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759372

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eyes: Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have been diagnosed with eyesight problems or diseases in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10000
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is not possible to provide data on the number of people diagnosed with eyesight problems or disease diagnosis in each of the last five years given that there are many conditions and diseases of the eye, not all of which will be captured by national statistics.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:28:48 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

759368

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prostate Cancer: Screening
	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 men are able to access early prostate tests.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10002
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Prostate Cancer Risk Management Programme (PCRMP) provides general practitioners and primary care professionals with information to counsel men who ask about prostate cancer and/or prostate-specific antigen (PSA) testing. Men over 50 who decide to have a PSA test based on this information can do so for free on the NHS.</p><p>The PCRMP information pack was revised and updated in March 2016 and is available at the following link:</p><p><a href="http://www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview" target="_blank">www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview</a></p><p>The PCRMP has also produced information leaflets that healthcare professionals can use when discussing the test with eligible men, which are available at the following link.</p><p><a href="http://www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents" target="_blank">www.gov.uk/government/collections/prostate-cancer-risk-management-programme-supporting-documents</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:33:03 answering member 4067 label Biography information for Steve Brine
	tabling member	4131 label Biography information for Jim Shannon

759342

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Joint Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) knee, (b) hip and (c) shoulder replacements have been undertaken by the NHS in each of the last five years; and how many people aged (i) 30 to 40, (ii) 41 to 50, (iii) 51 and 60 and (iv) over 60 had such replacements.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10007
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>A count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedure<sup>2</sup> for 'joint replacement surgery'<sup>3</sup> which includes shoulder, hip and knee<sup>4</sup> in total and for selected age groups in England from 2011/12 to 2015/16<sup>5</sup> is provided in the tables below.</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Knee replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>83,312</p></td><td><p>263</p></td><td><p>2,713</p></td><td><p>12,155</p></td><td><p>68,089</p></td></tr><tr><td><p>2012-13</p></td><td><p>82,976</p></td><td><p>271</p></td><td><p>2,838</p></td><td><p>12,558</p></td><td><p>67,200</p></td></tr><tr><td><p>2013-14</p></td><td><p>85,934</p></td><td><p>237</p></td><td><p>2,894</p></td><td><p>13,199</p></td><td><p>69,493</p></td></tr><tr><td><p>2014-15</p></td><td><p>91,542</p></td><td><p>228</p></td><td><p>2,964</p></td><td><p>14,076</p></td><td><p>74,148</p></td></tr><tr><td><p>2015-16</p></td><td><p>92,735</p></td><td><p>229</p></td><td><p>2,964</p></td><td><p>14,157</p></td><td><p>75,272</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Hip replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>104,434</p></td><td><p>1,126</p></td><td><p>3,895</p></td><td><p>11,245</p></td><td><p>87,683</p></td></tr><tr><td><p>2012-13</p></td><td><p>105,499</p></td><td><p>1,145</p></td><td><p>4,239</p></td><td><p>11,369</p></td><td><p>88,249</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,635</p></td><td><p>1,099</p></td><td><p>4,228</p></td><td><p>12,113</p></td><td><p>92,686</p></td></tr><tr><td><p>2014-15</p></td><td><p>113,111</p></td><td><p>1,157</p></td><td><p>4,386</p></td><td><p>12,796</p></td><td><p>94,227</p></td></tr><tr><td><p>2015-16</p></td><td><p>112,625</p></td><td><p>1,075</p></td><td><p>4,339</p></td><td><p>12,669</p></td><td><p>94,010</p></td></tr></tbody></table><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="5"><p>Shoulder replacements</p></td></tr><tr><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,852</p></td><td><p>61</p></td><td><p>222</p></td><td><p>518</p></td><td><p>5,010</p></td></tr><tr><td><p>2012-13</p></td><td><p>6,210</p></td><td><p>60</p></td><td><p>216</p></td><td><p>624</p></td><td><p>5,281</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,827</p></td><td><p>78</p></td><td><p>219</p></td><td><p>676</p></td><td><p>5,809</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,174</p></td><td><p>62</p></td><td><p>198</p></td><td><p>617</p></td><td><p>6,252</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,343</p></td><td><p>71</p></td><td><p>229</p></td><td><p>687</p></td><td><p>6,326</p></td></tr></tbody></table><p> </p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p><sup>1 </sup>A 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><sup>2 </sup>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 HES 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. It should be noted 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><sup>3 </sup>Included in the codes are for both partial and total joint replacements as well as conversion and revision codes. The ‘Conversion to’ codes provided in this resolution (e.g. W40.2) are assigned when the procedure has converted to the specified type of joint replacement from a different type of joint replacement. Examples could include conversion to a cemented total shoulder replacement following previous partial shoulder replacement or conversion to a total shoulder replacement following a previous uncemented shoulder replacement. This principle would apply to all ‘Conversion to’ prosthetic joint procedures provided. The ‘Conversion to’ codes could be considered ‘revisions’ in clinical terms, and you may wish to include these codes in your data search.</p><p><sup>4 </sup>A range of OPCS codes covering knee replacements, hemiarthroplasty knees, unicomparmental knee replacements, hip replacements, hemiarthroplasty hips, shoulder replacements and hemiarthroplasty shoulder have been included.</p><p><sup>5 </sup>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 National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. It should be noted that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 13:01:41 answering member 1542 label Biography information for Philip Dunne
	tabling member	4131 label Biography information for Jim Shannon

418463

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hidradenitis Suppurativa
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps NHS England takes to assess the health and social care needs of patients with hidradenitis suppurativa; and what assessment he has made of the ability of the NHS to deliver efficient diagnosis and access to specialist care for such patients.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	10010
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>NHS England works in partnership with local commissioners and providers to ensure people with long-term conditions, such as hidradenitis suppurativa (HS), are supported to live healthily and independently and are empowered to take better control over the care they receive.</p><p> </p><p> </p><p> </p><p>The majority of patients with HS can be managed through routine access to primary and secondary care, including dermatology clinics, which is responsibility of the local National Health Service commissioners. Treatment and management of the condition involves antibiotics, antiseptic washes and immunosuppressive treatments such as steroids or ciclosporin, which a general practitioner may prescribe.</p><p> </p><p> </p><p> </p><p>For those patients with the more serious forms of HS, referral to a specialised dermatology service may be appropriate. NHS England commissions services for people with rare and complex skin conditions, including HS, and has set out what providers must have in place in order to offer specialist dermatology care. This supports equity of access to a high quality service for patients wherever they live. These services may provide more intensive therapies with the involvement of a range of health and care professionals, subject to a patient’s needs. More information can be found by viewing the specialised dermatology service specification at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10011 question first answered 16/09/2015 11:46:53 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

418464

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hidradenitis Suppurativa
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress has been made by NHS England on the production of a commissioning policy for treatments associated with hidradenitis suppurativa; what the proposed scope of that policy is; and when he expects that policy to have been fully developed.
	tabling member constituency	West Lancashire
	tabling member printed	Rosie Cooper
	uin	10011
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>NHS England works in partnership with local commissioners and providers to ensure people with long-term conditions, such as hidradenitis suppurativa (HS), are supported to live healthily and independently and are empowered to take better control over the care they receive.</p><p> </p><p> </p><p> </p><p>The majority of patients with HS can be managed through routine access to primary and secondary care, including dermatology clinics, which is responsibility of the local National Health Service commissioners. Treatment and management of the condition involves antibiotics, antiseptic washes and immunosuppressive treatments such as steroids or ciclosporin, which a general practitioner may prescribe.</p><p> </p><p> </p><p> </p><p>For those patients with the more serious forms of HS, referral to a specialised dermatology service may be appropriate. NHS England commissions services for people with rare and complex skin conditions, including HS, and has set out what providers must have in place in order to offer specialist dermatology care. This supports equity of access to a high quality service for patients wherever they live. These services may provide more intensive therapies with the involvement of a range of health and care professionals, subject to a patient’s needs. More information can be found by viewing the specialised dermatology service specification at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10010 question first answered 16/09/2015 11:46:53 answering member 3918 label Biography information for Jane Ellison
	tabling member	1538 label Biography information for Rosie Cooper

759340

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Compulsorily Detained Psychiatric Patients
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many detentions there were under the Mental Health Act 1983 by each section of that Act in each year since 2010.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	10013
	answer	answer is ministerial correction date of answer 19/09/2017 answer text <p>The information requested is shown in the following table. The Department of Health, with the Home Office, has led the Mental Health Crisis Care Concordat, which brings together both nationally, and in each locality in England, the services and agencies involved in the care and support of people in crisis. These partnerships have worked to reduce the use of police cells for detentions under section 136 of the Mental Health Act. In 2011/12 there were 8,667 such detentions, by 2015-16 this had been reduced by over 80 per cent., to 1,764 detentions.</p><p> </p><p> </p><p>Detentions under The Mental Health Act 1983 by legal status 2010/11 to 2015/16</p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="6"><p>All providers</p></td></tr><tr><td><p> </p></td><td><p>2010/11</p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>All detentions</p></td><td><p>46,348</p></td><td><p>48,631</p></td><td><p>50,408</p></td><td><p>53,176</p></td><td><p>58,399</p></td><td><p>63,622</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions on admission to hospital</p></td><td><p>29,557</p></td><td><p>30,900</p></td><td><p>32,224</p></td><td><p>34,806</p></td><td><p>37,709</p></td><td><p>40,785</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions under Part II of the Mental Health Act</p></td><td><p>27,337</p></td><td><p>28,632</p></td><td><p>30,253</p></td><td><p>32,781</p></td><td><p>35,444</p></td><td><p>38,873</p></td></tr><tr><td><p>Section 2</p></td><td><p>19,163</p></td><td><p>20,931</p></td><td><p>22,477</p></td><td><p>25,300</p></td><td><p>27,754</p></td><td><p>30,627</p></td></tr><tr><td><p>Section 3</p></td><td><p>8,174</p></td><td><p>7,701</p></td><td><p>7,776</p></td><td><p>7,481</p></td><td><p>7,690</p></td><td><p>8,246</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions under Part III of the Mental Health Act</p></td><td><p>2,138</p></td><td><p>2,130</p></td><td><p>1,788</p></td><td><p>1,847</p></td><td><p>1,930</p></td><td><p>1,696</p></td></tr><tr><td><p>35</p></td><td><p>85</p></td><td><p>107</p></td><td><p>69</p></td><td><p>77</p></td><td><p>75</p></td><td><p>40</p></td></tr><tr><td><p>36</p></td><td><p>16</p></td><td><p>16</p></td><td><p>16</p></td><td><p>22</p></td><td><p>15</p></td><td><p>17</p></td></tr><tr><td><p>37 (with S41 restrictions)</p></td><td><p>508</p></td><td><p>522</p></td><td><p>435</p></td><td><p>448</p></td><td><p>486</p></td><td><p>415</p></td></tr><tr><td><p>37 (without S41 restrictions)</p></td><td><p>493</p></td><td><p>459</p></td><td><p>326</p></td><td><p>315</p></td><td><p>307</p></td><td><p>223</p></td></tr><tr><td><p>45A</p></td><td><p>1</p></td><td><p>8</p></td><td><p>3</p></td><td><p>2</p></td><td><p>9</p></td><td><p>7</p></td></tr><tr><td><p>47 (with S49 restrictions)</p></td><td><p>430</p></td><td><p>427</p></td><td><p>404</p></td><td><p>414</p></td><td><p>429</p></td><td><p>385</p></td></tr><tr><td><p>47 (without S49 restrictions)</p></td><td><p>40</p></td><td><p>41</p></td><td><p>41</p></td><td><p>43</p></td><td><p>60</p></td><td><p>32</p></td></tr><tr><td><p>48 (with S49 restrictions)</p></td><td><p>403</p></td><td><p>398</p></td><td><p>371</p></td><td><p>394</p></td><td><p>440</p></td><td><p>465</p></td></tr><tr><td><p>48 (without S49 restrictions)</p></td><td><p>10</p></td><td><p>9</p></td><td><p>14</p></td><td><p>11</p></td><td><p>3</p></td><td><p>5</p></td></tr><tr><td><p>Other sections - 38, 44 and 46</p></td><td><p>152</p></td><td><p>143</p></td><td><p>109</p></td><td><p>121</p></td><td><p>106</p></td><td><p>107</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Under previous legislation (Fifth Schedule) and other Acts</p></td><td><p>82</p></td><td><p>138</p></td><td><p>183</p></td><td><p>178</p></td><td><p>335</p></td><td><p>216</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions subsequent to admission</p></td><td><p>13,397</p></td><td><p>13,680</p></td><td><p>14,249</p></td><td><p>14,087</p></td><td><p>16,078</p></td><td><p>17,181</p></td></tr><tr><td><p>Informal to 2</p></td><td><p>3,347</p></td><td><p>3,398</p></td><td><p>3,974</p></td><td><p>4,097</p></td><td><p>5,079</p></td><td><p>5,678</p></td></tr><tr><td><p>Informal to 3</p></td><td><p>4,199</p></td><td><p>4,114</p></td><td><p>3,895</p></td><td><p>3,483</p></td><td><p>4,077</p></td><td><p>4,303</p></td></tr><tr><td><p>5(2) to 2</p></td><td><p>2,973</p></td><td><p>3,264</p></td><td><p>3,601</p></td><td><p>3,707</p></td><td><p>4,015</p></td><td><p>4,121</p></td></tr><tr><td><p>5(2) to 3</p></td><td><p>2,309</p></td><td><p>2,437</p></td><td><p>2,361</p></td><td><p>2,414</p></td><td><p>2,489</p></td><td><p>2,631</p></td></tr><tr><td><p>5(4) to 2</p></td><td><p>72</p></td><td><p>63</p></td><td><p>57</p></td><td><p>54</p></td><td><p>56</p></td><td><p>51</p></td></tr><tr><td><p>5(4) to 3</p></td><td><p>40</p></td><td><p>22</p></td><td><p>41</p></td><td><p>44</p></td><td><p>43</p></td><td><p>40</p></td></tr><tr><td><p>4 to 2</p></td><td><p>401</p></td><td><p>344</p></td><td><p>280</p></td><td><p>260</p></td><td><p>277</p></td><td><p>331</p></td></tr><tr><td><p>4 to 3</p></td><td><p>56</p></td><td><p>38</p></td><td><p>40</p></td><td><p>28</p></td><td><p>42</p></td><td><p>26</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions following use of Section 136</p></td><td><p>2,376</p></td><td><p>2,582</p></td><td><p>2,426</p></td><td><p>2,882</p></td><td><p>3,185</p></td><td><p>4,099</p></td></tr><tr><td><p>136 to 2</p></td><td><p>1,948</p></td><td><p>2,142</p></td><td><p>2,135</p></td><td><p>2,587</p></td><td><p>2,882</p></td><td><p>3,660</p></td></tr><tr><td><p>136 to 3</p></td><td><p>428</p></td><td><p>440</p></td><td><p>291</p></td><td><p>295</p></td><td><p>303</p></td><td><p>439</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Detentions following revocation of Community Treatment orders</p></td><td><p>1,018</p></td><td><p>1,469</p></td><td><p>1,509</p></td><td><p>1,401</p></td><td><p>1,427</p></td><td><p>1,557</p></td></tr></tbody></table><p>Notes:</p><p> </p><p>The 'all detentions' figure excludes:</p><p>Short term detention orders under Sections 4, 5(2) &amp; 5(4) or 135 &amp; 136;</p><p>Detentions following the use of Section 135 (the KP90 form does not collect changes from Section 135 to 2, or Section 135 to 3); and</p><p>Detentions following recalls from conditional discharge (these are out of scope of the current KP90 collection).</p><p> </p><p>Section 136 uses in police custody suites (the KP90 collection is from healthcare providers only).</p><p> </p><p>Source: KP90 - NHS Digital</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/09/2017 09:52:12 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4036 label Biography information for Luciana Berger

759341

	registered interest
	date	11/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Complaints
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many formal complaints (a) mental health services and (b) the NHS received in 2016-17.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	10016
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The total number of complaints in respect of National Health Service mental health services for 2016/17 is 14,106.</p><p> </p><p>The total written complaints in 2016/17 that the NHS received was 208,400.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 11:19:20 answering member 1542 label Biography information for Philip Dunne
	tabling member	4036 label Biography information for Luciana Berger

418446

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eyesight: Testing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people were diagnosed with (a) a brain tumour and (b) other conditions as a result of symptoms noticed during examinations by opticians in the last 12 months.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10017
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Information provided by the Health and Social Care Information Centre shows that during 2013/14 there were 159,626 referrals from optometrists to secondary care. It is not possible, however, to identify a diagnosis given the collection of this information is not mandatory.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 10:07:37 answering member 1201 label Biography information for Alistair Burt
	tabling member	4131 label Biography information for Jim Shannon

418447

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Statins
	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 patients prescribed statins can make a choice on what type of statins they receive.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10020
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Decisions regarding the appropriateness of a particular treatment, including statins, should be made by clinicians in partnership with patients. The individual circumstances of each patient should be taken into account, alongside their medical history, needs and preferences.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 10:04:02 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

418448

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Smoking
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information his Department holds on how many people of what age ranges gave up smoking in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10021
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The Health and Social Care Information Centre collects this information on behalf of the Department and it is made publicly available at the following web addresses:</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB00417/nhs-stop-smok-serv-eng-2010-2011-tab.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB00417/nhs-stop-smok-serv-eng-2010-2011-tab.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB07011/stat-stop-smok-eng-apr-11-mar-12-tab1.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB07011/stat-stop-smok-eng-apr-11-mar-12-tab1.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB12228/stat-stop-smok-serv-eng-apr-12-mar-13-tab1.xls" target="_blank">http://www.hscic.gov.uk/catalogue/PUB12228/stat-stop-smok-serv-eng-apr-12-mar-13-tab1.xls</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB14610/stat-stop-smok-serv-eng-apr-13-mar-14-tab.xlsx" target="_blank">http://www.hscic.gov.uk/catalogue/PUB14610/stat-stop-smok-serv-eng-apr-13-mar-14-tab.xlsx</a></p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/catalogue/PUB18002/stat-stop-smok-serv-eng-annual-1415.xlsx" target="_blank">http://www.hscic.gov.uk/catalogue/PUB18002/stat-stop-smok-serv-eng-annual-1415.xlsx</a></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 10:05:51 answering member 3918 label Biography information for Jane Ellison
	tabling member	4131 label Biography information for Jim Shannon

759717

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Maternity 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 5 September 2017 to Question 6776, what steps his Department will take to include the recommendations of the national neonatal review due to publish its initial report in September 2017 for consultation in the Local Maternity System Plans which must be in place by October 2017; and what the timetable is for incorporating those recommendations in the period between publication of that review and the putting in place of those plans.
	tabling member constituency	Birmingham, Erdington
	tabling member printed	Jack Dromey
	uin	10021
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Neonatal Critical Care Review has this month, set out initial themes and recommendations supported by detailed data packs at Neonatal Care level and Local Maternity Systems level. The Local Maternity System Plans are being incorporated into local planning arrangements.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:53:38 answering member 1542 label Biography information for Philip Dunne
	tabling member	3913 label Biography information for Jack Dromey

418450

	registered interest
	date	11/09/2015
	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 criteria NICE has set for new dementia treatments to be recommended for provision by the NHS.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10022
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>The National Institute for Health and Care Excellence assesses significant new drugs and treatments, including those for the treatment of dementia, through its technology appraisal programme. Technology appraisals are conducted in accordance with NICE’s <em>Guide to the methods of technology appraisal 2013</em> which is available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/article/pmg9/chapter/Foreword" target="_blank">www.nice.org.uk/article/pmg9/chapter/Foreword</a></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/09/2015 15:15:57 answering member 4020 label Biography information for George Freeman
	tabling member	4131 label Biography information for Jim Shannon

418449

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Alzheimer's Disease: Dental Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will commission a study to investigate potential links between dental treatment and Alzheimer's disease.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10023
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The Department has no plans to commission a study on the specific risk of transmission of Alzheimer’s disease in dentistry. There is no evidence that Alzheimer's disease can be transmitted through any medical procedure. In dentistry, patients are protected from the risk of infection by either mandatory single use instruments, or where instruments are reused, by guidance on strict decontamination procedures as per the Health Technical Memorandum 01-05: Decontamination in primary care dental practices - 2013 edition.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 16:09:59 answering member 1201 label Biography information for Alistair Burt
	tabling member	4131 label Biography information for Jim Shannon

759720

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Procurement
	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 13 July 2017 to Question 3138, if he will publish the constituent costs which make up the sum referred to as the forecast costs for the set-up of the new NHS Intelligent Client Coordinator body.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10085
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The constituent activities underpinning the forecast cost for the setup of the new NHS Intelligent Client Coordinator body can be categorised into Design, Build, and Support (time limited) activities. As one provider has been selected to undertake these activities through a competitive process, the associated costs are commercially sensitive and therefore cannot be publicly disclosed.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:57:50 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759727

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Finance
	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 29 June 2017 to Question 820, on NHS: finance, what recent assessment he has made of the effect of the UK leaving the EU on future funding for the NHS.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10086
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>In line with the rest of Government, the Department is analysing the impact of the United Kingdom’s withdrawal from the European Union. For the Department this includes understanding the financial implications of Brexit for the National Health Service and wider care system and, where appropriate, mitigating for any risks associated with different negotiated options.</p><p> </p><p>The Department is working to ensure the best outcome for the health and social care system. All relevant policy teams within the Department are involved with this work and are assessing the implications of the UK leaving the EU on their area. This includes working with NHS England and other arm’s length bodies.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:59:37 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759728

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Countess of Chester Hospital NHS Foundation Trust: Maternity 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 13 July 2017 to Question 3375, on Chester Hospital: maternity services, what recent progress has been made on that investigation.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10087
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The investigation by Cheshire Constabulary into a number of baby deaths occurring between June 2015 and June 2016 in the neonatal unit of the Countess of Chester Hospital remains on-going since my previous response in July 2017. We are not able to provide any further details regarding recent progress at this time.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:45:54 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759722

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Reciprocal Arrangements
	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 12 July 2017 to Question 2509, on health services: reciprocal arrangements, if he will provide the data referred to for 2016-17.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10089
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The figures for the United Kingdom’s claims against European Economic Area (EEA) member states and Switzerland for medical costs for 2016/17 are attached.</p><p> </p><p>As stated in the response to Question 2509, under European Union Regulations, other European Economic Area (EEA) countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law. This includes UK nationals insured in another EEA country or Switzerland. In the same way, the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under EU law, irrespective of nationality.</p><p> </p><p>The European Health Insurance Card (EHIC) will cover any necessary treatment – including pre-existing medical conditions and routine maternity care - until the holder returns home.</p><p> </p><p>It is not possible to separate out claims to other EEA countries from the UK solely linked to EHIC usage. Claims by, and to, the UK for treatment relating to EHICs, are included in a larger category which also includes pre-authorised planned treatments and coverage for posted and frontier workers. It should be noted that Member States, including the UK, can submit claims up to 18 months in arrears so claims for any 12 month period do not necessarily reflect treatment provided in that period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:15:50 answering member 1542 label Biography information for Philip Dunne attachment 1 file name PQ10089 attached table.xlsx title PQ10089 attached table
	tabling member	4418 label Biography information for Justin Madders

418451

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer Drugs Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the implications for his policies of the decision by NHS England announced on 4 September 2015 to remove (a) the pancreatic cancer drug Abraxane and (b) 22 other drugs and indications from the Cancer Drugs Fund list of approved drugs.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	10091
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>No such assessment has been made. We remain committed to continuing to invest in the Cancer Drugs Fund which has so far benefitted over 72,000 people with cancer in England.</p><p> </p><p> </p><p> </p><p>We understand that NHS England continues to work with manufacturers seeking to maintain drug and indication combinations within the Fund.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has confirmed that patients who are already receiving a drug/indication which is to be removed from the Fund will continue to be treated with that drug until they and their clinicians consider it appropriate to discontinue treatment. In addition, drugs removed from the Fund will continue to be available via Individual Funding Requests if the individual patient meets clinical exceptionality criteria.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/09/2015 15:22:40 answering member 4020 label Biography information for George Freeman
	tabling member	4056 label Biography information for Nic Dakin

418452

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer Drugs Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what mechanisms there are for appeal against NHS England's decision announced on 4 September 2015 to remove (a) Abraxane and (b) 22 other drugs and indications from the Cancer Drugs Fund list of approved drugs; and if he will make a statement.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	10092
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>NHS England has advised that the mechanisms for appeal are as set out in Appendix G, section 11 of the Cancer Drugs Fund Standard Operating Procedures which are published on NHS England’s website at:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/04/cdf-sop-2015-16.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/04/cdf-sop-2015-16.pdf</a></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/09/2015 15:23:43 answering member 4020 label Biography information for George Freeman
	tabling member	4056 label Biography information for Nic Dakin

418453

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer Drugs Fund
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effect on cancer clinical trials of NHS England's decision announced on 4 September 2015 to remove (a) Abraxane and (b) 22 other drugs and indications from the Cancer Drugs Fund list of approved drugs; and if he will make a statement.
	tabling member constituency	Scunthorpe
	tabling member printed	Nic Dakin
	uin	10093
	answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>Neither the Department nor NHS England has made any such assessment.</p><p> </p><p> </p><p> </p><p>Advances in medical science means that new cancer medicines are emerging all the time and NHS England needs to regularly prioritise its national Cancer Drugs Fund (CDF) list so people can access these too. Decisions on which treatments are included on the list are made by the CDF expert clinical panel because it is right these decisions are clinically led.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/09/2015 15:25:30 answering member 4020 label Biography information for George Freeman
	tabling member	4056 label Biography information for Nic Dakin

759734

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent representations he has received on IVF commissioning.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10097
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10207 10208 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

418708

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Translation Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether NHS England seeks to recover the cost of its translation and interpretation services for patients who are not UK residents.
	tabling member constituency	Rutland and Melton
	tabling member printed	Sir Alan Duncan
	uin	10102
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>A person who is not ordinarily resident in the United Kingdom is subject to the National Health Service (Charges to Overseas Visitors) Regulations 2015 which apply charges to overseas visitors for any NHS hospital services they receive, unless an exemption category in the Charging Regulations applies.</p><p> </p><p> </p><p> </p><p>Overseas visitors who ordinarily reside outside the European Economic Area (EEA) and who have not paid the Health Surcharge, nor meet any exemption from charge will be charged 150% of the national tariff. Charging 150% of the national tariff provides for additional administrations charges incurred with treating overseas visitors such as translation services.</p><p> </p><p> </p><p> </p><p>Charges for overseas visitors who ordinarily reside within EEA states can be claimed from the country they normally reside in.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 15:44:40 answering member 1201 label Biography information for Alistair Burt
	tabling member	343 label Biography information for Sir Alan Duncan

418709

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Translation Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much NHS England spent on translation and interpretation services for hospital patients in each of the last five years.
	tabling member constituency	Rutland and Melton
	tabling member printed	Sir Alan Duncan
	uin	10103
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>We do not hold this information centrally. National Health Service organisations have a duty to follow equalities legislation. This includes making sure their communities can understand information about the NHS services and that patients and clinicians can communicate with each other. We encourage the NHS to be efficient and save money by working together and sharing resources.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10104 question first answered 21/09/2015 15:52:13 answering member 1201 label Biography information for Alistair Burt
	tabling member	343 label Biography information for Sir Alan Duncan

418710

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Translation Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information NHS England holds on expenditure on translation and interpretation services for (a) EU and (b) non-EU patients.
	tabling member constituency	Rutland and Melton
	tabling member printed	Sir Alan Duncan
	uin	10104
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>We do not hold this information centrally. National Health Service organisations have a duty to follow equalities legislation. This includes making sure their communities can understand information about the NHS services and that patients and clinicians can communicate with each other. We encourage the NHS to be efficient and save money by working together and sharing resources.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 10103 question first answered 21/09/2015 15:52:13 answering member 1201 label Biography information for Alistair Burt
	tabling member	343 label Biography information for Sir Alan Duncan

418711

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Donors
	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 promote the donation of blood, organs and other organic materials.
	tabling member constituency	Bishop Auckland
	tabling member printed	Helen Goodman
	uin	10111
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS Blood and Transplant (NHSBT) is the organ donation organisation for the United Kingdom and is funded by the Department and the Devolved Administrations. Its remit also includes the provision of a reliable efficient supply of blood in England and North Wales, and providing tissues to the National Health Service.</p><p> </p><p> </p><p> </p><p>NHSBT actively campaigns to promote public awareness about the importance of organ and tissue donation and transplantation and to encourage people to join the NHS Organ Donor Register (ODR). Underpinning NHSBT’s work to promote organ donation is encouraging people to join the ODR and then to let their loved ones know that they have made a decision to donate. Encouraging this conversation is important as families are more likely to agree to donation if they know that is what their loved one wanted.</p><p> </p><p> </p><p> </p><p>The Department has also worked to raise general awareness of persistent inequalities people from a Black, Asian and Minority Ethnic (BAME) background face when trying to find a suitable bone marrow or organ donor and supports the work of the National BAME Transplant Alliance. Launched in 2012, this group helps to coordinate the work of BAME organisations promoting donation.</p><p> </p><p> </p><p> </p><p>The UK’s health administrations, many charities, community groups and hospitals also work hard to promote organ and tissue donation and NHSBT work collaboratively with them wherever possible.</p><p> </p><p> </p><p> </p><p>NHSBT regularly campaigns to encourage more of the eligible population, including from the BAME community to donate blood. Although blood stocks are currently in a healthy position, there is always a need for new donors to fill the gaps left by existing donors who are no longer able to give blood - to ensure that we have the right mix of blood groups to match patients’ needs. NHSBT co-ordinates local and national awareness campaigns, such as the current ‘Bleed for England’ campaign, which are intended to motivate thousands of people to start donating blood.</p><p> </p><p> </p><p> </p><p>In addition, the Department funds the national Gamete Donation Trust through a contract to provide a range of services to promote gamate donation and support the recruitment and retention of egg and sperm donors, which helps infertile couples.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 14:39:02 answering member 3918 label Biography information for Jane Ellison
	tabling member	1484 label Biography information for Helen Goodman

418712

	registered interest
	date	14/09/2015
	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 recent assessment his Department has made of the trends in the prevalence of diabetes; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	10120
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Diagnosed diabetes prevalence is taken from the Quality and Outcomes Framework (QOF) and represents all patients who have been diagnosed with diabetes and included on GP registers.</p><p> </p><p> </p><p> </p><p>Diabetes prevalence is increasing. Diagnosed diabetes prevalence has increased from 2.3 million (5.3%) in 2009/10 to 2.8 million (6.2%) in 2013/14; an increase of nearly half a million people.</p><p> </p><p> </p><p> </p><p>Public Health England’s diabetes prevalence model estimates total diabetes prevalence for England and for all local authorities and clinical commissioning groups (CCG) in England. The model reflects the prevalence of diabetes (diagnosed and undiagnosed) and adjusts for the age, sex, ethnic group and deprivation pattern of the local population.</p><p> </p><p> </p><p> </p><p>The estimated total diabetes prevalence using the diabetes prevalence model is 7.5% in 2014.</p><p> </p><p> </p><p> </p><p>If current trends continue then we estimate that by 2030 there will be over 4 million people with diabetes. This represents 8.8% of the population aged 16 years and over.</p><p> </p><p> </p><p> </p><p>This data is publically available on the Healthier Lives website at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/topic/diabetes" target="_blank">http://healthierlives.phe.org.uk/topic/diabetes</a></p><p> </p><p> </p><p> </p><p>The website also provides diagnosed prevalence at the CCG level.</p><p> </p><p> </p><p> </p><p>Tackling diabetes is of great concern to this Government. Building on the National Diabetes Prevention Programme, the Department is developing its plans to improve outcomes for those at risk of and with diabetes. These will be announced in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10181 question first answered 17/09/2015 15:53:59 answering member 3918 label Biography information for Jane Ellison
	tabling member	308 label Biography information for Mr Jim Cunningham

418713

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: Migrant Workers
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of nurses not born in the EU employed by the NHS in England in each of the last five years.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	10121
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Information on the country of birth of National Health Service staff is not collected centrally.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 17/09/2015 15:26:43 answering member 3988 label Biography information for Ben Gummer
	tabling member	308 label Biography information for Mr Jim Cunningham

418705

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: East of England
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people from within Norfolk and Suffolk Foundation Trust region have been required to travel outside their trust areas to receive emergency mental health treatment in each year since 2010.
	tabling member constituency	Bury St Edmunds
	tabling member printed	Jo Churchill
	uin	10130
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The information is not available in the format requested.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 16:08:39 answering member 1201 label Biography information for Alistair Burt
	tabling member	4380 label Biography information for Jo Churchill

418706

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	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 public purse of employing agency staff to cover staff shortages within the NHS in the last three years for which figures are available.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	10136
	answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The information on the cost to the public purse of employing agency staff to cover staff shortages within the National Health Service in the last three years is not held centrally.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/09/2015 10:03:30 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

418699

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the effect of the public sector pay freeze on NHS staff morale; and whether he plans to survey NHS staff on that matter.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	10139
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>National Health Service staff earning above £21,000 had their pay frozen during 2011/12 and 2012/13 with, since then, most staff receiving at least 1% increases. This approach to pay has helped protect jobs in the NHS and maintain services for patients.</p><p> </p><p> </p><p> </p><p>There is no evidence that the pay freeze affected staff morale. While the NHS Staff Survey, which provides the most comprehensive assessment of staff views about working in the NHS, does not directly measure staff morale, staff engagement, which includes staff motivation at work, staff recommending their trust as a place to work or receive treatment, and the percentage of staff able to contribute towards improvements at work, has remained high with a score of 3.76/5 in 2014 (latest available) rising from 3.68/5 in 2012 (the first year staff engagement was included).</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 15:58:15 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

418707

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Trusts: Vacancies
	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 number of unfilled vacancies in NHS trusts.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	10141
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Data in respect of the number of unfilled vacancies in the National Health Service is not collected by the Department.</p><p> </p><p> </p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 21/09/2015 15:54:09 answering member 3988 label Biography information for Ben Gummer
	tabling member	4473 label Biography information for Louise Haigh

348267

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion: Costs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent estimate he has made of the cost to the public purse of NHS abortion services from May 2010 to April 2015.
	tabling member constituency	North Antrim
	tabling member printed	Ian Paisley
	uin	1015
	answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>Information about expenditure on termination of pregnancy services is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/06/2015 11:56:55 answering member 3918 label Biography information for Jane Ellison
	tabling member	4129 label Biography information for Ian Paisley

418698

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Research: Finance
	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 11 September 2015 to Question 8266, what representations he has received from (a) universities and (b) other research institutions on the future funding of research budgets; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	10152
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Correspondence records indicate that Ministers of the Department have received no letters from universities or research institutions specifically about future allocations to the Department’s budget for research and development following the 2015 Spending Review.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:50:02 answering member 4020 label Biography information for George Freeman
	tabling member	308 label Biography information for Mr Jim Cunningham

418702

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Visitors
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many health visitors were employed in (a) 2011-12, (b) 2012-13, (c) 2013-14 and (d) 2014-15.
	tabling member constituency	Dunfermline and West Fife
	tabling member printed	Douglas Chapman
	uin	10170
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The table below shows the number of full time equivalent health visitors employed in England at the mid-point in each year from 2011 to 2014, and the latest available figure in 2015. Data from 2012 onwards is taken from the Health Visitor Minimum Data Set (HV-MDS) which commenced in April 2012 and also includes data for health visitors employed by organisations that do not use Electronic Staff record (ESR) but do provide NHS-funded services, such as local authorities.</p><p> </p><p> </p><p> </p><p>Full time equivalent figures are used as this is the most accurate measure of service capacity.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>30 September 2011 <sup>1</sup></p></td><td><p>30 September 2012 <sup>2</sup></p></td><td><p>30 September 2013</p></td><td><p>30 September 2014</p></td><td><p>31 May 2015</p></td></tr><tr><td><p>7,941</p></td><td><p>8,678</p></td><td><p>9,550</p></td><td><p>10,800</p></td><td><p>11,850</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Health and Social Care Information Centre NHS Hospital and Community health service monthly workforce statistics</p><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The data for 2011 covers only those health visitors on the ESR.</p><p> </p><p>2. The figure for September 2012 is different from the published figure due to a known over count (of 14).</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/09/2015 15:56:12 answering member 3918 label Biography information for Jane Ellison
	tabling member	4402 label Biography information for Douglas Chapman

418701

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment the NHS has made of the potential benefits and disadvantages of the use of Doppler scans in preventing stillbirths.
	tabling member constituency	Twickenham
	tabling member printed	Dr Tania Mathias
	uin	10175
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The UK National Screening Committee (UK NSC) which advises Ministers and the National Health Service in all four countries about all aspects of screening is currently looking at the evidence for a variety of tests (including doppler scans) and treatments to see if they would be able to help to reduce stillbirths. The UK NSC will evaluate the benefits and risks of each test and treatment against its internationally recognised criteria before making a recommendation on their introduction.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 17/09/2015 14:50:42 answering member 3988 label Biography information for Ben Gummer
	tabling member	4404 label Biography information for Dr Tania Mathias

418700

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dental Services: Children
	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 encourage orthodontists to offer NHS appointments to children outside school hours.
	tabling member constituency	Twickenham
	tabling member printed	Dr Tania Mathias
	uin	10177
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>NHS England contracts for orthodontic services at a local level taking account of the local oral health needs. Therefore opening hours are a matter for agreement between local commissioners and providers.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 10:09:04 answering member 1201 label Biography information for Alistair Burt
	tabling member	4404 label Biography information for Dr Tania Mathias

348412

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Equipment: Prices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether NHS England plans to establish reference prices for medical devices beyond those named in the Commissioning Intentions for 2015-16.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	1018
	answer	answer is ministerial correction date of answer 10/06/2015 answer text <p>The commissioning intentions state NHS England will look at excluded devices and some drugs. The process began with implantable cardiac devices, bone anchored hearing devices and transcatheter aortic valve implantation, and proceeded to cover all excluded devices.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 10/06/2015 15:53:16 answering member 3988 label Biography information for Ben Gummer
	tabling member	1506 label Biography information for Andrew Gwynne

418704

	registered interest
	date	14/09/2015
	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 recent assessment his Department has made of the prevalence of diabetes; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	10181
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Diagnosed diabetes prevalence is taken from the Quality and Outcomes Framework (QOF) and represents all patients who have been diagnosed with diabetes and included on GP registers.</p><p> </p><p> </p><p> </p><p>Diabetes prevalence is increasing. Diagnosed diabetes prevalence has increased from 2.3 million (5.3%) in 2009/10 to 2.8 million (6.2%) in 2013/14; an increase of nearly half a million people.</p><p> </p><p> </p><p> </p><p>Public Health England’s diabetes prevalence model estimates total diabetes prevalence for England and for all local authorities and clinical commissioning groups (CCG) in England. The model reflects the prevalence of diabetes (diagnosed and undiagnosed) and adjusts for the age, sex, ethnic group and deprivation pattern of the local population.</p><p> </p><p> </p><p> </p><p>The estimated total diabetes prevalence using the diabetes prevalence model is 7.5% in 2014.</p><p> </p><p> </p><p> </p><p>If current trends continue then we estimate that by 2030 there will be over 4 million people with diabetes. This represents 8.8% of the population aged 16 years and over.</p><p> </p><p> </p><p> </p><p>This data is publically available on the Healthier Lives website at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/topic/diabetes" target="_blank">http://healthierlives.phe.org.uk/topic/diabetes</a></p><p> </p><p> </p><p> </p><p>The website also provides diagnosed prevalence at the CCG level.</p><p> </p><p> </p><p> </p><p>Tackling diabetes is of great concern to this Government. Building on the National Diabetes Prevention Programme, the Department is developing its plans to improve outcomes for those at risk of and with diabetes. These will be announced in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10120 question first answered 17/09/2015 15:53:58 answering member 3918 label Biography information for Jane Ellison
	tabling member	308 label Biography information for Mr Jim Cunningham

348413

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Defibrillators: Prices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, which National Clinical Directors and Clinical Reference Groups have been involved in establishing best value prices and reference prices for implantable defibrillators and cardiac resynchronisation defibrillators.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	1019
	answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>When establishing the suggested average prices the Complex Invasive Cardiology - Clinical Reference Group lead and clinical representatives were involved in supporting and understanding the need for average prices for implantable defibrillators and cardiac resynchronisation defibrillators.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 11/06/2015 10:43:04 answering member 3988 label Biography information for Ben Gummer
	tabling member	1506 label Biography information for Andrew Gwynne

348414

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Equipment: Prices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what modelling NHS England has done to determine (a) the effects of trends in NHS trusts' income on (i) provision of (A) implantable defibrillators, (B) cardiac resynchronisation defibrillators and (C) other high cost devices and (ii) service viability and (b) the effects of provision of high cost devices on the future financial positions of trusts.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	1020
	answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>The costs incurred by National Health Service trusts for high cost devices such as implantable and cardiac resynchronisation defibrillators are re-charged to NHS England on a pass-through basis, i.e. the re-charge equals the cost invoiced by the supplier of the device. Correspondingly the financial impact of high cost device purchases are cost-neutral to NHS trusts and do not impact on their income and expenditure position.</p><p> </p><p> </p><p> </p><p>However, NHS England specialised commissioning is currently supporting NHS trusts with information on European Union compliant procurement frameworks that offer better value for the taxpayer.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/06/2015 10:54:37 answering member 1201 label Biography information for Alistair Burt
	tabling member	1506 label Biography information for Andrew Gwynne

759744

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many clinical commissioning groups comply fully with NICE recommendations on the commissioning of IVF.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10207
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10208 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759745

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what his policy is on IVF therapy being restricted to women aged between 30 and 35.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10208
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10207 10220 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759746

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Prisons
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of recruitment and retention levels in the prison health system; and if he will make a statement.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10209
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is expected that all prisons have access to a full range of health professionals as per services within the community.</p><p> </p><p>Since 2013, NHS England has been responsible for commissioning all healthcare services for prisoners in England. Services are commissioned for individual prisons by NHS England’s local commissioners, based on a local health needs assessment which informs the provision of services required.</p><p> </p><p>NHS England has commissioned a report looking at the workforce, market management and recruitment and retention in the adult prison estate in England, to support providers in their recruitment approaches.</p><p> </p><p>The information on the number of National Health Service staff seconded to, and the number of full time general practitioners working in the prison health system is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10210 10227 question first answered 18/09/2017 14:23:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4418 label Biography information for Justin Madders

759747

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Prisons
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS staff are seconded to the prison health system.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10210
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>It is expected that all prisons have access to a full range of health professionals as per services within the community.</p><p> </p><p>Since 2013, NHS England has been responsible for commissioning all healthcare services for prisoners in England. Services are commissioned for individual prisons by NHS England’s local commissioners, based on a local health needs assessment which informs the provision of services required.</p><p> </p><p>NHS England has commissioned a report looking at the workforce, market management and recruitment and retention in the adult prison estate in England, to support providers in their recruitment approaches.</p><p> </p><p>The information on the number of National Health Service staff seconded to, and the number of full time general practitioners working in the prison health system is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 10209 10227 question first answered 18/09/2017 14:23:13 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4418 label Biography information for Justin Madders

348416

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Security Benefits: Medical Examinations
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate his Department has made of the cost to NHS England of the provision of fitness for work certificates as required by the Department for Work and Pensions in the period 2014-15.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	1022
	answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>Neither the Department nor NHS England has made any assessment of the cost of the provision of fitness for work certificates.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 11/06/2015 10:50:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	1506 label Biography information for Andrew Gwynne

759742

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	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 ensure that clinical commissioning groups follow NICE recommendations on the commissioning of IVF.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10220
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Since June 2017, 24 letters and emails about National Health Service in vitro fertilisation (IVF) provision have been received by the Department together with five Parliamentary Questions about NHS fertility services. I have also received a request to meet from the patient stakeholder organisation, Fertility Fairness, and intend to meet them later in the autumn.</p><p> </p><p>Information about clinical commissioning groups (CCSs) that have fully implemented the National Institute for Health and Care Excellence (NICE) fertility guidelines is not collected centrally.</p><p> </p><p>CCGs are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. The NICE guidelines are evidence-based best practice for clinicians but are not mandatory.</p><p>The Government's policy is that CCGs should implement the NICE guidelines in full. This includes the NICE recommendation that three cycles of IVF is offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p>NHS England has advised that the IVF benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome-based payment approach with a number of CCGs and service providers in 2018/19.</p><p>NHS England and professional and stakeholder groups, including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 10097 10207 10208 question first answered 18/09/2017 12:44:22 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759743

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Shared Business Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make an assessment of whether NHS Shared Business Services has produced ongoing lower costs for the NHS since its sale.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10221
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>NHS Shared Business Services (SBS) is a joint venture company that is in approximately equal ownership between the Department and the multi-national outsourcing company, SopraSteria. It provides a range of services for National Health Service customers in the following broad areas:</p><p> </p><p>- Finance and Accounting;</p><p>- Employment services, including Payroll and</p><p>- Procurement.</p><p> </p><p>It currently holds altogether 116 provider and 69 commissioner contracts for providing these services. It also provides the Integrated Single Financial Environment (a platform to process all non-pay spend) to all clinical commissioning groups across the country. In the main the work is won as a result of the trusts and other NHS bodies requiring the services running tendering processes with SBS and other suppliers being invited to tender, along with an in-house option where the services are not already outsourced. Where SBS wins contracts it has therefore won them on the basis of offering savings compared to the other alternatives.</p><p> </p><p>SBS has, in the last 12 months, won 82 contract renewals and 13 new contracts. Ongoing customer-side management of these contracts and assurance of any savings is a matter for the NHS customers of SBS.</p><p> </p><p>Using a methodology agreed with the National Audit Office, the Company’s most recently audited accounts for the year end 2016 state that over £400 million of savings to the NHS have been achieved to date.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:54:50 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759735

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pathology
	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 trends on waiting times in cellular pathology.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10222
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>This information is not held centrally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:50:32 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759736

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Flexible Working
	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 improve the entitlement to flexible working for NHS staff.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10223
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>Employers are responsible for ensuring that staff requests for flexible working are fully considered, balancing operational delivery requirements with what staff want.</p><p>Legally, all staff who have been employed for 26 weeks or more are entitled to ask for flexible working.</p><p>The Government wants to improve opportunities for flexible working. The Department is working with system leaders at NHS Improvement, NHS England and NHS Employers, to explore whether best use is being made of existing flexible working arrangements in the National Health Service; improving the use of e-rostering across the NHS to help trusts better plan the use of their workforce; reviewing whether staff contracts and/or terms and conditions of service can give greater emphasis to encouraging flexible working; encouraging line manager training to improve conversations in response to flexible working requests and ensuring staff have a clear understanding of what flexible working arrangements may be available to them locally.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 18/09/2017 12:51:49 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders

759737

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medicines and Healthcare products Regulatory Agency: Finance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the budget was of the Medicines and Healthcare Products Regulatory Agency in each of the last 10 years for which figures are available.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	10224
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) for each of the last 10 years is shown in the following table. The majority of the Agency’s funding is from fees.</p><table><tbody><tr><td><p> </p></td><td><p>2016/7</p></td><td><p>2015/16</p></td><td><p>2014/15</p></td><td><p>2013/14</p></td><td><p>2012/13</p></td><td><p>2011/12</p></td><td><p>2010/11</p></td><td><p>2009/10</p></td><td><p>2008/09</p></td><td><p>2007/08</p></td></tr><tr><td><p>Page number[1]</p></td><td><p>88</p></td><td><p>81</p></td><td><p>86</p></td><td><p>80</p></td><td><p>56</p></td><td><p>42</p></td><td><p>44</p></td><td><p>51</p></td><td><p>52</p></td><td><p>35</p></td></tr><tr><td><p> </p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td><td><p>£’000</p></td></tr><tr><td><p>Total Trading Income</p></td><td><p>157,293</p></td><td><p>152,963</p></td><td><p>152,767</p></td><td><p>141,813</p></td><td><p>108,815</p></td><td><p>117,247</p></td><td><p>121,387</p></td><td><p>112,690</p></td><td><p>112,812</p></td><td><p>93,463</p></td></tr></tbody></table><p> </p><p>Information about the Agency’s funding is published in the Annual Report and Accounts.</p><p>The MHRA’s Annual Report and Accounts for each year is published on the Gov.UK website at:</p><p><a href="https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date" target="_blank">https://www.gov.uk/government/publications?keywords=&amp;publication_filter_option=corporate-reports&amp;topics%5B%5D=all&amp;departments%5B%5D=medicines-and-healthcare-products-regulatory-agency&amp;official_document_status=all&amp;world_locations%5B%5D=all&amp;from_date=&amp;to_date</a></p><p>[1] Page number in the Annual Report and Accounts of the MHRA for each of the years since 2007/08</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 14:27:57 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders