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631171

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Staff
	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 skills shortages within the NHS.
	tabling member constituency	Bassetlaw
	tabling member printed	John Mann
	uin	52157
	answer	answer is ministerial correction date of answer 17/11/2016 answer text <p>Working with local National Health Service organisations, Health Education England produces an annual National Workforce Plan for England, which sets out future training requirements for the NHS.</p><p> </p><p>At a local level, it is the responsibility of NHS organisations to ensure that their staff, through Continuing Professional Development, have the ongoing skills required to deliver safe and effective care to patients.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/11/2016 11:59:28 answering member 1542 label Biography information for Philip Dunne
	tabling member	1387 label Biography information for Lord Mann

631186

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health: Prisoners
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the implications for his policy are of the Centre for Mental Health and the Howard League's report Preventing Prison Suicide: Perspectives from the inside; and if he will make a statement.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	52200
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>We welcome the Centre for Mental Health and the Howard League’s report and are committed to reducing the number of self-inflicted deaths in prisons. It is important that our work is informed by the views of prisoners and this report is informing the work that the National Offender Management Service (NOMS) is taking forward in partnership with NHS England and Public Health England (PHE) to reduce self-inflicted deaths and self-harm.</p><p> </p><p>NOMS, PHE and NHS England are taking forward collaborative evidence-based action to reduce self-inflicted deaths in prison. PHE has supported this work by providing evidence and expertise on suicide prevention and how to apply this in prison environments. This includes education and training for prison officers; identification of ‘high risk’ prisoners and high risk situations; improving the environment in prisons including ‘purposeful activity’ and a whole prison approach to health improvement generally. These actions correspond to many of the key recommendations in the Centre for Mental Health and the Howard League’s report.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 14/11/2016 15:31:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4036 label Biography information for Luciana Berger

631093

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Older People
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent steps his Department has taken to ensure that care at elderly care homes (a) is of high quality and (b) ensures that families and friends are able to maintain strong relationships with the recipient of care through visitations.
	tabling member constituency	Redditch
	tabling member printed	Karen Lumley
	uin	52186
	answer	answer is ministerial correction date of answer 17/11/2016 answer text <p>Under the Health and Social Care Act 2008, all providers of regulated activities must register with the Care Quality Commission (CQC) and meet a set of Fundamental Standards of safety and quality, below which care provision should never fall.</p><p> </p><p>The Fundamental Standards were introduced on 1 April 2015. They set out the basic requirements that providers should always meet and outline the outcomes that services users should always expect. The CQC monitors, inspects and regulates services against the Standards and publishes its findings.</p><p> </p><p>Following inspection, the CQC rates providers on a four point scale - outstanding, good, requires improvement and inadequate. The ratings give patients and the public a fair, balanced and easy to understand assessment of performance and quality. Services rated inadequate receive help to improve, but any that are unable or unwilling to do so face closure.</p><p> </p><p>Since 2014, the CQC has employed a tougher inspection regime, which makes use of a higher-skilled inspection resource in order to get to the heart of peoples’ experiences of care. Inspections are structured around five key questions that matter most – are services safe, caring, effective, well-led and responsive to peoples’ needs?</p><p> </p><p>As at 3 October 2016, the CQC had rated 18,156, out of more than 25,000 adult social care services, of which 199 were judged to be outstanding, 13,182 good, 4,401 requires improvement and 374 inadequate. The CQC expects to have rated all services by the end of March 2017.</p><p> </p><p>The Fundamental Standards include requirements that “People’s relationships with their visitors, carer, friends, family or relevant other persons should be respected and privacy maintained as far as reasonably practicable during visits” and that “Any complaint received must be investigated and necessary and proportionate action must be taken in response to any failure identified by the complaint or investigation”.</p><p> </p><p>Anyone who is not satisfied with the response to a complaint about an adult social care service is entitled to ask the Local Government Ombudsman to investigate.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/11/2016 11:57:45 answering member 4080 label Biography information for David Mowat
	tabling member	4023 label Biography information for Karen Lumley

631149

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments: Alcoholic Drinks and Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people attended accident and emergency with conditions relating to drugs and alcohol by gender and age group in each of the last six years.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	51972
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>This information is not held centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 51976 question first answered 14/11/2016 15:14:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1439 label Biography information for Norman Lamb

631153

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments: Alcoholic Drinks and Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people who attended accident and emergency (A&E) with conditions relating to drugs and alcohol use were re-admitted to A&E (a) within seven days or (b) in any other timeframe in each of the last six years.
	tabling member constituency	North Norfolk
	tabling member printed	Norman Lamb
	uin	51976
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>This information is not held centrally.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 51972 question first answered 14/11/2016 15:14:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1439 label Biography information for Norman Lamb

631045

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what was the percentage increase in the number of abortions performed on the grounds of disability between 1986 and 2015.
	tabling member printed	Lord Shinkwin
	uin	HL3064
	answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>There was a 64% increase in the number of abortions performed under Ground E (fetal abnormality) between 1986 (1,963) and 2015 (3,213).</p><p> </p><p>The number of abortions performed under Ground E after 24 weeks gestation increased from 58 to 177 between 1991 and 2015, a 205% increase. This data should be seen in the context of the overall number of conceptions each year, of which there were 829,690 in England in 2014 (the latest year for which data are available).</p><p> </p><p>The number of abortions for Down's syndrome was not recorded in 1991 as there was no diagnosis code specific to Down’s Syndrome in the International Classification of Diseases, therefore a comparison between 1991 and 2015 levels is not available. There are complex reasons why there has been an increase in abortion for fetal abnormality which reflect societal changes. The age at which women are giving birth is increasing and age is a known risk for some anomalies. Increasing levels of obesity may also be a factor. Screening techniques have also improved which means that anomalies can be more accurately detected.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3065 HL3066 question first answered 21/11/2016 16:16:20 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4557 label Biography information for Lord Shinkwin

631046

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what was the percentage increase in the number of late term abortions (after 24 weeks) performed on the grounds of disability between 1991 and 2015.
	tabling member printed	Lord Shinkwin
	uin	HL3065
	answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>There was a 64% increase in the number of abortions performed under Ground E (fetal abnormality) between 1986 (1,963) and 2015 (3,213).</p><p> </p><p>The number of abortions performed under Ground E after 24 weeks gestation increased from 58 to 177 between 1991 and 2015, a 205% increase. This data should be seen in the context of the overall number of conceptions each year, of which there were 829,690 in England in 2014 (the latest year for which data are available).</p><p> </p><p>The number of abortions for Down's syndrome was not recorded in 1991 as there was no diagnosis code specific to Down’s Syndrome in the International Classification of Diseases, therefore a comparison between 1991 and 2015 levels is not available. There are complex reasons why there has been an increase in abortion for fetal abnormality which reflect societal changes. The age at which women are giving birth is increasing and age is a known risk for some anomalies. Increasing levels of obesity may also be a factor. Screening techniques have also improved which means that anomalies can be more accurately detected.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3064 HL3066 question first answered 21/11/2016 16:16:20 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4557 label Biography information for Lord Shinkwin

631047

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what was the percentage increase in the number of abortions for Down's syndrome between 1991 and 2015.
	tabling member printed	Lord Shinkwin
	uin	HL3066
	answer	answer is ministerial correction date of answer 21/11/2016 answer text <p>There was a 64% increase in the number of abortions performed under Ground E (fetal abnormality) between 1986 (1,963) and 2015 (3,213).</p><p> </p><p>The number of abortions performed under Ground E after 24 weeks gestation increased from 58 to 177 between 1991 and 2015, a 205% increase. This data should be seen in the context of the overall number of conceptions each year, of which there were 829,690 in England in 2014 (the latest year for which data are available).</p><p> </p><p>The number of abortions for Down's syndrome was not recorded in 1991 as there was no diagnosis code specific to Down’s Syndrome in the International Classification of Diseases, therefore a comparison between 1991 and 2015 levels is not available. There are complex reasons why there has been an increase in abortion for fetal abnormality which reflect societal changes. The age at which women are giving birth is increasing and age is a known risk for some anomalies. Increasing levels of obesity may also be a factor. Screening techniques have also improved which means that anomalies can be more accurately detected.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3064 HL3065 question first answered 21/11/2016 16:16:20 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4557 label Biography information for Lord Shinkwin

631163

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Fractures: 3D Printing
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions his Department has had with clinical bodies on the use of 3D printer technology on people with fractures.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	52091
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>There have been no recent discussions between the Department and clinical bodies on the use of 3D printer technology on people with fractures.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 14/11/2016 16:34:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4131 label Biography information for Jim Shannon

631182

	registered interest
	date	07/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Finance
	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 inflation of recent changes in the currency exchange rate.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	52196
	answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>The vast majority of income and costs of National Health Service budgets are denominated in pounds sterling. There are a number of reasons for changes in NHS costs, and, as ever, specifically identifying the impact of exchange rate changes is not routinely undertaken.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 52197 question first answered 14/11/2016 16:29:30 answering member 1542 label Biography information for Philip Dunne
	tabling member	4244 label Biography information for Jonathan Ashworth