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100024

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Community Health Services: Devon
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will increase funding from the Better Care Fund to improve the transition of community services in Devon.
	tabling member constituency	North Devon
	tabling member printed	Sir Nick Harvey
	uin	905558
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Better Care Fund is a pooled budget of £3.8 billion to be spent on integrating Health and Social care. Local areas will decide how best to use their funding to transform the provision of services to their communities, both improving outcomes for people, and driving efficiencies.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:44:45 answering member 1439 label Biography information for Norman Lamb
	tabling member	231 label Biography information for Sir Nick Harvey

92769

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Capacity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to assist local authorities to address the consequences of the Supreme Court’s judgments in <i>P v Cheshire West and Chester Council</i> and <i>P and Q v Surrey County Council</i> on deprivation of liberty of mentally incapacitated persons, in the light of the likely costs of compliance with those judgments.
	tabling member printed	Lord Beecham
	uin	HL2005
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>So that we might better understand the consequences of the 19 March 2014 Supreme Court judgment in the case of Cheshire West, we have asked the Health and Social Care Information Centre to perform additional data collections as to the number of Deprivation of Liberty Safeguard (DoLS) applications made and the number authorised. The first data set was published in early October 2014. The next will be published in early November 2014.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In the meantime, to assist local authorities, the Government has commissioned the Association of Directors of Adult Social Services to review and redesign the standard forms that support the DoLS process. This will reduce bureaucracy on local authorities whilst maintaining robust safeguards for the service user.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In addition, the Government has commissioned the Law Society to produce guidance to assist local authority DoLS practitioners (including social workers) to understand what constitutes a deprivation of liberty following the Supreme Court judgment.</p><p> </p> answering member printed Earl Howe question first answered 21/10/2014 11:08:49 answering member 2000 label Biography information for Earl Howe
	tabling member	4181 label Biography information for Lord Beecham

93239

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS has spent on agency (a) nurses, (b) midwives and (c) physiotherapists in 2014 to date.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210351
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department does not collect information on how much the National Health Service has spent on specific staff groups such as agency nurses, midwives and physiotherapists. In the Department of Health Annual Report and Accounts, we publish, for the financial year, how much each type of NHS organisation has spent on temporary and agency staff.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:06:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1447 label Biography information for Andrew Rosindell

93243

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness
	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 promote awareness of the warning signs of mental illness.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210363
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Our cross-government mental health outcomes strategy, <em>No Health Without Mental Health</em>, published 2011, takes a life course approach, recognising that the foundations for lifelong well-being are already being laid down before birth, and there is much we can do to protect and promote wellbeing and resilience through the early years, into adulthood and on into a healthy old age.</p><p> </p><p> </p><p> </p><p>Our mental health action plan, <em>Closing the Gap: Priorities for essential change in mental health,</em> makes it clear that early identification and where necessary intervention can make a massive difference.</p><p> </p><p> </p><p> </p><p>We have invested £54 million over the years 2011-12 to 2014-15 in the Children and Young People’s Improving Access to Psychological Therapies programme, this offers training to services in several different evidence based therapies which aim to help children and young people deal with negative thoughts and feelings and make positive changes. They can help children and young people who are feeling distressed by difficult events in their lives as well as those with a mental health problem. Among the evidence based therapies offered is Parental Therapy for conduct disorders in 3-10 year olds.</p><p> </p><p><strong> </strong></p><p> </p><p>We launched the MindEd e-portal, <a href="http://www.minded.org.uk/" target="_blank">www.minded.org.uk</a>, in March this year to support staff working in schools to identify the mental health and well-being needs of children and young people.</p><p> </p><p> </p><p> </p><p>The Department is working collaboratively with the Department for Education to raise awareness of mental health in schools and in teacher training. Schools are working to promote resilience in children and provide counselling in-house and through working with local mental health trusts in some places.</p><p> </p><p> </p><p> </p><p>The Department for Education’s <em>Mental Health and Behaviour in Schools, Departmental advice for school staff</em>, published in June provided advice for schools including practical advice on supporting children with emotional and behavioural difficulties; strengthening pupil resilience; and tools to identify pupils likely to need extra support; where/how to access community support and how and when to refer to Child and Adolescent Mental Health Services.</p><p> </p><p> </p><p> </p><p>The recently established <em>Children and Young People’s Mental Health and Well-Being Taskforce </em>will be looking at ways to further improve early intervention and the resilience of children. The Taskforce membership includes headteachers. The Taskforce will report to Ministers in February 2015.</p><p> </p><p> </p><p> </p><p>Our new five-year plan for mental health, <em>Achieving Better Access to Mental Health Services by 2020</em>, sets out our ambition and the immediate actions we will take this year and next to achieve better access and waiting times in mental health services.</p><p> </p><p> </p><p> </p><p>We have identified £40 million additional spending to kick start change in the current year. This includes an investment of £33 million to support people in mental health crisis, and to boost early intervention services, that help some of the most vulnerable young people in the country to get well and stay well.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:21:31 answering member 1439 label Biography information for Norman Lamb
	tabling member	1447 label Biography information for Andrew Rosindell

93244

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department takes to ensure that patients receiving cancer care also have access to necessary mental health counselling.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210373
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>There is no specific pathway for cancer patients with mental health issues. Many cancer patients will complete their primary treatment and return, more or less, to the same level of health and wellbeing that they enjoyed before their diagnosis. However, we now know a significant proportion will experience a wide range of distressing problems, including psychological and social consequences. Thanks to recent research, and the views and experiences of patients, our understanding of the consequences of cancer treatment and their impact has improved dramatically.</p><p> </p><p> </p><p> </p><p>The Macmillan Cancer Support document ‘Throwing light on the consequences of cancer and its treatment’ highlights this well. This increase in understanding led to the management of psychosocial issues and other consequences of treatment being a major priority of the National Cancer Survivorship Initiative (NCSI).</p><p> </p><p> </p><p> </p><p>In March 2013, NCSI published ‘Living with and beyond cancer: Taking Actions to Improve Outcomes’. This document informs the direction of survivorship work in England to 2015 and is intended to support commissioners, providers and others to take the actions necessary to drive improved survivorship outcomes. It sets out what we have learnt about survivorship, including people’s needs, their experience of care, and the impact cancer and treatment has upon their lives. It describes interventions that have been tested, and are already spreading across England to improve survivors’ outcomes.</p><p> </p><p> </p><p> </p><p>Finally, we have enshrined in law the equal importance of mental health, alongside physical health. The Health and Social Care Act 2012 sets out the equal status of mental and physical health. As such, the Mandate to NHS England makes it clear that everyone should have timely access to the mental health services that they need.</p><p> </p><p> </p><p> </p><p>Over the course of the current spending review, we are investing in excess of £400 million to give hundreds of thousands of people access to National Institute for Health and Care Excellence-approved psychological therapies. We are also increasing the availability of 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> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:23:21 answering member 1439 label Biography information for Norman Lamb
	tabling member	1447 label Biography information for Andrew Rosindell

93247

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Digestive System: Diseases
	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 (a) tackle the incidence of and (b) improve the outcomes for people with Barrett's oesophagus and oesophageal cancer.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210371
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>We are fully committed to improving early diagnosis and treatment of people with oesophageal cancer both nationally and locally. Alongside supporting Public Health England to increase symptom awareness amongst the general population, NHS England are also working to increase cancer symptom awareness amongst healthcare professionals, and to provide support to general practitioners in early diagnosis of cancer and pre-cancerous conditions.</p><p> </p><p> </p><p> </p><p>NHS England’s oesophageal and gastric cancer service specification clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective oesophageal cancer services, in line with the National Institute for Health and Care Excellence’s clinical guideline, published in 2001, Improving Outcomes for Upper Gastro-Intestinal Cancers.</p><p> </p><p> </p><p> </p><p>Public Health England will run a national Be Clear on Cancer campaign from 26 January to the end of February 2015 aimed at men and women aged 50 years and over, to raise awareness of oesophageal and stomach cancers. This campaign will also aim to identify patients with Barrett’s oesophagus, a possible or potential precursor to oesophageal cancer. Campaign plans are still to be finalised but are likely to include television, radio, press, digital and out of home advertising.</p><p> </p><p> </p><p> </p><p>The decision to run this campaign was based on the evidence of significant impact from the regional campaign which ran in the Northern England Strategic Clinical Network region from February to March 2014.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 210370 question first answered 21/10/2014 15:09:47 answering member 3918 label Biography information for Jane Ellison
	tabling member	1447 label Biography information for Andrew Rosindell

93250

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Food
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department takes to monitor the quality of food supplied at hospitals.
	tabling member constituency	Romford
	tabling member printed	Andrew Rosindell
	uin	210354
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Hospitals have a responsibility to provide high quality food and drink that meets each patient’s needs. The Department introduced Patient-Led Assessments of the Care Environment (PLACE) in April 2013 to assess the quality of the patient environment, including hospital food. PLACE is a voluntary process which takes place annually, and applies to hospitals, hospices and day treatment centres providing National Health Service funded care. PLACE is now the responsibility of NHS England.</p><p> </p><p> </p><p> </p><p>The results of the 2014 PLACE were published on the Health and Social Care Information Centre’s website on 27 August 2014. This data is available at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://hefs.hscic.gov.uk/PLACE.asp" target="_blank">http://hefs.hscic.gov.uk/PLACE.asp</a></p><p> </p><p> </p><p> </p><p>Selected hospital food data from the latest PLACE results has also been published on the NHS Choices website. Patients are able to see how hospital food is rated for quality and choice at their local hospital. This data is available at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/hospital-food-standards.aspx" target="_blank">http://www.nhs.uk/NHSEngland/AboutNHSservices/NHShospitals/Pages/hospital-food-standards.aspx</a></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:04:07 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1447 label Biography information for Andrew Rosindell

93252

	registered interest
	date	14/10/2014
	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 part his Department plays in the Government's No Health without Mental Health strategy.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	210337
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Department designed and developed the mental health strategy<em>, No Health Without Mental Health</em>, published February 2011, which sets out this Government’s overall ambition for mental health.</p><p> </p><p> </p><p> </p><p>We legislated for parity of esteem by enshrining in law the equal status of mental and physical health through the Health and Social Care Act 2012.</p><p> </p><p> </p><p> </p><p>The Department holds NHS England to account for the quality of mental health services, through the Government’s Mandate to NHS England and measures outcomes for mental health patients through the NHS, Public Health and Adult Social Care Outcomes Frameworks.</p><p> </p><p> </p><p> </p><p>As steward of the system, the Department works with its partners to achieve the objectives set out in <em>No Health Without Mental Health</em>.</p><p> </p><p> </p><p> </p><p>Early in 2014, we published <em>Closing the gap: priorities for essential change</em> which set out the areas where urgent action was most needed. Progress has already been made in a number of areas:</p><p> </p><p> </p><p> </p><ul><li>The Government has ended the unjust exclusion of mental health from the right of choice in the National Health Service.</li><li>Over 2.4 million people have entered treatment under the Improving Access to Psychological Therapies (IAPT) programme, and over 1.4 million have completed treatment.</li><li>£54 million invested over the period 2011-2015/16 in the children and young people’s IAPT programme to transform child and adolescent mental health services.</li><li>The Mental Health Crisis Care Concordat, signed by more than 20 national organisations, was published in February 2014.</li></ul><p> </p><p> </p><p> </p><p>Our recently published five-year plan,<em> Achieving Better Access to Mental Health Services by 2020,</em> sets out action the government is taking to provide better access to mental health services within the next year, including the first ever national waiting times for mental health services. It also sets out its vision for further progress by 2020.</p><p> </p><p> </p><p> </p><p>£40 million in additional funding has been identified to enable change in the current financial year, and a further £80 million will be freed up for 2015-16 to support implementation of waiting times in mental health services.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:27:06 answering member 1439 label Biography information for Norman Lamb
	tabling member	298 label Biography information for Steve McCabe

93255

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Congenital Abnormalities: Screening
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many women (a) accepted or (b) refused foetal anomaly screening in each of the last five years for which records are available.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	uin	210442
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The NHS Fetal Anomaly Screening Programme offers screening to all pregnant women in England to assess the risk of the baby being born with Down’s syndrome or a number of fetal anomalies (structural abnormalities with how the fetus has developed).</p><p> </p><p>There is no current systematic collation of data at a national level of the uptake of screening for either Down’s syndrome or the 18<sup>+0</sup>-20<sup>+6</sup> week (18-21 week) fetal anomaly scan.</p><p> </p><p>The Down’s syndrome screening quality support service (DQASS) can provide data on the number of completed screening test that were undertaken for Down’s syndrome in the last five years and these are presented in the following table.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>First trimester tests</p></td><td><p>Second trimester tests</p></td><td><p>Integrated</p><p>tests</p></td><td><p>Total</p></td></tr><tr><td><p>2008</p></td><td><p>120,122</p></td><td><p>185,606</p></td><td><p>7,049</p></td><td><p>312,777</p></td></tr><tr><td><p>2009</p></td><td><p>212,331</p></td><td><p>219,917</p></td><td><p>8,550</p></td><td><p>440,798</p></td></tr><tr><td><p>2010</p></td><td><p>271,977</p></td><td><p>191,516</p></td><td><p>3,616</p></td><td><p>467,109</p></td></tr><tr><td><p>2011</p></td><td><p>441,355</p></td><td><p>120,094</p></td><td><p>3,996</p></td><td><p>565,445</p></td></tr><tr><td><p>2012</p></td><td><p>455,995</p></td><td><p>100,371</p></td><td><p>3,796</p></td><td><p>560,162</p></td></tr><tr><td><p>2013</p></td><td><p>468,172</p></td><td><p>89,959</p></td><td><p>2,892</p></td><td><p>561,023</p></td></tr></tbody></table><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 21/10/2014 15:02:10 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	3958 label Biography information for Fiona Bruce

93258

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Chronic Fatigue Syndrome
	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 improve access to diagnosis and treatment for people with myalgic encephalomyelitis.
	tabling member constituency	Huddersfield
	tabling member printed	Mr Barry Sheerman
	uin	210440
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>In 2007 the National Institute for Health and Care Excellence (NICE) produced the clinical guidance, ‘<em>Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children</em>’. This guidance set out best practice on the diagnosis, treatment care and support of children and adults with CFS/ME. Information on CFS/ME diagnosis and treatment can also be accessed via the NHS Evidence and NICE Clinical Knowledge summaries websites.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 15:00:27 answering member 1439 label Biography information for Norman Lamb
	tabling member	411 label Biography information for Mr Barry Sheerman