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114787

registered interest
date	05/11/2014
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 were (a) the rates of admission to hospital, (b) the total hospital bed-days per population and (c) the rates of admission to hospital from a nursing home or residential care home for patients with a secondary diagnosis of dementia over (i) 65 and (ii) 75 years of age for each clinical commissioning group in England for 2013-14.
tabling member constituency	Chatham and Aylesford
tabling member printed	Tracey Crouch
uin	213473
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The Health and Social Care Information Centre have provided the following data concerning patients with a secondary diagnosis of dementia by clinical commissioning group (CCG) of residence for individuals aged over 65 and over 75, for 2013-14 (provisional):</p><p> </p><p> </p><p> </p><p>(a) the rates of admission to hospital per age group population;</p><p> </p><p>(b) the total hospital bed-days per age group population; and</p><p> </p><p>(c) the rates of admission to hospital from a nursing home or residential care home per age group population.</p><p> </p><p> </p><p> </p><p>Please be aware that data for 2013-14 is provisional and is therefore subject to change.</p><p> </p><p> </p><p> </p><p>It should be noted that some patients who live in nursing homes or residential care may have their source of admission recorded as 'usual place of residence' by the hospital staff but we cannot identify these.</p><p> </p><p> </p><p> </p><p>The table is attached.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 10/11/2014 17:13:35 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Dementia by CCG 2013-14.xlsx title Diagnosis of dementia by CCG 2013-14
tabling member	3950 label Biography information for Dame Tracey Crouch

114792

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Heywood and Middleton
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting time to see a GP is in Heywood and Middleton constituency.
tabling member constituency	Heywood and Middleton
tabling member printed	Liz McInnes
uin	213477
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The requested data is not collected centrally.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 10/11/2014 14:59:18 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4342 label Biography information for Liz McInnes

114825

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to sections 105 and 120 of NHS England's Stereotactic Radiosurgery and Radiotherapy Services Needs Assessment and Service Review, published in November 2014, which members of (a) NHS England's staff and (b) the Clinical Reference Group made up the project team; from where the focus group was drawn; and what the names are of those who sat on that focus group.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	213582
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The Walton Centre NHS Foundation Trust, based in Liverpool, provided the cost information referenced in Section 121 of NHS England's <em>Stereotactic Radiosurgery and Radiotherapy Services Needs Assessment and Service Review</em>, published on 3 November 2014.</p><p> </p><p> </p><p> </p><p>Two separate consultation (focus group) meetings were held and chaired by Mr Sean Duffy, NHS England’s National Clinical Director for Cancer, involving members of the Radiotherapy Clinical Reference Group (CRG), Adult Neurosurgery CRG, Brain and Central Nervous System CRG, Neurosciences CRG and Stereotactic Radiosurgery CRG to agree key principles and options. Details of the membership of each of the CRGs are set out on the NHS England website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/d-com/spec-serv/crg/" target="_blank">http://www.england.nhs.uk/ourwork/d-com/spec-serv/crg/</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 213583 question first answered 10/11/2014 17:16:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

114826

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times he has exercised his powers under the National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 to refer an unlicensed indication of a drug for a NICE technology appraisal.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	213574
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Since the ‘National Institute for Health and Care Excellence (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013’ came into force on 1 April 2013, the Department has not asked the National Institute for Health and Care Excellence (NICE) to develop under Regulation 7 any technology appraisal guidance on the use of an unlicensed drug. The Department has, however, under Regulation 5, asked NICE to develop guidance and recommendations on the use of a combination therapy for use in the treatment of ovarian cancer outside the terms of its marketing authorisation.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 10/11/2014 12:01:27 answering member 4020 label Biography information for George Freeman
tabling member	3931 label Biography information for Dr Julian Huppert

114828

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to section 121 of NHS England's Stereotactic Radiosurgery and Radiotherapy Services Needs Assessment and Service Review, published in November 2014, what the names are of those who supplied the data demonstrating (a) the cost effectiveness of treating patients surgically as against treating with stereotactic radiosurgery, (b) the cost of providing surgical treatment and (c) the cost of providing stereotacic radiosurgery.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	213583
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The Walton Centre NHS Foundation Trust, based in Liverpool, provided the cost information referenced in Section 121 of NHS England's <em>Stereotactic Radiosurgery and Radiotherapy Services Needs Assessment and Service Review</em>, published on 3 November 2014.</p><p> </p><p> </p><p> </p><p>Two separate consultation (focus group) meetings were held and chaired by Mr Sean Duffy, NHS England’s National Clinical Director for Cancer, involving members of the Radiotherapy Clinical Reference Group (CRG), Adult Neurosurgery CRG, Brain and Central Nervous System CRG, Neurosciences CRG and Stereotactic Radiosurgery CRG to agree key principles and options. Details of the membership of each of the CRGs are set out on the NHS England website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/ourwork/d-com/spec-serv/crg/" target="_blank">http://www.england.nhs.uk/ourwork/d-com/spec-serv/crg/</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 213582 question first answered 10/11/2014 17:16:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

