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100205

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Clinical Commissioning Groups
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidelines his Department issues to clinical commissioning groups; and if he will make a statement.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211371
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The commissioning responsibilities of clinical commissioning groups (CCGs) are set out in the NHS Act 2006, The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012 and The National Health Service (Clinical Commissioning Groups— Disapplication of Responsibility) Regulations 2013, as amended.</p><p> </p><p><strong> </strong></p><p> </p><p>NHS England has responsibility for issuing guidance to CCGs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:30:16 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

101888

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pneumococcal Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) mean and (b) median length of hospital stay was for a person diagnosed with (i) pneumococcal disease and (ii) pneumococcal community-acquired pneumonia (A) in total, (B) for people aged 65 and over and (C) adults aged under the age of 65, as recorded by the hospital episodes statistics database in each of the last five years for which figures are available.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212753
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>The information is attached.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212754 question first answered 06/11/2014 17:48:50 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Pneumococcal disease- hospital stay and bed days.xlsx title Length of hospital stay and bed days
	tabling member	35 label Biography information for Sir Bob Russell

101889

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pneumonia
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people aged (a) 0 to five, (b) six to 15, (c) 16 to 64 and (d) 65 and over contracted pneumococcal community-acquired pneumonia in each (i) NHS England local area team area and (ii) clinical commissioning group area in each of the last five years for which figures are available.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212758
	answer	answer is ministerial correction date of answer 06/11/2014 answer text There is currently no reliable data on the numbers of people who have contracted pneumococcal community acquired pneumonia. Data on cases of community acquired pneumonia who were managed in the community are not recorded. answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:35:12 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

101890

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pneumococcal Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people aged (a) 0 to five, (b) six to 15, (c) 16 to 64 and (d) 65 and over contracted invasive pneumococcal disease in each (i) NHS England local area team area and (ii) clinical commissioning group area in each of the last five years for which figures are available.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212757
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>Historic data is not available at local area team or clinical commissioning group level, and is therefore supplied at NHS regional level using the 2006 configurations.</p><p> </p><p> </p><p> </p><p>2008-09</p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>27</p></td><td><p>5</p></td><td><p>179</p></td><td><p>178</p></td></tr><tr><td><p>East</p></td><td><p>40</p></td><td><p>10</p></td><td><p>182</p></td><td><p>221</p></td></tr><tr><td><p>London</p></td><td><p>79</p></td><td><p>24</p></td><td><p>320</p></td><td><p>241</p></td></tr><tr><td><p>North East</p></td><td><p>33</p></td><td><p>7</p></td><td><p>115</p></td><td><p>132</p></td></tr><tr><td><p>North West</p></td><td><p>82</p></td><td><p>15</p></td><td><p>376</p></td><td><p>403</p></td></tr><tr><td><p>South East</p></td><td><p>74</p></td><td><p>23</p></td><td><p>345</p></td><td><p>324</p></td></tr><tr><td><p>South West</p></td><td><p>66</p></td><td><p>17</p></td><td><p>253</p></td><td><p>282</p></td></tr><tr><td><p>West Midlands</p></td><td><p>53</p></td><td><p>13</p></td><td><p>259</p></td><td><p>309</p></td></tr><tr><td><p>Wales</p></td><td><p>38</p></td><td><p>3</p></td><td><p>150</p></td><td><p>150</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>61</p></td><td><p>19</p></td><td><p>297</p></td><td><p>317</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>2009-10</p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>38</p></td><td><p>10</p></td><td><p>187</p></td><td><p>159</p></td></tr><tr><td><p>East</p></td><td><p>54</p></td><td><p>13</p></td><td><p>192</p></td><td><p>211</p></td></tr><tr><td><p>London</p></td><td><p>81</p></td><td><p>28</p></td><td><p>327</p></td><td><p>222</p></td></tr><tr><td><p>North East</p></td><td><p>34</p></td><td><p>9</p></td><td><p>108</p></td><td><p>116</p></td></tr><tr><td><p>North West</p></td><td><p>68</p></td><td><p>23</p></td><td><p>368</p></td><td><p>380</p></td></tr><tr><td><p>South East</p></td><td><p>69</p></td><td><p>26</p></td><td><p>305</p></td><td><p>305</p></td></tr><tr><td><p>South West</p></td><td><p>52</p></td><td><p>10</p></td><td><p>208</p></td><td><p>265</p></td></tr><tr><td><p>West Midlands</p></td><td><p>51</p></td><td><p>14</p></td><td><p>227</p></td><td><p>226</p></td></tr><tr><td><p>Wales</p></td><td><p>19</p></td><td><p>9</p></td><td><p>137</p></td><td><p>147</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>86</p></td><td><p>14</p></td><td><p>296</p></td><td><p>309</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>2010- 11</p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>21</p></td><td><p>15</p></td><td><p>158</p></td><td><p>198</p></td></tr><tr><td><p>East</p></td><td><p>45</p></td><td><p>13</p></td><td><p>197</p></td><td><p>200</p></td></tr><tr><td><p>London</p></td><td><p>77</p></td><td><p>20</p></td><td><p>320</p></td><td><p>221</p></td></tr><tr><td><p>North East</p></td><td><p>30</p></td><td><p>12</p></td><td><p>101</p></td><td><p>130</p></td></tr><tr><td><p>North West</p></td><td><p>63</p></td><td><p>16</p></td><td><p>399</p></td><td><p>335</p></td></tr><tr><td><p>South East</p></td><td><p>56</p></td><td><p>22</p></td><td><p>302</p></td><td><p>324</p></td></tr><tr><td><p>South West</p></td><td><p>46</p></td><td><p>15</p></td><td><p>254</p></td><td><p>276</p></td></tr><tr><td><p>West Midlands</p></td><td><p>52</p></td><td><p>12</p></td><td><p>230</p></td><td><p>222</p></td></tr><tr><td><p>Wales</p></td><td><p>23</p></td><td><p>12</p></td><td><p>171</p></td><td><p>161</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>90</p></td><td><p>22</p></td><td><p>313</p></td><td><p>269</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>2011-12</p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>30</p></td><td><p>7</p></td><td><p>143</p></td><td><p>176</p></td></tr><tr><td><p>East</p></td><td><p>25</p></td><td><p>5</p></td><td><p>164</p></td><td><p>195</p></td></tr><tr><td><p>London</p></td><td><p>65</p></td><td><p>15</p></td><td><p>289</p></td><td><p>209</p></td></tr><tr><td><p>North East</p></td><td><p>13</p></td><td><p>3</p></td><td><p>96</p></td><td><p>107</p></td></tr><tr><td><p>North West</p></td><td><p>61</p></td><td><p>18</p></td><td><p>269</p></td><td><p>317</p></td></tr><tr><td><p>South East</p></td><td><p>52</p></td><td><p>14</p></td><td><p>265</p></td><td><p>335</p></td></tr><tr><td><p>South West</p></td><td><p>35</p></td><td><p>10</p></td><td><p>181</p></td><td><p>222</p></td></tr><tr><td><p>West Midlands</p></td><td><p>30</p></td><td><p>8</p></td><td><p>182</p></td><td><p>190</p></td></tr><tr><td><p>Wales</p></td><td><p>19</p></td><td><p>6</p></td><td><p>116</p></td><td><p>145</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>53</p></td><td><p>15</p></td><td><p>195</p></td><td><p>267</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>2012-13</p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>9</p></td><td><p>4</p></td><td><p>132</p></td><td><p>144</p></td></tr><tr><td><p>East</p></td><td><p>29</p></td><td><p>9</p></td><td><p>162</p></td><td><p>199</p></td></tr><tr><td><p>London</p></td><td><p>57</p></td><td><p>16</p></td><td><p>252</p></td><td><p>254</p></td></tr><tr><td><p>North East</p></td><td><p>12</p></td><td><p>3</p></td><td><p>92</p></td><td><p>117</p></td></tr><tr><td><p>North West</p></td><td><p>33</p></td><td><p>8</p></td><td><p>299</p></td><td><p>358</p></td></tr><tr><td><p>South East</p></td><td><p>41</p></td><td><p>16</p></td><td><p>273</p></td><td><p>323</p></td></tr><tr><td><p>South West</p></td><td><p>22</p></td><td><p>12</p></td><td><p>172</p></td><td><p>208</p></td></tr><tr><td><p>West Midlands</p></td><td><p>17</p></td><td><p>8</p></td><td><p>181</p></td><td><p>219</p></td></tr><tr><td><p>Wales</p></td><td><p>12</p></td><td><p>5</p></td><td><p>147</p></td><td><p>139</p></td></tr><tr><td><p>Yorkshire and Humber</p></td><td><p>42</p></td><td><p>11</p></td><td><p>229</p></td><td><p>256</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:39:11 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

101891

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pneumococcal Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many cases of (a) invasive pneumococcal disease and (b) pneumococcal community-acquired pneumonia were diagnosed in each (i) NHS England local area team area and (ii) clinical commissioning group area in the last 12 months; and how many such cases involved people aged (A) under and (B) over 65.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212756
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>Enhanced surveillance data on invasive pneumococcal disease for epidemiological year 2013-14 will not be available until the end of 2014 as the analysis and collation of data is conducted after the end of the relevant period to allow for reporting delays and follow of cases to obtain additional information. Data for the most recent available year (2012-13) is shown in the following table:</p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Current region name</p></td><td><p>0-5 years</p></td><td><p>6-15 years</p></td><td><p>16-64 years</p></td><td><p>65 years and over</p></td></tr><tr><td><p>East Midlands</p></td><td><p>9</p></td><td><p>4</p></td><td><p>132</p></td><td><p>144</p></td></tr><tr><td><p>East</p></td><td><p>29</p></td><td><p>9</p></td><td><p>162</p></td><td><p>199</p></td></tr><tr><td><p>London</p></td><td><p>57</p></td><td><p>16</p></td><td><p>252</p></td><td><p>254</p></td></tr><tr><td><p>North East</p></td><td><p>12</p></td><td><p>3</p></td><td><p>92</p></td><td><p>117</p></td></tr><tr><td><p>North West</p></td><td><p>33</p></td><td><p>8</p></td><td><p>299</p></td><td><p>358</p></td></tr><tr><td><p>South East</p></td><td><p>41</p></td><td><p>16</p></td><td><p>273</p></td><td><p>323</p></td></tr><tr><td><p>South West</p></td><td><p>22</p></td><td><p>12</p></td><td><p>172</p></td><td><p>208</p></td></tr><tr><td><p>West Midlands</p></td><td><p>17</p></td><td><p>8</p></td><td><p>181</p></td><td><p>219</p></td></tr><tr><td><p>Wales</p></td><td><p>12</p></td><td><p>5</p></td><td><p>147</p></td><td><p>139</p></td></tr><tr><td><p>Yorkshire &amp; Humber</p></td><td><p>42</p></td><td><p>11</p></td><td><p>229</p></td><td><p>256</p></td></tr></tbody></table><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 17:33:08 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

101903

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	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 the benefits to the NHS of a preventative public health approach to musculoskeletal conditions.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212742
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>Public Health England (PHE) has limited data on the prevalence of all musculoskeletal (MSK) conditions in England. However, Arthritis Research UK (AR-UK) in collaboration with PHE have developed a prevalence calculator that will provide estimates of the prevalence of the commonest groupings of MSK disease when it is launched later this year. PHE has contributed to local authority based briefings which AR-UK aim to publish shortly.</p><p> </p><p>We know from the Global Burden of disease that in 2010 MSK was a major cause of years lived with disability in the United Kingdom. This was estimated at 30.5% (range 25.5—35.7%)</p><p> </p><p> </p><p> </p><p>Hip and knee replacement surgery is common and MSK conditions are common in primary care so there is a significant direct cost to the National Health Service. However, there is no modelling that shows what the impact of different preventative approaches might have on MSK although we know that obesity, physical inactivity, smoking and alcohol are modifiable risk factors that contribute to the risk of specific MSK conditions.</p><p> </p><p> </p><p> </p><p>PHE is playing its role through work across the life course to promote the healthy behaviours which reduce the risk of MSK through increasing physical activity, reducing obesity, smoking and excessive alcohol consumption in the population.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 13:08:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

101905

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pneumococcal Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many bed days were taken by people diagnosed with (a) pneumococcal disease and (b) pneumococcal community-acquired pneumonia (i) in total and (ii) in each age group, as recorded by the hospital episodes statistics database in each of the last five years for which figures are available.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212754
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>The information is attached.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212753 question first answered 06/11/2014 17:48:50 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Pneumococcal disease- hospital stay and bed days.xlsx title Length of hospital stay and bed days
	tabling member	35 label Biography information for Sir Bob Russell

101909

	registered interest
	date	30/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	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 benefits of physical activity in reducing the prevalence of musculoskeletal conditions.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	212765
	answer	answer is ministerial correction date of answer 06/11/2014 answer text <p>In 2011, the four UK Chief Medical Officers jointly produced guidelines outlining the recommended levels of physical activity. The evidence led to the recommendations that children, young people and adults including older adults, should incorporate activities to strengthen muscle and bone, as this may help with the prevention of some musculoskeletal conditions.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/11/2014 13:20:15 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

173202

	registered interest
	date	12/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	King's College Hospital
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if his Department will allocate additional funding to assist towards delivering the new cystic fibrosis ward at King's College Hospital; and if he will make a statement.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	220498
	answer	answer is ministerial correction date of answer 19/01/2015 answer text <p>This is a matter for King’s College Hospital NHS Foundation Trust and local NHS commissioners. The Trust is free to apply to the Department for loan funding for the development of a new cystic fibrosis ward. However, we are advised that the Department has not to date received any such application from the Trust.</p><p> </p><p> </p><p> </p><p>We are advised by the Trust that it remains committed to developing an expanded and refurbished ward for cystic fibrosis patients at King’s College Hospital and that it is looking to secure a long term solution which is in the best interests of patients. Cystic fibrosis patients at King’s were recently moved to a new interim facility, which provides a better environment for both patients and staff.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/01/2015 14:55:02 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell

175262

	registered interest
	date	22/01/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what scope the joint committees of NHS England and clinical commissioning groups will have to deviate from national service specifications for specialised services in (a) 2015-16 and (b) future years.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	221765
	answer	answer is ministerial correction date of answer 29/01/2015 answer text <p>Whilst NHS England remains the accountable commissioner for a specialised service, national service specifications and policies will still apply in their entirety. This position applies even when there are services which are collaboratively commissioned with clinical commissioning groups (CCGs) through joint committee arrangements.</p><p> </p><p> </p><p> </p><p>If a service is transferred to CCG commissioning responsibility there will need to be an agreed transition plan about the continued use of national service specifications and policies.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/01/2015 16:33:05 answering member 3918 label Biography information for Jane Ellison
	tabling member	35 label Biography information for Sir Bob Russell