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48257

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has made of the performance of cancer services against statements 11 and 12 in the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196367
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196363 196365 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48258

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what methods of data collection his Department uses to measure the performance of services against each of the 13 statements in the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196365
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196363 196367 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48259

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 overall performance of cancer services against the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196363
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196365 196367 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48262

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent discussions his Department has had on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196366
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>No recent Ministerial discussions have taken place on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.</p><p><strong> </strong></p><p>NHS England took over responsibility for the Cancer Patient Experience Survey (CPES) on 1 April 2013. The development of the CPES is overseen by the Cancer Patient Experience Advisory Group (CPEAG), which has a wide ranging membership including clinicians, cancer charities, experts in survey methodologies, research bodies, health service commissioners and NHS England staff.</p><p> </p><p>The survey questionnaire is reviewed by CPEAG each year to ensure that it captures the best information and as part of the process for the next survey, NHS England is engaging with a range of stakeholders to look at how it can improve and amend the survey appropriately.</p><p> </p><p>In the meantime, NHS England has added a new question to the 2014 survey questionnaire to identify patients who have been diagnosed with cancer more than once because the evidence suggests that there may be a difference in the experience of those patients.</p><p> </p><p>The results of the 2014 survey will be published later this year.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196364 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48261

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 future iterations of the Cancer Patient Experience Survey enable the responses of patients with primary and secondary cancer to be analysed separately.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196364
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>No recent Ministerial discussions have taken place on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.</p><p><strong> </strong></p><p>NHS England took over responsibility for the Cancer Patient Experience Survey (CPES) on 1 April 2013. The development of the CPES is overseen by the Cancer Patient Experience Advisory Group (CPEAG), which has a wide ranging membership including clinicians, cancer charities, experts in survey methodologies, research bodies, health service commissioners and NHS England staff.</p><p> </p><p>The survey questionnaire is reviewed by CPEAG each year to ensure that it captures the best information and as part of the process for the next survey, NHS England is engaging with a range of stakeholders to look at how it can improve and amend the survey appropriately.</p><p> </p><p>In the meantime, NHS England has added a new question to the 2014 survey questionnaire to identify patients who have been diagnosed with cancer more than once because the evidence suggests that there may be a difference in the experience of those patients.</p><p> </p><p>The results of the 2014 survey will be published later this year.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196366 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48832

	registered interest
	date	28/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, from what date the statutory duty of candour will be implemented; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196897
	answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>We announced, in ‘Hard Truths' the Government's response to the Mid Staffordshire public inquiry, that “subject to Parliamentary approval from 2014 every organisation registered with the Care Quality Commission will be expected to meet a new duty of candour”.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3950 label Biography information for Dame Tracey Crouch

48236

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many children of what age have spent three months or more continuously in hospital in each local health authority in each of the last five years.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196252
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Information is not available by local health authority. The attached table gives information by strategic health authority (SHA) of the number of children (by age bands) up to 18 years who have spent more than three months in hospital in the last five years for which information is available.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ196252 - Count of Finished Discharge Episodes.docx title Count of Finished Discharge Episodes
	tabling member	3950 label Biography information for Dame Tracey Crouch

48249

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will bring forward from 42 weeks the period for inducing labour in at risk expectant mothers.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196280
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The induction of labour is a clinical decision for healthcare professionals. These decisions are based on the latest available evidence and take account of the risk and other clinical factors for each individual pregnancy.</p><p> </p><p>To assist healthcare professionals, the National Institute for Health and Care Excellence has published clinical guidelines on the induction of labour, which are available on the NICE website at:</p><p> </p><p>www.nice.org.uk/nicemedia/live/12012/41256/41256.pdf.</p><p> </p><p>The NICE guidelines advise that women with uncomplicated pregnancies should usually be offered induction of labour between 41+0 and 42+0 weeks.</p><p> </p><p>Women can be deemed high risk for a multitude of reasons. Each reason will carry its own set of criteria for delivery. It is not possible to say that induction for all at risk pregnancies should be brought forward as these should be reviewed according to individual needs.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48243

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will consider creating the role of bereavement midwives to work exclusively with parents who have experienced the death of their baby shortly before, during or after birth; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196273
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>It is for the National Health Service locally to ensure appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council's Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death.</p><p> </p><p>To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists' <em>Standards for Gynaecology</em> and <em>Standards for Maternity</em> sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.</p><p> </p><p>Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:</p><p> </p><p>http://www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 196274 question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48238

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 NHS service provision for seriously ill children and their families of the specialist senior nurses posts funded by the charity Well Child.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196249
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>We have not made any central assessment of this role. We are aware of the valuable work which Well Child does, and we were able to support Well Child with a grant in 2010-11 from the £19 million we made available for funding local schemes to support children's palliative care services.</p><p> </p><p>We understand that Well Child funds each nurse for a period of three years after which time the individual National Health Service health provider commits to continue the post. Each nurse is employed and managed by the local healthcare trust in which they work and therefore it would seem that the providers would be best placed to comment on the impact they have made.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch