr Roger Godsiff

76819

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-Harm: Birmingham
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people aged under 18 have presented at accident and emergency departments in need of treatment for self-harm at hospitals in the Greater Birmingham area in each of the last five years.
tabling member constituency	Birmingham, Hodge Hill
tabling member printed	Mr Liam Byrne
uin	204952
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The information is not available in the format requested.</p><p> </p><p>Information on the number of accident and emergency (A&amp;E) attendances for 0-17 year olds, with a patient group of deliberate self harm and with a primary care trust (PCT) of treatment within Greater Birmingham in each of the last five years, is shown in the following table:</p><p> </p><table><tbody><tr><td><p>PCT of Treatment</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><td><p>2013-14 (provisional)</p></td></tr><tr><td><p>Birmingham East and North PCT</p></td><td><p>74</p></td><td><p>95</p></td><td><p>59</p></td><td><p>60</p></td><td><p>68</p></td></tr><tr><td><p>Dudley PCT</p></td><td><p>402</p></td><td><p>351</p></td><td><p>330</p></td><td><p>245</p></td><td><p>327</p></td></tr><tr><td><p>Heart of Birmingham PCT</p></td><td><p>36</p></td><td><p>78</p></td><td><p>42</p></td><td><p>47</p></td><td><p>68</p></td></tr><tr><td><p>South Birmingham PCT</p></td><td><p>94</p></td><td><p>97</p></td><td><p>101</p></td><td><p>100</p></td><td><p>114</p></td></tr><tr><td><p>Walsall Teaching PCT</p></td><td><p>157</p></td><td><p>117</p></td><td><p>138</p></td><td><p>179</p></td><td><p>164</p></td></tr><tr><td><p>Wolverhampton PCT</p></td><td><p>0</p></td><td><p>147</p></td><td><p>255</p></td><td><p>211</p></td><td><p>228</p></td></tr></tbody></table><p><em> </em></p><p><em>Notes:</em></p><p>1. Self-harm:</p><p>A&amp;E Patient Group<strong> - </strong>a code that indicates the reason for the A&amp;E episode. Group 30 indicates those attending because of intentional self-harm. There were no A&amp;E attendances recorded with a patient group for deliberate self-harm for Wolverhampton PCT in 2009-10. Patient group is a non-mandatory field and nil entry may indicate that the PCT did not submit any data for patient group for this year.</p><p>2. PCT of main provider:</p><p>This indicates the PCT area within which the organisation providing treatment was located. The following PCTs were identified as having an A&amp;E department located within Greater Birmingham:</p><p>5PG - Birmingham East and North PCT</p><p>5PE - Dudley PCT</p><p>5MX - Heart of Birmingham Teaching PCT</p><p>5M1 - South Birmingham PCT</p><p>5M3 - Walsall Teaching PCT</p><p>5MV - Wolverhampton City PCT</p><p>Data for Sandwell and Solihull PCTs is not included due to the PCTs not submitting A&amp;E data to Hospital Episodes Statistics (HES) for the time period covered.</p><p> </p><p>3. PCT of treatment 2013-14 data:</p><p>Although PCTs ceased to exist after 31 March 2013, HES A&amp;E data for 2013-14 still contains data for PCT of treatment. The relationship between providers and their respective PCTs as at the end of 2012-13 has been propagated through to 2013-14 data to allow the relevant PCT to be reported, continuing a time series.</p><p>4. Provisional data:</p><p>The data is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, ie November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p><p>5. Accessing growth through time (A&amp;E):</p><p>HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in National Health Service practice. For example, changes in activity may be due to changes in the provision of care.</p><p>6. Official Source of A&amp;E data:</p><p>HES is not the official source of total A&amp;E activity, this is the NHS England situation reports collection:</p><p> </p><p>www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/</p><p> </p><p>However, HES permits further analysis of A&amp;E activity as there are a range of data items by which HES can be analysed.</p><p><strong> </strong></p><p><em>Source: </em>Hospital Episode Statistics (HES),Health and Social care Information Centre (HSCIC)</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 14/07/2014 12:59:36 answering member 1439 label Biography information for Norman Lamb
tabling member	1171 label Biography information for Liam Byrne

76822

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many non-specialist trust acute hospitals were in financial deficit at the end of the 2013-14 financial year.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	204958
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>At the 2013-14 financial year-end, there were 102 National Health Service trusts and 147 foundation trusts, each of which produced their own financial accounts. Of which, the Department recognise 62 non-specialist acute NHS trusts and 83 non-specialist foundation trusts, 145 organisations in total.</p><p> </p><p>Of these 145 organisations, the majority (ie 87) reported a financial surplus whilst 58 reported a financial deficit.</p><p> </p><p>NHS providers are required to deliver a break-even position. Where deficits occur they must be tackled in the right way. The NHS Trust Development Authority and Monitor, the independent regulator for foundation trusts, have a robust process for ensuring that trusts in deficit put a plan in place to recover their position, which in some instances will only be achieved in the medium term.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 14/07/2014 16:34:54 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	429 label Biography information for Derek Twigg

76826

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Innovation
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 18 June 2014, Official Report, column 617W, on the NHS, if he will ensure that his Department's proposals arising from the Innovation, Health and Wealth review of NHS intellectual property that was completed in Autumn 2012 will be published before the summer recess.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	204841
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>We currently have no plans to do so.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 204249 question first answered 14/07/2014 13:43:40 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1604 label Biography information for Mr Virendra Sharma

76827

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Brain Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which neuro-oncology centres in the UK have the highest survival rates for patients with brain tumours.
tabling member constituency	Esher and Walton
tabling member printed	Mr Dominic Raab
uin	204863
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>NHS England has advised that this information is not held centrally.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/07/2014 13:09:28 answering member 3918 label Biography information for Jane Ellison
tabling member	4007 label Biography information for Dominic Raab

76828

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Warrington Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the mean and median waiting time for treatment in Warrington Hospital's accident and emergency department was in 2007-08 and in each year since.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	204864
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The information requested is shown in the attached table.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/07/2014 16:58:41 answering member 3918 label Biography information for Jane Ellison attachment 1 file name 204864 Table Warrington and Halton A&E.xlsx title Warrington Hospital A&E waiting times
tabling member	432 label Biography information for Helen Jones