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166205

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many mental health nurses were employed in (1) community services, and (2) in-patient services, in the National Health Service in each of the last five years.
tabling member printed	Lord Bradley
uin	HL3189
answer	answer is ministerial correction date of answer 05/12/2014 answer text <p>Mental health nurses are not identified separately in the Health and Social Care Information Centre’s (HSCIC) workforce statistics. Mental health nurses work predominantly in psychiatric services but also across a range of settings and the independent sector.</p><p> </p><p> </p><p> </p><p>The following table shows the full time equivalent number of nurses who work in the community psychiatry and other psychiatry areas of work in the National Health Service in each of the last five years. The data is taken from the HSCIC’s monthly workforce statistics and is for 31 August in each year.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>Nurses working in Community Psychiatry and Other Psychiatry August 2010 to August 2014</p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Number of Full-time Equivalent Nurses in England as at 31 August</p></td></tr><tr><td><p>Area of Work</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td><td><p>2014</p></td></tr><tr><td><p>Community Psychiatry</p></td><td><p>15,999</p></td><td><p>15,572</p></td><td><p>15,677</p></td><td><p>15,651</p></td><td><p>15,404</p></td></tr><tr><td><p>Other Psychiatry</p></td><td><p>25,372</p></td><td><p>24,517</p></td><td><p>23,649</p></td><td><p>22,977</p></td><td><p>22,405</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Health and Social Care Information Centre</p><p> </p> answering member printed Earl Howe question first answered 05/12/2014 14:25:27 answering member 2000 label Biography information for Earl Howe
tabling member	452 label Biography information for Lord Bradley

166209

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they plan to implement any of the changes suggested in the Winterbourne View report.
tabling member printed	Lord Taylor of Warwick
uin	HL3193
answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>The Department welcomes the Sir Stephen Bubb report, <em>Winterbourne View: Time to Change,</em> commissioned by NHS England.</p><p> </p><p> </p><p> </p><p>Officials will work with NHS England to consider the report’s recommendations in the context of the ongoing system-wide <em>Transforming Care </em>programme, established in response to events at Winterbourne View Hospital.</p><p> </p><p> </p><p> </p><p>On 13 December 2013, the Department published <em>Winterbourne View: Transforming Care One Year On </em>which was a review of progress to date and the on-going work to ensure the right, high quality care for vulnerable people is delivered.</p><p> </p><p> </p><p> </p><p>A further commitment was made in <em>Transforming Care </em>for the Department to publish a further two year on progress report. This will be published in 2015 following the publication of the 2014 Learning Disability Census data. This will set out progress made by the Department’s system partners in implementing the commitments in <em>Transforming Care</em>.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 15:57:05 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

166210

registered interest
date	26/11/2014
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they expect the National Health Service to operate at a deficit for 2014; and what assessment they have made of the impact of any such deficit on performance.
tabling member printed	Lord Taylor of Warwick
uin	HL3194
answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>The Department group contains almost five hundred separate National Health Service organisations. The Department is required to contain the total spending of all of those organisations within a set of financial controls operated by HM Treasury and approved by Parliament. Despite significant pressures, the Department expects to contain spending within these financial controls in 2014-15.</p><p> </p><p> </p><p> </p><p>Alongside financial balance, maintaining performance against waiting time standards is a priority for the Government. The NHS is experiencing unprecedented demand for its services from a growing, ageing population with complex health needs which is making delivery of consistently high quality, timely care within its budget ever more challenging. Performance against a range of quality measures remains high but some patients are not receiving treatment as soon as the Government would like. Robust year-round operational resilience planning and performance management, backed by additional funding, is in place to help the NHS recover performance against waiting time standards in 2014-15.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 12:19:20 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

166213

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health: Travellers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what National Health Service datasets are available to compare the mental and physical health of people from Gypsy, Traveller and Roma communities with that of the rest of the population; and what those sources yield by way of trend information since 2011.
tabling member printed	Baroness Whitaker
uin	HL3197
answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>National Health Service datasets do not enable comparisons to be made between the mental and physical health of the Gypsy, Traveller and Roma communities with that of the rest of the population. These datasets – such as the Mental Health and Learning Disabilities dataset – use the nationally mandated ethnicity categories from the NHS data dictionary, based on the 2001 census groups. These groups did not include Gypsy, Traveller and Roma communities. The 2011 census included a new ethnic category group for Gypsy or Irish Traveller.</p><p> </p><p>The National Inclusion Health Board’s report, <em>Hidden Needs: identifying vulnerable groups in data collections: vulnerable migrants, gypsies and travellers, homeless people and sex workers </em>published in March 2014 recommended the adoption of the 2011 census ethnic classification by the NHS data dictionary. The Department, the NHS, Public Health England, and the Health and Social Care Information Centre are considering how this recommendation could be implemented whilst ensuring data consistency.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 15:51:00 answering member 2000 label Biography information for Earl Howe
tabling member	2510 label Biography information for Baroness Whitaker

166328

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether additional funding for running costs is provided to clinical commissioning groups given additional responsibilities for the commissioning or co-commissioning of specialised services.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	216233
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>NHS England is responsible for the commissioning of specialised services. It is for Ministers to decide, with independent advice, the conditions that should be on the specialised commissioning list.</p><p> </p><p> </p><p> </p><p>During 2015-16 there will be monitoring of all specialised commissioning expenditure against nominal clinical commissioning groups (CCGs) budgets. This information will enable both NHS England commissioners and CCG commissioners to better understand the financial position and any pressures on all specialised services. NHS England will also be engaging with CCGs through co-commissioning to carry out work to redesign pathways and invest in upstream interventions. In this context there will be no additional funding for CCG running costs for 2015-16 but this may be revisited in 2016-17.</p><p> </p><p> </p><p> </p><p>For services that have been recommended for transfer, a new Task and Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 216131 question first answered 01/12/2014 17:26:46 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

