{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&_metadata=all&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-answer.questionFirstAnswered.=2014-10-29T15%3A00%3A31.782824Z&answer.answeringMemberConstituency=North+Norfolk&max-answer.questionFirstAnswered.=2014-10-29T15%3A37%3A50.2719664Z", "items" : [{"_about" : "http://data.parliament.uk/resources/100877", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100877/answer", "answerText" : {"_value" : "

The following table sets out expenditure on asthma from 2008-09 to 2012-131 <\/sup><\/p>

<\/p>

<\/p>

<\/p>

<\/p>

<\/p>

Expenditure (£ billion)<\/p><\/td><\/tr>

2008-09<\/p><\/td>

2009-10<\/p><\/td>

2010-11<\/p><\/td>

2011-12<\/p><\/td>

2012-13<\/p><\/td><\/tr>

0.87<\/p><\/td>

0.91<\/p><\/td>

0.99<\/p><\/td>

1.01<\/p><\/td>

1.05<\/p><\/td><\/tr><\/tbody><\/table>

<\/p>

<\/p>

<\/p>

<\/p>

<\/p>

1<\/sup> Aggregate primary care trust (PCT) expenditure on own population from programme budgeting collection. Programme budgeting is an annual collection of expenditure on healthcare conditions by NHS Commissioners. Programme budgeting figures are only estimates.<\/p>

<\/p>

<\/p>

<\/p>

It should be noted that this does not include expenditure on primary care appointments which is included as a separate category. Other areas of expenditure such as Outpatients and Community Care cannot always be allocated to sub-categories so some expenditure on asthma may be included in \u2018Problems of the Respiratory System \u2013 Other\u2019 or \u2018Other - Miscellaneous\u2019.<\/p>

<\/p>

<\/strong><\/p>

<\/p>

Further notes on interpretation of data:<\/p>

<\/p>

- Expenditure data are calculated from programme budgeting returns for 2003-04 to 2012-13. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.<\/p>

<\/p>

<\/p>

<\/p>

- Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as \u2018Other\u2019. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of \u2018Other\u2019 expenditure.<\/p>

<\/p>

<\/p>

<\/p>

- The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.<\/p>

<\/p>

<\/p>

<\/p>

- In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.<\/p>

<\/p>

<\/p>

<\/p>

- Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.<\/p>

<\/p>

<\/p>

<\/p>

- PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.<\/p>

<\/p>

<\/p>

<\/p>

- Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, strategic health authorities and special health authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.<\/p>

<\/p>

<\/p>

<\/p>

- For 2003-04, figures are based on PCT net expenditure. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.<\/p>

<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1439", "label" : {"_value" : "Biography information for Norman Lamb"} } , "answeringMemberConstituency" : {"_value" : "North Norfolk"} , "answeringMemberPrinted" : {"_value" : "Norman Lamb"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:06:29.0052916Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-24", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Asthma"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what estimate he has made of the cost to the NHS of treating asthma in each of the last five years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4026", "label" : {"_value" : "Biography information for Liz Kendall"} } , "tablingMemberConstituency" : {"_value" : "Leicester West"} , "tablingMemberPrinted" : [{"_value" : "Liz Kendall"} ], "uin" : "211847"} , {"_about" : "http://data.parliament.uk/resources/100398", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100398/answer", "answerText" : {"_value" : "

Since April 1 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease (MND). Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.<\/p>

<\/p>

<\/p>

<\/p>

NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services and supports equity of access to a nationally consistent, high quality service for patients across the country including in East Lancashire and the North West. The specification can be found at:<\/p>

