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595752

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sepsis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne cases of sepsis in England were recorded in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47400
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Public Health England and NHS Digital do not collect this data to the level of detail and format as requested.</p><p> </p><p>NHS Digital is unable to identify the source of a sepsis infection. They are only able to provide data on a count of the number of Finished Discharge Episodes with a primary or secondary diagnosis of sepsis.</p><p> </p><p>I refer the hon. Member to the answer I gave to the hon. Member for Strangford (Jim Shannon MP) to Question 45207 regarding available information on sepsis.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:58:57 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595756

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne infectious diseases were recorded in England in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47404
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>In April 2013, Public Health England took over the mandatory surveillance of healthcare-associated infections (HCAIs), formerly undertaken by the Health Protection Agency.</p><p> </p><p>The total number of trust apportioned cases of HCAIs can be found in Table 1. For the purposes of answering this question trust apportioned cases can be considered “hospital-borne” infections.</p><p> </p><p>Data for the years 2000 and 2005 are not available.</p><p> </p><p>Table: Counts of trust apportioned HCAIs by financial year in 2010 and 2015:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>April 2010 to March 2011</p></td><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>Meticillin sensitive Staphylococcus aureus (MSSA)</p></td><td><p>ND</p></td><td><p>2,910</p></td></tr><tr><td><p>E.coli</p></td><td><p>ND</p></td><td><p>7,692</p></td></tr><tr><td><p>Clostridium difficile infection (patients aged 2 years and over)</p></td><td><p>10,417</p></td><td><p>5,164</p></td></tr><tr><td><p>Meticillin resistant Staphylococcus aureus (MRSA)</p></td><td><p>688</p></td><td><p>297</p></td></tr></tbody></table><p> </p><p><em>Notes</em>:</p><ol><li>ND - Not Determined</li><li>Cases are deemed to be trust apportioned if the following criteria are met:-</li></ol><p>- The location where the specimen was taken is given as ‘acute trust’ or is not known;</p><p>- The patient was either an ‘In-patient’, ‘Day-patient’, in ‘Emergency assessment’ or is not known.</p><p>- Patient’s specimen date is on, or after, the third day of the admission (or admission date is null), where the day of admission is day 1 (for MSSA or E. coli bacteraemia)</p><p>Or</p><p>- Patient’s specimen date is on, or after, the fourth day of the admission (or admission date is null), where the day of admission is day 1 (for Clostridium difficile infection).</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 15:42:42 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595757

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	MRSA
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital-borne cases of MRSA were recorded in England in (a) 2000, (b) 2005, (c) 2010 and (d) 2015.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47403
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>In April 2013 Public Health England took over the surveillance of methicillin-resistant staphylococcus aureus (MRSA) bacteraemia, formerly undertaken by the Health Protection Agency. We do not hold the data for 2000 and 2005.</p><p> </p><p>Cases are published according to both trust apportionment and trust assignment. For the purpose of answering this question trust apportionment or assignment can be considered as “hospital borne” cases.</p><p> </p><p>The assignment process was added to the MRSA surveillance in 2013 superseding the previously used apportionment method. The assignment process utilises individual case review and therefore allows for a much more considered categorisation of a case and associated learning to prevent similar cases occurring in the future, than was previously possible. The assignment process was only introduced in 2013 as MRSA numbers were previously considered to be too high to make this resource demanding method viable.</p><p> </p><p>The total number of trust apportioned and trust assigned cases are displayed in Tables 1 and 2 respectively.</p><p> </p><p>Table 1: Trust apportioned counts of MRSA bacteraemia in 2008, 2010 and 2015.</p><p> </p><table><tbody><tr><td><p>April 2008 to March 2009</p></td><td><p>April 2010 to March 2011</p></td><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>1,606</p></td><td><p>688</p></td><td><p>297</p></td></tr></tbody></table><p> </p><p>Table 2: Trust assigned counts of MRSA bacteraemia in 2015.</p><p> </p><table><tbody><tr><td><p>April 2015 to March 2016</p></td></tr><tr><td><p>302</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Cases are published on a financial year basis.</li><li>Trust apportioned data are not available for the years 2000 and 2005.</li><li>Trust assigned are not available for the years 2000, 2005 and 2010.</li><li>Cases are deemed to be Trust apportioned if the following criteria are met:-</li></ol><p>- The location where the specimen was taken is given as ‘acute trust’ or is not known;</p><p>- The patient was either an ‘In-patient’, ‘Day-patient’, in ‘Emergency assessment’ or is not known.</p><p>- Patient’s specimen date is on, or after, the third day of the admission (or admission date is null), where the day of admission is day 1.</p><ol start="5"><li>Cases are deemed to be trust assigned on the basis of Post Infection Review (PIR) assignment and relevant cases are assigned to acute trusts.</li><li>The trust assignment method supersedes the apportionment one post 2013 and utilises case review by the teams caring for the patient.</li></ol> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:48:59 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595790

