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386467

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pancreatic Cancer: Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to ensure that all pancreatic cancer patients have access to a clinical nurse specialist.
	tabling member printed	Lord Aberdare
	uin	HL962
	answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>NHS England has a published service specification for pancreatic cancer which clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective pancreatic cancer services. This service specification has been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe core and developmental service standards.</p><p> </p><p> </p><p> </p><p>Patients being treated at cancer units should have access to an upper gastrointestinal cancer nurse. All district general hospitals should have such a person in post. If the patient is transferred to a cancer centre they should then have access to a pancreatic nurse specialist. This person should see every patient and become their key worker.</p><p> </p><p> </p><p> </p><p>Patients with suspected pancreatic cancer are usually first investigated by an ultrasound scan. If this shows biliary dilatation, or anything else suspicious, the patient should then be sent for a pancreas protocol computerised tomography scan which is the best investigation for identifying pancreatic cancer.</p><p> </p><p> </p><p> </p><p>Increasing the capacity of diagnostic and imaging services is clearly recognised as a priority for the National Health Service and it is has been raised as a key issue by the independent Cancer Taskforce, as well as by the Cancer Waiting Times Taskforce. We expect a new cancer strategy to be published this summer which will set out the strategy for the system for the next five years and will include consideration of the whole cancer pathway, including the capacity of diagnostic services.</p><p> </p><p> </p><p> </p><p>In addition, NHS England is testing various approaches to new models of care which could potentially deliver improved access to diagnostic services for cancer patients, including those with pancreatic cancer.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL963 question first answered 09/07/2015 12:43:47 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3898 label Biography information for Lord Aberdare

386468

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pancreatic Cancer: Tomography
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what plans they have to increase the capacity of imaging services available to pancreatic cancer patients across the National Health Service, including computerised tomography scans.
	tabling member printed	Lord Aberdare
	uin	HL963
	answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>NHS England has a published service specification for pancreatic cancer which clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective pancreatic cancer services. This service specification has been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe core and developmental service standards.</p><p> </p><p> </p><p> </p><p>Patients being treated at cancer units should have access to an upper gastrointestinal cancer nurse. All district general hospitals should have such a person in post. If the patient is transferred to a cancer centre they should then have access to a pancreatic nurse specialist. This person should see every patient and become their key worker.</p><p> </p><p> </p><p> </p><p>Patients with suspected pancreatic cancer are usually first investigated by an ultrasound scan. If this shows biliary dilatation, or anything else suspicious, the patient should then be sent for a pancreas protocol computerised tomography scan which is the best investigation for identifying pancreatic cancer.</p><p> </p><p> </p><p> </p><p>Increasing the capacity of diagnostic and imaging services is clearly recognised as a priority for the National Health Service and it is has been raised as a key issue by the independent Cancer Taskforce, as well as by the Cancer Waiting Times Taskforce. We expect a new cancer strategy to be published this summer which will set out the strategy for the system for the next five years and will include consideration of the whole cancer pathway, including the capacity of diagnostic services.</p><p> </p><p> </p><p> </p><p>In addition, NHS England is testing various approaches to new models of care which could potentially deliver improved access to diagnostic services for cancer patients, including those with pancreatic cancer.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL962 question first answered 09/07/2015 12:43:47 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3898 label Biography information for Lord Aberdare

386660

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Weather
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent advice his Department has issued to (a) the NHS and (b) local authorities on how to protect vulnerable people during a period of severe hot weather; and when that advice was last issued and revised.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	5011
	answer	answer is ministerial correction date of answer 06/07/2015 answer text <p>The annual Heatwave Plan for England is co-ordinated by Public Health England (PHE) on behalf of the health, social care and public health system. It aims to raise both public and professional awareness of the health impacts of severe heat and cold weather.</p><p> </p><p> </p><p> </p><p>Existing advice on looking after children in school and early year’s settings is now available in a stand-alone leaflet, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF</a></p><p> </p><p> </p><p> </p><p>The plan recommends a series of steps to be taken throughout the year by National Health Service, local government, voluntary and community groups and individuals to reduce the harm to health from hot weather. To support the plan, the Met Office issues alerts which are cascaded to a wide range of health and social care organisations.</p><p> </p><p> </p><p> </p><p>PHE and its partner organisations undertake substantial public communications before and during heatwave alerts. Information for the public is also available on the NHS Choices website.</p><p> </p><p> </p><p> </p><p>The plan is a good practice guide. All local health and social care organisations should adapt the national plan as appropriate to the local context and satisfy themselves that providers and stakeholders take appropriate action, according to the alert level.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 5020 5023 question first answered 06/07/2015 16:13:57 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

386666

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Weather: Health Education
	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 inform the public of steps to take to minimise damage to health during periods of severe hot weather.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	5020
	answer	answer is ministerial correction date of answer 06/07/2015 answer text <p>The annual Heatwave Plan for England is co-ordinated by Public Health England (PHE) on behalf of the health, social care and public health system. It aims to raise both public and professional awareness of the health impacts of severe heat and cold weather.</p><p> </p><p> </p><p> </p><p>Existing advice on looking after children in school and early year’s settings is now available in a stand-alone leaflet, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF</a></p><p> </p><p> </p><p> </p><p>The plan recommends a series of steps to be taken throughout the year by National Health Service, local government, voluntary and community groups and individuals to reduce the harm to health from hot weather. To support the plan, the Met Office issues alerts which are cascaded to a wide range of health and social care organisations.</p><p> </p><p> </p><p> </p><p>PHE and its partner organisations undertake substantial public communications before and during heatwave alerts. Information for the public is also available on the NHS Choices website.</p><p> </p><p> </p><p> </p><p>The plan is a good practice guide. All local health and social care organisations should adapt the national plan as appropriate to the local context and satisfy themselves that providers and stakeholders take appropriate action, according to the alert level.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 5011 5023 question first answered 06/07/2015 16:13:58 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

386662

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Primary Health Care: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information his Department collects on average waiting times for (a) appointments with NHS dentists and (b) GP appointments.
	tabling member constituency	Dewsbury
	tabling member printed	Paula Sherriff
	uin	5019
	answer	answer is ministerial correction date of answer 06/07/2015 answer text <p>The data on waiting times to see a dentist or general practitioner (GP) in England is not held centrally. However, the latest GP Patient Survey published in July 2015 shows that 84.8% of patients rated their overall experience of their GP surgery as fairly or very good. The latest GP Patient Survey Dental Statistics published in July 2015 shows that 85% of patients rated their NHS Dental experience as fairly or very good.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 5022 question first answered 06/07/2015 16:48:36 answering member 1201 label Biography information for Alistair Burt
	tabling member	4426 label Biography information for Paula Sherriff

386663

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dental Services: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time for an appointment with a NHS dentist has been in the last 12 months.
	tabling member constituency	Dewsbury
	tabling member printed	Paula Sherriff
	uin	5022
	answer	answer is ministerial correction date of answer 06/07/2015 answer text <p>The data on waiting times to see a dentist or general practitioner (GP) in England is not held centrally. However, the latest GP Patient Survey published in July 2015 shows that 84.8% of patients rated their overall experience of their GP surgery as fairly or very good. The latest GP Patient Survey Dental Statistics published in July 2015 shows that 85% of patients rated their NHS Dental experience as fairly or very good.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 5019 question first answered 06/07/2015 16:48:36 answering member 1201 label Biography information for Alistair Burt
	tabling member	4426 label Biography information for Paula Sherriff

386664

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Temperature
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what precautions (a) his Department and (b) Public Health England are taking in case of heatwaves in summer 2015.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	5023
	answer	answer is ministerial correction date of answer 06/07/2015 answer text <p>The annual Heatwave Plan for England is co-ordinated by Public Health England (PHE) on behalf of the health, social care and public health system. It aims to raise both public and professional awareness of the health impacts of severe heat and cold weather.</p><p> </p><p> </p><p> </p><p>Existing advice on looking after children in school and early year’s settings is now available in a stand-alone leaflet, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/428850/Looking_After_Children_Heat_PHE_AC_AB_Publications_MP_JRM_FINAL.PDF</a></p><p> </p><p> </p><p> </p><p>The plan recommends a series of steps to be taken throughout the year by National Health Service, local government, voluntary and community groups and individuals to reduce the harm to health from hot weather. To support the plan, the Met Office issues alerts which are cascaded to a wide range of health and social care organisations.</p><p> </p><p> </p><p> </p><p>PHE and its partner organisations undertake substantial public communications before and during heatwave alerts. Information for the public is also available on the NHS Choices website.</p><p> </p><p> </p><p> </p><p>The plan is a good practice guide. All local health and social care organisations should adapt the national plan as appropriate to the local context and satisfy themselves that providers and stakeholders take appropriate action, according to the alert level.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 5011 5020 question first answered 06/07/2015 16:13:57 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

386675

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Greater London
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many GP surgeries in (a) Hampstead and Kilburn constituency and (b) London are under (i) general medical services, (ii) personal medical services and (iii) alternative provider medical services contracts.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	4873
	answer	answer is ministerial correction date of answer 08/07/2015 answer text <p>We are advised by NHS England that there are currently 14 general practitioner (GP) practices with general medical services (GMS) contracts, 10 practices with personal medical services (PMS) contracts and no practices with alternative provider services (APMS) contracts in the constituency of Hampstead and Kilburn.</p><p> </p><p> </p><p> </p><p>In London overall, there are 699 GP practices with GMS contracts, 687 practices with PMS contracts and 116 practices with APMS contracts.</p><p> </p><p> </p><p> </p><p>NHS England does not have records dating back beyond its creation in 2013. These are the current figures.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 4874 question first answered 08/07/2015 13:38:55 answering member 1201 label Biography information for Alistair Burt
	tabling member	4518 label Biography information for Tulip Siddiq

386676

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Greater London
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many (a) general medical services, (b) personal medical services and (c) alternative provider medical services contracts were issued for GP surgeries in (i) Hampstead and Kilburn constituency and (ii) in London in each year since 2009.
	tabling member constituency	Hampstead and Kilburn
	tabling member printed	Tulip Siddiq
	uin	4874
	answer	answer is ministerial correction date of answer 08/07/2015 answer text <p>We are advised by NHS England that there are currently 14 general practitioner (GP) practices with general medical services (GMS) contracts, 10 practices with personal medical services (PMS) contracts and no practices with alternative provider services (APMS) contracts in the constituency of Hampstead and Kilburn.</p><p> </p><p> </p><p> </p><p>In London overall, there are 699 GP practices with GMS contracts, 687 practices with PMS contracts and 116 practices with APMS contracts.</p><p> </p><p> </p><p> </p><p>NHS England does not have records dating back beyond its creation in 2013. These are the current figures.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 4873 question first answered 08/07/2015 13:38:55 answering member 1201 label Biography information for Alistair Burt
	tabling member	4518 label Biography information for Tulip Siddiq

386554

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	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 legislative proposals to impose a time limit for local councils to undertake care and support assessments following a referral.
	tabling member constituency	Leeds North West
	tabling member printed	Greg Mulholland
	uin	4789
	answer	answer is ministerial correction date of answer 08/07/2015 answer text <p>The Government does not intend to impose such a time limit. The Care Act 2014 places a duty on local authorities to carry out a needs assessment on any adult with an appearance of having care and support needs, and any carer with the need for support. Local authorities are under a general duty to carry out their functions in a timely manner, and this includes when they should start an assessment following initial contact from the adult or after a referral.</p><p> </p><p> </p><p> </p><p>Assessments can take different periods of time to undertake depending on the needs of the adult and their ability to be involved in the assessment. To ensure that assessments are carried out in a manner that is suitable to the adult, the Care and Support (Assessment) Regulations 2014 requires all assessments to be carried out in in an appropriate and proportionate manner and have regard to:</p><p> </p><p> </p><p> </p><p>(a) the wishes and preferences of the individual;</p><p> </p><p>(b) the outcomes the individual seeks from the assessment; and</p><p> </p><p>(c) the severity and overall extent of the individual’s needs.</p><p> </p><p> </p><p> </p><p>The Care Act statutory guidance clarifies that “an assessment should be carried out over an appropriate and reasonable timescale taking into account the urgency of needs and a consideration of any fluctuation in those needs. Local authorities should inform the individual of an indicative timescale over which their assessment will be conducted and keep the person informed throughout the process”.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 4828 question first answered 08/07/2015 13:33:24 answering member 1201 label Biography information for Alistair Burt
	tabling member	1540 label Biography information for Greg Mulholland