<\/strong><\/p> <\/p>
A number of steps have been taken to help care for dementia patients:<\/p>
<\/p>
<\/p>
<\/p>
- on 1 April 2014 we have put in place a new Dementia Directed Enhanced Service, which has had over 80% take up by general practitioners (GPs) to reward practices for facilitating timely diagnosis and support for people with dementia. An additional enhanced service for GPs will run between October 2014 and March 2015 with a view to a further boost to diagnosis;<\/p>
<\/p>
<\/p>
<\/p>
- in the hospital setting, through the Dementia Commissioning for Quality and Innovation (CQUIN) reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed. Between April 2013 and June 2014 there have been 59,961 referrals as a result of the introduction of this CQUIN goal;<\/p>
<\/p>
<\/p>
<\/p>
- the Dementia Care & Support Compact, the care sector\u2019s own response to the Prime Minister\u2019s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families;<\/p>
<\/p>
<\/p>
<\/p>
- Health Education England (HEE), Skills for Care and Skills for Health launched the pilot for the new Care Certificate on 28 April 2014. Taking place across a range of health and social care settings, the pilots are testing a set of standards designed to help employers to assess not only workers\u2019 skills, but also the knowledge, behaviours and values that are required to deliver compassionate and quality care. The pilots are nearing completion. Subject to evaluation, we plan to introduce the Care Certificate by 1 April 2015;<\/p>
<\/p>
<\/p>
<\/p>
- the Government\u2019s refreshed Mandate to HEE, published on 1 May 2014, builds on the existing ambition to have 100,000 National Health Service staff receive Tier 1 training on dementia by setting an ambition for a further 250,000 NHS staff to receive Tier 1 training on dementia by March 2015, with the tools and training opportunities being made available to all staff by the end of 2018;<\/p>
<\/p>
<\/p>
<\/p>
- 72 communities across England have signed up to the national Dementia Friendly Communities recognition process, with an increased ambition to reach 75 by March 2015;<\/p>
<\/p>
<\/p>
<\/p>
- on 7 May 2014, Public Health England and the Alzheimer\u2019s Society launched a major new campaign with the aim of securing one million people to become dementia friends by March 2015. The campaign is aimed at improving understanding and attitudes about dementia and towards people with the condition. There are currently over 579,000 Dementia Friends; and<\/p>
<\/p>
<\/p>
<\/p>
- we have made available £50 million capital funding for 2013-14 for the NHS and local authorities to work with providers to create better care environments to help people with dementia live well with the condition. The projects are now in the process of being evaluated and we will disseminate the key recommendations by the end of the year.<\/p>
<\/p>"}
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The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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, "tablingMember" : {"_about" : "http://data.parliament.uk/members/2024", "label" : {"_value" : "Biography information for Lord Hunt of Kings Heath"}
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, {"_about" : "http://data.parliament.uk/resources/166864", "AnsweringBody" : [{"_value" : "Department of Health"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/166864/answer", "answerText" : {"_value" : "
The NHS Health Check is offered to all 40-74 year olds without existing disease once every five years. The check assesses family history of cardiovascular disease, smoking status, alcohol use, levels of physical activity, body mass index, cholesterol and blood pressure and uses information on age, gender and ethnicity to identify an individual\u2019s 10-year risk of developing cardiovascular disease. Where the results of these tests indicate that a person is at high risk of diabetes and chronic kidney disease then additional diagnostic tests, specifically HbA1c or serum creatinine respectively, are undertaken.<\/p>
<\/p>
<\/p>
<\/p>
Data on eligible population having an NHS Health Check has been collected nationally since 2011-12. Of those eligible 7.1%, 8.0% and 9.0% had an NHS Health Check in 2011-12, 2012-13 and 2013-14 respectively.<\/p>
<\/p>
<\/p>
<\/p>
Cost-benefit modelling estimates the cost of the programme to be £332 million each year at full roll out, with the average annual benefit to be £3.678 billion. The cost-benefits of the programme primarily arise from the opportunity it presents to prevent 1,600 heart attacks and strokes, and save at least 650 lives each year. It also offers the opportunity to prevent over 4,000 people a year from developing diabetes and detect at least 20,000 cases of diabetes or kidney disease earlier, allowing individuals\u2019 health to be better managed and improve their quality of life.<\/p>
<\/p>
<\/p>
<\/p>
The findings from this cost-benefit modelling further suggest that the programme is cost-effective, with potential savings to the National Health Service of around £57 million per year after four years, rising to £176 million per year after 15 years. This equates to a cost per quality-adjusted life-year of around £3,000, which is considerably lower than the National Institute for Health and Care Excellence\u2019s threshold.<\/p>
<\/p>
<\/p>
<\/p>
The Government is committed to bringing ever-greater scientific and clinical rigour to the programme. Public Health England has established an Expert Scientific Clinical and Advisory panel, formed of eminent clinicians and academics, which keep the evidence under review and have recently published research priorities for consultation.<\/p>
<\/p>
<\/p>
<\/p>
The Cochrane Centre review does add to the existing evidence base, however, its generalisability to the NHS Health Check is limited. The studies that the review considers are old, predominantly published in the 1960s. They were also undertaken on people from different age groups and the \u2018health checks\u2019 that they consider are not directly comparable to the NHS Health Check. For example, the age of the studies means that the majority were carried out before statins were introduced into primary care.<\/p>
<\/p>"}
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The Government is already taking action to prevent the inappropriate use of police cells as a place of safety under the Mental Health Act 1983.<\/p>
<\/p>
<\/p>
<\/p>
The Government has an ambition to reduce this practice by 50% this year \u2013 and to see how police and health colleagues can work together so that it does not happen at all to children and young people.<\/p>
<\/p>
<\/p>
<\/p>
Last year the number of people taken to police cells as places of safety fell significantly. Emerging figures for police forces for 2014-15 appear to be continuing this downward trend.<\/p>
<\/p>
<\/p>
<\/p>
The police have told us that between the six months of April and September this year there have been 2,282 such cases \u2013 which, if maintained over the rest of the year, would result in a further 24% decrease in use of cells over last year. At the same time the use of health-based places of safety increased by 3,019 uses between 2012-13 and 2013-14.<\/p>
<\/p>
<\/p>
<\/p>
This puts us well on track to achieve our aim of reducing the 2011-12 figure of 8,667 uses of police cells by half in 2014-15.<\/p>
<\/p>
<\/p>
<\/p>
In February, we published a Crisis Care Concordat to make sure people in crisis get the help they need. All localities are working to complete local crisis declarations agreed by all the local relevant agencies, by the end of the year.<\/p>
<\/p>
<\/p>
<\/p>
In conjunction with the Home Office, the Department of Health has conducted a review of section 135 and section 136 of the Mental Health Act 1983. This is due to report shortly.<\/p>
<\/p>
<\/p>
<\/p>
The new Children and Young People's Mental Health and Well-Being Taskforce will also be looking at the issue of under 18s being detained in police custody as part of its Access and Prevention work.<\/p>
<\/p>"}
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