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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

172226

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	Learning Disability and Autism
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 the recommendations of the report by Sir Stephen Bubb, entitled, Winterbourne View - Time for Change are being implemented as soon as possible.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	219904
answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>NHS England and the Department of Health are considering the report’s recommendations in the context of the ongoing, system-wide Transforming Care programme, convened in response to events at Winterbourne View Hospital. NHS England will respond to the report by Sir Stephen Bubb in early 2015.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 13/01/2015 15:31:30 answering member 1439 label Biography information for Norman Lamb
tabling member	4079 label Biography information for Julian Sturdy

172242

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	Asthma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges and the Asthma UK Centre for Applied Research about appropriate dosages for treatment of asthma.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	219788
answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>We have had no such discussions.</p><p> </p><p><strong> </strong></p><p> </p><p>Prescribing decisions are a matter for clinicians based on their patients’ individual clinical needs and taking relevant advice from sources such as the British National Formulary, the National Institute for Health and Care Excellence, specialty association publications and any local prescribing policies.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 13/01/2015 11:18:09 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

172239

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	Nurses
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 (a) matron and senior nurse posts are filled and (b) such posts are advertised in the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	219785
answer	answer is ministerial correction date of answer 12/01/2015 answer text <p>The responsibility of recruiting for nursing or any other National Health Service (NHS) profession sits with local employers and NHS England.</p><p> </p><p> </p><p> </p><p>The Department and NHS England’s <em>Compassion in Practice</em>, nursing strategy published in December 2012, has a dedicated work stream, which is ensuring that we have the right staff, with the right skills in the right place. This national work stream has set clear guidance for NHS provider Boards and commissioners regarding appropriate staffing levels. NHS Boards are required to sign off and publish evidence based staffing levels at least every six months, providing assurance regarding the impact on quality of care and patient experience and publishing these for patients and the public. This work includes the recruitment of matrons and senior nurses as well as all staff at the clinical front line who are just as pivotal to the delivery of the kind of care we aspire to provide in any care setting at any time of the day or night.</p><p> </p><p> </p><p> </p><p>To support nursing workforce requirements, Health Education England is running a campaign to encourage registered nurses who have left to come back to work for the NHS, and ensure that they have the most up to date knowledge and skills to provide high quality care.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, we are investing £40 million through the NHS Leadership Academy, in leadership training for ward sisters, senior nurses and midwives.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 12/01/2015 15:17:21 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4131 label Biography information for Jim Shannon

172240

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	Alcoholic Drinks: Misuse
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 educate pedestrians about the effect of alcohol on their safety.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	219786
answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>We work with partners to ensure that general information is available for the public on the risks to personal safety from drunkenness.</p><p> </p><p> </p><p> </p><p>Drinkaware aims to get people to think differently about alcohol and their website (www.drinkaware.co.uk) includes advice on how alcohol affects people’s safety.</p><p> </p><p> </p><p> </p><p>There is information on the risks and effects of alcohol on Frank (www.talktofrank.com), the national drug/alcohol information website for young people.</p><p> </p><p> </p><p> </p><p>The Department for Transport is responsible for advice to the public about road safety.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/01/2015 15:14:28 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

172241

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	Breast Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Royal Colleges about the use of hypnosis in the treatment of breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	219787
answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>Ministers have had no such meetings with the Royal Colleges on this issue.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/01/2015 15:19:21 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

172243

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	Cancer: Obesity
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 address the incidence of cancer in (a) women and (b) men who are overweight.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	219789
answer	answer is ministerial correction date of answer 13/01/2015 answer text <p>Since early 2011 the Department of Health (Public Health England from 1 April 2013) has been running Be Clear on Cancer campaigns. These are designed to:</p><p> </p><p> </p><p> </p><p>- raise the public’s awareness of specific cancer symptoms;</p><p> </p><p>- encourage people with those symptoms to go to the doctor; and</p><p> </p><p>- diagnose cancer at an earlier stage, and therefore make it more treatable, and thereby improve cancer survival rates</p><p> </p><p> </p><p> </p><p>While these campaigns are not specifically targeted at people who are overweight, the campaign literature does include prevention messages such as giving up smoking, keeping active and eating more healthily.</p><p> </p><p> </p><p> </p><p>In addition, Public Health England is developing a new programme of activity aimed at helping mid-life adults to make changes to improve their health including eating well, moving more and drinking less.</p><p> </p><p> </p><p> </p><p>As part of work to tackle obesity, NHS England is taking action to become the first country to implement at scale a national evidence-based diabetes prevention programme, based on proven United Kingdom and international models, as outlined in the Five Year Forward View. There will be wider benefits associated with reduction of chronic disease risk more generally.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 13/01/2015 15:11:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

172537

registered interest
date	07/01/2015
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, if he will place in the Library the journal articles reporting the results of all the experiments recommended by the Human Fertilisation and Embryology Authority for testing the safety of the maternal spindle transfer technique and the pronuclear transfer technique in the publications Scientific review of the safety and efficacy of methods to avoid mitochondrial disease through assisted conception, published in April 2011, and Scientific review of the safety and efficacy of methods to avoid mitochondrial disease through assisted conception: update, published in March 2013.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	220114
answer	answer is ministerial correction date of answer 12/01/2015 answer text <p>All of the publications which the Expert Panel convened by the Human Fertilisation and Embryology Authority (HFEA) referred to in its 2011 and 2013 reviews are listed in the ‘evidence reviewed’ annexes of the reports. The non-confidential evidence submissions, where there are no copyright issues, are also available on the HFEA website: <a href="http://www.hfea.gov.uk/6372.html" target="_blank">http://www.hfea.gov.uk/6372.html</a></p><p> </p><p> </p><p> </p><p>We are advised by the HFEA that the Expert Panel’s scientific reviews do refer to both unpublished and peer reviewed published research. This has allowed the panel to take into account the very latest research on a confidential basis.</p><p> </p><p> </p><p> </p><p>Where unpublished research was referred to in earlier reports by the Panel, it has later been published. For example, much of the work of Dr Shoukhrat Mitalipov’s group (Oregon Health &amp; Science University) discussed with the panel in confidence was subsequently published in 2013 and 2014:</p><p> </p><p>- Tachibana M et al. Towards germline gene therapy of inherited mitochondrial diseases. Nature. 2013 Jan 31;493(7434):627-31.</p><p> </p><p>- Tachibana M, et al. Human embryonic stem cells derived by somatic cell nuclear transfer. Cell 2013 6;1228–1238</p><p> </p><p>- Mitalipov S et al. Limitations of preimplantation genetic diagnosis for mitochondrial DNA diseases. Cell Rep. 2014 May 22;7(4):935-7.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/01/2015 17:44:30 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

172542

registered interest
date	07/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures his Department has in place to monitor the health of women who have undergone termination of pregnancy.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	220087
answer	answer is ministerial correction date of answer 12/01/2015 answer text <p>Clinical guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG): <em>The Care of Women Requesting Induced Abortion (November 2011) </em>recommends that on discharge, all women should be given a letter providing information regarding symptoms they may experience, also sufficient information to allow another practitioner elsewhere to manage any complications following the procedure. The RCOG guidance also states that there is no medical need for routine follow-up after surgical or medical abortion if successful abortion has been confirmed at the time of the procedure.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/01/2015 15:18:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon