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65241

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Folic Acid
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Department of Health expects soon to start discussions with the relevant food industry companies about their willingness in principle to stop voluntary fortification of food products with folic acid, if mandatory fortification were to be introduced; and, if so, when.
tabling member printed	Lord Rooker
uin	HL771
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Discussions with relevant food industry companies have begun. The Department is in the process of contacting organisations across a range of sectors and we hope to complete these discussions by the end of 2014.</p><p> </p><p>The Department is in the final stages of commissioning research to explore any new and innovative communication approaches that would be effective in raising awareness among women of the need to take folic acid supplements and in promoting behaviour change. This research is scheduled for completion in the first quarter of 2015.</p> answering member printed Earl Howe grouped question UIN HL772 question first answered 14/07/2014 16:14:06 answering member 2000 label Biography information for Earl Howe
tabling member	302 label Biography information for Lord Rooker

65242

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Folic Acid
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Department of Health have explored whether there are any new and innovative communication approaches that would be effective in raising awareness among women, particularly those in lower socio-economic groups who are at greater risk of a neural tube defect-affected pregnancy, of the case for taking folic acid supplements, and in promoting behaviour change.
tabling member printed	Lord Rooker
uin	HL772
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Discussions with relevant food industry companies have begun. The Department is in the process of contacting organisations across a range of sectors and we hope to complete these discussions by the end of 2014.</p><p> </p><p>The Department is in the final stages of commissioning research to explore any new and innovative communication approaches that would be effective in raising awareness among women of the need to take folic acid supplements and in promoting behaviour change. This research is scheduled for completion in the first quarter of 2015.</p> answering member printed Earl Howe grouped question UIN HL771 question first answered 14/07/2014 16:14:07 answering member 2000 label Biography information for Earl Howe
tabling member	302 label Biography information for Lord Rooker

65250

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what they are doing to support those, in particular teenagers, who are self-harming or at risk of self-harming.
tabling member printed	Baroness Kennedy of Cradley
uin	HL780
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>Spotting the signs of mental health problems early in children and young people is essential to prevent problems from escalating and continuing into adulthood.</p><p> </p><p>On 25 March the Minister of State for Care and Support (Norman Lamb) launched MindEd, an interactive e-learning programme on mental health designed to help any adult working with children and young people. Funded by the department, the learning and resources provided by the MindEd e-portal are designed to extend the skills and knowledge of National Health Service clinicians and professionals such as teachers, social workers, counsellors and supervisors working in a range of educational and youth settings.</p><p> </p><p>The Child and Adolescent Mental Health Service (CAMHS) is there to support children of school age with mental health problems, including those who are found to be self-harming.</p><p> </p><p>On 16 June 2014, the Department for Education issued advice for school staff on mental health and behaviour. This new advice links to existing advice on behaviour and discipline, which indicates that schools should consider whether continuing disruptive behaviour arises from unmet mental health needs.</p><p> </p><p>The advice will help schools identify and support pupils with an unmet mental health condition. It will give teachers the confidence to:</p><p> </p><p>differentiate between poor behaviour linked to potential mental health problems and poor behaviour which cannot be explained in this way;</p><p>identify those with less severe problems at an early stage and build their resilience through the school's pastoral system, using external agencies where necessary;</p><p>identify those with more severe mental health needs and make timely referrals to statutory and/or voluntary agencies, including CAMHS.</p><p> </p><p>National Institute for Health and Care Excellence guidelines make it clear that anyone who attends an emergency department for self-harm should be offered a comprehensive assessment of their physical, psychological and social needs. Self-harm has been identified as a priority for action in the Mental Health Action Plan, <em>Closing the Gap: Priorities for essential change in mental health, </em>published January 2014.A copy has already been placed in the Library.</p><p><em>Preventing suicide in England: A cross-government outcomes strategy to save lives </em>was published on 10 September 2012. The suicide prevention strategy is backed by up to £1.5 million funding through the Policy Research Programme, to help us better understand key aspects of suicide and self-harm, including looking at self-harm in young people and the role of the internet and social media.</p> answering member printed Earl Howe question first answered 15/07/2014 15:31:33 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65251