166329

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Catering
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much his Department has spent on catering and hospitality since May 2010.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	216187
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>The Department has spent the following on hospitality in each financial year:</p><p> </p><p>Financial year £</p><p> </p><p>2009-10 937,578.56</p><p> </p><p>2010-11 629,478.02</p><p> </p><p>2011-12 452,893.27</p><p> </p><p>2012-13 385,998.40</p><p> </p><p>2013-14 193,591.20</p><p> </p><p>2014-15 (to 27/10/14) 95,621.56</p><p> </p><p>For 2013-14, the most recent annual data, this represented £743,987.36 reduction on 20019-10, the last full year of data for the previous Government.</p><p> </p><p>These costs include the provision of refreshments for external meetings and visitors hosted in the Department's buildings. Departmental policy is not to provide refreshments for internal meetings.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/12/2014 17:47:49 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4244 label Biography information for Jonathan Ashworth

166330

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgical Mesh Implants
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress the working group on transvaginal mesh implants has made; and if he will make a statement.
tabling member constituency	Gosport
tabling member printed	Caroline Dinenage
uin	216204
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>The working group on vaginal tapes and mesh, chaired by NHS England and including patient representatives, clinical representatives, the Department and the Medicines and Healthcare products Regulatory Agency, has been set up to understand and address the concerns which have been raised about transvaginal mesh implants. The working group is aiming to make recommendations in spring next year.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/12/2014 17:14:22 answering member 4020 label Biography information for George Freeman
tabling member	4008 label Biography information for Dame Caroline Dinenage

166331

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dialysis Machines
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the clinical rationale is for NHS England's proposal to decommission dialysis as a specialised service.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	216239
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with advice and recommendations on Specialised Services. PSSAG meets multiple times a year. PSSAG met and formulated its recommendations on 30 September 2014. PSSAG felt that renal dialysis services no longer met the criteria for specialised commissioning and the responsibility for commissioning the service should be transferred to clinical commissioning groups (CCGs).</p><p> </p><p> </p><p> </p><p>NHS England has advised that they are in dialogue with key stakeholders about both the opportunities and challenges of transferring responsibility for renal services. The head of the Specialised Services Task Force in NHS England recently met stakeholders from renal service representative groups and heard their concerns directly. A new Task &amp; Finish group is being established by NHS England through the NHS Commissioning Assembly. This group will look specifically at what support CCGs would require to be able to safely and effectively commission services devolved to them.</p><p> </p><p> </p><p> </p><p>The Department has launched a public consultation to consider how to transfer commissioning responsibility and what would need to happen to ensure a smooth transition and maintain both service standards and patient safety. This consultation closes on 9 January 2015.</p><p> </p><p> </p><p> </p><p>NHS England is committed to issuing commissioning guidance for the safe transfer of services from national NHS England responsibility to local CCG responsibility.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/12/2014 17:29:45 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

166332

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects the Chemotherapy Intelligence Unit to publish its national audit of the Cancer Drugs Fund.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	216212
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>We understand that NHS England is working jointly with Public Health England, who manage the Chemotherapy Intelligence Unit, on the Cancer Drugs Fund Audit. <br> <br> NHS England has advised that it is anticipated an analysis from the audit will be published jointly by NHS England and Public Health England early in 2015.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/12/2014 17:09:05 answering member 4020 label Biography information for George Freeman
tabling member	4076 label Biography information for Valerie Vaz

166333

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia
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 regional variations in dementia diagnosis.
tabling member constituency	South Antrim
tabling member printed	Dr William McCrea
uin	216216
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>Improving diagnosis rates for dementia in England is a priority for the Government and we want to see both an increase in the overall rate and a reduction in the current regional variation. Diagnosis rates for dementia in Wales, Scotland and Northern Ireland are a matter for the devolved administrations.</p><p> </p><p> </p><p> </p><p>NHS England is undertaking a range of initiatives to help reduce increase dementia diagnosis rates and reduce variation including:</p><p> </p><p> </p><p> </p><p>Monthly Letters to Clinical Commissioning Groups (CCGs): the National Clinical Director for dementia is writing to CCGs on a monthly basis to update them on their latest dementia diagnosis rates. This information shows how each CCG is performing in relation to other CCGs in their area and by general practitioner practice. The letter contains resources and tools that CCGs and practices can use to help them increase diagnosis rates, for example, use of the Dementia Prevalence Calculator, which provides the opportunity for comparison between and within CCGs, at practice level.</p><p> </p><p> </p><p> </p><p>Intensive Support Offer: bespoke support is available to CCGs who wish to access specific clinical advice, through a newly established network of dementia ambassadors. This network is working closely with Regional, Area Team and Strategic Clinical Network colleagues. It provides targeted support to CCGs, providing tools, resources and guidance to aid better understanding and improvements in local dementia data and information.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 216215 question first answered 03/12/2014 16:47:01 answering member 1439 label Biography information for Norman Lamb
tabling member	655 label Biography information for Lord McCrea of Magherafelt and Cookstown