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58395

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Academic Health Science Networks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the running costs for each of the academic health science networks are.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	199345
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>The information requested is not available.</p><p> </p><p>NHS England advises us that individual funding levels and programme costs vary between Academic Health Science Networks (AHSNs). NHS England budget allocations are not their sole source of income and AHSNs are seeking to supplement this funding through participation in strategic investment programmes and match-funding initiatives. Core running costs are for AHSNs to determine independently and may also be subject to change through the year.</p><p> </p><p>Further information on AHSN work programmes and business plans can be found on their websites:</p><p> </p><table><tbody><tr><td><p>AHSN</p></td><td><p>Website</p></td></tr><tr><td><p>East Midlands</p></td><td><p><a href="http://www.emahsn.ac.uk/" target="_blank">www.emahsn.ac.uk</a></p></td></tr><tr><td><p>Eastern</p></td><td><p><a href="http://www.eahsn.org.uk/" target="_blank">www.eahsn.org.uk</a></p></td></tr><tr><td><p>Imperial College Health Partners</p></td><td><p><a href="http://www.imperialcollegehealthpartners.com/" target="_blank">www.imperialcollegehealthpartners.com</a></p></td></tr><tr><td><p>Greater Manchester</p></td><td><p><a href="http://www.gmahsn.org/" target="_blank">www.gmahsn.org</a></p></td></tr><tr><td><p>Kent, Surrey and Sussex</p></td><td><p><a href="http://www.kssahsn.net/" target="_blank">www.kssahsn.net</a></p></td></tr><tr><td><p>North East and North Cumbria</p></td><td><p><a href="http://www.ahsn-nenc.org.uk/" target="_blank">www.ahsn-nenc.org.uk</a></p></td></tr><tr><td><p>North West Coast</p></td><td><p><a href="http://www.nwcahsn.nhs.uk/" target="_blank">www.nwcahsn.nhs.uk</a></p></td></tr><tr><td><p>Oxford</p></td><td><p><a href="http://www.oxfordahsn.org/" target="_blank">www.oxfordahsn.org</a></p></td></tr><tr><td><p>South London</p></td><td><p><a href="http://www.kingshealthpartners.org/info/southlondonahsn" target="_blank">www.kingshealthpartners.org/info/southlondonahsn</a></p></td></tr><tr><td><p>South West Peninsula</p></td><td><p><a href="http://www.swahsn.com/" target="_blank">www.swahsn.com</a></p></td></tr><tr><td><p>UCL Partners</p></td><td><p><a href="http://www.uclpartners.com/" target="_blank">www.uclpartners.com</a></p></td></tr><tr><td><p>Wessex</p></td><td><p><a href="http://www.wessexahsn.org/" target="_blank">www.wessexahsn.org</a></p></td></tr><tr><td><p>West Midlands</p></td><td><p><a href="http://www.wmahsn.org/" target="_blank">www.wmahsn.org</a></p></td></tr><tr><td><p>West of England</p></td><td><p><a href="http://www.weahsn.net/" target="_blank">www.weahsn.net</a></p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p><a href="http://www.yhahsn.org.uk/" target="_blank">www.yhahsn.org.uk</a></p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/06/2014 14:27:05 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

57741

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the annual cost to the public purse is of processing applications for free social care in England.
tabling member constituency	Truro and Falmouth
tabling member printed	Sarah Newton
uin	198598
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.</p><p> </p><p>Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.</p><p> </p><p>Information on the cost to local authorities of carrying out financial assessments is not collected centrally.</p><p> </p><p>In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198597 198599 question first answered 10/06/2014 14:38:10 answering member 1439 label Biography information for Norman Lamb
tabling member	4071 label Biography information for Sarah Newton

57742

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many applications for free social care were (a) approved and (b) rejected in England in (i) 2012 and (ii) 2013.
tabling member constituency	Truro and Falmouth
tabling member printed	Sarah Newton
uin	198599
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.</p><p> </p><p>Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.</p><p> </p><p>Information on the cost to local authorities of carrying out financial assessments is not collected centrally.</p><p> </p><p>In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198597 198598 question first answered 10/06/2014 14:38:09 answering member 1439 label Biography information for Norman Lamb
tabling member	4071 label Biography information for Sarah Newton

57743

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent estimate his Department has made of the cost of administering the social care means test in England.
tabling member constituency	Truro and Falmouth
tabling member printed	Sarah Newton
uin	198597
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>Access to State financial support for adult social care in England is means-tested and is not generally provided free of charge. In this way, individuals are expected to pay towards the cost of their care and support based on what they can afford.</p><p> </p><p>Adults with less than £23,250 in capital can seek help with the cost of social care from their local authority. Local authorities carry out a financial assessment to decide what an individual can afford to pay. Local authorities must take account of an individual's capital assets and income, including income from Benefits and the State Pension.</p><p> </p><p>Information on the cost to local authorities of carrying out financial assessments is not collected centrally.</p><p> </p><p>In its 2011 report, the independent Palliative Care Funding Review recommended the provision of free social care at the end of life. A series of palliative care funding pilots were established to test the review's recommendations, and these completed their work in March 2014. NHS England is currently analysing the financial data collected from the pilots. Once this analysis has been completed, a decision will be made on the issue of free social care at the end of life, taking into account this analysis and wider policy and financial considerations.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198598 198599 question first answered 10/06/2014 14:38:09 answering member 1439 label Biography information for Norman Lamb
tabling member	4071 label Biography information for Sarah Newton

57783

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Public Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what use his Department has made of the National Wellbeing Index introduced by the Office for National Statistics in formulating policy since the introduction of that Index in 2011; and what policies his Department has introduced to improve national wellbeing as defined in that Index since 2010.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	198869
answer	answer is ministerial correction date of answer 10/06/2014 answer text <p>The Department has worked closely with the Office for National Statistics (ONS) on the development of the Measuring National Wellbeing Framework. Given the experimental nature of the data it is too early to use it specifically to formulate policy. However, some examples of relevant work taken forward by the Department include:</p><p> </p><p>- working in partnership with ONS to include a measure of mental wellbeing into the Measuring National Wellbeing Framework;</p><p>- including wellbeing questions on a range of health surveys, for example the Health Survey for England, Health Behaviours of School-aged Children, the trial of a local level survey of 15 year olds, and the current wave of the Adult Psychiatric Morbidity Survey;</p><p>- including wellbeing as a key indicator in the Public Health Outcomes Framework;</p><p>- publishing a narrative and a series of factsheets on why wellbeing matters to health policy;</p><p>- publishing a report on the predictors of wellbeing across the lifecourse;</p><p>- conducting two wellbeing workshops with policy makers to allow them to consider their policies from a wellbeing perspective; and</p><p>- co-founding a collaborative studentship with the University of Warwick on positive genetics using twin data to explore how genetics are related to wellbeing.</p><p> </p><p>Wellbeing will also be considered in the forthcoming Chief Medical Officer's annual report.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/06/2014 14:23:59 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

57874

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tomography
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to ensure access to CT scanning is more readily available to NHS patients.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	198783
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>All acute trusts have access to computerised tomography (CT) and NHS England is not aware of any patient access problems. The NHS England standards for seven day services support seven day access to CT. CT involves ionising radiation, so is a test that has to be justified and used in appropriate patient pathways.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 15:12:23 answering member 3918 label Biography information for Jane Ellison
tabling member	478 label Biography information for Lord Field of Birkenhead

57915

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the recommendations of the Leeds Children's Heart Surgery Services Review, published on 13 March 2014, if he will make it his policy that continuing audits of performance should be conducted at all children's heart surgery units.
tabling member constituency	Pudsey
tabling member printed	Stuart Andrew
uin	198761
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>NHS England and the regulators constantly monitor the outcomes at all children's cardiac centres. This data is provided regularly by the National Institute for Cardiovascular Outcomes Research. Specialised commissioning is currently reviewing the type of information that it analyses as part of the ongoing new Congenital Heart Disease Review into these services.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 12:59:08 answering member 3918 label Biography information for Jane Ellison
tabling member	4032 label Biography information for Stuart Andrew

57916

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the evidence on which it based its decision not to allow patients to be treated with the gamma knife at University College Hospital London.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	198758
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.&quot;</p><p> </p><p>In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p> </p><p>Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 13:46:31 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Hansard extract 24032014 Radiotherapy.docx title Hansard extract 24032014 Radiotherapy
tabling member	4089 label Biography information for Tessa Munt

57917

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, which primary care trusts in the south west of England commissioned treatment with the gamma knife at University College Hospital London for patients before 1 April 2013.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	198759
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>NHS England has advised that no primary care trusts in the south west of England commissioned gamma knife treatment for patients at University College Hospital London before 1 April 2013.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 13:01:02 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

57918

registered interest
date	04/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Answer of 24 March 2014, Official Report, column 132W, on radiotherapy, and with reference to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, for what reasons NHS England is not funding patients to be treated with the gamma knife at University College Hospital London.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	198760
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for National Health Service health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.&quot;</p><p> </p><p>In its role as commissioner, NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p> </p><p>Until the capacity requirements are made clear as part of the review being undertaken, NHS England has said that it would be inappropriate to encourage new market entrants to provide this service as it cannot be clear what the potential consequential impacts on service quality, sustainability (financial and clinical) and potential unintended changes to patient pathways will be. Until the review is complete NHS England has said no substantive changes will be made to the current provision.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 13:46:31 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Hansard extract 24032014 Radiotherapy.docx title Hansard extract 24032014 Radiotherapy
tabling member	4089 label Biography information for Tessa Munt