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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

101153

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	Radiotherapy
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the final sign-off date is for two cyclotron-based proton beam radiotherapy machines at (a) University College Hospital, London and (b) the Christie Hospital, Manchester.
tabling member constituency	Basildon and Billericay
tabling member printed	Mr John Baron
uin	212056
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The planned date for approval of the preferred bidder of the proton beam equipment to both Trusts is March 2015 with contract signature following shortly after.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 17:02:41 answering member 3918 label Biography information for Jane Ellison
tabling member	1390 label Biography information for Mr John Baron

101154

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	Plastic Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he plans to ensure more effective regulation of providers of cosmetic laser treatments; and whether it is his policy to introdude a register of such providers.
tabling member constituency	Ilford South
tabling member printed	Mike Gapes
uin	212131
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>On 24 April 2013, the independent <em>Review of the Regulation of Cosmetic Interventions</em>, chaired by Sir Bruce Keogh, was published. A copy has already been placed in the Library.</p><p> </p><p>The <em>Government Response to the Review of the Regulation of Cosmetic Interventions</em>, was published on 13 February. A copy of the response has already been placed in the Library. We fully accept the principles of the Keogh review and the overwhelming majority of the recommendations.</p><p> </p><p> </p><p> </p><p>The Government has undertaken to strengthen standards through better training and robust qualifications, and explore how far supervision from regulated professionals might support self-regulation of the sector.</p><p> </p><p> </p><p> </p><p>The Royal College of Surgeons has set up an inter-specialty committee to ensure standards for cosmetic surgery and will work with the General Medical Council on a code of ethical conduct. Health Education England (HEE) is leading on a review of training and qualifications for providers of non-surgical cosmetic interventions, including lasers. On 11 September, HEE published a phase 1 report <em>Review of qualifications required for delivery of non-surgical cosmetic </em><em>interventions</em>. A copy of the report is attached.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission has developed a new inspection methodology to cover independent health providers, reflecting the protocols used for National Health Service hospitals. The inspections will be conducted with relevant specialists within the inspection teams, including those with experience in cosmetic interventions.</p><p> </p><p><strong> </strong></p><p> </p><p>The Department is also taking steps to meet relevant stakeholders to discuss cosmetic procedures and the necessity and form of any further regulation to protect the public. There are no current plans to introduce a statutory register of providers of cosmetic laser treatments.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:19:22 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Non-surgical cosmetic interventions - Report on Phase 1 - final.pdf title Report
tabling member	184 label Biography information for Mike Gapes

101155

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	Queen Alexandra Hospital: Accident and Emergency Departments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the (a) mean and (b) median waiting time for treatment in Queen Alexandra Hospital's accident and emergency department was in each year from 2009-10.
tabling member constituency	Fareham
tabling member printed	Mr Mark Hoban
uin	212136
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p><strong> </strong></p><p> </p><p>The information is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="4"><p>Mean and median duration (in minutes) to treatment for Portsmouth Hospitals NHS Trust accident and emergency (A&amp;E) department, 2009-10 – 2012-13.</p></td></tr><tr><td><p>Year</p></td><td><p>Number of attendances with a valid Duration to Treatment</p></td><td><p>Mean Duration to Treatment</p></td><td><p>Median Duration to Treatment</p></td></tr><tr><td><p>2009-10</p></td><td><p>102,395</p></td><td><p>83</p></td><td><p>52</p></td></tr><tr><td><p>2010-11</p></td><td><p>108,101</p></td><td><p>83</p></td><td><p>55</p></td></tr><tr><td><p>2011-12</p></td><td><p>118,719</p></td><td><p>65</p></td><td><p>49</p></td></tr><tr><td><p>2012-13</p></td><td><p>128,728</p></td><td><p>70</p></td><td><p>48</p></td></tr></tbody></table><p> </p><p><em>Source: </em>Hospital Episode Statistics (HES) Analysis Team at the Health and Social Care Information Centre.</p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes</em>:</p><p> </p><p> </p><p> </p><ol start="1" type="1"><li>Mean and median – The mean (average) and median (middle in ranking when all values are sorted in order) duration in minutes to assessment, treatment or departure.</li><li>The information supplied was available by Trust rather than by individual A&amp;E Department and therefore the Department has supplied information on Portsmouth Hospitals NHS Trust as a whole rather than Queen Alexandra Hospital A&amp;E specifically.</li><li>Duration to assessment – The total amount of time in minutes between the patient's arrival and their initial assessment in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is initially assessed.</li><li>Duration to treatment – The total amount of time in minutes between the patient's arrival and the start of their treatment. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient began treatment.</li><li>Duration to departure – the total amount of time spent in minutes in the A&amp;E department. This is calculated as the difference in time from arrival at A&amp;E to the time when the patient is discharged from A&amp;E care. This includes being admitted to hospital, died in the department, discharged with no follow up or discharged - referred to another specialist department.</li><li>Hospital provider - A provider code is a unique code that identifies an organisation acting as a health care provider (eg NHS trust or primary care trust). Data from some independent sector providers, where the onus for arrangement of dataflows is on the commissioner, may be missing. Care must be taken when using this data as the counts may be lower than true figures.</li><li>Assessing growth through time (A&amp;E) – HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</li><li>Data quality – The recording of duration in HES A&amp;E is not mandatory and this may particularly have affected the quality of recorded durations to assessment and treatment.</li></ol><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:52:52 answering member 3918 label Biography information for Jane Ellison
tabling member	1414 label Biography information for Mr Mark Hoban

101156

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	NHS: Redundancy Pay
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the cost of compulsory redundancy payments for staff of all NHS employers in England was in each year from 2009-10 to 2013-14.
tabling member constituency	Banff and Buchan
tabling member printed	Dr Eilidh Whiteford
uin	212063
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The costs of compulsory redundancy payments for staff of all National Health Service employers are shown in the following table. There are currently 21,000 fewer admin staff working in the NHS since 2010 and 13,500 more front line clinical staff.</p><p> </p><p> </p><p> </p><p>The Government is proposing that highly-paid staff who receive a redundancy pay-out and then return to the same part of the public sector within a year will be required to repay part of the total amount. It is proposed that contracts will contain a standard clause that states that individuals will have to pay back a proportion of the payment to their previous employer dependent upon the length of time between jobs.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>NHS</p></td><td><p>Cost of Compulsory Redundancies</p></td></tr><tr><td><p> </p></td><td><p>£000s</p></td></tr><tr><td><p>2013-14</p></td><td><p>109,485</p></td></tr><tr><td><p>2012-13</p></td><td><p>265,379</p></td></tr><tr><td><p>2011-12</p></td><td><p>150,577</p></td></tr><tr><td><p>2010-11</p></td><td><p>118,344</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Source:</em> Audited Summarisation Schedules</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p><em> </em></p><p> </p><p>1. Figures from the audited statutory accounts of NHS organisations are collected centrally.</p><p> </p><p>2. We have interpreted “NHS employers” to comprise Strategic Health Authorities, Primary Care Trusts, NHS Trusts and Foundation Trusts in 2010-11 to 2012-13. For 2013-14 however, due to reorganisation, the figures comprise NHS Trusts, Foundation Trusts and NHS England (including the NHS England entity, Regional Teams, Area Teams, Commissioning Support Units and Clinical Commissioning Groups).</p><p> </p><p>3. The NHS Manual for Accounts does not define what is included within the compulsory redundancy heading and as such it is not possible to clarify whether it includes related costs for employers of early retirement on the grounds of redundancy.</p><p> </p><p>4. Information in respect of compulsory redundancies was not separately identified prior to 2010-11 and as such no comparable information can be provided.</p><p> </p><p><em> </em></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 17:55:42 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3911 label Biography information for Dr Eilidh Whiteford

101157

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	Dementia: Brigg and Goole
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people in Brigg and Goole constituency have been diagnossed with dementia in each of the last 10 years.
tabling member constituency	Brigg and Goole
tabling member printed	Andrew Percy
uin	212069
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Information is not available for the format requested. The number of people on the dementia register is available. This is a measure of prevalence rather than incidence. The number of people recorded on practice disease registers is taken from the Quality and Outcomes Framework (QOF), published by the Health and Social Care Information Centre. Dementia has been included on the QOF register since 2006-07. The following table shows all available data for East Riding of Yorkshire and North Lincolnshire Primary Care Trusts (PCTs), and East Riding and North Lincolnshire Clinical Commissioning Groups (CCGs) as these cover the Brigg and Goole constituency.</p><p> </p><p><strong> </strong></p><p> </p><p>Number of patients on the QOF dementia register in the specified organisations</p><p> </p><p /> <p> </p><table><tbody><tr><td><p>NHS organisation</p></td><td><p>Year</p></td><td><p>Practices<sup>1</sup></p></td><td><p>Practice List Size<sup>1</sup></p></td><td><p>Number on QOF dementia register<sup>1</sup></p></td></tr><tr><td><p>East Riding of Yorkshire CCG</p></td><td><p>2013-14</p></td><td><p>38</p></td><td><p>300,957</p></td><td><p>2,010</p></td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>38</p></td><td><p>300,944</p></td><td><p>1,828</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>North Lincolnshire CCG</p></td><td><p>2013-14</p></td><td><p>21</p></td><td><p>169,997</p></td><td><p>1,117</p></td></tr><tr><td> </td><td><p>2012-13</p></td><td><p>21</p></td><td><p>169,743</p></td><td><p>1,006</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>East Riding of Yorkshire PCT</p></td><td><p>2011-12</p></td><td><p>39</p></td><td><p>316,567</p></td><td><p>1,694</p></td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>39</p></td><td><p>315,463</p></td><td><p>1,516</p></td></tr><tr><td> </td><td><p>2009-10</p></td><td><p>39</p></td><td><p>314,860</p></td><td><p>1,365</p></td></tr><tr><td> </td><td><p>2008-09</p></td><td><p>38</p></td><td><p>314,194</p></td><td><p>1,236</p></td></tr><tr><td> </td><td><p>2007-08</p></td><td><p>38</p></td><td><p>313,306</p></td><td><p>1,192</p></td></tr><tr><td> </td><td><p>2006-07</p></td><td><p>38</p></td><td><p>311,789</p></td><td><p>1,110</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td><p>North Lincolnshire PCT</p></td><td><p>2011-12</p></td><td><p>20</p></td><td><p>167,482</p></td><td><p>901</p></td></tr><tr><td> </td><td><p>2010-11</p></td><td><p>21</p></td><td><p>166,569</p></td><td><p>771</p></td></tr><tr><td> </td><td><p>2009-10</p></td><td><p>22</p></td><td><p>167,044</p></td><td><p>726</p></td></tr><tr><td> </td><td><p>2008-09</p></td><td><p>21</p></td><td><p>166,897</p></td><td><p>701</p></td></tr><tr><td> </td><td><p>2007-08</p></td><td><p>21</p></td><td><p>165,893</p></td><td><p>664</p></td></tr><tr><td><p> </p></td><td><p>2006-07</p></td><td><p>21</p></td><td><p>164,819</p></td><td><p>638</p></td></tr></tbody></table><p> </p><p><em>Note</em>:</p><p> </p><p><sup>1</sup> Practices, practice list sizes and number of patients on the dementia register are based only on those general practitioner practices that participated in QOF.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 30/10/2014 16:15:57 answering member 1439 label Biography information for Norman Lamb
tabling member	3939 label Biography information for Andrew Percy

101158

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 guidance his Department has issued on whether people displaying symptoms associated with the Ebola virus should attend accident and emergency departments.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	212113
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>People are ordinarily told to seek advice, provided that they are not suffering from a severe acute illness requiring immediate emergency care, by calling their Public Health England monitoring officer (if they are in the returning worker monitoring programme) or calling NHS 111. They may advise attendance at an Emergency Department for assessment (in such circumstance the Emergency Department concerned would have been pre-warned of the arrival of the patient to ensure that appropriate infection control measures are in place).</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 17:06:44 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger