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156959

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Workers: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the number of professional social work placements, excluding the Step-Up and Frontline programmes, required in 2014-15; and how many places it expects to be provided by (a) local authorities, (b) third sector organisations and (iii) other organisations.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	215399
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>I refer the hon. Member to the answer I gave on 16 October 2014 to Question<a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Commons/2014-09-09/208753/" target="_blank"> 209550. </a></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 27/11/2014 17:25:30 answering member 1439 label Biography information for Norman Lamb
tabling member	298 label Biography information for Steve McCabe

156992

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	King's College Hospital
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 forecast of a £29 million deficit for Kings College Hospital; and what steps he is taking to protect health services in Bromley.
tabling member constituency	Beckenham
tabling member printed	Bob Stewart
uin	215449
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>We are advised that Monitor has held several meetings with King’s College Hospital NHS Foundation Trust and has requested information from the trust to help identify the reasons for the current year-end deficit forecast. The Trust has commissioned external support to assist in the development of a robust recovery plan which will ensure the trust’s mid-term financial sustainability.</p><p> </p><p> </p><p> </p><p>We also understand that Bromley Clinical Commissioning Group (CCG) is working closely with the Trust to ensure that the Trust’s financial issues do not adversely affect the quality of care for patients.</p><p> </p><p> </p><p> </p><p>The CCG is investing nearly £20 million in additional out-of-hospital services in Bromley through the <em>Better Care Fund</em>. Increased investment of £2.5 million has also been made available for out-of-hours care in Bromley during the winter period.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 16:25:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3919 label Biography information for Bob Stewart

156998

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Licensing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, on what dates since 2 July 2014 he has discussed with charities the use of off-patent drugs for new indications; and what the content of these discussions was.
tabling member constituency	North West Leicestershire
tabling member printed	Andrew Bridgen
uin	215396
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Off-patent drugs are those whose patent period has expired and they are widely used in the National Health Service now. Drugs can also be prescribed ‘off-label’ outside of their licensed indication(s) to individual patients where doctors consider it is clinically appropriate to do so. Prescribing decisions are rightly a matter for clinicians in discussion with their patients.</p><p> </p><p> </p><p> </p><p>My Rt. hon. Friend the Secretary of State has had no discussions with charities about the use of off-patent drugs for new indications since 2 July. Officials have had several discussions with the Breast Cancer Campaign covering their views on medicines licences, implementation of National Institute for Health and Care Excellence guidelines and planning the roundtable discussion on adoption of new evidence into clinical practice. There have also been ongoing discussions with Cancer Research UK on the use of aspirin to help prevent certain cancers.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:23:49 answering member 4020 label Biography information for George Freeman
tabling member	4133 label Biography information for Andrew Bridgen

156999

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Transatlantic Trade and Investment Partnership
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what advice or research his Department has commissioned from external bodies on the potential effects on the NHS of the Transatlantic Trade and Investment Partnership.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	215373
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>While the Department has not commissioned research, we continue to work with the Department for Business, Innovation and Skills, key partners and other stakeholders to ensure our publicly stated position is respected.</p><p> </p><p> </p><p> </p><p>We are aware of concerns about the European Union–United States Transatlantic Trade and Investment Partnership (TTIP) currently being negotiated which are misplaced and inaccurate.</p><p> </p><p> </p><p> </p><p>What we can be absolutely clear on is that this Government will not allow TTIP</p><p> </p><p>negotiations to harm the National Health Service, and any assertion that the agreement will undermine the NHS is both irresponsible and false. Our position is supported by statements from both the European and US negotiators.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:45:56 answering member 4020 label Biography information for George Freeman
tabling member	1506 label Biography information for Andrew Gwynne

157001

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the gender pay gap for employees of NHS England in (a) Stoke Newington and Hackney North constituency, (b) Hackney local authority area, (c) London and (d) England; and if he will make a statement.
tabling member constituency	Hackney North and Stoke Newington
tabling member printed	Ms Diane Abbott
uin	215370
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>We do not have an accurate estimate of the gender pay gap for employees of NHS England.</p><p> </p><p> </p><p> </p><p>NHS England does not have offices in Stoke Newington, Hackney North constituency, or Hackney local authority area.</p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 17:21:57 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	172 label Biography information for Ms Diane Abbott

157008

registered interest
date	20/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	E. coli
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will issue guidance to hospitals so that a case of E.coli bacteria triggers the procedures that would be followed if a case of MRSA were discovered.
tabling member constituency	York Outer
tabling member printed	Julian Sturdy
uin	215426
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The management of individual cases of <em>E.coli</em> bloodstream infections is the responsibility of local infection prevention and control specialists. However, the Department has asked its expert Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections to consider the options for reducing the number of <em>E.coli</em> infections, which are not always hospital acquired.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 17:18:51 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4079 label Biography information for Julian Sturdy

156582

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will commission research on (a) innovative pathways to diagnose cancer earlier and (b) encouraging the use of such pathways in the NHS.
tabling member constituency	Washington and Sunderland West
tabling member printed	Mrs Sharon Hodgson
uin	215202
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>The Department’s National Institute for Health Research (NIHR) is funding a £2 million five-year programme of research to understand the reasons why cancer diagnosis may be delayed, and to consider new designs for testing for cancer. The programme is a partnership between the Universities of Bristol, Cambridge, Bangor, Durham, Oxford, Exeter, the NIHR and Bristol NHS Clinical Commissioning Group. The programme objectives are to design and test new service pathways to cancer diagnosis which are based on sound medical evidence, make efficient use of resources and take full account of patients' views. The programme ends in June 2015.</p><p> </p><p> </p><p> </p><p>The Department’s Policy Research Programme funds the Policy Research Unit in Cancer Awareness, Screening and Early Diagnosis at the Wolfson Institute of Preventive Medicine, Queen Mary University of London. The unit carries out research to inform the development of policies that promote diagnosis of cancers at an earlier stage than that prevailing at the moment. These might include policies to enhance access to screening and diagnostic facilities, technical innovations in screening and diagnosis, policies to improve public awareness of cancer and cancer symptoms, and to encourage prompt seeking of medical advice for symptoms. The unit is addressing this need with a programme of research carried out in all areas of England in co-operation with screening services, primary and secondary care.</p><p> </p><p> </p><p> </p><p>We take the issue of ensuring rapid access to innovative therapies, including those for cancer, very seriously. This is why we have launched an external review of the pathways for the development, assessment and adoption of innovative medicines and medical technology. This review will consider how to speed up access for National Health Service patients to cost-effective new diagnostics, medicines and devices. It will set out both short and long-term options for action by Government and relevant bodies (including the National Institute for Health and Care Excellence, the Medicines and Healthcare Products Regulatory Agency and NHS England), and mark a major contribution to the policy debate.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/11/2014 17:24:19 answering member 4020 label Biography information for George Freeman
tabling member	1521 label Biography information for Mrs Sharon Hodgson

156585

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to impose a statutory obligation on the employers of home care workers to provide free influenza vaccinations to their home care employees.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	215142
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>We have no plans to mandate the provision of the annual flu vaccination.</p><p> </p><p> </p><p> </p><p>Frontline health and social care workers have a duty of care to protect their patients and service users, colleagues and family members from infection. Therefore, as in previous years, free flu immunisation should be offered by National Health Service organisations to all employees directly involved in delivering care. This is not an NHS service, but an occupational health responsibility being provided to NHS staff by employers. Social care providers and independent primary care providers should also consider vaccination of staff.</p><p> </p><p> </p><p> </p><p>The Health and Social Care Act 2008, Code of Practice on the prevention and control of infections and related guidance, emphasises the need to ensure, so far as is reasonably practicable, that care workers are free of and are protected from exposure to infections that can be caught at work and that all staff are suitably educated in the prevention and control of infection associated with the provision of health and social care.</p><p> </p><p> </p><p> </p><p>The Code of Practice states that registered providers should ensure that policies and procedures are in place in relation to the prevention and control of infection. This includes access to occupational health services and that employers should make vaccine available free of charge to employees if a risk assessment indicates that it is needed.</p><p> </p><p> </p><p> </p><p>A copy of the Health and Social Care Act 2008, Code of Practice is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 215143 question first answered 26/11/2014 17:37:46 answering member 3918 label Biography information for Jane Ellison attachment 1 file name The Health and Social Care Act 2008- Code of Practice.pdf title Code of Practice
tabling member	95 label Biography information for Mr Andrew Smith

156586

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will require it to be a condition of commissioning home care provision that employers of home care workers pay for influenza vaccinations for their domiciliary workforce.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	215143
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>We have no plans to mandate the provision of the annual flu vaccination.</p><p> </p><p> </p><p> </p><p>Frontline health and social care workers have a duty of care to protect their patients and service users, colleagues and family members from infection. Therefore, as in previous years, free flu immunisation should be offered by National Health Service organisations to all employees directly involved in delivering care. This is not an NHS service, but an occupational health responsibility being provided to NHS staff by employers. Social care providers and independent primary care providers should also consider vaccination of staff.</p><p> </p><p> </p><p> </p><p>The Health and Social Care Act 2008, Code of Practice on the prevention and control of infections and related guidance, emphasises the need to ensure, so far as is reasonably practicable, that care workers are free of and are protected from exposure to infections that can be caught at work and that all staff are suitably educated in the prevention and control of infection associated with the provision of health and social care.</p><p> </p><p> </p><p> </p><p>The Code of Practice states that registered providers should ensure that policies and procedures are in place in relation to the prevention and control of infection. This includes access to occupational health services and that employers should make vaccine available free of charge to employees if a risk assessment indicates that it is needed.</p><p> </p><p> </p><p> </p><p>A copy of the Health and Social Care Act 2008, Code of Practice is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 215142 question first answered 26/11/2014 17:37:46 answering member 3918 label Biography information for Jane Ellison attachment 1 file name The Health and Social Care Act 2008- Code of Practice.pdf title Code of Practice
tabling member	95 label Biography information for Mr Andrew Smith

156592

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what studies he has commissioned on the potential benefits of using dogs to establish early signs of cancer in humans.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	215220
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>A study of key considerations for the experimental training and evaluation of cancer odour detection dogs has recently been published in the journal <em>BMC Urology</em>. The National Institute for Health Research (NIHR) Research Design Service for the East Midlands participated in this study.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/11/2014 17:20:50 answering member 4020 label Biography information for George Freeman
tabling member	1409 label Biography information for Mr Gregory Campbell