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155491

registered interest
date	11/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Buildings
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many buildings his Department sold in (a) 2010, (b) 2011, (c) 2012, (d) 2013 and (e) 2014.
tabling member constituency	Walsall South
tabling member printed	Valerie Vaz
uin	214219
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The number of buildings sold by the Department since 2010 is detailed below.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Number of Buildings Sold</p></td></tr><tr><td><p>2010-11</p></td><td><p>5</p></td></tr><tr><td><p>2011-12</p></td><td><p>7</p></td></tr><tr><td><p>2012-13</p></td><td><p>4</p></td></tr><tr><td><p>2013-14</p></td><td><p>7</p></td></tr><tr><td><p>2014-15</p></td><td><p>1</p></td></tr></tbody></table><p> </p><p> </p><p><br></p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/11/2014 17:33:56 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4076 label Biography information for Valerie Vaz

155494

registered interest
date	11/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment the Government has made of the uptake of vaccines containing porcine gelatine by children from families who observe religions that restrict the consumption of pork products.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	214322
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Information about the religion of children being vaccinated, or their families, is not routinely collected by Public Health England (PHE). Therefore, it is not possible to make a national assessment of the uptake of vaccines containing porcine gelatine by children from families of a religious background that restricts the consumption of pork products.</p><p> </p><p> </p><p> </p><p>Whilst broad acceptance has been gained from faith groups for the use of porcine gelatine in non-oral medicines (see PHE’s website</p><p> </p><p><a href="http://www.gov.uk/government/news/vaccines-and-gelatine-phe-response" target="_blank">www.gov.uk/government/news/vaccines-and-gelatine-phe-response</a>)</p><p> </p><p> </p><p> </p><p>PHE recognises that there is still some uncertainty amongst some groups about the acceptability of the nasal flu spray.</p><p> </p><p> </p><p> </p><p>PHE is therefore conducting an exercise to assess the impact of factors such as religion, deprivation and ethnicity on uptake of influenza vaccination in children in 2013/14 in a limited number of geographical areas. This work is currently being reviewed externally and results will be available in spring 2015.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/11/2014 16:58:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

155496

registered interest
date	11/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ophthalmic Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will take steps to ensure that people diagnosed with sight loss or vision impairment have access to an eye clinic liaison officer.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	214321
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Eye clinics and their staffing including eye clinic liaison officers are commissioned by clinical commissioning groups on the basis of local assessments of need. NHS England is aware of the issues surrounding sight loss and has recently consulted on how care in this area can be improved, through “Improving eye health and reducing sight loss – a call to action”. NHS England is currently considering the responses received to the consultation and expect to respond in the coming months.</p><p> </p><p> </p><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 17/11/2014 14:35:50 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

155504

registered interest
date	11/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, under what cost headings the £24 million expenditure on Type 1 diabetes was spent in 2012-13.
tabling member constituency	Halton
tabling member printed	Derek Twigg
uin	214398
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>This information is not held centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/11/2014 14:46:43 answering member 3918 label Biography information for Jane Ellison
tabling member	429 label Biography information for Derek Twigg

155508

registered interest
date	11/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Tendring
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to ensure improved out-of-hours GP provision in Tending.
tabling member constituency	Clacton
tabling member printed	Mr Douglas Carswell
uin	214327
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Out of hours general practitioner (GP) provision in Tendring is commissioned by North East Essex Clinical Commissioning Group (CCG) as part of the out of hours service for the north east Essex district. The CCG advises that to assist in meeting the high demand for the service, the number of advanced nurse practitioners has been increased to complement and enhance GP cover. The out of hours service is currently running effectively, meeting 19 of the 20 performance targets around timing and ease of access to the service. The provider is narrowly missing the required standard for assessing urgent cases within 60 minutes, but it is implementing a detailed action plan to meet this target, which is being monitored by the CCG.</p><p> </p><p> </p><p> </p><p>The CCG and its partners are always looking at opportunities to improve the service further. For example, the service has recently begun to use tablet computers to capture real time feedback from patients on the service they have just received. This feedback is used to identify ways to further improve the GP out of hours provision.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 17/11/2014 14:54:12 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1527 label Biography information for Mr Douglas Carswell

147564

registered interest
date	10/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of Public Health England's budget is spent on children and young people's mental health.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	214136
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>This information is not available in the format requested as it is not possible to disaggregate Public Health England’s (PHE) specific expenditure on mental health between expenditure on adults and expenditure on children and young people.</p><p> </p><p> </p><p> </p><p>In addition much of the work done by PHE, for example promoting physical activity, has benefits for both mental and physical health, and therefore many of PHE’s budget lines will contribute to improving mental health.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 17/11/2014 17:38:05 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

147577

registered interest
date	10/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will implement the recommendation of the National Institute of Health and Care Excellence to set a timetable for a wider discussion of the way in which treatments are developed, evaluated and supported for adoption in the NHS.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	214171
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The National Institute for Health and Care Excellence’s (NICE) proposals arising from its consultation on value based assessment will require careful consideration with NICE, NHS England and other stakeholders. We will be discussing with NICE the further work it has proposed over the coming months.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 214152 question first answered 17/11/2014 17:39:29 answering member 4020 label Biography information for George Freeman
tabling member	3939 label Biography information for Andrew Percy

147578

registered interest
date	10/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the consultation by the National Institute for Health and Care Excellence on Value Based Assessment, published in March 2014, what steps his Department has taken to ensure that progress is made on securing a wider debate on the appraisal of new medicines.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	214152
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>The National Institute for Health and Care Excellence’s (NICE) proposals arising from its consultation on value based assessment will require careful consideration with NICE, NHS England and other stakeholders. We will be discussing with NICE the further work it has proposed over the coming months.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 214171 question first answered 17/11/2014 17:39:29 answering member 4020 label Biography information for George Freeman
tabling member	3939 label Biography information for Andrew Percy

143363

registered interest
date	07/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health and Wellbeing Boards
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 effectiveness of Health and Wellbeing Boards since their introduction.
tabling member constituency	Bradford East
tabling member printed	Mr David Ward
uin	213831
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>Health and Wellbeing Boards (HWBs) have been in place in every upper tier and unitary local authority since April 2013. In that time, the Department has implemented a range of programme support, direct engagement and evaluation, in order to maintain an ongoing overview of the development and effectiveness of HWBs.</p><p> </p><p> </p><p> </p><p>The Department has funded the Local Government Association (LGA) to deliver a development and improvement programme for local health and wellbeing systems, with a strong focus on supporting HWBs’ development. An independent evaluation of both the programme and the current state of development and effectiveness of HWBs was published in April 2014. This can be found on the LGA website at the following link. A further independent evaluation is due for publication in December this year.</p><p> </p><p><strong> </strong></p><p> </p><p><strong><a href="http://www.local.gov.uk/documents/10180/11493/Great+expectations+-+A+review+of+the+Health+and+Wellbeing+System+Improvement+Programme/d8c4b00e-c3fc-4598-9e87-e5a719df2274" target="_blank">www.local.gov.uk/documents/10180/11493/Great+expectations+-+A+review+of+the+Health+and+Wellbeing+System+Improvement+Programme/d8c4b00e-c3fc-4598-9e87-e5a719df2274</a></strong></p><p> </p><p> </p><p> </p><p>Departmental officials have also reviewed independent evaluation, notably the King’s Fund study <em>Health and Wellbeing Boards: One Year On</em> published in October 2013; and the published reports of the intensive peer challenge visits delivered in local authorities as part of the LGA development programme.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 17/11/2014 16:57:22 answering member 1439 label Biography information for Norman Lamb
tabling member	3923 label Biography information for Mr David Ward

143398

registered interest
date	07/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will issue a direction under Regulation 7 of the National Institue for Health and Care Excellence (NICE) (Constitution and Functions) and the Health and Social Care Information Centre (Functions) Regulations 2013 to exempt clinical commissioning groups from the requirement to comply with NICE Technology Assessment Guidance TA155, in order that NHS commissioners can make their own decision on whether to issue the drug Avastin and Lucentis.
tabling member constituency	West Bromwich East
tabling member printed	Mr Tom Watson
uin	213834
answer	answer is ministerial correction date of answer 17/11/2014 answer text <p>We have no such plans. The Government believes that drugs and treatments that are established as clinically and cost effective should be available to patients. The National Institute for Health and Care Excellence (NICE) has published technology appraisal guidance on Lucentis (ranibizumab) and Macugen (pegaptanib) for the treatment of age-related macular degeneration (TA155) that recommends Lucentis as a clinically and cost effective use of National Health Service resources for the treatment of patients with wet age-related macular degeneration meeting specific clinical criteria.</p><p> </p><p> </p><p> </p><p>Under Regulation 7, commissioners are legally required to make funding available so that clinicians can prescribe treatments recommended in NICE technology appraisal guidance to patients. This does not prevent commissioners from supporting the use of additional treatment options if they believe they would be of benefit to their local population.</p><p> </p><p> </p><p> </p><p>Avastin (bevacizumab) is not licensed for use in the treatment of wet age-related macular degeneration. Clinicians are able to prescribe drugs outside their marketing authorisation where they believe it is clinical appropriate, based on an assessment of their patient’s individual clinical circumstances.</p><p> </p><p> </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 17/11/2014 11:14:36 answering member 4020 label Biography information for George Freeman
tabling member	1463 label Biography information for Lord Watson of Wyre Forest