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418463

registered interest
date	11/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hidradenitis Suppurativa
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps NHS England takes to assess the health and social care needs of patients with hidradenitis suppurativa; and what assessment he has made of the ability of the NHS to deliver efficient diagnosis and access to specialist care for such patients.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	10010
answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>NHS England works in partnership with local commissioners and providers to ensure people with long-term conditions, such as hidradenitis suppurativa (HS), are supported to live healthily and independently and are empowered to take better control over the care they receive.</p><p> </p><p> </p><p> </p><p>The majority of patients with HS can be managed through routine access to primary and secondary care, including dermatology clinics, which is responsibility of the local National Health Service commissioners. Treatment and management of the condition involves antibiotics, antiseptic washes and immunosuppressive treatments such as steroids or ciclosporin, which a general practitioner may prescribe.</p><p> </p><p> </p><p> </p><p>For those patients with the more serious forms of HS, referral to a specialised dermatology service may be appropriate. NHS England commissions services for people with rare and complex skin conditions, including HS, and has set out what providers must have in place in order to offer specialist dermatology care. This supports equity of access to a high quality service for patients wherever they live. These services may provide more intensive therapies with the involvement of a range of health and care professionals, subject to a patient’s needs. More information can be found by viewing the specialised dermatology service specification at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10011 question first answered 16/09/2015 11:46:53 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

418464

registered interest
date	11/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hidradenitis Suppurativa
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress has been made by NHS England on the production of a commissioning policy for treatments associated with hidradenitis suppurativa; what the proposed scope of that policy is; and when he expects that policy to have been fully developed.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	10011
answer	answer is ministerial correction date of answer 16/09/2015 answer text <p>NHS England works in partnership with local commissioners and providers to ensure people with long-term conditions, such as hidradenitis suppurativa (HS), are supported to live healthily and independently and are empowered to take better control over the care they receive.</p><p> </p><p> </p><p> </p><p>The majority of patients with HS can be managed through routine access to primary and secondary care, including dermatology clinics, which is responsibility of the local National Health Service commissioners. Treatment and management of the condition involves antibiotics, antiseptic washes and immunosuppressive treatments such as steroids or ciclosporin, which a general practitioner may prescribe.</p><p> </p><p> </p><p> </p><p>For those patients with the more serious forms of HS, referral to a specialised dermatology service may be appropriate. NHS England commissions services for people with rare and complex skin conditions, including HS, and has set out what providers must have in place in order to offer specialist dermatology care. This supports equity of access to a high quality service for patients wherever they live. These services may provide more intensive therapies with the involvement of a range of health and care professionals, subject to a patient’s needs. More information can be found by viewing the specialised dermatology service specification at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/a12-spec-dermatology.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 10010 question first answered 16/09/2015 11:46:53 answering member 3918 label Biography information for Jane Ellison
tabling member	1538 label Biography information for Rosie Cooper

418085

registered interest
date	09/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Myeloma: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether his Department plans to make lenalidomide available after the Patient Access Scheme for second line treatment is approved.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	9753
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Ministers are responsible for agreeing whether a patient access scheme (PAS) proposal can be considered in the development of guidance by the National Institute for Health and Care Excellence (NICE), taking advice from the Patient Access Scheme Liaison Unit at NICE into account. It is then for NICE to consider the PAS proposal alongside other evidence in determining whether the technology represents a clinical and cost effective use of National Health Service resources taking into account.</p><p> </p><p> </p><p> </p><p>In line with the provisions of the 2014 Pharmaceutical Price Regulation Scheme, discussions about patient access scheme proposals are confidential until a proposal is considered in the development of NICE guidance.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 9752 question first answered 14/09/2015 14:47:08 answering member 4020 label Biography information for George Freeman
tabling member	3939 label Biography information for Andrew Percy

418086

registered interest
date	09/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Myeloma: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when NICE plans to approve the Patient Access Scheme for second line treatment with lenalidomide for patients with multiple myeloma.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	9752
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Ministers are responsible for agreeing whether a patient access scheme (PAS) proposal can be considered in the development of guidance by the National Institute for Health and Care Excellence (NICE), taking advice from the Patient Access Scheme Liaison Unit at NICE into account. It is then for NICE to consider the PAS proposal alongside other evidence in determining whether the technology represents a clinical and cost effective use of National Health Service resources taking into account.</p><p> </p><p> </p><p> </p><p>In line with the provisions of the 2014 Pharmaceutical Price Regulation Scheme, discussions about patient access scheme proposals are confidential until a proposal is considered in the development of NICE guidance.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 9753 question first answered 14/09/2015 14:47:08 answering member 4020 label Biography information for George Freeman
tabling member	3939 label Biography information for Andrew Percy

416385

registered interest
date	04/09/2015
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by what indicators he plans to use to assess the improvement of Trusts receiving support from the Emergency Care Improvement Programme.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	8995
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p><del class="ministerial">Public Health England has developed a campaign to raise awareness of the symptom of breathlessness which ran as a local pilot in Oldham and Rochdale from 24 February – 23 March 2014 and as a regional pilot in the East of England 2 February – 1 March 2015.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">The Breathlessness campaign aims to encourage those with inappropriate breathlessness (breathlessness that is disproportionate to the level of activity undertaken i.e. at rest or on minimal exertion) to go and see their general practitioner (GP). It is primarily aimed at earlier diagnosis of heart and lung disease, including chronic obstructive pulmonary disease, with scope to reduce premature mortality and to improve the quality of life of those living with these conditions. The key message of the campaign is “If you get out of breath doing things that you used to be able to do, see your GP. Getting out of breath could be a sign of heart or lung disease. Finding it early makes it more treatable, so don’t ignore it, tell your doctor”.</del></p><p> </p><p> </p><p> </p><p><del class="ministerial">Evaluation of the regional pilot is still underway, although early findings from follow-up in-depth interviews with a sample of local GPs and pharmacists and pre and post awareness tracking research among the public, are positive.</del></p><p> </p><p> </p><p><ins class="ministerial"> <p> </p><p><ins class="ministerial">The Emergency Care Improvement Programme (ECIP) is a clinically led programme that will offer practical help and support to the 27 urgent and emergency care systems across England that are under the most pressure. </ins></p><p> </p><p><ins class="ministerial"> </ins></p><p> </p><p><ins class="ministerial">The progress of trusts taking part in ECIP will be measured by monitoring improvements in their accident and emergency (A&amp;E) four hour waiting time standard, along with patient outcome and experience indicators. The urgent and emergency care systems taking part in this programme were selected based on performance against the A&amp;E four hour standard in 2014/15 and Q1 of 2015/16 alongside discussions with regional teams from NHS England, Monitor and the Trust Development Authority.</ins></p><p><ins class="ministerial"> </ins></p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 14/09/2015 15:55:26 question first ministerially corrected 14/09/2015 17:19:34 answering member 3918 label Biography information for Jane Ellison previous answer version 21204 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

416596

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his Department's definition is of (a) academic and (b) service consultants.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	8935
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>Clinical academics are doctors and dentists (including consultants and general practitioners) who are employed by higher education institutions, or other organisations, in a research and/or teaching capacity and who also provide services for National Health Service patients as part of honorary NHS contracts.</p><p> </p><p> </p><p> </p><p>Service consultants are employed by NHS organisations.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 16:43:58 answering member 1201 label Biography information for Alistair Burt
tabling member	151 label Biography information for Tom Brake

416719

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
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 is from referral to first appointment for Croydon Child and Adolescent Mental Health Service.
tabling member constituency	Croydon North
tabling member printed	Mr Steve Reed
uin	8406
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>This data is not collected centrally.</p><p> </p><p> </p><p> </p><p>Some data is available at local level. However, for specialist or acute mental health services, waiting times vary according to the degree of urgency for each case. These are assessed by senior clinicians in South London and Maudsley (SLAM) who provide services for children and young people in Croydon and are reviewed as soon as new information is available.</p><p> </p><p> </p><p> </p><p>In recognition of the fact that there are long waiting times for community mental health services for children and young people, Croydon Clinical Commissioning Group (Croydon CCG) has committed to a 16% uplift to specialist Child and Adolescent Mental Health Services for 2015/16 onwards. This will introduce additional capacity into community mental health services to improve access for routine appointments. This is likely to be further enhanced by additional funding which is being allocated for children and young people’s mental health by the Government to CCGs and their partners, through the local transformation plans.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 16:25:44 answering member 1201 label Biography information for Alistair Burt
tabling member	4268 label Biography information for Steve Reed

416797

registered interest
date	04/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
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 improve support for children and young people with mental health issues.
tabling member constituency	Northampton South
tabling member printed	David Mackintosh
uin	8436
answer	answer is ministerial correction date of answer 14/09/2015 answer text <p>After publishing <em>Future in mind</em> in March this year, The Department is working closely with NHS England and other partners to improve children and young people’s mental health and wellbeing. This is a major priority of the Government.</p><p> </p><p> </p><p> </p><p>The first major step for achieving sustainable, system-wide transformation is the development of local transformation plans in line with proposals put forward in <em>Future in mind</em>. On 3 August 2015, NHS England published guidance requiring all clinical commissioning groups to develop these plans, working across the NHS, health and wellbeing boards, public health, local authority, youth justice and education sectors. These plans should cover the full spectrum of interventions: from prevention to support and care for existing, or emerging mental health problems, as well as transitions between services and addressing the needs of the most vulnerable. A national programme of work to support local transformation is under way, which includes tackling stigma, improving data and information to inform greater transparency and accountability and developing a specialist and stronger workforce.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 14/09/2015 16:01:55 answering member 1201 label Biography information for Alistair Burt
tabling member	4431 label Biography information for David Mackintosh

391822

registered interest
date	21/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many Child and Adolescent Mental Services inpatient Tier 4 beds were available in each region and in each of the past four years; and what the average waiting time was for such a bed in each such region in each such year.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	8249
answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>The data requested is not collected in this form.</p><p> </p><p> </p><p> </p><p>The new Mental Health Services Dataset will contain measures of waiting times and is expected to begin collecting data from January 2017.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/09/2015 15:03:57 answering member 1201 label Biography information for Alistair Burt
tabling member	4518 label Biography information for Tulip Siddiq

391836

registered interest
date	21/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
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 adequacy of resources available to (a) adult mental health services, (b) child and adolescent mental health services to provide people who are survivors of (i) current and (ii) historic child sexual abuse with therapeutic and other support services in each of the last five years; and if he will make a statement.
tabling member constituency	Brighton, Pavilion
tabling member printed	Caroline Lucas
uin	8221
answer	answer is ministerial correction date of answer 08/09/2015 answer text <p>No such assessment has been made. However, counselling services should be available as part of the wider mental health provision to support sexually abused children. This Government is committed to improving children and young people’s mental health and wellbeing as a whole, which will also benefit children and young people who have been victims of sexual abuse.</p><p> </p><p><br> National Health Service funding for mental health services increased by £300 million last year. Historically, treatment targets have only been attached to physical health – a problem the Government is correcting with £1.25 billion announced in the last Budget. This will direct funding to mental health services and will ensure people, including those whose mental health has been affected through sexual abuse, get the treatment they need when they need it.</p><p> </p><p> </p><p> </p><p>Our investment to date in the Improving Access to Psychological Therapies (IAPT) programme has made a choice of psychological therapies available for those who need them. IAPT include therapies for post-traumatic stress disorder (PTSD) in response to sexual abuse as well as therapies for depression and anxiety disorders which may result from the traumatic of the abuse.</p><p> </p><p><br> In March 2015, ‘Tackling Child Sexual Exploitation’ published in March 2015, set out cross-Government actions to prevent child sexual exploitation or, where it has happened, ensure victims and survivors get the support they need. The Department and its arms-length bodies are taking forward the health related recommendations, which focus on improving data on prevalence so that commissioners can develop the local service response to meet local needs.</p><p> </p><p><br> The National Institute for Health and Care Excellence (NICE) issued guidelines on ‘Post-traumatic stress disorder (PTSD): The management of PTSD in adults and children in primary and secondary care’ issued in March 2005, reviewed in December 2011, and ‘Depression in adults: The treatment and management of depression in adults’, published in October 2009. The guidance includes recommendations for the care and treatment of people with psychological and mental health needs arising from sexual abuse.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 08/09/2015 14:01:47 answering member 1201 label Biography information for Alistair Burt
tabling member	3930 label Biography information for Caroline Lucas