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346917

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mastectomy: Females
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many women in each age cohort have had mastectomies in each of the last five years; and how many of them have had reconstructive breast surgery.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	46
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>The available information is provided in the attached table.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/06/2015 15:34:45 answering member 3988 label Biography information for Ben Gummer attachment 1 file name FCEs- mastectomy and breast reconstruction 2009-14.xlsx title FCEs- mastectomies & breast reconstruction 2009-14
tabling member	4131 label Biography information for Jim Shannon

346923

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
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 bring forward legislative proposals to prohibit embryonic gene-editing technologies developed over the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	286
answer	answer is ministerial correction date of answer 01/06/2015 answer text <p>The Human Fertilisation and Embryology Act 1990, as amended, already addresses this technology.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 01/06/2015 14:03:41 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

346977

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Aids
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 the availability of hearing aids.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	56
answer	answer is ministerial correction date of answer 03/06/2015 answer text <p>Clinical commissioning groups (CCGs) are responsible for the provision of conventional hearing aids for mild to moderate hearing loss within their local population. As with other services CCGs commission, they should take into consideration assessments of local need and any relevant clinical guidance from appropriate national bodies such as the National Institute for Health and Care Excellence.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/06/2015 11:12:31 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

346986

registered interest
date	27/05/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alopecia: Females
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what help the NHS provides to women affected by baldness.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	64
answer	answer is ministerial correction date of answer 02/06/2015 answer text <p>NHS England has advised that clinical commissioning groups are responsible for treatment of patients affected by baldness through locally commissioned services.</p><p> </p><p> </p><p> </p><p>NHS England would expect services to be commissioned taking account of guidelines from the National Institute for Health and Care Excellence as well as local population needs.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 02/06/2015 15:25:57 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

229381

registered interest
date	24/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Babies: Heart Diseases
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many babies were born with a hole in their heart in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228926
answer	answer is ministerial correction date of answer 26/03/2015 answer text <p>Information on the number of babies born with a hole in their heart is not collected centrally.</p><p> </p><p> </p><p> </p><p>The following table provides information on the number of finished birth episodes where there was a primary or secondary diagnosis of a cardiac septal defect (where there is a hole between two of the heart's chambers) for the years 2009-10 to 2013-14. The table does not include babies where the condition was diagnosed after the birth episode.</p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="9" rowspan="2"><p>Count of finished consultant (birth) episodes (FCEs)<sup>1</sup> with a primary or secondary diagnosis<sup>2</sup> of cardiac septal defects<sup>3</sup>, 2009-10 to 2013-14<sup>4</sup></p></td><td> </td></tr><tr><td> </td></tr><tr><td> </td><td> </td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="8"><p>Activity in English National Health Service hospitals and English NHS commissioned activity in the independent sector</p></td><td> </td><td> </td></tr><tr><td> </td><td><p>Year</p></td><td><p>Birth Episodes</p></td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td><p>2009-10</p></td><td><p>1,615</p></td><td colspan="2"><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td> </td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>1,888</p></td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td><p>2011-12</p></td><td><p>2,069</p></td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>2,217</p></td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td><p>2013-14</p></td><td><p>2,370</p></td><td colspan="2"> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="8"><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre</p></td><td> </td><td> </td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Notes:</em></p><p> </p><p><sup>1</sup>FCE</p><p> </p><p>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. There is one FCE record per baby born in each delivery episode.</p><p> </p><p> </p><p> </p><p><sup>2</sup>Number of episodes in which the patient had a primary or secondary diagnosis</p><p> </p><p>The number of episodes where this diagnosis was recorded in any of the 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) primary and secondary diagnosis fields in a HES record. Each episode is only counted once, even if the diagnosis is recorded in more than one diagnosis field of the record.</p><p> </p><p> </p><p> </p><p><sup>3</sup>ICD-10 Codes</p><p> </p><p>The term ‘hole in the heart’ does not exist in the ICD-10 classification. Instead, we have used the following ICD-10 coding:</p><p> </p><p> </p><p> </p><p>Q21.- Congenital malformations of cardiac septa.</p><p> </p><p> </p><p> </p><p><sup>4</sup>Assessing growth through time (Admitted patient care)</p><p> </p><p>HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer included in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.</p><p> </p><p> </p><p> </p><p>HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 26/03/2015 14:23:43 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

228170

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Cancer
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the British Medical Association and the Royal Colleges on the implications for the NHS of links between obesity and cancer; and what steps he is taking to reduce the incidence of obesity-related cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228143
answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>Ministers have had no such recent discussions but the Academy of Medical Royal Colleges is a member of the Obesity Review Group, which I chair. I last met with the group on 27 January.</p><p> </p><p> </p><p> </p><p>We know that obesity is a leading cause of serious diseases including some cancers and we have a well-developed and wide-ranging programme of actions to reduce levels of obesity. These include working with partners including Public Health England, NHS England, Government departments, including the Department for Education and Department for Transport, and industry through the Public Health Responsibility Deal. Key initiatives include Change4Life, the National Child Measurement Programme, NHS Health Checks, Change4Life Sports Clubs, School Sports Funding and the School Food Plan.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 23/03/2015 16:43:34 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

228182

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on the number of incidents in which a pregnant mother was told that her baby was dead but it subsequently proved to be alive in each of the last five years.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228013
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>None. This information is not collected centrally.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 25/03/2015 12:12:11 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4131 label Biography information for Jim Shannon

228183

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fractures
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when he expects the NHS to introduce titanium splints to stabilise rib fractures.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228014
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>In the absence of guidance from the National Institute for Health and Care Excellence (NICE), it is for National Health Service commissioners to take funding decisions on treatments based on an assessment of the available evidence.</p><p> </p><p> </p><p> </p><p>NICE issued interventional procedures guidance on the insertion of metal rib reinforcements to stabilise a flail chest wall in 2010 that recommends that the procedure may be used provided that normal arrangements are in place for clinical governance, consent and audit. NICE interventional procedures guidance makes recommendations on whether procedures are safe and efficacious, but does not provide guidance on whether the procedure should be funded in the NHS.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/03/2015 12:52:21 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

228184

registered interest
date	18/03/2015
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, when he expects his Department's planned mental health app to be available across the NHS.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228010
answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>NHS England will later in March be launching a Mental Health Apps Library pilot to promote access to digital services that have a proven track record of improving outcomes for those suffering with depression and anxiety. The focus of the pilot will be on NHS commissioned digital services that are compliant with the Improving Access to Psychological Therapies quality standards, that offer National Institute of Health and Care Excellence approved evidence based treatments for depression and anxiety disorders. The aim of the pilot is to increase access to these services and create a better case for the commissioning of, and usage of, digital mental health services which lead to better outcomes.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 23/03/2015 17:49:34 answering member 1439 label Biography information for Norman Lamb
tabling member	4131 label Biography information for Jim Shannon

228185

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Contraceptives: Crohn's Disease
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Royal Colleges and the British Medical Association about possible links between use of the contraceptive pill and Crohn's disease.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228011
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>A search of the Department’s Ministerial correspondence database has not identified any items of correspondence received since 1 January 2012 from the Royal Colleges and the British Medical Association about possible links between use of the contraceptive pill and Crohn's disease.</p><p> </p><p> </p><p> </p><p>The contraceptive pill is a scientifically proven, highly effective medicine for preventing unwanted pregnancy. The benefits associated with using the contraceptive pill far outweigh the risk of serious side effects, which are rare. Several observational studies have found a possible association between the contraceptive pill and Crohn’s disease.</p><p> </p><p> </p><p> </p><p>As with all medicines, the Medicines and Healthcare products Regulatory Agency continually monitors the safety of the contraceptive pill and will seek independent scientific advice from the Commission on Human Medicines and the Medicines for Women’s Health Expert Advisory Group on the available data on a possible association between the contraceptive pill and Crohn’s disease to ensure that product information adequately describes the risks associated with use of these medicines.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 25/03/2015 17:50:09 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon