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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

57929

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	Carers
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 carers.
tabling member constituency	Watford
tabling member printed	Richard Harrington
uin	198796
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Carers are central to the Government's reform of social care and support, with significant improvements in the Care Act which extends carers rights to an assessment which will be based on the appearance of a need for support. For the first time, local authorities will be required to meet carers' eligible needs for support.</p><p> </p><p>We have provided £400 million to the National Health Service over four years from 2011 for carers to have breaks from their caring responsibilities. For 2015-16, the carers' breaks funding will be in the Better Care Fund.</p><p> </p><p>We have also provided more than £2 million in recent years to the professional bodies such as the Royal College of General Practitioners, the Royal College of Nursing, Carers UK and the Carers Trust to develop initiatives to raise early awareness of carers among healthcare professionals and to help identify and support carers. We have committed more than £1 million in 2014–15 to enable these organisations to build on this work and to develop new initiatives.</p><p> </p><p>We set out our vision for transforming primary care in <em>Transforming Primary Care: Safe, proactive, personalised care for those who need it most</em>. It recognises the importance of involving and supporting carers and sets out a clear expectation for general practitioners to identify carers as a matter of course.</p><p>Carers are also central to the work that NHS England is leading to improve the quality of life of people with long term conditions. Their action plan, <em>NHS England's Commitment to Carers</em> includes a series of commitments around eight priorities, including raising the profile of carers.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/06/2014 14:38:36 answering member 1439 label Biography information for Norman Lamb
tabling member	4068 label Biography information for Lord Harrington of Watford

57930

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	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what support, advice, guidance and funding his Department makes available for children and adults diagnosed with Type 1 diabetes.
tabling member constituency	Watford
tabling member printed	Richard Harrington
uin	198820
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Our overall aim is for all people with diabetes to have the right support to manage their condition, with access to specialist care when they need it. To help deliver this, NHS England has set out in “Action for Diabetes” how it will support improvements in outcomes for people with diabetes, focussing on earlier diagnosis of all diabetes, and support for people to manage their diabetes and so improve their quality of life.</p><p> </p><p>In addition, NHS England has recently piloted a sample service specification for the management of Type 1 and Type 2 diabetes based on the NICE Quality Standard for Diabetes with a number of clinical commissioning groups. This is a tool that commissioners can choose to use to deliver high quality care and offers a model for commissioning integrated care for those with diabetes. It highlights the specific care needs for those with Type 1 diabetes where they differ from those with Type 2 diabetes.</p><p> </p><p>Also, the Department's National Institute for Health Research (NIHR) makes a significant contribution to global research on Type 1 diabetes, in particular through its world-class research infrastructure. The NIHR Clinical Research Network is currently recruiting to 32 studies in Type 1 diabetes, in addition to 58 studies relevant to both Type 1 and Type 2 diabetes. Expenditure by the NIHR on research on Type 1 diabetes through research programmes, research centres and units, and research training awards rose from £1.8 million in 2011-12 to an estimated £2.8 million in 2013-14.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2014 15:15:39 answering member 3918 label Biography information for Jane Ellison
tabling member	4068 label Biography information for Lord Harrington of Watford

57942

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	Ankylosing Spondylitis and Rheumatoid Arthritis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what average number of GP visits was required prior to diagnosis of patients with rheumatoid arthritis and ankylosing spondylitis in (a) 2012 and (b) 2013.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	198812
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Information concerning the number of patients diagnosed with either rheumatoid arthritis or ankylosing spondylitis on an annual basis is not collected.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198815 question first answered 09/06/2014 13:28:29 answering member 1439 label Biography information for Norman Lamb
tabling member	1503 label Biography information for Mr Jamie Reed

57943

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	Rheumatoid Arthritis
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 treatment within three months of symptom onset in (a) 2012 and (b) 2013.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	198815
answer	answer is ministerial correction date of answer 09/06/2014 answer text <p>Information concerning the number of patients diagnosed with either rheumatoid arthritis or ankylosing spondylitis on an annual basis is not collected.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198812 question first answered 09/06/2014 13:28:29 answering member 1439 label Biography information for Norman Lamb
tabling member	1503 label Biography information for Mr Jamie Reed