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166559

registered interest
date	27/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Strategy Ministerial Advisory Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the Ministerial Advisory Group on Mental Health has met to date.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	216332
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Ministerial Advisory Group on Mental Health has met seven times, to date, with the next meeting due to take place on 17 December 2014.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 14:57:16 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

166562

registered interest
date	27/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medway Maritime Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the reason was for the time taken for the Quality Care Commission to publish the report of its August inspection of Medway Hospital's accident and emergency unit.
tabling member constituency	Rochester and Strood
tabling member printed	Mark Reckless
uin	216304
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. The CQC is responsible for assessing whether providers are meeting the registration requirements; this includes the decision of when to publish its inspection reports on individual hospitals.</p><p> </p><p>The CQC has advised that a timeline of 11-12 weeks from conclusion of the physical inspection to publication of the final report is within expectation.</p><p> </p><p> </p><p> </p><p>The CQC commenced its inspection of Medway Hospital Foundation Trust at the end of August 2014. As part of the CQC’s inspection process, once the actual physical inspection has taken place, additional time is taken to analyse the data from the inspection in order to formulate an accurate report on the state of the trust inspected. Once this has been done, recommendations can be made regarding any required improvements.</p><p> </p><p> </p><p> </p><p>In the case of the Medway Hospital Foundation Trust, the CQC followed up on previous improvements made since an inspection in July 2014 and continued to have regular meetings with the Trust, Monitor and NHS England to ensure necessary action was taken in order to implement recommended improvements. Once this work was completed, the report was finalised and published.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 14:23:18 answering member 1439 label Biography information for Norman Lamb
tabling member	4049 label Biography information for Mark Reckless

166567

registered interest
date	27/11/2014
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, what recent assessment his Department has made of the progress made by health agencies in (a) Coventry, (b) the West Midlands and (c) England to sign up to the principles of the Crisis Care Concordat.
tabling member constituency	Coventry North East
tabling member printed	Mr Bob Ainsworth
uin	216262
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The Mental Health Crisis Care Concordat was published in February 2014. Local health, social care and criminal justice partners throughout England are expected to sign local crisis declarations by the end of December 2014.</p><p> </p><p> </p><p> </p><p>In <em>Operational Resilience and Capacity Planning for 2014/15 </em>published by NHS England, NHS Trust Development Authority, Monitor, and the Association of Directors of Adult Social Services in June 2014 it is clear that operational resilience plans must include evidence of sign-up to local Mental Health Crisis Care Concordat arrangements.</p><p> </p><p> </p><p> </p><p>Local declarations should be in place throughout England by the end of 2014. Progress towards this can be seen at the following webpage:</p><p> </p><p> </p><p> </p><p><a href="http://www.crisiscareconcordat.org.uk/explore-the-map/" target="_blank">http://www.crisiscareconcordat.org.uk/explore-the-map/</a></p><p> </p><p> </p><p> </p><p>There are plans for a single Crisis Care declaration, to cover the entire West Midlands Police Force area including Coventry, to be agreed in early December.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 02/12/2014 15:00:19 answering member 1439 label Biography information for Norman Lamb
tabling member	306 label Biography information for Mr Bob Ainsworth

166328

registered interest
date	26/11/2014
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, whether additional funding for running costs is provided to clinical commissioning groups given additional responsibilities for the commissioning or co-commissioning of specialised services.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	216233
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>NHS England is responsible for the commissioning of specialised services. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>During 2015-16 there will be monitoring of all specialised commissioning expenditure against nominal clinical commissioning groups (CCGs) budgets. This information will enable both NHS England commissioners and CCG commissioners to better understand the financial position and any pressures on all specialised services. NHS England will also be engaging with CCGs through co-commissioning to carry out work to redesign pathways and invest in upstream interventions. In this context there will be no additional funding for CCG running costs for 2015-16 but this may be revisited in 2016-17.</p><p> </p><p> </p><p> </p><p>For services that have been recommended for transfer, a new Task and Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 216131 question first answered 01/12/2014 17:26:46 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

166335

registered interest
date	26/11/2014
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, what the average waiting time is for talking therapies in (a) Gillingham and Rainham constituency, (b) Medway and (c) England.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	216123
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>Medway Clinical Commissioning Group (CCG) commissions the Improving Access to Psychological Therapies (IAPT) service for Medway and the constituency of Gillingham and Rainham.</p><p> </p><p> </p><p> </p><p>The following table shows the mean and median waiting time for IAPT services across the Medway (CCG) and England.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p>Mean waiting time (days)</p></td><td><p>Median waiting time (days)</p></td></tr><tr><td><p>England</p></td><td><p>39.5</p></td><td><p>21</p></td></tr><tr><td><p>NHS Medway CCG</p></td><td><p>29.0</p></td><td><p>19</p></td></tr></tbody></table><p> </p><p><em>Note:</em> Medians have been rounded up to the nearest whole number.</p><p> </p><p><em>Data source:</em> Improving Access to Psychological Therapies (IAPT) Dataset</p><p> </p><p><strong> </strong></p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020</em> sets out action the Government is taking to provide better access to mental health services within the next year, including a national waiting time standard for talking therapies.</p><p> </p><p> </p><p> </p><p>£40 m in additional funding has been identified to enable change in the current financial year, and a further £80 million will be freed up for 2015-16 to support implementation of waiting times in mental health services.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 01/12/2014 16:59:29 answering member 1439 label Biography information for Norman Lamb
tabling member	3987 label Biography information for Rehman Chishti

166336

registered interest
date	26/11/2014
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 steps he is taking to ensure that (a) clinical commissioning groups (CCGs) do not inherit budget deficits when taking responsibility for commissioning or co-commissioning specialised services and (b) existing healh services commissioned by clinical commissioning groups are not adversely affected by the additional specialised services responsibilities of CCGs.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	216131
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>NHS England is responsible for the commissioning of specialised services. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>During 2015-16 there will be monitoring of all specialised commissioning expenditure against nominal clinical commissioning groups (CCGs) budgets. This information will enable both NHS England commissioners and CCG commissioners to better understand the financial position and any pressures on all specialised services. NHS England will also be engaging with CCGs through co-commissioning to carry out work to redesign pathways and invest in upstream interventions. In this context there will be no additional funding for CCG running costs for 2015-16 but this may be revisited in 2016-17.</p><p> </p><p> </p><p> </p><p>For services that have been recommended for transfer, a new Task and Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 216233 question first answered 01/12/2014 17:26:46 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

166337

registered interest
date	26/11/2014
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 proportion of adults in (a) Gillingham and Rainham constituency, (b) Medway and (c) England has been diagnosed with dementia in each of the last 10 years.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	216124
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>Information on the number of people with dementia has been collected since 2006-07. Information is collected at National Health Service organisation level, and not constituency level. Data on the number of people with dementia in England, Medway Primary Care Trust, and the Clinical Commissioning Groups that replaced it, are shown in the following table.</p><p> </p><p> </p><p> </p><p>Number of patients on the Quality and Outcomes Framework dementia register and the raw prevalence rate for Medway Clinical Commissioning Group (CCG) and previously Medway Primary Care Trust (PCT).</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Medway</p></td><td><p>Number of Practices</p></td><td><p>Total List Size</p></td><td><p>Dementia Register Counts</p></td><td><p>Dementia Prevalence Rate</p></td></tr><tr><td><p>Medway CCG</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>31 March 2014</p></td><td><p>57</p></td><td><p>290,818</p></td><td><p>1,377</p></td><td><p>0.47%</p></td></tr><tr><td><p>31 March 2013</p></td><td><p>57</p></td><td><p>284,552</p></td><td><p>1,332</p></td><td><p>0.47%</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td> </td><td> </td><td><p> </p></td></tr><tr><td><p>Medway PCT</p></td><td><p> </p></td><td> </td><td> </td><td><p> </p></td></tr><tr><td><p>31 March 2012</p></td><td><p>60</p></td><td><p>281,126</p></td><td><p>1,274</p></td><td><p>0.45%</p></td></tr><tr><td><p>31 March 2011</p></td><td><p>61</p></td><td><p>282,378</p></td><td><p>1,093</p></td><td><p>0.39%</p></td></tr><tr><td><p>31 March 2010</p></td><td><p>66</p></td><td><p>281,829</p></td><td><p>1,020</p></td><td><p>0.36%</p></td></tr><tr><td><p>31 March 2009</p></td><td><p>63</p></td><td><p>275,295</p></td><td><p>946</p></td><td><p>0.34%</p></td></tr><tr><td><p>31 March 2008</p></td><td><p>67</p></td><td><p>277,800</p></td><td><p>825</p></td><td><p>0.30%</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>67</p></td><td><p>276,354</p></td><td><p>777</p></td><td><p>0.28%</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p>Number of patients on the Quality and Outcomes Framework dementia register and the raw prevalence rate for England.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>England</p></td><td><p>Number of Practices</p></td><td><p>Total List Size</p></td><td><p>Dementia Register Counts</p></td><td><p>Dementia Prevalence Rate</p></td></tr><tr><td><p>31 March 2014</p></td><td><p>7,921</p></td><td><p>56,324,887</p></td><td><p>348,973</p></td><td><p>0.62%</p></td></tr><tr><td><p>31 March 2013</p></td><td><p>8,020</p></td><td><p>56,012,096</p></td><td><p>318,669</p></td><td><p>0.57%</p></td></tr><tr><td><p>31 March 2012</p></td><td><p>8,123</p></td><td><p>55,525,732</p></td><td><p>293,738</p></td><td><p>0.53%</p></td></tr><tr><td><p>31 March 2011</p></td><td><p>8,245</p></td><td><p>55,169,643</p></td><td><p>266,697</p></td><td><p>0.48%</p></td></tr><tr><td><p>31 March 2010</p></td><td><p>8,305</p></td><td><p>54,836,561</p></td><td><p>249,463</p></td><td><p>0.45%</p></td></tr><tr><td><p>31 March 2009</p></td><td><p>8,229</p></td><td><p>54,310,660</p></td><td><p>232,430</p></td><td><p>0.43%</p></td></tr><tr><td><p>31 March 2008</p></td><td><p>8,294</p></td><td><p>54,009,831</p></td><td><p>220,246</p></td><td><p>0.41%</p></td></tr><tr><td><p>31 March 2007</p></td><td><p>8,372</p></td><td><p>53,681,098</p></td><td><p>212,794</p></td><td><p>0.40%</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 01/12/2014 17:13:44 answering member 1439 label Biography information for Norman Lamb
tabling member	3987 label Biography information for Rehman Chishti

166338

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Waste Disposal: Health Hazards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if his Department will request that the Health Protection Agency undertakes an assessment of the effects on public health of modern hazardous waste sites and the materials put to landfill in those sites.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	216132
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>The former Health Protection Agency (HPA) became part of Public Health England (PHE) in April 2013.</p><p> </p><p> </p><p> </p><p>In 2011, the HPA published a review of the ‘Impact on Health of Emissions from Landfill Sites’, which included landfills for hazardous waste. The review considered research from the Environment Agency, peer reviewed epidemiological studies and statements from the independent expert committee, the Committee on Toxicity of Chemicals in Food, Consumer products and the Environment.</p><p> </p><p> </p><p> </p><p>The review concluded that there has been no new evidence to change the previous advice that living close to a well-managed landfill site does not pose a significant risk to human health. As noted in the review, detailed site-specific risk assessment should remain an important part of the permitting and management process. PHE is consulted by the Environment Agency when they receive permit applications and variations for landfill sites, to ensure that public health is protected.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/12/2014 17:29:07 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

166339

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what (a) proportion and (b) number of GPs has completed the National Education Programme on Health at Work organised by the Royal College of GPs.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	216134
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>A total of 2,865 general practitioners (GPs) attended the National Education Programme on Health at Work workshops that were run between July 2009 and March 2011. This is about 8% of the roughly 35,000 registered GPs at that time.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/12/2014 17:27:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

166341

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tuberculosis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of the shortage of the BCG vaccine on the incidence of tuberculosis (a) worldwide and (b) in the UK.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	216171
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>Bacillus Calmette–Guérin (BCG) vaccine for the prevention of tuberculosis (TB) is procured centrally and supplied to the National Health Service on a national basis. There is no shortage of BCG vaccine in the United Kingdom at the current time.</p><p> </p><p> </p><p> </p><p>BCG vaccine remains an important intervention to control TB in uninfected children globally. A scarcity of BCG vaccine would increase the risk of infections in children in high burden settings, and every effort should be made to ensure continued supply.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/12/2014 17:29:12 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger