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48562

	registered interest
	date	25/04/2014
	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, for what reason no risk assessment was made of the care.data programme; and which Minister in his Department authorised not making such an assessment.
	tabling member constituency	Birmingham, Hall Green
	tabling member printed	Mr Roger Godsiff
	uin	196619
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>There has been no decision made not to have a risk assessment for the care.data programme. Risks and issues are considered by the care.data programme board at regular meetings.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	304 label Biography information for Mr Roger Godsiff

48547

	registered interest
	date	25/04/2014
	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 (a) meetings, (b) items of written correspondence, (c) phone calls, (d) consultation responses, (e) tenders and (f) other individual communications and contacts his Department has had with (i) Johnson & Johnson, (ii) Ethicon and (iii) BARD.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	196778
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Within the last 12 months, the Department has had regular communication with a number of pharmaceutical, device and diagnostic manufacturers, on a wide range of topics. However, the information requested could only be provided at disproportionate cost.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	4012 label Biography information for Graeme Morrice

49331

	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 (a) nurses, (b) doctors and (c) surgeons have been employed at (i) Sherwood Forest Hospitals NHS Foundation Trust and (ii) Nottingham University Hospitals in each year since 2007.
	tabling member constituency	Ashfield
	tabling member printed	Gloria De Piero
	uin	197257
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Information on the number of (a) qualified nursing, midwifery and health visiting staff (b) Hospital and community health service (HCHS) doctors and (c) surgeons employed at (i) Sherwood Forest Hospitals NHS Foundation Trust (FT) and (ii) Nottingham University Hospitals NHS Trust, in each year since 2007 is shown in the attached table.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ197257 table.docx title Table for PQ197257
	tabling member	3915 label Biography information for Gloria De Piero

48589

	registered interest
	date	25/04/2014
	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 adolescents were diagnosed with Type 2 diabetes in (a) 2010-11, (b) 2011-12, (c) 2012-13 and (d) 2013-14.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	196485
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Neither the Department nor NHS England collect this information centrally.</p><p><strong> </strong></p><p>The majority of adolescents with diabetes have their disease managed through specialist paediatric diabetes services. It is estimated that 97% of children with diabetes have Type 1, 1.5% have Type 2 and 1.5% have other types of diabetes.</p><p> </p><p>There is a National Paediatric Diabetes Audit run by the Royal College of Paediatric and Child Health; more information on this audit can be found at:</p><p> </p><p>www.rcpch.ac.uk/national-paediatric-diabetes-audit-npda</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	4036 label Biography information for Luciana Berger

48571

	registered interest
	date	25/04/2014
	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 cases of complications with transvaginal mesh implants have been reported by health professionals in each of the last three years.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	196741
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The Department of Health does not hold information on the number of patients who have required further operations due to complications with transvaginal mesh implants in each of the last three years or the costs of these operations.</p><p> </p><p>The Department has had two meetings in which polypropylene transvaginal mesh implants were either discussed or on the agenda.</p><p> </p><p>NHS England manages the National Reporting and Learning System (NRLS) for patient safety incident reports from the NHS. NHS England shares incident reports concerning harms arising from medical devices with the Medicines and Healthcare products Regulatory Agency (MHRA).</p><p> </p><p>Manufacturers of medical devices such as transvaginal mesh implants are legally required to report adverse incidents (ie death, serious injury or potential serious injury) involving their devices to the MHRA. General Medical Guidance published in February 2013 makes it clear that clinicians should report medical device incidents to the MHRA, and make information available to patients about how they can report side effects to the MHRA. The MHRA also encourages voluntary reporting of adverse incidents by healthcare workers, carers, patients and members of the public and participates in monthly telephone meetings with regulators in other European Union member states to share information about medical device safety.</p><p> </p><p>The Department is currently engaged in work to assess the effectiveness of existing arrangements for reporting complications relating to transvaginal mesh implants. NHS England is leading this work, which also involves the MHRA, the Royal College of Obstetricians and Gynaecologists, and the relevant professional societies (the British Society of Urogynaecology and the British Association of Urological Surgeons).</p><p> </p><p>Finished Consultant Episodes for women who have received a primary or secondary operative procedure for the insertion of Transvaginal Mesh, Transobturator Tape, Transvaginal Slings and Transvaginal Tape.</p><p> </p><table><tbody><tr><td><p>Procedure</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td></tr><tr><td><p>Insertion of Transvaginal Mesh</p></td><td><p>1,636</p></td><td><p>1,524</p></td><td><p>1,310</p></td></tr><tr><td><p>Insertion of Transobturator Tape</p></td><td><p>5,426</p></td><td><p>4,885</p></td><td><p>4,476</p></td></tr><tr><td><p>Insertion of Transvaginal Sling</p></td><td><p>130</p></td><td><p>134</p></td><td><p>135</p></td></tr><tr><td><p>Insertion of Transvaginal Tape</p></td><td><p>8,087</p></td><td><p>8,172</p></td><td><p>7,627</p></td></tr></tbody></table><p> </p><p><em>Source</em>: Hospital Episode Statistics (HES), Health and Social Care Information Centre.</p><p><em>Note</em>: Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.</p><p> </p><p> </p><p>Adverse events reported to MHRA by Health Professionals concerning Vaginal tape and mesh implants are as follows</p><p> </p><table><tbody><tr><td> </td><td><p>Vaginal Tapes for Stress Urinary Incontinence</p></td><td><p>Vaginal Mesh for Pelvic Organ Prolapse</p></td><td><p>Vaginal Mesh for unknown* indication</p></td></tr><tr><td><p>2011</p></td><td><p>3</p></td><td><p>1</p></td><td><p>0</p></td></tr><tr><td><p>2012</p></td><td><p>23</p></td><td><p>31</p></td><td><p>2</p></td></tr><tr><td><p>2013</p></td><td><p>27</p></td><td><p>20</p></td><td><p>0</p></td></tr><tr><td><p>Up to March 2014</p></td><td><p>16</p></td><td><p>7</p></td><td><p>0</p></td></tr></tbody></table><p>*The reporter did not provide enough information on what type of mesh it was</p><p> </p><p> </p><p>Number of patient safety incidents relating to mesh used in gynaecological procedures reported to the NRLS (Year of occurrence by reported degree of harm)</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>No Harm</p></td><td><p>Low</p></td><td><p>Moderate</p></td><td><p>TOTAL</p></td></tr><tr><td><p>2011</p></td><td><p>0</p></td><td><p>2</p></td><td><p>4</p></td><td><p>6</p></td></tr><tr><td><p>2012</p></td><td><p>7</p></td><td><p>4</p></td><td><p>3</p></td><td><p>14</p></td></tr><tr><td><p>2013</p></td><td><p>4</p></td><td><p>1</p></td><td><p>1</p></td><td><p>6</p></td></tr><tr><td><p>TOTAL</p></td><td><p>11</p></td><td><p>7</p></td><td><p>8</p></td><td><p>26</p></td></tr></tbody></table><p>Search strategy: All incidents from gynaecological specialties in the NRLS were searched on 2 December 2013 for the keyword ‘mesh'</p><p> </p><p> </p><p> </p><p>Adverse events reported to MHRA by patients/members of the public concerning Vaginal tape and mesh implants are as follows</p><p> </p><table><tbody><tr><td> </td><td><p>Vaginal Tapes for Stress Urinary Incontinence</p></td><td><p>Vaginal Mesh for Pelvic Organ Prolapse</p></td><td><p>Vaginal Mesh for unknown* indication</p></td></tr><tr><td><p>2011</p></td><td><p>33</p></td><td><p>7</p></td><td><p>3</p></td></tr><tr><td><p>2012</p></td><td><p>26</p></td><td><p>2</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>30</p></td><td><p>10</p></td><td><p>3</p></td></tr><tr><td><p>Up to March 2014</p></td><td><p>7</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table><p>*The reporter did not provide enough information on what type of mesh it was</p><p> </p><p>No incidents relating to transvaginal mesh have been reported to the NRLS by patients.</p><p> </p><p>The Department has answered 11 previous Parliamentary Questions, 27 letters from hon. Members and Peers and 17 letters from members of the public since 1 September 2011. The Chief Executive of the MHRA has replied to six letters from hon. Members since 1 September 2011.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 196738 196739 196740 196742 196743 196744 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	4012 label Biography information for Graeme Morrice

48548

	registered interest
	date	25/04/2014
	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 children of each (a) age and (b) gender have died while in-patients (i) at psychiatric hospitals in total as either forcefully detained or voluntary in-patients and (ii) in each institution in each year since 2000.
	tabling member constituency	Feltham and Heston
	tabling member printed	Seema Malhotra
	uin	196781
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Since April 2008 all Local Safeguarding Children Boards have had a statutory duty to review the death of all children from birth to age 18. Statistics on these Child Death Reviews are collated and published by the Care Quality Commission (CQC) and are available on the CQC's website:</p><p> </p><p>www.gov.uk/government/collections/statistics-child-death-reviews.</p><p> </p><p>Statistics on the location of child deaths are available from 2010 onward and show that in this time, no child has died in an inpatient mental health unit.</p><p> </p><p>According to data from the Mental Health Act Commission, six females and one male under 18 died between 2003 and 2008. Owing to patient confidentiality these figures cannot broken down to each institution.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	4253 label Biography information for Seema Malhotra

48236

	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, how many children of what age have spent three months or more continuously in hospital in each local health authority in each of the last five years.
	tabling member constituency	Chatham and Aylesford
	tabling member printed	Tracey Crouch
	uin	196252
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>Information is not available by local health authority. The attached table gives information by strategic health authority (SHA) of the number of children (by age bands) up to 18 years who have spent more than three months in hospital in the last five years for which information is available.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ196252 - Count of Finished Discharge Episodes.docx title Count of Finished Discharge Episodes
	tabling member	3950 label Biography information for Dame Tracey Crouch

49195

	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 complaints against GPs have resulted in a GP being struck off by the General Medical Council in the last five years.
	tabling member constituency	East Londonderry
	tabling member printed	Mr Gregory Campbell
	uin	197289
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>The General Medical Council (GMC) is an independent body and responsible for dealing firmly and fairly with doctors whose fitness to practise is in doubt. The information in this response has been provided by the GMC.</p><p> </p><p>Table 1 below shows the numbers of complaints against general practitioners (GPs) and the number of investigations resulting from those complaints in each of the last five years. Table 2 shows the number of GPs erased from the register in each of the last five years.</p><p> </p><p>Table 1:</p><table><tbody><tr><td> </td><td> </td><td colspan="2"> </td><td> </td><td colspan="2"> </td></tr><tr><td> </td><td colspan="3"><p><strong>Complaints</strong></p></td><td colspan="3"><p><strong>Investigations</strong></p></td></tr><tr><td> </td><td colspan="2"><p><strong>All Doctors</strong></p></td><td><p><strong>GPs</strong></p></td><td colspan="2"><p><strong>All Doctors</strong></p></td><td><p><strong>GPs</strong></p></td></tr><tr><td><p><strong>2009</strong></p></td><td colspan="2"><p>5,773</p></td><td><p>2,085</p></td><td colspan="2"><p>1,758</p></td><td><p>564</p></td></tr><tr><td><p><strong>2010</strong></p></td><td colspan="2"><p>7,153</p></td><td><p>2,899</p></td><td colspan="2"><p>2,066</p></td><td><p>757</p></td></tr><tr><td><p><strong>2011</strong></p></td><td colspan="2"><p>8,781</p></td><td><p>3,291</p></td><td colspan="2"><p>2,330</p></td><td><p>817</p></td></tr><tr><td><p><strong>2012</strong></p></td><td colspan="2"><p>10,347</p></td><td><p>4,017</p></td><td colspan="2"><p>2,708</p></td><td><p>1,021</p></td></tr><tr><td><p><strong>2013</strong></p></td><td colspan="2"><p>9,866</p></td><td><p>3,530</p></td><td colspan="2"><p>2,939</p></td><td><p>1,098</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr></tbody></table><p> </p><p>Table 2:</p><table><tbody><tr><td> </td><td> </td><td> </td></tr><tr><td> </td><td colspan="2"><p><strong>Erased</strong></p></td></tr><tr><td> </td><td><p><strong>All</strong></p></td><td><p><strong>GPs</strong></p></td></tr><tr><td><p><strong>2009</strong></p></td><td><p>78</p></td><td><p>30</p></td></tr><tr><td><p><strong>2010</strong></p></td><td><p>93</p></td><td><p>35</p></td></tr><tr><td><p><strong>2011</strong></p></td><td><p>77</p></td><td><p>26</p></td></tr><tr><td><p><strong>2012</strong></p></td><td><p>74</p></td><td><p>18</p></td></tr><tr><td><p><strong>2013</strong></p></td><td><p>67</p></td><td><p>18</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p><strong>Note</strong><strong>:</strong>The number of complaints and investigations are directly related but the number of erasures are not necessarily related or from the same cohort of cases that are received/investigated for the same year given the timing of complaints and final hearings/appeals. Also to note, the GMC changed the way it recorded enquiries in 2013. The GMC no longer record notification around Performers Lists unless there is a wider fitness to practice concern. The numbers are therefore not directly comparable to previous years.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 06/05/2014 12:00:00 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1409 label Biography information for Mr Gregory Campbell

49060

	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 hospital attendances there were from each prison in each of the last four years.
	tabling member constituency	Tooting
	tabling member printed	Sadiq Khan
	uin	197046
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>This information is not collected centrally by the Department or NHS England.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 197047 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	1577 label Biography information for Sadiq Khan

49061

	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 hospital attendances there were from the (a) adult male, (b) adult female, (c) youth male, (d) youth female and (e) total prison estate in each of the last four years.
	tabling member constituency	Tooting
	tabling member printed	Sadiq Khan
	uin	197047
	answer	answer is ministerial correction date of answer 06/05/2014 answer text <p>This information is not collected centrally by the Department or NHS England.</p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 197046 question first answered 06/05/2014 12:00:00 answering member 1439 label Biography information for Norman Lamb
	tabling member	1577 label Biography information for Sadiq Khan