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776100

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the average waiting time was in each month since April 2015 for patients referred for primary care having suffered psychosis.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	108997
answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>Average waiting times for patients experiencing psychosis referred for primary care are not centrally held. NHS England publishes interim data on the percentage of patients with first episode of psychosis starting treatment within two weeks of referral, in line with the Early Intervention in Psychosis standard. This data has been available since December 2015 and it can be found at:</p><p> </p><p><a href="https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2016/04/EIP-Waiting-Times-Timeseries-August-2017.xlsx" target="_blank">https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2016/04/EIP-Waiting-Times-Timeseries-August-2017.xlsx</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/10/2017 13:44:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	207 label Biography information for Sir Vince Cable

776154

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the increase is in the (a) size of the mental health staff workforce and (b) number of professionally qualified clinical mental health staff employed since 2010.
tabling member constituency	Morecambe and Lunesdale
tabling member printed	David Morris
uin	109144
answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>NHS Digital data shows that the number of National Health Service staff (full-time equivalent) working in Mental Health and Learning Disability trusts increased by 4,295 from July 2013 to July 2017, of these 2,156 are professionally qualified clinical mental health staff. The number of Improving Access to Psychological Therapies (IAPT) staff (headcount) increased by <del class="ministerial">2,278</del> <ins class="ministerial">2,728 </ins>between 2012 and 2015.</p><p> </p><p>Figures begin in 2012/13 due to the changes in services resulting from the dissolution of primary care trusts in 2012/13.</p><p>Source:</p><p>1. Health Education England (July 2017). Stepping forward to 2020/21: The mental health workforce plan for England.</p><p><a href="https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf" target="_blank">https://www.hee.nhs.uk/sites/default/files/documents/CCS0717505185-1_FYFV%20Mental%20health%20workforce%20plan%20for%20England_v5%283%29.pdf</a></p><p>2. NHS Digital, Monthly workforce statistics as at July.</p><p><a href="https://digital.nhs.uk/catalogue/PUB30100" target="_blank">https://digital.nhs.uk/catalogue/PUB30100</a></p><p>3. 2012 IAPT Workforce Census paragraph 5.1.</p><p><a href="https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de" target="_blank">https://www.uea.ac.uk/documents/246046/11919343/iapt-workforce-education-and-training-2012-census-report.pdf/907e15d0-b36a-432c-8058-b2452d3628de</a></p><p>4. The overall IAPT workforce number from the 2015 census was calculated as follows: sum of Low Intensity Therapy: Total Number of individuals (Staff in Post) on page 17 and High Intensity Therapy (HIT): Total Number of individuals (Staff in Post) on page 21. The 2015 IAPT workforce census is available at the following link:</p><p><a href="https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf" target="_blank">https://www.england.nhs.uk/mentalhealth/wp-content/uploads/sites/29/2016/09/adult-iapt-workforce-census-report-15.pdf</a></p><p>5. The overall IAPT workforce number from the 2014 census was calculated by adding total headcount for Cognitive behavioural therapy (CBT), non CBT HIT modalities and non-qualified counsellors and therapist, Table 4, page.11. The total funded establishment for whole-time equivalent psychological wellbeing practitioners was obtained from table 2, p. 9. The 2014 IAPT workforce census is available at the following link:</p><p><a href="http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report." target="_blank">http://www.ewin.nhs.uk/tools_and_resources/2014-adult-iapt-workforce-census-report.</a></p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/10/2017 13:56:22 question first ministerially corrected 01/12/2017 15:29:47 answering member 4065 label Biography information for Dame Jackie Doyle-Price previous answer version 18029 answering member constituency Thurrock answering member printed Jackie Doyle-Price answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4135 label Biography information for David Morris

776231

registered interest
date	23/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Arthritis
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 1 February 2017 to Question 62116, on arthritis, what steps his Department is taking to increase the proportion of patients offered education and self-management services within one month of being diagnosed with arthritis.
tabling member constituency	Barnsley Central
tabling member printed	Dan Jarvis
uin	109155
answer	answer is ministerial correction date of answer 26/10/2017 answer text <p>Clinical commissioning groups are responsible for commissioning services that offer education and self-management for patients diagnosed with arthritis. Currently, there is no consistent national data to identify the proportion of patients offered education and self-management within a month of being diagnosed.</p><p> </p><p>There has been significant progress in identifying the evidence base for new care models and optimal pathway solutions that offer better care and treatment for people diagnosed with arthritis. These include better access to first contact musculoskeletal physio practitioners and delivery of community based self-management rehabilitation programmes such as Escape Pain, StartBack or Pathway through Pain Programmes.</p><p> </p><p>The Five Year Forward View has made a specific commitment to do more to support people with long-term conditions and to help them manage their own health. Self-management increases the likelihood of better clinical outcomes, lower rates of hospitalisation and less need for emergency care.</p><p> </p><p>The National Institute for Health and Care Excellence has published a best practice clinical guideline and corresponding Quality Standard for both rheumatoid arthritis (RA) and osteoarthritis, both of which highlight the importance of self-management approaches and lifestyle advice in supporting patients to manage their condition. For RA this is outlined in a Quality Standard. Links are provided below:</p><p> </p><p><a href="http://www.nice.org.uk/guidance/qs33/resources/rheumatoid-arthritis-in-over-16s-2098604563909" target="_blank">www.nice.org.uk/guidance/qs33/resources/rheumatoid-arthritis-in-over-16s-2098604563909</a></p><p> </p><p><a href="http://www.nice.org.uk/guidance/cg177" target="_blank">www.nice.org.uk/guidance/cg177</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/10/2017 13:49:41 answering member 4067 label Biography information for Steve Brine
tabling member	4243 label Biography information for Dan Jarvis

774361

registered interest
date	20/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection: Drugs
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 18 October 2017 to Question 106952, in what format the data requested on the uptake of HIV medicines across England is available; and if he will place that data in the Library.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	108885
answer	answer is ministerial correction date of answer 25/10/2017 answer text <p>Data on the uptake of HIV medicine across England are available at national, Public Health England (PHE) region and PHE centre level.</p><p> </p><p>The data are available here:</p><p><a href="http://www.gov.uk/government/statistics/hiv-annual-data-tables" target="_blank">www.gov.uk/government/statistics/hiv-annual-data-tables</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/10/2017 12:59:04 answering member 4067 label Biography information for Steve Brine
tabling member	4518 label Biography information for Tulip Siddiq

774362

registered interest
date	20/10/2017
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, if he will provide a list of which (a) regions and (b) clinical commissioning groups provide an 8am to 8pm primary care service to patients.
tabling member constituency	Twickenham
tabling member printed	Sir Vince Cable
uin	108925
answer	answer is ministerial correction date of answer 25/10/2017 answer text <p>There is no requirement for general practice to deliver an 8am to 8pm service. As set out in the General Practice Forward View published in April 2016, NHS England is providing additional funding “to enable CCGs to commission and fund extra capacity across England to ensure that by 2020, everyone has access to GP services, including sufficient routine appointments at evenings and weekends to meet locally determined demand, alongside effective access to out of hours and urgent care services.”</p><p> </p><p>The Government has committed to 100% of the population being able to access general practitioner appointments in the evenings and weekends to meet locally determined demand by April 2019.</p><p> </p><p>A list of current regions and clinical commissioning groups (CCGs) delivering 8am to 8pm services is not routinely held centrally by NHS England. However, data was collected in April 2017 and at this point 59 CCGs were delivering an 8am to 8pm service. A list of these is attached.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/10/2017 15:55:24 answering member 4067 label Biography information for Steve Brine attachment 1 file name PQ108925 table final.docx title PQ108925 attached doc.
tabling member	207 label Biography information for Sir Vince Cable

774363

registered interest
date	20/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Sodium Valproate: Prescriptions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information is currently held by NHS England on prescribing rates of sodium valproate to women and girls of childbearing age in each clinical commissioning group; and if he will make it his policy to routinely publish this data.
tabling member constituency	North Norfolk
tabling member printed	Norman Lamb
uin	108891
answer	answer is ministerial correction date of answer 25/10/2017 answer text <p>The NHS Business Services Authority (NHSBSA) holds prescribing data which includes patient level data containing National Health Service number, age and date of birth of a patient enabling the ability to report figures of sodium valproate for women and girls of childbearing age. NHSBSA provides NHS stakeholders with prescribing volumes, trend and cost analysis based on prescribing by general practitioners and other prescribers that was dispensed in the community. Data, split by clinical commissioning group, on the volumes of prescriptions and patient numbers has been previously published via the NHS England website.</p><p><a href="https://www.england.nhs.uk/publication/prescribing-for-sodium-valproate/" target="_blank">https://www.england.nhs.uk/publication/prescribing-for-sodium-valproate/</a></p><p>We are exploring how this data might be updated in the future.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/10/2017 16:03:05 answering member 4067 label Biography information for Steve Brine
tabling member	1439 label Biography information for Norman Lamb

