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143452

registered interest
date	07/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 30 October (HL2329), what are the extra costs to the National Health Service of net immigration between 2001 and 2011.
tabling member printed	Lord Blencathra
uin	HL2737
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The Department is not able to make a reliable estimate of the extra costs to the National Health Service budget of net immigration between 2001 and 2011, since the NHS does not hold or collate data on costs based on a person’s nationality or immigration status.</p><p> </p><p><strong> </strong></p><p> </p><p>In 2013, the Department commissioned a quantitative report to better understand the extent of the use of the NHS by migrants and visitors to support the consultation <em>Sustaining services, ensuring fairness: A consultation on migrant access and their financial contribution to NHS provision in England. </em>The report “Quantitative Assessment of Visitor and Migrant Use of the NHS in England. Exploring the Data.” estimates the total cost of visitors and temporary migrants’ normal use of NHS services to be £1.8 billion per year. This is the total gross cost and currently only a proportion of this is chargeable (approximately £460 million). Only some secondary care services are chargeable to non-European Economic Area individuals, and services for emergency care and public health reasons are exempt for all visitors and migrants, in addition to exemptions for different groups of individuals. This is an estimate for visitors and temporary migrants coming to England and does not account for the saving from individuals who migrate from the United Kingdom.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 12:05:06 answering member 2000 label Biography information for Earl Howe
tabling member	497 label Biography information for Lord Blencathra

142602

registered interest
date	06/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Spinal Injuries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to support Professor Raisman’s research into spinal cord injury following the success of his first clinical trial in Poland.
tabling member printed	Baroness Tonge
uin	HL2706
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Professor Raisman, currently at the University College London Institute of Neurology, has been developing this technique for around 40 years, 30 of which were spent at the Medical Research Council’s National Institute for Medical Research (NIMR). All of the basic research and animal proof of concept for this work was undertaken during Professor Raisman’s time at the NIMR and a summary of this work can be found at:</p><p> </p><p> </p><p> </p><p>www.nimr.mrc.ac.uk/news/clinical-success-for-research-programme-which-started-at-nimr/</p><p> </p><p> </p><p> </p><p>Since Professor Raisman left the NIMR the Medical Research Council (MRC) has been involved in guiding the clinical translation of this work, however the MRC is not currently supporting his research.</p><p> </p><p><strong> </strong></p><p> </p><p>The MRC always welcomes high quality applications for support into any aspect of human health. These are judged in open competition with other demands on funding and awards are made according to their scientific quality and importance to human health. When appropriate, high quality research in particular areas of strategic importance may be given priority in competition for funds, but research excellence and importance to health continue to be the primary considerations in funding decisions.</p><p> </p><p><strong> </strong></p><p> </p><p>The National Institute for Health Research (NIHR) funds eleven biomedical research centres that conduct translational research to transform scientific breakthroughs into benefits for patients. These centres are formed through partnerships between England’s leading National Health Service organisations and universities. The NIHR is investing £110 million over five years (2012-17) in the NIHR biomedical research centre at University College London Hospitals NHS Foundation Trust and University College London. The centre is supporting research on the use of cells from the lining of the nose to repair damaged nerves in the spinal cord.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 12:46:04 answering member 2000 label Biography information for Earl Howe
tabling member	200 label Biography information for Baroness Tonge

114518

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by the Parliamentary Under-Secretary of State for Public Health, Jane Ellison, on 11 September (HC Deb, cols 664–5W) and on 12 September (HC Deb, col 750W), how the assessment was made that if "mitochondria donation was permitted in treatment it is not anticipated that this will impact on the incidence of ovarian hyperstimulation syndrome" in the absence of an evidence base to predict the cohort of patients that may develop ovarian hyperstimulation syndrome.
tabling member printed	Lord Alton of Liverpool
uin	HL2691
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Further to answers given on 12 September (HC Deb, col 750w) the Human Fertilisation and Embryology Authority (HFEA) has advised that if mitochondrial donation was permitted in treatment it is not anticipated that this would impact on the incidence of ovarian hyper stimulation syndrome (OHSS). This is because any egg donation or collection processes necessary for mitochondrial donation would be carried out at HFEA licensed fertility clinics in line with the guidance outlined in the HFEA Code of Practice. Mitochondrial donation raises no new issues in respect of OHSS as the women who may donate eggs will be subject to the same protocols as those donating to fertility treatment.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 12:06:01 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