<\/p>

<\/p>

<\/p>

www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf<\/a><\/p>

<\/p>

<\/p>

<\/p>

NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.<\/p>

<\/p>

<\/p>

<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1439", "label" : {"_value" : "Biography information for Norman Lamb"} } , "answeringMemberConstituency" : {"_value" : "North Norfolk"} , "answeringMemberPrinted" : {"_value" : "Norman Lamb"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:33:32.0987688Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-22", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Motor Neurone Disease: North West"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what assessment he has made of the adequacy of the availability of augmentative and alternative communication aids for sufferers of motor neurone disease in (a) East Lancashire and (b) the North West.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4044", "label" : {"_value" : "Biography information for Andrew Stephenson"} } , "tablingMemberConstituency" : {"_value" : "Pendle"} , "tablingMemberPrinted" : [{"_value" : "Andrew Stephenson"} ], "uin" : "211529"} , {"_about" : "http://data.parliament.uk/resources/100412", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100412/answer", "answerText" : {"_value" : "

Improving dementia diagnosis is a key component of the Prime Minister\u2019s Challenge on dementia. NHS England has set the first ever national ambition to improve dementia diagnosis. By March 2015, our aim is that two-thirds of the estimated number of people with dementia receive a diagnosis and appropriate post diagnostic support.<\/p>

<\/p>

<\/p>

<\/p>

We have taken the following steps in order to ensure that people with dementia receive a timely diagnosis;<\/p>

<\/p>

<\/p>

<\/p>

- 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. NHS England has allocated £5 million to fund an additional enhanced service for GPs to run between October 2014 and March 2015 to drive improvements in dementia diagnosis.<\/p>

<\/p>

<\/p>

<\/p>

- On 10 September 2014 NHS England published a new Dementia Toolkit aimed at helping GPs making a more timely diagnosis and what they can do in terms of vital post-diagnostic support.<\/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.<\/p>

<\/p>

<\/p>

<\/p>

- All National Health Service staff looking after people with dementia will go through a dementia awareness programme. Health Education England will provide Tier 1 training to an additional 250,000 staff by March 2015, and will ensure that the tools and training opportunities are available to all staff by the end of 2018.<\/p>

<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1439", "label" : {"_value" : "Biography information for Norman Lamb"} } , "answeringMemberConstituency" : {"_value" : "North Norfolk"} , "answeringMemberPrinted" : {"_value" : "Norman Lamb"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:00:31.782824Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-22", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Dementia"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what steps he is taking to ensure that people with dementia receive an early diagnosis.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/478", "label" : {"_value" : "Biography information for Lord Field of Birkenhead"} } , "tablingMemberConstituency" : {"_value" : "Birkenhead"} , "tablingMemberPrinted" : [{"_value" : "Mr Frank Field"} ], "uin" : "211631"} , {"_about" : "http://data.parliament.uk/resources/100417", "AnsweringBody" : [{"_value" : "Department of Health"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/100417/answer", "answerText" : {"_value" : "

Local commissioners are responsible for the provision of hearing aids for mild to moderate hearing loss. Commissioners should take into consideration assessments of local need and any relevant clinical guidance, which may include guidance from appropriate national bodies such as the National Institute for Health and Care Excellence.<\/p>

<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1439", "label" : {"_value" : "Biography information for Norman Lamb"} } , "answeringMemberConstituency" : {"_value" : "North Norfolk"} , "answeringMemberPrinted" : {"_value" : "Norman Lamb"} , "dateOfAnswer" : {"_value" : "2014-10-29", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2014-10-29T15:22:28.3380744Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health"} , "answeringDeptSortName" : {"_value" : "Health"} , "date" : {"_value" : "2014-10-22", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Hearing Aids"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health, what clinical guidance local commissioners are expected to consider when making decisions about commissioning of hearing aids for mild to moderate hearing loss.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1604", "label" : {"_value" : "Biography information for Mr Virendra Sharma"} } , "tablingMemberConstituency" : {"_value" : "Ealing, Southall"} , "tablingMemberPrinted" : [{"_value" : "Mr Virendra Sharma"} ], "uin" : "211641"} ], "itemsPerPage" : 10, "page" : 0, "startIndex" : 1, "totalResults" : 4, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }