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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

171622

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	Ambulance Services: Greater London
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average time was that a patient spent receiving treatment in an ambulance in London in (a) 2010-11, (b) 2011-12, (c) 2012-13, (d) 2013-14 and (e) 2014-15 to date.
tabling member constituency	Islington North
tabling member printed	Jeremy Corbyn
uin	219556
answer	answer is ministerial correction date of answer 12/01/2015 answer text <p>The information is not available in the format requested.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/01/2015 16:02:43 answering member 3918 label Biography information for Jane Ellison
tabling member	185 label Biography information for Jeremy Corbyn

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

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

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

171630

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	General Dental Council
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 increases in the General Dental Council registration fee on availability of NHS dentists.
tabling member constituency	Barrow and Furness
tabling member printed	John Woodcock
uin	219522
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>The increase in the General Dental Council (GDC) registration fee is not expected to impact on the availability of dentists for the National Health Service. All dentists must be registered with the GDC in order to practice whether this is for the NHS or privately.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 09/01/2015 13:51:14 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3917 label Biography information for Lord Walney

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

171632

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	Hydrotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department and NHS England are taking to increase the number and availability of hydrotherapy pools for people living with (a) neuromuscular and (b) other long-term debilitating conditions.
tabling member constituency	Blaydon
tabling member printed	Mr David Anderson
uin	219488
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised neurological services, which includes services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care, which sets out what providers must have in place to offer evidence-based, safe and effective services. The specification can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p><p> </p><p> </p><p> </p><p>Specialised neuromuscular care may include referral to local or specialised physiotherapy, hydrotherapy or rehabilitation if appropriate. Provision of hydrotherapy services is a matter for the local National Health Service and may be accessed by patients with neuromuscular and other long-term debilitating conditions, subject to assessment and referral.</p><p> </p><p> </p><p> </p><p>Neuromuscular patients may also be referred for enabling equipment such as wheelchairs adaptations and environmental controls in line with their clinical commissioning group or specialist rehabilitation referral criteria, subject to the complexity of need.</p><p> </p><p> </p><p> </p><p>NHS England is currently undertaking a review of wheelchair services, led by Rosamond Roughton, National Director of Commissioning Development, which will consider provision across both specialised and non-specialised wheelchairs.</p><p> </p><p> </p><p> </p><p>NHS England has set up strategic clinical networks (SCNs) for neurological conditions to provide clinical expertise and guidance. Alongside SCNs, Operational Delivery Networks (ODNs) are working with commissioners, providers and patients to ensure the delivery of safe and effective services across the patient pathway and help secure the best outcomes for all people with neurological conditions. Providers are at liberty to set up an ODN for neuromuscular services if they consider it would benefit service provision locally.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 219448 219449 question first answered 09/01/2015 13:55:53 answering member 1439 label Biography information for Norman Lamb
tabling member	1486 label Biography information for Mr David Anderson

171633

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	Neuromuscular Disorders
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to develop more regional managed clinical neuromuscular networks.
tabling member constituency	Blaydon
tabling member printed	Mr David Anderson
uin	219448
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised neurological services, which includes services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care, which sets out what providers must have in place to offer evidence-based, safe and effective services. The specification can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p><p> </p><p> </p><p> </p><p>Specialised neuromuscular care may include referral to local or specialised physiotherapy, hydrotherapy or rehabilitation if appropriate. Provision of hydrotherapy services is a matter for the local National Health Service and may be accessed by patients with neuromuscular and other long-term debilitating conditions, subject to assessment and referral.</p><p> </p><p> </p><p> </p><p>Neuromuscular patients may also be referred for enabling equipment such as wheelchairs adaptations and environmental controls in line with their clinical commissioning group or specialist rehabilitation referral criteria, subject to the complexity of need.</p><p> </p><p> </p><p> </p><p>NHS England is currently undertaking a review of wheelchair services, led by Rosamond Roughton, National Director of Commissioning Development, which will consider provision across both specialised and non-specialised wheelchairs.</p><p> </p><p> </p><p> </p><p>NHS England has set up strategic clinical networks (SCNs) for neurological conditions to provide clinical expertise and guidance. Alongside SCNs, Operational Delivery Networks (ODNs) are working with commissioners, providers and patients to ensure the delivery of safe and effective services across the patient pathway and help secure the best outcomes for all people with neurological conditions. Providers are at liberty to set up an ODN for neuromuscular services if they consider it would benefit service provision locally.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 219449 219488 question first answered 09/01/2015 13:55:53 answering member 1439 label Biography information for Norman Lamb
tabling member	1486 label Biography information for Mr David Anderson

171634

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	Neuromuscular Disorders
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 sufficient funding is available for wheelchair services for neuromuscular patients with complex needs.
tabling member constituency	Blaydon
tabling member printed	Mr David Anderson
uin	219449
answer	answer is ministerial correction date of answer 09/01/2015 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised neurological services, which includes services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care, which sets out what providers must have in place to offer evidence-based, safe and effective services. The specification can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf</a></p><p> </p><p> </p><p> </p><p>Specialised neuromuscular care may include referral to local or specialised physiotherapy, hydrotherapy or rehabilitation if appropriate. Provision of hydrotherapy services is a matter for the local National Health Service and may be accessed by patients with neuromuscular and other long-term debilitating conditions, subject to assessment and referral.</p><p> </p><p> </p><p> </p><p>Neuromuscular patients may also be referred for enabling equipment such as wheelchairs adaptations and environmental controls in line with their clinical commissioning group or specialist rehabilitation referral criteria, subject to the complexity of need.</p><p> </p><p> </p><p> </p><p>NHS England is currently undertaking a review of wheelchair services, led by Rosamond Roughton, National Director of Commissioning Development, which will consider provision across both specialised and non-specialised wheelchairs.</p><p> </p><p> </p><p> </p><p>NHS England has set up strategic clinical networks (SCNs) for neurological conditions to provide clinical expertise and guidance. Alongside SCNs, Operational Delivery Networks (ODNs) are working with commissioners, providers and patients to ensure the delivery of safe and effective services across the patient pathway and help secure the best outcomes for all people with neurological conditions. Providers are at liberty to set up an ODN for neuromuscular services if they consider it would benefit service provision locally.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 219448 219488 question first answered 09/01/2015 13:55:53 answering member 1439 label Biography information for Norman Lamb
tabling member	1486 label Biography information for Mr David Anderson