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48910

registered interest
date	29/04/2014
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 the palliative care service ratings for England were in the most recent period for which information is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197032
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>There is no national rating system for palliative care services in England. However, The National End of Life Care Intelligence network (NEoLCIN), part of Public Health England, works with partner organisations including NHS England to collect, analyse and present end of life care intelligence, drawing together data and information from a range of sources.</p><p> </p><p>The NEoLCIN has published end of life care profiles at local authority and by clinical commissioning group level. These help commissioners and providers understand the end of life care needs of their populations. More information can be found at the following link:</p><p> </p><p><a href="http://www.endoflifecare-intelligence.org.uk/home" target="_blank">www.endoflifecare-intelligence.org.uk/home</a></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

48911

registered interest
date	29/04/2014
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 the average cost of seeing a dentist was in England in each year for which data is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197042
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Information is available by course of treatment. Information on the average cost of a National Health Service (NHS) course of treatment for an adult charge payer is set out in the following table. Treatment is free for all children and those adults who are exempt from NHS dental charges on income or other grounds.</p><p> </p><table><tbody><tr><td colspan="4"><p>Average cost of an adult course of treatment in England as at year ending 31 March each year:</p></td></tr><tr><td> </td><td><p>Total courses of treatment</p></td><td><p>Patient Charge revenue</p></td><td><p>Average cost</p></td></tr><tr><td><p>2009</p></td><td><p>18,333,000</p></td><td><p>£571,728,263</p></td><td><p>£31.19</p></td></tr><tr><td><p>2010</p></td><td><p>18,601,732</p></td><td><p>£597,620,482</p></td><td><p>£32.13</p></td></tr><tr><td><p>2011</p></td><td><p>18,965,166</p></td><td><p>£614,270,550</p></td><td><p>£32.39</p></td></tr><tr><td><p>2012</p></td><td><p>19,125,127</p></td><td><p>£634,741,351</p></td><td><p>£33.19</p></td></tr><tr><td><p>2013</p></td><td><p>19,333,277</p></td><td><p>£657,636,481</p></td><td><p>£34.02</p></td></tr></tbody></table><p><em>Source:</em> The Health and Social Care Information Centre</p><p><em>Notes:</em> The average cost of an adult course of treatment for the years ending 31 March each year has been calculated by dividing the total adult gross fees for April to March for each year by the total number of adult courses of treatment for the same time period.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 07/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	534 label Biography information for Chris Ruane

48912

registered interest
date	29/04/2014
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, if he will make an assessment of the case for abolishing prescription charges in England.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197041
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>The Department does not intend to abolish prescription charges in England, which raise in the region of £450 million each year. This is valuable income, which helps the National Health Service to maintain services for patients.</p><p> </p><p>An extensive system of exemption arrangements are in place which mean that around 90% of all prescription items are already dispensed free of charge.</p><p> </p><p>Prescription Prepayment Certificates (PPCs) are also available for those who have to pay NHS prescription charges and need multiple prescriptions. The cost of the annual and three-month certificates have been frozen for the fifth and third years running, at £104 and £29.10 respectively, and will also remain frozen next year. There is no limit to the number of items that can be obtained through a PPC. The annual certificate benefits anyone needing more than 12 items a year, and the three month certificate anyone needing more than three items in that three month period.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

48913

registered interest
date	29/04/2014
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, if he will introduce a maximum charge for homecare and other non-residential social services.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197039
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Through the Care Bill we are making the biggest change to the care and support system in more than 65 years. The Bill reforms what people pay for care and support and how they pay to create a system that is a fair partnership between people needing care, their families and tax-payers.</p><p> </p><p>The reforms will place a cap on lifetime care costs. This means that people will no longer face the possibility of catastrophic care costs, providing peace of mind and enabling them to plan for their future. New regulations and guidance on how to financially assess people will ensure that, while they are contributing towards the cost of their care, they will only pay what they can afford.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

48914

registered interest
date	29/04/2014
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 the percentage change in the number of NHS beds in England was in each year since 2010.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197040
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>The information is shown in the following table:</p><p> </p><p>Average daily number of beds in the National Health Service in England, 2009-10 to 2012-13</p><table><tbody><tr><td> </td><td colspan="2"><p>Beds in wards open overnight</p></td><td colspan="2"><p>Beds in wards open day only</p></td></tr><tr><td><p> </p></td><td><p>Total beds available</p></td><td><p>Percentage change from previous year</p></td><td><p>Total beds available</p></td><td><p>Percentage change from previous year</p></td></tr><tr><td><p>2009-10</p></td><td><p>158,461</p></td><td> </td><td><p>11,221</p></td><td><p> </p></td></tr><tr><td><p>2010-11<sup>1</sup></p></td><td><p>142,466</p></td><td><p>-10.1%</p></td><td><p>11,252</p></td><td><p>0.3%</p></td></tr><tr><td><p>2011-12</p></td><td><p>138,572</p></td><td><p>-2.7%</p></td><td><p>11,296</p></td><td><p>0.4%</p></td></tr><tr><td><p>2012-13</p></td><td><p>136,758</p></td><td><p>-1.3%</p></td><td><p>11,748</p></td><td><p>4.0%</p></td></tr></tbody></table><p><em>Source</em>: NHS England</p><p> </p><p><em>Notes:</em></p><p><sup>1</sup> The 10.1% reduction in beds between 2009-10 and 2010-11 may have been caused by the change in the basis of the collection from annual to quarterly. The quarterly data are collected in the month following the end of the quarter, which is timelier and requires less estimation than the previous annual collection. If the reduction was real, the occupancy rate would have been expected to increase dramatically. As it is, the occupancy rate has remained between 84 – 88% for the time in which this has been a quarterly collection.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	534 label Biography information for Chris Ruane

48915

registered interest
date	29/04/2014
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, how many nursing staff were in post in each year since 1999.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	197121
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>The annual National Health Service workforce census, published by the Health and Social Care Information Centre, shows the numbers of qualified nursing, midwifery and health visiting staff in the NHS in England as at 30 September each year. The Department does not hold information on the number of nursing staff in post in other settings.</p><p> </p><p>The number of qualified nursing staff in each year from 1999 to 2013 is shown in the attached table. The latest data in the table relates to September 2013 and is taken from the annual census. The monthly workforce statistics provides more recent data but does not include primary care staff.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 07/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ197121 - NHS Hospital and Community Health Services.docx title NHS Hospital and Community Health Services
tabling member	534 label Biography information for Chris Ruane

48939

registered interest
date	29/04/2014
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 assessment he has made of the recent decision by the Faculty of Sexual and Reproductive Health of the Royal College of Obstetricians and Gynaecologists (RCOG) to refuse to allow doctors who have a conscientious objection to supplying certain abortive-type contraceptive drugs or devices to undertake and complete specialist training with the aim of gaining Membership of the Faculty of Sexual and Reproductive Healthcare of the RCOG.
tabling member constituency	Stoke-on-Trent South
tabling member printed	Robert Flello
uin	197137
answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Faculty of Sexual and Reproductive Healthcare is responsible for decisions on the syllabus of its Diploma, the requirements for entry to the Diploma course, and the award of a Diploma qualification.</p><p> </p><p>The Department understands that the guidelines on the syllabus on possible conscientious objection have not changed.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	1569 label Biography information for Robert Flello

48951

registered interest
date	29/04/2014
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, how many complaints have been received about the NHS in England and Wales in each of the last three years; and on what grounds such complaints have been made.
tabling member constituency	Walthamstow
tabling member printed	Stella Creasy
uin	196978
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>There are 17 tables of data published annually in August of each year by the Health and Social Care Information Centre in England. This annual collection is a count of written complaints made by (or on behalf of) patients, received between 1 April and 31 March each year.</p><p><strong> </strong></p><p>These data sets cover Hospital and Community Health Services (HCHS) KO41a and General Practice (including Dental) Health Services KO41b.</p><p><strong> </strong></p><p>The total number of complaints received by the NHS in England in the years requested are as follows:</p><p> </p><p>- 2010-11: 149,765</p><p> </p><p>- 2011-12: 162,129</p><p> </p><p>- 2012-13: 162,019</p><p> </p><p>Documents for the years requested have been placed in the Library and show on what grounds a complaint was made.</p><p> </p><p>The Department does not hold data on complaints made to the Welsh NHS this information would need to be supplied by the Welsh NHS.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter attachment 1 file name PQ196978 - Library Doc - Part 1 - Statistics.pdf title Data on Written Complains in the NHS 2012-13 2 file name PQ196978 - Library Doc - Part 2 - Statistics.pdf title Data on Written Complains in the NHS 2011-12 3 file name PQ196978 - Library Doc - Part 3 - Statistics.pdf title Data on Written Complains in the NHS 2010-11 question first answered 07/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4088 label Biography information for Stella Creasy

48954

registered interest
date	29/04/2014
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, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if NHS England will publish the details of all contracts it has signed with providers of radiosurgery services in England.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	197025
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197023 197024 question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

48955

registered interest
date	29/04/2014
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, pursuant to section 3 of the guidance issued by Monitor on the Commissioning of Radiosurgery Services on 4 April 2014, if he will require NHS England to publish the names of all referring consultants, patients groups, charities and any other service providers it consulted prior to making its decision not to allow patients to be treated with the Gamma Knife at University College London Hospital.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	197024
answer	answer is ministerial correction date of answer 07/05/2014 answer text <p>Section 3 of Monitor's substantive guidance on <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em> provides guidance to commissioners on publishing new contract opportunities for NHS health care services.</p><p> </p><p>On page 42 of the guidance, it states that &quot;a commissioner may decide to carry out a detailed review of the provision of particular services (for example, A&amp;E services) in its local area in order to understand how those services can be improved in the interests of patients. The review may involve extensive public consultation and engagement with existing and potential providers and other stakeholders. Reviewing available services and providers in this way is good commissioning practice and something that commissioners should consider doing as a matter of course.”</p><p> </p><p>NHS England is currently undertaking such a review of stereotactic radiosurgery services. This will inform procurement decisions for these services.</p><p> </p><p>University College London Hospitals is not contracted by NHS England, nor was it contracted by former primary care trusts, to provide Gamma Knife services. It is for this reason that NHS patients cannot normally be treated at this facility. Instead, NHS patients requiring Gamma Knife treatment should be treated by the Gamma Knife services commissioned by the NHS, that have been shown to meet NHS England service specifications. These can be accessed by patients in London without a waiting time, fully maintaining the continuity of their care and normally with the same consultant and clinical team.</p><p><strong> </strong></p><p>NHS England inherited the range of stereotactic surgery providers currently in place, of which University College Hospital London was not one. NHS England is currently undertaking a review of stereotactic radiosurgery provision and will consult widely with stakeholders and providers prior to making changes to service provision.</p><p> </p><p>Finally, NHS England will publish information relating to its contracted spend in due course, in line with Regulation 9 of <em>The National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013</em>.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 197023 197025 question first answered 07/05/2014 12:00:00 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt