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171625

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vulnerable Adults
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 appropriate support systems are in place for older vulnerable people and people with dementia.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	219537
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>We are committed to ensuring that older vulnerable adults and their carers receive the best possible support in all settings through the Proactive Care Programme, and by ensuring all people aged 75 and over have a named general practitioner (GP) with overall responsibility for their care, providing continuity and oversight of their care. People living with dementia will benefit from this patient focused care.</p><p> </p><p> </p><p> </p><p>From April 2015, councils and the National Health Service will pool £5.3 billion of their local budgets under the Better Care Fund. This will require local authorities and the NHS to work together, and engage local partners, including voluntary sector organisations. It is expected that local areas will use some of this to improve care for people with dementia, such as providing access to dementia advisors, reminiscence services and counselling.</p><p> </p><p> </p><p> </p><p>Dementia is a key priority for this Government which is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>Since the launch of the Challenge, we have made significant progress across all three strands of the challenge including:</p><p> </p><p> </p><p> </p><p>- on 28 February 2014, the Secretary of State for Health announced his ambition for improving dementia care and support for people with dementia, their family and carers. This signalled the importance of a tailored plan of care as part of a package of high quality, personalised dementia care and support;</p><p> </p><p> </p><p> </p><p>- in the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed;</p><p> </p><p> </p><p> </p><p>- the Dementia Care and Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families;</p><p> </p><p> </p><p> </p><p>- on 1 April, we put in place a new Dementia Directed Enhanced Service which has had over 80% take up by GPs to reward practices for facilitating timely diagnosis and support for people with dementia;</p><p> </p><p> </p><p> </p><p>- on 22 May, we launched the Dementia Roadmap web based navigation aid with the Royal College of General Practitioners to assist primary care staff effectively support patients, families and carers at the time of diagnosis and throughout the dementia journey; and</p><p> </p><p> </p><p> </p><p>- on 10 September 2014, NHS England published a new Dementia Toolkit aimed at helping GPs make a more timely diagnosis and what they can do in terms of vital post-diagnostic support.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:48:20 answering member 1439 label Biography information for Norman Lamb
tabling member	4079 label Biography information for Julian Sturdy

171629

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Civil Society
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 the charitable sector can play an increased role in adult social care.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	219521
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The Government appreciates that voluntary sector organisations make a substantial contribution to the delivery of high quality local health and social care services. Their unique understanding of local communities often means that they are better placed than others to reach those vulnerable and sometimes hard to reach groups. They have a strong track-record of designing, providing and supporting services based on insight into clients’ needs, and are often well placed to respond flexibly to those needs.</p><p> </p><p> </p><p> </p><p>The Department provides over £125 million of grant funding per year to the Voluntary, Community and Social Enterprise (VCSE) sector to help deliver better health and social care outcomes. This includes the Third Sector Investment Fund which offers grants to the voluntary and community sector to support the development of the sector, build capacity and promote innovation across health and care.</p><p> </p><p> </p><p> </p><p>The Department also has a long history of working with the sector to develop policy. For example, the development of legislation and the regulations and guidance for the Care Act 2014 were produced in collaboration with expert reference groups including a broad range of VCSE organisations.</p><p> </p><p> </p><p> </p><p>The Care Act also gives local authorities flexibility to delegate most of their care and support functions under the Act to another body, although the local authority will retain overall responsibility for the fulfilment of the function. Such delegation can include the voluntary sector where appropriate. In recognition of the important role of the VCSE sector in adult social care, the Act also gives local authorities a new duty to promote a diverse provider market.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 09/01/2015 13:54:31 answering member 1439 label Biography information for Norman Lamb
tabling member	4079 label Biography information for Julian Sturdy

171815

registered interest
date	02/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lyme Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people each year are diagnosed with Lyme disease.
tabling member constituency	Shrewsbury and Atcham
tabling member printed	Daniel Kawczynski
uin	219600
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The total number of people diagnosed with Lyme disease in England and Wales for the last nine years is listed in the table below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Total reported cases</p></td><td><p>2004</p></td><td><p>2005</p></td><td><p>2006</p></td><td><p>2007</p></td><td><p>2008</p></td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td></tr><tr><td><p>Lyme disease in England and Wales</p></td><td><p>500</p></td><td><p>595</p></td><td><p>768</p></td><td><p>797</p></td><td><p>813</p></td><td><p>863</p></td><td><p>905</p></td><td><p>959</p></td><td><p>1,040</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p>Since 2010 hospital laboratories are required to report positive diagnoses of Lyme disease to public health authorities. These laboratory data are collated by Public Health England and published regularly.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/01/2015 14:26:42 answering member 3918 label Biography information for Jane Ellison
tabling member	1566 label Biography information for Daniel Kawczynski

172237

registered interest
date	06/01/2015
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 plans his Department has to introduce three parent IVF treatment.
tabling member constituency	Ribble Valley
tabling member printed	Mr Nigel Evans
uin	219816
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>On 17 December 2014 the Government laid affirmative regulations in Parliament to allow the use of mitochondrial donation techniques in clinical practice to prevent the transmission of serious mitochondrial disease from mother to child. A Written Ministerial Statement was issued on 17 December 2014 and is available at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2014-12-17/HCWS132/" target="_blank">http://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2014-12-17/HCWS132/</a></p><p> </p><p> </p><p> </p><p>The mitochondrial DNA provided by the donor represents less than 0.1% of the total DNA and does not contribute to personal characteristics or traits. These come from nuclear DNA, which is provided solely by the child’s mother and father. The Government therefore would not describe mitochondrial donation as “three parent IVF”.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/01/2015 14:25:57 answering member 3918 label Biography information for Jane Ellison
tabling member	474 label Biography information for Mr Nigel Evans

171817

registered interest
date	02/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what response he has made to the request by NHS England to defer implementation of the guidance on sofosbuvir for hepatitis C.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	219601
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>As an independent body, it is for the National Institute for Health and Care Excellence (NICE), in consultation with stakeholders, to consider NHS England’s request to defer implementation of its guidance on sofosbuvir (Sovaldi) for the treatment of chronic hepatitis C.</p><p> </p><p> </p><p> </p><p>NICE recently consulted on extending the funding period and we understand that NICE expects to publish the outcome of that consultation, along with its final draft guidance on sofosbuvir, later this month. The Department’s response to the consultation will be published alongside other stakeholders’ comments. We are confident that NICE will carefully consider all the comments it has received before taking a final decision.</p><p> </p><p> </p><p> </p><p>NICE currently expects to publish its final guidance on sofosbuvir in February 2015, although this is subject to any appeals being received.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 219602 question first answered 09/01/2015 14:33:04 answering member 4020 label Biography information for George Freeman
tabling member	95 label Biography information for Mr Andrew Smith

171818

registered interest
date	02/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when NICE guidance on the use of sofosbuvir for treating hepatitis C will be published.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	219602
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>As an independent body, it is for the National Institute for Health and Care Excellence (NICE), in consultation with stakeholders, to consider NHS England’s request to defer implementation of its guidance on sofosbuvir (Sovaldi) for the treatment of chronic hepatitis C.</p><p> </p><p> </p><p> </p><p>NICE recently consulted on extending the funding period and we understand that NICE expects to publish the outcome of that consultation, along with its final draft guidance on sofosbuvir, later this month. The Department’s response to the consultation will be published alongside other stakeholders’ comments. We are confident that NICE will carefully consider all the comments it has received before taking a final decision.</p><p> </p><p> </p><p> </p><p>NICE currently expects to publish its final guidance on sofosbuvir in February 2015, although this is subject to any appeals being received.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 219601 question first answered 09/01/2015 14:33:04 answering member 4020 label Biography information for George Freeman
tabling member	95 label Biography information for Mr Andrew Smith

171628

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
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 16 December 2014 to Question 218445, how much the NHS spent on commissioning private providers in each of the last five years.
tabling member constituency	Oldham East and Saddleworth
tabling member printed	Debbie Abrahams
uin	219495
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The information requested is provided in the table below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Spend on independent providers £ million</p></td></tr><tr><td><p>2009-10</p></td><td><p>4,144</p></td></tr><tr><td><p>2010-11</p></td><td><p>4,757</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,320</p></td></tr><tr><td><p>2012-13</p></td><td><p>5,669</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,554</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p>Independent providers, both for-profit and not-for-profit, have long through successive governments been providing care to National Health Service patients. Under this Government competition between providers of NHS services has been pursued on the basis of competition for quality through a system of fixed national tariffs. Our position on who should provide services is taken to ensure patients receive the best possible services and outcomes. These decisions are taken by the local clinicians, who are best placed to act for the benefit of their patients.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 09/01/2015 13:50:14 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4212 label Biography information for Debbie Abrahams

171484

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tattooing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients have had tattoos removed on the NHS in each of the last three financial years.
tabling member constituency	Monmouth
tabling member printed	David T. C. Davies
uin	219362
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The information is not held. Cosmetic procedures are not usually available through the National Health Service.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/01/2015 14:24:25 answering member 3918 label Biography information for Jane Ellison
tabling member	1545 label Biography information for David T C Davies

171631

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
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 Department's policies of obesity care of the recent ruling by the European Court of Justice ruling that obesity can constitute a disability under certain circumstances.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	219527
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The ruling by the European Court of Justice does not change the Department’s policies on obesity. We will continue to work to help people to improve their diet and reduce physical inactivity, alongside working with partners to shape an environment where the healthier choice is the easier choice.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 09/01/2015 14:34:20 answering member 3918 label Biography information for Jane Ellison
tabling member	338 label Biography information for Keith Vaz

171636

registered interest
date	18/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will increase the number of specialist diabetes teams in GP practices and health centres as a measure to prevent diabetes-related amputations.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	219389
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>NHS England and clinical commissioning groups (CCGs) have responsibility for determining the overall approach to improving clinical outcomes from healthcare services for people with diabetes. There are various actions at a national level to help ensure that all patients with diabetes receive good quality care, including foot care.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence (NICE) has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. CCGs should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p> </p><p> </p><p> </p><p>As part of the Quality and Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through the QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p> </p><p> </p><p>The new National Diabetes Foot Care Audit, a module of the NDA, aims to establish the extent to which national guidelines on the management of diabetic foot disease are being met. The audit will provide local teams with the evidence needed to tackle any identified differences in practice which will lead in turn to an overall improvement in management and outcomes for patients. Local and national level results will be available in March 2016.</p><p> </p><p> </p><p> </p><p>People with active diabetic foot disease should be referred up to the hospital-based multidisciplinary diabetic foot teams and seen within 24 hours of referral. There has been an increase in the proportion of trusts with multidisciplinary diabetic footcare teams, from around 60% in 2011 to 72% in 2013.</p><p> </p><p> </p><p> </p><p>Diabetic foot disease is also a focus of the cardiovascular Strategic Clinical Networks across England, with an emphasis on rolling out best practice.</p><p> </p><p> </p><p> </p><p>The attached table gives a count of finished consultant episodes with a primary diagnosis of diabetes and a primary or secondary procedure of amputation between 2010-11 and 2012-13 as well as the number of diabetes patients from the 2009-10 and 2010-11 diabetes audits having an amputation the following year. The figures have been divided by primary care trust as we do not hold this data in the format requested.</p><p> </p><p> </p><p> </p><p>Reference should be made to the notes provided with the table when interpreting these figures.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 219390 219391 question first answered 09/01/2015 14:23:01 answering member 3918 label Biography information for Jane Ellison attachment 1 file name FCEs- diabetes primary diagnosis amputations 2010-13.xlsx title FCEs- Diabetes diagnosis- amputations 2010-13
tabling member	338 label Biography information for Keith Vaz