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448690

registered interest
date	28/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what regulations there are on the ratio of staff to patients in care homes.
tabling member constituency	Chippenham
tabling member printed	Michelle Donelan
uin	24734
answer	answer is ministerial correction date of answer 02/02/2016 answer text <p>There are no regulations setting out staff to residents ratio’s in care homes, however all providers of regulated activities have to register with the Care Quality Commission (CQC) and follow a set of fundamental standards of safety and quality below which care should never fall.</p><p> </p><p>One of the fundamental standards relates to staffing and requires that a provider must have sufficient numbers of suitability qualified, competent, skilled and experienced persons in order to meet the requirements of residents.</p><p> </p><p>The CQC has a wide range of enforcement powers that it can use if the provider is not does not meet the fundamental standards.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/02/2016 16:12:08 answering member 3988 label Biography information for Ben Gummer
tabling member	4530 label Biography information for Michelle Donelan

448693

registered interest
date	28/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Zika Virus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what monitoring is in place for people returning from countries where the Zika virus has been found to detect the presence of that virus.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	24731
answer	answer is ministerial correction date of answer 02/02/2016 answer text <p>Public Health England (PHE) and the National Travel Health Network and Centre (NaTHNaC) are raising awareness among travellers to ensure they present for medical attention if they develop symptoms, and among health professionals so that they can rapidly investigate and diagnose potential cases of Zika. Updated advice has been published on the PHE Zika virus page and the NaTHNaC website:</p><p> </p><p><a href="http://travelhealthpro.org.uk/" target="_blank">http://travelhealthpro.org.uk/</a></p><p> </p><p>PHE is providing tailored advice for relevant health professionals, including obstetricians and general practitioners (GPs). PHE is liaising with the Royal College of Obstetricians and Gynaecologists and the Association of British Travel Agents who have published updates on their respective websites. The Foreign and Commonwealth Office has also updated its country travel advice pages with information about Zika virus.</p><p> </p><p>If a case of Zika is suspected, samples are sent to PHE’s Rare and Imported Pathogens Laboratory and positive results are reported to appropriate colleagues in PHE through the standard mechanisms.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2016 16:24:22 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

448694

registered interest
date	28/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Zika Virus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what additional training has been provided to (a) NHS England and (b) Public Health England personnel on the Zika virus.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	24732
answer	answer is ministerial correction date of answer 02/02/2016 answer text <p>NHS England continues to work closely with Public Health England (PHE) and Government Departments to ensure appropriate advice is provided to the National Health Service in England in line with the current risk assessment. PHE will provide guidance and information specifically targeted at primary care and this will be available shortly. PHE has also produced regular briefing notes for local health protection teams who have been asked to share this with local NHS.</p><p><strong> </strong></p><p>PHE has raised awareness about Zika virus among public health and clinical colleagues within PHE by circulating a briefing note to all staff. This will support clinicians to identify, investigate and manage cases that may present in clinical practice. The briefing note included information about the outbreak in the Americas and the unusual increase in microcephaly cases in Brazil. It highlighted existing resources available to PHE personnel, including the PHE Zika virus page:</p><p> </p><p><a href="https://www.gov.uk/guidance/zika-virus" target="_blank">https://www.gov.uk/guidance/zika-virus</a></p><p> </p><p>and the National Travel Health Network and Centre website:</p><p> </p><p><a href="http://travelhealthpro.org.uk/" target="_blank">http://travelhealthpro.org.uk/</a></p><p> </p><p>An additional training session will also be provided to the duty doctors in PHE.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/02/2016 15:52:37 answering member 3918 label Biography information for Jane Ellison
tabling member	1506 label Biography information for Andrew Gwynne

448310

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Living Wage
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 22 January 2016 to Question 23722, what estimate his Department has made of the additional cost to social care providers of paying the new national living wage.
tabling member constituency	Worsley and Eccles South
tabling member printed	Barbara Keeley
uin	24584
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Our analysis of the cost of the national living wage was based on projections and data on pay including the national living wage from the Office of Budget Responsibility and Skills for Care.</p><p> </p><p>This analysis informed the decision to provide a settlement which means local government has access to the funding it needs to increase adult social care spending in real terms by the end of the Parliament.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 01/02/2016 12:52:55 answering member 1201 label Biography information for Alistair Burt
tabling member	1588 label Biography information for Barbara Keeley

448311

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Agency Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, which NHS (a) trusts and (b) foundation trusts have reported that their planned agency nursing spend (i) will and (ii) will not exceed the ceiling trajectory set by Monitor.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	24545
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24544 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

448312

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Agency Nurses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the financial monitoring and accounts returns submitted to his Department, what the planned agency costs are forecast to be as a proportion of the total nursing costs in each NHS (a) trust and (b) foundation trust in 2015-16.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	24544
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Monitor and the NHS Trust Development Authority have confirmed that they plan to publish data on the implementation of the agency caps in coming months.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 24545 24546 question first answered 01/02/2016 16:31:25 answering member 1201 label Biography information for Alistair Burt
tabling member	4418 label Biography information for Justin Madders

448313

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what forecast his Department has made of the budget of his Department's consultation, entitled Infected blood: reform of financial and other support; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	24488
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>As announced on 21 January 2016, the Department has identified £100 million from its budget for the Spending Review period for the proposals set out in the consultation. This is in addition to the current spend and the £25 million already announced in March 2015.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 14:49:30 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

448314

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rheumatoid Arthritis: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans his Department has to support earlier diagnosis and treatment of rheumatoid arthritis to allow people with that condition to stay in work for longer.
tabling member constituency	Knowsley
tabling member printed	Mr George Howarth
uin	24541
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>In February 2015, Public Health England, in partnership with the Department, ran a local pilot campaign to raise public awareness of the signs and symptoms of rheumatoid arthritis (RA) symptoms in Nottingham City and Hardwick Clinical Commissioning Group. The aim of the campaign was to support earlier diagnosis and thereby enable treatment to begin earlier to improve the quality of life for people with the condition. The results of the campaign are currently being evaluated.</p><p><strong><br> </strong>To help clinicians to identify the symptoms of RA and make prompt referral to specialists the National Institute for Health and Care Excellence (NICE) published <em>Rheumatoid arthritis: The management of rheumatoid arthritis in adults </em>in 2009. The guideline emphasises the need for early diagnosis, with urgent referral to a specialist rheumatologist on suspicion of RA. The guidance is available at:</p><p> </p><p><a href="https://www.nice.org.uk/guidance/cg79" target="_blank">https://www.nice.org.uk/guidance/cg79</a></p><p> </p><p>In addition, NICE has also published a Quality Standard on RA in June 2013. Quality standards are concise sets of prioritised statements designed to drive measurable quality improvements within a particular area of health or care. The standard makes seven statements which are indicators of good care, including one on that sets out that people with suspected RA are referred to a rheumatology service within three working days of presentation. It also includes a statement on assessment which recommends that people with suspected RA are assessed in a rheumatology service within three weeks of referral.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 13:04:44 answering member 3918 label Biography information for Jane Ellison
tabling member	481 label Biography information for Sir George Howarth

448315

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many patients have been infected with HIV and hepatitis C through treatment with NHS-supplied blood or blood products; how much his Department has paid to patients so infected with those diseases to date; and if he will make a statement.
tabling member constituency	Coventry South
tabling member printed	Mr Jim Cunningham
uin	24489
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Published data estimates that around 4,700 people with bleeding disorders (such as haemophilia) and around 28,000 other people were exposed to hepatitis C in the United Kingdom. This information is from the UK Haemophilia Doctors’ Organisation 2011 annual report. Around 1,200 people with bleeding disorders and 100 other individuals were infected with HIV through treatment with National Health Service-supplied blood products or blood transfusions in the UK. Many of those infected with HIV were also infected with hepatitis C.</p><p> </p><p>To date over £390 million has been paid out in the UK through the schemes, since they were set up in 1988.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 14:42:45 answering member 3918 label Biography information for Jane Ellison
tabling member	308 label Biography information for Mr Jim Cunningham

448316

registered interest
date	27/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pancreatic 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 improve pancreatic cancer survival rates.
tabling member constituency	Belfast South
tabling member printed	Dr Alasdair McDonnell
uin	24548
answer	answer is ministerial correction date of answer 01/02/2016 answer text <p>Services for pancreatic cancer have been significantly strengthened within the National Health Service in recent years. This includes clearer diagnostic pathways; decision making by specialist multi-disciplinary teams; and centralisation of pancreas surgery within specialist teams.</p><p> </p><p>However, we know more needs to be done. The Independent Cancer Taskforce’s report, <em>Achieving World-Class Outcomes a Cancer Strategy for England 2015 – 2020</em>, notes that whilst survival to date has improved significantly for some cancers, it has remained stubbornly low for other cancers, including pancreatic cancer.</p><p> </p><p>The strategy makes recommendations for speeding up diagnosis of cancers with non-specific but concerning symptoms through the use of a multidisciplinary diagnostic centre. In terms of delivery, NHS England has appointed Cally Palmer as National Cancer Director. She will lead on implementation; as well as new cancer vanguards to redesign care and patient experience. She has set up a new Cancer Transformation Board to implement the strategy, and this met for the first time on Monday 25 January. There will also be a Cancer Advisory group, chaired by Sir Harpal Kumar, to oversee and scrutinise the work of the Transformation Board.</p><p> </p><p> </p><p>In addition, NHS England has a published a service specification for pancreatic cancer which clearly defines what it expects to be in place for providers to offer evidence-based, safe and effective pancreatic cancer services. This service specification has been developed by specialised clinicians, commissioners, expert patients and public health representatives to describe core and developmental service standards.</p><p> </p><p>The full service specification can be found at:</p><p> </p><p><a href="http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf" target="_blank">http://www.england.nhs.uk/wp-content/uploads/2013/06/a02-cncr-panc.pdf</a></p><p> </p><p>The National Institute for Health and Care Excellence (NICE) published updated guideline, <em>Suspected cancer: recognition and referral</em>, in June 2015, to ensure that it reflects latest evidence and can continue to support general practitioner’s (GPs) to identify patients, including children &amp; young people and urgently refer them as appropriate. NICE noted that 5,000 more lives could be saved each year in England if GPs followed the new guideline, which encourage GPs to think of cancer sooner and lower the referral threshold.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/02/2016 17:24:05 answering member 3918 label Biography information for Jane Ellison
tabling member	1596 label Biography information for Dr Alasdair McDonnell