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76406

registered interest
date	08/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Brain: Tumours
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 1 April 2014, Official Report, column 711, on brain tumours (children), what proportion of the £450 million which the Government has committed to enable earlier diagnosis of cancer has been allocated to reduce the delay of diagnosis of brain tumours in children.
tabling member constituency	Esher and Walton
tabling member printed	Mr Dominic Raab
uin	204635
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>None of the £450 million has been allocated to a specific cancer. A small part of the additional funding was held centrally for Be Clear on Cancer (BCOC) symptom awareness campaigns and for some work to help support general practitioners (GPs). The rest was allocated to the National Health Service to meet the additional costs associated with tackling late diagnosis of cancer, specifically to enable increased general practitioner (GP) access to four key diagnostic tests, including magnetic resonance imaging scans to support diagnosis of brain tumours and; the increased testing, and treatment costs in secondary care associated with more people being referred and diagnosed.</p><p>In 2012, to increase the awareness of cancer among GPs and support GPs to assess patients more effectively, the Department funded the British Medical Journal Learning to provide an e-learning tool for GPs. Four modules were developed including diagnosing osteosarcoma and brain tumours in children and young people.</p><p>This module helps GPs to understand the main types of brain tumours in children and young people, and their common presentations, and to recognise when patients need urgent referral.</p><p>To date the Department and Public Health England (since April 2013), have run national BCOC campaigns to raise awareness of the following cancers - bowel, lung, bladder and kidney, and breast. Regional campaigns have also been run for ovarian and oesophago-gastric cancers. A campaign was piloted at local level to raise awareness of four key symptoms of cancer and a local skin cancer pilot is running from 16 June to 27 July in Devon, Cornwall and Somerset. Decisions on further BCOC campaign activity in 2014-15 are being made over the summer, based on the evidence and learning from previous campaigns. We will continue to keep these campaigns under review and work with relevant experts to see what might be done to tackle other cancers.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/07/2014 09:41:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4007 label Biography information for Dominic Raab

66068

registered interest
date	07/07/2014
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, how many GP practices have closed since May 2010.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	204309
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>We do not hold information regarding the number of practices that have closed since May 2010.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 10/07/2014 15:39:13 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

66070

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Christie NHS Foundation Trust
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether a compromise agreement has been reached, or is in the process of being reached, with the currently suspended chief executive of the Christie NHS Foundation Trust on the termination of her employment.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	204260
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The decision to settle a dispute with an employee is an employment matter between the Trust and the employee.</p><p> </p><p>We have written to Sir Hugh Taylor, Interim Chair of The Christie NHS Foundation Trust, informing him of this enquiry. He will reply shortly and a copy of the letter will be placed in the Library.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 204258 question first answered 10/07/2014 15:34:45 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

66072

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Christie NHS Foundation Trust
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 that whistleblowers willing to give evidence on allegations of wrongdoing at the Christie NHS Foundation Trust will not be victimised or otherwise suffer detriment from the Trust for so giving evidence.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	204259
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The Secretary of State has been very clear that people working in the National Health Service should be supported to raise concerns. Trusts should have whistleblowing policies in place that are compliant with the Public Interest Disclosure Act 1998.</p><p> </p><p>It is in the interests of patients and staff that trusts foster a culture where NHS workers feel confident that when concerns in the public interest are raised they will be heard. To that end, on 24 June, my Rt. hon. Friend the Secretary of State announced that Sir Robert Francis QC, will lead an independent review of whistleblowing policies and practices in the NHS, which will consider what more can be done to further protect NHS workers who speak out in the public interest.</p><p><strong> </strong></p><p>The Secretary of State wrote on 5 March 2014 to all Chairs in NHS trusts and foundation trusts in England to reiterate the vital importance of fostering a culture of openness and transparency in the NHS in which concerns about care can be raised, investigated and acted upon.</p><p> </p><p>We have introduced a contractual right to raise concerns and issued guidance for NHS organisations. In March 2012, we strengthened the NHS Constitution to include an expectation that staff will raise their concerns early and a pledge that their employer will act upon those concerns.</p><p> </p><p>We are also introducing a Duty of Candour, so that when things go wrong, organisations have a statutory duty to admit mistakes and tell patients what has happened.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 10/07/2014 15:40:21 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1538 label Biography information for Rosie Cooper

66080

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the level of (a) NHS expenditure and (b) other expenditure for which his Department is responsible has been for the (i) treatment and (ii) prevention of obesity in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204313
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>Information on National Health Service expenditure on the treatment and prevention of obesity is not collected centrally. Decisions on spending are a matter for local NHS organisations.</p><p> </p><p>It is not possible to provide comprehensive information about the Department's expenditure on the treatment and prevention of obesity because a wide range of teams across the Department and other partners contribute to this policy. The Department has invested in a number of nationally-coordinated programmes which contribute to tackling obesity including the National Child Measurement Programme, Change4 Life, the School Games and Change4Life School Sports Clubs.</p><p> </p><p>We have also given local authorities ring-fenced funding of £5.4 billion over two years, 2013-14 and 2014-15, to help tackle public health issues including overweight and obesity.</p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 14:03:15 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

66081

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people were admitted to hospital with a (a) primary and (b) secondary diagnosis of liver disease in each year since 2010.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204314
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The attached table shows a count of finished admission episodes (FAEs) for individuals who were admitted to hospital with a primary and secondary diagnosis of liver disease from 2009-10 to 2012-13.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 15:38:06 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ204314_Berger_hosp_admissions_for_liver_disease(1).xlsx title Liver Disease Hospital Admissions since 2010
tabling member	4036 label Biography information for Luciana Berger

66082

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with Public Health England on progress made by the BeClear Campaign to improve the detection of rare cancers over the last (a) six months and (b) year.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204310
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The National Cancer Intelligence Network (NCIN) part of Public Health England (PHE) now undertakes evaluation of the Be Clear on Cancer (BCOC) campaigns. For each campaign there is a defined set of metrics identified to evaluate the impact of BCOC campaigns. These include whether: campaigns are raising awareness of signs and symptoms of cancer; more people are going to their general practitioners with the symptoms promoted by the campaign; more people are being referred urgently for suspected cancer; there is an increase in diagnostic activity; there is evidence of a shift towards earlier stage disease and; of those referred urgently for suspected cancer, how many turn out to have that cancer.</p><p> </p><p>Within the last 12 months, PHE has run campaigns on five rarer cancers: the “blood in pee” campaign for bladder and kidney cancers (a national campaign following a successful regional pilot campaign); the “persistent bloating” campaign for ovarian cancer (regional pilot campaign) and, also as a regional pilot, the “persistent heartburn” campaign for oesophago-gastric cancer (oesophageal and stomach). The evaluation metrics for the campaigns were discussed, agreed and approved by the Public Awareness and Primary Care Steering Group chaired by NHS England's National Clinical Director for Cancer and which includes members representing PHE (PHE - Marketing and NCIN); NHS England, NHS Improving Quality; Cancer Research UK; Macmillan Cancer Support; Department of Health officials and other stakeholders.</p><p> </p><p>In May 2014, Cancer Research UK prepared a BCOC evaluation update which is available on the BCOC website at:</p><p> </p><p>www.cancerresearchuk.org/cancer-info/spotcancerearly/naedi/beclearoncancer/background#evidenceandevaluation</p><p> </p><p> </p><p>The update includes findings from the local oesophago-gastric, ovarian and regional “blood in pee” campaigns. The decision to repeat the national “blood in pee” campaign for bladder and kidney cancer in the autumn of 2014 is based on positive evidence from the evaluation of the regional campaign and encouraging initial evaluation results from the national campaign which ran from October - November 2013. These results demonstrated notable changes in symptom awareness and referral activity.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/07/2014 15:30:11 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

66083

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Osteoporosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of NHS trusts offer a screening programme of osteoporosis to reduce falls and fractures.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204311
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation.</p><p> </p><p>The UK NSC has reviewed the evidence for screening for osteoporosis in postmenopausal women and recommended that screening should not be offered. The UK NSC will review the evidence for screening again in 2016-17 as part of its three yearly review policy cycle.</p><p><strong> </strong></p><p>A preferred approach is to target higher risk groups (post-menopausal women, those on long term steroid use and after a first fracture). Prevention, assessment and treatment is covered in National Institute for Health and Clinical Excellence guidelines as follows:</p><p> </p><p><a href="http://pathways.nice.org.uk/pathways/osteoporosis" target="_blank">http://pathways.nice.org.uk/pathways/osteoporosis</a></p><p> </p><p>www.nice.org.uk/guidance/TA160</p><p> </p><p>www.nice.org.uk/guidance/TA161</p><p> </p><p>www.nice.org.uk/guidance/CG146</p><p> </p><p>There is patient information on the management of and living with osteoporosis on the NHS Choices website:</p><p> </p><p>www.nhs.uk/Conditions/Osteoporosis/Pages/Introduction.aspx</p><p><strong> </strong></p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/07/2014 13:59:13 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

66084

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rheumatoid Arthritis: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of patients diagnosed with rheumatoid arthritis received an annual review in each of the last five years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	204312
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>Information on the number of people diagnosed with rheumatoid arthritis (RA) is not available.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) clinical guideline <em>Rheumatoid arthritis: The management of rheumatoid arthritis in adults</em>, published in 2009, recommends that people with RA have a comprehensive annual review that is coordinated by the rheumatology service. The NICE RA Quality Standard, published in 2013, also includes the provision of an annual review as one of the seven quality statements that define high quality RA care.</p><p> </p><p>The 2013-14 Quality and Outcomes Framework (QOF) added new performance indicators on RA care, including ‘the proportion of people with RA diagnosed more than 1 year ago whose last comprehensive review was within 12 months of the previous review.'</p><p> </p><p>The QOF is a voluntary incentive scheme that provides additional reward to general practitioner practices for how well they care for patients based on performance against a number of agreed indicators. The report of the results of the 2013-14 QOF is expected for publication in autumn this year.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/07/2014 14:13:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4036 label Biography information for Luciana Berger

66088

registered interest
date	07/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Aphasia
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 improve support for people with aphasia.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	204363
answer	answer is ministerial correction date of answer 10/07/2014 answer text <p>Rehabilitation services, specifically speech and language therapy, provide much of the National Health Service support for people with aphasia. As clinical commissioning groups are responsible for commissioning these services, they should be taking steps to ensure that support for people with aphasia is available and improve these services where appropriate.</p><p> </p><p>More generally, NHS England is currently reviewing the provision of rehabilitation services. It works in partnership with charities which provide invaluable support for people with aphasia and is also working with the National Institute for Health and Care Excellence on the development of generic rehabilitation guidance which will encompass speech and language therapy.</p><p> </p><p>In addition, as stroke is a significant cause of aphasia, the cardiovascular disease Strategic Clinical Networks are working with commissioners and providers to improve stroke rehabilitation services, including speech and language therapy after stroke.</p><p> </p><p> </p><p><em> </em></p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/07/2014 14:15:06 answering member 1439 label Biography information for Norman Lamb
tabling member	4243 label Biography information for Dan Jarvis