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89677

	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	Health Services: Foreign Nationals
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent steps he has taken to ensure that foreign nationals pay for healthcare they receive in the UK.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	type	WrittenParliamentaryQuestion
	uin	207406
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The Department is working to support the National Health Service to increase the recovery of costs from overseas visitors and migrants. We aim to recover £500 million annually by the middle of the next Parliament, which will be reinvested into the NHS to support the sustainability of NHS frontline services.</p><p> </p><p> </p><p> </p><p>The Department published its Implementation Plan on 14 July 2014 at:</p><p> </p><p> </p><p> </p><p>www.gov.uk/government/publications/recovering-costs-of-nhs-healthcare-from-visitors-and-migrants</p><p> </p><p> </p><p> </p><p>This sets out how the Department will improve the recovery rates from overseas visitors and migrants over the next year. It announced a number of measures to support these efforts but also laid the foundations for additional areas to be looked at as the programme progresses.</p><p> </p><p> </p><p>As part of the programme the Department is starting a programme of financial incentives to support the NHS in identifying chargeable visitors and migrants using the NHS. These incentives recognise the administrative and financial burdens that can face NHS trusts in the recovery process and aim to counter balance these. The implementation plan provides the full detail of these schemes.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:16:37 answering member 3918 label Biography information for Jane Ellison
	tabling member	1586 label Biography information for Adam Afriyie

89699

	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	Ambulance Services: East Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of ambulances in (a) the East Midlands and (b) High Peak constituency failed to respond within their targeted response times in each of the last five years.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	type	WrittenParliamentaryQuestion
	uin	207318
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Information is not available in the format requested.</p><p> </p><p> </p><p> </p><p>Information on the number of ambulance calls receiving an emergency response from the East Midlands Ambulance Service NHS Trust, and the proportion of those that were responded to within the standard response time, for the last five years, is shown in the attached table.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207319 question first answered 05/09/2014 13:20:03 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ207319_318 - Table.docx title Table
	tabling member	3994 label Biography information for Andrew Bingham

89700

	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	Ambulance Services: East Midlands
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many ambulance calls from (a) the East Midlands and (b) High Peak constituency were responded to in each of the last five years.
	tabling member constituency	High Peak
	tabling member printed	Andrew Bingham
	type	WrittenParliamentaryQuestion
	uin	207319
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Information is not available in the format requested.</p><p> </p><p> </p><p> </p><p>Information on the number of ambulance calls receiving an emergency response from the East Midlands Ambulance Service NHS Trust, and the proportion of those that were responded to within the standard response time, for the last five years, is shown in the attached table.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207318 question first answered 05/09/2014 13:20:03 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ207319_318 - Table.docx title Table
	tabling member	3994 label Biography information for Andrew Bingham

89707

	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	Cancer
	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 progress on the Cancer Strategy target of saving an additional 5,000 lives from cancer per year by 2014-15.
	tabling member constituency	North West Leicestershire
	tabling member printed	Andrew Bridgen
	type	WrittenParliamentaryQuestion
	uin	207197
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Cancer survival and mortality rates continue to improve although it is too early to assess progress against our ambition to save an additional 5,000 lives per year by 2014-15, to halve the gap between the survival estimates in England and those in the best countries in Europe. Proxy measures are being developed to enable an assessment of progress in a more timely manner, particularly in terms of the proportion of cancers diagnosed at stages one and two and cancers diagnosed through emergency routes.</p><p> </p><p> </p><p> </p><p>The National Health Service and Public Health Outcomes Framework indicators and the Clinical Commissioning Group (CCG) Outcomes Indicator Set are starting to enable us to assess progress, at national and local level. For example, data on one-year survival from all cancers and one-year survival from breast, lung and colorectal cancer were published as part of the CCG outcomes indicator set for the first time on 19 June 2014. NHS England is continuing to monitor the progress of the NHS in reducing mortality from cancer in line with the NHS Outcomes Framework, and from 2014-15 there will be a range of new NHS Outcomes Framework indicators reflecting different stages of diagnosis which will provide a good proxy measure in future on progress in delivering earlier stage of diagnosis of cancer.</p><p> </p><p> </p><p> </p><p>The Mandate for the NHS for 2014-15 sets out an ambition for England to become one of the most successful countries in Europe at preventing premature deaths. Tackling premature deaths from cancer will contribute to this. A range of work at national and local level is aimed at improving cancer survival. For example, results from the first national “Be Clear on Cancer” lung cancer campaign in 2012 showed that around 700 extra patients were diagnosed with lung cancer compared to the previous year. Approximately 400 of these patients had their lung cancer diagnosed at an early stage, with around 300 more patients having surgery, giving them a better chance of survival.</p><p> </p><p> </p><p> </p><p>NHS England took over responsibility for the annual national cancer patient experience survey from April 2013. The survey results are used by a range of stakeholders to identify practices that lead to positive experience for patients, and promote improvements.</p><p> </p><p> </p><p> </p><p>NHS England is working with NHS Improving Quality and other partners to develop more effective ways of using the survey results within the NHS, for example, working with successful and struggling organisations to identify and spread best practice.</p><p> </p><p> </p><p> </p><p>CCGs are currently in the process of finalising measurable levels of ambition to improve patient experience and will be holding providers to account. These are based on NHS England's new measure for poor inpatient experience which includes whether patients are treated with dignity and respect.</p><p> </p><p> </p><p> </p><p>Compassion in Practice, the three year vision and strategy for nursing, midwifery and care staff, is also seeking to increase feedback from vulnerable and disadvantaged patient groups, who can have poorer experiences of care.</p><p> </p><p> </p><p> </p><p>In April 2014, NHS England introduced the staff friends and family test for all NHS Trusts in England, as research shows the strong link between levels of staff engagement and quality of patient experience.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207199 question first answered 05/09/2014 13:25:58 answering member 3918 label Biography information for Jane Ellison
	tabling member	4133 label Biography information for Andrew Bridgen

89723

	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	Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps (a) his Department and (b) NHS England are taking to address weaknesses in cancer patient experience and staff engagement.
	tabling member constituency	North West Leicestershire
	tabling member printed	Andrew Bridgen
	type	WrittenParliamentaryQuestion
	uin	207199
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Cancer survival and mortality rates continue to improve although it is too early to assess progress against our ambition to save an additional 5,000 lives per year by 2014-15, to halve the gap between the survival estimates in England and those in the best countries in Europe. Proxy measures are being developed to enable an assessment of progress in a more timely manner, particularly in terms of the proportion of cancers diagnosed at stages one and two and cancers diagnosed through emergency routes.</p><p> </p><p> </p><p> </p><p>The National Health Service and Public Health Outcomes Framework indicators and the Clinical Commissioning Group (CCG) Outcomes Indicator Set are starting to enable us to assess progress, at national and local level. For example, data on one-year survival from all cancers and one-year survival from breast, lung and colorectal cancer were published as part of the CCG outcomes indicator set for the first time on 19 June 2014. NHS England is continuing to monitor the progress of the NHS in reducing mortality from cancer in line with the NHS Outcomes Framework, and from 2014-15 there will be a range of new NHS Outcomes Framework indicators reflecting different stages of diagnosis which will provide a good proxy measure in future on progress in delivering earlier stage of diagnosis of cancer.</p><p> </p><p> </p><p> </p><p>The Mandate for the NHS for 2014-15 sets out an ambition for England to become one of the most successful countries in Europe at preventing premature deaths. Tackling premature deaths from cancer will contribute to this. A range of work at national and local level is aimed at improving cancer survival. For example, results from the first national “Be Clear on Cancer” lung cancer campaign in 2012 showed that around 700 extra patients were diagnosed with lung cancer compared to the previous year. Approximately 400 of these patients had their lung cancer diagnosed at an early stage, with around 300 more patients having surgery, giving them a better chance of survival.</p><p> </p><p> </p><p> </p><p>NHS England took over responsibility for the annual national cancer patient experience survey from April 2013. The survey results are used by a range of stakeholders to identify practices that lead to positive experience for patients, and promote improvements.</p><p> </p><p> </p><p> </p><p>NHS England is working with NHS Improving Quality and other partners to develop more effective ways of using the survey results within the NHS, for example, working with successful and struggling organisations to identify and spread best practice.</p><p> </p><p> </p><p> </p><p>CCGs are currently in the process of finalising measurable levels of ambition to improve patient experience and will be holding providers to account. These are based on NHS England's new measure for poor inpatient experience which includes whether patients are treated with dignity and respect.</p><p> </p><p> </p><p> </p><p>Compassion in Practice, the three year vision and strategy for nursing, midwifery and care staff, is also seeking to increase feedback from vulnerable and disadvantaged patient groups, who can have poorer experiences of care.</p><p> </p><p> </p><p> </p><p>In April 2014, NHS England introduced the staff friends and family test for all NHS Trusts in England, as research shows the strong link between levels of staff engagement and quality of patient experience.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 207197 question first answered 05/09/2014 13:25:58 answering member 3918 label Biography information for Jane Ellison
	tabling member	4133 label Biography information for Andrew Bridgen

89705

	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	Neuroblastoma
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to improve public awareness of neuroblastoma.
	tabling member constituency	North Ayrshire and Arran
	tabling member printed	Katy Clark
	type	WrittenParliamentaryQuestion
	uin	207162
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>Public Health England runs a number of campaigns under the Be Clear on Cancer brand. These campaigns are aimed at the demographic groups most likely to develop cancer and to delay presentation, and focus on raising public awareness of the signs and symptoms of certain cancers. Priority has been given to those cancers with the largest number of potentially avoidable deaths - these include breast cancer (particularly targeting older women), bowel cancer, lung cancer and kidney and bladder cancers.</p><p> </p><p> </p><p> </p><p>There are no plans at present to include neuroblastoma specifically in the Be Clear on Cancer campaigns but the existing campaigns do help to encourage earlier presentation to general practitioners with any worrying symptom. We will continue to keep these campaigns under review and work with relevant experts to see what might be done to tackle other cancers such as neuroblastoma.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 14:02:37 answering member 3918 label Biography information for Jane Ellison
	tabling member	1590 label Biography information for Baroness Clark of Kilwinning

89680

	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	Ovarian Hyperstimulation Syndrome
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many incidents in which non-patient egg donors had (a) severe ovarian hyperstimulation syndrome and (b) ovarian hyperstimulation syndrome were categorised as (i) Grade A incidents and (ii) Grade B incidents in each year since 2009 for which records are available.
	tabling member constituency	Congleton
	tabling member printed	Fiona Bruce
	type	WrittenParliamentaryQuestion
	uin	207298
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The Human Fertilisation and Embryology Authority (HFEA) has advised that three incidents of ovarian hyperstimulation syndrome involving a non-patient egg donor were reported to the HFEA by licensed clinics in 2009, 2011 and 2014. The three incidents were severe and graded ‘B’.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:23:52 answering member 3918 label Biography information for Jane Ellison
	tabling member	3958 label Biography information for Fiona Bruce

89683

	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	Chronic Obstructive Pulmonary Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department has taken to ensure that patients with chronic obstructive pulmonary disease (COPD) have access to oxygen therapy when travelling abroad; for what reason the NHS contractor in England no longer provides that service; and if his Department will instruct the contractor to fully inform COPD patients about the provision of oxygen therapy when they are travelling abroad.
	tabling member constituency	Lewisham West and Penge
	tabling member printed	Jim Dowd
	type	WrittenParliamentaryQuestion
	uin	207504
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>There are four oxygen suppliers covering England. They have never been contracted to supply oxygen for people travelling outside of the United Kingdom (UK). Oxygen for use on holiday is only available free of charge for trips in the UK, and can be arranged through the patients current oxygen provider or a general practitioner. Oxygen suppliers in the UK have leaflets that are available to patients setting out the arrangements for people wishing to go on holiday. If a patient is holidaying in Europe oxygen can be arranged through the European Health Insurance Card (EHIC) scheme with a valid EHIC. The Department’s Call Centre can supply the relevant contact details of officials in European countries. The person travelling will need to contact the authorised oxygen company for the country they are travelling to in order to make the necessary arrangements required to book state-funded Oxygen Therapy equipment. If they are travelling outside Europe, they will need to contact an oxygen company that supplies the country they will be visiting. To find an oxygen provider outside the UK, the individual can contact the British consulate in the country they are travelling to, an oxygen supplier in the UK, or the British Lung Foundation.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 12:59:12 answering member 3918 label Biography information for Jane Ellison
	tabling member	189 label Biography information for Jim Dowd

79436

	registered interest
	date	22/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Transatlantic Trade and Investment Partnership
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will veto the inclusion of NHS services in the Trans-Atlantic Trade and Investment Partnership agreement.
	tabling member constituency	Paisley and Renfrewshire North
	tabling member printed	Jim Sheridan
	type	WrittenParliamentaryQuestion
	uin	206912
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The Government does not believe that the United Kingdom’s interests would be served by seeking to exclude health from the scope of the Transatlantic Trade and Investment Partnership (TTIP) negotiations. This would prevent our world-class pharmaceutical and medical devices sectors from benefiting from improved access to the United States’ market, increasing growth and employment in the UK.</p><p> </p><p> </p><p> </p><p>The Government considers trade in both goods and services to be good for the UK and we already have many bilateral and multilateral trade agreements in place. For example, through the General Agreement on Trade in Services (GATS) 1995, we have long-standing agreements on trade, including in health services. The UK's aim in relation to health services in Free Trade Agreement negotiations, including TTIP, is to maintain commitments that are broadly in line with our existing obligations under GATS.</p><p> </p><p> </p><p> </p><p>We have no intention of allowing the TTIP to dictate the opening up of National Health Service services to further competition; and it will not do so. The NHS will always be free at the point of use for everyone who needs it.</p><p> </p><p> </p><p> </p><p>We have made clear our commitment that the NHS will always be there for everyone who needs it, funded from general taxation, free at the point of use. The TTIP could not change this.</p><p> </p><p> </p><p>TTIP will also not affect the position that it is for local NHS commissioners to take decisions on which providers should deliver services in the best interests of their patients.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 14:19:13 answering member 3918 label Biography information for Jane Ellison
	tabling member	1464 label Biography information for Jim Sheridan

79395

	registered interest
	date	22/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Private Sector
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what health services have been privatised in Mid Yorkshire in the last 12 months; and what the cost was of tendering those services.
	tabling member constituency	Hemsworth
	tabling member printed	Jon Trickett
	type	WrittenParliamentaryQuestion
	uin	206939
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The Department collects information on expenditure with private sector providers but not to which providers local contracts have been awarded.</p><p> </p><p> </p><p> </p><p>In 2013-14, commissioners’ spending on healthcare from private sector providers equated to approximately 6% of total National Health Service expenditure.</p><p> </p><p> </p><p> </p><p>Whether services are provided by the public, voluntary or private sector, they remain publicly funded and free at the point of delivery with access based on clinical need.</p><p> </p><p> </p><p> </p><p>It is for local commissioners to decide how best to secure local services and take decisions on which is the most capable provider to deliver those services in the best interests of their patients. There is no requirement for commissioners to put all services to competitive tender.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 14:23:08 answering member 3918 label Biography information for Jane Ellison
	tabling member	410 label Biography information for Jon Trickett