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223017

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescriptions: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in England currently hold a medical exemption certificate.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	224919
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>As of 31 January 2015 the number of people in England who hold a valid medical exemption certificate is 1,769,872. This is based on the number of certificates issued by the NHS Business Services Authority within the previous five years.</p><p> </p><p> </p><p> </p><p>No estimate has been made of the number of people in England who meet the underlying eligibility criteria for a medical exemption certificate.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 224920 question first answered 26/02/2015 16:53:00 answering member 4020 label Biography information for George Freeman
tabling member	237 label Biography information for Mr Adrian Sanders

223019

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescriptions: Fees and Charges
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 the number of people in England who are eligible for a medical exemption certificate.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	224920
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>As of 31 January 2015 the number of people in England who hold a valid medical exemption certificate is 1,769,872. This is based on the number of certificates issued by the NHS Business Services Authority within the previous five years.</p><p> </p><p> </p><p> </p><p>No estimate has been made of the number of people in England who meet the underlying eligibility criteria for a medical exemption certificate.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 224919 question first answered 26/02/2015 16:53:00 answering member 4020 label Biography information for George Freeman
tabling member	237 label Biography information for Mr Adrian Sanders

223020

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether patient uptake of insulin pumps has reached the levels set by the NICE technology appraisal 151 benchmarking tool issued in July 2008; how many people have taken up the use of such pumps; and if he will make a statement.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	224921
answer	answer is ministerial correction date of answer 26/02/2015 answer text <p>Commissioners and providers should make insulin pumps available for those people with Type 1 diabetes who meet the criteria in the National Institute for Health and Care Excellence’s technology appraisal guidance on continuous subcutaneous insulin infusion for the treatment of diabetes mellitus (TA151) as well as ensuring that relevant structured patient education is provided to support people newly diagnosed with diabetes and at appropriate points in their life as their condition progresses.</p><p> </p><p> </p><p> </p><p>Information on the number of people using insulin pumps is not collected centrally.</p><p> </p><p> </p><p> </p><p>The United Kingdom Insulin Pump Audit, published in May 2013, collected data from across the United Kingdom. The audit demonstrated that 6% of adults with Type 1 diabetes and 19% of children with Type 1 diabetes were being treated with insulin pumps. The audit’s findings are available at:</p><p> </p><p> </p><p> </p><p>www.diabetes.org.uk/Documents/News/The_United_Kingdom_Insulin_Pump_Audit_May_2013.pdf</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/02/2015 16:51:22 answering member 4020 label Biography information for George Freeman
tabling member	237 label Biography information for Mr Adrian Sanders

223021

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the patient experience of people with diabetes.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	224909
answer	answer is ministerial correction date of answer 02/03/2015 answer text <p>NHS England surveys capture the experiences of people with a wide range of conditions including diabetes but, with the exception of the cancer patient experience survey, they are not condition specific. As part of a forthcoming review of patient experience surveys, NHS England will consider whether it is best to collect information as it does currently or by specific conditions.</p><p> </p><p> </p><p> </p><p>Professor Jonathan Valabhji, the National Clinical Director, has reported that last year’s Patient Experience of Diabetes Services pilot survey, which collected information from people with diabetes about their care, received very positive feedback.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/03/2015 17:44:04 answering member 3918 label Biography information for Jane Ellison
tabling member	237 label Biography information for Mr Adrian Sanders

170431

registered interest
date	15/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 3 December 2014 to Question 216036, if he will place in the Library data tables from the Care Quality Commission's bespoke analyses, referred to in its report Thematic data review of diabetes care pathways, published on 16 October 2014, broken down by (a) commissioner and (b) provider.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	218699
answer	answer is ministerial correction date of answer 06/01/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England.</p><p> </p><p> </p><p> </p><p>A copy of the information requested has been attached.</p><p> </p><p> </p><p> </p><p>The CQC has advised that the attached dataset contains the breakdown (at National Health Service acute provider and clinical commissioning group (CCG) level) of bespoke analysis carried out by the CQC as part of the 'Thematic data review of diabetes care pathways: secondary care analysis comparing people with and without diabetes' that was published alongside the CQC's 2013/14 State of Care report on 16 October 2014.</p><p> </p><p> </p><p> </p><p>The analysis compares the outcomes within each provider or CCG for people with diabetes against a reference group of similar people without diabetes. It is not a comparison of performance between providers or CCGs and it would be inappropriate to use the data in this way. The analysis at provider and CCG level should be treated as experimental and the measures should not be considered as judgements of providers or CCGs.</p><p> </p><p><strong> </strong></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 question first answered 06/01/2015 15:05:51 answering member 3918 label Biography information for Jane Ellison attachment 1 file name Thematic data review of diabetes care pathways secondary care analysis provider and CCG.xlsx title Diabetes care pathways data review- CCG & provider
tabling member	237 label Biography information for Mr Adrian Sanders

170465

registered interest
date	15/12/2014
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Animal Experiments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, with reference to the Answer of 28 March 2011 to Question 45398, whether it remains the policy of her Department that a ban on the testing of household products on animals will apply to both finished products and ingredients; whether there is now a definition of household products; and when the ban will be implemented.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	218697
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>We have made a commitment to ban the testing of household products on animals. Although superficially straightforward, this issue has not been easy to resolve. The key issue is around ingredients. We are currently engaging with <br>stakeholders to develop a solution that is workable, but does not have a chain of unforeseen circumstances. <br><br>Any solution has to be legally viable since we cannot ban testing which may be required under UK or EU law. The solution we develop must not preclude research that is a lawful requirement nor that which has significant benefits to people, the environment or animals. Nor should it drive research overseas.<br><br>There is, at present, no authoritative definition of household products in the United Kingdom or European legislation. Through stakeholder engagement we are seeking to develop an agreed definition.</p><p /> answering member constituency Hornsey and Wood Green answering member printed Lynne Featherstone question first answered 18/12/2014 14:51:25 answering member 1531 label Biography information for Baroness Featherstone
tabling member	237 label Biography information for Mr Adrian Sanders

170466

registered interest
date	15/12/2014
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Animal Experiments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for the Home Department, how many animals were used for testing (a) finished household products and (b) household product ingredients in each of the last five years.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	218698
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>The Home Office does not collect data on the number of animals used in scientific procedures for testing (a) finished household products or (b) household product ingredients. It does however collect data on the number of <br>animals used in procedures undertaken for the testing of substances used in the household, in Great Britain.<br><br>In 2010 there were 24 animals used in procedures for the testing of substances used in the household. In 2009, 2011, 2012 and 2013 there were no animals used in procedures for the testing of substances used in the household.</p><p /> answering member constituency Hornsey and Wood Green answering member printed Lynne Featherstone question first answered 18/12/2014 14:59:50 answering member 1531 label Biography information for Baroness Featherstone
tabling member	237 label Biography information for Mr Adrian Sanders

166358

registered interest
date	26/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 25 November 2014 to Question 215005, if he will place in the Library the detailed data tables underpinning the bespoke analyses conducted by the Care Quality Commission, referred to in its report Thematic data review of diabetes care pathways, published on 16 October 2014.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	216036
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has provided the following information.</p><p> </p><p> </p><p> </p><p>A copy of the information requested has been attached.</p><p> </p><p><strong> </strong></p><p> </p><p>The report ‘The State of health and adult social care in England 2013/14 – Technical annex: Thematic data review of diabetes care pathways’ was published on the CQC’s website on 16 October.</p><p> </p><p><strong> </strong></p><p> </p><p>The CQC undertook two separate pieces of bespoke analysis, which were summarised in the 13/14 State of Care (technical annex): Thematic Data Review of Diabetes Care Pathways. Neither of these documents were published on the CQC’s website. Drafts of both have been previously circulated to the CQC’s external advisory group. These two separate pieces of analysis have been attached to this response.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name Diabetes care pathways report 2013-14.pdf title Diabetes care pathways report 2013-14 2 file name Diabetes care pathways CCG- data review.pdf title Diabetes care pathways CCG- data review 3 file name Diabetes care pathways Secondary Care data review.pdf title Diabetes care pathways Secondary Care data review question first answered 03/12/2014 17:50:58 answering member 3918 label Biography information for Jane Ellison
tabling member	237 label Biography information for Mr Adrian Sanders

166005

registered interest
date	25/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many hospital admissions for (a) hypoglycaemia and (b) diabetic ketoacidosis there were in each local commissioning area of people aged (i) 17 and under, (ii) between 17 and 65 and (iii) 65 and over in each of the last 10 years.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	215808
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The attached table shows finished admission episodes (FAEs) with a primary diagnosis of hypoglycaemia and diabetic ketoacidosis by primary care trust (PCT) of residence for ages (i) 0 to 17, (ii) 18 to 64 and (iii) 65 and over from 2003-04 to 2012-13. PCT of residence has been used as this data is available for the 10 year period requested.</p><p> </p><p> </p><p> </p><p>The data we have provided should not be considered a count of people as the same person may have been admitted on more than one occasion.</p><p> </p><p> </p><p> </p><p>Reference should be made to the footnotes when interpreting the data.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/12/2014 16:47:37 answering member 3918 label Biography information for Jane Ellison attachment 1 file name FAEs with primary diagnosis of hypoglycaemia and diabetic ketoacidosis.xlsx title FAEs: Hypoglycaemia and diabetic ketoacidosis
tabling member	237 label Biography information for Mr Adrian Sanders

156286

registered interest
date	18/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans NHS England has to make use of the Commissioning for Quality and Innovation Scheme to improve coverage of (a) clinical audits and (b) patient experience surveys.
tabling member constituency	Torbay
tabling member printed	Mr Adrian Sanders
uin	215013
answer	answer is ministerial correction date of answer 25/11/2014 answer text <p>The national Commissioning for Quality and Innovation (CQUIN) scheme for 2014-15 includes national indicators relating to the NHS Safety Thermometer, the Friends and Family Test (FFT), diagnosis and onward referral of patients with dementia or delirium, and assessment of physical health risk factors and provision of appropriate interventions for mental health inpatients. The FFT indicator incentivises providers to implement the FFT scheme and to achieve good response rates; the dementia indicator requires providers to undertake a carer survey; and the mental health indicator involves a specific process of national clinical audit, facilitated by the Royal College of Psychiatrists.</p><p> </p><p> </p><p> </p><p>CQUIN applies to all providers who operate under the NHS Standard Contract. The Contract, which is used for all providers of National Health Service-funded care other than primary care, already includes as core standards for all providers requirements to:</p><p> </p><p>- put in place an ongoing proportionate programme of clinical audit;</p><p> </p><p>- participate in relevant national clinical audits under the National Clinical Audit and Patient Outcomes Programme; and</p><p> </p><p>- undertake patient, carer and staff surveys, including FFT.</p><p> </p><p> </p><p> </p><p>NHS England is reviewing both CQUIN and the NHS Standard Contract and will be publishing updated versions of both for 2015-16 shortly.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/11/2014 17:29:52 answering member 4020 label Biography information for George Freeman
tabling member	237 label Biography information for Mr Adrian Sanders