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78908

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	EU Law
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the UK has lost EU infraction proceedings since May 2010 which relate to matters that fall within his Department's responsibility.
tabling member constituency	Wokingham
tabling member printed	Mr John Redwood
uin	206658
answer	answer is ministerial correction date of answer 02/09/2014 answer text <p> </p><p>The United Kingdom has never been fined for an infraction.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/09/2014 14:27:59 answering member 3918 label Biography information for Jane Ellison
tabling member	14 label Biography information for Sir John Redwood

78909

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Parkinson's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many incidents of medication errors involving hospital patients with Parkinson's disease have been reported since the joint patient safety alert on steps to improve data reporting quality was issued by NHS England and the Medicines and Healthcare Products Regulatory Agency in March 2014.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	206600
answer	answer is ministerial correction date of answer 03/09/2014 answer text <p>NHS England has advised that, between 20 March 2014 and 21 July 2014, 617 incidents in general, acute or community hospitals or mental health facilities involving Parkinson’s disease and medicines used to treat Parkinson’s disease were reported through the National Reporting and Learning System.</p><p>Improving services for people with Parkinson's disease and other neurological conditions is a key priority for NHS England. Its strategic clinical networks have a specific focus on patients with neurological problems, such as Parkinson’s disease. NHS trusts and care homes in England should have policies and procedures in place to ensure that people with Parkinson’s disease receive their medicines when they are required to take them to control their illness and symptoms.</p><p>NHS England has recently launched a medication ‘safety thermometer’ that enables health and care organisations to measure aspects of medication safety on a regular basis for improvement purposes. This will enable hospitals to track their progress in reducing the number of omitted doses of medicines, including of those used to treat Parkinson’s disease.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 206629 question first answered 03/09/2014 09:44:33 answering member 4020 label Biography information for George Freeman
tabling member	4125 label Biography information for Catherine McKinnell

78910

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
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 15 July 2014, Official Report, column 664-5W, on general practitioners, how many GPs (a) excluding retainers and registrars and (b) including retainers but excluding registrars there were on 1 September 2009.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206628
answer	answer is ministerial correction date of answer 02/09/2014 answer text <p> </p><p>Information is not available for 1 September 2009. The following table shows figures for 30 September 2009.</p><p> </p><p> </p><p> </p><p>Number of general practitioners (GPs) by headcount and full time equivalent, 30 September 2009</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Headcount</p></td><td><p>Full time equivalent</p></td></tr><tr><td><p>All practitioners</p></td><td><p>40,269</p></td><td><p>36,085</p></td></tr><tr><td><p>Excluding registrars and retainers</p></td><td><p>35,917</p></td><td><p>32,111</p></td></tr><tr><td><p>Excluding registrars</p></td><td><p>36,388</p></td><td><p>32,426</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. Figures exclude GP Locums.</p><p> </p><p>2. Data as at 30 September as data for 1 September is not available.</p><p> </p><p>3. Data Quality: The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality. Where changes impact on figures already published, this is assessed but unless it is significant at national level figures are not changed.</p><p> </p><p> </p><p> </p><p><em>Source:</em> The Health and Social Care Information Centre General and Personal Medical Services Statistics</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 02/09/2014 14:30:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

78911

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Parkinson's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the National Patient Safety Agency rapid response report on reducing harm from omitted and delayed medicines in hospital, what steps his Department has taken to ensure that hospitals in England and Wales are able to supply Parkinson's disease medications to patients in a timely way.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	206629
answer	answer is ministerial correction date of answer 03/09/2014 answer text <p>NHS England has advised that, between 20 March 2014 and 21 July 2014, 617 incidents in general, acute or community hospitals or mental health facilities involving Parkinson’s disease and medicines used to treat Parkinson’s disease were reported through the National Reporting and Learning System.</p><p>Improving services for people with Parkinson's disease and other neurological conditions is a key priority for NHS England. Its strategic clinical networks have a specific focus on patients with neurological problems, such as Parkinson’s disease. NHS trusts and care homes in England should have policies and procedures in place to ensure that people with Parkinson’s disease receive their medicines when they are required to take them to control their illness and symptoms.</p><p>NHS England has recently launched a medication ‘safety thermometer’ that enables health and care organisations to measure aspects of medication safety on a regular basis for improvement purposes. This will enable hospitals to track their progress in reducing the number of omitted doses of medicines, including of those used to treat Parkinson’s disease.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 206600 question first answered 03/09/2014 09:44:34 answering member 4020 label Biography information for George Freeman
tabling member	4125 label Biography information for Catherine McKinnell

