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58255

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will abolish prescription charges for asthma medication.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	199363
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The list of medical conditions conferring exemption from prescription charges in England was agreed with the medical profession in 1968. The only addition to the list was the introduction of cancer in 2009. Professor Sir Ian Gilmore, then President of the Royal College of Physicians, was asked in 2008, to consider how this might be extended to cover all those with a long term condition. The Department published his report in May 2010.</p><p> </p><p>In the light of the challenging financial context, the Government made clear in the Spending Review, published in October 2010, that no changes would be made to the current list of medical exemption. Prescription charges in England raise valuable income, in the region of £450 million each year, which helps the National Health Service to maintain vital services for patients.</p><p> </p><p>An extensive system of exemption arrangements, including for those on low incomes who may struggle to pay for their prescriptions, is in place which means that around 90% of all prescription items are already dispensed free of charge. Prescription Prepayment Certificates (PPCs) are also available for those who have to pay NHS prescription charges and need multiple prescriptions. This is the fifth year the cost of an annual certificate, and the third year the cost of a three month certificate, have been frozen. Both certificates will also remain at £104 and £29.10 respectively, next year. There is no limit to the number of items that can be obtained through a PPC. The annual certificate benefits anyone needing more than 12 items a year, and the three month certificate anyone needing more than three items in that three month period.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 199364 question first answered 12/06/2014 14:36:47 answering member 1439 label Biography information for Norman Lamb
tabling member	3931 label Biography information for Dr Julian Huppert

58256

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescriptions: Fees and Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what basis the conditions exempt from prescription charges are decided.
tabling member constituency	Cambridge
tabling member printed	Dr Julian Huppert
uin	199364
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The list of medical conditions conferring exemption from prescription charges in England was agreed with the medical profession in 1968. The only addition to the list was the introduction of cancer in 2009. Professor Sir Ian Gilmore, then President of the Royal College of Physicians, was asked in 2008, to consider how this might be extended to cover all those with a long term condition. The Department published his report in May 2010.</p><p> </p><p>In the light of the challenging financial context, the Government made clear in the Spending Review, published in October 2010, that no changes would be made to the current list of medical exemption. Prescription charges in England raise valuable income, in the region of £450 million each year, which helps the National Health Service to maintain vital services for patients.</p><p> </p><p>An extensive system of exemption arrangements, including for those on low incomes who may struggle to pay for their prescriptions, is in place which means that around 90% of all prescription items are already dispensed free of charge. Prescription Prepayment Certificates (PPCs) are also available for those who have to pay NHS prescription charges and need multiple prescriptions. This is the fifth year the cost of an annual certificate, and the third year the cost of a three month certificate, have been frozen. Both certificates will also remain at £104 and £29.10 respectively, next year. There is no limit to the number of items that can be obtained through a PPC. The annual certificate benefits anyone needing more than 12 items a year, and the three month certificate anyone needing more than three items in that three month period.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 199363 question first answered 12/06/2014 14:36:47 answering member 1439 label Biography information for Norman Lamb
tabling member	3931 label Biography information for Dr Julian Huppert

58257

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
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 ensure that children's heart surgery units receive equal and sufficient levels of scrutiny across the country.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	199258
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>Clinical audit is an important tool for driving up standards in the delivery of treatment and care. The National Institute for Cardiovascular Outcomes Research regularly provides clinical audit data to NHS England and the regulators which they use to monitor the outcomes at all children's cardiac centres. As part of the Congenital Heart Disease review, NHS England is currently reviewing the type of information that it analyses to monitor the outcomes of these services.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/06/2014 15:16:38 answering member 3918 label Biography information for Jane Ellison
tabling member	1540 label Biography information for Greg Mulholland

