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100036

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

100181

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many meetings he has had with Simon Stevens, Chief Executive of NHS England since 1 April 2014.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	211214
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>My Rt. hon. Friend, the Secretary of State, meets with Mr Stevens on a weekly basis with additional meetings arranged as and when required, which often include other members of the Ministerial team.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:31:37 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4089 label Biography information for Tessa Munt

100182

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support paediatric cardiac surgery services across England and Wales.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211215
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>NHS England is currently reviewing congenital heart services for adults and children, including paediatric cardiac surgical services. The review aims to:</p><p> </p><p> </p><p> </p><p>- secure the best outcomes for all patients;</p><p> </p><p>- tackle variation; and</p><p> </p><p>- improve patient experience.</p><p> </p><p> </p><p> </p><p>The review has developed a set of draft standards and service specifications which are currently out to public consultation. The consultation runs until 8 December. Further details can be found at:</p><p> </p><p> </p><p> </p><p>https://www.engage.england.nhs.uk/consultation/congenital-heart-disease-standards</p><p> </p><p> </p><p> </p><p>There are no centres in Wales providing paediatric congenital cardiac surgery and so patients typically travel to England for surgery. NHS England is working with colleagues in Wales to ensure Welsh residents are aware of the review and able to respond to the consultation.</p><p> </p><p> </p><p> </p><p>NHS England will work with providers to help ensure that services meet the required standards.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:42:14 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

100184

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chickenpox: 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 breadth of the uptake of the chicken pox vaccine to reduce the risk of stroke in children and young adults; and if he will make a statement.
tabling member constituency	Hartlepool
tabling member printed	Mr Iain Wright
uin	211242
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Public Health England has not made an assessment of the impact of uptake of varicella vaccination on the risk of stroke in children and young adults.</p><p> </p><p> </p><p> </p><p>The Joint Committee on Vaccination and Immunisation, which provides the Government with expert advice on immunisation matters, has not recommended a universal varicella (chickenpox) immunisation programme for children or young adults.</p><p> </p><p> </p><p> </p><p>Varicella immunisation is recommended to protect those people who are at most risk of serious illness. This is done by immunising specific individuals who are in regular or close contact with those at risk, including non-immune healthcare workers and close household contacts of immunocompromised individuals, such as siblings of a child with leukaemia or a child whose parent is undergoing chemotherapy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:27:20 answering member 3918 label Biography information for Jane Ellison
tabling member	1478 label Biography information for Mr Iain Wright

100185

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Older 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 (a) telephone services and (b) face-to-face services intended to relieve loneliness and isolation in elderly people.
tabling member constituency	Peterborough
tabling member printed	Mr Stewart Jackson
uin	211243
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Loneliness and isolation in elderly people is a complex issue and can affect people in different ways. We have not undertaken an assessment of the effectiveness of telephone services or face to face services but we know that it is helpful to have a range of interventions that can address the different needs of people who are lonely or isolated.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:36:55 answering member 1439 label Biography information for Norman Lamb
tabling member	1551 label Biography information for Lord Jackson of Peterborough

100186

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether missed or inadequate hydrocortisone administration is included in the NHS list of Never Events.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	211233
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Missed or inadequate hydrocortisone administration is not currently included in the list of ‘never events’.</p><p> </p><p> </p><p> </p><p>We can confirm that the current list of Never Events is under review and there is a consultation underway which opened online on the 6 October 2014 and closes on 31 October 2014.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 28/10/2014 15:28:25 question first ministerially corrected 28/10/2014 16:30:53 answering member 4020 label Biography information for George Freeman previous answer version 24770 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	95 label Biography information for Mr Andrew Smith

100187

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Thalidomide
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 ensure the health and independence of UK thalidomide victims.
tabling member constituency	Montgomeryshire
tabling member printed	Glyn Davies
uin	211270
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>On 20 December 2012, I announced a new 10-year grant to the Thalidomide Trust. The grant will be paid on an annual basis, uprated in line with inflation, which means that over the 10-year period it will be worth in the region of £80 million.</p><p> </p><p> </p><p> </p><p>The grant is intended to enable investment in adaptations and preventative measures to improve health and wellbeing and to help minimise further deterioration for this unique group of people.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 28/10/2014 15:38:35 answering member 1439 label Biography information for Norman Lamb
tabling member	4041 label Biography information for Glyn Davies

100193

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicine: Education
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 increase the number of places for medical students to undertake training in cardiac units.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211221
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. It has the general function of promoting high standards of education and to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p> </p><p> </p><p>Medical schools design curricula for undergraduate medical education, which includes the type of placements students may undertake during the course. In doing so they must ensure that teaching meets the standards of the GMC in order to both gain and maintain GMC recognition of their course.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:33:50 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1597 label Biography information for David Simpson

100194

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the Government's benchmark waiting time is to see a General Practitioner for a routine appointment; and how that benchmark was set.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	211311
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The Government does not set a benchmark for waiting times to see a general practitioner (GP) for a routine appointment.</p><p> </p><p> </p><p> </p><p>The 48 hour waiting time target was removed because it as seen as too inflexible in meeting the needs of patients. The GP patient survey showed that the proportion of people who wanted to get an appointment within 2 days (and were able to) actually fell between 2008-09 and 2009-10 i.e. when the target was in place.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 16:29:44 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4025 label Biography information for Mrs Pauline Latham

100195

registered interest
date	21/10/2014
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 the Government is taking to simplify the provision and commissioning of secondary care; and if he will make a statement.
tabling member constituency	Mid Derbyshire
tabling member printed	Pauline Latham
uin	211309
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
tabling member	4025 label Biography information for Mrs Pauline Latham