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92590
registered interest false more like this
date less than 2014-10-10more like thismore than 2014-10-10
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Medical Records: Databases more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, when he expects NHS England to publish the list of clinical commissioning groups taking part in the care.data pathfinder stage; and if he will make a statement. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209977 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>NHS England published the list of clinical commissioning groups taking part in the care.data pathfinder stage on 7 October.</p><p> </p><p> </p><p> </p><p>The clinical commissioning groups are Leeds North, West and South and East, Somerset, West Hampshire and Blackburn with Darwen. Further details can be found at:</p><p> </p><p> </p><p> </p><p>http://www.england.nhs.uk/2014/10/07/ccgs-care-data-programme/</p><p> </p> more like this
answering member constituency Central Suffolk and North Ipswich more like this
answering member printed Dr Daniel Poulter more like this
question first answered
less than 2014-10-15T15:08:29.1018846Zmore like thismore than 2014-10-15T15:08:29.1018846Z
answering member
3932
label Biography information for Dr Dan Poulter more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91993
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, whether the NHS England internal taskforce currently reviewing specialised commissioning plans to seek input from internal stakeholders. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209453 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> more like this
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
grouped question UIN 209452 more like this
question first answered
less than 2014-10-15T17:50:31.857832Zmore like thismore than 2014-10-15T17:50:31.857832Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91995
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Hospitals: Admissions more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how many (a) young people under 18 and (b) children under five have been admitted to hospital after ingesting methadone or buprenorphine in the last five years; and how many such ingestions were fatal. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209451 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>The following table provides data on finished admission episodes (FAEs), finished discharge episodes (FDEs) and FDEs where the patient died, where there is a primary or secondary diagnosis of methadone poisoning, by the requested age groups for the last five years for which data is available.</p><p> </p><p> </p><p> </p><p>Please note that:</p><p> </p><p>- data for buprenorphine ingestion has not been given as it is not possible to identify buprenorphine ingestion from the ICD10 diagnosis scheme available in the Hospital Episode Statistic s (HES) database,</p><p> </p><p>- both FAE and FDE are given as the question asks about both admissions and the outcome of the admissions,</p><p> </p><p>- admissions, discharges and discharges ending in death are not directly comparable because FAEs and FDEs do not represent the number of patients; as it is possible for an individual to have one or more episodes of care in any given period, while a death record can appear only once,</p><p> </p><p>- hospital stays can span year-end so that the numbers of FAEs and FDEs do not necessarily match within any given year,</p><p> </p><p>- any person who died without being admitted to hospital would not be counted, and</p><p> </p><p>- the ICD-10 codes were used to define 'methadone poisoning' is T40.3 Poisoning by narcotic and psychodysleptics [hallucinogens], methadone</p><p> </p><p> </p><p> </p><p>Count of (a) finished admission episodes (FAEs)<sup>1</sup>, (b) finished discharge episodes (FDEs)<sup>2</sup> and (c) FDEs where the patient died<sup>3</sup>, with a primary or secondary diagnosis<sup>4</sup> of methadone poisoning<sup>5</sup>, by the age groups (i) 0-4 and (ii) 0-17 years, 2008-09 to 2012-13<sup>6</sup></p><p> </p><table><tbody><tr><td rowspan="2"><p> </p></td><td colspan="3"><p>0-4 year olds</p></td><td colspan="3"><p>0-17 year olds</p></td></tr><tr><td><p>FAEs</p></td><td><p>FDEs</p></td><td><p>FDEs – Discharged</p><p>Dead</p></td><td><p>FAEs</p></td><td><p>FDEs</p></td><td><p>FDEs – Discharged</p><p>Dead</p></td></tr><tr><td><p>2008-09</p></td><td><p>21</p></td><td><p>21</p></td><td><p>0</p></td><td><p>40</p></td><td><p>40</p></td><td><p>0</p></td></tr><tr><td><p>2009-10</p></td><td><p>22</p></td><td><p>22</p></td><td><p>0</p></td><td><p>68</p></td><td><p>68</p></td><td><p>0</p></td></tr><tr><td><p>2010-11</p></td><td><p>23</p></td><td><p>23</p></td><td><p>0</p></td><td><p>83</p></td><td><p>86</p></td><td><p>0</p></td></tr><tr><td><p>2011-12</p></td><td><p>21</p></td><td><p>20</p></td><td><p>0</p></td><td><p>48</p></td><td><p>47</p></td><td><p>1</p></td></tr><tr><td><p>2012-13</p></td><td><p>13</p></td><td><p>14</p></td><td><p>0</p></td><td><p>31</p></td><td><p>32</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p>The following table provides data on the number of deaths due to ingesting methadone or buprenorphine in persons aged (a) under 5 and (b) under 18 for the last five years for which data is available. The data has been divided into deaths in hospital and all deaths so as to capture those persons who were admitted to hospital due to ingesting methadone or buprenorphine, but later died at home.</p><p> </p><p><strong> </strong></p><p> </p><p>All deaths and deaths that occurred in a hospital where the underlying cause was poisoning by methadone or buprenorphine, for persons aged (a) under 5 and (b) under 18, England and Wales, deaths registered between 2009-2013 <sup>1,2,3</sup></p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Year</p></td><td><p>Hospital deaths, under 5</p></td><td><p>Hospital deaths, under 18</p></td><td><p>All deaths, under 5</p></td><td><p>All deaths, under 18</p></td></tr><tr><td><p>Methadone</p></td><td><p>2009</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>1</p></td></tr><tr><td><p> </p></td><td><p>2010</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>3</p></td></tr><tr><td><p> </p></td><td><p>2011</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>8</p></td></tr><tr><td><p> </p></td><td><p>2012</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>1</p></td></tr><tr><td><p> </p></td><td><p>2013</p></td><td><p>0</p></td><td><p>1</p></td><td><p>1</p></td><td><p>3</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Buprenorphine</p></td><td><p>2009</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p> </p></td><td><p>2010</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p> </p></td><td><p>2011</p></td><td><p>0</p></td><td><p>1</p></td><td><p>0</p></td><td><p>2</p></td></tr><tr><td><p> </p></td><td><p>2012</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p> </p></td><td><p>2013</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p><em>Source:</em> Office for National Statistics (ONS)</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. Cause of death was defined using the following International Classification of Diseases, Tenth Revision (ICD-10) codes:</p><p> </p><p> </p><p> </p><p>F11–F16, F18–F19: Mental and behavioural disorders due to drug use (excluding alcohol and tobacco),</p><p> </p><p>X40–X44: Accidental poisoning by drugs, medicaments and biological substances, X60–X64: Intentional self-poisoning by drugs, medicaments and biological substances,</p><p> </p><p>X85: Assault by drugs, medicaments and biological substances, and</p><p> </p><p>Y10–Y14: Poisoning by drugs, medicaments and biological substances, undetermined intent</p><p> </p><p>Deaths were included where the underlying cause was due to drug poisoning and where buprenorphine or methadone was mentioned on the death certificate.</p><p> </p><p> </p><p> </p><p>2. Figures for England and Wales include deaths of non-residents.</p><p> </p><p> </p><p> </p><p>3. Figures are for deaths registered, rather than deaths occurring in each calendar year. Due to the length of time it takes to complete a coroner’s inquest, it can take months or even years for a drug-related death to be registered. More details can be found in the 'deaths related to drug poisoning' statistical bulletin: www.ons.gov.uk/ons/rel/subnational-health3/deaths-related-to-drug-poisoning/england-and-wales---2013/stb---deaths-related-to-drug-poisoning-in-england-and-wales--2013.html#tab-Impact-of-Registration-Delays-on-Drug-Related-Deaths</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
question first answered
less than 2014-10-15T16:55:51.3735801Zmore like thismore than 2014-10-15T16:55:51.3735801Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91996
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what discussions he has had in the last six months with NHS England's Executive Team on the review of specialised commissioning. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209452 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> more like this
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
grouped question UIN 209453 more like this
question first answered
less than 2014-10-15T17:50:31.7015264Zmore like thismore than 2014-10-15T17:50:31.7015264Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91997
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Drugs: Rehabilitation more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what monitoring is undertaken to ensure that prescribers carry out adequate safeguarding of children living in families in which someone is undergoing opioid substitution therapy. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209450 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>United Kingdom clinical guidelines for drug misuse and dependence make clear that doctors treating people with opioid dependence need to make sure that their patients are aware of the risks of their medication, and that they take necessary precautions to avoid it being accidentally taken by others, especially children.</p><p> </p><p> </p><p> </p><p>Clinicians should assess risk to children and, if they suspect a child may be at risk, they must take steps, if necessary immediately, to deal with that risk. This may involve referral to other agencies, in accordance with relevant frameworks and protocols. The assessment may involve looking at the home environment and providing protective measures such as safe storage boxes to ensure medication is beyond the reach of children.</p><p> </p><p> </p><p> </p><p>Monitoring adherence to the clinical guidelines, and taking action where there is a breach, would be the responsibility of the regulatory bodies, the Care Quality Commission and General Medical Council. Local authorities, commissioners, clinical commissioning groups, and local children’s safeguarding boards may set up their own local monitoring arrangements.</p><p> </p><p> </p><p> </p><p>Local authorities have had guidance on developing joint local protocols between the drug and alcohol treatment system and children and family services. The aim of these protocols is to ensure that children are safeguarded through good assessment, clear pathways, information sharing agreements and competent staff.</p><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
question first answered
less than 2014-10-15T15:25:13.6060999Zmore like thismore than 2014-10-15T15:25:13.6060999Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
92007
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Medical Treatments more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, what steps (a) his Department and (b) the National Institute for Health and Care Excellence is taking to ensure that patients have access to drugs and treatments for ultra-rare diseases. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209351 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-17more like thismore than 2014-10-17
answer text <p>The UK Strategy for Rare Diseases, published in November 2013, aims to ensure that patients with rare diseases have access to high quality care, including diagnostics, treatments, support and effective drug treatments.</p><p> </p><p> </p><p> </p><p>NHS England is responsible for directly commissioning specialised services accessed by comparatively small numbers of patients and has developed service specifications on a national basis, to ensure that patients can access the same high quality services and treatments regardless of where they live in England.</p><p> </p><p> </p><p> </p><p>From 1 April 2013 the National Institute for Health and Care Excellence (NICE) took responsibility for the evaluation of selected high cost, low volume drugs under its Highly Specialised Technologies Programme. NHS commissioners are legally obliged to provide funding for drugs that have been recommended in NICE technology appraisals or highly specialised technologies evaluations.</p><p> </p> more like this
answering member constituency Mid Norfolk more like this
answering member printed George Freeman more like this
question first answered
less than 2014-10-17T09:09:58.8356796Zmore like thismore than 2014-10-17T09:09:58.8356796Z
answering member
4020
label Biography information for George Freeman more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
92010
registered interest false more like this
date less than 2014-09-26more like thismore than 2014-09-26
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Health Services more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, whether any changes proposed as a result of the current review of the commissioning of specialised services will be subject to public consulation. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209449 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-15more like thismore than 2014-10-15
answer text <p>NHS England created a Specialised Commissioning Taskforce which aims to improve ways of working and to ensure that specialised commissioning is undertaken in the most efficient and effective way possible.</p><p> </p><p> </p><p> </p><p>My Rt. hon. friend the Secretary of State meets regularly with NHS England to discuss a wide variety of issues. Specialised commissioning was on the agenda at the July NHS Accountability Meeting between NHS England and the Secretary of State.</p><p> </p><p> </p><p> </p><p>The work of the Taskforce is being carried out with input from key internal and external stakeholders. Within the Taskforce work programme there are specific projects which will need wider engagement and may necessitate public consultation.</p><p> </p> more like this
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
question first answered
less than 2014-10-15T15:11:28.8659784Zmore like thismore than 2014-10-15T15:11:28.8659784Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91636
registered interest false more like this
date less than 2014-09-11more like thismore than 2014-09-11
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Digestive System: Screening more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how many flexible-sigmoidoscopy tests were commissioned by GPs in (a) 2011-12, (b) 2012-13 and (c) 2013-14. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209083 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-13more like thismore than 2014-10-13
answer text <p>The information is not available in the format requested. The total number of flexible-sigmoidoscopy tests undertaken by National Health Service trusts, foundation trusts and independent sector organisations from 2011-12 to 2013-14 is provided in the following table. This national dataset includes all routes of referral for diagnostic tests including general practitioners (GPs), hospital based and other routes of referral. It does not separately identify where the tests were commissioned.</p><p> </p><p> </p><p> </p><p>Table: number of flexible-sigmoidoscopy tests, 2011-12 to 2013-14</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of tests</p></td></tr><tr><td><p>2011-12</p></td><td><p>217,767</p></td></tr><tr><td><p>2012-13</p></td><td><p>232,674</p></td></tr><tr><td><p>2013-14</p></td><td><p>228,756</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source: NHS England monthly diagnostics waiting times and activity </em></p><p> </p><p><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>The data includes all referral routes (i.e. whether the patient was referred by a GP or by a hospital-based clinician or other route) and also all settings (i.e. outpatient clinic, inpatient ward, x-ray department, primary care one-stop centres etc.)</li></ol><p> </p>
answering member constituency Battersea more like this
answering member printed Jane Ellison more like this
question first answered
less than 2014-10-13T15:46:53.6070082Zmore like thismore than 2014-10-13T15:46:53.6070082Z
answering member
3918
label Biography information for Jane Ellison more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91638
registered interest false more like this
date less than 2014-09-11more like thismore than 2014-09-11
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Endoscopy more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how many endoscopists there were in the NHS in each financial year from 2009-10 to 2013-14. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209081 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-13more like thismore than 2014-10-13
answer text <p>The information is not held centrally. The annual National Health Service workforce census, published by the Health and Social Care Information Centre, does not separately identify endoscopists working in the NHS.</p><p> </p> more like this
answering member constituency Central Suffolk and North Ipswich more like this
answering member printed Dr Daniel Poulter more like this
question first answered
less than 2014-10-13T13:57:41.4449469Zmore like thismore than 2014-10-13T13:57:41.4449469Z
answering member
3932
label Biography information for Dr Dan Poulter more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter
91639
registered interest false more like this
date less than 2014-09-11more like thismore than 2014-09-11
answering body
Department of Health remove filter
answering dept id 17 more like this
answering dept short name Health more like this
answering dept sort name Health more like this
hansard heading Endoscopy more like this
house id 1 more like this
legislature
25259
pref label House of Commons more like this
question text To ask the Secretary of State for Health, how many endoscopy rooms there were in the NHS in each financial year from 2009-10 to 2013-14. more like this
tabling member constituency Copeland more like this
tabling member printed
Mr Jamie Reed more like this
uin 209082 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2014-10-13more like thismore than 2014-10-13
answer text <p>NHS England has advised that this information is not collected centrally.</p><p> </p> more like this
answering member constituency Central Suffolk and North Ipswich more like this
answering member printed Dr Daniel Poulter more like this
question first answered
less than 2014-10-13T13:54:36.8148084Zmore like thismore than 2014-10-13T13:54:36.8148084Z
answering member
3932
label Biography information for Dr Dan Poulter more like this
tabling member
1503
label Biography information for Mr Jamie Reed remove filter