58258

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Leeds General Infirmary
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he plans to release the second stage of the review into the closure of surgery at Leeds Children's Heart Unit; and if he will make a statement.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	199256
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>This is a matter for NHS England.</p><p> </p><p>The second stage report into the suspension of surgery at Leeds Children's Heart Unit was published on 13 March 2014. The third and concluding report is in the final stages of preparation and is expected to be published by the end of July 2014. NHS England will ensure that key stakeholders are made aware of the publication date once it has been agreed.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/06/2014 15:10:19 answering member 3918 label Biography information for Jane Ellison
tabling member	1540 label Biography information for Greg Mulholland

58259

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the timetable for the new congenital heart disease review is.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	199257
answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>NHS England is currently undertaking the congenital health disease review. It has conducted extensive pre-consultation engagement with a wide range of stakeholders who have an interest in congenital heart disease.</p><p> </p><p>NHS England has made considerable progress in responding to their concerns and, for the first time, it has developed a comprehensive set of commissioning standards that will cover the whole patient pathway from infancy to adult services and right through to palliative care and bereavement.</p><p> </p><p>Following the engagement process, we understand that NHS England will consult on these draft service standards later this year, but not in July as previously anticipated.</p><p> </p><p>Moving forward, NHS England is committed to a review that is robust, transparent, inclusive, and which will deliver high quality and sustainable services for all patients.</p><p><strong> </strong></p><p>All information relating to the review can be found on NHS England's website and through a fortnightly blog.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 19/06/2014 15:12:12 answering member 3918 label Biography information for Jane Ellison
tabling member	1540 label Biography information for Greg Mulholland

58318

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the current average waiting time is for elective surgery in (a) St Albans constituency, (b) Hertfordshire, (c) the East of England and (d) England.
tabling member constituency	St Albans
tabling member printed	Mrs Anne Main
uin	199445
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>The information is shown in the following table.</p><p> </p><p>Average (median) waiting time in weeks from referral to admission to hospital for consultant-led elective treatment, March 2014</p><p> </p><table><tbody><tr><td><p>Area</p></td><td><p>National Health Service organisation</p></td><td><p>Number of weeks</p></td></tr><tr><td><p>St Albans</p></td><td><p>NHS Herts Valley Clinical Commissioning Group (CCG)</p></td><td><p>10.0</p></td></tr><tr><td rowspan="2"><p>Hertfordshire</p></td><td><p>NHS Herts Valley CCG</p></td><td><p>10.0</p></td></tr><tr><td><p>NHS East and North Hertfordshire CCG</p></td><td><p>8.6</p></td></tr><tr><td rowspan="3"><p>East of England</p></td><td><p>East Anglia Area Team</p></td><td><p>8.6</p></td></tr><tr><td><p>Essex Area Team</p></td><td><p>10.2</p></td></tr><tr><td><p>Hertfordshire and the South Midlands Area Team</p></td><td><p>8.3</p></td></tr><tr><td><p>England</p></td><td><p> </p></td><td><p>8.8</p></td></tr></tbody></table><p> </p><p><em>Source:</em></p><p>Consultant-led referral to treatment waiting times, commissioner data for admitted patient pathways, March 2014. Published by NHS England at:</p><p> </p><p>www.england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/rtt-data-2013-14/#Mar14</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 15:31:27 answering member 3918 label Biography information for Jane Ellison
tabling member	1568 label Biography information for Mrs Anne Main

58319

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Waiting Lists
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many operations have been cancelled because of scheduling error in (a) St Albans, (b) Hertfordshire and (c) England since 2005.
tabling member constituency	St Albans
tabling member printed	Mrs Anne Main
uin	199361
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>Information is not available in the format requested. Such information as is available is shown in the following table.</p><p><strong> </strong></p><p>Table: Cancelled elective operations, 2005-06 to 2013-14</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>West Hertfordshire Hospitals NHS Trust</p></td><td><p>East and North Hertfordshire NHS Trust</p></td><td><p> </p><p>England</p></td></tr><tr><td><p>2005-06</p></td><td><p> </p><p>621</p></td><td><p> </p><p>856</p></td><td><p>60,803</p></td></tr><tr><td><p>2006-07</p></td><td><p> </p><p>929</p></td><td><p> </p><p>682</p></td><td><p>52,005</p></td></tr><tr><td><p>2007-08</p></td><td><p> </p><p>1,081</p></td><td><p> </p><p>873</p></td><td><p>57,382</p></td></tr><tr><td><p>2008-09</p></td><td><p> </p><p>527</p></td><td><p> </p><p>965</p></td><td><p>63,644</p></td></tr><tr><td><p>2009-10</p></td><td><p> </p><p>383</p></td><td><p> </p><p>358</p></td><td><p>62,296</p></td></tr><tr><td><p>2010-11</p></td><td><p> </p><p>314</p></td><td><p> </p><p>297</p></td><td><p>58,295</p></td></tr><tr><td><p>2011-12</p></td><td><p> </p><p>367</p></td><td><p> </p><p>220</p></td><td><p>57,087</p></td></tr><tr><td><p>2012-13</p></td><td><p> </p><p>486</p></td><td><p> </p><p>150</p></td><td><p>63,517</p></td></tr><tr><td><p>2013-14</p></td><td><p> </p><p>357</p></td><td><p> </p><p>179</p></td><td><p>64,192</p></td></tr></tbody></table><p><strong> </strong></p><p><em>Notes: </em></p><p>Cancelled elective operations are defined as operations that were cancelled by the hospital for non-clinical reasons on the day the patient was due to arrive in hospital, or after the patient has arrived in hospital, or on the day of the operation or surgery. The data does not distinguish between scheduling errors and other non-clinical reasons for cancellation.</p><p><em> </em></p><p><em>Source:</em></p><p>Cancelled elective operations. Published quarterly by NHS England at www.england.nhs.uk/statistics/statistical-work-areas/cancelled-elective-operations/</p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 12/06/2014 15:35:53 answering member 3918 label Biography information for Jane Ellison
tabling member	1568 label Biography information for Mrs Anne Main

58322

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sleep Apnoea
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to introduce clinical guidelines for the diagnosis, treatment and management of obstructive sleep apnoea; and if he will make a statement.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	199292
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199266 199267 199286 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

58323

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sleep Apnoea
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department has taken to ensure that commissioning of service provision for obstructive sleep apnoea is appropriate to the predicted prevalence in local areas in England.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	199266
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199267 199286 199292 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

58324

registered interest
date	05/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sleep Apnoea
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what body has responsibility for the implementation of recommendations made by his Department's former Obstructive Sleep Apnoea Working Group.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	199267
answer	answer is ministerial correction date of answer 12/06/2014 answer text <p>NHS England is committed to working with partners across the health system to reduce mortality and improve outcomes for people with respiratory disease.</p><p> </p><p>NHS England is now responsible for commissioning National Institute for Health and Care Excellence (NICE) clinical guidelines relating to National Health Service services and is responsible for liaising with NICE about the prioritisation of NHS quality standards in development. We understand that NICE has not been asked to develop a clinical guideline specifically on obstructive sleep apnoea.</p><p> </p><p>NICE has been commissioned to develop a quality standard on sleep disordered breathing and will in due course consider which conditions will be covered under the scope of the quality standard and the need for associated clinical guidance. Local clinical commissioning groups (CCGs) are responsible for assessing the needs of their local populations and for commissioning services to meet those needs. For patients with obstructive sleep apnoea, NHS England expects CCGs to take into account the NICE guidelines when deciding what services should be made available.</p><p> </p><p>NHS England currently has no plans to continue the work of the obstructive sleep apnoea working group. However, the National Clinical Director for Respiratory Disease, Professor Mike Morgan, will continue to consider whether any additional specific initiatives or commissioning protocols are needed to promote best practice and treatment for people with obstructive sleep apnoea and to provide advice on this.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 199266 199286 199292 question first answered 12/06/2014 14:58:06 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling