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156280

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, who in his Department is responsible for implementation of the Framework for Sexual Health Improvement in England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215084
answer	answer is ministerial correction date of answer 21/11/2014 answer text <p>The Department published the Framework for Sexual Health Improvement in March 2013. Implementation is locally led but the Department monitors the ambitions in the Framework and will shortly publish a progress report. Public Health England provides support, data and intelligence both nationally and locally to help meet the Department’s aspirations as set out in the Framework.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/11/2014 14:32:25 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

156281

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
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 consequences for public health of prostitution and sex trafficking; and what steps he is taking to minimise those consequences.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215085
answer	answer is ministerial correction date of answer 21/11/2014 answer text <p>We recognise sexual abuse in all its forms as an issue of public health importance. Protecting People Promoting Health, published in 2012 (a copy has been placed in the Library), sets out where public health can make a difference to better prevention.</p><p> </p><p> </p><p> </p><p>Our most recent assessment of the evidence confirms that sex workers are one of the most socially excluded groups and have some of the worst health outcomes in the population. Studies indicate that that in excess of 85% of street sex workers report using heroin, and 87% crack cocaine. They also suffer poor mental health and far higher levels of acute and chronic illness than the general population. Improving their health outcomes – and the outcomes of other vulnerable groups – is a challenge but it is the best way to improve public health. We are addressing these issues through the Inclusion Health programme. The programme has published advice and guidance to help the health system understand better the needs of these groups, commission services in a way that reflect these needs, and remove barriers to care. This is underpinned by the first-ever health inequalities duty to ensure that health services take account of excluded and vulnerable groups in planning their services.</p><p> </p><p> </p><p> </p><p>The inter-Departmental Ministerial Group on Modern Slavery oversee and co-ordinate anti-modern slavery efforts across the United Kingdom. Modern slavery including sex trafficking has a devastating impact on the physical, psychological and emotional wellbeing of victims. The National Referral Mechanism is a framework for identifying victims of human trafficking and ensuring they receive the appropriate protection and support. Sexual Assault Referral Centres Services (SARCs) are available to all victims of sexual abuse including people trafficked for sex. A number of SARCs work jointly with the voluntary sector on the “National Ugly Mugs” scheme, which works by sharing information on violent or potentially dangerous clients and known criminals, making it easier to report attacks.</p><p> </p><p> </p><p> </p><p>The Department has also made an e-learning tool available in April 2013, to help health professionals identify victims or trafficking and respond to their needs.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/11/2014 13:49:42 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

156282

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
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 tackle the stigma around HIV and AIDS.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215086
answer	answer is ministerial correction date of answer 21/11/2014 answer text <p>In 2013 the Department published the Framework for Sexual Health Improvement in England which highlights the need for organisations and individuals to continue to tackle the stigma and prejudice often associated with HIV and sexual health.</p><p> </p><p> </p><p> </p><p>The Department also funds the Terrence Higgins Trust for the HIV Prevention England (HPE) programme. HPE helps to tackle stigma by social marketing programmes and working closely with HIV voluntary organisations to provide health promotion information including, on HIV testing. Public Health England is supporting the development of the People Living with HIV Stigma Index, which will be rolled-out in the United Kingdom in 2015.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/11/2014 14:23:07 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

156283

registered interest
date	18/11/2014
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, with reference to page 15 of Mitochondrial Donation: Government response to the consultation on draft regulations to permit the use of new treatment techniques to prevent the transmission of a serious mitochondrial disease from mother to child, published in July 2014, what the evidential basis is for the statement that donated mitochondrial DNA will not affect personal characteristics.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	215106
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>Physical characteristics and personality traits are inherited from parents’ nuclear DNA. Whole mitochondrial DNA genome sequencing has revealed no evidence of nuclear genomic DNA inside mitochondria and data on the human genome available in the ENSEMBL and OMIM databases confirms that there is no nuclear genomic DNA in the mitochondria. The Revised Cambridge Reference Sequence of the Human Mitochondrial DNA, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://wtoutlook.wellcome.ac.uk/OWA/redir.aspx?C=OY5Ca06YIkStrydor-fyawAWM0rJaNEIQZOF7ynJO3PqA3uFGov62nxpesH4_vBBclsLZLTfszc.&amp;URL=http%3a%2f%2fwww.mitomap.org%2fMITOMAP%2fHumanMitoSeq" target="_blank">http://www.mitomap.org/MITOMAP/HumanMitoSeq</a></p><p> </p><p> </p><p> </p><p>details the whole mitochondrial DNA genome sequence, the codons, the proteins and the genes encoded for. All genes encoded for by mitochondrial DNA are involved in energy production, rather than governing personal characteristics and traits.</p><p> </p><p> </p><p> </p><p>Any child born as a result of the use of mitochondrial donation techniques will be genetically unique and will have a natural combination of nuclear genes from both parents but not the mitochondrial donor. As mentioned by the Chief Medical Officer, mitochondrial DNA only encodes genes responsible for energy production and will not affect the child’s appearance, personality or any other personal characteristics.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 215107 question first answered 25/11/2014 17:31:22 answering member 3918 label Biography information for Jane Ellison
tabling member	3958 label Biography information for Fiona Bruce

156284

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects home testing HIV kits to become available for use throughout the UK.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	215087
answer	answer is ministerial correction date of answer 21/11/2014 answer text <p>The Department removed the ban on the sale of HIV self-testing kits in April 2014. Before HIV self-testing kits can be placed on the European market they must meet the quality and safety requirements of the In Vitro Diagnostic Medical Devices European Union Directive. While HIV home sampling kits are already available for use throughout the United Kingdom, we are not aware that any HIV self-testing kits meet these requirements yet.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/11/2014 14:33:22 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

156285

registered interest
date	18/11/2014
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, whether the comments of the Chief Medical Officer of 10 November 2014 that children born through mitochondrial transfer techniques will only have the characteristics any other child would have in that family accord with the view of his Department; and if he will make a statement.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	215107
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>Physical characteristics and personality traits are inherited from parents’ nuclear DNA. Whole mitochondrial DNA genome sequencing has revealed no evidence of nuclear genomic DNA inside mitochondria and data on the human genome available in the ENSEMBL and OMIM databases confirms that there is no nuclear genomic DNA in the mitochondria. The Revised Cambridge Reference Sequence of the Human Mitochondrial DNA, which can be found at:</p><p> </p><p> </p><p> </p><p><a href="https://wtoutlook.wellcome.ac.uk/OWA/redir.aspx?C=OY5Ca06YIkStrydor-fyawAWM0rJaNEIQZOF7ynJO3PqA3uFGov62nxpesH4_vBBclsLZLTfszc.&amp;URL=http%3a%2f%2fwww.mitomap.org%2fMITOMAP%2fHumanMitoSeq" target="_blank">http://www.mitomap.org/MITOMAP/HumanMitoSeq</a></p><p> </p><p> </p><p> </p><p>details the whole mitochondrial DNA genome sequence, the codons, the proteins and the genes encoded for. All genes encoded for by mitochondrial DNA are involved in energy production, rather than governing personal characteristics and traits.</p><p> </p><p> </p><p> </p><p>Any child born as a result of the use of mitochondrial donation techniques will be genetically unique and will have a natural combination of nuclear genes from both parents but not the mitochondrial donor. As mentioned by the Chief Medical Officer, mitochondrial DNA only encodes genes responsible for energy production and will not affect the child’s appearance, personality or any other personal characteristics.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 215106 question first answered 25/11/2014 17:31:22 answering member 3918 label Biography information for Jane Ellison
tabling member	3958 label Biography information for Fiona Bruce

156286

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans NHS England has to make use of the Commissioning for Quality and Innovation Scheme to improve coverage of (a) clinical audits and (b) patient experience surveys.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	215013
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The national Commissioning for Quality and Innovation (CQUIN) scheme for 2014-15 includes national indicators relating to the NHS Safety Thermometer, the Friends and Family Test (FFT), diagnosis and onward referral of patients with dementia or delirium, and assessment of physical health risk factors and provision of appropriate interventions for mental health inpatients. The FFT indicator incentivises providers to implement the FFT scheme and to achieve good response rates; the dementia indicator requires providers to undertake a carer survey; and the mental health indicator involves a specific process of national clinical audit, facilitated by the Royal College of Psychiatrists.</p><p> </p><p> </p><p> </p><p>CQUIN applies to all providers who operate under the NHS Standard Contract. The Contract, which is used for all providers of National Health Service-funded care other than primary care, already includes as core standards for all providers requirements to:</p><p> </p><p>- put in place an ongoing proportionate programme of clinical audit;</p><p> </p><p>- participate in relevant national clinical audits under the National Clinical Audit and Patient Outcomes Programme; and</p><p> </p><p>- undertake patient, carer and staff surveys, including FFT.</p><p> </p><p> </p><p> </p><p>NHS England is reviewing both CQUIN and the NHS Standard Contract and will be publishing updated versions of both for 2015-16 shortly.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/11/2014 17:29:52 answering member 4020 label Biography information for George Freeman
tabling member	237 label Biography information for Mr Adrian Sanders

156287

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many NHS (a) trusts and (b) foundation trusts recorded a deficit in each of the last three years.
tabling member constituency	Tynemouth
tabling member printed	Mr Alan Campbell
uin	215066
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The number of National Health Service trusts and foundation trusts in deficit in the last three years is shown in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Type of Provider</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p> </p></td><td><p>Number in Deficit</p></td><td><p>Number in Deficit</p></td><td><p>Number in Deficit</p></td></tr><tr><td><p>NHS Trusts</p></td><td><p>10</p></td><td><p>5</p></td><td><p>24</p></td></tr><tr><td><p>Foundation Trusts</p></td><td><p>21</p></td><td><p>21</p></td><td><p>40</p></td></tr><tr><td><p>Total in Deficit</p></td><td><p>31</p></td><td><p>26</p></td><td><p>64</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The data in the above table is from the Final Audited Accounts.</p><p> </p><p>2. In this context, ‘deficit’ refers to in-year operating deficit.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/11/2014 17:10:28 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	529 label Biography information for Sir Alan Campbell

156288

registered interest
date	18/11/2014
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, how many GPs were in practice in (a) 2010-11, (b) 2011-12 and (c) 2012-13.
tabling member constituency	Tynemouth
tabling member printed	Mr Alan Campbell
uin	215067
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The annual National Health Service General and Personal Medical Services workforce census, published by the Health and Social Care Information Centre, shows the numbers of general practitioners (GPs) working in the NHS in England at 30 September each year. The total numbers of full-time equivalent GPs, including registrars and retainers working in the NHS in England for 2010, 2011, 2012 and 2013 are shown in the following table. The latest available statistics are as at 30 September 2013 and were published on 25 March 2014.</p><p> </p><p> </p><p> </p><p>GPs are independent contractors who hold contracts with NHS England to provide primary healthcare services for the NHS.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong>Total GPs, including registrars and retainers in practice between 2010 and 2013</p><p> </p><p> </p><p> </p><p>England as at 30 September full-time equivalent</p><p> </p><table><tbody><tr><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td></tr><tr><td><p>35,243</p></td><td><p>35,319</p></td><td><p>35,871</p></td><td><p>36,294</p></td></tr></tbody></table><p> </p><p><em>Source:</em> General practice workforce census</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/11/2014 17:42:09 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	529 label Biography information for Sir Alan Campbell

156289

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the contribution of the Parliamentary Under-Secretary of State for Health of 18 June 2014, Official Report, column 111WH, on Melbourne Declaration on diabetes, what discussions (a) Ministers and (b) officials in his Department have had with NHS England on plans to roll out the diabetes patient experience survey across all NHS services in England.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	215095
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The Patient Experience of Diabetes Services survey is commissioned by the Healthcare Quality Improvement Partnership, on behalf of NHS England, and delivered by the Health and Social Care Information Centre, working in collaboration with Diabetes UK and Public Health England (PHE). It will therefore be a matter for PHE and NHS England to decide on future plans for this survey.</p><p> </p><p> </p><p> </p><p>There has been no decision made about the future of the Patient Experience of Diabetes Survey. NHS England is currently reviewing the whole National Clinical Audit and Patient Outcomes Programme collectively, including the pilots that have reported. The first of these meetings was on 11 November.</p><p> </p><p> </p><p> </p><p>My Rt. hon. Friend, The Secretary of State meets with NHS England on a weekly basis and discusses a wide range of healthcare issues.</p><p> </p><p> </p><p> </p><p>However, there have been no specific discussions between the Secretary of State for Health and NHS England on the future funding of the Patient Experience of Diabetes Survey or between Ministers and officials of the Department and NHS England on plans to roll out the diabetes patient experience survey across all NHS services in England.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 215011 215012 215094 question first answered 25/11/2014 17:28:49 answering member 3918 label Biography information for Jane Ellison
tabling member	237 label Biography information for Mr Adrian Sanders