{ "format" : "linked-data-api", "version" : "0.2", "result" : {"_about" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk", "definition" : "http://eldaddp.azurewebsites.net/meta/answeredquestions.text?min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk", "extendedMetadataVersion" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk&_metadata=all", "first" : "http://eldaddp.azurewebsites.net/answeredquestions.text?_page=0&min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk", "hasPart" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk", "isPartOf" : "http://eldaddp.azurewebsites.net/answeredquestions.text?min-date=2014-12-08&tablingMemberConstituency=Ealing%2C+Southall&answer.answeringMemberConstituency=North+Norfolk", "items" : [{"_about" : "http://data.parliament.uk/resources/179310", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/179310/answer", "answerText" : {"_value" : "<p>The treatment of pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, is well established and reported in the British Committee for Standards in Haematology (BCSH) document, <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders<\/em>, which was updated in May 2014. The BCSH operates independently of the Department and NHS England.<\/p><p> <\/p><p> <\/p><p> <\/p><p>Current clinical practice within the United Kingdom is to treat pernicious anaemia with Vitamin B12 intramuscular injections. The BCSH produces evidence based guidelines for both clinical and laboratory haematologists on the diagnosis and treatment of haematological disease, drawing on the advice of expert consultants and clinical scientists practicing in the United Kingdom. The guidelines can be found via the BCSH website at the following link:<\/p><p> <\/p><p> <\/p><p> <\/p><p><a href=\"http://www.bcshguidelines.com/\" target=\"_blank\">www.bcshguidelines.com<\/a><\/p><p> <\/p><p> <\/p><p> <\/p><p>Any patient with pernicious anaemia who has concerns about their treatment should discuss this matter with their general practitioner.<\/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" : "2015-02-24", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-02-24T13:57:27.8Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2015-02-11", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Anaemia"}
      , "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, pursuant to the Answer of 10 Febraury 2015 to Question 223094, what assessment he has made of the implications for his policies of the findings by the Pernicious Anaemia Society members' survey, published in the British Journal of Nursing in April 2014, that over 60 per cent of people with pernicious anaemia are unhappy with their treatment and that many such people self-medicate to reduce their pain; and if he will consider the potential merits of revising the relevant guidelines to recommend more regular treatment.", "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" : "224293"}
    , {"_about" : "http://data.parliament.uk/resources/177512", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/177512/answer", "answerText" : {"_value" : "<p>The treatment of pernicious anaemia, the result of a vitamin B12 (cobalamin) deficiency, is well established and reported in the British Committee for Standards in Haematology (BCSH) document, <em>Guidelines for the diagnosis and treatment of Cobalamin and Folate disorders<\/em>, which was updated in May 2014.<\/p><p> <\/p><p> <\/p><p> <\/p><p>Current clinical practice within the United Kingdom is to treat pernicious anaemia with Vitamin B12 intramuscular injections. The guideline states that standard maintenance therapy for patients presenting without neurological symptoms is 1,000 microgrammes every three months. Those with initial neurological symptoms should receive 1,000 microgrammes every two months. The guideline can be found via the BCSH website at the following link:<\/p><p> <\/p><p> <\/p><p> <\/p><p><a href=\"http://www.bcshguidelines.com/\" target=\"_blank\">www.bcshguidelines.com<\/a><\/p><p> <\/p><p> <\/p><p> <\/p><p>However, the frequency with which vitamin B12 injections are provided to patients with pernicious anaemia is matter for individual clinicians, taking into account the relevant clinical guidance, the prescribed dose and the patient\u2019s response to the treatment.<\/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" : "2015-02-10", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-02-10T12:16:40.83Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2015-02-03", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Anaemia: Vitamin B12"}
      , "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, on what evidence the standard time between prescribed injections of replacement vitamin B12 for pernicious anaemia sufferers was determined; and if he will review the guidance on that time.", "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" : "223094"}
    , {"_about" : "http://data.parliament.uk/resources/177520", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/177520/answer", "answerText" : {"_value" : "<p>The Health and Social Care Information Centre collects information in Hospital Episodes Statistics (HES) on Outpatients and Admitted Patient Care at diagnosis and procedure level, which includes data relating to musculoskeletal conditions. HES does not, however, include information on cancelled operations.<\/p><p> <\/p><p> <\/p><p> <\/p><p>NHS England collects and publishes quarterly data on elective operations cancelled on or after the day of admission for non-clinical reasons. It does not collect a breakdown of the type of operations that have been cancelled, or the diagnosis of the patients affected.<\/p><p> <\/p><p> <\/p><p> <\/p><p>The Department has no plans to request changes to either of these data collections, neither does NHS England have any current plans to change data collections. However, the NHS England National Clinical Director for Musculoskeletal Services is working closely with the Arthritis and Musculoskeletal Alliance to develop thinking around how improvements might be made to data sources in this area.<\/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" : "2015-02-10", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-02-10T12:19:39.517Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2015-02-03", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Musculoskeletal Disorders"}
      , "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, purusant to the Answer of 26 January 2015 to Question 221173, if he will make it his policy to require NHS England to (a) improve the collection of data relating to musculoskeletal conditions and (b) determine the number of people with musculoskeletal conditions who have had an operation cancelled for non-clinical reasons in this financial year.", "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" : "223006"}
    , {"_about" : "http://data.parliament.uk/resources/174413", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/174413/answer", "answerText" : {"_value" : "<p>This information is not collected centrally.<\/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" : "2015-01-26", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-01-26T16:51:35.6Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2015-01-19", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Musculoskeletal Disorders"}
      , "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, how many people scheduled to have a hip or knee replacement as a result of a musculoskeletal condition had their operation cancelled for non-clinical reasons in financial years (a) 2012-13, (b) 2013-14 and (c) 2014-15 to date.", "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" : "221173"}
    , {"_about" : "http://data.parliament.uk/resources/171819", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/171819/answer", "answerText" : {"_value" : "<p>The refreshed Equality Delivery System (EDS2) is a tool designed to help local NHS organisations, in discussion with local partners, including local communities, to review and improve their equality performance for characteristics given protection under the Equality Act 2010.<\/p><p> <\/p><p> <\/p><p> <\/p><p>During 2012, implementation of this tool featured as part of the criteria for the authorisation of clinical commissioning groups in England; EDS2 now features in NHS England\u2019s Assurance Framework for Clinical Commissioning Groups. EDS2 has been embedded within the Care Quality Commission\u2019s new inspection regime for hospitals, and is scheduled to be included in the NHS Standard Contract from April 2015.<\/p><p> <\/p><p> <\/p><p> <\/p><p>A survey exercise carried out by NHS England during 2014 indicated that over 93% of all NHS clinical commissioning groups and NHS provider organisations were implementing the Equality Delivery System.<\/p><p> <\/p><p> <\/p><p> <\/p><p>The programme of work on EDS2 includes continuous evaluation, overseen by NHS England. A national \u2018EDS2 Dashboard\u2019 is being finalised that will monitor uptake of the tool by organisations, and highlight good practice and outcomes.<\/p><p> <\/p><p> <\/p><p> <\/p><p>These actions will ensure that the refreshed EDS2 receives system-wide implementation across the NHS in England, and that its effectiveness is monitored and evaluated on a continuous basis.<\/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" : "2015-01-09", "_datatype" : "dateTime"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-01-09T13:43:24.743Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2015-01-02", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "NHS: Equality"}
      , "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 are being taken to ensure NHS-wide implementation of the refreshed Equality Delivery System; and how the implementation of that system will be evaluated.", "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" : "219593"}
    , {"_about" : "http://data.parliament.uk/resources/170417", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/170417/answer", "answerText" : {"_value" : "<p>Information on sharing population data across local agencies for the purpose of planning autism services across local authorities and the National Health Service was set out in Think Autism, the April 2014 update to the 2010 Adult Autism Strategy, and is in the draft statutory guidance to implement it. The statutory guidance was out for consultation from 7 November until 19 December. The Department also funded the National Autistic Society to look at data issues and wider discussions are planned. Officials have also discussed the issue of apprenticeships for people with autism with the Departments for Work and Pensions and Business, Innovation &amp; Skills and these discussions will continue. A number of the recently announced Autism Innovation Fund projects focus on employment and apprenticeships and their outcomes will also help work in this area. A summary of progress achieved across all actions in Think Autism will be published in August 2015.<\/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" : "2015-01-06", "_datatype" : "dateTime"}
        , "groupedQuestionUIN" : {"_value" : "218814"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-01-06T13:39:25.297Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2014-12-15", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Autism"}
      , "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, with reference to his Department's report, Think Autism, published in April 2014, what discussions his Department has had with other departments on feedback on the type of apprenticeships offered to people with autism.", "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" : "218815"}
    , {"_about" : "http://data.parliament.uk/resources/170436", "AnsweringBody" : [{"_value" : "Department of Health"}
      ], "answer" : {"_about" : "http://data.parliament.uk/resources/170436/answer", "answerText" : {"_value" : "<p>Information on sharing population data across local agencies for the purpose of planning autism services across local authorities and the National Health Service was set out in Think Autism, the April 2014 update to the 2010 Adult Autism Strategy, and is in the draft statutory guidance to implement it. The statutory guidance was out for consultation from 7 November until 19 December. The Department also funded the National Autistic Society to look at data issues and wider discussions are planned. Officials have also discussed the issue of apprenticeships for people with autism with the Departments for Work and Pensions and Business, Innovation &amp; Skills and these discussions will continue. A number of the recently announced Autism Innovation Fund projects focus on employment and apprenticeships and their outcomes will also help work in this area. A summary of progress achieved across all actions in Think Autism will be published in August 2015.<\/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" : "2015-01-06", "_datatype" : "dateTime"}
        , "groupedQuestionUIN" : {"_value" : "218815"}
        , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
        , "questionFirstAnswered" : [{"_value" : "2015-01-06T13:39:25.127Z", "_datatype" : "dateTime"}
        ]}
      , "answeringDeptId" : {"_value" : "17"}
      , "answeringDeptShortName" : {"_value" : "Health"}
      , "answeringDeptSortName" : {"_value" : "Health"}
      , "date" : {"_value" : "2014-12-15", "_datatype" : "dateTime"}
      , "hansardHeading" : {"_value" : "Autism"}
      , "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 guidance his Department provides on sharing population data across local agencies for the purposes of planning autism services to (a) local authorities, (b) clinical commissioning groups, (c) NHS trusts, (d) NHS foundation trusts and (e) health and wellbeing boards.", "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" : "218814"}
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}