114789

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Impairment: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the quality of children's audiology services in England.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	213483
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>We are advised by NHS England that the Improving Quality in Physiological Services programme, run jointly by the United Kingdom of Accreditation Service and the Royal College of Physicians, is raising the profile of accreditation and quality assurance schemes for physiological diagnostic services. A mapping exercise is underway to identify those services which are accredited or working towards accreditation which is an integral improvement step on the pathway to full accreditation as a mark of quality.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/11/2014 11:11:04 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	478 label Biography information for Lord Field of Birkenhead

114790

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fractures
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospitals in England have a linked fracture liaison service.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	213484
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The provision of fracture liaison services (FLS) is a matter for local clinical commissioning groups (CCGs). Information concerning the number of hospitals in England which presently have a linked FLS is not collected centrally.</p><p> </p><p> </p><p> </p><p>NHS England supports the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society and recognises this model as best practice. NHS England is working with CCGs to support them to develop appropriate local services and services are steadily improving.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/11/2014 13:29:28 answering member 1439 label Biography information for Norman Lamb
tabling member	1604 label Biography information for Mr Virendra Sharma

114803

registered interest
date	05/11/2014
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 funding his Department provides for research on (a) the potential links between vitamin D deficiency and dementia and (b) prevention of dementia.
tabling member constituency	Belfast North
tabling member printed	Mr Nigel Dodds
uin	213503
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Research on all aspects of dementia, including prevention, is a high Government priority. Investment in dementia research by the Department’s National Institute for Health Research (NIHR) has more than doubled from £12.6 million in 2009-10 to £26.8 million in 2013-14.</p><p> </p><p> </p><p> </p><p>The NIHR Collaboration for Leadership in Applied Health Research and Care for the South West Peninsula has funded research on potential links between vitamin D deficiency and dementia. Researchers at the University of Exeter Medical School conducted the study with researchers in France and the United States and the findings were published in the journal <em>Neurology</em> in August this year. The research concluded that vitamin D deficiency is associated with a substantially increased risk of all-cause dementia and Alzheimer’s disease.</p><p> </p><p> </p><p> </p><p>The NIHR is funding a range of research relating to dementia prevention through its programmes and research infrastructure. For example, the NIHR Oxford Biomedical Research Centre is carrying out research to improve early recognition of individuals at risk of dementia or stroke and test pragmatic interventions to improve prevention.</p><p> </p><p>The NIHR South London and Maudsley Dementia Biomedical Research Unit is researching risk stratification models for prediction of dementia onset, derived in patient cohorts. The NIHR is also funding a study aiming to find a more efficient way of detecting people with cognitive decline, particularly in memory, greater than that expected for an individual’s age and education level but that does not interfere notably with activities of daily life. This research will facilitate future large-scale, pragmatic intervention studies directed at preventing or slowing decline into dementia.</p><p> </p><p><strong> </strong></p><p> </p><p>The NIHR continues to welcome funding applications for research into any aspect of human health, including dementia prevention. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 17/11/2014 11:08:43 answering member 4020 label Biography information for George Freeman
tabling member	1388 label Biography information for Lord Dodds of Duncairn

114805

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department plans to take to increase awareness among potential parents and pregnant mothers of the importance of a healthy lifestyle for the health of the unborn child.
tabling member constituency	Belfast North
tabling member printed	Mr Nigel Dodds
uin	213501
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Start4Life is the Government’s social marketing programme encouraging the adoption of healthy behaviours amongst parents-to-be and parents with children up to age five. During pregnancy Start4Life encourages healthy eating, physical activity, taking supplements, giving up smoking, avoiding alcohol and looking after yourself.</p><p> </p><p> </p><p> </p><p>In addition to the web-site, Start4life publishes a suite of leaflets, and provides access to more than a hundred videos with National Health Service approved content.</p><p> </p><p> </p><p> </p><p>The Start4Life Information Service for Parents was launched on 18 May 2012, and provides new and expectant parents with emails and texts with high quality NHS advice and information based on the stage of pregnancy and the age of the child. As of the start of November the service has signed up more than 390,000 people.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/11/2014 11:12:36 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1388 label Biography information for Lord Dodds of Duncairn

114808

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Parking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure that the NHS patient, visitor and staff car parking principles are acted on by NHS trusts.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	213509
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The NHS patient, visitor and staff car parking principles, published on 23 August 2014, ask NHS hospitals to publish:</p><p> </p><p> </p><p> </p><p>- their parking policy;</p><p> </p><p>- their implementation of the NHS car parking principles;</p><p> </p><p>- financial information relating to their car parking arrangements; and</p><p> </p><p>- summarised complaint information on car parking and actions taken in response.</p><p> </p><p> </p><p> </p><p>We expect this information to be displayed prominently on trust websites so that patients and the public can hold the NHS locally to account where unfair parking charges and practices remain in place.</p><p> </p><p> </p><p> </p><p>In addition, NHS England will collect information about NHS compliance via the annual Patient Led Assessments of the Care Environment. The results will be published so that patients can identify those trusts who are falling short.</p><p> </p><p> </p><p> </p><p>Guidance to support the NHS in delivering the principles is scheduled for publication in March 2015.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213510 question first answered 17/11/2014 11:02:19 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1604 label Biography information for Mr Virendra Sharma

114811

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Parking
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to publish guidance on hospital parking charges and the NHS patient, visitor and staff car parking principles.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	213510
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The NHS patient, visitor and staff car parking principles, published on 23 August 2014, ask NHS hospitals to publish:</p><p> </p><p> </p><p> </p><p>- their parking policy;</p><p> </p><p>- their implementation of the NHS car parking principles;</p><p> </p><p>- financial information relating to their car parking arrangements; and</p><p> </p><p>- summarised complaint information on car parking and actions taken in response.</p><p> </p><p> </p><p> </p><p>We expect this information to be displayed prominently on trust websites so that patients and the public can hold the NHS locally to account where unfair parking charges and practices remain in place.</p><p> </p><p> </p><p> </p><p>In addition, NHS England will collect information about NHS compliance via the annual Patient Led Assessments of the Care Environment. The results will be published so that patients can identify those trusts who are falling short.</p><p> </p><p> </p><p> </p><p>Guidance to support the NHS in delivering the principles is scheduled for publication in March 2015.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 213509 question first answered 17/11/2014 11:02:20 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1604 label Biography information for Mr Virendra Sharma

106169

registered interest
date	04/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by the Parliamentary Under-Secretary of State for Public Health, Jane Ellison, on 11 September (HC Deb, cols 664–5W) and on 12 September (HC Deb, col 750W), how it is anticipated that proposed interventions for mitochondrial disease would not impact on the incidence of ovarian hyperstimulation syndrome.
tabling member printed	Lord Alton of Liverpool
uin	HL2641
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Further to answers given on 12 September (HC Deb, col 750w) the Human Fertilisation and Embryology Authority (HFEA) has advised that if mitochondrial donation was permitted in treatment it is not anticipated that this would impact on the incidence of ovarian hyper stimulation syndrome (OHSS). This is because any egg donation or collection processes necessary for mitochondrial donation would be carried out at HFEA licensed fertility clinics in line with the guidance outlined in the HFEA Code of Practice. Mitochondrial donation raises no new issues in respect of OHSS as the women who may donate eggs will be subject to the same protocols as those donating to fertility treatment.</p><p> </p> answering member printed Earl Howe question first answered 17/11/2014 12:08:24 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool