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164363

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Procurement
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many contracts of what value were signed by NHS commissioners with non-NHS providers in 2009-10.
tabling member constituency	Meon Valley
tabling member printed	George Hollingbery
uin	215711
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Department does not collect information on which providers have been awarded contracts at local level.</p><p> </p><p> </p><p> </p><p>It is for local commissioners to decide how best to secure local services and take a decision on which are the most capable providers to deliver those services in the best interests of their patients. There is no requirement for commissioners to put all services out to competitive tender.</p><p> </p><p> </p><p> </p><p>Whether NHS 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><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/11/2014 17:29:33 answering member 3918 label Biography information for Jane Ellison
tabling member	4016 label Biography information for Sir George Hollingbery

164365

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of NHS staff are eligible for incremental pay awards; and how many of those will receive at least (a) one per cent and (b) three per cent pay increases this year.
tabling member constituency	Mid Worcestershire
tabling member printed	Sir Peter Luff
uin	215716
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Government is committed to reforming progression pay in the National Health Service to ensure that the system is fair, consistent and sustainable.</p><p> </p><p> </p><p> </p><p>Over 50% (around 620,000 headcount) of hospital and community health services staff are eligible for incremental pay increases; subject to meeting local performance standards.</p><p> </p><p> </p><p> </p><p>All of these eligible staff will receive at least a 1% increase.</p><p> </p><p> </p><p> </p><p>Two thirds of those staff are eligible for at least 3%, which is the average incremental increase. This is around 410,000 staff (headcount).</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/11/2014 16:42:27 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	268 label Biography information for Sir Peter Luff

164366

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what progress he has made on implementing the recommendations of the Berwick report into Improving the Safety of Patients in England, published in August 2013.
tabling member constituency	Wolverhampton South West
tabling member printed	Paul Uppal
uin	215725
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>The Government has put in place a number of measures to support National Health Service orgnisations to respond positively to the Berwick Report ‘<em>Improving the Safety of Patients in England</em>’’ including greater transparency, openness and candour; ensuring safe staffing levels; creating a culture of learning and development with the establishment of 15 Patient Safety Collaboratives; and making patient safety a primary goal with a new ambition to halve avoidable harm and save 6,000 lives over the next three years, underpinned by the Sign up to Safety campaign.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:23:17 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4078 label Biography information for Paul Uppal

164367

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Driving: Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions his Department has had with the Driver and Vehicle Licensing Agency about the prescription of oral medications for type 2 diabetes that carry an increased risk of hypoglycaemia.
tabling member constituency	West Lancashire
tabling member printed	Rosie Cooper
uin	215647
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Oral medications are widely used to control high blood glucose levels in patients with type 2 diabetes, leading to reductions in long-term complications of diabetes such as heart and kidney disease. The risk of hypoglycaemia associated with these drugs is well-known and is evaluated in detail both at the time of marketing authorisation approval and in the post-marketing period.</p><p> </p><p> </p><p> </p><p>The Patient Information Leaflet provided with all oral diabetes treatments contains advice on the risk of hypoglycaemia while driving. Patients are instructed to take appropriate precautions or to avoid driving completely if affected by hypoglycaemia.</p><p> </p><p> </p><p> </p><p>In addition, the Driver and Vehicle Licensing Agency’s ‘At a glance guide to the current medical standards of fitness to drive’ (May 2014) provides detailed advice to healthcare professionals on the management of patients receiving oral diabetes therapies who wish to drive.</p><p> </p><p> </p><p> </p><p>The Medicines and Healthcare products Regulatory Agency keeps the safety of medicines under continual review and is in regular discussion on relevant issues with the DVLA and the Department for Transport, most recently regarding the development of public communications for the new offence of driving with certain drugs taken above specified limits, which is due to come into force in March 2015. The new offence mainly involves illegal drugs and those with sedative effects and does not include treatments for diabetes.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 16:53:36 answering member 4020 label Biography information for George Freeman
tabling member	1538 label Biography information for Rosie Cooper

164368

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Video Games: Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what research his Department has conducted on links between aggressive teenage behaviour and the use of violent video games.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	215743
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>The Department has not conducted or commissioned research specifically on this topic.</p><p> </p><p> </p><p> </p><p>The Department's National Institute for Health Research welcomes funding applications for research into any aspect of human health, including relationships between health issues and the use of video games. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</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 01/12/2014 16:57:13 answering member 4020 label Biography information for George Freeman
tabling member	1597 label Biography information for David Simpson

164369

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Primary Health Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Care Quality Commission's risk register relating to primary care, when primary care practices were informed of their ratings; when national and local media were informed of the ratings relating to specific practices nationally or in their locality; and what rights primary care practices have to appeal against the theoretical assessments undertaken nationally without those specific practices having been inspected or given the opportunity to review the data on which the risk assessment was made.
tabling member constituency	Sheffield, Brightside and Hillsborough
tabling member printed	Mr David Blunkett
uin	215717
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has provided the following information.</p><p> </p><p> </p><p> </p><p>The CQC published its first round of Intelligent Monitoring for general practices on 17 November 2014. Intelligent Monitoring analyses a range of indicators (including surveys and official statistics) to create priority bands for inspection. The bandings are then used to help inform where the CQC prioritise its inspections. The CQC will also use the indicators to raise questions about the quality of care; they will not be used on their own to make final judgements about the quality of care.</p><p> </p><p> </p><p> </p><p>The CQC informed all providers of the launch of general practitioner Intelligent Monitoring with an email that was sent out on 14 November 2014 (with no data included). All band 1 GP practices received a separate email on 14 November 2014 informing them that they were in the highest priority band for inspection.</p><p> </p><p> </p><p> </p><p>The CQC engaged with approximately 400 GP practices prior to the launch of GP Intelligent Monitoring, including sharing the data and hosting a series of meetings. A national media release was sent out on the morning of 17 November.</p><p> </p><p> </p><p> </p><p>The CQC will listen and respond to concerns raised by GP practices. The CQC’s formal appeals processes are for the regulatory judgements the CQC makes and Intelligent Monitoring, is not a regulatory judgement. This comparative information is already in the public domain and known to the practice. The CQC publish this information to be open and transparent about what it knows about providers.</p><p> </p><p> </p><p> </p><p>The CQC plans to update this information every three months so that it can continue to respond to issues as they emerge and to share these with providers and the public. The CQC will be undertaking additional testing and engagement to continually improve indicators to inform this work, and will align its definitions of indicators as far as possible with those used by partner bodies such as NHS England and Public Health England.</p><p> </p><p> </p><p> </p><p>Within the next two years, the CQC will have inspected and rated every general practice in England as Outstanding, Good, Requires Improvement, or Inadequate to help people make informed choices about their care and encourage improvement in quality.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 27/11/2014 17:04:42 answering member 1439 label Biography information for Norman Lamb
tabling member	395 label Biography information for Lord Blunkett

164370

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to increase the use of patient experience surveys in the NHS to inform patient safety initiatives; and if he will make a statement.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	215718
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>Patient experience surveys are a valuable source of evidence and the results are used in a range of ways, including the assessment of National Health Service performance as well as in regulatory activities such as registration, monitoring ongoing compliance and reviews. The Care Quality Commission has developed a new Intelligent Monitoring tool to give inspectors a clear picture of the areas of care that need to be followed up within an NHS acute trust or a specialist NHS trust. The system is built on a set of indicators that look at a range of information including patient experience, staff experience and performance.</p><p> </p><p> </p><p> </p><p>In addition to the patient experience surveys hospital boards and other providers and commissioners of services can also consider the results of the Friends and Family Test (FFT) to consider the implications for quality and safety. While not a traditional survey, the FFT provides near real-time feedback to identify both good and poor quality patient experience. A NHS England review of the FFT found that it is performing well as a service improvement tool, with 85% of trusts reporting that it is being used to improve patient experience, and 78% saying that FFT has increased the emphasis placed on patient experience in their trusts.</p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 27/11/2014 17:09:16 answering member 4020 label Biography information for George Freeman
tabling member	1503 label Biography information for Mr Jamie Reed

164371

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patients: Safety
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 relationship between cost savings to the NHS and improved patient safety; and if he will make a statement.
tabling member constituency	Stockton North
tabling member printed	Alex Cunningham
uin	215712
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Department commissioned Frontier Economics to investigate the costs of unsafe care in the National Health Service. The final report, <em>Exploring the cost of unsafe care</em> <em>in the NHS</em> suggests that the costs of preventable, adverse events is likely to be more than £1 billion per year, but could be up to £2.5 billion annually. The report, which was published on 16 October, is available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.frontier-economics.com/publications/exploring-the-costs-of-unsafe-care-in-the-nhs/" target="_blank">http://www.frontier-economics.com/publications/exploring-the-costs-of-unsafe-care-in-the-nhs/</a></p><p> </p><p> </p><p> </p><p>The Sign up to Safety campaign launched in June is now working with healthcare organisations to make the NHS one of the safest healthcare systems in the world and contribute to the goal to halve avoidable harm and save 6,000 lives over the next three years.</p><p> </p><p> </p><p> </p><p>It is difficult to disaggregate direct cash releasing savings from this evidence which must take into account the upfront costs of investing in safer care.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></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 27/11/2014 16:45:29 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4122 label Biography information for Alex Cunningham

164372

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Licensing
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the contribution of 7 November 2014 by the Parliamentary Under-Secretary of State for Health, Official Report, column 116, what the evidential basis is for the statement that the restraining factor is the lack of information for clinicians about off-label use.
tabling member constituency	East Antrim
tabling member printed	Sammy Wilson
uin	215692
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>We know that new research evidence is being made available in healthcare all the time and that translating this into practice poses a number of challenges. We need to support clinicians in incorporating the most up to date and robust evidence into patient care and are in the process of setting up a round-table discussion with key stakeholders to look at how we can do that better in the case of off-label use of out-of-patent drugs.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 01/12/2014 17:12:05 answering member 4020 label Biography information for George Freeman
tabling member	1593 label Biography information for Sammy Wilson

164373

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what proportion of NHS staff will receive a one per cent or higher pay award through non-consolidated increases or incremental pay awards this year.
tabling member constituency	Mid Worcestershire
tabling member printed	Sir Peter Luff
uin	215693
answer	answer is ministerial correction date of answer 01/12/2014 answer text <p>All National Health Service staff who meet local performance standards will receive 1% or more pay through non-consolidated increases or incremental pay this year.</p><p> </p><p> </p><p> </p><p>Just over 50% of staff are eligible for incremental pay progression subject to satisfactory performance, which averages a 3% rise.</p><p> </p><p> </p><p> </p><p>The just under 50% of NHS staff who are at the top of their pay bands and therefore not eligible for incremental progression received an additional non-consolidated payment this year equal to 1% of basic pay.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/12/2014 17:11:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	268 label Biography information for Sir Peter Luff