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101143

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orphan Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much the NHS spent on orphan medicines in each of the last three years; and what proportion of total medicines expenditure that represented in each year.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	211977
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information is not collected because it could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:56:30 answering member 4020 label Biography information for George Freeman
tabling member	1506 label Biography information for Andrew Gwynne

101144

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the cost of Health Education England's third round of recruitment for general practice training posts.
tabling member constituency	Denton and Reddish
tabling member printed	Andrew Gwynne
uin	211940
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The third round of national recruitment was one of the initiatives undertaken by Health Education England (HEE) to support recruitment into general practitioner (GP) training places. HEE continues to work with its partners to reach its mandate commitment of ensuring 3,250 trainees enter ST1 GP training by 2016.</p><p> </p><p> </p><p> </p><p>The estimated breakdown of costs is below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Description</p></td><td><p>Total</p></td></tr><tr><td><p>Stage 2 Assessment</p></td><td><p>£10,000</p></td></tr><tr><td><p>Stage 3 Venue</p></td><td><p>£24,230</p></td></tr><tr><td><p>Printing costs</p></td><td><p>£893</p></td></tr><tr><td><p>Assessors - clinical</p></td><td><p>£29,088</p></td></tr><tr><td><p>Assessors - non-clinical</p></td><td><p>£3,636</p></td></tr><tr><td><p>Moderators - clinical</p></td><td><p>£1,212</p></td></tr><tr><td><p>Moderators - non clinical</p></td><td><p>£606</p></td></tr><tr><td><p>Trainee expenses</p></td><td><p>£25,200</p></td></tr><tr><td><p>Role Players</p></td><td><p>£18,920</p></td></tr><tr><td><p> </p></td><td><p>£113,785</p></td></tr></tbody></table><p> </p><p> </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 03/11/2014 16:41:24 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1506 label Biography information for Andrew Gwynne

101145

registered interest
date	27/10/2014
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 steps he is taking to improve access to NICE-recommended mindfulness-based therapies on the NHS.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	211947
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Over the course of the current spending review, we are investing in excess of £400 million in England to give thousands of people access to National Institute for Health and Care Excellence-approved psychological therapies, including Mindfulness-Based Cognitive Therapy.</p><p> </p><p>The 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’. The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapy (IAPT) programme – providing access to therapies to 15% of those eligible (around 900,000 people) per year by 2015.</p><p> </p><p> </p><p> </p><p>We are increasing the availability of IAPT services to cover children and young people and exploring extending services to people with long-term physical health problems and those with severe mental illness.</p><p> </p><p> </p><p> </p><p>We have invested £54 million over the period 2011 – 2015/16 in the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme. The Programme works with services covering up to 60% of England’s 0-19 population, and will cover approximately 68% by the end of 2014-15. This is giving children and young people improved access to the best evidenced mental health care. NHS England is planning for a countrywide extension of the programme with Health Education England.</p><p> </p><p> </p><p> </p><p>The IAPT programme is working with a number of the Department’s Strategic Partners to promote wider access of the service to all sections of the community. The partners are working with IAPT service providers to identify and overcome the barriers to people gaining access to IAPT services.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:48:01 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

101146

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Transport
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 promote the use of blood bikes for the transportation of blood to hospital trusts.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	212022
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Whilst recognising the work of blood bikes, the Department is not actively promoting their use as it is a matter for individual trusts to decide whether they wish to use such services.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:26 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

101147

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Transport
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will provide figures showing how much money has been saved by the NHS by the use of blood bikes for the transportation of blood (a) nationally and (b) in the North West region in each of the last three years.
tabling member constituency	Bolton West
tabling member printed	Julie Hilling
uin	212023
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information requested is not collected centrally.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:55:01 answering member 3918 label Biography information for Jane Ellison
tabling member	3925 label Biography information for Julie Hilling

101148

registered interest
date	27/10/2014
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 recent assessment he has made of the potential benefits of training doctors and nurses in mindfulness.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	212007
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>No recent assessment has been made of the potential benefits of training doctors and nurses in mindfulness. The Department does however recognise the potential benefits of training doctors and nurses in mindfulness.</p><p> </p><p> </p><p> </p><p>The National Institute for Clinical Excellence guidance for the National Health Service has recommended Mindfulness-Based Cognitive Therapy (MBCT) for recurrent depression since 2004. MBCT is available through a number of Improving Access to Psychological Therapy services in England.</p><p> </p><p>Health Education England (HEE) supports the delivery of excellent healthcare and health improvement to the patients and public of England, by ensuring that we have the workforce in the right numbers, with the right skills, values and behaviours, at the right time and in the right place. HEE is developing the workforce to deliver compassionate, high quality care.</p><p> </p><p>HEE has established a Mental Health Advisory Group to promote and enhance mental health education and training across the professions and provide strategic professional advice and expertise on workforce planning and education development. Membership representation includes; healthcare, social care, third sector and professional bodies.</p><p> </p><p>HEE is considering the opportunities for developing a psychologically minded workforce.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:49:33 answering member 1439 label Biography information for Norman Lamb
tabling member	534 label Biography information for Chris Ruane

101149

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent representations he has received on extending the right to free prescriptions to all asthma patients; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	212053
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>We are unable to make such an estimate.</p><p> </p><p> </p><p> </p><p>Data on the cost to the National Health Service of treating asthma patients in accident and emergency or unplanned hospital admissions is not collected by the Department. The Health and Social Care Information Centre (HSCI) has published information on reasons, for example respiratory problems, for accident and emergency attendance in its <em>Hospital Episode Statistics: Accident and Emergency Attendances in England 2012-13</em>, but this does not identify specific conditions, such as asthma, that may have prompted an accident and emergency visit or unplanned hospital admission.</p><p> </p><p> </p><p> </p><p>Since 1 November 2013, the Department has received 44 representations through the Department’s Ministerial correspondence unit and two parliamentary questions, including the hon. Member’s own, regarding extending exemption from prescription charging to people with asthma.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 212052 question first answered 30/10/2014 16:45:13 answering member 4020 label Biography information for George Freeman
tabling member	432 label Biography information for Helen Jones

101150

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Asthma
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will estimate the potential saving from extending free prescriptions to all asthma patients arising from reductions in accident and emergency visits and unplanned hospital admissions; and if he will make a statement.
tabling member constituency	Warrington North
tabling member printed	Helen Jones
uin	212052
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>We are unable to make such an estimate.</p><p> </p><p> </p><p> </p><p>Data on the cost to the National Health Service of treating asthma patients in accident and emergency or unplanned hospital admissions is not collected by the Department. The Health and Social Care Information Centre (HSCI) has published information on reasons, for example respiratory problems, for accident and emergency attendance in its <em>Hospital Episode Statistics: Accident and Emergency Attendances in England 2012-13</em>, but this does not identify specific conditions, such as asthma, that may have prompted an accident and emergency visit or unplanned hospital admission.</p><p> </p><p> </p><p> </p><p>Since 1 November 2013, the Department has received 44 representations through the Department’s Ministerial correspondence unit and two parliamentary questions, including the hon. Member’s own, regarding extending exemption from prescription charging to people with asthma.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 212053 question first answered 30/10/2014 16:45:13 answering member 4020 label Biography information for George Freeman
tabling member	432 label Biography information for Helen Jones

101151

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
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 potential merits of post-arrival monitoring of travellers whose travel originated from countries affected by the Ebola epidemic in West Africa.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	212055
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Symptoms of Ebola can emerge at any time up to 21 days after exposure to the virus and there is therefore a chance that an individual may be well on their return to the United Kingdom, but then subsequently develop symptoms.</p><p> </p><p> </p><p> </p><p>As part of the entry screening process all returning travellers, including health care workers, humanitarian care workers and any other returnees from an affected country, who have been involved in any activities involving contact with cases of Ebola, will receive information about Ebola symptoms and what to do in the event of becoming unwell.</p><p> </p><p> </p><p> </p><p>The screening programme is a valuable point of reassurance that we have met with returning health and humanitarian care workers, and assessed requirements to monitor and support them. Those with any particular risks will be actively monitored for a 21 day period.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 17:08:14 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

101152

registered interest
date	27/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what staff have been designated to carry out the screening of passengers travelling from Ebola-affected countries; and what specific training such staff have received.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	212054
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Screening is being carried out by Public Health England health protection practitioners (HPPs), with supervision from health protection consultants. The HPPs are supported by administrative staff for the collation of the health assessment forms, prior to the risk categorisation.</p><p> </p><p> </p><p> </p><p>There is a clear evidence-based algorithm to follow for screening staff at ports. All of the screening staff members have had specific training on the guidelines. In addition, screening staff have also received a briefing (either face-to-face or in the form of a video) on the use of personal protective equipment, and have been trained in the correct use of a tympanic thermometer.</p><p> </p><p> </p><p> </p><p>We have a planned programme of continuous quality improvement, incorporating learning to date from early implementation of the screening programme.</p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 17:13:23 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger