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418699

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	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 of the public sector pay freeze on NHS staff morale; and whether he plans to survey NHS staff on that matter.
	tabling member constituency	Sheffield, Heeley
	tabling member printed	Louise Haigh
	uin	10139
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>National Health Service staff earning above £21,000 had their pay frozen during 2011/12 and 2012/13 with, since then, most staff receiving at least 1% increases. This approach to pay has helped protect jobs in the NHS and maintain services for patients.</p><p> </p><p> </p><p> </p><p>There is no evidence that the pay freeze affected staff morale. While the NHS Staff Survey, which provides the most comprehensive assessment of staff views about working in the NHS, does not directly measure staff morale, staff engagement, which includes staff motivation at work, staff recommending their trust as a place to work or receive treatment, and the percentage of staff able to contribute towards improvements at work, has remained high with a score of 3.76/5 in 2014 (latest available) rising from 3.68/5 in 2012 (the first year staff engagement was included).</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 15:58:15 answering member 1201 label Biography information for Alistair Burt
	tabling member	4473 label Biography information for Louise Haigh

418700

	registered interest
	date	14/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dental Services: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will take steps to encourage orthodontists to offer NHS appointments to children outside school hours.
	tabling member constituency	Twickenham
	tabling member printed	Dr Tania Mathias
	uin	10177
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>NHS England contracts for orthodontic services at a local level taking account of the local oral health needs. Therefore opening hours are a matter for agreement between local commissioners and providers.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 10:09:04 answering member 1201 label Biography information for Alistair Burt
	tabling member	4404 label Biography information for Dr Tania Mathias

348414

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Medical Equipment: Prices
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what modelling NHS England has done to determine (a) the effects of trends in NHS trusts' income on (i) provision of (A) implantable defibrillators, (B) cardiac resynchronisation defibrillators and (C) other high cost devices and (ii) service viability and (b) the effects of provision of high cost devices on the future financial positions of trusts.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	1020
	answer	answer is ministerial correction date of answer 11/06/2015 answer text <p>The costs incurred by National Health Service trusts for high cost devices such as implantable and cardiac resynchronisation defibrillators are re-charged to NHS England on a pass-through basis, i.e. the re-charge equals the cost invoiced by the supplier of the device. Correspondingly the financial impact of high cost device purchases are cost-neutral to NHS trusts and do not impact on their income and expenditure position.</p><p> </p><p> </p><p> </p><p>However, NHS England specialised commissioning is currently supporting NHS trusts with information on European Union compliant procurement frameworks that offer better value for the taxpayer.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 11/06/2015 10:54:37 answering member 1201 label Biography information for Alistair Burt
	tabling member	1506 label Biography information for Andrew Gwynne

418941

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Psychiatry: Children and Young People
	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 effectiveness of the contribution made by Child and Adolescent Psychotherapists to the NHS.
	tabling member constituency	Sittingbourne and Sheppey
	tabling member printed	Gordon Henderson
	uin	10240
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The Department has not made a specific assessment of the effectiveness of the contribution made by Child and Adolescent Psychotherapists to the National Health Service.</p><p> </p><p> </p><p> </p><p>Child and Adolescent Psychotherapists form part of the wider workforce on children and young people’s mental health and wellbeing and can provide support in a range of settings. Health Education England commissions training for Child and Adolescent Psychotherapy as part of a four year doctorate. The training and practice is accredited by the Association of Child Psychotherapists.</p><p> </p><p> </p><p> </p><p>Building the capacity, capability and confidence of both the specialist and wider workforce is a key part of the Government’s approach to improving children and young people’s mental health and wellbeing, sustained through a culture of continuous evidence-based service improvement, delivered by a workforce with the right mix of skills, competencies and experience.</p><p> </p><p> </p><p> </p><p>In addition, the Children and Young People's Improving Access to Psychological Therapies programme is transforming existing Child and Adolescent Mental Health Services to ensure they are providing evidence based therapies coupled with session by session outcome monitoring. The programme is being expanded to cover additional areas of clinical practice, so that all children and young people’s mental health services are able to deliver high quality evidence-based care by 2018.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:02:16 answering member 1201 label Biography information for Alistair Burt
	tabling member	4050 label Biography information for Gordon Henderson

418938

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prescriptions
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department takes to monitor the level of prescriptions issued by GPs; and if he will make a statement.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10256
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Clinicians are responsible for their own treatment decisions taking any relevant guidance into account. They should always satisfy themselves that the drugs or other substances they consider appropriate for their patients can be safely prescribed, that patients are adequately monitored and that, where necessary, additional support or supervision is available.</p><p> </p><p><strong> </strong></p><p> </p><p>Within the General Medical Services (GMS) and Personal Medical Services Regulations and Alternative Provider Medical Services Directions there are clauses in relation to prescribing and dispensing. The GMS Contracts Regulations Schedule 6 Part 3 paragraph 46 says:</p><p> </p><p> </p><p> </p><p>“Excessive prescribing</p><p> </p><p>46 - (1) The contractor shall not prescribe drugs, medicines or appliances whose cost or quantity, in relation to any patient is, by reason of the character of the drug, medicine or appliance in question in excess of that</p><p> </p><p>which was reasonably necessary for the proper treatment of that patient.</p><p> </p><p> </p><p> </p><p>(2) In considering whether a contractor has breached its obligations under sub-paragraph (1) NHS England must seek the views of the Local Medical Committee (if any) for the area in which the contractor provides services under the contract.”</p><p> </p><p> </p><p> </p><p>Practitioners are encouraged to prescribe rationally and to make the best possible use of National Health Service resources.</p><p> </p><p> </p><p> </p><p>Professional bodies issue standards and/or guidance for their members on prescribing. An example of this is the General Medical <em>Council’s “Good practice in prescribing and managing medicines and devices”</em>. It provides more detailed advice on how to comply with these principles when prescribing and managing medicines and medical devices, including appliances. If clinicians act outside of this guidance they can be held to account and potentially lose their professional registration, meaning they are unable to practice.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 15:37:56 answering member 1201 label Biography information for Alistair Burt
	tabling member	4131 label Biography information for Jim Shannon

348255

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: West Midlands
	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 review mental health provision in the West Midlands; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	1026
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>This is a matter for the National Health Service locally. NHS England advises that Coventry and Rugby Clinical Commissioning Group (CCG), is working along with South Warwickshire CCG, Warwickshire North CCG, Coventry City Council and Warwickshire County Council, on a joint review of the specifications for children and adolescent mental health services.</p><p> </p><p> </p><p> </p><p>In the current financial year Coventry and Rugby CCG will put an additional £1.2 million towards the mental health services it commissions.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 1027 question first answered 08/06/2015 14:24:51 answering member 1201 label Biography information for Alistair Burt
	tabling member	308 label Biography information for Mr Jim Cunningham

418934

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Paroxetine
	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 on the effect of the consumption of the paxil and seroxat forms of the drug paroxetine on the incidence of depression among pregnant women.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10265
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no recent discussions with the Royal Colleges on the effects of taking the paxil and seroxat forms of paroxetine on the incidence of depression among pregnant women.</p><p> </p><p> </p><p> </p><p>The Mandate from the Government to NHS England includes an objective for NHS England to work with partner organisations to reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.</p><p> </p><p>The Government will provide an additional £75 million over the next five years for services to support women with mental ill health in the perinatal period.</p><p> </p><p> </p><p> </p><p>The British National Formulary advises that medication should be prescribed only when it is necessary, and in all cases the benefit of administering the medicine should be considered in relation to the risk involved. This is particularly important during pregnancy, when the risk to both mother and fetus must be considered.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:03:29 answering member 1201 label Biography information for Alistair Burt
	tabling member	4131 label Biography information for Jim Shannon

418945

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Depressive Illnesses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in which age bands have been diagnosed with bipolar disorder in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	10268
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The information is not available in the requested format. However, the Health and Social Care Information Centre does hold information on the number of finished admission episodes with a primary diagnosis of bipolar affective disorder by age bands for the years 2009-2010 to 2013-2014 and the breakdown is given in the attached table, <em>Count of finished admission episodes (FAEs) with a primary diagnosis of bipolar affective disorder by age band for years 2009-10 to 2013-14. </em></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:19:17 answering member 1201 label Biography information for Alistair Burt attachment 1 file name Finished admission episodes bipolar affective disorder by age 2009-10 to 2013-14.xlsx title FAEs- Bipolar affective disorder by age 2009-14
	tabling member	4131 label Biography information for Jim Shannon

348256

	registered interest
	date	03/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: West Midlands
	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 make additional resources available for mental health services in the West Midlands over the next five years; and if he will make a statement.
	tabling member constituency	Coventry South
	tabling member printed	Mr Jim Cunningham
	uin	1027
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>This is a matter for the National Health Service locally. NHS England advises that Coventry and Rugby Clinical Commissioning Group (CCG), is working along with South Warwickshire CCG, Warwickshire North CCG, Coventry City Council and Warwickshire County Council, on a joint review of the specifications for children and adolescent mental health services.</p><p> </p><p> </p><p> </p><p>In the current financial year Coventry and Rugby CCG will put an additional £1.2 million towards the mental health services it commissions.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 1026 question first answered 08/06/2015 14:24:51 answering member 1201 label Biography information for Alistair Burt
	tabling member	308 label Biography information for Mr Jim Cunningham

418951

	registered interest
	date	15/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Glaucoma: Medical Treatments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much it costs on average to treat patients with glaucoma.
	tabling member constituency	Leicester East
	tabling member printed	Keith Vaz
	uin	10292
	answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The information is not available in the format requested. Such information as is available is shown in the following table from reference costs for 2013-14, which are the average unit cost to National Health Service trusts and foundation trusts of providing defined services.</p><p> </p><p> </p><p> </p><p>The table shows the costs of a surgical procedure covering one episode of care under one consultant in an admitted patient or outpatient setting and does not include other elements of the patient pathway such as general practitioner consultations or outpatient appointments.</p><p> </p><p> </p><p> </p><p>Cost of a glaucoma procedure, 2013-14</p><p> </p><table><tbody><tr><td><p>Healthcare Resource Group</p></td><td><p>National average unit cost</p></td></tr><tr><td><p>Major Glaucoma Procedures with Complications and Comorbidities (CC) Score 1+</p></td><td><p>1,689</p></td></tr><tr><td><p>Major Glaucoma Procedures with CC Score 0</p></td><td><p>884</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures with CC Score 1+</p></td><td><p>1,236</p></td></tr><tr><td><p>Intermediate Glaucoma Procedures with CC Score 0</p></td><td><p>772</p></td></tr><tr><td><p>Minor Glaucoma Procedures with CC Score 1+</p></td><td><p>680</p></td></tr><tr><td><p>Minor Glaucoma Procedures with CC Score 0</p></td><td><p>181</p></td></tr></tbody></table><p> </p><p><em>Source:</em> 2013-14 reference costs, Department of Health</p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The HRG classification groups procedures into categories such as major, intermediate and minor, according to their complexity.</p><p> </p><p>2. Complication and comorbidity scores describe the illness severity and complexity of patients, and the additional resources required for their treatment.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:06:51 answering member 1201 label Biography information for Alistair Burt
	tabling member	338 label Biography information for Keith Vaz