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168834

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternal Mortality
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the socio-economic breakdown is of maternal deaths in each of the last five years for which information is available.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	217804
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Data on the socio-economic classification of maternal deaths has been published as part of the Confidential Enquiries into Maternal Deaths and Morbidity. ‘Saving Lives, Improving Mothers’ Care – Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009 – 2012’ was published on 9 December 2014 and can be found at:</p><p> </p><p> </p><p> </p><p><a href="http://www.npeu.ox.ac.uk/mbrrace-uk/reports" target="_blank">www.npeu.ox.ac.uk/mbrrace-uk/reports#</a></p><p> </p><p> </p><p> </p><p>The report does not break down the data by individual year. The figures for all maternal deaths in 2009 – 2012 in the United Kingdom, shown by socio-economic status, are in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Socio-economic status (Index of Multiple Deprivation of postcode of residence)</p></td><td><p>Total (n = 321)</p><p>Frequency (%)</p></td></tr><tr><td><p>First quartile (Least deprived)</p></td><td><p>38 (11.8%)</p></td></tr><tr><td><p>Second quartile</p></td><td><p>42 (13.1%)</p></td></tr><tr><td><p>Third quartile</p></td><td><p>48 (14.9%)</p></td></tr><tr><td><p>Fourth quartile</p></td><td><p>80 (24.9%)</p></td></tr><tr><td><p>Fifth quartile</p></td><td><p>95 (29.6%)</p></td></tr><tr><td><p>Missing</p></td><td><p>18 (5.6%)</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Socio-economic status (Occupational classification)</p></td><td><p> </p></td></tr><tr><td><p>Employed (Either woman or partner)</p></td><td><p>201 (62.6%)</p></td></tr><tr><td><p>Unemployed (Both)</p></td><td><p>46 (14.3%)</p></td></tr><tr><td><p>Missing</p></td><td><p>74 (23.1%)</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/12/2014 17:14:42 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	534 label Biography information for Chris Ruane

168947

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Miscarriage
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of women who have requested counselling after suffering a miscarriage; and how many such women have received such counselling.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217977
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>This information is not collected centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/12/2014 16:49:16 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

168948

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination: Travellers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the proportion of the Gypsy and Traveller community who have received immunisations recommended by the NHS.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	217978
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Information on the uptake of vaccines among the Gypsy and Traveller community is not routinely collected.</p><p> </p><p> </p><p> </p><p>In May 2013 the Journal of Public Health published a paper submitted by Public Health England entitled ‘Mapping the Gypsy Traveller community in England: what we know about their health service provision and childhood immunisation uptake’. A copy is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/12/2014 17:04:45 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ217978_Library doc_Mapping the Gypsy Traveller community in England.pdf title Mapping the Gypsy Traveller community in England
tabling member	4036 label Biography information for Luciana Berger

168952

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Clinical Reference Groups
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 24 November 2014 to Question 214485, what assessment he has made of the potential effect of the guidance of NHS England's Breast Cancer Clinical Reference Group on clinical practice.
tabling member constituency	Stretford and Urmston
tabling member printed	Kate Green
uin	217864
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>We have made no such assessment.</p><p> </p><p> </p><p> </p><p>We expect clinicians to take account of available evidence-based guidance in making treatment decisions.</p><p> </p><p> </p><p> </p><p>NHS England's Breast Cancer Clinical Reference Group is in the process of developing clinical guidance to commissioners and expects to publish its guidance in 2015. The Group’s recommendations and any implications for commissioning and clinical practice will be considered through NHS England’s governance arrangements in respect of its directly commissioned services and will be disseminated to clinical commissioning groups for local consideration.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 16/12/2014 16:59:57 answering member 4020 label Biography information for George Freeman
tabling member	4120 label Biography information for Kate Green

168953

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Devon
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 effects on patient care and access to treatment of reductions in and restrictions of services being implemented by NEW Devon Clinical Commissioning Group.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	217936
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>We are advised by NHS England that the Northern, Eastern and Western Devon Clinical Commissioning Group (CCG) has withdrawn proposals requiring patients to undergo weight loss or stop smoking ahead of routine surgery, and that other measures proposed by the CCG will be subject to a full public consultation, where appropriate, in the New Year.</p><p> </p><p> </p><p> </p><p>We are further advised that NHS England is currently scrutinising the CCG's proposals, seeking assurance that they are in the best interests of patients, are based on sound evidence and are subject to a well-planned process.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/12/2014 17:08:22 answering member 3918 label Biography information for Jane Ellison
tabling member	230 label Biography information for Mr Ben Bradshaw

168954

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Learning Disability: Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the sufficiency of specialist learning disability liaison nurses within NHS trusts.
tabling member constituency	Daventry
tabling member printed	Chris Heaton-Harris
uin	217952
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The latest monthly workforce statistics for August 2014 published by the Health and Social Care Information Centre on 25 November show that there were 1,998 full time equivalent (FTE) nurses working in community learning disabilities and 1,965 FTE learning disability nurses working in other settings in the National Health Service in England. It is not possible within these numbers to separately identify specialist liaison nurses.</p><p> </p><p> </p><p> </p><p>Local healthcare organisations, with their knowledge of the patients they serve, are best placed to plan and employ a workforce appropriate to the needs of their patients, based on clinical need and sound evidence.</p><p> </p><p> </p><p> </p><p>The Department is working with Health Education England (HEE) on a number of initiatives to raise the profile of learning disability nursing and promote the profession as an attractive career choice. In 2014-15 HEE increased the number of training places for learning disability nurses by 4.5%.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/12/2014 17:13:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3977 label Biography information for Chris Heaton-Harris

168955

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Northern, Eastern and Western Devon Clinical Commissioning Group: Finance
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 reasons for the financial deficit at NEW Devon Clinical Commissionng Group; and what steps he plans to take to address that deficit.
tabling member constituency	Exeter
tabling member printed	Mr Ben Bradshaw
uin	217935
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>We are advised by NHS England that Northern, Eastern and Western Devon Clinical Commissioning Group (CCG ) is facing significant financial pressures with an end of year deficit of £14.5 million for 2013-14, and a similar deficit predicted for this financial year.</p><p> </p><p> </p><p> </p><p>The CCG has stated that demand for services is outstripping what the CCG can afford and this increase in demand is having a serious effect on its financial position.</p><p> </p><p> </p><p> </p><p>We understand that Devon is one of eleven financially challenged health economies to be provided with intensive support by NHS England and that the report of this work is due to be published shortly, along with planning guidance. The planning guidance will be a joint publication with the NHS Trust Development Authority, Monitor and NHS England.</p><p> </p><p> </p><p> </p><p>The CCG has stated that its financial projections are being updated in light of the current pressures and the five year system-wide assessment of a potential finance gap between resources and the cost of health demand. As part of this work, an extensive detailed analysis of services and costs in the NEW Devon health economy is being conducted. The NHS England Devon, Cornwall and Isles of Scilly Area Team Director of Finance has given significant support and challenge to the CCG, to understand its financial position and to support the development of a financial recovery plan.</p><p> </p><p> </p><p> </p><p>The NHS England Area Team has also been engaged with the CCG through the quarterly CCG assurance process, and has agreed a set of actions with timescales to improve the financial position of the CCG.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/12/2014 17:16:03 answering member 3918 label Biography information for Jane Ellison
tabling member	230 label Biography information for Mr Ben Bradshaw

168958

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity
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 effectiveness of the Change4Life anti-obesity campaign.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	217927
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Change4Life is the Government’s flagship social marketing programme aimed at preventing childhood obesity by inspiring everyone to eat well, move more and live longer.</p><p> </p><p> </p><p> </p><p>The Change4Life evaluation plan was published in 2012 and focused on a balanced scorecard of eight measures, designed to track how effective Change4Life was against its aims and objectives. Public Health England (PHE) reported back on these eight measures in the <a href="https://www.gov.uk/government/publications/public-health-england-marketing-strategy-2014-to-2017" target="_blank">PHE Marketing Strategy 2014 to 2017</a>, published 3 July 2014.</p><p> </p><p> </p><p> </p><p>This concluded that the public investment in Change4Life has secured world-leading results:</p><p> </p><p>- Change4Life has partnered with over 200 national organisations providing more than £52 million of in-kind support.</p><p> </p><p>- It has more than 70,000 local supporters, including schools, general practices, charities and leisure centres, reporting that they collectively deliver 380,000 hours of unpaid time to the movement each year.</p><p> </p><p>- Since its launch more than 2.7 million people have signed up.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 16/12/2014 17:00:59 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

168962

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the contribution by the Parliamentary Under-Secretary of State for Quality on 3 November 2014, House of Lords Official Report, column 1422, what the (a) membership and (b) terms of reference of the pneumococcal sub-committee of the Joint Committee on Vaccination and Immunisation will be.
tabling member constituency	Southend West
tabling member printed	Mr David Amess
uin	217920
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The advice of Joint Committee on Vaccination and Immunisation (JCVI) Sub-committees is considered by the JCVI, often alongside key evidence on which the advice is based. Following consideration of the evidence, the JCVI will make a decision on adoption of the Sub-committee’s advice.</p><p> </p><p> </p><p> </p><p>The JCVI review of the adult pneumococcal vaccination programme will begin in spring 2015, with a review of the relevant evidence being undertaken by a JCVI Pneumococcal Sub-committee. As set out in the JCVI Code of Practice, the JCVI will consider the advice of the Sub-committee and may decide to issue an interim statement for a short period of consultation with those stakeholders who submitted evidence that informed the Committee’s advice.</p><p> </p><p> </p><p> </p><p>The role of JCVI Sub-committees and the mechanism for selection of Sub-committee membership is described in the JCVI Code of Practice. The membership of established sub-committees is set out in minutes of the meetings and on the GOV.UK web site at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation" target="_blank">https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation</a>.</p><p> </p><p> </p><p> </p><p>Draft terms of reference for the JCVI Pneumococcal Sub-committee will be considered and agreed at the first meeting of the sub-committee and recorded in the minute of the meeting.</p><p> </p><p> </p><p> </p><p>The JCVI Code of Practice is available at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224864/JCVI_Code_of_Practice_revision_2013_-_final.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224864/JCVI_Code_of_Practice_revision_2013_-_final.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 217918 217919 question first answered 16/12/2014 17:17:39 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess

168963

registered interest
date	09/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the contribution by the Parliamentary Under-Secretary of State for Quality on 3 November 2014, House of Lords Official Report, column 1422, what opportunities there will be for external stakeholders to contribute to the Joint Committee on Vaccination and Immunisation's review of adult pneumococcal vaccination.
tabling member constituency	Southend West
tabling member printed	Mr David Amess
uin	217919
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The advice of Joint Committee on Vaccination and Immunisation (JCVI) Sub-committees is considered by the JCVI, often alongside key evidence on which the advice is based. Following consideration of the evidence, the JCVI will make a decision on adoption of the Sub-committee’s advice.</p><p> </p><p> </p><p> </p><p>The JCVI review of the adult pneumococcal vaccination programme will begin in spring 2015, with a review of the relevant evidence being undertaken by a JCVI Pneumococcal Sub-committee. As set out in the JCVI Code of Practice, the JCVI will consider the advice of the Sub-committee and may decide to issue an interim statement for a short period of consultation with those stakeholders who submitted evidence that informed the Committee’s advice.</p><p> </p><p> </p><p> </p><p>The role of JCVI Sub-committees and the mechanism for selection of Sub-committee membership is described in the JCVI Code of Practice. The membership of established sub-committees is set out in minutes of the meetings and on the GOV.UK web site at:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation" target="_blank">https://www.gov.uk/government/groups/joint-committee-on-vaccination-and-immunisation</a>.</p><p> </p><p> </p><p> </p><p>Draft terms of reference for the JCVI Pneumococcal Sub-committee will be considered and agreed at the first meeting of the sub-committee and recorded in the minute of the meeting.</p><p> </p><p> </p><p> </p><p>The JCVI Code of Practice is available at:</p><p> </p><p><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224864/JCVI_Code_of_Practice_revision_2013_-_final.pdf" target="_blank">https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/224864/JCVI_Code_of_Practice_revision_2013_-_final.pdf</a></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 217918 217920 question first answered 16/12/2014 17:17:38 answering member 3918 label Biography information for Jane Ellison
tabling member	44 label Biography information for Sir David Amess