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100877

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma
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 to the NHS of treating asthma in each of the last five years.
tabling member constituency	Leicester West
tabling member printed	Liz Kendall
uin	211847
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The following table sets out expenditure on asthma from 2008-09 to 2012-13<sup>1 </sup></p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="5"><p>Expenditure (£ billion)</p></td></tr><tr><td><p>2008-09</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>0.87</p></td><td><p>0.91</p></td><td><p>0.99</p></td><td><p>1.01</p></td><td><p>1.05</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p><sup>1</sup> Aggregate primary care trust (PCT) expenditure on own population from programme budgeting collection. Programme budgeting is an annual collection of expenditure on healthcare conditions by NHS Commissioners. Programme budgeting figures are only estimates.</p><p> </p><p> </p><p> </p><p>It should be noted that this does not include expenditure on primary care appointments which is included as a separate category. Other areas of expenditure such as Outpatients and Community Care cannot always be allocated to sub-categories so some expenditure on asthma may be included in ‘Problems of the Respiratory System – Other’ or ‘Other - Miscellaneous’.</p><p> </p><p><strong> </strong></p><p> </p><p>Further notes on interpretation of data:</p><p> </p><p>- Expenditure data are calculated from programme budgeting returns for 2003-04 to 2012-13. Programme budgeting returns are based on a subset of PCT accounts data and represent a subset of overall NHS expenditure data.</p><p> </p><p> </p><p> </p><p>- Calculating programme budgeting data is complex and not all healthcare activity or services can be classified directly to a programme budgeting category or care setting. When it is not possible to reasonably estimate a programme budgeting category, expenditure is classified as ‘Other’. Expenditure on General Medical Services and Personal Medical Services cannot be reasonably estimated at disease specific level, and is separately identified as a subcategory of ‘Other’ expenditure.</p><p> </p><p> </p><p> </p><p>- The allocation of expenditure to programme budgeting subcategories is not always straightforward, and subcategory level data should therefore be used with caution.</p><p> </p><p> </p><p> </p><p>- In order to improve data quality, continual refinements have been made to the programme budgeting data calculation methodology since the first collection in 2003-04. The underlying data which support programme budgeting data are also subject to yearly changes. Programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. Users of the data should note that significant changes to the data calculation methodology were introduced in 2010-11.</p><p> </p><p> </p><p> </p><p>- Figures for years 2003-04 to 2009-10 are calculated using provider costs as a basis. Figures for 2010-11 to 2012-13 are calculated using price paid for specific activities and services purchased from healthcare providers. PCTs follow standard guidance, procedures and mappings when calculating programme budgeting data.</p><p> </p><p> </p><p> </p><p>- PCT figures used to calculate 2010-11 data differ from those previously published in the 2010-11 programme budgeting benchmarking spreadsheet. This is due to the correction of errors identified for five PCTs for this year.</p><p> </p><p> </p><p> </p><p>- Aggregate PCT data supersede previously published England level programme budgeting data. England level data incorporated estimates of expenditure on healthcare conditions for the Department of Health, strategic health authorities and special health authorities. England level data is no longer published this data as aggregate PCT figures provide a more accurate and meaningful representation of the breakdown of NHS expenditure by healthcare condition.</p><p> </p><p> </p><p> </p><p>- For 2003-04, figures are based on PCT net expenditure. For 2004-05 onwards, figures are based on PCT spend on own population. This is calculated by adjusting net expenditure to add back expenditure funded from sources outside the NHS and to deduct expenditure on other PCT populations incurred through lead commissioning arrangements.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 29/10/2014 15:06:29 answering member 1439 label Biography information for Norman Lamb
tabling member	4026 label Biography information for Liz Kendall

100878

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 23 October 2014 to Question 211152, which terms used to describe mental health conditions experienced by women during pregnancy and in the first year after their child is born are classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics database.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211869
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>More than 10% of women experience perinatal mental health problems or mental illness (i.e. during pregnancy or in the first postnatal year) and that is why improving diagnosis and services for women with perinatal mental health problems is one of the Department’s key objectives for maternity care.</p><p> </p><p> </p><p> </p><p>Health Education England is working with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff to be available to every birthing unit by 2017.</p><p> </p><p> </p><p> </p><p>The ICD-10 classification system categorises conditions experienced by women during pregnancy and childbirth under ‘mental and behavioural disorders in pregnancy, childbirth and the puerperium’. There are eight ICD-10 codes for perinatal mental health diagnoses. F53.0 is the code assigned to postnatal depression.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:10:26 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

100879

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 24 October 2014 to Question 211354, which official at NHS England has the lead responsibility for perinatal mental health services.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211870
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Senior Responsible Officer at NHS England for perinatal mental health is Jane Cummings, the Chief Nursing Officer.</p><p> </p><p> </p><p> </p><p>NHS England is responsible for commissioning Specialised Perinatal Mental Health Services (In-patient Mother and Baby Units) nationally. Non-specialised services are commissioned by local clinical commissioning groups.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 14:28:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

100880

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Public Health: Business
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the emphasis placed on tackling and preventing lifestyle-related diseases in the NHS Five Year Forward View, published in October 2014, whether he has any plans to review and reform the voluntary responsibility deal.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211871
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The emphasis placed on tackling and preventing lifestyle-related diseases in the NHS Five Year Forward View underlines the importance of the Public Health Responsibility Deal and the part it plays in supporting people to make healthier choices and tackle the behaviours which lead to chronic health conditions. Over 700 community, voluntary, public sector (National Health Service as well as national and local Government), public health and commercial organisations have signed up to play their part in improving public health.</p><p> </p><p> </p><p> </p><p>The Deal is already focussed on tackling many of the key causes of lifestyle-related ill health outlined in the NHS Five Year Forward View, including obesity, smoking and harmful drinking. The Deal’s pledges tackle a wide range of issues, including: healthier diets (e.g. reformulation for reduced salt levels, elimination of trans-fats and calorie reduction); fostering a culture of responsible drinking (e.g. lower alcohol by volume products, alcohol labelling, increasing awareness of alcohol units); increasing physical activity levels (e.g. physical activity in the workplace and active travel) and improving the health of their staff (e.g. accreditation of occupational health services, supporting employees with mental health conditions in the workplace, smoking cessation and healthier staff restaurants). The Deal will continue to play an important part in delivering these ambitions.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 29/10/2014 17:09:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

100884

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ipswich Hospital
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times the Parliamentary Under-Secretary of State for Health has visited Ipswich Hospital in his ministerial capacity.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	211901
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Since September 2012, I have visited Ipswich Hospital twice in my ministerial capacity. This was on 25 December 2012 and 5 December 2013, and on many other occasions as a constituency MP, most recently on 10 October 2014.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 29/10/2014 15:15:20 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed