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582392

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Uveitis: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what treatment options are available to adults with uveitis to access anti-TNF treatment therapy who do not meet the exceptionality criteria of the individual funding request process.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	46114
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>Due to a lack of clinical evidence anti-tumour necrosis factor (TNF) to treat uveitis in adults is not currently routinely commissioned by the National Health Service. Therefore patients can only access the treatment through the individual funding request process.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 19/09/2016 13:24:08 answering member 4080 label Biography information for David Mowat
tabling member	1540 label Biography information for Greg Mulholland

582393

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Older People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if the Government will consider setting up a system of Finnish-style care packages for elderly people leaving hospital and going into care homes.
tabling member constituency	Hertsmere
tabling member printed	Oliver Dowden
uin	46121
answer	answer is ministerial correction date of answer 20/09/2016 answer text <p>Despite a welcome shift towards more care provision in community settings, our ageing population means a growing number of people require care in care and nursing homes, with an increasing level of acuity and complexity of need.</p><p> </p><p>The Enhanced Health in Care Homes vanguards, implemented by NHS England, are beginning to show how addressing this inequity in access to services can reduce unnecessary, unplanned and avoidable admissions to hospital, shorten the length of hospital stays and improve peoples’ quality of life, wellbeing and clinical outcomes.</p><p> </p><p>NHS England is also leading the multi-agency Community Services and Hospital Discharge programme, which will deliver a series of interventions to transform community services and improve discharge of older people from hospital. These include initiatives such as “discharge to assess”, which will increase the number of patients who are discharged quickly and safely to their usual place of residence.</p><p> </p><p>The Department is not aware of a clothing grant for people who enter care homes and is therefore unable to consider reinstatement. Where a local authority arranges care and support to meet an adult’s eligible needs, it may charge them. Where care is arranged in a care home, a local authority must not, through charges, reduce the adult’s income below the Personal Expenses Allowance of £24.90 per week.</p><p> </p><p>The allowance means that local authority supported care home residents have money to spend as they wish on personal items, including clothing. It must not be spent on meeting their eligible care needs.</p><p> </p><p>Local authorities have discretion to be more generous where they think this would be appropriate.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 46122 question first answered 20/09/2016 09:21:48 answering member 4080 label Biography information for David Mowat
tabling member	4441 label Biography information for Oliver Dowden

582394

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Older People: Clothing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if the Government will consider reinstating clothing grants for care homes for elderly residents who have just arrived from hospital.
tabling member constituency	Hertsmere
tabling member printed	Oliver Dowden
uin	46122
answer	answer is ministerial correction date of answer 20/09/2016 answer text <p>Despite a welcome shift towards more care provision in community settings, our ageing population means a growing number of people require care in care and nursing homes, with an increasing level of acuity and complexity of need.</p><p> </p><p>The Enhanced Health in Care Homes vanguards, implemented by NHS England, are beginning to show how addressing this inequity in access to services can reduce unnecessary, unplanned and avoidable admissions to hospital, shorten the length of hospital stays and improve peoples’ quality of life, wellbeing and clinical outcomes.</p><p> </p><p>NHS England is also leading the multi-agency Community Services and Hospital Discharge programme, which will deliver a series of interventions to transform community services and improve discharge of older people from hospital. These include initiatives such as “discharge to assess”, which will increase the number of patients who are discharged quickly and safely to their usual place of residence.</p><p> </p><p>The Department is not aware of a clothing grant for people who enter care homes and is therefore unable to consider reinstatement. Where a local authority arranges care and support to meet an adult’s eligible needs, it may charge them. Where care is arranged in a care home, a local authority must not, through charges, reduce the adult’s income below the Personal Expenses Allowance of £24.90 per week.</p><p> </p><p>The allowance means that local authority supported care home residents have money to spend as they wish on personal items, including clothing. It must not be spent on meeting their eligible care needs.</p><p> </p><p>Local authorities have discretion to be more generous where they think this would be appropriate.</p> answering member constituency Warrington South answering member printed David Mowat grouped question UIN 46121 question first answered 20/09/2016 09:21:48 answering member 4080 label Biography information for David Mowat
tabling member	4441 label Biography information for Oliver Dowden

582395

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Uveitis: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many adult patients with uveitis have had access to treatment with anti-TNF therapy through the individual funding request process since July 2015.
tabling member constituency	Leeds North West
tabling member printed	Greg Mulholland
uin	46131
answer	answer is ministerial correction date of answer 19/09/2016 answer text <p>Between 1 July 2015 and 31 July 2016, fewer than 10 patients accessed anti-tumour necrosis factor (TNF) therapy through the individual funding request process.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 19/09/2016 13:22:46 answering member 4080 label Biography information for David Mowat
tabling member	1540 label Biography information for Greg Mulholland

582510

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer
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 reduce the number of women dying as a result of breast cancer.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	46247
answer	answer is ministerial correction date of answer 15/09/2016 answer text <p>The independent Cancer Taskforce published its report, <em>Achieving World-Class Cancer Outcomes: A Strategy for England 2015-2020</em>, in July 2015, recommending improvements across the cancer patient pathway, including for breast cancer. An implementation plan, <em>Achieving World-Class Cancer Outcomes: Taking the strategy forward</em>, was published on 12 May 2016 and we hope to see great progress as it is delivered.</p><p> </p><p>Earlier diagnosis makes it more likely that patients will receive effective treatments. We have committed to implementing recommendation 24 of the report that by 2020, everyone referred with a suspicion of cancer will receive either a definitive diagnosis or the all-clear within four weeks. This standard will be underpinned by investment of up to £300 million more in diagnostics each year by 2020.</p><p> </p><p>On breast cancer specifically, the cancer strategy recommended that we:</p><p> </p><p>- ensure that chemo-prevention is being used appropriately to reduce the risk of developing breast cancers, particularly in younger women at high risk of developing cancer;</p><p>- commission the National Institute for Health and Care Excellence to develop updated guidelines for adjuvant treatment for breast cancer, including the use of bisphosphonates and aromatase inhibitors to prevent secondary cancers in women previously treated for early stage breast cancer;</p><p>- ensure that all patients treated for cancer are given advice on how best to manage their risk level and ensure that the risk of developing secondary cancers is reduced, as well as ensuring that there is a fast and efficient route back into treatment for patients who suffer recurrence; and</p><p>- ensure that, by 2020, the 280,000 people diagnosed with cancer every year will benefit from a tailored recovery package. The packages will be individually designed to help each person, live well beyond cancer, including psychological and social support for those whose cancer recurs, or who live for a long time with cancer or its consequences, as is often the case in women with secondary breast cancer.</p><p> </p><p>We have also run two national Be Clear on Cancer campaigns in 2014 and 2015 to raise awareness of the symptoms of breast cancer in women aged over 70. The campaigns targeted women over 70 because the disease is often diagnosed at a later stage in this age group. Breast screening for asymptomatic cancer saves an estimated 1,300 lives a year in the United Kingdom. A major randomised controlled trial is testing whether extending breast screening to women aged 47-49 and 71-73 will save more lives. Over 2 million women have been randomised into the trial, and results are expected in the early 2020s.</p> answering member constituency Warrington South answering member printed David Mowat question first answered 15/09/2016 12:26:14 answering member 4080 label Biography information for David Mowat
tabling member	4433 label Biography information for Thangam Debbonaire

582514

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many calls NHS 111 has received in each of the last 12 months.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46221
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>NHS England publishes national data on the numbers of calls received (which are referred to as “offered”) through the NHS 111 number each month. This information provided in the table below.</p><p> </p><p>Number of calls offered through the NHS 111 number, August 2015 to July 2016</p><p> </p><table><tbody><tr><td><p>August 2015</p></td><td><p>1,033,643</p></td></tr><tr><td><p>September 2015</p></td><td><p>933,786</p></td></tr><tr><td><p>October 2015</p></td><td><p>1,062,248</p></td></tr><tr><td><p>November 2015</p></td><td><p>1,140,196</p></td></tr><tr><td><p>December 2015</p></td><td><p>1,329,398</p></td></tr><tr><td><p>January 2016</p></td><td><p>1,343,248</p></td></tr><tr><td><p>February 2016</p></td><td><p>1,194,928</p></td></tr><tr><td><p>March 2016</p></td><td><p>1,488,928</p></td></tr><tr><td><p>April 2016</p></td><td><p>1,169,311</p></td></tr><tr><td><p>May 2016</p></td><td><p>1,282,993</p></td></tr><tr><td><p>June 2016</p></td><td><p>1,105,485</p></td></tr><tr><td><p>July 2016</p></td><td><p>1,222,866</p></td></tr></tbody></table><p> </p><p><em>Source</em>: NHS England, NHS 111 Minimum Data Set 2016-17</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:13:07 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582515

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has made of the effect of NHS 111 on reducing the uptake of other NHS services.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46222
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>NHS 111 providers are expected to conduct a patient survey every six months for each area they provide services for.</p><p>Considering the latest year for which survey results are available (April 2015 to September 2015 and October 2015 to March 2016 surveys), for 11.6% of triaged calls an ambulance was dispatched by the NHS 111 service and in 8.4% of calls the caller was advised to attend accident and emergency (A&amp;E). However, 18% of patients who responded to the survey reported they would have called for an ambulance if NHS 111 had not been available, and 28.3% would have attended A&amp;E.</p><p>For the full year period (April 2015 to March 2016), 11.3 million calls were triaged. From this we can estimate the impact of the 111 service. The differences mean that due to availability of the NHS 111 service, over 2.25 million people this year were directed away from using A&amp;E and over 750,000 were directed away from calling an ambulance.</p><p>Data about the service to which patients are recommended during an NHS 111 call (“dispositions”) are collected by NHS England and published on a monthly basis. Latest data are for July 2016 and can be found at the following website:</p><p><a href="https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/nhs-111-minimum-data-set-2016-17/" target="_blank">https://www.england.nhs.uk/statistics/statistical-work-areas/nhs-111-minimum-data-set/nhs-111-minimum-data-set-2016-17/</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:18:28 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582516

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breastfeeding
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 develop peer support networks for breastfeeding.
tabling member constituency	Glasgow Central
tabling member printed	Alison Thewliss
uin	46199
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>Public Health England (PHE) works with local services to create breastfeeding friendly communities, with midwives and health visitors to promote best practice, and, through our Start4Life social marketing programme, to provide parents with trusted National Health Service advice.</p><p>PHE has developed an infant feeding commissioning resource in partnership with Unicef to support local authorities in the delivery of a comprehensive approach to the commissioning of services that protect, promote and support breastfeeding. PHE also shares innovative approaches for supporting breastfeeding.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 46200 question first answered 21/09/2016 16:16:56 answering member 1542 label Biography information for Philip Dunne
tabling member	4430 label Biography information for Alison Thewliss

582517

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Travel
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department issues to clinical commissioning groups and NHS trusts on recommended travel times to local health services.
tabling member constituency	Huddersfield
tabling member printed	Mr Barry Sheerman
uin	46223
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>It is for local commissioners to ensure services are provided in a manner that combines quality of provision with timeliness of access, taking into account local geography and other issues.</p><p> </p><p>When considering service reconfiguration, NHS England has issued guidance on <em>Planning and Delivering Service Change for Patients</em>, and as part of this guidance specify that: ‘Based on evidence and national clinical reference groups’ advice, commissioners need to determine the appropriate range of providers and interplay of key access requirements such as travel time.’</p><p> </p><p>The guidance can be found at:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2015/10/plan-ass-deliv-serv-chge.pdf</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 21/09/2016 08:11:57 answering member 1542 label Biography information for Philip Dunne
tabling member	411 label Biography information for Mr Barry Sheerman

582518

registered interest
date	13/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breastfeeding
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 promote breastfeeding.
tabling member constituency	Glasgow Central
tabling member printed	Alison Thewliss
uin	46200
answer	answer is ministerial correction date of answer 21/09/2016 answer text <p>Public Health England (PHE) works with local services to create breastfeeding friendly communities, with midwives and health visitors to promote best practice, and, through our Start4Life social marketing programme, to provide parents with trusted National Health Service advice.</p><p>PHE has developed an infant feeding commissioning resource in partnership with Unicef to support local authorities in the delivery of a comprehensive approach to the commissioning of services that protect, promote and support breastfeeding. PHE also shares innovative approaches for supporting breastfeeding.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 46199 question first answered 21/09/2016 16:16:56 answering member 1542 label Biography information for Philip Dunne
tabling member	4430 label Biography information for Alison Thewliss