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many (1) girls, and (2) boys, aged under 18 received hospital treatment for self-harm in each year since 2010.
tabling member printed	Baroness Kennedy of Cradley
uin	HL781
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Data on the number of under 18 boys and girls who received hospital treatment for self-harm in each year since 2010 is in the following table.</p><p> </p><table><tbody><tr><td colspan="7"><p><strong> </strong></p><p>Count of finished admission episodeswith a cause code of self-harm and a count of accident and emergency attendances (excluding planned attendances) with a patient group of deliberate self-harm for (1) females under 18 and (2) males under 18 for 2010-11, 2011-12 and 2012-13.</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="6"><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p></td><td> </td></tr><tr><td rowspan="2"><p>Year</p></td><td colspan="2"><p>Accident and emergency attendances</p></td><td colspan="2"><p>Finished admission episodes</p></td><td> </td><td> </td></tr><tr><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td> </td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>4,038</p></td><td><p>9,264</p></td><td><p>2,594</p></td><td><p>11,400</p></td><td> </td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>4,287</p></td><td><p>9,388</p></td><td><p>2,363</p></td><td><p>10,868</p></td><td> </td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>3,800</p></td><td><p>9,943</p></td><td><p>2,473</p></td><td><p>12,305</p></td><td> </td><td> </td></tr><tr><td colspan="5"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td> </td><td> </td></tr></tbody></table><p> </p><p><em>Notes: </em></p><p> </p><p>- Admissions do not represent the number of inpatients as a person may have more than one admission in one year; and</p><p> </p><p>- a patient may have attended Accident and Emergency (A&amp;E) and then been admitted to hospital as a single event, in this case the event would be included in both the A&amp;E and hospital admission figures.</p><p> </p><p>Analysis of how these statistics compare with the rest of Europe has not been made.</p><p>Data is not collected on the incidence of self-harm among boys and girls aged under 18 nor those who continue to self-harm in adulthood.</p><p> </p> answering member printed Earl Howe grouped question UIN HL783 HL785 question first answered 14/07/2014 16:15:02 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65252

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many (1) men, and (2) women, aged over 18 received hospital treatment for self-harm in each year since 2010.
tabling member printed	Baroness Kennedy of Cradley
uin	HL782
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The following table shows the count of finished episodes with a cause of self-harm in males and females over the age of 18 in the years from 2010 to 2013:</p><p> </p><p>Count of finished admission episodeswith a cause code of self-harm and a count of accident and emergency attendances (excluding planned attendances) with a patient group of deliberate self-harm for (1) females 18 and over, and (2) males 18 and over for 2010-11, 2011-12 and 2012-13.</p><p><strong> </strong></p><table><tbody><tr><td colspan="6"><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p></td></tr><tr><td rowspan="2"><p>Year</p></td><td colspan="2"><p>Accident and emergency attendances</p></td><td colspan="2"><p>Finished admission episodes</p></td><td> </td></tr><tr><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>45,270</p></td><td><p>52,022</p></td><td><p>41,974</p></td><td><p>55,315</p></td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>49,022</p></td><td><p>55,516</p></td><td><p>42,683</p></td><td><p>55,376</p></td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>45,988</p></td><td><p>51,128</p></td><td><p>40,542</p></td><td><p>51,692</p></td><td> </td></tr><tr><td colspan="5"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td> </td></tr></tbody></table><p> </p> answering member printed Earl Howe question first answered 14/07/2014 16:15:34 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65253

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what are the statistics on the incidence of self-harming in (1) girls under 18, (2) boys under 18, (3) women over 18, and (4) men over 18, in each year since 2010; and how those statistics compare with the rest of Europe.
tabling member printed	Baroness Kennedy of Cradley
uin	HL783
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Data on the number of under 18 boys and girls who received hospital treatment for self-harm in each year since 2010 is in the following table.</p><p> </p><table><tbody><tr><td colspan="7"><p><strong> </strong></p><p>Count of finished admission episodeswith a cause code of self-harm and a count of accident and emergency attendances (excluding planned attendances) with a patient group of deliberate self-harm for (1) females under 18 and (2) males under 18 for 2010-11, 2011-12 and 2012-13.</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="6"><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p></td><td> </td></tr><tr><td rowspan="2"><p>Year</p></td><td colspan="2"><p>Accident and emergency attendances</p></td><td colspan="2"><p>Finished admission episodes</p></td><td> </td><td> </td></tr><tr><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td> </td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>4,038</p></td><td><p>9,264</p></td><td><p>2,594</p></td><td><p>11,400</p></td><td> </td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>4,287</p></td><td><p>9,388</p></td><td><p>2,363</p></td><td><p>10,868</p></td><td> </td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>3,800</p></td><td><p>9,943</p></td><td><p>2,473</p></td><td><p>12,305</p></td><td> </td><td> </td></tr><tr><td colspan="5"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td> </td><td> </td></tr></tbody></table><p> </p><p><em>Notes: </em></p><p> </p><p>- Admissions do not represent the number of inpatients as a person may have more than one admission in one year; and</p><p> </p><p>- a patient may have attended Accident and Emergency (A&amp;E) and then been admitted to hospital as a single event, in this case the event would be included in both the A&amp;E and hospital admission figures.</p><p> </p><p>Analysis of how these statistics compare with the rest of Europe has not been made.</p><p>Data is not collected on the incidence of self-harm among boys and girls aged under 18 nor those who continue to self-harm in adulthood.</p><p> </p> answering member printed Earl Howe grouped question UIN HL781 HL785 question first answered 14/07/2014 16:15:03 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65254

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what support they are providing to (1) schools, and (2) charities, that aim to reduce the occurrence of self-harming amongst teenagers.
tabling member printed	Baroness Kennedy of Cradley
uin	HL784
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Spotting the signs of mental health problems, including self-harming early in children and young people is essential to prevent problems from escalating and continuing into adulthood. That is why the Department invested £3 million in MindEd so that people working with children, from teachers to dinner ladies and sport coaches to Scout leaders, can recognise when a child needs help and ensure that they receive it.</p><p> </p><p>MindEd is an e-portal produced by a consortium of 37 organisations which delivered the programme, headed by the Royal College of Paediatrics and Child Health (RCPCH) and including the Royal College of Psychiatrists, Royal College of Nursing, Royal College of General Practitioners, the British Psychological Society, the National Children's Bureau and the children's charity YoungMinds.</p><p> </p><p>On 16 June 2014, the Department for Education issued advice for school staff on mental health and behaviour. This new advice links to existing advice on behaviour and discipline, which indicates that schools should consider whether continuing disruptive behaviour arises from unmet mental health needs.</p><p> </p><p>The advice will help schools identify and support pupils with an unmet mental health condition. It will give teachers the confidence to:</p><p> </p><p>- Differentiate between poor behaviour linked to potential mental health problems and poor behaviour which cannot be explained in this way;</p><p>- identify those with less severe problems at an early stage and build their resilience through the school's pastoral system, using external agencies where necessary; and</p><p>- identify those with more severe mental health needs and make timely referrals to statutory and/or voluntary agencies, including CAMHS.</p><p> </p> answering member printed Earl Howe question first answered 14/07/2014 16:16:33 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65255

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what estimate they have made of the numbers of (1) girls, and (2) boys, aged under 18 who self-harm who continue to self-harm in adulthood.
tabling member printed	Baroness Kennedy of Cradley
uin	HL785
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Data on the number of under 18 boys and girls who received hospital treatment for self-harm in each year since 2010 is in the following table.</p><p> </p><table><tbody><tr><td colspan="7"><p><strong> </strong></p><p>Count of finished admission episodeswith a cause code of self-harm and a count of accident and emergency attendances (excluding planned attendances) with a patient group of deliberate self-harm for (1) females under 18 and (2) males under 18 for 2010-11, 2011-12 and 2012-13.</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="6"><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p></td><td> </td></tr><tr><td rowspan="2"><p>Year</p></td><td colspan="2"><p>Accident and emergency attendances</p></td><td colspan="2"><p>Finished admission episodes</p></td><td> </td><td> </td></tr><tr><td><p>Male</p></td><td><p>Female</p></td><td><p>Male</p></td><td><p>Female</p></td><td> </td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>4,038</p></td><td><p>9,264</p></td><td><p>2,594</p></td><td><p>11,400</p></td><td> </td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>4,287</p></td><td><p>9,388</p></td><td><p>2,363</p></td><td><p>10,868</p></td><td> </td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>3,800</p></td><td><p>9,943</p></td><td><p>2,473</p></td><td><p>12,305</p></td><td> </td><td> </td></tr><tr><td colspan="5"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td> </td><td> </td></tr></tbody></table><p> </p><p><em>Notes: </em></p><p> </p><p>- Admissions do not represent the number of inpatients as a person may have more than one admission in one year; and</p><p> </p><p>- a patient may have attended Accident and Emergency (A&amp;E) and then been admitted to hospital as a single event, in this case the event would be included in both the A&amp;E and hospital admission figures.</p><p> </p><p>Analysis of how these statistics compare with the rest of Europe has not been made.</p><p>Data is not collected on the incidence of self-harm among boys and girls aged under 18 nor those who continue to self-harm in adulthood.</p><p> </p> answering member printed Earl Howe grouped question UIN HL781 HL783 question first answered 14/07/2014 16:15:03 answering member 2000 label Biography information for Earl Howe
tabling member	4303 label Biography information for Baroness Kennedy of Cradley

65256

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Levodopa
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what advice the Clinical Priorities Advisory Group received about the routine use of Duodopa for advanced Parkinson's disease.
tabling member printed	Lord Walton of Detchant
uin	HL786
answer	answer is ministerial correction date of answer 09/07/2014 answer text <p>We understand that the Clinical Priorities Advisory Group considered evidence on the clinical effectiveness and estimated costs of Duodopa. NHS England plans to publish a commissioning policy statement for Duodopa in due course.</p> answering member printed Earl Howe question first answered 09/07/2014 15:16:29 answering member 2000 label Biography information for Earl Howe
tabling member	1716 label Biography information for Lord Walton of Detchant

65257

registered interest
date	02/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Levodopa
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how individual funding requests relating to the prescription of Duodopa for patients with advanced Parkinsonism are handled in the National Health Service.
tabling member printed	Lord Walton of Detchant
uin	HL787
answer	answer is ministerial correction date of answer 09/07/2014 answer text <p>In April 2013 NHS England assumed responsibility for commissioning adult specialist neurosciences services, including the majority of services for people with Parkinson's disease.</p><p> </p><p>Individual funding requests relating to treatments that NHS England is responsible for commissioning are handled in line with NHS England's individual funding requests standard operating procedure, which is at:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/04/cp-04.pdf</p><p> </p> answering member printed Earl Howe question first answered 09/07/2014 15:17:06 answering member 2000 label Biography information for Earl Howe
tabling member	1716 label Biography information for Lord Walton of Detchant