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101142

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much funding his Department allocated to the Health Reform Evaluation Programme for 2014-15; and how much was allocated in each of the five previous years.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211976
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Research projects on health reform were commissioned during 2007 and 2008 and brought together within the framework of the independent Health Reform Evaluation Programme. Following a supplementary call for research proposals in 2013, four new projects are commencing during the period October 2014 to January 2015.</p><p> </p><p> </p><p> </p><p>Expenditure by the Department on the Health Reform Evaluation Programme is shown in the following table.</p><p> </p><p> </p><p> </p><p><em>£ million</em></p><p> </p><table><tbody><tr><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p><p>Planned</p></td></tr><tr><td><p>1.5</p></td><td><p>2.2</p></td><td><p>2.0</p></td><td><p>0.4</p></td><td><p>0.0</p></td><td><p>0.4</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:53:57 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

101143

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Orphan Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS spent on orphan medicines in each of the last three years; and what proportion of total medicines expenditure that represented in each year.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211977
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information is not collected because it could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:56:30 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

101144

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the cost of Health Education England's third round of recruitment for general practice training posts.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211940
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The third round of national recruitment was one of the initiatives undertaken by Health Education England (HEE) to support recruitment into general practitioner (GP) training places. HEE continues to work with its partners to reach its mandate commitment of ensuring 3,250 trainees enter ST1 GP training by 2016.</p><p> </p><p> </p><p> </p><p>The estimated breakdown of costs is below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Description</p></td><td><p>Total</p></td></tr><tr><td><p>Stage 2 Assessment</p></td><td><p>£10,000</p></td></tr><tr><td><p>Stage 3 Venue</p></td><td><p>£24,230</p></td></tr><tr><td><p>Printing costs</p></td><td><p>£893</p></td></tr><tr><td><p>Assessors - clinical</p></td><td><p>£29,088</p></td></tr><tr><td><p>Assessors - non-clinical</p></td><td><p>£3,636</p></td></tr><tr><td><p>Moderators - clinical</p></td><td><p>£1,212</p></td></tr><tr><td><p>Moderators - non clinical</p></td><td><p>£606</p></td></tr><tr><td><p>Trainee expenses</p></td><td><p>£25,200</p></td></tr><tr><td><p>Role Players</p></td><td><p>£18,920</p></td></tr><tr><td><p> </p></td><td><p>£113,785</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:41:24 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

101157

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dementia: Brigg and Goole
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in Brigg and Goole constituency have been diagnossed with dementia in each of the last 10 years.
	tabling member constituency	Brigg and Goole
	tabling member printed	Andrew Percy
	uin	212069
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Information is not available for the format requested. The number of people on the dementia register is available. This is a measure of prevalence rather than incidence. The number of people recorded on practice disease registers is taken from the Quality and Outcomes Framework (QOF), published by the Health and Social Care Information Centre. Dementia has been included on the QOF register since 2006-07. The following table shows all available data for East Riding of Yorkshire and North Lincolnshire Primary Care Trusts (PCTs), and East Riding and North Lincolnshire Clinical Commissioning Groups (CCGs) as these cover the Brigg and Goole constituency.</p><p> </p><p><strong> </strong></p><p> </p><p>Number of patients on the QOF dementia register in the specified organisations</p><p> </p><p /> <p> </p><table><tbody><tr><td><p>NHS organisation</p></td><td><p>Year</p></td><td><p>Practices<sup>1</sup></p></td><td><p>Practice List Size<sup>1</sup></p></td><td><p>Number on QOF dementia register<sup>1</sup></p></td></tr><tr><td><p>East Riding of Yorkshire CCG</p></td><td><p>2013-14</p></td><td><p>38</p></td><td><p>300,957</p></td><td><p>2,010</p></td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>38</p></td><td><p>300,944</p></td><td><p>1,828</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>North Lincolnshire CCG</p></td><td><p>2013-14</p></td><td><p>21</p></td><td><p>169,997</p></td><td><p>1,117</p></td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>21</p></td><td><p>169,743</p></td><td><p>1,006</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>East Riding of Yorkshire PCT</p></td><td><p>2011-12</p></td><td><p>39</p></td><td><p>316,567</p></td><td><p>1,694</p></td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>39</p></td><td><p>315,463</p></td><td><p>1,516</p></td></tr><tr><td> </td><td><p>2009-10</p></td><td><p>39</p></td><td><p>314,860</p></td><td><p>1,365</p></td></tr><tr><td> </td><td><p>2008-09</p></td><td><p>38</p></td><td><p>314,194</p></td><td><p>1,236</p></td></tr><tr><td> </td><td><p>2007-08</p></td><td><p>38</p></td><td><p>313,306</p></td><td><p>1,192</p></td></tr><tr><td> </td><td><p>2006-07</p></td><td><p>38</p></td><td><p>311,789</p></td><td><p>1,110</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>North Lincolnshire PCT</p></td><td><p>2011-12</p></td><td><p>20</p></td><td><p>167,482</p></td><td><p>901</p></td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>21</p></td><td><p>166,569</p></td><td><p>771</p></td></tr><tr><td> </td><td><p>2009-10</p></td><td><p>22</p></td><td><p>167,044</p></td><td><p>726</p></td></tr><tr><td> </td><td><p>2008-09</p></td><td><p>21</p></td><td><p>166,897</p></td><td><p>701</p></td></tr><tr><td> </td><td><p>2007-08</p></td><td><p>21</p></td><td><p>165,893</p></td><td><p>664</p></td></tr><tr><td><p> </p></td><td><p>2006-07</p></td><td><p>21</p></td><td><p>164,819</p></td><td><p>638</p></td></tr></tbody></table><p> </p><p><em>Note</em>:</p><p> </p><p><sup>1</sup> Practices, practice list sizes and number of patients on the dementia register are based only on those general practitioner practices that participated in QOF.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 30/10/2014 16:15:57 answering member 1439 label Biography information for Norman Lamb
	tabling member	3939 label Biography information for Andrew Percy

101145

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to improve access to NICE-recommended mindfulness-based therapies on the NHS.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	211947
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Over the course of the current spending review, we are investing in excess of £400 million in England to give thousands of people access to National Institute for Health and Care Excellence-approved psychological therapies, including Mindfulness-Based Cognitive Therapy.</p><p> </p><p>The 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’. The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapy (IAPT) programme – providing access to therapies to 15% of those eligible (around 900,000 people) per year by 2015.</p><p> </p><p> </p><p> </p><p>We are increasing the availability of IAPT services to cover children and young people and exploring extending services to people with long-term physical health problems and those with severe mental illness.</p><p> </p><p> </p><p> </p><p>We have invested £54 million over the period 2011 – 2015/16 in the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme. The Programme works with services covering up to 60% of England’s 0-19 population, and will cover approximately 68% by the end of 2014-15. This is giving children and young people improved access to the best evidenced mental health care. NHS England is planning for a countrywide extension of the programme with Health Education England.</p><p> </p><p> </p><p> </p><p>The IAPT programme is working with a number of the Department’s Strategic Partners to promote wider access of the service to all sections of the community. The partners are working with IAPT service providers to identify and overcome the barriers to people gaining access to IAPT services.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:48:01 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

101148

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent assessment he has made of the potential benefits of training doctors and nurses in mindfulness.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	212007
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>No recent assessment has been made of the potential benefits of training doctors and nurses in mindfulness. The Department does however recognise the potential benefits of training doctors and nurses in mindfulness.</p><p> </p><p> </p><p> </p><p>The National Institute for Clinical Excellence guidance for the National Health Service has recommended Mindfulness-Based Cognitive Therapy (MBCT) for recurrent depression since 2004. MBCT is available through a number of Improving Access to Psychological Therapy services in England.</p><p> </p><p>Health Education England (HEE) supports the delivery of excellent healthcare and health improvement to the patients and public of England, by ensuring that we have the workforce in the right numbers, with the right skills, values and behaviours, at the right time and in the right place. HEE is developing the workforce to deliver compassionate, high quality care.</p><p> </p><p>HEE has established a Mental Health Advisory Group to promote and enhance mental health education and training across the professions and provide strategic professional advice and expertise on workforce planning and education development. Membership representation includes; healthcare, social care, third sector and professional bodies.</p><p> </p><p>HEE is considering the opportunities for developing a psychologically minded workforce.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:49:33 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

101161

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health: Males
	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 1 September 2014 to Question 206875, if his Department will make an assessment of the potential of Men's Sheds movement to improve mental health and reduce loneliness; and if he will meet representatives of Men's Sheds to discuss those issues.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	212117
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The Department has a strong interest in the impact that loneliness and isolation in older people can have on their physical and mental health and wellbeing. The Department’s National Institute for Health Research (NIHR) funds a range of research relating to the effect of loneliness and isolation on health and wellbeing.</p><p> </p><p> </p><p> </p><p>The NIHR School for Public Health Research has funded a systematic review of Men’s Sheds interventions in partnership with Age UK. A report drawing on this research is available on the Age UK website:</p><p> </p><p> </p><p> </p><p><a href="http://www.ageuk.org.uk/documents/en-gb/for-professionals/research/men%20in%20sheds%20age%20uk%20brief.pdf?dtrk=true" target="_blank">http://www.ageuk.org.uk/documents/en-gb/for-professionals/research/men%20in%20sheds%20age%20uk%20brief.pdf?dtrk=true</a></p><p> </p><p> </p><p> </p><p>The NIHR has awarded £231,788 for a doctoral fellowship focussed on developing effective interventions to prevent or address the adverse effects of loneliness and isolation on the health of older people.</p><p> </p><p> </p><p> </p><p>The Department welcomes Men’s Sheds interest in meeting with Ministers and we would recommend that they contact my office to request a meeting.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 212118 question first answered 03/11/2014 16:51:11 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

101163

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health: Males
	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 1 September 2014 to Question 206875, what funding his his Department has made available for research into the effect of loneliness and isolation on health and wellbeing; and what research his Department has commissioned on that issue.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	212118
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The Department has a strong interest in the impact that loneliness and isolation in older people can have on their physical and mental health and wellbeing. The Department’s National Institute for Health Research (NIHR) funds a range of research relating to the effect of loneliness and isolation on health and wellbeing.</p><p> </p><p> </p><p> </p><p>The NIHR School for Public Health Research has funded a systematic review of Men’s Sheds interventions in partnership with Age UK. A report drawing on this research is available on the Age UK website:</p><p> </p><p> </p><p> </p><p><a href="http://www.ageuk.org.uk/documents/en-gb/for-professionals/research/men%20in%20sheds%20age%20uk%20brief.pdf?dtrk=true" target="_blank">http://www.ageuk.org.uk/documents/en-gb/for-professionals/research/men%20in%20sheds%20age%20uk%20brief.pdf?dtrk=true</a></p><p> </p><p> </p><p> </p><p>The NIHR has awarded £231,788 for a doctoral fellowship focussed on developing effective interventions to prevent or address the adverse effects of loneliness and isolation on the health of older people.</p><p> </p><p> </p><p> </p><p>The Department welcomes Men’s Sheds interest in meeting with Ministers and we would recommend that they contact my office to request a meeting.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 212117 question first answered 03/11/2014 16:51:11 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane

101156

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Redundancy Pay
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the cost of compulsory redundancy payments for staff of all NHS employers in England was in each year from 2009-10 to 2013-14.
	tabling member constituency	Banff and Buchan
	tabling member printed	Dr Eilidh Whiteford
	uin	212063
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The costs of compulsory redundancy payments for staff of all National Health Service employers are shown in the following table. There are currently 21,000 fewer admin staff working in the NHS since 2010 and 13,500 more front line clinical staff.</p><p> </p><p> </p><p> </p><p>The Government is proposing that highly-paid staff who receive a redundancy pay-out and then return to the same part of the public sector within a year will be required to repay part of the total amount. It is proposed that contracts will contain a standard clause that states that individuals will have to pay back a proportion of the payment to their previous employer dependent upon the length of time between jobs.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>NHS</p></td><td><p>Cost of Compulsory Redundancies</p></td></tr><tr><td><p> </p></td><td><p>£000s</p></td></tr><tr><td><p>2013-14</p></td><td><p>109,485</p></td></tr><tr><td><p>2012-13</p></td><td><p>265,379</p></td></tr><tr><td><p>2011-12</p></td><td><p>150,577</p></td></tr><tr><td><p>2010-11</p></td><td><p>118,344</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source:</em> Audited Summarisation Schedules</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p><em> </em></p><p> </p><p>1. Figures from the audited statutory accounts of NHS organisations are collected centrally.</p><p> </p><p>2. We have interpreted “NHS employers” to comprise Strategic Health Authorities, Primary Care Trusts, NHS Trusts and Foundation Trusts in 2010-11 to 2012-13. For 2013-14 however, due to reorganisation, the figures comprise NHS Trusts, Foundation Trusts and NHS England (including the NHS England entity, Regional Teams, Area Teams, Commissioning Support Units and Clinical Commissioning Groups).</p><p> </p><p>3. The NHS Manual for Accounts does not define what is included within the compulsory redundancy heading and as such it is not possible to clarify whether it includes related costs for employers of early retirement on the grounds of redundancy.</p><p> </p><p>4. Information in respect of compulsory redundancies was not separately identified prior to 2010-11 and as such no comparable information can be provided.</p><p> </p><p><em> </em></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:55:42 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3911 label Biography information for Dr Eilidh Whiteford

101109

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	School Milk
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment she has made of the effect of recent changes to the nursery milk scheme on the ability of schools to fulfil the requirements of the School Food Standards in relation to milk.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	212127
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>A modernised Nursery Milk Scheme is currently under development and expected to be tendered in due course.</p><p> </p><p> </p><p> </p><p>The assessment of any effects of the changes to the Nursery Milk Scheme are part of ongoing discussions between officials via a cross Government Nursery Milk Scheme Task and Finish Group.</p><p> </p><p> </p><p> </p><p>The changes have no impact on either the current School Food Standards Regulations or the new School Food Standards Regulations which come into force on 1 January 2015.</p><p> </p><p> </p><p> </p><p>The Nursery Milk Scheme is available to all children under five who attend an eligible childcare setting for two hours per day or more. Eligible settings include child-minders, day care providers, private and local authority run nurseries. The School Food Standards apply to schools rather than nursery and private childcare and child minder settings.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:47:01 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4012 label Biography information for Graeme Morrice