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174748

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pain
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting time is for pain management in each region.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	221346
answer	answer is ministerial correction date of answer 27/01/2015 answer text <p>The information requested is shown in the following table. These data are from hospital episode statistics and measure the time waited between decision to admit and admission to hospital. They are not the same as referral to treatment waiting times, which measure waiting times from referral to the start of consultant-led treatment by 18 treatment functions (subdivisions of consultant main specialties), but which do not include condition specific information.</p><p> </p><p><strong> </strong></p><p> </p><p>The average (median) number of days waited for pain management treatment, 2012-13</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td> </td><td colspan="2"><p>Average (median) waiting time (days)</p></td></tr><tr><td><p>Area Team of Residence</p></td><td><p>Admissions</p></td><td><p>First Outpatient Attendances</p></td></tr><tr><td><p>Cheshire, Warrington And Wirral Area Team</p></td><td><p>59</p></td><td><p>46</p></td></tr><tr><td><p>Durham, Darlington And Tees Area Team</p></td><td><p>65</p></td><td><p>52</p></td></tr><tr><td><p>Greater Manchester Area Team</p></td><td><p>64</p></td><td><p>42</p></td></tr><tr><td><p>Lancashire Area Team</p></td><td><p>55</p></td><td><p>38</p></td></tr><tr><td><p>Merseyside Area Team</p></td><td><p>58</p></td><td><p>50</p></td></tr><tr><td><p>Cumbria, Northumberland, Tyne And Wear Area Team</p></td><td><p>44</p></td><td><p>49</p></td></tr><tr><td><p>North Yorkshire And Humber Area Team</p></td><td><p>57</p></td><td><p>55</p></td></tr><tr><td><p>South Yorkshire And Bassetlaw Area Team</p></td><td><p>41</p></td><td><p>26</p></td></tr><tr><td><p>West Yorkshire Area Team</p></td><td><p>84</p></td><td><p>54</p></td></tr><tr><td><p>Arden, Herefordshire And Worcestershire Area Team</p></td><td><p>49</p></td><td><p>49</p></td></tr><tr><td><p>Birmingham And The Black Country Area Team</p></td><td><p>47</p></td><td><p>52</p></td></tr><tr><td><p>Derbyshire And Nottinghamshire Area Team</p></td><td><p>47</p></td><td><p>29</p></td></tr><tr><td><p>East Anglia Area Team</p></td><td><p>61</p></td><td><p>50</p></td></tr><tr><td><p>Essex Area Team</p></td><td><p>56</p></td><td><p>55</p></td></tr><tr><td><p>Hertfordshire And The South Midlands Area Team</p></td><td><p>84</p></td><td><p>68</p></td></tr><tr><td><p>Leicestershire And Lincolnshire Area Team</p></td><td><p>63</p></td><td><p>54</p></td></tr><tr><td><p>Shropshire And Staffordshire Area Team</p></td><td><p>64</p></td><td><p>61</p></td></tr><tr><td><p>Bath, Gloucestershire, Swindon And Wiltshire Area Team</p></td><td><p>56</p></td><td><p>60</p></td></tr><tr><td><p>Bristol, North Somerset, Somerset And South Gloucestershire Area Team</p></td><td><p>18</p></td><td><p>50</p></td></tr><tr><td><p>Devon, Cornwall And Isles Of Scilly Area Team</p></td><td><p>77</p></td><td><p>49</p></td></tr><tr><td><p>Kent And Medway Area Team</p></td><td><p>58</p></td><td><p>49</p></td></tr><tr><td><p>Surrey And Sussex Area Team</p></td><td><p>66</p></td><td><p>59</p></td></tr><tr><td><p>Thames Valley Area Team</p></td><td><p>69</p></td><td><p>56</p></td></tr><tr><td><p>Wessex Area Team</p></td><td><p>65</p></td><td><p>48</p></td></tr><tr><td><p>London Area Team</p></td><td><p>70</p></td><td><p>63</p></td></tr><tr><td><p>England</p></td><td><p>63</p></td><td><p>51</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><em>Notes:</em></p><p> </p><ol start="1" type="1"><li>The data provided are finished admission episodes (FAEs) and outpatient first attendances where the treatment specialty was either pain management or paediatric pain management.</li><li>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.</li><li>Attendances at outpatient clinics. Includes first and follow-up attendances and telephone consultations, excludes did not attends and cancellations.</li><li>Area Team of Residence is the area team containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.</li><li>The treatment specialty is the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered. Care is needed when analysing HES data by specialty, or by groups of specialties (such as &quot;acute&quot;). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information.</li><li>The median, rather than the mean, time waited is given as the mean can be affected by a relatively small number of records with a long time waited, however the median is less affected by this issue.</li></ol><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 27/01/2015 13:23:33 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

174761

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pain
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress his Department has made in treating pain since the Chief Medical Officer's annual report in 2008 called for the issue to receive greater priority.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	221393
answer	answer is ministerial correction date of answer 27/01/2015 answer text <p>In response to the Chief Medical Officer’s (CMO’s) report 2008 report, the Healthcare Quality Improvement Partnership working with The British Pain Society and Dr Foster undertook the first ever National Pain Audit, which launched in 2009. The findings from the three year study, which appeared in three reports, highlighted variation in service provision and made a number of recommendations for the National Health Service to improve quality of care for patients suffering from chronic pain.</p><p> </p><p> </p><p> </p><p>Since 1 April 2013, NHS England became responsible for the commissioning of specialised pain services for patients with chronic pain. NHS England has published a service specification for patients with chronic pain that sets out what providers must have in place in order to deliver evidence-based, safe and effective services. It supports equity of access to a nationally consistent, high quality service for patients. The specification can be found at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/d08-spec-serv-pain-mgt.pdf" target="_blank">www.england.nhs.uk/wp-content/uploads/2013/06/d08-spec-serv-pain-mgt.pdf</a></p><p> </p><p> </p><p> </p><p>In the time since the CMO report, the National Institute for Health and Care Excellence (NICE) has produced a range of guidance to support clinicians to diagnose and treat a range of conditions causing ongoing pain, most recently publishing the 2013 guideline <em>Neuropathic pain: The pharmacological management of neuropathic pain in adults in non-specialist settings</em>. Finally, the British Pain Society collaborated with the Map of Medicine to produce a range of evidence-based pain care pathways, published in October 2014. These support NHS commissioners, providers and patients to access to high-quality, practice-informed care pathways that map the journey from initial presentation through to ongoing management of chronic pain. This can be accessed on the NHS Choices website at the following link:</p><p> </p><p> </p><p> </p><p><a href="http://www.nhs.uk/aboutNHSChoices/aboutnhschoices/partners/MapofMedicine/Pages/Introduction.aspx" target="_blank">http://www.nhs.uk/aboutNHSChoices/aboutnhschoices/partners/MapofMedicine/Pages/Introduction.aspx</a>.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 27/01/2015 12:20:40 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

93261

registered interest
date	14/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: High Peak
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in High Peak constituency have had to wait more than (a) 28 days, (b) three months and (c) six months for Improving Access to Psychological Therapies services in each of the last five years.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	210409
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>Information is not available in the format requested.</p><p> </p><p> </p><p> </p><p>This Government is committed to ensuring mental health is treated equally with physical health and is increasing access to mental health services through the Improving Access to Psychological Therapies (IAPT) programme and talking therapies.</p><p> </p><p> </p><p> </p><p>Information on the number of patients waiting more than 28 days in 2011-12 and 2012-13 in each quarter for Derbyshire County Primary Care Trust (PCT) and Tameside and Glossop PCT is shown in Table 1.</p><p> </p><p> </p><p> </p><p>The information for the number of patients waiting more than; 28 days, 90 days and 180 days in 2013-14 for NHS North Derbyshire clinical commissioning group (CCG) and NHS Tameside and Glossop CCG is shown in Table 2.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 21/10/2014 16:29:25 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Patients waiting for IAPT Services- High Peak.docx title High Peak- Patients waiting for IAPT services
tabling member	3994 label Biography information for Andrew Bingham

89709

registered interest
date	29/08/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fibromyalgia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much his Department has spent on research into fybromyalgia in the last three years; and what guidance his Department gives on support to be given through the NHS for fybromyalgia sufferers.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	207313
answer	answer is ministerial correction date of answer 05/09/2014 answer text <p>The Department has made no estimate of the number of fibromyalgia sufferers in the United Kingdom. As the condition is poorly understood and there is not specific diagnostic test, it is difficult to make a reliable estimate</p><p>Although there is no cure for fibromyalgia, some treatments can ease symptoms and support improved quality of life for patients. The treatments offered will depend on the severity of a patient’s condition, but may include: pharmacological pain relief; physiotherapy; dietary and exercise advice; counselling or cognitive behavioural therapy; and self-management programmes which aim to give patients the skills and confidence to manage their conditions more effectively. There are also a number of NHS Trusts that offer specialist fibromyalgia clinics, such the Royal National Hospital for Rheumatic Diseases in Bath, which patients can access on referral from the clinician responsible for their care.</p><p>In each of the last three years, the Department’s National Institute for Health Research has spent £0.1 million on fibromyalgia research.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 207312 question first answered 05/09/2014 10:34:15 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

89719

registered interest
date	29/08/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fibromyalgia
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 number of fybromyalgia sufferers in the UK.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	207312
answer	answer is ministerial correction date of answer 05/09/2014 answer text <p>The Department has made no estimate of the number of fibromyalgia sufferers in the United Kingdom. As the condition is poorly understood and there is not specific diagnostic test, it is difficult to make a reliable estimate</p><p>Although there is no cure for fibromyalgia, some treatments can ease symptoms and support improved quality of life for patients. The treatments offered will depend on the severity of a patient’s condition, but may include: pharmacological pain relief; physiotherapy; dietary and exercise advice; counselling or cognitive behavioural therapy; and self-management programmes which aim to give patients the skills and confidence to manage their conditions more effectively. There are also a number of NHS Trusts that offer specialist fibromyalgia clinics, such the Royal National Hospital for Rheumatic Diseases in Bath, which patients can access on referral from the clinician responsible for their care.</p><p>In each of the last three years, the Department’s National Institute for Health Research has spent £0.1 million on fibromyalgia research.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 207313 question first answered 05/09/2014 10:34:14 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

63685

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Thalidomide
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 reports by disability campaigners that the German government was complicit in preventing British victims of thalidomide from securing compensation from Grünenthal; and if he will make representations to his German counterpart on that matter.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	202189
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>No assessment has been made of the German Government's role in relation to British Thalidomide survivors and the issue of compensation from the German pharmaceutical company Grünenthal.</p><p> </p><p>I met with the Thalidomide Trust on 23 June 2014. We are considering further what representations we might make in the light of this meeting. A further meeting between the Thalidomide Trust and the Minister for Europe is due to take place on 3 September.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 01/07/2014 15:15:53 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

48233

registered interest
date	10/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate has he made of the cost to the economy of untreated mental illness.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	196255
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196254 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

48237

registered interest
date	10/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of NHS funding is allocated to (a) mental and (b) physical health care.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	196254
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196245 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham

48242

registered interest
date	10/04/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what criteria his Department use to define illness as mental as opposed to physical.
tabling member constituency	High Peak
tabling member printed	Andrew Bingham
uin	196245
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The International Classification of Diseases is the standard diagnostic tool for epidemiology, health management and clinical purposes. This includes the analysis of the general health situation of population groups. It is used to monitor the incidence and prevalence of diseases and other health problems.</p><p>The Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems includes in Chapter V a detailed classification of more than 300 mental and behavioural disorders. Its publication follows extensive field-testing by more than 100 clinical and research centres in 40 countries.</p><p>Aggregate primary care trust (PCT) expenditure on mental health was £11.28 billion in 2012-13, which is 11.9% of the £94.78 billion total spend by PCTs. The estimate of expenditure on mental health does not include the majority of expenditure on primary care appointments which is recorded as a separate programme category.</p><p> </p><p>It is not possible to provide an estimate of expenditure on physical health. A number of programme categories will have elements of expenditure which could be classified as non-physical, for example, learning disabilities, neurological and social care.</p><p> </p><p>The Department has made no estimate of the cost to the economy of untreated mental illness.</p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196254 196255 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	3994 label Biography information for Andrew Bingham