114829

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Licensing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with (a) charities and (b) clinicians who support the Off-patent Drugs Bill.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	213575
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>Departmental Ministers have met with the hon. Member for Cardiff North (Jonathan Evans), with regard to his Off-Patent Drugs Bill and officials have also had discussions with Breast Cancer Campaign to understand their concerns around the prescribing of off-patent drugs and the implications for patients.</p><p> </p><p><br> We are in the process of setting up a round-table discussion with key stakeholders, NHS England and the National Institute for Health and Care Excellence to review the evidence and develop a strategy to better support use of off-label medicines in areas where the evidence suggests that they can deliver patient benefit.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 10/11/2014 17:01:24 answering member 4020 label Biography information for George Freeman
tabling member	3931 label Biography information for Dr Julian Huppert

114831

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to NHS England's agreement to provide £6 million of funding for Cancer Research UK's Stereotactic Ablative Radiotherapy (SABR) clinical trial programme, (a) over what time period that funding will be available, (b) how many patients in total will take part in that trial, (c) how many of those patients will receive SABR and (d) what the cost per patient will be.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	213584
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>The majority of the trials in the Cancer Research UK (CRUK) Stereotactic Ablative Radiotherapy (SABR) clinical trial programme run over three years, although some extend to five.</p><p> </p><p> </p><p> </p><p>CRUK has approved five United Kingdom-wide trials to date, and a sixth is being considered in November 2014. The current assessment of the number of patients that will be recruited to the trials is a provisional estimate and it is important to note that this will vary dependent on a number of factors, including local recruitment and randomisation to different trial arms.</p><p> </p><p> </p><p> </p><p>The current trial protocols indicate that around two thirds of patients will be allocated to SABR trial arms.</p><p> </p><p> </p><p> </p><p>NHS England is providing a package of support of up to £6 million to trusts that are participating in the CRUK trials. The support package for SABR, for each participating trust will vary dependent on the fractionation used within the trial, but has been developed using the existing tariff structure for external beam radiotherapy as its basis.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 16:05:22 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

114832

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women were admitted to mother and baby mental health units in each of the last five years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	213653
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 10/11/2014 11:43:04 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	114 label Biography information for Tim Loughton

114834

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Illness
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women who have been diagnosed with mental health problems have given birth in NHS maternity units in each of the last five years.
tabling member constituency	East Worthing and Shoreham
tabling member printed	Tim Loughton
uin	213654
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>More than 10% of women experience perinatal mental health problems or mental illness (i.e. during pregnancy or in the first postnatal year) and that is why improving diagnosis and services for women with perinatal mental health problems is one of the Department’s key objectives for maternity care.</p><p> </p><p> </p><p> </p><p>Health Education England is working to ensure that pre and post registration training in perinatal mental health is available to enable specialist perinatal mental health staff to be available to every birthing unit by 2017.</p><p> </p><p> </p><p> </p><p>The following table shows a count of delivery episodes with a primary or secondary diagnosis of mental health problems for the years 2008-09 to 2012-13</p><p> </p><p /> <p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Finished delivery episodes</p></td></tr><tr><td><p>2008-09</p></td><td><p>6,723</p></td></tr><tr><td><p>2009-10</p></td><td><p>8,304</p></td></tr><tr><td><p>2010-11</p></td><td><p>12,690</p></td></tr><tr><td><p>2011-12</p></td><td><p>16,696</p></td></tr><tr><td><p>2012-13</p></td><td><p>19,841</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>The term ’perinatal mental illness’ is not classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics (HES) database, but codes do exist to classify mental and behavioural disorders in pregnancy, childbirth and the puerperium.</p><p> </p><p> </p><p> </p><p>It should be noted that this is not a count of people as the same person may have had more than one admission episode within the same time period.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 10/11/2014 16:37:18 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	114 label Biography information for Tim Loughton

114836

registered interest
date	05/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rickets
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many cases of rickets have been diagnosed since 2010 in infants and children up to and including five years of age (a) in total and (b) of African, African-Caribbean and South Asian origin.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	213659
answer	answer is ministerial correction date of answer 10/11/2014 answer text <p>This information is not held centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 10/11/2014 17:42:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger