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48229

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 role independent pharmacies play in relieving pressures on other health and welfare services; and what steps he has taken to disseminate best practice.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	196239
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Pharmacy already plays a vital role in supporting the health of people in their local communities, providing high quality care and support, improving people's health and reducing health inequalities. However, as we move to more integrated care, there is real potential for pharmacists and their teams to play an even greater role in the future, particularly in keeping people healthy, supporting those with long term conditions and helping make sure patients and the National Health Service get the best use from medicines.</p><p> </p><p>NHS England's public consultation, <em>Improving care through community pharmacy –</em> <em>a call to action</em>, which closed on 18 March, has provided an important opportunity to explore the contribution community pharmacists and their teams can make. This will inform a strategic framework for commissioning wider primary care services in the autumn. A copy of the consultation document is at:</p><p> </p><p>www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/pharm-cta/</p><p> </p><p>In the meantime, NHS England's <em>The earlier, the better</em> campaign, launched in January 2014, specifically sought to raise the profile of community pharmacy with the public, to increase the number of people accessing community pharmacy services when they have a minor ailment and reduce pressures on other parts of the NHS.</p><p> </p><p>On 14 April, the Department and NHS England published <em>Transforming Primary Care - Safe, proactive, personalised care for those who need it most</em>. This sets out plans for more proactive, personalised and joined up care, part of which is harnessing the potential of pharmacists. This recognises the vital role that pharmacists have in optimising medicines use, helping to prevent avoidable hospital admissions and supporting people to manage their own care. A copy has been placed in the Library.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196241 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb attachment 1 file name 196239_and_196241_-_Library_document[1].pdf title Transforming Primary Care document
	tabling member	4006 label Biography information for Dr Matthew Offord

48231

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what levels of stock his Department holds of (a) stationery, (b) printer cartridges, (c) treasury tags and other fasteners and (d) other office consumables.
	tabling member constituency	Wokingham
	tabling member printed	Mr John Redwood
	uin	196208
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department makes use of the Government Office Supplies contract to obtain supplies of stationery and associated items. In March 2014, the Department ordered 1,957 units of stationery which included 54 boxes of foldback clips, 41 boxes of bar tags and 15 boxes of paperclips. These items are ordered directly from Banner on an as required basis by individual directorates and no records of any small local stocks are maintained.</p><p> </p><p>The Department does not hold central stocks of the consumables associated with the provision of multi functional device services such as printers. These items are replenished automatically by the supplier when required.</p><p> </p><p>In a small number of cases, standalone printer cartridges are sourced through XMA Ltd under the Government Office Supplies Contract. In March 2014, the Department sourced 13 units through this contract. A small number of these items may be held locally but these are not recorded.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	14 label Biography information for Sir John Redwood

48233

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate has he made of the cost to the economy of untreated mental illness.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196255
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196254 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48234

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the effectiveness of dementia awareness training in the health and social care sector; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196253
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The Government's Mandate to Health Education England (HEE), published in May 2013, included the following deliverables:</p><p> </p><p>- All National Health Service staff who look after patients with dementia can have foundation level dementia training; and</p><p>- 100,000 NHS staff will have received foundation level training by 31 March 2014.</p><p> </p><p>The latest data available from HEE shows that over 108,000 NHS staff had completed Tier 1 dementia awareness training by 14 October 2013.</p><p><strong> </strong></p><p>The Department has commissioned a number of projects on dementia education and training for health and social care staff and is working closely with its Workforce Advisory Group on dementia to consider the effectiveness of this work.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48235

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 numbers of community children's nurses meet future demand; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196251
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Secretary of State has delegated to Health Education England (HEE) the responsibility for delivering a better health and healthcare workforce for England. HEE plans and develops the workforce to ensure a secure workforce supply for the future, balancing need against demand. HEE's Workforce Plan, published in December 2013, confirmed an increase of 31 (1.4%) in education and training commissions for children's nurses for 2014-15.</p><p> </p><p>The local education and training boards, which are sub-committees of HEE, work with local providers, including employers, to contribute to HEE's overall future workforce plan. It is the responsibility of employers to ensure they have the right staff, with the right skills to deliver high quality care, which includes supporting their continuing professional development.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48236

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many children of what age have spent three months or more continuously in hospital in each local health authority in each of the last five years.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196252
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Information is not available by local health authority. The attached table gives information by strategic health authority (SHA) of the number of children (by age bands) up to 18 years who have spent more than three months in hospital in the last five years for which information is available.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ196252 - Count of Finished Discharge Episodes.docx title Count of Finished Discharge Episodes
	tabling member	3950 label Biography information for Dame Tracey Crouch

48237

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of NHS funding is allocated to (a) mental and (b) physical health care.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196254
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48238

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 on NHS service provision for seriously ill children and their families of the specialist senior nurses posts funded by the charity Well Child.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196249
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>We have not made any central assessment of this role. We are aware of the valuable work which Well Child does, and we were able to support Well Child with a grant in 2010-11 from the £19 million we made available for funding local schemes to support children's palliative care services.</p><p> </p><p>We understand that Well Child funds each nurse for a period of three years after which time the individual National Health Service health provider commits to continue the post. Each nurse is employed and managed by the local healthcare trust in which they work and therefore it would seem that the providers would be best placed to comment on the impact they have made.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48239

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 NHS staff have the appropriate training to communicate effectively and compassionately with patients at difficult times in the diagnosis and treatment process; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196260
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The content and standard of healthcare professional training is the responsibility of healthcare regulators, which are independent statutory bodies. They have the general function of promoting high standards of education and co-ordinating all stages of education to ensure that students and newly qualified professionals are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development in the National Health Service. HEE will work with stakeholders to influence training curricula as appropriate.</p><p> </p><p>The Government has announced a series of actions that demonstrate its commitment to creating a culture of openness, candour, learning and accountability in an NHS which puts compassion at its heart. These include placing compassionate care at the heart of the training and recruitment of NHS staff; implementing the Compassion in Practice strategy for nursing and midwifery; and a new care certificate for healthcare assistants.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48240

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress his Department has made on diagnosis rates of brain tumours in the last 10 years; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196261
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p><em>Improving Outcomes: A Strategy for Cancer</em>, published on 12 January 2011, stated that general practitioners (GPs) need easy access to the right diagnostic tests to diagnose or exclude cancer earlier. The strategy committed over £450 million over four years, to achieve early diagnosis of cancer, including improving access to key diagnostic tests, such as Magnetic Resonance Imaging (MRI) scans to support the diagnosis of brain cancer. The funding was also designed to cover subsequent testing and treatment in secondary care.</p><p> </p><p>In 2012, the Department published <em>Direct Access to Diagnostic Tests for Cancer</em>,<em>Best Practice Referral Pathways for General Practitioners. </em>The document includes criteria for accessing key diagnostic tests including MRI brain scan and aims to raise awareness of the symptoms that require urgent referral to specialists and sets out where a direct referral for an MRI brain scan may benefit patients through achieving a faster diagnosis. GPs are able to access these tests directly in cases where the two week urgent referral pathway is not appropriate but a patient's symptoms require further investigation. The intention is that more people presenting with relevant symptoms will be tested and at an earlier stage.</p><p> </p><p>NHS England monitors the use of these diagnostic tests through the Diagnostic Imaging Dataset. Latest provisional data published by NHS England on 27 March 2014 for the period November 2012 to November 2013, showed that over a quarter of all tests that may have been used to diagnose or discount cancer were requested by GPs under direct access arrangements. In that period, 509,215 MRI tests were requested including 35,055 through direct GP access arrangements. The published data is available at:</p><p> </p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/diagnostic-imaging-datasetdiagnostic-imaging-dataset-2013-14-data/" target="_blank">www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/diagnostic-imaging-datasetdiagnostic-imaging-dataset-2013-14-data/</a>.</p><p> </p><p>Information on diagnosis rates of brain tumours is not centrally collected. Information on number of patients with suspected brain or central nervous system tumours who were seen by a specialist within two weeks from a GP referral is provided in the attached tables, for the last 10 years.</p><p> </p><p>Before 2009, the operational standard for two week waits was 98%. Starting from the 1 of January 2009, the basis for reporting waiting times data was changed. The new standards were set to be more in line with the already implemented referral to treatment routes. The scope of cover for the new standards was widened (as set out in the Cancer Reform Strategy 2008), and the collection was made simpler by not using clock pauses. From 2009 onwards the operational standard for two week waits was set to 93% (assumed to be the maximum sustainable performance level) including tolerances for:</p><p>- The number of patients who make themselves unavailable or decline an appointment within two weeks.</p><p>- Patients who cancel a booked outpatient appointment (giving advance notice), and rebook appointments outside of 14-days.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196258 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name No of patients with suspected brain or central nervous system tumours.docx title Tables for PQs 196258 and 196261
	tabling member	3950 label Biography information for Dame Tracey Crouch

48241

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he has taken to increase public understanding of the services offered by independent pharmacies.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	196241
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Pharmacy already plays a vital role in supporting the health of people in their local communities, providing high quality care and support, improving people's health and reducing health inequalities. However, as we move to more integrated care, there is real potential for pharmacists and their teams to play an even greater role in the future, particularly in keeping people healthy, supporting those with long term conditions and helping make sure patients and the National Health Service get the best use from medicines.</p><p> </p><p>NHS England's public consultation, <em>Improving care through community pharmacy –</em> <em>a call to action</em>, which closed on 18 March, has provided an important opportunity to explore the contribution community pharmacists and their teams can make. This will inform a strategic framework for commissioning wider primary care services in the autumn. A copy of the consultation document is at:</p><p> </p><p>www.england.nhs.uk/ourwork/qual-clin-lead/calltoaction/pharm-cta/</p><p> </p><p>In the meantime, NHS England's <em>The earlier, the better</em> campaign, launched in January 2014, specifically sought to raise the profile of community pharmacy with the public, to increase the number of people accessing community pharmacy services when they have a minor ailment and reduce pressures on other parts of the NHS.</p><p> </p><p>On 14 April, the Department and NHS England published <em>Transforming Primary Care - Safe, proactive, personalised care for those who need it most</em>. This sets out plans for more proactive, personalised and joined up care, part of which is harnessing the potential of pharmacists. This recognises the vital role that pharmacists have in optimising medicines use, helping to prevent avoidable hospital admissions and supporting people to manage their own care. A copy has been placed in the Library.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196239 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb attachment 1 file name 196239_and_196241_-_Library_document[1].pdf title Transforming Primary Care document
	tabling member	4006 label Biography information for Dr Matthew Offord

48242

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what criteria his Department use to define illness as mental as opposed to physical.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	uin	196245
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196254 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	3994 label Biography information for Andrew Bingham

48243

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will consider creating the role of bereavement midwives to work exclusively with parents who have experienced the death of their baby shortly before, during or after birth; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196273
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>It is for the National Health Service locally to ensure appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council's Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death.</p><p> </p><p>To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists' <em>Standards for Gynaecology</em> and <em>Standards for Maternity</em> sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.</p><p> </p><p>Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:</p><p> </p><p>http://www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 196274 question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48244

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 information on bereavement support and services is made available to parents who have suffered the loss of a baby.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196274
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>It is for the National Health Service locally to ensure appropriate facilities and services are in place to support bereaved parents following the death of a baby. In line with the Nursing and Midwifery Council's Standards of proficiency for pre-registration midwifery education, all midwives should be proficient in providing care for women who have suffered pregnancy loss, stillbirth or neonatal death.</p><p> </p><p>To assist NHS commissioners and providers, the Royal College of Obstetricians and Gynaecologists' <em>Standards for Gynaecology</em> and <em>Standards for Maternity</em> sets out clear standards for the level of care provided to help women and their partners experiencing pregnancy loss, including the availability of skilled staff to support parents following a stillbirth or miscarriage. A number of trusts now employ specialist bereavement midwives to provide this support.</p><p> </p><p>Local NHS maternity care providers are responsible for ensuring parents receive appropriate information on bereavement support and services following the death of a baby. To complement information provided locally, information on support for parents after a stillbirth is available on the NHS Choices website at:</p><p> </p><p>http://www.nhs.uk/Conditions/Stillbirth/Pages/Getting-help.aspx</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 196273 question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48245

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the sufficiency of access to imagery scanning for diagnosing brain tumours; and if he will issue revised guidance on when to refer a patient for a scan with the aim of raising diagnosis rates and decreasing mortality rates.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196258
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p><em>Improving Outcomes: A Strategy for Cancer</em>, published on 12 January 2011, stated that general practitioners (GPs) need easy access to the right diagnostic tests to diagnose or exclude cancer earlier. The strategy committed over £450 million over four years, to achieve early diagnosis of cancer, including improving access to key diagnostic tests, such as Magnetic Resonance Imaging (MRI) scans to support the diagnosis of brain cancer. The funding was also designed to cover subsequent testing and treatment in secondary care.</p><p> </p><p>In 2012, the Department published <em>Direct Access to Diagnostic Tests for Cancer</em>,<em>Best Practice Referral Pathways for General Practitioners. </em>The document includes criteria for accessing key diagnostic tests including MRI brain scan and aims to raise awareness of the symptoms that require urgent referral to specialists and sets out where a direct referral for an MRI brain scan may benefit patients through achieving a faster diagnosis. GPs are able to access these tests directly in cases where the two week urgent referral pathway is not appropriate but a patient's symptoms require further investigation. The intention is that more people presenting with relevant symptoms will be tested and at an earlier stage.</p><p> </p><p>NHS England monitors the use of these diagnostic tests through the Diagnostic Imaging Dataset. Latest provisional data published by NHS England on 27 March 2014 for the period November 2012 to November 2013, showed that over a quarter of all tests that may have been used to diagnose or discount cancer were requested by GPs under direct access arrangements. In that period, 509,215 MRI tests were requested including 35,055 through direct GP access arrangements. The published data is available at:</p><p> </p><p><a href="http://www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/diagnostic-imaging-datasetdiagnostic-imaging-dataset-2013-14-data/" target="_blank">www.england.nhs.uk/statistics/statistical-work-areas/diagnostic-imaging-dataset/diagnostic-imaging-datasetdiagnostic-imaging-dataset-2013-14-data/</a>.</p><p> </p><p>Information on diagnosis rates of brain tumours is not centrally collected. Information on number of patients with suspected brain or central nervous system tumours who were seen by a specialist within two weeks from a GP referral is provided in the attached tables, for the last 10 years.</p><p> </p><p>Before 2009, the operational standard for two week waits was 98%. Starting from the 1 of January 2009, the basis for reporting waiting times data was changed. The new standards were set to be more in line with the already implemented referral to treatment routes. The scope of cover for the new standards was widened (as set out in the Cancer Reform Strategy 2008), and the collection was made simpler by not using clock pauses. From 2009 onwards the operational standard for two week waits was set to 93% (assumed to be the maximum sustainable performance level) including tolerances for:</p><p>- The number of patients who make themselves unavailable or decline an appointment within two weeks.</p><p>- Patients who cancel a booked outpatient appointment (giving advance notice), and rebook appointments outside of 14-days.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196261 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison attachment 1 file name No of patients with suspected brain or central nervous system tumours.docx title Tables for PQs 196258 and 196261
	tabling member	3950 label Biography information for Dame Tracey Crouch

48246

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 encourage international collaboration in research and the sharing of best practice on quality of life for patients diagnosed with brain tumours.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196259
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>NHS England has made a recent assessment of the sufficiency of access to information about support and services for people diagnosed with a brain tumour through its Peer Review Programme (PRP). This programme includes measures that require all brain and central nervous system multidisciplinary teams (MDTs) to demonstrate the availability and adequacy of patient information. The outcome of the 2013-14 assessment of compliance with these measures indicated that out of 91 MDTs and 36 treatment centres, 84% were compliant with the patient information measure at the most robust level.</p><p> </p><p>There is a programme of work aimed at improving the care and experience of people living with a diagnosis of cancer, developed in collaboration with Macmillan Cancer Support which draws from a wide range of evidence based good practice.</p><p> </p><p>The National Cancer Intelligence Network runs a brain and central nervous system- related cancers Clinical Reference Group, which works closely with a brain cancer charities. In addition to this, the PRP measures participation in drug trials and research internationally.</p><p> </p><p>The Department works closely with its cancer research funding partners through the National Cancer Research Institute (NCRI). The NCRI is a strategic partnership of 22 government, charity and industry cancer research funders, together with patients. The NCRI is a member of the International Cancer Research Partnership (ICRP), which includes cancer research funders from USA, Canada, Europe, Japan and Australia. The ICRP is a unique alliance of cancer organisations working together to enhance global collaboration and strategic coordination of research. Researchers can search the ICRP database to avoid duplication and identify collaborators in specific areas of cancer research including brain tumour research.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196257 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3950 label Biography information for Dame Tracey Crouch

48247

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Midwives
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the benefits of all expectant mothers being assigned one specific midwife for the duration of their pregnancy in ensuring (a) continued care, (b) correct information being received and (c) prevention of stillbirth.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196272
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The benefits of pregnant women being cared for by a named midwife are widely recognised. The latest available evidence for antenatal clinical practice was considered as part of the development of the National Institute for Health and Care Excellence's (NICE) Quality Standard for antenatal care in 2012. Based on this evidence, NICE recommends that pregnant women are cared for by a named midwife who is responsible for providing all or most of her antenatal and postnatal care and the women's coordinating care should they not be available.</p><p> </p><p>The Care Quality Commission's 2013 survey of women's experiences of maternity care found that women who saw the same midwife each time tended to report more positive experiences of antenatal and postnatal care.</p><p> </p><p>Health Education England is currently leading a project to explore the ambitions for personalised maternity care and consider different scenarios for how maternity services could be configured in the future, including the capability and capacity of the workforce.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48248

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the sufficiency of access to information about support and services for people diagnosed with a brain tumour; and if he will make a statement.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196257
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>NHS England has made a recent assessment of the sufficiency of access to information about support and services for people diagnosed with a brain tumour through its Peer Review Programme (PRP). This programme includes measures that require all brain and central nervous system multidisciplinary teams (MDTs) to demonstrate the availability and adequacy of patient information. The outcome of the 2013-14 assessment of compliance with these measures indicated that out of 91 MDTs and 36 treatment centres, 84% were compliant with the patient information measure at the most robust level.</p><p> </p><p>There is a programme of work aimed at improving the care and experience of people living with a diagnosis of cancer, developed in collaboration with Macmillan Cancer Support which draws from a wide range of evidence based good practice.</p><p> </p><p>The National Cancer Intelligence Network runs a brain and central nervous system- related cancers Clinical Reference Group, which works closely with a brain cancer charities. In addition to this, the PRP measures participation in drug trials and research internationally.</p><p> </p><p>The Department works closely with its cancer research funding partners through the National Cancer Research Institute (NCRI). The NCRI is a strategic partnership of 22 government, charity and industry cancer research funders, together with patients. The NCRI is a member of the International Cancer Research Partnership (ICRP), which includes cancer research funders from USA, Canada, Europe, Japan and Australia. The ICRP is a unique alliance of cancer organisations working together to enhance global collaboration and strategic coordination of research. Researchers can search the ICRP database to avoid duplication and identify collaborators in specific areas of cancer research including brain tumour research.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196259 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3950 label Biography information for Dame Tracey Crouch

48249

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will bring forward from 42 weeks the period for inducing labour in at risk expectant mothers.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196280
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The induction of labour is a clinical decision for healthcare professionals. These decisions are based on the latest available evidence and take account of the risk and other clinical factors for each individual pregnancy.</p><p> </p><p>To assist healthcare professionals, the National Institute for Health and Care Excellence has published clinical guidelines on the induction of labour, which are available on the NICE website at:</p><p> </p><p>www.nice.org.uk/nicemedia/live/12012/41256/41256.pdf.</p><p> </p><p>The NICE guidelines advise that women with uncomplicated pregnancies should usually be offered induction of labour between 41+0 and 42+0 weeks.</p><p> </p><p>Women can be deemed high risk for a multitude of reasons. Each reason will carry its own set of criteria for delivery. It is not possible to say that induction for all at risk pregnancies should be brought forward as these should be reviewed according to individual needs.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48256

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether he is satisfied with the current levels of recruitment to midwifery; and what steps he is taking to encourage recruitment of midwives.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196275
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>Health Education England are working with NHS England to ensure that sufficient midwives and other maternity staff are trained and available to provide every woman with personalised one-to-one care throughout pregnancy, childbirth and during the post natal period.</p><p> </p><p>Since June 2012 there are over 6,000 more midwives in training to qualify over the next three years. The latest figures show there are 21,888 qualified midwives (full time equivalent) working in the NHS in England.</p><p><strong> </strong></p><p>It is the responsibility of local NHS organisations to assess the health needs of their local communities and ensure they have the right staff, with the rights skills to deliver high quality and safe care.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3950 label Biography information for Dame Tracey Crouch

48257

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 performance of cancer services against statements 11 and 12 in the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196367
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196363 196365 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48258

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what methods of data collection his Department uses to measure the performance of services against each of the 13 statements in the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196365
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196363 196367 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48259

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 overall performance of cancer services against the National Institute for Health and Care Excellence Breast cancer quality standard.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196363
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Health and Social Care Act (2012) places a duty on NHS England to have regard to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners should have regard to them in the planning of services they commission according to their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance of services against the Breast Cancer Quality Standard, compliance with Quality Standards generally could be monitored through a range of mechanisms depending on the specific Quality Standard. For example, the 30 national clinical audits funded by NHS England, the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed to drive quality improvement in the National Health Service using Quality Standards where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality Improvement Partnership will shortly begin commissioning a new national breast cancer clinical audit. There is an expectation that national clinical audits, where appropriate, support the implementation of NICE clinical guidelines and Quality Standards. The new national clinical audit will be in place by the end of 2014-15.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196365 196367 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48260

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 reduction of avoidable harm by better medicines reconciliation for hospital patients with Parkinson's.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	196344
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department has made no such assessment.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) and the National Patient Safety Agency (NPSA) issued joint guidance, <em>Technical patient safety solutions for medicines reconciliation on admission of adults to hospital</em> in December 2007, which aims to reduce medication errors, which occur most commonly on transfer between care settings and on admission to hospital. This guidance applies to all patients, including those with Parkinson's disease and is available at:</p><p> </p><p>www.nice.org.uk/nicemedia/live/11897/38560/38560.pdf</p><p> </p><p>The NPSA also issued a Rapid Response Report on <em>Reducing harm from omitted and delayed medicines in hospital </em>in February 2010. This makes reference to medicines where timeliness of administration is crucial, including those for Parkinson's disease. This is available at:</p><p> </p><p>www.nrls.npsa.nhs.uk/alerts/?entryid45=66720</p><p> </p><p>NICE, the NPSA and the Royal Pharmaceutical Society have all identified the key role of pharmacists in medicines reconciliation and the majority of hospitals now have pharmacists on admission wards to help ensure patients' medicines are reconciled promptly.</p><p> </p><p>A strong reporting culture, where safety incidents are reported and monitored is essential to improving safety for all patients, including those with Parkinson's disease. NHS England and the <a title="Medicines and Healthcare products Regulatory Agency (MHRA) website - Opens in a new window" href="http://www.mhra.gov.uk/" target="_blank">Medicines and Healthcare products Regulatory Agency</a> jointly issued two patient safety alerts on 20 March 2014 to help healthcare providers increase incident reporting for <a href="http://www.england.nhs.uk/2014/03/20/med-devices#mederr" target="_blank">medication errors</a> and <a href="http://www.england.nhs.uk/2014/03/20/med-devices#meddev" target="_blank">medical devices</a>. The alerts instruct providers to take specific steps that will improve data reporting quality; and will see the establishment of national networks to maximise learning and provide guidance on minimising harm relating to these incident types.</p><p> </p><p>The measures announced by my Rt Hon Friend, the Secretary of State for Health on 26 March, as part of his invitation to NHS organisations to ‘Sign up to Safety', are also likely to lead to an increase in the number of reported incidents of harm in the National Health Service even though care will be getting safer.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196360 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	1490 label Biography information for Mrs Madeleine Moon

48261

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 ensure that future iterations of the Cancer Patient Experience Survey enable the responses of patients with primary and secondary cancer to be analysed separately.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196364
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>No recent Ministerial discussions have taken place on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.</p><p><strong> </strong></p><p>NHS England took over responsibility for the Cancer Patient Experience Survey (CPES) on 1 April 2013. The development of the CPES is overseen by the Cancer Patient Experience Advisory Group (CPEAG), which has a wide ranging membership including clinicians, cancer charities, experts in survey methodologies, research bodies, health service commissioners and NHS England staff.</p><p> </p><p>The survey questionnaire is reviewed by CPEAG each year to ensure that it captures the best information and as part of the process for the next survey, NHS England is engaging with a range of stakeholders to look at how it can improve and amend the survey appropriately.</p><p> </p><p>In the meantime, NHS England has added a new question to the 2014 survey questionnaire to identify patients who have been diagnosed with cancer more than once because the evidence suggests that there may be a difference in the experience of those patients.</p><p> </p><p>The results of the 2014 survey will be published later this year.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196366 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48262

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent discussions his Department has had on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.
	tabling member constituency	Bolton South East
	tabling member printed	Yasmin Qureshi
	uin	196366
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>No recent Ministerial discussions have taken place on the potential for Patient Reported Outcome Measures to be used to measure improvements in outcomes for breast cancer patients.</p><p><strong> </strong></p><p>NHS England took over responsibility for the Cancer Patient Experience Survey (CPES) on 1 April 2013. The development of the CPES is overseen by the Cancer Patient Experience Advisory Group (CPEAG), which has a wide ranging membership including clinicians, cancer charities, experts in survey methodologies, research bodies, health service commissioners and NHS England staff.</p><p> </p><p>The survey questionnaire is reviewed by CPEAG each year to ensure that it captures the best information and as part of the process for the next survey, NHS England is engaging with a range of stakeholders to look at how it can improve and amend the survey appropriately.</p><p> </p><p>In the meantime, NHS England has added a new question to the 2014 survey questionnaire to identify patients who have been diagnosed with cancer more than once because the evidence suggests that there may be a difference in the experience of those patients.</p><p> </p><p>The results of the 2014 survey will be published later this year.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 196364 question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3924 label Biography information for Yasmin Qureshi

48263

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the online system for members of the public to compare hospitals on the basis of safety indicators will include information on cases in which patients with conditions such as Parkinson's have not received their medication on time; and if he will make a statement.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	196342
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>We are working with NHS England to prepare for the publication on NHS Choices of an extended set of patient safety indicators later this year. These indicators are being gathered together in a manner that will allow patients to compare local hospitals on the basis of a more rounded picture of safety performance than has been previously available in one place. The initial focus of this presentation will be on indicators that are relevant to the general population of hospital inpatients and for which information is available. There is not currently, to our knowledge, a suitable source of data regarding delayed medication for those being treated for diseases such as Parkinson's.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1490 label Biography information for Mrs Madeleine Moon

48264

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 reporting of instances in which the medication regimes of hospital patients with Parkinson's are disrupted through delays or errors in medicines reconciliation; and if he will make a statement.
	tabling member constituency	Bridgend
	tabling member printed	Mrs Madeleine Moon
	uin	196360
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department has made no such assessment.</p><p> </p><p>The National Institute for Health and Care Excellence (NICE) and the National Patient Safety Agency (NPSA) issued joint guidance, <em>Technical patient safety solutions for medicines reconciliation on admission of adults to hospital</em> in December 2007, which aims to reduce medication errors, which occur most commonly on transfer between care settings and on admission to hospital. This guidance applies to all patients, including those with Parkinson's disease and is available at:</p><p> </p><p>www.nice.org.uk/nicemedia/live/11897/38560/38560.pdf</p><p> </p><p>The NPSA also issued a Rapid Response Report on <em>Reducing harm from omitted and delayed medicines in hospital </em>in February 2010. This makes reference to medicines where timeliness of administration is crucial, including those for Parkinson's disease. This is available at:</p><p> </p><p>www.nrls.npsa.nhs.uk/alerts/?entryid45=66720</p><p> </p><p>NICE, the NPSA and the Royal Pharmaceutical Society have all identified the key role of pharmacists in medicines reconciliation and the majority of hospitals now have pharmacists on admission wards to help ensure patients' medicines are reconciled promptly.</p><p> </p><p>A strong reporting culture, where safety incidents are reported and monitored is essential to improving safety for all patients, including those with Parkinson's disease. NHS England and the <a title="Medicines and Healthcare products Regulatory Agency (MHRA) website - Opens in a new window" href="http://www.mhra.gov.uk/" target="_blank">Medicines and Healthcare products Regulatory Agency</a> jointly issued two patient safety alerts on 20 March 2014 to help healthcare providers increase incident reporting for <a href="http://www.england.nhs.uk/2014/03/20/med-devices#mederr" target="_blank">medication errors</a> and <a href="http://www.england.nhs.uk/2014/03/20/med-devices#meddev" target="_blank">medical devices</a>. The alerts instruct providers to take specific steps that will improve data reporting quality; and will see the establishment of national networks to maximise learning and provide guidance on minimising harm relating to these incident types.</p><p> </p><p>The measures announced by my Rt Hon Friend, the Secretary of State for Health on 26 March, as part of his invitation to NHS organisations to ‘Sign up to Safety', are also likely to lead to an increase in the number of reported incidents of harm in the National Health Service even though care will be getting safer.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196344 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	1490 label Biography information for Mrs Madeleine Moon

48265

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what pharmaceutical companies supplied the Government's stockpile of Tamiflu.
	tabling member constituency	Carmarthen East and Dinefwr
	tabling member printed	Jonathan Edwards
	uin	196368
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Roche is the only supplier of the Government's stockpile of Tamiflu. There are currently no other suppliers of Tamiflu.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	3943 label Biography information for Jonathan Edwards

48269

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions officials in his Department have had with the National Institute for Health and Care Excellence (NICE) on the development of NICE's highly specialised technologies programme since 1 January 2014; what the content of those discussions was; and if he will make a statement.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196411
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Departmental officials have had no such discussions. Officials may discuss individual highly specialised technology topics with the National Institute for Health and Care Excellence, including at the topic selection stage.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien

48270

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, in what circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196464
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Green Book and associated supplementary guidance is publicly available on the Treasury website. It sets out a range of approaches and methods that may be appropriate in a number of different appraisal circumstances.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	427 label Biography information for Mr Stephen O'Brien

48271

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, who will have responsibility for cervical screening under the forthcoming Public Health England commissioning framework.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	196446
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The National Health Service (NHS) Cervical Screening Programme is commissioned by NHS England under the NHS public health functions agreement 2014-15 (the Section 7a agreement, covering public health functions to be exercised by NHS England on behalf of the Department). Public Health England is responsible for the piloting and roll-out of new screening programmes or improvements to existing programmes, including the current pilot of human papillomavirus testing as primary screening.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

48272

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 number of teenage pregnancy co-ordinators in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	196447
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department does not collect this information centrally. Efforts to tackle teenage pregnancy are led by local authorities, who will make local decisions on whether a teenage pregnancy co-ordinator is needed in their local area. There is no requirement for them to report centrally on whether they have a co-ordinator.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

48274

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 increase in demand for child and adolescent mental health following the launch of the MindEd e-portal; and what steps it is taking to accommodate that increase.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	196448
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department has not made an estimate of the increase in demand for child and adolescent mental health following the launch of the MindEd e-portal on 25 March 2014.</p><p> </p><p>We know that many schools want to do more to help children who are, or may be, experiencing mental health problems. Many now have their own programmes and mental health support – such as a school-based counsellor, whilst others have whole school approaches to mental and emotional health. We want to ensure that such programmes offer the best support possible, but also that schools are better able to identify mental health problems in their pupils sooner.</p><p> </p><p>The Department funded the MindEd website which will help anyone working with children, including all school staff, to spot the signs of mental health problems in children and help them get the support they need. Spotting the signs of mental health problems early in children and young people is essential to prevent problems from escalating and continuing into adulthood.</p><p> </p><p>The Chief Medical Officer has recommended better data on children and young people's mental health. The Department, with arms lengths bodies (ALBs) and other key partners, is currently looking at the options available for arranging a survey of children and young people to look at prevalence of mental health conditions. We are seeking advice from colleagues in the Department's Health and Social Care Information Centre to consider options for the survey, and what such a survey would be able to tell us.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	4036 label Biography information for Luciana Berger

48275

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 effect that new public health structures are having on community obstetrics and gynaecology (a) workforce planning and (c) continuing professional development.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	196445
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p /> <p /> <p>The Secretary of State has delegated to Health Education England (HEE) the responsibility for delivering a better health and healthcare workforce for England. HEE plans and develops the workforce to ensure a secure workforce supply for the future, balancing need against demand.</p><p> </p><p>The local education and training boards, which are sub-committees of HEE, work with local healthcare providers, including employers, to contribute to HEE's overall future workforce plan. It is the responsibility of healthcare employers to ensure they have the right staff, with the right skills to deliver high quality care, which includes supporting their continuing professional development.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4036 label Biography information for Luciana Berger

48276

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 24 March 2014, Official Report, column 120W, on haemolytic uraemic syndrome, what discussions NHS England has had with the National Institute for Health and Care Excellence (NICE) since 1 January 2014 on NICE's appraisal of eculizumab; and if he will make a statement.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196426
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>We understand that NHS England was formally consulted on the scope of the National Institute for Health and Care Excellence's (NICE) evaluation of eculizumab for atypical haemolytic uraemic syndrome. NHS England was also consulted on the evaluation consultation document, which was published on 27 February.</p><p> </p><p>Following the publication of NICE's draft guidance on eculizumab, NICE sought further advice from NHS England on what considerations relating to the management of its specialised commissioning budget it considers should be taken into account in formulating a recommendation. The response from NHS England will be considered by NICE at the next meeting of the evaluation committee.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien

48279

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he has taken to ensure that health professionals are trained in the identification and notification of (a) all special educational needs and (b) educational needs related to cerebral palsy in children under two years of age.
	tabling member constituency	Fareham
	tabling member printed	Mr Mark Hoban
	uin	196404
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Government works with Health Education England, which provides leadership on the training of the health workforce, and the professional regulatory bodies, such as the Royal College of Paediatrics and Child Health, which set professional standards, to ensure that health professionals are appropriately trained in identification and support of children with special educational needs, or cerebral palsy.</p><p> </p><p>Clinical commissioning groups are under a statutory duty to make arrangements to notify the local authority where a provider is of the opinion that a child under compulsory school age has special educational needs (having first discussed this with the child's parents). The Children and Families Act introduces new arrangements for local authorities and health services to work together to support children with special educational needs.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1414 label Biography information for Mr Mark Hoban

48280

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 31 March 2014, Official Report, column 491W, on medical treatments, what technology appraisals were conducted by the National Institute for Health and Care Excellence in the last five years; what the most plausible cost per quality adjusted life-year for each such appraisal was; what the estimated eligible patient population was for each appraised indication; on which appraisals end-of-life criteria were applied in each final appraisal determination; and on which date each such appraisal was (a) initiated and (b) concluded.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196429
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>National Institute for Health and Care Excellence (NICE) technology appraisal decisions published between 2000 to end of February 2014 have already been placed in the Library.</p><p> </p><p>NICE has advised that it does hold the most plausible cost per quality adjusted life-year for each technology appraisal, the estimated patient population for each appraised indication, details of appraisals where the end-of-life criteria were applied in each final appraisal determination and the dates each appraisal was initiated and concluded. However, this information could only be provided at disproportionate cost.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien

48281

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will discuss with the National Institute for Health and Care Excellence (NICE) ensuring that assessments of treatments by NICE conducted through (a) normal technology appraisals and (b) highly specialised technology appraisals is consistent in its (i) engagement with stakeholders and (ii) wider methodological approaches.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196428
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>We have no plans to do so. As an independent body, the National Institute for Health and Care Excellence is responsible for developing its methods and processes and applying them consistently.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien

48282

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how the National Institute for Health and Care Excellence (NICE) assesses the cost-effectiveness of an intervention when the data available are uncertain; what assessment NICE has made of the average range around the most-plausible cost-per-QALY in its technology appraisals; and if he will make a statement.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196424
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) follows a rigorous process in the appraisal of technologies to ensure that judgements regarding the cost-effective use of NHS resources are consistently applied. This includes consideration of the uncertainty generated where available data have serious limitations.</p><p> </p><p>When making judgements on cost effectiveness, the NICE appraisal committee will consider a number of factors including the strength of the clinical-effectiveness evidence, the innovative nature of the technology, the robustness and plausibility of the economic models, the degree of certainty around the incremental cost-effectiveness ratio (ICER), the range and plausibility of the ICERs and the likelihood of decision error and its consequences. Full details of how the Committee takes uncertainty into account is contained within sections 5.8, 6.3 and 6.4 of NICE's Guide to the Methods of Technology Appraisal 2013, which is available at:</p><p>http://publications.nice.org.uk/guide-to-the-methods-of-technology-appraisal-2013-pmg9</p><p> </p><p>NICE advises that it has not carried out an assessment of the average range around the most plausible cost-per Quality Adjusted Life Year (QALY) in its technology appraisals. We understand that although NICE usually specifies the most plausible cost-per-QALY for each technology appraisal, it does not normally specify a range for this assessment.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien

48283

	registered interest
	date	10/04/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	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 24 March 2014, Official Report, column 120W, on haemolytic uraemic syndrome, for what reasons it was felt that further advice was needed on the overall cost implications, benefits and affordability of eculizumab; when it was first concluded that such further advice was needed; for what reasons the seeking of that advice was delayed until the National Institute for Health and Care Excellence took on responsibility for assessing highly specialised technologies; and if he will make a statement.
	tabling member constituency	Eddisbury
	tabling member printed	Mr Stephen O'Brien
	uin	196427
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Ministers concluded that further advice was needed on the overall cost implications, benefits and affordability of eculizumab as, while Advisory Group for National Specialised Services (AGNSS) members were convinced of the clinical effectiveness of the drug, they noted the very high costs of the drug and the increasing cost profile for the National Health Service.</p><p> </p><p>AGNSS was informed of this decision on 17 January 2013. On 7 February 2013, the Department conveyed its decision to the National Institute for Health and Care Excellence (NICE) so that NICE could begin preparatory work in advance of taking on formal responsibility for evaluating highly specialised technologies on 1 April 2013.</p><p> </p><p>While NICE carries out its evaluation, the current interim commissioning arrangements by NHS England in line with the ‘Clinical Commissioning Policy Statement: Eculizumab for atypical haemolytic uraemic syndrome' will remain in place. The policy statement is available at:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/09/e03-hss-a.pdf</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	427 label Biography information for Mr Stephen O'Brien