78723

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many intensive care places in the UK have been occupied by Meningitis B patients since January 2013.
tabling member constituency	The Cotswolds
tabling member printed	Geoffrey Clifton-Brown
uin	206538
answer	answer is ministerial correction date of answer 02/09/2014 answer text <p>The information is not available in the format requested. Such information as is available for England is shown in the following table. Information for Scotland, Wales and Northern Ireland is a matter for the Devolved Administrations.</p><p>Number of critical care periods and critical care bed days with a primary diagnosis of meningitis for the period April 2013-March 2014 (provisional data):</p><p> </p><table><tbody><tr><td><p>Diagnosis</p></td><td><p>Critical care periods</p></td><td><p>Critical care bed days</p></td></tr><tr><td><p>Viral meningitis</p></td><td><p>22</p></td><td><p>72</p></td></tr><tr><td><p>Bacterial meningitis</p></td><td><p>238</p></td><td><p>1,572</p></td></tr><tr><td><p>Other /unspecified causes</p></td><td><p>56</p></td><td><p>317</p></td></tr><tr><td><p>Occurring in another disease</p></td><td><p>110</p></td><td><p>653</p></td></tr></tbody></table><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p><em>Notes:</em></p><p>1. Meningococcal B disease is caused by the bacteria Neisseria meningitidis. Information on usage of critical care beds resulting from meningococcal B disease is not separately identifiable. Information on meningococcal septicaemia has not been provided.</p><p>2. The data provided covers English NHS Hospitals and English NHS commissioned activity in the independent sector.</p><p>3. The primary diagnosis is the first of up to 20 diagnosis fields in the Hospital Episode Statistics data set and provides the main reason why the patient was admitted to hospital.</p><p>4. The following International Classification of Disease (ICD)-10 codes have been used to define meningitis:</p><p>A87 Viral meningitis</p><p>G00 Bacterial meningitis, not elsewhere classified</p><p>G03 Meningitis due to other and unspecified causes</p><p>G01.X* Meningitis in bacterial diseases classified elsewhere (in the 1st or 2nd position)</p><p>G02* Meningitis in other infectious and parasitic disease classified elsewhere (in the 1st or 2nd position)</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/09/2014 10:56:40 answering member 3918 label Biography information for Jane Ellison
tabling member	249 label Biography information for Sir Geoffrey Clifton-Brown

78724

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Intensive Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average daily cost is of keeping a patient in an intensive care unit.
tabling member constituency	The Cotswolds
tabling member printed	Geoffrey Clifton-Brown
uin	206539
answer	answer is ministerial correction date of answer 02/09/2014 answer text <p>The information is shown in the following table. It is from reference costs, which are the average unit costs to National Health Service trusts and foundation trusts of providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by healthcare resource groups (HRGs), which are standard groupings of clinically similar treatments that consume similar levels of healthcare resource. HRGs for critical care, which are organised into neonatal, paediatric and adult critical care, represent the daily cost of the part of the patient’s stay that requires care in a designated critical care bed. Adult critical care is further differentiated into burns, spinal injuries, and all other critical care units. The HRGs cover critical care areas, such as an intensive therapy unit or high dependency unit, but may include temporary, non-standard locations.</p><p>Average daily cost of critical care in England, 2012-13:</p><table><tbody><tr><td><p> </p></td><td><p>Average unit cost per day</p></td></tr><tr><td><p>Neonatal critical care</p></td><td><p>£645</p></td></tr><tr><td><p>Paediatric critical care</p></td><td><p>£1,494</p></td></tr><tr><td><p>Adult critical care: burns intensive care units</p></td><td><p>£1,984</p></td></tr><tr><td><p>Adult critical care: spinal injury intensive care units</p></td><td><p>£887</p></td></tr><tr><td><p>Adult critical care: all other adult critical care units</p></td><td><p>£1,168</p></td></tr></tbody></table><p><em>Source:</em> Reference costs, Department of Health</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 02/09/2014 13:35:17 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	249 label Biography information for Sir Geoffrey Clifton-Brown

78725

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Meningitis: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, at what age babies will be eligible for vaccination with the Bexsero vaccine.
tabling member constituency	The Cotswolds
tabling member printed	Geoffrey Clifton-Brown
uin	206541
answer	answer is ministerial correction date of answer 02/09/2014 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) has recommended that there should be a carefully planned national meningococcal B immunisation programme for infants, using a three dose schedule of Bexsero<sup>®</sup>(at two, four and 12 months of age), subject to the vaccine being available at a cost-effective price .</p><p>The JCVI has also advised that when the programme starts there should be a one-off, opportunistic catch-up programme for babies aged three and four months of age who would have not had the opportunity to receive the vaccine at two months of age.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/09/2014 11:00:25 answering member 3918 label Biography information for Jane Ellison
tabling member	249 label Biography information for Sir Geoffrey Clifton-Brown

78726

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services
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 process used to appoint Dr Anthony Marsh to the post of Chief Executive for (a) West Midlands Ambulance Service NHS Trust and (b) East of England Ambulance Service NHS Trust; if he will place in the Library copies of all correspondence between his Department and both ambulance trusts on these appointments; what level of salary Dr Anthony Marsh receives for each role; and if he will make a statement.
tabling member constituency	West Bromwich East
tabling member printed	Mr Tom Watson
uin	206570
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Anthony Marsh was appointed Chief Executive of West Midlands Ambulance Service NHS Trust (WMAS) in July 2006. Dr Marsh was previously Chief Executive of Essex Ambulance Service.</p><p> </p><p>Dr Marsh became Chief Executive of East of England Ambulance Service NHS Trust (EEAST) from 1 January 2014. He was seconded to EEAST at the request of the NHS Trust Development Authority (NHS TDA) because of persistent poor performance at EEAST and the Trust’s failure to appoint a substantive Chief Executive when it attempted to recruit to the post on several occasions in recent years. He is contracted to work three days a week at EEAST in addition to continuing in his chief executive role at WMAS.</p><p> </p><p>The NHS TDA advises that Dr Marsh’s salary is £232,226.42 per annum in total, which includes a £50,000 uplift to his former WMAS salary for his additional duties at EEAST. EEAST pays 60% of Dr Marsh’s salary. The £50,000 additional salary payment was agreed between the remuneration committees of WMAS and EEAST for the increased responsibility of running two trusts.</p><p> </p><p>The NHS TDA believes that Dr Marsh has already made a significant impact at EEAST, with the recruitment of 400 additional paramedics expected this year, 147 new ambulances now ordered and a £1 million reduction in management costs, which is being re-invested into the front line.</p><p> </p><p>A search of the Department’s Ministerial correspondence database has not identified any correspondence between the Department and either ambulance trust on these appointments. This search represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 16:08:24 answering member 3918 label Biography information for Jane Ellison
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

78727

registered interest
date	17/07/2014
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 steps he is taking to reduce inequalities covering his public health functions for the whole population.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206558
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Reducing health inequalities is a Government priority, shown by our introduction of the first-ever set of health inequalities duties in the 2012 Health and Social Care Act.</p><p> </p><p>Public health has a key role to play in reducing health inequalities across the whole population through ill health prevention and helping reduce premature, avoidable mortality. We transferred responsibility for improving public health from the National Health Service to local government to bring greater effectiveness and innovation in responding to local health needs. We provided local government with a ring-fenced grant of £5.36 billion.</p><p> </p><p>At local level, Directors of Public Health will champion these health needs and work with local government, NHS colleagues and other sectors to address them.</p><p> </p><p>We established Public Health England (PHE) to provide leadership, and to protect and improve the public’s health and wellbeing and reduce health inequalities. It supports action on health inequalities at local and national level by promoting good practice and building on the evidence of ‘what works.’</p><p> </p><p>We have recently published <em>Living Well for Longer</em> (April 2014) which provides national support for local action on reducing premature mortality. It sets out what PHE and NHS England will do alongside the Department and the rest of Government to address avoidable and premature mortality across the population, including vulnerable groups such as those on low-income and those with mental illness.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 15:49:34 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

78728

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
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 moving the immunisation coordinator role from primary care trust into commissioning positions on the availability of immunisation advice to nurse-based practitioners.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206559
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Public Health England (PHE) Screening and Immunisation Teams, including immunisation co-ordinators, have been embedded within NHS England area teams since 1 April 2013.</p><p> </p><p>Immunisation advice remains available to health professionals, including nurse-based practitioners, through local PHE Health Protection Teams and Screening and Immunisation Teams within NHS England, who are supported by a national expert advice line. Comprehensive web-based advice including such resources as frequently asked questions, also remain available.</p><p> </p><p>We have not made any specific assessment of the possible effect on the availability of immunisation advice to nurse-based practitioners by PHE in this context.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 15:53:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger