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100891

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make it his policy to introduce a screening programme for people who have previously had treatment for skin cancer.
	tabling member constituency	Bassetlaw
	tabling member printed	John Mann
	uin	211914
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) has published cancer service guidance which outlines how healthcare services for people with skin tumours, including melanoma, should be organised. In May 2010 NICE issued a partial update to the guidance, including new recommendations on the management of low-risk basal cell carcinomas in the community.</p><p> </p><p> </p><p> </p><p>NICE is currently developing a clinical guideline on the assessment and management of melanoma, which is currently planned for publication in July 2015.</p><p> </p><p>Further details of NICE’s guidance on skin cancer are available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer" target="_blank">http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer</a></p><p> </p><p> </p><p> </p><p>Information for the public on skin cancer is available on the NHS Choices website.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:18 answering member 3918 label Biography information for Jane Ellison
	tabling member	1387 label Biography information for Lord Mann

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

101146

	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	Blood: Transport
	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 promote the use of blood bikes for the transportation of blood to hospital trusts.
	tabling member constituency	Bolton West
	tabling member printed	Julie Hilling
	uin	212022
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Whilst recognising the work of blood bikes, the Department is not actively promoting their use as it is a matter for individual trusts to decide whether they wish to use such services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:26 answering member 3918 label Biography information for Jane Ellison
	tabling member	3925 label Biography information for Julie Hilling

101147

	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	Blood: Transport
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will provide figures showing how much money has been saved by the NHS by the use of blood bikes for the transportation of blood (a) nationally and (b) in the North West region in each of the last three years.
	tabling member constituency	Bolton West
	tabling member printed	Julie Hilling
	uin	212023
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:55:01 answering member 3918 label Biography information for Jane Ellison
	tabling member	3925 label Biography information for Julie Hilling

101154

	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	Plastic Surgery
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he plans to ensure more effective regulation of providers of cosmetic laser treatments; and whether it is his policy to introdude a register of such providers.
	tabling member constituency	Ilford South
	tabling member printed	Mike Gapes
	uin	212131
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>On 24 April 2013, the independent <em>Review of the Regulation of Cosmetic Interventions</em>, chaired by Sir Bruce Keogh, was published. A copy has already been placed in the Library.</p><p> </p><p>The <em>Government Response to the Review of the Regulation of Cosmetic Interventions</em>, was published on 13 February. A copy of the response has already been placed in the Library. We fully accept the principles of the Keogh review and the overwhelming majority of the recommendations.</p><p> </p><p> </p><p> </p><p>The Government has undertaken to strengthen standards through better training and robust qualifications, and explore how far supervision from regulated professionals might support self-regulation of the sector.</p><p> </p><p> </p><p> </p><p>The Royal College of Surgeons has set up an inter-specialty committee to ensure standards for cosmetic surgery and will work with the General Medical Council on a code of ethical conduct. Health Education England (HEE) is leading on a review of training and qualifications for providers of non-surgical cosmetic interventions, including lasers. On 11 September, HEE published a phase 1 report <em>Review of qualifications required for delivery of non-surgical cosmetic </em><em>interventions</em>. A copy of the report is attached.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission has developed a new inspection methodology to cover independent health providers, reflecting the protocols used for National Health Service hospitals. The inspections will be conducted with relevant specialists within the inspection teams, including those with experience in cosmetic interventions.</p><p> </p><p><strong> </strong></p><p> </p><p>The Department is also taking steps to meet relevant stakeholders to discuss cosmetic procedures and the necessity and form of any further regulation to protect the public. There are no current plans to introduce a statutory register of providers of cosmetic laser treatments.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:19:22 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Non-surgical cosmetic interventions - Report on Phase 1 - final.pdf title Report
	tabling member	184 label Biography information for Mike Gapes

