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452463

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
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 develop the collection of information on the prevalence of epilepsy in England.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	26985
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>In its guideline, <em>Epilepsies: diagnosis and management</em>, published in 2012, the National Institute for Health and Care Excellence (NICE) sets out that epilepsy is estimated to affect between 362,000 and 415,000 people in England. The guidance highlights that accurate estimates of incidence and prevalence are problematic to achieve because accurately identifying people who may have epilepsy is difficult. Regarding seizure control, NICE states that two-thirds of people with active epilepsy can have their epilepsy controlled satisfactorily with <a href="http://www.nice.org.uk/guidance/cg137/chapter/appendix-g-abbreviations-and-glossary#anti-epileptic%20drugs%20(AEDs)" target="_blank">anti-epileptic drugs. </a></p><p><br> Data on prevalence and seizure rates in patients aged 18 and above are also available via an interactive tool develop by Public Heath England’s Neurology Intelligence Network (NIN). This data is drawn from current and past indicators from the Quality and Outcomes Framework, the annual reward and incentive programme for general practitioner practices. The NIN tool can be found at the following link:<br> <br> <a href="http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology" target="_blank">http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology</a> <br> <br> The NICE guideline recommends that people having a first seizure should be seen as soon as possible by a specialist with training and expertise in epilepsy. Once diagnosed, and with a management strategy in place, the majority of people with epilepsy can be cared for through routine access to primary and secondary care. Those whose epilepsy cannot be satisfactorily controlled or whose condition cannot be appropriately diagnosed should be referred to specialised neurological service, commissioned nationally by NHS England. NHS England has published adult and paediatric specifications setting out what providers must have in place to offer specialised care for patients with neurological problems, including epilepsy. In addition, NHS England also commissions a national Children’s Epilepsy Surgery Service, designed to improve the uptake and access to surgery in those children for whom surgical control or amelioration for their epilepsy is a possibility. More information can be found at the following links:</p><p><br> <a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/</a></p><p> </p><p><a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/</a></p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf</a></p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 26986 26987 question first answered 22/02/2016 16:29:53 answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

452464

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
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 access to speciality care for people with epilepsy.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	26986
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>In its guideline, <em>Epilepsies: diagnosis and management</em>, published in 2012, the National Institute for Health and Care Excellence (NICE) sets out that epilepsy is estimated to affect between 362,000 and 415,000 people in England. The guidance highlights that accurate estimates of incidence and prevalence are problematic to achieve because accurately identifying people who may have epilepsy is difficult. Regarding seizure control, NICE states that two-thirds of people with active epilepsy can have their epilepsy controlled satisfactorily with <a href="http://www.nice.org.uk/guidance/cg137/chapter/appendix-g-abbreviations-and-glossary#anti-epileptic%20drugs%20(AEDs)" target="_blank">anti-epileptic drugs. </a></p><p><br> Data on prevalence and seizure rates in patients aged 18 and above are also available via an interactive tool develop by Public Heath England’s Neurology Intelligence Network (NIN). This data is drawn from current and past indicators from the Quality and Outcomes Framework, the annual reward and incentive programme for general practitioner practices. The NIN tool can be found at the following link:<br> <br> <a href="http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology" target="_blank">http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology</a> <br> <br> The NICE guideline recommends that people having a first seizure should be seen as soon as possible by a specialist with training and expertise in epilepsy. Once diagnosed, and with a management strategy in place, the majority of people with epilepsy can be cared for through routine access to primary and secondary care. Those whose epilepsy cannot be satisfactorily controlled or whose condition cannot be appropriately diagnosed should be referred to specialised neurological service, commissioned nationally by NHS England. NHS England has published adult and paediatric specifications setting out what providers must have in place to offer specialised care for patients with neurological problems, including epilepsy. In addition, NHS England also commissions a national Children’s Epilepsy Surgery Service, designed to improve the uptake and access to surgery in those children for whom surgical control or amelioration for their epilepsy is a possibility. More information can be found at the following links:</p><p><br> <a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/</a></p><p> </p><p><a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/</a></p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf</a></p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 26985 26987 question first answered 22/02/2016 16:29:53 answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

452465

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the proportion of people with epilepsy in England and Wales who are living seizure-free.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	26987
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>In its guideline, <em>Epilepsies: diagnosis and management</em>, published in 2012, the National Institute for Health and Care Excellence (NICE) sets out that epilepsy is estimated to affect between 362,000 and 415,000 people in England. The guidance highlights that accurate estimates of incidence and prevalence are problematic to achieve because accurately identifying people who may have epilepsy is difficult. Regarding seizure control, NICE states that two-thirds of people with active epilepsy can have their epilepsy controlled satisfactorily with <a href="http://www.nice.org.uk/guidance/cg137/chapter/appendix-g-abbreviations-and-glossary#anti-epileptic%20drugs%20(AEDs)" target="_blank">anti-epileptic drugs. </a></p><p><br> Data on prevalence and seizure rates in patients aged 18 and above are also available via an interactive tool develop by Public Heath England’s Neurology Intelligence Network (NIN). This data is drawn from current and past indicators from the Quality and Outcomes Framework, the annual reward and incentive programme for general practitioner practices. The NIN tool can be found at the following link:<br> <br> <a href="http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology" target="_blank">http://fingertips.phe.org.uk/profile-group/mental-health/profile/neurology</a> <br> <br> The NICE guideline recommends that people having a first seizure should be seen as soon as possible by a specialist with training and expertise in epilepsy. Once diagnosed, and with a management strategy in place, the majority of people with epilepsy can be cared for through routine access to primary and secondary care. Those whose epilepsy cannot be satisfactorily controlled or whose condition cannot be appropriately diagnosed should be referred to specialised neurological service, commissioned nationally by NHS England. NHS England has published adult and paediatric specifications setting out what providers must have in place to offer specialised care for patients with neurological problems, including epilepsy. In addition, NHS England also commissions a national Children’s Epilepsy Surgery Service, designed to improve the uptake and access to surgery in those children for whom surgical control or amelioration for their epilepsy is a possibility. More information can be found at the following links:</p><p><br> <a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-d/d04/</a></p><p> </p><p><a href="http://www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/" target="_blank">www.england.nhs.uk/commissioning/spec-services/npc-crg/group-e/e09/</a></p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/e09-child-epilepsy-surg.pdf</a></p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 26985 26986 question first answered 22/02/2016 16:29:53 answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

452466

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the financial implications of removing the quality and outcomes framework indicator for seizure freedom (EP002) in 2014.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	26988
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>When the Quality and Outcomes Framework (QOF) indicator EP002 was retired, all of the funding in relation to it was reinvested back into general practitioner (GP) contract core funding (global sum) payments and into new enhanced services to be delivered in general practice. The reduction in the number of QOF indicators was intended to reduce bureaucracy, unnecessary patient testing and unnecessary frequency of patient recall and recording. It was also to allow GPs to use their professional judgement to treat their patients according to best practice guidelines.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/02/2016 12:11:37 answering member 1201 label Biography information for Alistair Burt
tabling member	4076 label Biography information for Valerie Vaz

452467

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people under the age of 18 have epilepsy.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	26989
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The Department does not collect this information centrally. The Joint Epilepsy Council in <em>Epilepsy prevalence, incidence and other statistics</em>, (December 2011) estimated that around one in 220 (0.5%) children under the age of 18 have epilepsy in the United Kingdom.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/02/2016 16:33:33 answering member 3918 label Biography information for Jane Ellison
tabling member	4076 label Biography information for Valerie Vaz

452469

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vetting
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 9 February 2016 to Question 25396, what communication Ministers of his Department have had with the Metropolitan Police Force and other forces which are not meeting service level agreement standards for the time taken to complete local disclosure checks.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	27014
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>My Ministerial colleagues and I have not had any communication with the Metropolitan Police and other forces on this matter. The Disclosure and Barring Service monitors the performance of all police disclosure units and works closely with any force, including the Metropolitan Police Service, not meeting its targets.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/02/2016 14:35:21 answering member 1201 label Biography information for Alistair Burt
tabling member	1439 label Biography information for Norman Lamb

452473

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmacy: Click and Collect Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to review plans to introduce a click and collect service as a result of P2U service failings over the 2015 Christmas period.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	27167
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>All pharmacies should have a business continuity plan in place which covers not being able to provide a full or any service.</p><p> </p><p>NHS England, in conjunction with the General Pharmaceutical Council, worked urgently with Pharmacy 2 U once it became apparent that this pharmacy was failing to deliver its normal service over the Christmas period. They ensured that Pharmacy 2 U instigated several actions in addition to the business continuity plan that the pharmacy already had in place. The ability to ensure that, where necessary or as requested by the patient, prescriptions were diverted to another pharmacy of the patient's choice was made significantly easier by the fact that the majority of the prescriptions dispensed by Pharmacy 2 U are sent to them via the Electronic Prescription Service.</p><p> </p><p>Patient safety was the number one priority at the immediate time. Pharmacy 2 U resumed its normal service, as publicised, on 11 January 2016, and there now continues to be a review of the events that led to this situation to ensure that the review of community pharmacy in England is fully informed and national lessons can be learnt from this unexpected and unfortunate event.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/02/2016 14:28:36 answering member 1201 label Biography information for Alistair Burt
tabling member	298 label Biography information for Steve McCabe

452474

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Smoking
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 the smoking rate in (a) local authorities in which it is above the English average and (b) other local authorities.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	27173
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>Local authorities, funded by the Government’s public health grant, have responsibility for providing a programme of tobacco control that meets the needs of their populations. Public Health England provides local authorities with a range of data and tools including the Local Tobacco Control Profiles for England and a local youth smoking mapping tool, to assist local priority setting and support delivery.</p><p> </p><p>This Government has committed to publishing a new tobacco control plan to further reduce the prevalence of smoking in England. Addressing health inequality and local variation will be a priority of the new strategy. We are working with local authorities to develop this element of the plan to support and empower local action, where tobacco control can be tailored to the unique needs of local populations.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/02/2016 12:40:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4243 label Biography information for Dan Jarvis

452475

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Research
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 proportion of cancer patients who are offered the opportunity to take part in research in (a) trust areas in which participation rates are below the English average and (b) other areas.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	27172
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The proportion of cancer patients in England who participate in clinical trials and other research studies rose more than four-fold between 2001 and 2012, from under 4% of cancer patients to more than18%. Research participation in countries for which data exists has lagged behind the United Kingdom, at around 3% to 8% of cancer patients. For this reason, several other countries (including USA, Canada, Australia, New Zealand and Japan) have sought advice from leaders in the National Institute for Health Research (NIHR) Clinical Research Network (CRN) and adopted elements of the UK approach.</p><p> </p><p>Since 2012, the number of cancer research studies to which English patients have been recruited through the NIHR CRN has continued to rise year-on-year. Patients were recruited to 550 different studies during 2011-12, compared with 750 in 2014-15 and over 780 already in 2015-16. However, the nature of clinical research questions has changed, reducing the demand for very large numbers of patients per study. Consequently, despite the continuing increase in research studies, the total number of patients recruited per year fell slightly during 2012-14. However, there has been a 10% increase in recruitment to date in 2015-16 compared with the same months in 2014-15.</p><p> </p><p>As well as monitoring overall recruitment to cancer studies, the NIHR CRN is continually monitoring detailed performance including regional variation and variation between different cancer types, and taking steps to improve lower-performing areas. From April 2015, the NIHR CRN has comprised 15 Local Clinical Research Networks (LCRNs) and a national co-ordinating centre, which together have responsibility for study delivery in England. The LCRNs include local clinical leadership for cancer research. These Cancer Specialty Leads meet regularly with the national team to compare performance metrics and best practice, so that leaders from below-average recruiting LCRNs can learn from those with the highest performance.</p><p> </p><p>From April 2015, each LCRN has been required to identify clinical leaders for 13 different cancer subspecialties, each of whom works with the LCRN team to ensure that there is a research portfolio in place for patients within their subspecialty, and liaises with the national group developing trials in that disease type. This new system is improving the coordination of national and local research strategies, and may underlie the upturn in recruitment which is now being observed.</p><p> </p><p><strong> </strong></p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/02/2016 16:22:21 answering member 3918 label Biography information for Jane Ellison
tabling member	4243 label Biography information for Dan Jarvis

452476

registered interest
date	11/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
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 potential benefits of talking therapy for the treatment of mental health.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	27108
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>The Improving Access to Psychological Therapies (IAPT) programme is a National Institute for Health and Care Excellence recommend evidence based intervention, helping adults with common mental health conditions (including anxiety and depression) to recover. The latest data shows that that nationally we are achieving a 45% recovery rate and 61% rate in reliable improvement. In total over 733,000 people have recovered from their condition since the start of the IAPT programme, and between October 2008 and February 2015 over 100,000 people moved off of sick pay and benefits.</p><p> </p><p>The Impact Assessment published in 2011 shows that the IAPT programme would expect to deliver improved health and wellbeing of those treated, as well as savings to the National Health Service and wider economic benefits such as reductions in sickness absence.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 22/02/2016 14:36:47 answering member 1201 label Biography information for Alistair Burt
tabling member	1597 label Biography information for David Simpson