registered interest
date	07/10/2016
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, whether his Department plans to put in place measures to ensure that funding for atypical GP practices is ring-fenced.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46698
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>NHS England is developing national guidance for commissioners illustrating the workload challenges faced by practices with atypical patient populations, to assist them in making decisions regarding sustainable support.</p><p><strong> </strong></p><p>There is no formal ring-fencing of primary care allocations within commissioners’ plans.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:34:38 answering member 4080 label Biography information for David Mowat
tabling member	411 label Biography information for Mr Barry Sheerman

595791

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to increase public involvement in decision-making by clinical commissioning groups.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46699
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>Clinical commissioning groups (CCGs) have a statutory duty to make arrangements to involve the public in commissioning services for National Health Service patients. The duty ensures that CCGs act fairly and proportionately when decision making in circumstances where there may be an impact on services.</p><p> </p><p>To support CCGs, NHS England published statutory guidance entitled <em>Transforming Participation in Health and Care</em> in September 2013. CCGs must have regard to this guidance. A copy of the guidance can be found at the following address:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2013/09/trans-part-hc-guid1.pdf</a></p><p> </p><p>In April NHS England also published <em>Annual Reporting on the Legal Duty to Involve Patients and the Public in Commissioning</em> which can be found here:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/07/guid-annual-reprting-legal-duty-july16.pdf</a></p><p> </p><p>NHS England has also published <em>Engaging Local People: A Guide for local areas developing Sustainability and Transformation Plans </em>in September 2016, available from:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2016/09/engag-local-people-stps.pdf</a></p><p> </p><p>Revised guidance for CCGs in relation to their duty to involve the public will also be published in spring 2017.</p><p> </p><p>In addition, CCGs are required by statute to use the NHS Standard Contract when commissioning secondary healthcare services from providers. The NHS Standard Contract places obligations on providers, which if necessary are enforced by CCGs. Public involvement in the decision-making by providers is included in clause 12.5 of the NHS Standard Contract as follows:</p><p> </p><p><em>“The Provider must involve Service Users (and, where appropriate, their Carers and Legal Guardians), Staff, Service Users’ GPs and the public when considering and implementing developments to and redesign of Services. As soon as reasonably practicable following any reasonable request by the Co-ordinating Commissioner, the Provider must provide evidence of that involvement and of its impact.”</em></p><p> </p><p>Therefore, if a CCG and provider propose a change to a service, the provider must engage with the public.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/10/2016 16:39:30 answering member 4080 label Biography information for David Mowat
tabling member	411 label Biography information for Mr Barry Sheerman

595805

registered interest
date	07/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Infectious Diseases
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 educate people on the importance of hand-sanitising products in the prevention of infection in hospitals.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47067
answer	answer is ministerial correction date of answer 17/10/2016 answer text <p>The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and related guidance sets 10 compliance criteria to manage healthcare associated infections. This includes one covering infection prevention and control which refers to hand hygiene and recommends that providers undertake hand hygiene audits. The Care Quality Commission will monitor a registered provider on how it complies with these requirements.</p><p> </p><p>NHS England Sign up to Safety is a national initiative to help National Health Service organisations and their staff achieve their patient safety aspirations, and care for their patients in the safest way possible. The World Health Organization leads the ‘Save Lives: Clean Your Hands’ campaign on 5 May each year. This is a global campaign which serves as a call to action for healthcare workers to improve hand hygiene. To coincide with this, on 5 May 2016, NHS England Sign up to Safety ran a promotion to remind staff of the important role of hand hygiene at the point of care:</p><p> </p><p><a href="https://www.england.nhs.uk/signuptosafety/2016/05/05/claire-kilpatrick-julie-storr/" target="_blank">https://www.england.nhs.uk/signuptosafety/2016/05/05/claire-kilpatrick-julie-storr/</a></p><p> </p><p>Public Health England operates a free health education resource called e-Bug, which aims to reduce antibiotic resistance by helping children and young people understand infections and antibiotic use. Hand hygiene is included in this teaching tool:</p><p> </p><p><a href="http://www.e-bug.eu/" target="_blank">http://www.e-bug.eu/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/10/2016 16:27:16 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

595943

registered interest
date	07/10/2016
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Developing Countries: Renewable Energy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Development, what steps her Department has taken to increase investment in decentralised renewable energy.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47022
answer	answer is ministerial correction date of answer 13/10/2016 answer text <p>The UK Government is playing a leading role in improving energy access in developing countries. DFID has a range of programmes which are working with developing countries to ensure renewable energy markets work effectively as well as supporting energy businesses to grow, and providing consumers with access to funding to buy solar goods. For example, our Energy Access Ventures programme is investing in off-grid electric and we are delivering green mini-grid solutions across Africa.</p><p>Through the UK Government’s Energy Africa campaign we are working with solar firms to help them access the finance they need to expand their businesses, create jobs and help reach millions of people in Africa without electricity access.</p> answering member constituency Stockton South answering member printed James Wharton question first answered 13/10/2016 16:29:36 answering member 4123 label Biography information for Lord Wharton of Yarm
tabling member	411 label Biography information for Mr Barry Sheerman

595984

registered interest
date	07/10/2016
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Family Courts: Domestic Abuse
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, what steps her Department is taking to protect victims of domestic abuse in family law courts.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46920
answer	answer is ministerial correction date of answer 09/11/2016 answer text <p>This Government is committed to supporting vulnerable people at court, including victims of domestic abuse. The family courts take the issue of domestic abuse extremely seriously. There is a strong and clear framework for judges to apply to the management of difficult court room situations, to ensure they are handled sensitively for alleged victims of domestic abuse and other vulnerable witnesses. All judges receive specific training on this framework and they can intervene to prevent inappropriate questions or have questions relayed. Practical protections, for example, protective screens, video links, separate waiting rooms and separate entrances are available where appropriate. The Government is working with the judiciary to consider what additional protections may be necessary.</p> answering member constituency Bracknell answering member printed Dr Phillip Lee question first answered 09/11/2016 12:05:41 answering member 3921 label Biography information for Dr Phillip Lee
tabling member	411 label Biography information for Mr Barry Sheerman

595994

registered interest
date	07/10/2016
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Chlorine Dioxide
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, if she will bring forward legislative proposals to enable the prosecution of people who promote the use of miracle mineral solution as a cure for autism.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	47521
answer	answer is ministerial correction date of answer 19/10/2016 answer text <p>The Food Standards Agency (FSA) has issued advice that Miracle Mineral Solution (MMS) is not safe and should not be sold for human consumption. It has been working with local authorities across the country to share knowledge, investigate and disrupt the sale of MMS and other similar products.</p><p> </p><p>The FSA’s National Food Crime Unit has secured the removal of MMS products from major marketplace websites, and has shared information internationally through the National Crime Agency, alerting authorities in specific countries to the risks relating to known proponents of the use of MMS in this manner.</p><p> </p><p>Therefore, the Government has no plans to bring forward legislation in this area.</p> answering member constituency North East Hertfordshire answering member printed Sir Oliver Heald question first answered 19/10/2016 15:02:58 answering member 69 label Biography information for Sir Oliver Heald
tabling member	411 label Biography information for Mr Barry Sheerman

596030

registered interest
date	07/10/2016
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	Road Traffic Offences
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Transport, what steps he is taking to reduce (a) dangerous driving and (b) driving under the influence of alcohol.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46714
answer	answer is ministerial correction date of answer 14/10/2016 answer text <p>I published the Road Safety Statement in December 2015 which sets out the measures Government is taking to improve road safety including the reduction of road traffic offences. Our award-winning THINK! campaigns have also been running throughout the year to educate drivers on the risk and consequences of a number of different type of offences. The Department is in regular contact with a range of organisations and their reports, such as the ‘RAC Report on Motoring 2016’, are provided to the Department. The Department often includes research evidence in its impact assessments, for example the Elvik ‘dose response’ model, which shows that rigorous enforcement increases the deterrent effect on offending. The Government continues to keep road safety and road traffic offences under review.</p> answering member constituency Harrogate and Knaresborough answering member printed Andrew Jones grouped question UIN 46715 46718 question first answered 14/10/2016 11:01:21 answering member 3996 label Biography information for Andrew Jones
tabling member	411 label Biography information for Mr Barry Sheerman