101155

	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	Queen Alexandra Hospital: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the (a) mean and (b) median waiting time for treatment in Queen Alexandra Hospital's accident and emergency department was in each year from 2009-10.
	tabling member constituency	Fareham
	tabling member printed	Mr Mark Hoban
	uin	212136
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p><strong> </strong></p><p> </p><p>The information is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="4"><p>Mean and median duration (in minutes) to treatment for Portsmouth Hospitals NHS Trust accident and emergency (A&amp;E) department, 2009-10 – 2012-13.</p></td></tr><tr><td><p>Year</p></td><td><p>Number of attendances with a valid Duration to Treatment</p></td><td><p>Mean Duration to Treatment</p></td><td><p>Median Duration to Treatment</p></td></tr><tr><td><p>2009-10</p></td><td><p>102,395</p></td><td><p>83</p></td><td><p>52</p></td></tr><tr><td><p>2010-11</p></td><td><p>108,101</p></td><td><p>83</p></td><td><p>55</p></td></tr><tr><td><p>2011-12</p></td><td><p>118,719</p></td><td><p>65</p></td><td><p>49</p></td></tr><tr><td><p>2012-13</p></td><td><p>128,728</p></td><td><p>70</p></td><td><p>48</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES) Analysis Team at the Health and Social Care Information Centre.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes</em>:</p><p> </p><p> </p><p> </p><ol start="1" type="1"><li>Mean and median – The mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.</li><li>The information supplied was available by Trust rather than by individual A&amp;E Department and therefore the Department has supplied information on Portsmouth Hospitals NHS Trust as a whole rather than Queen Alexandra Hospital A&amp;E specifically.</li><li>Duration to assessment – The total amount of time in minutes between the patient's arrival and their initial assessment in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is initially assessed.</li><li>Duration to treatment – The total amount of time in minutes between the patient's arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient began treatment.</li><li>Duration to departure – the total amount of time spent in minutes in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.</li><li>Hospital provider - A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS trust or primary care trust). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures.</li><li>Assessing growth through time (A&amp;E) – HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</li><li>Data quality – The recording of duration in HES A&amp;E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.</li></ol><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:52:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	1414 label Biography information for Mr Mark Hoban

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

101162

	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	Obesity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of (a) children and (b) adults in (i) Fareham constituency, (ii) Hampshire and (iii) England were classed as (A) overweight and (B) obese in each of the last 10 years.
	tabling member constituency	Fareham
	tabling member printed	Mr Mark Hoban
	uin	212134
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Data on childhood obesity are not collected by parliamentary constituency. The data in the attached table 1 and 2 are for the area of Fareham district, Hampshire County and England. The National Childhood Measurement Programme data collection began in 2006-07 and only collects data on two age groups; reception year (4-5 years) and year 6 (10-11 years).</p><p> </p><p> </p><p> </p><p>Data on adult obesity and excess weight (overweight and obese) for Fareham district, Hampshire County and England are available from the ‘Local Health Profiles’ using data from the ‘Active People Survey’ commissioned by Sport England. The data are only available for 2012 and are presented as a total figure for males and females. This data is not collected by parliamentary constituency.</p><p> </p><p> </p><p> </p><p>- Excess weight defined as the proportion of the adult population who are overweight or obese in 2012</p><p> </p><p> </p><p> </p><p>Fareham district 64.8%</p><p> </p><p>Hampshire County Council 65.1%</p><p> </p><p>England 63.8%</p><p> </p><p> </p><p> </p><p>- The proportion of the adult population classified as obese in 2012.</p><p> </p><p> </p><p> </p><p>Fareham district 26.1%</p><p> </p><p>Hampshire County Council 22.2%</p><p> </p><p>England 23.0%</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:29 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Fareham, Hampshire and England- Overweight children.doc title Overweight children in Fareham Hampshire & England
	tabling member	1414 label Biography information for Mr Mark Hoban

101411

	registered interest
	date	28/10/2014
	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, pursuant to his Answer of 23 October 2014 to the Urgent Question on Five Year Forward View, Official Report, column 1044, what steps he has taken to ensure that NHS England and Monitor work together to consider whether adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller hospitals providers relative to large providers.
	tabling member constituency	Hartlepool
	tabling member printed	Mr Iain Wright
	uin	212369
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The work announced in the Five Year Forward View relating to:</p><p> </p><p>- piloting the introduction of Multispecialty Community Providers and such providers taking over the running of their local hospital;</p><p> </p><p>- piloting the pooling of health and social care budgets between the National Health Service and the local authority delegated to Multispecialty Community Providers;</p><p> </p><p>- piloting the introduction of Primary and Acute Care Services; and</p><p> </p><p>- the process is that will ensure that Foundation Trusts are able to open general practitioner surgeries with registered lists</p><p> </p><p> </p><p> </p><p>is now being developed by NHS England, Monitor, the Trust Development Authority, the Care Quality Commission, Public Health England and Health Education England. Sector involvement will be essential to this future work and more details about how they will be taking this work forward, and who they will be engaging, will be announced by them in due course.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England share responsibility for the payment system. As set out in the Five Year Forward View, NHS England and Monitor have committed to working together to consider whether any adjustments are needed to the NHS payment regime to reflect the costs of delivering safe and efficient services for smaller providers relative to larger ones.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 212365 212366 212367 212368 question first answered 03/11/2014 17:50:06 answering member 3918 label Biography information for Jane Ellison
	tabling member	1478 label Biography information for Mr Iain Wright