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101143

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orphan Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much the NHS spent on orphan medicines in each of the last three years; and what proportion of total medicines expenditure that represented in each year.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	211977
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information is not collected because it could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:56:30 answering member 4020 label Biography information for George Freeman
tabling member	1506 label Biography information for Andrew Gwynne

101144

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
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 cost of Health Education England's third round of recruitment for general practice training posts.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	211940
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The third round of national recruitment was one of the initiatives undertaken by Health Education England (HEE) to support recruitment into general practitioner (GP) training places. HEE continues to work with its partners to reach its mandate commitment of ensuring 3,250 trainees enter ST1 GP training by 2016.</p><p> </p><p> </p><p> </p><p>The estimated breakdown of costs is below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Description</p></td><td><p>Total</p></td></tr><tr><td><p>Stage 2 Assessment</p></td><td><p>£10,000</p></td></tr><tr><td><p>Stage 3 Venue</p></td><td><p>£24,230</p></td></tr><tr><td><p>Printing costs</p></td><td><p>£893</p></td></tr><tr><td><p>Assessors - clinical</p></td><td><p>£29,088</p></td></tr><tr><td><p>Assessors - non-clinical</p></td><td><p>£3,636</p></td></tr><tr><td><p>Moderators - clinical</p></td><td><p>£1,212</p></td></tr><tr><td><p>Moderators - non clinical</p></td><td><p>£606</p></td></tr><tr><td><p>Trainee expenses</p></td><td><p>£25,200</p></td></tr><tr><td><p>Role Players</p></td><td><p>£18,920</p></td></tr><tr><td><p> </p></td><td><p>£113,785</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:41:24 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

101145

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
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 improve access to NICE-recommended mindfulness-based therapies on the NHS.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	211947
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Over the course of the current spending review, we are investing in excess of £400 million in England to give thousands of people access to National Institute for Health and Care Excellence-approved psychological therapies, including Mindfulness-Based Cognitive Therapy.</p><p> </p><p>The 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’. The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapy (IAPT) programme – providing access to therapies to 15% of those eligible (around 900,000 people) per year by 2015.</p><p> </p><p> </p><p> </p><p>We are increasing the availability of IAPT services to cover children and young people and exploring extending services to people with long-term physical health problems and those with severe mental illness.</p><p> </p><p> </p><p> </p><p>We have invested £54 million over the period 2011 – 2015/16 in the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme. The Programme works with services covering up to 60% of England’s 0-19 population, and will cover approximately 68% by the end of 2014-15. This is giving children and young people improved access to the best evidenced mental health care. NHS England is planning for a countrywide extension of the programme with Health Education England.</p><p> </p><p> </p><p> </p><p>The IAPT programme is working with a number of the Department’s Strategic Partners to promote wider access of the service to all sections of the community. The partners are working with IAPT service providers to identify and overcome the barriers to people gaining access to IAPT services.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:48:01 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

101146

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Transport
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 promote the use of blood bikes for the transportation of blood to hospital trusts.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	212022
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Whilst recognising the work of blood bikes, the Department is not actively promoting their use as it is a matter for individual trusts to decide whether they wish to use such services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:26 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

101147

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Transport
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will provide figures showing how much money has been saved by the NHS by the use of blood bikes for the transportation of blood (a) nationally and (b) in the North West region in each of the last three years.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	212023
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:55:01 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

101148

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the potential benefits of training doctors and nurses in mindfulness.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	212007
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>No recent assessment has been made of the potential benefits of training doctors and nurses in mindfulness. The Department does however recognise the potential benefits of training doctors and nurses in mindfulness.</p><p> </p><p> </p><p> </p><p>The National Institute for Clinical Excellence guidance for the National Health Service has recommended Mindfulness-Based Cognitive Therapy (MBCT) for recurrent depression since 2004. MBCT is available through a number of Improving Access to Psychological Therapy services in England.</p><p> </p><p>Health Education England (HEE) supports the delivery of excellent healthcare and health improvement to the patients and public of England, by ensuring that we have the workforce in the right numbers, with the right skills, values and behaviours, at the right time and in the right place. HEE is developing the workforce to deliver compassionate, high quality care.</p><p> </p><p>HEE has established a Mental Health Advisory Group to promote and enhance mental health education and training across the professions and provide strategic professional advice and expertise on workforce planning and education development. Membership representation includes; healthcare, social care, third sector and professional bodies.</p><p> </p><p>HEE is considering the opportunities for developing a psychologically minded workforce.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:49:33 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

101154

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Plastic Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he plans to ensure more effective regulation of providers of cosmetic laser treatments; and whether it is his policy to introdude a register of such providers.
tabling member constituency	Ilford South
tabling member printed	Mike Gapes
uin	212131
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>On 24 April 2013, the independent <em>Review of the Regulation of Cosmetic Interventions</em>, chaired by Sir Bruce Keogh, was published. A copy has already been placed in the Library.</p><p> </p><p>The <em>Government Response to the Review of the Regulation of Cosmetic Interventions</em>, was published on 13 February. A copy of the response has already been placed in the Library. We fully accept the principles of the Keogh review and the overwhelming majority of the recommendations.</p><p> </p><p> </p><p> </p><p>The Government has undertaken to strengthen standards through better training and robust qualifications, and explore how far supervision from regulated professionals might support self-regulation of the sector.</p><p> </p><p> </p><p> </p><p>The Royal College of Surgeons has set up an inter-specialty committee to ensure standards for cosmetic surgery and will work with the General Medical Council on a code of ethical conduct. Health Education England (HEE) is leading on a review of training and qualifications for providers of non-surgical cosmetic interventions, including lasers. On 11 September, HEE published a phase 1 report <em>Review of qualifications required for delivery of non-surgical cosmetic </em><em>interventions</em>. A copy of the report is attached.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission has developed a new inspection methodology to cover independent health providers, reflecting the protocols used for National Health Service hospitals. The inspections will be conducted with relevant specialists within the inspection teams, including those with experience in cosmetic interventions.</p><p> </p><p><strong> </strong></p><p> </p><p>The Department is also taking steps to meet relevant stakeholders to discuss cosmetic procedures and the necessity and form of any further regulation to protect the public. There are no current plans to introduce a statutory register of providers of cosmetic laser treatments.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:19:22 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Non-surgical cosmetic interventions - Report on Phase 1 - final.pdf title Report
tabling member	184 label Biography information for Mike Gapes

101155

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Queen Alexandra Hospital: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the (a) mean and (b) median waiting time for treatment in Queen Alexandra Hospital's accident and emergency department was in each year from 2009-10.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	212136
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p><strong> </strong></p><p> </p><p>The information is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="4"><p>Mean and median duration (in minutes) to treatment for Portsmouth Hospitals NHS Trust accident and emergency (A&amp;E) department, 2009-10 – 2012-13.</p></td></tr><tr><td><p>Year</p></td><td><p>Number of attendances with a valid Duration to Treatment</p></td><td><p>Mean Duration to Treatment</p></td><td><p>Median Duration to Treatment</p></td></tr><tr><td><p>2009-10</p></td><td><p>102,395</p></td><td><p>83</p></td><td><p>52</p></td></tr><tr><td><p>2010-11</p></td><td><p>108,101</p></td><td><p>83</p></td><td><p>55</p></td></tr><tr><td><p>2011-12</p></td><td><p>118,719</p></td><td><p>65</p></td><td><p>49</p></td></tr><tr><td><p>2012-13</p></td><td><p>128,728</p></td><td><p>70</p></td><td><p>48</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES) Analysis Team at the Health and Social Care Information Centre.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes</em>:</p><p> </p><p> </p><p> </p><ol start="1" type="1"><li>Mean and median – The mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.</li><li>The information supplied was available by Trust rather than by individual A&amp;E Department and therefore the Department has supplied information on Portsmouth Hospitals NHS Trust as a whole rather than Queen Alexandra Hospital A&amp;E specifically.</li><li>Duration to assessment – The total amount of time in minutes between the patient's arrival and their initial assessment in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is initially assessed.</li><li>Duration to treatment – The total amount of time in minutes between the patient's arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient began treatment.</li><li>Duration to departure – the total amount of time spent in minutes in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.</li><li>Hospital provider - A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS trust or primary care trust). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures.</li><li>Assessing growth through time (A&amp;E) – HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</li><li>Data quality – The recording of duration in HES A&amp;E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.</li></ol><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:52:52 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

101156

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Redundancy Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the cost of compulsory redundancy payments for staff of all NHS employers in England was in each year from 2009-10 to 2013-14.
tabling member constituency	Banff and Buchan
tabling member printed	Dr Eilidh Whiteford
uin	212063
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The costs of compulsory redundancy payments for staff of all National Health Service employers are shown in the following table. There are currently 21,000 fewer admin staff working in the NHS since 2010 and 13,500 more front line clinical staff.</p><p> </p><p> </p><p> </p><p>The Government is proposing that highly-paid staff who receive a redundancy pay-out and then return to the same part of the public sector within a year will be required to repay part of the total amount. It is proposed that contracts will contain a standard clause that states that individuals will have to pay back a proportion of the payment to their previous employer dependent upon the length of time between jobs.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>NHS</p></td><td><p>Cost of Compulsory Redundancies</p></td></tr><tr><td><p> </p></td><td><p>£000s</p></td></tr><tr><td><p>2013-14</p></td><td><p>109,485</p></td></tr><tr><td><p>2012-13</p></td><td><p>265,379</p></td></tr><tr><td><p>2011-12</p></td><td><p>150,577</p></td></tr><tr><td><p>2010-11</p></td><td><p>118,344</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source:</em> Audited Summarisation Schedules</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p><em> </em></p><p> </p><p>1. Figures from the audited statutory accounts of NHS organisations are collected centrally.</p><p> </p><p>2. We have interpreted “NHS employers” to comprise Strategic Health Authorities, Primary Care Trusts, NHS Trusts and Foundation Trusts in 2010-11 to 2012-13. For 2013-14 however, due to reorganisation, the figures comprise NHS Trusts, Foundation Trusts and NHS England (including the NHS England entity, Regional Teams, Area Teams, Commissioning Support Units and Clinical Commissioning Groups).</p><p> </p><p>3. The NHS Manual for Accounts does not define what is included within the compulsory redundancy heading and as such it is not possible to clarify whether it includes related costs for employers of early retirement on the grounds of redundancy.</p><p> </p><p>4. Information in respect of compulsory redundancies was not separately identified prior to 2010-11 and as such no comparable information can be provided.</p><p> </p><p><em> </em></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:55:42 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3911 label Biography information for Dr Eilidh Whiteford

101159

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	School Milk
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effects of changes to the nursery milk scheme on the supply of milk.
tabling member constituency	Livingston
tabling member printed	Graeme Morrice
uin	212126
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>A modernised Nursery Milk Scheme is currently under development and expected to be tendered in due course. The aim of the scheme remains to supply nursery milk to all eligible settings.</p><p> </p><p> </p><p> </p><p>The Government’s response to the consultation document <em>Next Steps for Nursery Milk </em>was published on 27 March earlier this year setting out the preferred option for modernising the scheme. The Impact Assessment, also published on 27 March sets out the impact of the preferred option, including any impact on the supply of milk. These documents are attached and also available at the following web links:</p><p> </p><p> </p><p> </p><p>https://www.gov.uk/government/consultations/making-the-nursery-milk-scheme-more-cost-effective</p><p> </p><p> </p><p> </p><p>http://www.legislation.gov.uk/ukia/2014/110</p><p> </p><p> </p><p> </p><p>It is the Department’s intention to ensure that a modernised Nursery Milk Scheme includes opportunities for small and medium-sized enterprises, and farmers, to be fully involved with the scheme.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter attachment 1 file name Nursery_Milk_Gov Response 27 March 2014.pdf title Nursery Milk Government Response 2 file name Next Steps for Nursery_Milk_consultation_document 2012.pdf title Nursery Milk Consultation 3 file name Updated Nursery Milk Impact Assessment 2014 ukia_20140110_en.pdf title Nursery Milk Impact Assessment question first answered 03/11/2014 17:15:31 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4012 label Biography information for Graeme Morrice