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672115

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Qualifications
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of (a) registered and (b) active GPs obtained their initial qualifications in other EU countries.
tabling member constituency	East Ham
tabling member printed	Stephen Timms
uin	59831
answer	answer is ministerial correction date of answer 17/01/2017 answer text <p>The Department does not collect information on the number of registered and active General Practitioners (GPs) that obtained their initial qualifications in other European Union countries.</p><p> </p><p>The General Medical Council has provided the following information:</p><p> </p><p>6.08% of registered GPs in the United Kingdom obtained their initial qualification in other EU countries within the European Economic Area (EEA), this is 4,120 of 67,771; and</p><p> </p><p>5.36% of registered GPs with a licence to practise obtained their initial qualification in other EU countries within the EEA, this is 3,272 of 61,096.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/01/2017 16:23:46 answering member 1542 label Biography information for Philip Dunne
tabling member	163 label Biography information for Sir Stephen Timms

672116

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average length of hospital admittance of diabetic inpatients was in 2016.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	59793
answer	answer is ministerial correction date of answer 20/01/2017 answer text <p>The mean and median average length of stay for hospital patients with a primary diagnosis for diabetes and a primary or secondary diagnosis of diabetes in England for 2015/16 are shown in the table below.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Mean Length of stay (days)</p></td><td><p>Median length of stay (days)</p></td></tr><tr><td><p>Primary diagnosis of diabetes</p></td><td><p>3</p></td><td><p>1</p></td></tr><tr><td><p>Primary and secondary diagnosis of diabetes</p></td><td><p>4</p></td><td><p>1</p></td></tr></tbody></table><p> </p><p>A count of finished admission episodes where patients have been admitted from accident and emergency with a primary diagnosis for diabetes and arrived to accident and emergency by ambulance in England and within East Leicestershire and Rutland, Leicester City and West Leicestershire clinical commissioning groups (CCGs) areas of residence for 2015/16 are provided in the following table.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Primary diagnosis admissions for diabetes</p></td><td><p>Admissions for diabetes who arrived by ambulance</p></td></tr><tr><td><p>England</p></td><td><p>27,201</p></td><td><p>16,937</p></td></tr><tr><td><p>East Leicestershire and Rutland CCG</p></td><td><p>90</p></td><td><p>62</p></td></tr><tr><td><p>Leicester City CCG</p></td><td><p>174</p></td><td><p>130</p></td></tr><tr><td><p>West Leicestershire CCG</p></td><td><p>110</p></td><td><p>70</p></td></tr></tbody></table><p> </p><p>Data on how many diabetic patients experienced complications with that condition, separate from the reason for their admittance, while they were in hospital as inpatients is not available in the format requested.</p><p> </p><p>Data on the number of ambulance call-outs for patients experiencing diabetic complications in 2016 is not available in the format requested.</p><p> </p><p>Approximately 240 bids have been received for National Health Service transformation funding for diabetes prevention and treatment.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 59794 59795 59857 59858 59859 question first answered 20/01/2017 13:48:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

672117

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many ambulance call-outs there were for patients experiencing diabetic complications in 2016.
tabling member constituency	Leicester East
tabling member printed	Keith Vaz
uin	59794
answer	answer is ministerial correction date of answer 20/01/2017 answer text <p>The mean and median average length of stay for hospital patients with a primary diagnosis for diabetes and a primary or secondary diagnosis of diabetes in England for 2015/16 are shown in the table below.</p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Mean Length of stay (days)</p></td><td><p>Median length of stay (days)</p></td></tr><tr><td><p>Primary diagnosis of diabetes</p></td><td><p>3</p></td><td><p>1</p></td></tr><tr><td><p>Primary and secondary diagnosis of diabetes</p></td><td><p>4</p></td><td><p>1</p></td></tr></tbody></table><p> </p><p>A count of finished admission episodes where patients have been admitted from accident and emergency with a primary diagnosis for diabetes and arrived to accident and emergency by ambulance in England and within East Leicestershire and Rutland, Leicester City and West Leicestershire clinical commissioning groups (CCGs) areas of residence for 2015/16 are provided in the following table.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Primary diagnosis admissions for diabetes</p></td><td><p>Admissions for diabetes who arrived by ambulance</p></td></tr><tr><td><p>England</p></td><td><p>27,201</p></td><td><p>16,937</p></td></tr><tr><td><p>East Leicestershire and Rutland CCG</p></td><td><p>90</p></td><td><p>62</p></td></tr><tr><td><p>Leicester City CCG</p></td><td><p>174</p></td><td><p>130</p></td></tr><tr><td><p>West Leicestershire CCG</p></td><td><p>110</p></td><td><p>70</p></td></tr></tbody></table><p> </p><p>Data on how many diabetic patients experienced complications with that condition, separate from the reason for their admittance, while they were in hospital as inpatients is not available in the format requested.</p><p> </p><p>Data on the number of ambulance call-outs for patients experiencing diabetic complications in 2016 is not available in the format requested.</p><p> </p><p>Approximately 240 bids have been received for National Health Service transformation funding for diabetes prevention and treatment.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 59793 59795 59857 59858 59859 question first answered 20/01/2017 13:48:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	338 label Biography information for Keith Vaz

672118

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Schools: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the report Disability Matters in Britain 2016, what steps his Department is taking to support school nurses and the services they provide to disabled children in schools.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	59781
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>The Department and Public Health England (PHE) have produced guidance to support both commissioners and local providers including the 0-19 commissioning guidance. The materials are based on evidence and good practice. Key officials at the Department and the team at PHE are working with the Local Government Association and locally through PHE Centres to share evidence and guidance.</p><p> </p><p>Generally school nurses are not commissioned to deliver clinical support for children with disabilities, this function would be commissioned by clinical commissioning groups and may be provided by community children’s nurses or specialist school nursing services.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/01/2017 11:59:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	411 label Biography information for Mr Barry Sheerman

672119

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
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 accident and emergency and urgent care services in each year since 2010.
tabling member constituency	Streatham
tabling member printed	Mr Chuka Umunna
uin	59788
answer	answer is ministerial correction date of answer 17/01/2017 answer text <p>The information is not available in the format requested.</p><p> </p><p>The reference costs for accident and emergency and urgent care collected by healthcare resource groups (HRG) show an estimate of the total cost of accident and emergency (A&amp;E) and urgent care for the last 6 years.</p><p><em> </em></p><p>Total estimated cost of A&amp;E and urgent care 2010-11 to 2015-16</p><table><tbody><tr><td><p>Year</p></td><td><p>Total estimated cost (£ billions)</p></td></tr><tr><td><p>2010-11</p></td><td><p>1.9</p></td></tr><tr><td><p>2011-12</p></td><td><p>2.0</p></td></tr><tr><td><p>2012-13</p></td><td><p>2.1</p></td></tr><tr><td><p>2013-14</p></td><td><p>2.3</p></td></tr><tr><td><p>2014-15</p></td><td><p>2.5</p></td></tr><tr><td><p>2015-16</p></td><td><p>2.7</p></td></tr></tbody></table><p><em>Source: </em>Reference costs, Department of Health</p><p> </p><p><em>Notes:</em></p><ol><li>The following HRGs are included in the table:</li></ol><p>VB01Z Any investigation with category 5 treatment</p><p>VB02Z Category 3 investigation with category 4 treatment</p><p>VB03Z Category 3 investigation with category 1-3 treatment</p><p>VB04Z Category 2 investigation with category 4 treatment</p><p>VB05Z Category 2 investigation with category 3 treatment</p><p>VB06Z Category 1 investigation with category 3-4 treatment</p><p>VB07Z Category 2 investigation with category 2 treatment</p><p>VB08Z Category 2 investigation with category 1 treatment</p><p>VB09Z Category 1 investigation with category 1-2 treatment</p><p>VB10Z Dental Care</p><p>VB11Z No investigation with no significant treatment</p><p>VBDOA<sup>1</sup> Emergency and urgent care: Dead On Arrival</p><p>VB99Z<sup>2 </sup> Emergency Medicine, Patient Dead On Arrival</p><p> </p><ol start="2"><li>Total costs are estimated from the unit costs and activity submitted in reference costs.</li></ol><p><sup>1 </sup>2010-11 only</p><p><sup>2 </sup>2014-15 and 2015-16</p><p> </p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/01/2017 17:11:09 answering member 1542 label Biography information for Philip Dunne
tabling member	4128 label Biography information for Chuka Umunna

672120

registered interest
date	12/01/2017
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 his Department is taking to tackle illegal genital and other cosmetic surgery practices.
tabling member constituency	Cynon Valley
tabling member printed	Ann Clwyd
uin	59724
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>The Female Genital Mutilation Act 2003 makes female genital mutilation (FGM) a criminal offence, but sets out the medical circumstances in which surgical operations on the labia majora, labia minora or clitoris are permitted. These circumstances are where the operations are carried out by an approved person (such as a medical professional) and are necessary for a woman or girl's physical or mental health or for purposes connected with labour or child birth. Enforcement of the criminal law is a matter for the police.</p><p> </p><p>The Royal College of Obstetricians and Gynaecologists Ethics Committee has published a paper on ethical considerations in relation to female genital cosmetic surgery (FGCS), which refers to the distinction between this type of surgery and FGM. It states that “All surgeons who undertake FGCS must take appropriate measures to ensure compliance with the FGM Act”.</p><p>In April 2016, the Royal College of Surgeons (RCS) published Professional Standards for Cosmetic Surgery for clinicians working in the cosmetic field. It also launched a patient information hub in June 2016 and has set in place a minimum dataset to assist the collection and collation of data related to cosmetic surgical activity. The General Medical Council (GMC) published new guidance for doctors performing cosmetic procedures which came into effect from 1 June 2016. The Care Quality Commission has also developed a new inspection framework which will take account of the new RCS and GMC requirements.</p><p> </p><p>Health Education England (HEE) published qualification requirements for practitioners performing non-surgical cosmetic procedures in 2016. A Joint Council of Cosmetic Practitioners has recently been established that will look to build on the work of HEE by developing qualification requirements to deliver non-surgical cosmetic procedures, and aim to improve the standards and safety of the cosmetic industry. In addition, NHS Choices is contributing information and advice on cosmetic interventions for the public.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/01/2017 11:09:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	553 label Biography information for Ann Clwyd

672121

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what safeguards his Department has in place to ensure that local authorities are planning and funding palliative care for children and young people; and if he will make a statement.
tabling member constituency	Newcastle upon Tyne North
tabling member printed	Catherine McKinnell
uin	59758
answer	answer is ministerial correction date of answer 17/01/2017 answer text <p>Local authorities are not commissioners of children’s palliative health care, but would have a role in providing social care support, and any appropriate educational support that was assessed as needed by a child with a life-limiting condition.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 17/01/2017 16:30:25 answering member 4080 label Biography information for David Mowat
tabling member	4125 label Biography information for Catherine McKinnell

672122

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to his announcement of 4 October 2016, that up to 1,500 extra medical training places will be made available from September 2018, what increased Service Increment for Teaching funding will be provided to support the training of those additional medical students.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	59745
answer	answer is ministerial correction date of answer 20/01/2017 answer text <p>National Health Service providers will receive clinical placement funding for the minimum number of students that Health Education England forecast are required to meet the longer-term workforce needs of the NHS.</p><p> </p><p>In early 2017, the Department plans to run a public consultation on its proposals to expand domestic undergraduate medical training places by up to 1,500 per year, from the academic year 2018-19.</p><p> </p><p>For the 2017-18 academic year, undergraduate medical students undertaking the first four years of their courses will qualify for the same tuition fee loan and living costs support package from the Student Loans Company as other full-time undergraduate students. For years five and six of their courses, these students will continue to qualify for NHS bursaries and an additional reduced rate non-means tested loan for living costs from the Student Loans Company.</p><p> </p><p>Teaching grants for medical students will also continue under the Office for Students (which is expected to assume Higher Education Funding Council for England’s funding responsibility from April 2018) reflecting the high-cost of the subject.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 59746 question first answered 20/01/2017 12:29:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

672123

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Training
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to his announcement of 4 October 2016, that up to 1,500 extra medical training places will be made available from September 2018, whether those additional students will be supported by the same (a) undergraduate fee and (b) Higher Education Funding Council for England banding payments as existing medical students.
tabling member constituency	Totnes
tabling member printed	Dr Sarah Wollaston
uin	59746
answer	answer is ministerial correction date of answer 20/01/2017 answer text <p>National Health Service providers will receive clinical placement funding for the minimum number of students that Health Education England forecast are required to meet the longer-term workforce needs of the NHS.</p><p> </p><p>In early 2017, the Department plans to run a public consultation on its proposals to expand domestic undergraduate medical training places by up to 1,500 per year, from the academic year 2018-19.</p><p> </p><p>For the 2017-18 academic year, undergraduate medical students undertaking the first four years of their courses will qualify for the same tuition fee loan and living costs support package from the Student Loans Company as other full-time undergraduate students. For years five and six of their courses, these students will continue to qualify for NHS bursaries and an additional reduced rate non-means tested loan for living costs from the Student Loans Company.</p><p> </p><p>Teaching grants for medical students will also continue under the Office for Students (which is expected to assume Higher Education Funding Council for England’s funding responsibility from April 2018) reflecting the high-cost of the subject.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 59745 question first answered 20/01/2017 12:29:07 answering member 1542 label Biography information for Philip Dunne
tabling member	4073 label Biography information for Dr Sarah Wollaston

672124

registered interest
date	12/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Loneliness
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 implications for its policies on tackling health inequalities caused by loneliness of the number of people who spent some of the Christmas period alone.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	59734
answer	answer is ministerial correction date of answer 19/01/2017 answer text <p>Social isolation is one of several factors that affects people’s health throughout their lifetime and drives health inequalities. The strategic health inequalities review led by Professor Sir Michael Marmot of University College London (UCL) (Fair Society, Healthy Lives, 2010) reported that low levels of social integration, and loneliness, significantly increase mortality. The earlier Acheson report (Independent Inquiry into Inequalities in Health, 1998) noted the importance of maintaining mobility, independence and social contacts as a way of reducing health inequalities among older people. We have taken a coherent approach to addressing these issues at different stages of life and through key transitions. Practical guidance on the issue has been developed by Public Health England and the UCL Institute of Health Equity (Reducing Social Isolation across the Life course, 2015), as part of a wider effort to reduce local health inequalities.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 19/01/2017 12:00:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4036 label Biography information for Luciana Berger