774000

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what regulations govern routine (a) health visits and (b) school nursing services for children of (i) failed asylum seekers and (ii) undocumented migrants.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	108680
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The National Health Service (Charges to Overseas Visitors) Regulations 2015 (the Charging Regulations) came into force on 6 April 2015 and apply to all courses of treatment commenced on or after that date. The Regulations have subsequently been amended, most recently on 23 October 2017 by the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations.</p><p>Any person or organisations providing relevant services under the regulations, will be subject to a requirement to make and recover charges from overseas visitors where no exemption applies. Relevant services means those that are provided, or whose provision is arranged, under the NHS Act 2006, but the Charging Regulations exclude certain services from the definition of “relevant services” such as primary medical care services or equivalent services, including school nursing services and health visiting.</p><p>The Charging Regulations also provide that failed asylum seekers, and their dependants, are exempt from charging under the Charging Regulations if they are receiving support under section 4(2) of the Immigration and Asylum Act 1999 or under Part 1 (care and support) of the Care Act 2014 or section 35 or 36 of the Social Services and Well-being (Wales) Act 2014, by the provision of accommodation. Finally, under the Charging Regulations, undocumented migrants and their dependants would be subject to charges unless otherwise exempt. Particularly vulnerable groups are exempt from charges and this may be relevant in some cases to undocumented migrants; for example, if they are victims of modern slavery or if they are receiving treatment for relevant services which are exempt from charges such as services provided for the treatment of a condition caused by torture or female genital mutilation.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/10/2017 14:34:37 answering member 1542 label Biography information for Philip Dunne
tabling member	4124 label Biography information for Chi Onwurah

774001

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Fees and charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will undertake an impact assessment of his Department's policy on upfront charging for NHS services.
tabling member constituency	Newcastle upon Tyne Central
tabling member printed	Chi Onwurah
uin	108678
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>Upfront charging of overseas visitors for non-urgent or immediately necessary care has been recommended best practice by the Department for several years, including in published national charging guidance.</p><p> </p><p>Identified income from charging overseas visitors for NHS services was £290 million in 2015/16 and £358 million in 2016/17.</p><p> </p><p>Following a public consultation on the proposed amendments to the National Health Service (Charges to Overseas Visitors) Regulations 2015 (the Charging Regulations) that ran from December 2015 to March 2016, the Government set out in its response to that consultation in February 2017 that it intended to amend the existing Charging Regulations and included a commitment that all non-urgent secondary care services provided to an overseas visitor should be charged upfront and in full, unless otherwise exempt.</p><p> </p><p>During the decision-making process the Government carefully considered the impact the proposed changes in all National Health Service out-of-hospital settings may have. The regulations providing for these changes were introduced on 19 July alongside a published impact assessment that estimated that the net income per annum as a result of the new regulations would be up to £40 million per year. This included the impact of upfront charging, the implementation of which we will keep under review.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 24/10/2017 15:18:53 answering member 1542 label Biography information for Philip Dunne
tabling member	4124 label Biography information for Chi Onwurah

774031

registered interest
date	19/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Staff
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many full-time-equivalent GP clinical staff there were in (a) Sunderland Clinical Commissioning Group, (b) NHS England North (Cumbria and North East) and (c) England in 2016-17.
tabling member constituency	Houghton and Sunderland South
tabling member printed	Bridget Phillipson
uin	108729
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>The latest data published on general practitioner (GP) workforce is March 2017. This shows the number of full-time-equivalent GP clinical staff in Sunderland Clinical Commissioning Group, NHS North (Cumbria and North East) and England.</p><table><tbody><tr><td><p> </p></td><td><p>Full time equivalent GP clinical staff*</p></td></tr><tr><td><p>Sunderland Clinical Commissioning Group</p></td><td><p>149</p></td></tr><tr><td><p>NHS England North (Cumbria and North East)</p></td><td><p>1,679</p></td></tr><tr><td><p>England</p></td><td><p>33,921</p></td></tr></tbody></table><p>Note:</p><p>*Figures contain estimates for the 5.6% of practices that did not provide fully valid GP data.</p><p>Source: NHS Digital <a href="https://digital.nhs.uk/catalogue/PUB30044" target="_blank">https://digital.nhs.uk/catalogue/PUB30044</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 24/10/2017 14:19:45 answering member 4067 label Biography information for Steve Brine
tabling member	4046 label Biography information for Bridget Phillipson

774033

registered interest
date	19/10/2017
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, with reference to his Department's paper, Infected Blood: Government response to consultancy on special category mechanism and other support in England, published on 28 September 2017, what steps he is taking to guarantee that people affected by the scandal will not be subject to reductions in their discretionary support (a) before April 2018 and (b) for the rest of the Spending Review period.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	108718
answer	answer is ministerial correction date of answer 24/10/2017 answer text <p>Discretionary and non-discretionary support will continue at the same level to all beneficiaries who consented to their data being transferred to the new scheme until the end of the financial year. As set out in the recent consultation response, beneficiaries will then receive higher non-discretionary annual payments for the 2018-19 financial year. To ensure discretionary support in the new, single, scheme is balanced, consistent and fair to all beneficiaries, the scheme administrator will conduct a review of all on-going discretionary payments such as income top ups.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/10/2017 11:29:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	1533 label Biography information for Dame Diana Johnson