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93824

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much his Department spends on (a) bariatric surgery for obesity and (b) lifestyle intervention programmes.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210927
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>Information about National Health Service spending on bariatric surgery is available from reference costs, which are the average cost to NHS trusts and NHS foundation trusts for providing defined services in a given financial year to NHS patients. Reference costs for acute care are collected by Healthcare Resource Groups (HRGs), which are standard groupings of clinically similar treatments that consume common levels of healthcare resource. The HRGs in the attached table are specific to bariatric surgery.</p><p> </p><table><tbody><tr><td colspan="3"><p>Estimated cost of bariatric surgery to NHS providers in England by HRG, 2012-13</p></td></tr><tr><td colspan="3"><p>Total cost (£ million)</p></td></tr><tr><td><p>FZ84Z</p></td><td><p>Stomach Bypass Procedures for Obesity</p></td><td><p>16.6</p></td></tr><tr><td><p>FZ85Z</p></td><td><p>Restrictive Stomach Procedures for Obesity</p></td><td><p>8.4</p></td></tr><tr><td><p>FZ86Z</p></td><td><p>Endoscopic Insertion of Gastric Balloon for Obesity</p></td><td><p>0.4</p></td></tr><tr><td><p> </p></td><td><p>Total estimated cost</p></td><td><p>25.3</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Reference costs, Department of Health</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>Data includes the cost of procedures performed in day case, ordinary elective, non-elective and outpatient settings. Other costs outside of these settings are not included.</p><p> </p><p> </p><p> </p><p>We have given local authorities a budget of £8.2 billion over three years to help them manage public health issues including lifestyle intervention programmes including NHS Health Checks and the National Child Measurement Programme.</p><p> </p><p> </p><p> </p><p>In addition, Public Health England runs a range of well-known marketing programmes such as Change4Life, Smokefree, Be Clear on Cancer and, most recently, Dementia Friends. These deliver positive health outcomes, such as reducing adult smoking prevalence and increasing early diagnosis of cancer. These marketing programmes utilise behavioural science, commercial best practice and digital tools to engage hundreds of thousands of people. The total core marketing budget for 2014-2015 is £53 million.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/10/2014 15:46:27 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

93825

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Foetal Alcohol Spectrum Disorder
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to commission a prevalence study of foetal alcohol spectrum disorder and foetal alcohol syndrome in England.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210929
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>We understand that the World Health Organization intends to undertake a prevalence study on fetal alcohol spectrum disorder (FASD) in a number of countries.</p><p> </p><p> </p><p> </p><p>The feasibility of estimating prevalence is not yet fully clear, given uncertainties around diagnostic criteria for a number of conditions included within FASD. Studies internationally vary in methods and in how they address diagnostic issues.</p><p> </p><p> </p><p> </p><p>We intend to follow this study with interest and believe it would be prudent to await developments in this study, before considering any further prevalence work.</p><p> </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 23/10/2014 16:42:30 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

93826

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Labelling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects the final independent market survey on compliance with the Government's Responsibility Deal pledge on alcohol labelling to be published.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210930
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>As part of the Public Health Responsibility Deal, alcohol retailers and producers have committed to putting on clear unit content, National Health Service guidelines and an agreed warning or a pregnancy warning logo on 80% of labels on bottles and cans by the end of 2013.</p><p> </p><p> </p><p> </p><p>Subject to publication of the final independent market survey, we believe that just under 80% of bottles and cans had that information.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/10/2014 15:37:55 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

93254

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Foetal Alcohol Spectrum Disorder
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 current commissioning arrangements for treating foetal alcohol syndrome and foetal alcohol spectrum disorder; and if he will assess the merits of establishing a national service commissioned by NHS England for those conditions.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210443
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Health and Social Care Act 2012 sets out criteria for nationally commissioned services that National Health Service England and the NHS Commissioning Board need to consider when commissioning specialised services. Services for the treatment of Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorder do not fall within these.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence Antenatal Care guideline includes recommendations for doctors and midwives on the advice they should give to pregnant women about drinking alcohol, and we would expect that Clinical Commissioning Groups have regard to their guidelines when commissioning services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/10/2014 16:05:21 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

93300

registered interest
date	14/10/2014
answering body	Department for Communities and Local Government
answering dept id	7
answering dept short name	Communities and Local Government
answering dept sort name	Communities and Local Government
hansard heading	Refuges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Communities and Local Government, what recent assessment his Department has made of the suitability of local commissioning for specialist domestic violence refuges.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	210581
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>Decisions on the provision of accommodation for victims of domestic abuse are for local authorities; we expect local authorities to commission services based on the needs of their communities, taking account of locally available data sources.</p><p> </p><p>The dynamics of domestic abuse mean that accommodation can play an important role in the resolution of interpersonal abuse and conflict. This is why the homelessness legislation in England provides one of the strongest safety nets in the world for families with children and for vulnerable people who become homeless through no fault of their own.</p><p> </p><p>There is a range of support for victims of domestic abuse. Some victims will be accommodated in refuges, but Sanctuary Schemes and mainstream local authority accommodation may be an option for others, while some victims will pursue independent solutions with help and advice from support schemes as necessary.</p><p> </p><p>This Government has invested £6.5 billion to help vulnerable people through housing related support. This forms a key element of refuge funding through local authority commissioned services. We also fund UKRefugesOnline a UK wide database of domestic violence services which supports the national 24 hour free phone domestic violence helpline. This service enables those working with victims of domestic violence to identify appropriate services and potential refuge vacancies around the country so that victims can get the help they need as quickly as possible.</p><p> </p><p>This Government has ring-fenced nearly £40 million of funding for specialist local domestic and sexual violence support services until 2015. This funding is used to part-fund 54 multi-agency risk assessment conference co-ordinators and 144 independent domestic violence advisers. We have piloted and rolled out Clare's Law and domestic violence protection orders; extended the definition of domestic abuse to cover controlling behaviour and teenage relationships; run two successful campaigns to challenge perceptions of abuse; and placed Domestic Homicide Reviews on a statutory footing to make sure lessons are learned from individual tragedies.<br><br>We are keeping this matter under review, and are keen to support best practice and greater joint working.</p> answering member constituency Keighley answering member printed Kris Hopkins question first answered 23/10/2014 15:51:01 answering member 4043 label Biography information for Kris Hopkins previous answer version 22552 answering member constituency Keighley answering member printed Kris Hopkins answering member 4043 label Biography information for Kris Hopkins
tabling member	4036 label Biography information for Luciana Berger