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418943

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Morquio Syndrome: Drugs
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 ensure that NHS England funds homecare costs for patients currently in receipt of the Vimizim drug from BioMarin.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	10374
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS England can confirm that it does and will continue to reimburse costs incurred by National Health Service trusts for providing homecare for patients currently in receipt of Vimizim.</p><p> </p><p> </p><p> </p><p>NHS England remains committed to supporting any additional costs associated with the delivery of Vimizim to individuals who are continuing treatment following on from the clinical trial.</p><p> </p><p> </p><p> </p><p>This message was communicated in a letter from the Director of Specialised Commissioning, Richard Jeavons, to the Chief Executive of the Society for Mucopolysaccharide Diseases (The MPS Society), Christine Lavery, on 17 August.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:34:02 answering member 4020 label Biography information for George Freeman
tabling member	1540 label Biography information for Greg Mulholland

418954

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Naloxone
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment (a) Public Health England and (b) NICE have made of the current provision, availability and use of Naloxone in community settings for the treatment of drug overdose; and what commissioning guidance each such body has issued for this drug.
tabling member constituency	Dewsbury
tabling member printed	Paula Sherriff
uin	10380
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The Government has accepted the advice from the Advisory Council on the Misuse of Drugs that naloxone needs to be more widely available. The Human Medicines (Amendment) (No.3) Regulations 2015 which come into effect on 1 October underpin the implementation of that decision.</p><p> </p><p> </p><p> </p><p>Public Health England (PHE) provides support to local authorities to carry out a Joint Strategic Needs Assessment (JSNA) in their local area each year. JSNAs identify the current and future health and care needs of the local population, including drug treatment services, and help build a robust evidence base of local needs.</p><p> </p><p> </p><p> </p><p>The drugs harm interventions section of the PHE Alcohol, Drugs and Tobacco Joint Strategic Needs Assessment support pack (<a href="http://www.nta.nhs.uk/healthcare-JSNA.aspx" target="_blank">http://www.nta.nhs.uk/healthcare-JSNA.aspx</a>) includes a checklist of questions for commissioners to consider. The checklist is titled ‘What questions should you ask to check you are following the evidence and best practice that supports the principle?’ and includes the question “Are effective overdose-awareness training and information, and naloxone provided for service users and their family/carers?”.</p><p> </p><p> </p><p> </p><p>In February 2015, PHE published advice for commissioners and providers on the provision of naloxone, so that commissioners and providers could take action to widen the availability of naloxone:</p><p> </p><p> </p><p> </p><p><a href="http://www.nta.nhs.uk/uploads/phetake-homenaloxoneforopioidoverdosefeb2015rev.pdf" target="_blank">http://www.nta.nhs.uk/uploads/phetake-homenaloxoneforopioidoverdosefeb2015rev.pdf</a></p><p> </p><p><strong> </strong></p><p> </p><p>The role of the National Institute for Health and Care Excellence (NICE) is to provide evidence based guidance, advice, quality standards and information services for the health, public health and social care sectors. It does not have responsibility for assessing the current provision, availability or use of medicines or treatments. We understand there are no plans to ask NICE to develop commissioning guidance on naloxone to treat opioid overdoses.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 14:25:14 answering member 3918 label Biography information for Jane Ellison
tabling member	4426 label Biography information for Paula Sherriff

418699

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
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 effect of the public sector pay freeze on NHS staff morale; and whether he plans to survey NHS staff on that matter.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	10139
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>National Health Service staff earning above £21,000 had their pay frozen during 2011/12 and 2012/13 with, since then, most staff receiving at least 1% increases. This approach to pay has helped protect jobs in the NHS and maintain services for patients.</p><p> </p><p> </p><p> </p><p>There is no evidence that the pay freeze affected staff morale. While the NHS Staff Survey, which provides the most comprehensive assessment of staff views about working in the NHS, does not directly measure staff morale, staff engagement, which includes staff motivation at work, staff recommending their trust as a place to work or receive treatment, and the percentage of staff able to contribute towards improvements at work, has remained high with a score of 3.76/5 in 2014 (latest available) rising from 3.68/5 in 2012 (the first year staff engagement was included).</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 15:58:15 answering member 1201 label Biography information for Alistair Burt
tabling member	4473 label Biography information for Louise Haigh

418700

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to encourage orthodontists to offer NHS appointments to children outside school hours.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	10177
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>NHS England contracts for orthodontic services at a local level taking account of the local oral health needs. Therefore opening hours are a matter for agreement between local commissioners and providers.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 10:09:04 answering member 1201 label Biography information for Alistair Burt
tabling member	4404 label Biography information for Dr Tania Mathias

418701

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the NHS has made of the potential benefits and disadvantages of the use of Doppler scans in preventing stillbirths.
tabling member constituency	Twickenham
tabling member printed	Dr Tania Mathias
uin	10175
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The UK National Screening Committee (UK NSC) which advises Ministers and the National Health Service in all four countries about all aspects of screening is currently looking at the evidence for a variety of tests (including doppler scans) and treatments to see if they would be able to help to reduce stillbirths. The UK NSC will evaluate the benefits and risks of each test and treatment against its internationally recognised criteria before making a recommendation on their introduction.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 17/09/2015 14:50:42 answering member 3988 label Biography information for Ben Gummer
tabling member	4404 label Biography information for Dr Tania Mathias

418702

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Visitors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many health visitors were employed in (a) 2011-12, (b) 2012-13, (c) 2013-14 and (d) 2014-15.
tabling member constituency	Dunfermline and West Fife
tabling member printed	Douglas Chapman
uin	10170
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The table below shows the number of full time equivalent health visitors employed in England at the mid-point in each year from 2011 to 2014, and the latest available figure in 2015. Data from 2012 onwards is taken from the Health Visitor Minimum Data Set (HV-MDS) which commenced in April 2012 and also includes data for health visitors employed by organisations that do not use Electronic Staff record (ESR) but do provide NHS-funded services, such as local authorities.</p><p> </p><p> </p><p> </p><p>Full time equivalent figures are used as this is the most accurate measure of service capacity.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>30 September 2011 <sup>1</sup></p></td><td><p>30 September 2012 <sup>2</sup></p></td><td><p>30 September 2013</p></td><td><p>30 September 2014</p></td><td><p>31 May 2015</p></td></tr><tr><td><p>7,941</p></td><td><p>8,678</p></td><td><p>9,550</p></td><td><p>10,800</p></td><td><p>11,850</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Health and Social Care Information Centre NHS Hospital and Community health service monthly workforce statistics</p><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p>1. The data for 2011 covers only those health visitors on the ESR.</p><p> </p><p>2. The figure for September 2012 is different from the published figure due to a known over count (of 14).</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></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 17/09/2015 15:56:12 answering member 3918 label Biography information for Jane Ellison
tabling member	4402 label Biography information for Douglas Chapman

418704

registered interest
date	14/09/2015
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, what recent assessment his Department has made of the prevalence of diabetes; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	10181
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Diagnosed diabetes prevalence is taken from the Quality and Outcomes Framework (QOF) and represents all patients who have been diagnosed with diabetes and included on GP registers.</p><p> </p><p> </p><p> </p><p>Diabetes prevalence is increasing. Diagnosed diabetes prevalence has increased from 2.3 million (5.3%) in 2009/10 to 2.8 million (6.2%) in 2013/14; an increase of nearly half a million people.</p><p> </p><p> </p><p> </p><p>Public Health England’s diabetes prevalence model estimates total diabetes prevalence for England and for all local authorities and clinical commissioning groups (CCG) in England. The model reflects the prevalence of diabetes (diagnosed and undiagnosed) and adjusts for the age, sex, ethnic group and deprivation pattern of the local population.</p><p> </p><p> </p><p> </p><p>The estimated total diabetes prevalence using the diabetes prevalence model is 7.5% in 2014.</p><p> </p><p> </p><p> </p><p>If current trends continue then we estimate that by 2030 there will be over 4 million people with diabetes. This represents 8.8% of the population aged 16 years and over.</p><p> </p><p> </p><p> </p><p>This data is publically available on the Healthier Lives website at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/topic/diabetes" target="_blank">http://healthierlives.phe.org.uk/topic/diabetes</a></p><p> </p><p> </p><p> </p><p>The website also provides diagnosed prevalence at the CCG level.</p><p> </p><p> </p><p> </p><p>Tackling diabetes is of great concern to this Government. Building on the National Diabetes Prevention Programme, the Department is developing its plans to improve outcomes for those at risk of and with diabetes. These will be announced in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10120 question first answered 17/09/2015 15:53:58 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

418705

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: East of England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people from within Norfolk and Suffolk Foundation Trust region have been required to travel outside their trust areas to receive emergency mental health treatment in each year since 2010.
tabling member constituency	Bury St Edmunds
tabling member printed	Jo Churchill
uin	10130
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The information is not available in the format requested.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 17/09/2015 16:08:39 answering member 1201 label Biography information for Alistair Burt
tabling member	4380 label Biography information for Jo Churchill

418711

registered interest
date	14/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Donors
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to promote the donation of blood, organs and other organic materials.
tabling member constituency	Bishop Auckland
tabling member printed	Helen Goodman
uin	10111
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS Blood and Transplant (NHSBT) is the organ donation organisation for the United Kingdom and is funded by the Department and the Devolved Administrations. Its remit also includes the provision of a reliable efficient supply of blood in England and North Wales, and providing tissues to the National Health Service.</p><p> </p><p> </p><p> </p><p>NHSBT actively campaigns to promote public awareness about the importance of organ and tissue donation and transplantation and to encourage people to join the NHS Organ Donor Register (ODR). Underpinning NHSBT’s work to promote organ donation is encouraging people to join the ODR and then to let their loved ones know that they have made a decision to donate. Encouraging this conversation is important as families are more likely to agree to donation if they know that is what their loved one wanted.</p><p> </p><p> </p><p> </p><p>The Department has also worked to raise general awareness of persistent inequalities people from a Black, Asian and Minority Ethnic (BAME) background face when trying to find a suitable bone marrow or organ donor and supports the work of the National BAME Transplant Alliance. Launched in 2012, this group helps to coordinate the work of BAME organisations promoting donation.</p><p> </p><p> </p><p> </p><p>The UK’s health administrations, many charities, community groups and hospitals also work hard to promote organ and tissue donation and NHSBT work collaboratively with them wherever possible.</p><p> </p><p> </p><p> </p><p>NHSBT regularly campaigns to encourage more of the eligible population, including from the BAME community to donate blood. Although blood stocks are currently in a healthy position, there is always a need for new donors to fill the gaps left by existing donors who are no longer able to give blood - to ensure that we have the right mix of blood groups to match patients’ needs. NHSBT co-ordinates local and national awareness campaigns, such as the current ‘Bleed for England’ campaign, which are intended to motivate thousands of people to start donating blood.</p><p> </p><p> </p><p> </p><p>In addition, the Department funds the national Gamete Donation Trust through a contract to provide a range of services to promote gamate donation and support the recruitment and retention of egg and sperm donors, which helps infertile couples.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 14:39:02 answering member 3918 label Biography information for Jane Ellison
tabling member	1484 label Biography information for Helen Goodman

418712

registered interest
date	14/09/2015
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, what recent assessment his Department has made of the trends in the prevalence of diabetes; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	10120
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Diagnosed diabetes prevalence is taken from the Quality and Outcomes Framework (QOF) and represents all patients who have been diagnosed with diabetes and included on GP registers.</p><p> </p><p> </p><p> </p><p>Diabetes prevalence is increasing. Diagnosed diabetes prevalence has increased from 2.3 million (5.3%) in 2009/10 to 2.8 million (6.2%) in 2013/14; an increase of nearly half a million people.</p><p> </p><p> </p><p> </p><p>Public Health England’s diabetes prevalence model estimates total diabetes prevalence for England and for all local authorities and clinical commissioning groups (CCG) in England. The model reflects the prevalence of diabetes (diagnosed and undiagnosed) and adjusts for the age, sex, ethnic group and deprivation pattern of the local population.</p><p> </p><p> </p><p> </p><p>The estimated total diabetes prevalence using the diabetes prevalence model is 7.5% in 2014.</p><p> </p><p> </p><p> </p><p>If current trends continue then we estimate that by 2030 there will be over 4 million people with diabetes. This represents 8.8% of the population aged 16 years and over.</p><p> </p><p> </p><p> </p><p>This data is publically available on the Healthier Lives website at:</p><p> </p><p> </p><p> </p><p><a href="http://healthierlives.phe.org.uk/topic/diabetes" target="_blank">http://healthierlives.phe.org.uk/topic/diabetes</a></p><p> </p><p> </p><p> </p><p>The website also provides diagnosed prevalence at the CCG level.</p><p> </p><p> </p><p> </p><p>Tackling diabetes is of great concern to this Government. Building on the National Diabetes Prevention Programme, the Department is developing its plans to improve outcomes for those at risk of and with diabetes. These will be announced in due course.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10181 question first answered 17/09/2015 15:53:59 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham