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100877

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma
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 cost to the NHS of treating asthma in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211847
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The following table sets out expenditure on asthma from 2008-09 to 2012-13<sup>1 </sup></p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>Expenditure (£ billion)</p></td></tr><tr><td><p>2008-09</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></tr><tr><td><p>0.87</p></td><td><p>0.91</p></td><td><p>0.99</p></td><td><p>1.01</p></td><td><p>1.05</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p><sup>1</sup> Aggregate primary care trust (PCT) expenditure on own population from programme budgeting collection. Programme budgeting is an annual collection of expenditure on healthcare conditions by NHS Commissioners. Programme budgeting figures are only estimates.</p><p> </p><p> </p><p> </p><p>It should be noted that this does not include expenditure on primary care appointments which is included as a separate category. Other areas of expenditure such as Outpatients and Community Care cannot always be allocated to sub-categories so some expenditure on asthma may be included in ‘Problems of the Respiratory System – Other’ or ‘Other - Miscellaneous’.</p><p> </p><p><strong> </strong></p><p> </p><p>Further notes on interpretation of data:</p><p> </p><p>- Expenditure data are calculated from programme budgeting returns for 2003-04 to 2012-13. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</p><p> </p><p> </p><p> </p><p>- Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other’ expenditure.</p><p> </p><p> </p><p> </p><p>- The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.</p><p> </p><p> </p><p> </p><p>- In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.</p><p> </p><p> </p><p> </p><p>- Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.</p><p> </p><p> </p><p> </p><p>- PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.</p><p> </p><p> </p><p> </p><p>- Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, strategic health authorities and special health authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.</p><p> </p><p> </p><p> </p><p>- For 2003-04, figures are based on PCT net expenditure. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:06:29 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall

100878

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
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 23 October 2014 to Question 211152, which terms used to describe mental health conditions experienced by women during pregnancy and in the first year after their child is born are classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics database.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211869
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>More than 10% of women experience perinatal mental health problems or mental illness (i.e. during pregnancy or in the first postnatal year) and that is why improving diagnosis and services for women with perinatal mental health problems is one of the Department’s key objectives for maternity care.</p><p> </p><p> </p><p> </p><p>Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.</p><p> </p><p> </p><p> </p><p>The ICD-10 classification system categorises conditions experienced by women during pregnancy and childbirth under ‘mental and behavioural disorders in pregnancy, childbirth and the puerperium’. There are eight ICD-10 codes for perinatal mental health diagnoses. F53.0 is the code assigned to postnatal depression.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:10:26 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

100879

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
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 24 October 2014 to Question 211354, which official at NHS England has the lead responsibility for perinatal mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211870
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Senior Responsible Officer at NHS England for perinatal mental health is Jane Cummings, the Chief Nursing Officer.</p><p> </p><p> </p><p> </p><p>NHS England is responsible for commissioning Specialised Perinatal Mental Health Services (In-patient Mother and Baby Units) nationally. Non-specialised services are commissioned by local clinical commissioning groups.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 14:28:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

100884

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ipswich Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the Parliamentary Under-Secretary of State for Health has visited Ipswich Hospital in his ministerial capacity.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211901
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since September 2012, I have visited Ipswich Hospital twice in my ministerial capacity. This was on 25 December 2012 and 5 December 2013, and on many other occasions as a constituency MP, most recently on 10 October 2014.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:15:20 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

100642

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have undertaken an impact assessment of the potential impacts on the National Health Service of the Transatlantic Trade and Investment Partnership which is being negotiated between the European Union and the United States.
tabling member printed	Baroness Manzoor
uin	HL2373
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2374 HL2375 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100643

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the implications for the National Health Service and the staff who work in the National Health Service if the Transatlantic Trade and Investment Partnership is agreed.
tabling member printed	Baroness Manzoor
uin	HL2374
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2375 question first answered 29/10/2014 12:27:47 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100644

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the implications for hospitals and foundation trusts if the Transatlantic Trade and Investment Partnership is agreed.
tabling member printed	Baroness Manzoor
uin	HL2375
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2374 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100708

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have lost their sight as a result of diabetes in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211699
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Public Health Outcomes Framework launched in 2012 includes an indicator on preventable sight loss which tracks sight loss due to the three main causes: age related macular degeneration, diabetic retinopathy and glaucoma. Data has been published for 2010-11, 2011-12 and 2012-13 and the number of people aged 12 years and above who lost their eye sight from diabetes is shown in the following table.</p><p> </p><p> </p><p> </p><p>A sight loss indicator per 100,000 people for England for each of the three years is also included. The source of the data is Public Health England’s outcomes website and the links to the data are below the table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Indicator</p></td><td><p>Year</p></td><td><p>Indicator value per 100,000 population</p></td><td><p>Number of people who lost their eye sight from diabetes</p></td></tr><tr><td><p>4.12iii - Preventable sight loss - diabetic eye disease</p></td><td><p>2010-11</p></td><td><p>3.6</p></td><td><p>1,611</p></td></tr><tr><td><p>4.12iii - Preventable sight loss - diabetic eye disease</p></td><td><p>2011-12</p></td><td><p>3.8</p></td><td><p>1,755</p></td></tr><tr><td><p>4.12iii - Preventable sight loss - diabetic eye disease</p></td><td><p>2012-13</p></td><td><p>3.5</p></td><td><p>1,592</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source:</em></p><p> </p><p><a href="http://www.phoutcomes.info/search/Preventable%20sight%20loss%20%20%20diabetic%20eye%20disease#gid/1/pat/6/ati/102/page/4/par/E12000004/are/E06000015" target="_blank">http://www.phoutcomes.info/search/Preventable%20sight%20loss%20%20%20diabetic%20eye%20disease#gid/1/pat/6/ati/102/page/4/par/E12000004/are/E06000015</a></p><p> </p><p> </p><p> </p><p><a href="http://www.phoutcomes.info/search/Preventable%20sight%20loss%20%20%20diabetic%20eye%20disease#gid/1/pat/6/ati/102/page/9/par/E12000004/are/E06000015" target="_blank">http://www.phoutcomes.info/search/Preventable%20sight%20loss%20%20%20diabetic%20eye%20disease#gid/1/pat/6/ati/102/page/9/par/E12000004/are/E06000015</a></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 14:39:44 answering member 3918 label Biography information for Jane Ellison
tabling member	4026 label Biography information for Liz Kendall

100709

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have had their feet amputated as a result of diabetes in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211700
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The following table shows the number of finished consultant episodes (FCEs)[1] with a primary diagnosis[2] of diabetes and a primary or secondary procedure of foot amputation[3], by year for 2008-09 to 2012-13[4]. Changes to the figures over time need to be interpreted in the context of improvements in data quality and changes in provision of care.[5]</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>FCEs</p></td></tr><tr><td><p>2008-09</p></td><td><p>1,524</p></td></tr><tr><td><p>2009-10</p></td><td><p>1,496</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,709</p></td></tr><tr><td><p>2011-12</p></td><td><p>1,797</p></td></tr><tr><td><p>2012-13</p></td><td><p>1,327</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES), The Health and Social Care Information Centre</p><p> </p><br /><p>[1] A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p>[2] The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the Hospital Episode Statistics (HES) data set and provides the main reason why the patient was admitted to hospital.</p><p> </p><p>[3] The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a Hospital Episode Statistics record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p> </p><p>[4] Assessing growth though time. HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p><p> </p><p>[5] There is no available data for 2013-14.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 17:14:35 answering member 3918 label Biography information for Jane Ellison
tabling member	4026 label Biography information for Liz Kendall

100710

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people aged (a) under and (b) over 18 were diagnosed with type two diabetes in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211701
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>This information is not collected centrally by the Department of Health.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 17:41:38 answering member 3918 label Biography information for Jane Ellison
tabling member	4026 label Biography information for Liz Kendall