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50156

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which protocols are used in hospitals for withdrawal treatment following long and short-term use of benzodiaepines and Z-drugs.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	198059
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>NHS England works with system partners, including training agencies, professional bodies and professional regulators to urge that staff, including those working in hospitals, are appropriately trained, supervised and appraised to monitor practice. In mental health, NHS England is exploring how to modernise the electronic care records system so that it is easier for appropriate prescribing and monitoring to be undertaken.</p><p> </p><p>The Secretary of State and NHS England would also expect hospitals to take account of relevant National Institute for Health and Care Excellence guidance.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198058 question first answered 14/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4141 label Biography information for Eric Ollerenshaw

50157

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department takes to prevent to over-prescribing of psychotropic drugs in hospitals.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	198058
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>NHS England works with system partners, including training agencies, professional bodies and professional regulators to urge that staff, including those working in hospitals, are appropriately trained, supervised and appraised to monitor practice. In mental health, NHS England is exploring how to modernise the electronic care records system so that it is easier for appropriate prescribing and monitoring to be undertaken.</p><p> </p><p>The Secretary of State and NHS England would also expect hospitals to take account of relevant National Institute for Health and Care Excellence guidance.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198059 question first answered 14/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4141 label Biography information for Eric Ollerenshaw

50158

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what data his Department collects on prescriptions dispensed to prisoners.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	198140
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Information on the number of prisoners who are prescribed a particular medicine or class of medicine is not collected centrally, nor are data held relating to prescription items dispensed in prisons.</p><p> </p><p>NHS England commissions all pharmacy services in prisons in England. It is responsible for the quality of service and for ensuring that good practice guidelines are followed in relation to the prescribing, safe use and treatment following withdrawal of psychotropic drugs treatments, including benzodiapines and Z-drugs. Where healthcare professionals have concerns about prescribing decisions in relation to psychotropic drug treatment in prisons, they should record these as medication safety incidents and report them to the local medicines management committee for possible further investigation. NHS England commissioners also require healthcare providers to report these incidents in patient safety contract monitoring.</p><p> </p><p>Prison pharmacy services currently follow guidelines set out in <em>A Pharmacy Service for Prisoners</em>, issued by the Department in 2003. NHS England is currently reviewing this guidance, and updated guidance will be published in due course. A copy of the current guidance has already been placed in the Library.</p><p> </p><p>Detailed guidance on benzodiazepine detoxification for prisoners is included in <em>Clinical Management of Drug Dependence in the Adult Prison Setting</em>, published by the Department in 2006. A copy has already been placed in the Library. Clinicians are expected to follow this and other relevant guidance such as that published by the Royal College of General Practitioners' Secure Environments Group on <em>Safer Prescribing in Prisons</em>.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198060 198061 question first answered 14/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4141 label Biography information for Eric Ollerenshaw

50159

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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 prevent over-prescribing or mis-prescribing of psychotropic drugs to prisoners.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	198060
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Information on the number of prisoners who are prescribed a particular medicine or class of medicine is not collected centrally, nor are data held relating to prescription items dispensed in prisons.</p><p> </p><p>NHS England commissions all pharmacy services in prisons in England. It is responsible for the quality of service and for ensuring that good practice guidelines are followed in relation to the prescribing, safe use and treatment following withdrawal of psychotropic drugs treatments, including benzodiapines and Z-drugs. Where healthcare professionals have concerns about prescribing decisions in relation to psychotropic drug treatment in prisons, they should record these as medication safety incidents and report them to the local medicines management committee for possible further investigation. NHS England commissioners also require healthcare providers to report these incidents in patient safety contract monitoring.</p><p> </p><p>Prison pharmacy services currently follow guidelines set out in <em>A Pharmacy Service for Prisoners</em>, issued by the Department in 2003. NHS England is currently reviewing this guidance, and updated guidance will be published in due course. A copy of the current guidance has already been placed in the Library.</p><p> </p><p>Detailed guidance on benzodiazepine detoxification for prisoners is included in <em>Clinical Management of Drug Dependence in the Adult Prison Setting</em>, published by the Department in 2006. A copy has already been placed in the Library. Clinicians are expected to follow this and other relevant guidance such as that published by the Royal College of General Practitioners' Secure Environments Group on <em>Safer Prescribing in Prisons</em>.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198061 198140 question first answered 14/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4141 label Biography information for Eric Ollerenshaw

50160

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which protocols are used in prisons for withdrawal of treatment following long and short-term use of benzodiazepines and Z-drugs.
tabling member constituency	Lancaster and Fleetwood
tabling member printed	Eric Ollerenshaw
uin	198061
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Information on the number of prisoners who are prescribed a particular medicine or class of medicine is not collected centrally, nor are data held relating to prescription items dispensed in prisons.</p><p> </p><p>NHS England commissions all pharmacy services in prisons in England. It is responsible for the quality of service and for ensuring that good practice guidelines are followed in relation to the prescribing, safe use and treatment following withdrawal of psychotropic drugs treatments, including benzodiapines and Z-drugs. Where healthcare professionals have concerns about prescribing decisions in relation to psychotropic drug treatment in prisons, they should record these as medication safety incidents and report them to the local medicines management committee for possible further investigation. NHS England commissioners also require healthcare providers to report these incidents in patient safety contract monitoring.</p><p> </p><p>Prison pharmacy services currently follow guidelines set out in <em>A Pharmacy Service for Prisoners</em>, issued by the Department in 2003. NHS England is currently reviewing this guidance, and updated guidance will be published in due course. A copy of the current guidance has already been placed in the Library.</p><p> </p><p>Detailed guidance on benzodiazepine detoxification for prisoners is included in <em>Clinical Management of Drug Dependence in the Adult Prison Setting</em>, published by the Department in 2006. A copy has already been placed in the Library. Clinicians are expected to follow this and other relevant guidance such as that published by the Royal College of General Practitioners' Secure Environments Group on <em>Safer Prescribing in Prisons</em>.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198060 198140 question first answered 14/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	4141 label Biography information for Eric Ollerenshaw

50169

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what ambulance response times were in each local authority area in the Yorkshire and the Humber region in the latest period for which figures are available.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	198043
answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>This information is not available in the format requested. The hon. Member may wish to contact Yorkshire Ambulance Service NHS Trust, who may hold data at a more local level.</p><p> </p><p>The following table shows median ambulance response times for Yorkshire Ambulance Service NHS Trust in the latest three months for which figures are available.</p><p> </p><table><tbody><tr><td colspan="2"><p><strong> </strong></p><p>Yorkshire Ambulance Service NHS Trust</p><p> </p><p>Median response times (minutes) for Category A calls</p><p><strong> </strong></p></td></tr><tr><td><p> </p><p>January 2014</p></td><td><p> </p><p>5.5</p></td></tr><tr><td><p> </p><p>February 2014</p><p> </p></td><td><p> </p><p>5.7</p></td></tr><tr><td><p> </p><p>March 2014</p></td><td><p> </p><p>5.6</p><p> </p></td></tr></tbody></table><p><strong> </strong></p><p><em>Source</em>: Ambulance quality indicators, NHS England</p><p><strong> </strong></p><p><em>Note:</em></p><p>Response time shown is for Category A (Red) calls. These are defined as those that are the result of immediately life threatening incidents.</p><p><strong><em> </em></strong></p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4243 label Biography information for Dan Jarvis

50174

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average ambulance response time for each category of call was in Warrington in each year since 2010.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	198047
answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>The information is not available in the format requested. The hon. Member may wish to contact North West Ambulance Service NHS Trust, who may hold data at a more local level.</p><p> </p><p>The following table shows median ambulance response times for North West Ambulance Service NHS Trust in each month for which figures are available:</p><p> </p><table><tbody><tr><td colspan="2"><p>North West Ambulance Service NHS Trust</p><p> </p><p>Median response times (minutes) for Category A calls</p></td></tr><tr><td><p>April 2011</p></td><td><p>4.2</p></td></tr><tr><td><p>May 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>June 2011</p></td><td><p>5.2</p></td></tr><tr><td><p>July 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>August 2011</p></td><td><p>4.7</p></td></tr><tr><td><p>September 2011</p></td><td><p>4.8</p></td></tr><tr><td><p>October 2011</p></td><td><p>4.9</p></td></tr><tr><td><p>November 2011</p></td><td><p>4.9</p></td></tr><tr><td><p>December 2011</p></td><td><p>5.0</p></td></tr><tr><td><p>January 2012</p></td><td><p>4.8</p></td></tr><tr><td><p>February 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>March 2012</p></td><td><p>5.0</p></td></tr><tr><td><p>April 2012</p></td><td><p>5.6</p></td></tr><tr><td><p>May 2012</p></td><td><p>5.7</p></td></tr><tr><td><p>June 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>July 2012</p></td><td><p>5.1</p></td></tr><tr><td><p>August 2012</p></td><td><p>5.2</p></td></tr><tr><td><p>September 2012</p></td><td><p>5.3</p></td></tr><tr><td><p>October 2012</p></td><td><p>5.4</p></td></tr><tr><td><p>November 2012</p></td><td><p>5.4</p></td></tr><tr><td><p>December 2012</p></td><td><p>5.7</p></td></tr><tr><td><p>January 2013</p></td><td><p>5.5</p></td></tr><tr><td><p>February 2013</p></td><td><p>5.6</p></td></tr><tr><td><p>March 2013</p></td><td><p>5.6</p></td></tr><tr><td><p>April 2013</p></td><td><p>5.8</p></td></tr><tr><td><p>May 2013</p></td><td><p>5.4</p></td></tr><tr><td><p>June 2013</p></td><td><p>5.5</p></td></tr><tr><td><p>July 2013</p></td><td><p>5.8</p></td></tr><tr><td><p>August 2013</p></td><td><p>5.7</p></td></tr><tr><td><p>September 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>October 2013</p></td><td><p>6.0</p></td></tr><tr><td><p>November 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>December 2013</p></td><td><p>6.1</p></td></tr><tr><td><p>January 2014</p></td><td><p>5.8</p></td></tr><tr><td><p>February 2014</p></td><td><p>6.1</p></td></tr><tr><td><p>March 2014</p></td><td><p>6.1</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Ambulance quality indicators, NHS England</p><p> </p><p><em>Note:</em></p><p>Response time shown is for Category A (Red) calls. These are defined as those that are the result of immediately life threatening incidents.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	432 label Biography information for Helen Jones

50175

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, by how much each ambulance trust in England underspent or overspent their budget in each year since 2010.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	198048
answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>National Health Service trusts and foundation trusts do not receive funding directly from the Department of Health and therefore do not have budgets against which they underspend. They are semi-autonomous organisations whose income derives from the provision of services to NHS England and clinical commissioning groups, through what might be described as trading activity.</p><p> </p><p>The NHS trust and foundation trust regime has similarities to the regime for Government Trading Funds, where expenditure for Government activity is met from income from third parties, rather than direct funding from resources voted to the Department.</p><p> </p><p>The equivalent “underspend” would be where the trust spends less than the income it receives as a result of its activity. This is referred to as a “surplus”.</p><p> </p><p>The following table summarises the year-end surpluses for each NHS Ambulance trust in the financial years 2009-10, 2010-11, 2011-12 and 2012-13.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p> </p></td><td><p>£000s</p></td><td><p>£000s</p></td><td><p>£000s</p></td><td><p>£000s</p></td></tr><tr><td><p>Isle Of Wight NHS Trust<sup>1</sup></p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>543</p></td></tr><tr><td><p>East Midlands Ambulance Service NHS Trust</p></td><td><p>2,016</p></td><td><p>467</p></td><td><p>2,409</p></td><td><p>30</p></td></tr><tr><td><p>East Of England Ambulance Service NHS Trust</p></td><td><p>757</p></td><td><p>2,364</p></td><td><p>3,121</p></td><td><p>4,175</p></td></tr><tr><td><p>London Ambulance Service NHS Trust</p></td><td><p>1,425</p></td><td><p>1,002</p></td><td><p>2,751</p></td><td><p>262</p></td></tr><tr><td><p>North East Ambulance Service NHS Foundation Trust<sup>2</sup></p></td><td><p>4,736</p></td><td><p>3,120</p></td><td><p>2,312</p></td><td><p>2,340</p></td></tr><tr><td><p>North West Ambulance Service NHS Trust</p></td><td><p>1,041</p></td><td><p>2,065</p></td><td><p>1,558</p></td><td><p>2,707</p></td></tr><tr><td><p>South Central Ambulance Service NHS Foundation Trust<sup>3</sup></p></td><td><p>602</p></td><td><p>1,383</p></td><td><p>2,049</p></td><td><p>1,560</p></td></tr><tr><td><p>South East Coast Ambulance Service NHS Foundation Trust<sup>4</sup></p></td><td><p>1,130</p></td><td><p>3,153</p></td><td><p>3,486</p></td><td><p>3,055</p></td></tr><tr><td><p>South Western Ambulance Service NHS Foundation Trust<sup>5</sup></p></td><td><p>511</p></td><td><p>890</p></td><td><p>1,645</p></td><td><p>36,934</p></td></tr><tr><td><p>West Midlands Ambulance Service NHS Trust</p></td><td><p>255</p></td><td><p>99</p></td><td><p>925</p></td><td><p>5,797</p></td></tr><tr><td><p>Yorkshire Ambulance Service NHS Trust</p></td><td><p>518</p></td><td><p>237</p></td><td><p>428</p></td><td><p>2,223</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p><sup>1</sup>Isle Of Wight NHS Trust established April 2012</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td colspan="5"><p><sup>2</sup>North East Ambulance Service NHS Foundation Trust - FT status established November 2011. 2009-10 to 2011-12 figures - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>3</sup> South Central Ambulance Service NHS Foundation Trust - FT status established March 2012. 2009-10 to 2011-12 figures - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>4</sup>South East Coast Ambulance Service NHS Foundation Trust - FT status established March 2011. 2009-10 to 2010-11 - as NHS Trust</p></td></tr><tr><td colspan="5"><p><sup>5</sup>South Western Ambulance Service NHS Foundation Trust - FT status established March 2011. 2009-10 to 2010-11 - as NHS Trust</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	432 label Biography information for Helen Jones

50176

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to raise public awareness of transient ischaemic attacks (TIAs) and of the need to seek immediate treatment for TIAs; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	198145
answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>There are no plans for any specific marketing activity around raising public awareness of transient ischaemic attacks (TIAs). However, Public Health England continues to run the highly impactful Act FAST stroke awareness campaign that covers very similar signs with a message to call 999 if these signs are witnessed. Two new television executions ran in March 2014 with plans to run them again later in the current financial year.</p><p> </p><p>NHS England produced a resource for clinical commissioning groups (CCG) to support them in setting and delivering on a level of ambition to reduce premature mortality. The resource included information on high-impact interventions that CCGs could consider commissioning to reduce premature mortality. One of these is to increase the proportion of patients with TIA treated within 24 hours from 71% to 100%.</p><p> </p><p>The resource is available here:</p><p> </p><p>www.england.nhs.uk/ourwork/sop/red-prem-mort/</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	432 label Biography information for Helen Jones

50177

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will bring forward proposals for regulations to ensure that ME and chronic fatigue syndrome are included in all pre- and post-registration training of (a) GPs and (b) other healthcare professionals.
tabling member constituency	Mid Dorset and North Poole
tabling member printed	Annette Brooke
uin	198120
answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>In 2007, the National Institute for Health and Care Excellence (NICE) produced the clinical guidance, <em>Chronic fatigue syndrome/myalgic encephalomyelitis (or encephalopathy): Diagnosis and management of CFS/ME in adults and children</em>. This guidance set out best practice on the diagnosis, treatment care and support of children and adults with CFS/ME. Information on CFS/ME diagnosis and treatment can also be accessed via the NHS Evidence and NICE Clinical Knowledge summaries websites.</p><p> </p><p>The content and standard of healthcare professional training is the responsibility of regulators, such as the General Medical Council, which are independent statutory bodies. They have the general function of promoting high standards of education, working with the Royal Colleges, and co-ordinating all stages of education to ensure that students and newly qualified professionals are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development in the National Health Service. HEE is responsible for ensuring that the future workforce has the right numbers, skills, values and behaviours to meet patients' needs today and tomorrow, and will work with stakeholders to influence training curricula as appropriate.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 198121 question first answered 12/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	1431 label Biography information for Annette Brooke