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224451

registered interest
date	02/03/2015
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Members: Correspondence
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, when he intends to reply to the letter to him dated 19 January 2015 from the Right hon. Member for Manchester, Gorton with regard to Mr P. Metcalfe.
tabling member constituency	Manchester, Gorton
tabling member printed	Sir Gerald Kaufman
uin	225877
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>My right hon. Friend the member for Runnymede and Weybridge (Philip Hammond) replied to the the Right hon. Member for Manchester, Gorton's letter of 19 January 2015 with regard to Mr P. Metcalfe on 25 February.</p> answering member constituency Aylesbury answering member printed Mr David Lidington question first answered 04/03/2015 14:44:32 answering member 15 label Biography information for Sir David Lidington
tabling member	451 label Biography information for Sir Gerald Kaufman

224121

registered interest
date	27/02/2015
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Charities
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Minister for the Cabinet Office, how many inquiries into faith-based charities of each faith have been opened by the Charity Commission in each of the last three years.
tabling member constituency	Stretford and Urmston
tabling member printed	Kate Green
uin	225687
answer	answer is ministerial correction date of answer 03/03/2015 answer text <p>The information requested falls within the responsibility of the Charity Commission. I have asked the Chief Executive to reply.</p><p> </p> answering member constituency Reading East answering member printed Mr Rob Wilson question first answered 03/03/2015 16:34:24 answering member 1556 label Biography information for Mr Rob Wilson attachment 1 file name rchajrowley20150303104106HQ.PDF title Charity Commission Letter to Member
tabling member	4120 label Biography information for Kate Green

224146

registered interest
date	27/02/2015
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Schools: Fairtrade Initiative
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Education, what steps she has taken to raise awareness of the Fairtrade movement in schools.
tabling member constituency	Glasgow South West
tabling member printed	Mr Ian Davidson
uin	225704
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>Awareness of the Fairtrade movement can be covered in Citizenship or as part of Personal, Social, Health and Economic (PSHE) education. Schools are free to decide what to include in their PSHE programmes and should tailor the content of PSHE lessons to take account of the needs and interests of their pupils.</p><p> </p> answering member constituency Bognor Regis and Littlehampton answering member printed Mr Nick Gibb question first answered 04/03/2015 14:47:35 answering member 111 label Biography information for Nick Gibb
tabling member	611 label Biography information for Mr Ian Davidson

224149

registered interest
date	27/02/2015
answering body	Foreign and Commonwealth Office
answering dept id	16
answering dept short name	Foreign and Commonwealth Office
answering dept sort name	Foreign and Commonwealth Office
hansard heading	Middle East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Foreign and Commonwealth Affairs, what recent discussions he has had with the UN Office for the Coordination of Humanitarian Affairs on the legality of Israeli actions in occupied Palestinian territory; and if he will make a statement.
tabling member constituency	Brecon and Radnorshire
tabling member printed	Roger Williams
uin	225737
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>Officials from our Consulate-General in Jerusalem, including our Consulate-General, regularly meet with UN OCHA representatives, including the Head of OCHA in the Occupied Palestinian Territories (OPTs), Ramesh Rajasingham, to discuss the impact of the occupation in the OPTs (including topics ranging from settlements, settler violence, demolitions, blockade on Gaza to movement and access restrictions, and others).</p><p>Mr Rajasingham has also briefed many of the visiting Ministers and Members of Parliament from the UK on the impact of the occupation, including The Prime Minister, my right hon. Friend the Member for Witney (Mr Cameron) in February 2014, the Minister for Universities and Science, my right hon. Friend the Member for Havant (Mr Willetts) in March 2014, myself in October 2014, the Minister for the Cabinet Office and Paymaster General, my right hon. Friend the Member for Horsham (Mr Maude) in November 2014 and the Leader of Her Majesty's Official Opposition (Mr Miliband) in April 2014.</p> answering member constituency Bournemouth East answering member printed Mr Tobias Ellwood question first answered 04/03/2015 14:19:15 answering member 1487 label Biography information for Mr Tobias Ellwood
tabling member	1394 label Biography information for Roger Williams

224150

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alliance Medical
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what grounds a contract to run NHS PET-CT cancer scans was awarded to Alliance Medical.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	225738
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>NHS England has moved to increase patient access to vital diagnostic tests in cancer care, with an expansion of positron emission tomography–computed tomography (PET-CT) scanning.</p><p> </p><p> </p><p> </p><p>The new services will be provided by a network including Alliance Medical Limited, The Christie NHS Foundation Trust, local National Health Service and charitable partners, and a number of leading academic institutions. Key benefits to patients will include:</p><p> </p><p> </p><p> </p><p>- Greater value for money, with the cost of scans reducing by almost 18% from current prices;</p><p> </p><p>- £87 million investment over 10 years, at 30 different sites across England to install new scanners and improve the current infrastructure;</p><p> </p><p>- increased patient access to services, including the provision of PET-CT scanning at five new locations (Bath, Bristol, Carlisle, Lincoln and Truro), where there is currently no provision at all;</p><p> </p><p>- faster production of reports, meaning patients receive test results more quickly, thereby reducing the stress of waiting, and allowing treatment to start earlier; and</p><p> </p><p>- a substantial number of PET-CT scans at no additional cost to support the research and clinical trials capability of the national network, not only in cancer, but also in new applications such as dementia, to provide the evidence needed to develop and enhance services for patients.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/03/2015 10:50:05 answering member 3918 label Biography information for Jane Ellison
tabling member	304 label Biography information for Mr Roger Godsiff

224151

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Private Sector
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 Ministers with financial interests in private health companies do not (a) make a profit from and (b) have influence over the award of NHS contracts to private healthcare companies.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	225739
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>NHS England and clinical commissioning groups, not Ministers, make decisions to award contracts to providers of NHS services. In doing so, they must ensure that they act proportionately, transparently, fairly and in the interest of patients, and that all potential conflicts of interest for those involved in awarding contracts are declared and managed appropriately at the outset of the process.</p><p> </p><p><strong> </strong></p><p> </p><p>In May 2010, the Government published the Ministerial Code, which sets out the standards of conduct expected of Ministers and how they discharge their duties. Section 7 of this guidance specifies that “Ministers must ensure that no conflict arises, or could reasonably be perceived to arise, between their public duties and their private interests, financial or otherwise”.</p><p> </p><p> </p><p> </p><p>A full list of ministerial interests is published online, and can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/254671/ministers-interests-october-2013.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/254671/ministers-interests-october-2013.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 04/03/2015 10:38:02 answering member 3918 label Biography information for Jane Ellison
tabling member	304 label Biography information for Mr Roger Godsiff

224152

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Wards
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 minimise disruption for patients at shift changeovers in hospital wards; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	225740
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>It is the responsibility of individual National Health Service trusts to ensure they have a workforce that can respond to the service needs and plan rotas that are compliant with the Working Time Directive.</p><p> </p><p> </p><p> </p><p>Handovers are a major aid to patient safety and continuity of good quality care and many trusts have formalised and timetabled handover time. From an education and training perspective, handovers present an excellent opportunity for training and they form part of a programme, known as ‘Better Training, Better Care’, which was initiated in response to Professor Sir John Temple’s review on the application of the Working Time Directive on doctors’ training.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 04/03/2015 10:36:33 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	253 label Biography information for Mr Laurence Robertson

224153

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospital Wards
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 hospital wards provide sufficient (a) personal and (b) nursing care to patients; and if he will make a statement.
tabling member constituency	Tewkesbury
tabling member printed	Mr Laurence Robertson
uin	225741
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>The Health and Social Care Information Centre workforce statistics for November 2014 shows there has been an increase of nearly 8,500 more nurses working on hospital wards than in 2010.</p><p> </p><p> </p><p> </p><p>Through the Mandate, we have asked NHS England to deliver continued improvements in relation to the experience of care. Local healthcare organisations, with their knowledge of the people they serve, are best placed to plan and employ a workforce based on clinical need and sound evidence.</p><p> </p><p> </p><p> </p><p>In November 2013, the National Quality Board (NQB) supported by Jane Cummings, the Chief Nursing Officer for England, published guidance on <em>How to ensure the right people, with the right skills, are in the right place at the right time. </em>The guidance specifies that the skill mix of the workforce should reflect the patient care needs and local requirements, considering the experience and capabilities of the workforce employed.</p><p> </p><p> </p><p> </p><p>NHS England introduced mandatory reporting of monthly actual and planned nursing and midwifery staffing levels by hospital wards in May 2014. All trusts with inpatient beds are required to publish their staffing fill rates (actual versus planned) in hours on the NHS Choices website. In addition, all inpatient ward areas must display ward / department level information shift by shift regarding the planned versus actual staffing levels at the entrance to the clinical area.</p><p> </p><p><em> </em></p><p> </p><p>To support trusts further, the Department commissioned the National Institute for Health and Care Excellence (NICE) to produce independent and authoritative evidence based safe staffing guidance, <em>Safe Staffing for Nursing in Adult In-Patient Wards in Acute Hospital</em>’, published in July 2014. The guidance makes recommendations on safe staffing for registered nurses and healthcare assistants, and identifies indicators that should be used by trusts to demonstrate safe and effective nursing care is being provided. Assessment of patients' nursing needs should take into account individual preferences and the need for holistic care and patient contact time.</p><p> </p><p> </p><p> </p><p>Directors of nursing are required to take into account the NQB and NICE staffing guidance, as well as <em>Compassion in Practice</em>, the nursing vision and strategy launched by the Department and NHS England in 2012, to ensure the delivery of person centred care and improve health outcomes.</p><p> </p><p> </p><p> </p><p>National Health Service trust boards are required to scrutinise and sign-off staffing reports, and these staffing decisions will then be subject to external scrutiny and challenge by commissioners, regulators and the public, and inspection by the Chief Inspector of Hospitals.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 04/03/2015 10:40:21 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	253 label Biography information for Mr Laurence Robertson

224155

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rheumatoid Arthritis: Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people with rheumatoid arthritis are diagnosed and receive treatment within the first three months of referral from primary care.
tabling member constituency	Scunthorpe
tabling member printed	Nic Dakin
uin	225707
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>This information is not collected. The National Institute for Health and Care Excellence (NICE) clinical guideline <em>Rheumatoid arthritis: The management of rheumatoid arthritis in adults</em>, published in 2009, emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of rheumatoid arthritis (RA).</p><p> </p><p><strong> </strong></p><p> </p><p>NICE also published a quality standard on RA in June 2013. Quality standards are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. The standard makes seven statements which are indicators of good care. This includes a statement on referral that sets out that people with suspected RA are referred to a rheumatology service within three working days of presentation. It also includes a statement on assessment which recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral.</p><p> </p><p><strong> </strong></p><p> </p><p>Ministers at the Department have had no recent discussions with NHS England on improving the speed of diagnosis for people with inflammatory musculoskeletal conditions.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 225688 question first answered 04/03/2015 11:22:17 answering member 1439 label Biography information for Norman Lamb
tabling member	4056 label Biography information for Nic Dakin

224160

registered interest
date	27/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Epilepsy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many finished hospital episodes with a primary diagnosis of epilepsy there were among people aged (a) under and (b) over 18 in England in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	225698
answer	answer is ministerial correction date of answer 04/03/2015 answer text <p>In the following table, we have provided the number of finished consultant episodes (FCEs) with a primary diagnosis of epilepsy for people aged under 18 and over 18 in England for each of the last five years. The column headed ‘unknown’ contains FCEs where no age was provided.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="3"><p>FCEs per age group</p></td><td rowspan="2"><p>Total FCEs</p></td><td> </td></tr><tr><td><p>Under 18</p></td><td><p>18+</p></td><td><p>Unknown</p></td><td> </td></tr><tr><td><p>2009-10</p></td><td><p>13,192</p></td><td><p>45,486</p></td><td><p>138</p></td><td><p>58,816</p></td><td> </td></tr><tr><td><p>2010-11</p></td><td><p>13,645</p></td><td><p>46,992</p></td><td><p>157</p></td><td><p>60,794</p></td><td> </td></tr><tr><td><p>2011-12</p></td><td><p>14,015</p></td><td><p>47,218</p></td><td><p>182</p></td><td><p>61,415</p></td><td> </td></tr><tr><td><p>2012-13</p></td><td><p>13,488</p></td><td><p>45,550</p></td><td><p>178</p></td><td><p>59,216</p></td><td> </td></tr><tr><td><p>2013-14</p></td><td><p>14,357</p></td><td><p>46,016</p></td><td><p>160</p></td><td><p>60,533</p></td><td><p> </p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><p><em> </em></p><p> </p><p>1. A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</p><p> </p><p> </p><p> </p><p>2. Hospital Episodes Statistics (HES) figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in National Health Service practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information. HES figures includes activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p><p> </p><p> </p><p><em>Source</em>: HES, Health and Social Care Information Centre.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 04/03/2015 11:31:16 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall