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100031

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Liver Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>.
tabling member printed	Lord Avebury
uin	HL2237
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. <br> <br> In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p><br> NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:52:44 answering member 2000 label Biography information for Earl Howe
tabling member	1665 label Biography information for Lord Avebury

100035

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Reorganisation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
tabling member printed	Baroness McDonagh
uin	HL2241
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

99848

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Motor Neurone Disease
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 availability of augmentative and alternative communication aids for sufferers of motor neurone disease in (a) Surrey and Sussex and (b) England; and if he will make a statement.
tabling member constituency	Woking
tabling member printed	Jonathan Lord
uin	211112
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Since April 1 2013 NHS England has been responsible for commissioning Alternative and Augmentative Communication (AAC) aids for patients with complex disability whose needs require specialised assessment, including for patients with motor neurone disease (MND). Commissioning of non-specialised AAC aids is the responsibility of local clinical commissioning groups.</p><p> </p><p> </p><p> </p><p>NHS England has published a service specification for specialised AAC aids that sets out what should be in place for providers to offer evidence-based, safe and effective services and supports equity of access to a nationally consistent, high quality service for patients across the country including in Surrey and Sussex. The specification can be found at:</p><p> </p><p> </p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/d01-com-dis-equ-alt-aug-comm-aids.pdf</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>NHS England has identified an additional £22.5 million funding for AAC and Environmental Controls in 2014-15. They have been working closely with the Motor Neurone Disease Association (MNDA) to ensure this funding is equitably distributed across England in a fair and consistent manner. The MNDA are representing all patients on the panel which is reviewing this funding allocation.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 27/10/2014 17:07:49 answering member 1439 label Biography information for Norman Lamb
tabling member	4090 label Biography information for Mr Jonathan Lord

99849

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Woking
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 increase the availability of GP appointments in Woking constituency; and if he will make a statement.
tabling member constituency	Woking
tabling member printed	Jonathan Lord
uin	211111
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The vast majority of patients can get appointments and are satisfied with their general practitioner (GP) but we know more needs to be done. This is why we are offering 7.5 million more people extra evening and weekend appointments as well as email and Skype consultations.</p><p> </p><p> </p><p> </p><p>We also understand that a recent small survey by Healthwatch highlighted Woking as an area where there was a potential issue with booking and arranging appointments which are convenient to patients. Following this, we are advised that Surrey and Sussex Area Team agreed to meet with the Health and Adult Social Care Committee and Healthwatch to set up a working group to look at areas which could be improved with regard to access to GP services.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 17:31:21 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4090 label Biography information for Mr Jonathan Lord

99850

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Equipment: West Midlands
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 the routine commissioning of cough assist machines in the West Midlands.
tabling member constituency	Sutton Coldfield
tabling member printed	Mr Andrew Mitchell
uin	211129
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>Since 1 April 2013, NHS England has been responsible for commissioning specialised neurological services, which includes services for patients with neuromuscular disorders, such as muscular dystrophy. NHS England has published a neurosciences specification, which sets out what providers must have in place to offer high quality care and treatment for patients.</p><p> </p><p> </p><p> </p><p>The neurosciences service specification describes when patients should be referred to specialist respiratory services and the circumstances in which cough assist devices should be considered. It is available from the NHS England website at this link:</p><p> </p><p> </p><p> </p><p>http://www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf.</p><p> </p><p> </p><p> </p><p>A copy of this document has also been attached.</p><p> </p><p> </p><p> </p><p>The equipment and respiratory support of cough assist is the commissioning responsibility of clinical commissioning groups, delivered through local specialist respiratory services, according to any local clinical commissioning policy they may have in place.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 16:43:52 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England neuroscience service specification.pdf title Neurosciences service specification
tabling member	1211 label Biography information for Mr Andrew Mitchell

99851

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women experiencing perinatal mental illness have been accommodated on adult psychiatric wards in each of the last four years.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	211152
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>The term ’perinatal mental illness’ is not classifiable within the ICD-10 (International Classification of Diseases) classification system used to identify diagnoses in the Hospital Episode Statistics database.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 23/10/2014 15:11:24 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4036 label Biography information for Luciana Berger

99852

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether an assessment has been carried out on the effectiveness of the fast-track route for Continuing Healthcare in providing support to terminally ill people; and what discussions he has had with NHS England on working with his Department to ensure people eligible for Continuing Healthcare through the fast-track route receive it promptly.
tabling member constituency	Easington
tabling member printed	Grahame M. Morris
uin	211125
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>The principles and processes for assessment of Fast-Track eligibility for NHS Continuing Healthcare are set out in the ‘<em>National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care</em>’.</p><p> </p><p> </p><p> </p><p>Whilst the Department has not undertaken a specific assessment of the effectiveness of the Fast Track Tool for NHS Continuing Healthcare we have recently worked closely with NHS England and other key stakeholders in developing an Assurance Framework. The aim of the Assurance Framework is to ensure compliance with the National Framework and was launched in draft earlier this year. Further work is being undertaken to refine this prior to final publication.</p><p> </p><p> </p><p> </p><p>The Department does not collect data regarding the number of people who have been assessed as eligible for NHS Continuing Healthcare (NHS CHC) via use of the Fast Track tool.</p><p> </p><p> </p><p> </p><p>Since 1 April 2013 data on the number of people who are eligible for NHS CHC has been published quarterly at:</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/article/2021/Website-Search?q=continuing+healthcare&amp;go=Go&amp;area=both" target="_blank">http://www.hscic.gov.uk/article/2021/Website-Search?q=continuing+healthcare&amp;go=Go&amp;area=both</a></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211124 question first answered 23/10/2014 16:57:03 answering member 1439 label Biography information for Norman Lamb
tabling member	3973 label Biography information for Grahame Morris

99853

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Continuing Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of people in England who received NHS continuing healthcare through the fast-track route in (a) 2012 and (b) 2013; what plans he has to gather more comprehensive data on the use of NHS continuing healthcare; and if he will make a statement.
tabling member constituency	Easington
tabling member printed	Grahame M. Morris
uin	211124
answer	answer is ministerial correction date of answer 23/10/2014 answer text <p>The principles and processes for assessment of Fast-Track eligibility for NHS Continuing Healthcare are set out in the ‘<em>National Framework for NHS Continuing Healthcare and NHS-funded Nursing Care</em>’.</p><p> </p><p> </p><p> </p><p>Whilst the Department has not undertaken a specific assessment of the effectiveness of the Fast Track Tool for NHS Continuing Healthcare we have recently worked closely with NHS England and other key stakeholders in developing an Assurance Framework. The aim of the Assurance Framework is to ensure compliance with the National Framework and was launched in draft earlier this year. Further work is being undertaken to refine this prior to final publication.</p><p> </p><p> </p><p> </p><p>The Department does not collect data regarding the number of people who have been assessed as eligible for NHS Continuing Healthcare (NHS CHC) via use of the Fast Track tool.</p><p> </p><p> </p><p> </p><p>Since 1 April 2013 data on the number of people who are eligible for NHS CHC has been published quarterly at:</p><p> </p><p> </p><p> </p><p><a href="http://www.hscic.gov.uk/article/2021/Website-Search?q=continuing+healthcare&amp;go=Go&amp;area=both" target="_blank">http://www.hscic.gov.uk/article/2021/Website-Search?q=continuing+healthcare&amp;go=Go&amp;area=both</a></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211125 question first answered 23/10/2014 16:57:03 answering member 1439 label Biography information for Norman Lamb
tabling member	3973 label Biography information for Grahame Morris

99854

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Perinatal Mortality: South East
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 reduce the rate of stillbirths in Surrey and Sussex; and if he will make a statement.
tabling member constituency	Woking
tabling member printed	Jonathan Lord
uin	211110
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>We have made reducing stillbirth an improvement area for the National Health Service in the NHS Outcomes Framework.</p><p> </p><p> </p><p> </p><p>We are advised by NHS England that NHS clinical commissioning groups (CCGs) in Surrey have collectively done significant work relating to perinatal mortality rates, which includes stillbirths. An independent review by the Royal College of Paediatricians and Child Health in 2013 determined that Ashford and St Peter’s Hospitals NHS Foundation Trust (ASPH) was not an outlier with respect to stillbirths. The North West Surrey and Guildford and Waverley CCGs continue to work with ASPH on maternity and paediatric pathways.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 27/10/2014 17:12:14 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4090 label Biography information for Mr Jonathan Lord

99855

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood Diseases
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 (a) the Haemophilia Society, (b) the Manor House Group, (c) Tainted Blood, (d) the Hepatitis C Trust and (e) the Contaminated Blood campaign in the last two years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	211077
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In the last two years, the Department has met with the Haemophilia Society about haemophilia services, grant funding for the Society and support for haemophiliacs infected or affected by HIV and/or hepatitis C through historic treatment with NHS-supplied blood products.</p><p> </p><p> </p><p> </p><p>The Department has met with the Hepatitis C Trust about hepatitis C services, grant funding for the Trust and support for individuals infected or affected by hepatitis C through historic treatment with NHS-supplied blood or blood products.</p><p> </p><p> </p><p> </p><p>The Department has met with representatives of the Manor House Group, Tainted Blood and the Contaminated Blood Campaign about support for individuals infected or affected by HIV and/or hepatitis C through historic treatment with NHS-supplied blood or blood products, the scientific and clinical evidence for hepatitis C, and haemophilia services.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:05:12 answering member 3918 label Biography information for Jane Ellison
tabling member	1533 label Biography information for Dame Diana Johnson