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49181

registered interest
date	30/04/2014
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 research his Department has commissioned on diabulimia in teenagers and young adults.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	197377
answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>The National Institute for Health Research (NIHR) funded the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for South Yorkshire from 2008 to 2013. The CLAHRC carried out a programme of research on young people with Type 1 diabetes including research relating to eating disorders in this patient group. Outputs include papers published in the journal <em>Diabetic Medicine</em>.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 08/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	95 label Biography information for Mr Andrew Smith

49184

registered interest
date	30/04/2014
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 applications have been made in Oxfordshire under the National Assistance Act 1948 by people without resources to meet their requirements or whose resources must be supplemented in order to meet their requirements in the last five years.
tabling member constituency	Oxford East
tabling member printed	Mr Andrew Smith
uin	197243
answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>Information on the number of adult social care clients receiving council-funded services, including residential and domiciliary care, is collected by the NHS Health and Social Care Information Centre (HSCIC).</p><p> </p><p>The HSCIC has provided the available information for Oxfordshire County Council over the five years 2008-09 to 2012-13. This is shown in the table.</p><p> </p><table><tbody><tr><td><p>Type of service</p></td><td><p>2008-09</p></td><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>Residential care</p></td><td><p>1,350</p></td><td><p>1,245</p></td><td><p>1,155</p></td><td><p>1,170</p></td><td><p>1,120</p></td></tr><tr><td><p>Domiciliary care,<em> of which:</em></p></td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>Home care</p></td><td><p>4,625</p></td><td><p>5,010</p></td><td><p>3,675</p></td><td><p>3,125</p></td><td><p>2,820</p></td></tr><tr><td><p>Day care</p></td><td><p>1,880</p></td><td><p>1,820</p></td><td><p>1,680</p></td><td><p>750</p></td><td><p>630</p></td></tr><tr><td><p>Meals</p></td><td><p>465</p></td><td><p>330</p></td><td><p>295</p></td><td><p>175</p></td><td><p>155</p></td></tr><tr><td><p>Short term residential care (not respite)</p></td><td><p>0</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>Direct payments</p></td><td><p>925</p></td><td> </td><td><p>1,040</p></td><td><p>1,400</p></td><td><p>1,530</p></td></tr><tr><td><p>Existing/new direct payments and personal budgets</p></td><td> </td><td><p>1,050</p></td><td> </td><td> </td><td> </td></tr><tr><td><p>Professional support</p></td><td><p>12,485</p></td><td><p>12,315</p></td><td><p>5,750</p></td><td><p>1,760</p></td><td><p>1,275</p></td></tr><tr><td><p>Equipment and adaptations</p></td><td><p>1,000</p></td><td><p>1,305</p></td><td><p>1,270</p></td><td><p>875</p></td><td><p>865</p></td></tr><tr><td><p>Other</p></td><td><p>1,125</p></td><td><p>1,045</p></td><td><p>2,285</p></td><td><p>505</p></td><td><p>445</p></td></tr></tbody></table><p> </p><p><em>Notes:</em></p><p>1. Data relates to adults 18 and over</p><p>2. Numbers are rounded to the nearest 5</p><p>3. All data are published and final</p><p>4. The ‘Existing/new direct payments and personal budgets' columns in return P2f was introduced in 2009-10 to capture personal budgets and reverted back to direct payments in 2010-11. Service users who were receiving council commissioned services via a personal budget or direct payment were only included under this heading and not under the specific service received.</p><p> </p><p><em>Sources:</em></p><p>Referrals, Assessments and Packages of Care (RAP) returns, tables P1 and P2f</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 08/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
tabling member	95 label Biography information for Mr Andrew Smith

49185

registered interest
date	30/04/2014
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 guidance his Department publishes for pharmaceutical companies to ensure that the clinical trials they conduct are carried out ethically and safely.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	197308
answer	answer is ministerial correction date of answer 08/05/2014 answer text <p>The International Conference on Harmonisation (ICH) Note for Guidance on Good Clinical Practice (GCP) is an international standard for GCP. It became operational in the European Union in January 1997 and is a set of internationally recognised ethical and scientific quality requirements which must be observed for designing, conducting, recording and reporting clinical trials that involve the participation of human subjects. This guidance is available on the web and is published on the Medicines and Healthcare products Regulatory Agency's (MHRA) website. In addition the MHRA published the MHRA Good Clinical Practice Guide in September 2013.</p><p> </p><p>The Health Research Authority (HRA) publishes a range of resources on research ethics that have relevance to clinical trials sponsored by pharmaceutical companies. These resources are available on the HRA website at:</p><p> </p><p><a href="http://www.hra.nhs.uk/resources/" target="_blank">www.hra.nhs.uk/resources/</a></p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 08/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

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