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64630

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the effect of ranking general practitioners by their record of cancer referrals on referral rates, or the assessment of doctors.
tabling member printed	Lord Taylor of Warwick
uin	HL713
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>Cancer survival rates in England are some of the worst in Europe. Generally, the earlier a cancer is diagnosed, the greater the chance of survival. We know that some patients visit their general practitioner (GP) with symptoms of cancer several times before they are referred on for investigation, and so we are looking at a range of ways to increase early referral of patients with the relevant symptoms.</p><p> </p><p>Between 2006 and 2010, 27% of cancers were diagnosed through urgent referrals for suspected cancer by general practice and 23% of cancers were diagnosed through emergency presentations. We know this rate varies considerably across the country and for different cancers. We also know that rates for referrals for diagnostic tests which can be important in detecting cancer vary. The Government is looking at ways in which it can use its transparency agenda to improve consistency and drive up cancer survival rates across the system.</p><p> </p><p>Public Health England publishes annual cancer profiles for all GP practices in England. These profiles bring together a range of process and outcomes information relevant to cancer in primary care. They provide comparative information for benchmarking variation at a general practice level, including use of the urgent suspected cancer pathway. The profiles are available at</p><p> </p><p>www.ncin.org.uk/cancer_information_tools/profiles/gp_profiles.</p> answering member printed Earl Howe question first answered 14/07/2014 12:56:14 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

64751

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Competition
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much Monitor (a) spent in 2013-14 and (b) plans to spend in 2014-15 on the enforcement of the licence conditions relating to choice and competition as set out in section 3 of the NHS Provider Licence Standard Conditions.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	202997
answer	answer is ministerial correction date of answer 03/07/2014 answer text <p>The information requested is not available. The cost of specific enforcement activity is not disaggregated in Monitor's internal reporting systems.</p> answering member constituency Battersea answering member printed Jane Ellison grouped question UIN 203014 question first answered 03/07/2014 15:01:05 answering member 3918 label Biography information for Jane Ellison
tabling member	1503 label Biography information for Mr Jamie Reed

64752

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Strokes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will request that the National Institute for Health and Care Excellence examines the use of Sativex or other appropriate cannabis derivatives for treatment of spasticity due to stroke.
tabling member constituency	Reigate
tabling member printed	Crispin Blunt
uin	203015
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Sativex (nabiximols) does not have a marketing authorisation for use in the treatment of spasticity due to stroke and there are no current plans to ask the National Institute for Health and Care Excellence to issue guidance on the drug or other cannabis derivatives for this indication.</p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 07/07/2014 14:05:01 answering member 1439 label Biography information for Norman Lamb
tabling member	104 label Biography information for Crispin Blunt

64753

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, which organisations collect subscriptions through the employers' payroll service in his Department and its agencies.
tabling member constituency	Newcastle upon Tyne East
tabling member printed	Mr Nicholas Brown
uin	203106
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The requested information is listed in the following tables:</p><p> </p><table><tbody><tr><td><p>Department of Health</p></td></tr><tr><td><p>Association of First Division Civil Servants (FDA)</p></td></tr><tr><td><p>Civil Service Club</p></td></tr><tr><td><p>Civil Service Sports</p></td></tr><tr><td><p>Civil Service Sports Council (CSSC)</p></td></tr><tr><td><p>Health and Social Security Recreational</p><p>Association (HASSRA)</p></td></tr><tr><td><p>Prospect (IPMS)</p></td></tr><tr><td><p>Public and Commercial Services Union (PCS)</p></td></tr></tbody></table><p> </p><p>Medicines and Healthcare Products Regulatory Agency</p><p> </p><table><tbody><tr><td><p>Civil Service Sports</p></td></tr><tr><td><p>Civil Service Sports Council (CSSC)</p></td></tr><tr><td><p>Health and Social Security Recreational</p><p>Association (HASSRA)</p></td></tr><tr><td><p>Lottery</p></td></tr><tr><td><p>NIBSC Unite</p></td></tr><tr><td><p>Public and Commercial Services Union (PCS)</p></td></tr><tr><td><p>Prospect (IPMS)</p></td></tr></tbody></table><p> </p><p>Public Health England</p><p> </p><table><tbody><tr><td><p>Amicus/Unite</p></td></tr><tr><td><p>Civil Service Sports Council (CSSC)</p></td></tr><tr><td><p>General, Municipal, Boilermakers and Allied Trades Union (GMBATU)</p></td></tr><tr><td><p>Health and Social Security Recreational</p><p>Association (HASSRA)</p></td></tr><tr><td><p>Prospect (IPMS)</p></td></tr><tr><td><p>Public and Commercial Services Union (PCS)</p></td></tr><tr><td><p>Unison</p></td></tr></tbody></table><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 07/07/2014 15:36:30 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	523 label Biography information for Mr Nicholas Brown

64754

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Valuation of Life and Health Interdepartmental Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of the Food Standards Agency's work with the Inter-departmental Group for the Valuation of Life and Health review in 2008.
tabling member constituency	Eddisbury
tabling member printed	Mr Stephen O'Brien
uin	203079
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>I refer my Rt. hon. Friend to the answer given on 26 June 2014, <em>Official Report</em>, Column 283W.</p><p> </p><p>The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.</p><p> </p><p>Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 203072 203073 203074 203081 question first answered 07/07/2014 15:53:18 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ203081_072_073_074_079 - Lib Doc - Report.pdf title Survey of the Value of Life/Health
tabling member	427 label Biography information for Mr Stephen O'Brien

64755

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tuberculosis
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 cases of TB in (a) London and (b) England.
tabling member constituency	The Wrekin
tabling member printed	Mark Pritchard
uin	203049
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>In 2012 in the United Kingdom, a total of 8,751 cases of tuberculosis (TB) were reported, a rate of 13.9 cases per 100,000 population. In 2011, 8,899 TB cases were reported in the UK (rate: 14.1/100,000 population), and 8,397 TB cases were reported in 2010, a rate of 13.5 per 100,000 population.</p><p> </p><p>In the UK, the main burden of TB is concentrated in large urban areas; in 2012, London had the highest proportion of cases (39%) followed by West Midlands (12%).</p><p> </p><p>The Department recognises the public health importance of TB, particularly amongst groups at higher risk of TB, such as migrants from high incidence countries and persons with social risk factors, such as homelessness, imprisonment and drug and alcohol use in England and within large metropolitan areas, like London.</p><p> </p><p>We also recognise the contribution that latent TB infection (LTBI) makes to the overall TB disease burden. Systematic LTBI testing and treatment is part of the recommendation in the current TB guidelines from the National Institute for Health and Clinical Excellence (NICE, 2011) and are a key intervention in the draft collaborative TB strategy for England, being led by Public Health England (PHE).</p><p> </p><p>The Department is also concerned about the high TB rates in persons with social risk factors, which is why it commissioned NICE to produce a short clinical guidance on TB services for underserved groups. The guidance makes clear recommendations for active case finding and other interventions in these groups (published in March 2012). The Department is funding research projects on identifying latent TB in relation to the effectiveness of testing for latent TB and on the prognostic value of these tests to predict the progression from latent to active TB.</p><p> </p><p>PHE has made TB one of its main priorities, and is leading a coalition of key stakeholders, including the Department, NHS England, Local Government and other key public and voluntary organisations, to develop a national TB strategy.</p><p> </p><p>The strategy aims to bring together best practice in clinical care, social support and public health to strengthen TB control, leading to a year on year decrease in incidence, a reduction in health inequalities associated with TB, and to contribute to the eventual elimination of the disease.</p><p> </p><p>The consultation process for the formulation of the strategy started in March 2014 and ended in June 2014. The strategy will be launched sometime in the autumn 2014.</p><p> </p><p>The following link is for the TB Strategy consultation, which provides useful information on introducing TB controls in England:</p><p> </p><p>www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317140970182</p><p> </p><p>In London, a London TB Control Board has been constituted with representation from all agencies involved in preventing, controlling and treating TB, to try and replicate the progress made in other major international cities such as New York and Paris.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 14:22:22 answering member 3918 label Biography information for Jane Ellison
tabling member	1576 label Biography information for Mark Pritchard

64756

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Influenza
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will discuss a public health campaign with Transport for London to educate passengers on reducing the spread of influenza on public transport.
tabling member constituency	The Wrekin
tabling member printed	Mark Pritchard
uin	203058
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>Public Health England (PHE) engages in public health campaigns when there is an evidence base to demonstrate the likely impact on positive public health outcomes. There is evidence that people are more likely to respond to messages about respiratory and hand hygiene when there is an imminent threat to public health, such as a pandemic.</p><p> </p><p>PHE closely monitors flu infection rates, and should rates suddenly accelerate or meet unacceptably high levels, they could activate such a campaign. Although PHE did not run a Catch It. Bin It. Kill It campaign during 2013-14, campaign materials e.g. print and digital resources were made available for local use.</p><p>PHE would engage key partners such as Transport for London in the preparation of any such initiative.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 07/07/2014 15:29:18 answering member 3918 label Biography information for Jane Ellison
tabling member	1576 label Biography information for Mark Pritchard

64757

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Valuation of Life and Health Interdepartmental Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of the National Institute for Health and Care Excellence's work with the Inter-departmental Group for the Valuation of Life and Health review.
tabling member constituency	Eddisbury
tabling member printed	Mr Stephen O'Brien
uin	203072
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>I refer my Rt. hon. Friend to the answer given on 26 June 2014, <em>Official Report</em>, Column 283W.</p><p> </p><p>The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.</p><p> </p><p>Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 203073 203074 203079 203081 question first answered 07/07/2014 15:53:17 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ203081_072_073_074_079 - Lib Doc - Report.pdf title Survey of the Value of Life/Health
tabling member	427 label Biography information for Mr Stephen O'Brien

64758

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Valuation of Life and Health Interdepartmental Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of his Department's work with the Inter-departmental Group for the Valuation of Life and Health review.
tabling member constituency	Eddisbury
tabling member printed	Mr Stephen O'Brien
uin	203073
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>I refer my Rt. hon. Friend to the answer given on 26 June 2014, <em>Official Report</em>, Column 283W.</p><p> </p><p>The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.</p><p> </p><p>Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 203072 203074 203079 203081 question first answered 07/07/2014 15:53:17 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ203081_072_073_074_079 - Lib Doc - Report.pdf title Survey of the Value of Life/Health
tabling member	427 label Biography information for Mr Stephen O'Brien

64759

registered interest
date	30/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Valuation of Life and Health Interdepartmental Group
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what measures of the value of life and health were included in the evidence submitted as part of the Health Protection Agency's work with the Inter-departmental Group for the Valuation of Life and Health review.
tabling member constituency	Eddisbury
tabling member printed	Mr Stephen O'Brien
uin	203074
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>I refer my Rt. hon. Friend to the answer given on 26 June 2014, <em>Official Report</em>, Column 283W.</p><p> </p><p>The focus of the work of the Inter-departmental Group for the Valuation of Life and Health has been methodological rather than upon specific measures of value. It has focused upon the appropriate units for the measurement of impacts on life and health risks in different circumstances, and the methodology to be applied to valuation of those units in different contexts. Nevertheless, as a spur to the methodological investigation, an initial survey of monetary valuations of various units of impact by different departments and agencies including case studies was undertaken. This was conducted by the Institute of Transport Studies at the University of Leeds and compiled into a “Survey of the Value of Life/ Health used in Government Departments”, which has been placed in the Library. In addition, the Health and Safety Executive and the Department for Transport have already placed in the Library their members' responses to the ITS survey.</p><p> </p><p>Development of monetary thresholds to be applied to the cost-per-quality adjusted life year is not within the remit of the Group.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter grouped question UIN 203072 203073 203079 203081 question first answered 07/07/2014 15:53:17 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ203081_072_073_074_079 - Lib Doc - Report.pdf title Survey of the Value of Life/Health
tabling member	427 label Biography information for Mr Stephen O'Brien