General Practitioners: Bassetlaw
John Mann: To ask the Secretary of State for Health on how many occasions GP out-of-hours services in Bassetlaw constituency had fewer than the contracted number of GPs available in each month of (a) 2012 and (b) 2013 to date. [155644]
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Anna Soubry: This information is not collected centrally.
Health Education
Diana Johnson: To ask the Secretary of State for Health how much his Department has spent on public awareness campaigns directed at (a) smoking, (b) alcohol, (c) obesity and (d) drugs in each of the last five years. [156318]
Anna Soubry: The Department of Health's spend on public awareness campaigns directed at (a) smoking, (b) alcohol, (c) obesity and (d) drugs in each of the last five years is outlined in the following table:
| £ million | |||||
| 2008-09 | 2009-10 | 2010-11 | 2011-12 | 2012-13(1) | |
| (1) Spend from 2012-13 is provisional, as figures have not yet been audited. | |||||
The drug spend is the Department's contribution to a joint campaign with the Home Office.
The FRANK drug campaign and service was launched in May 2003, providing young people and their families with advice and information about all drugs. Historically, FRANK has been managed jointly by the Department of Health, the Home Office and the Department for Education.
Currently, the Home Office fund advertising and marketing interventions to raise awareness of the FRANK service. The Department of Health funds and manage the FRANK service which comprises the helpline, email, SMS, live chat and website. Responsibility for the FRANK service moved from the Department to Public Health England on 1 April 2013.
This amends the answer given to my hon. Friend the Member for Enfield North (Nick de Bois) on 18 January 2013, Official Record, columns 942-3W.
Diana Johnson: To ask the Secretary of State for Health how much his Department has spent on public awareness campaigns in each of the last five years; and how much it intends to spend on public awareness campaigns in the current year. [156319]
Dr Poulter: The Department's spend on public awareness campaigns in each of the last five years is outlined in the following table.
| Overall media spend (£ million) | |
| (1) Spend from 2012-13 is provisional, as figures are not fully reconciled. | |
On 1 April 2013, responsibility for public awareness campaigns transferred to Public Health England.
The total budget allocation for all marketing in 2013-14 is £54.7 million (subject to the usual caveats). Budget profiles are being finalised, and so projected spend on
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public awareness campaigns is not currently available. Further detail on this is available in the PHE Marketing Plan:
www.gov.uk/government/publications/public-health-england-marketing-plan-2013-14
The Department has no plans to spend on public awareness campaigns in 2013-14.
Health Education: Drugs
Diana Johnson: To ask the Secretary of State for Health what plans he has to increase public awareness of the dangers of new psychoactive substances. [156404]
Anna Soubry: The FRANK drug information campaign provides young people and their families with advice and information about all drugs, including new psychoactive substances. The campaign is managed jointly by the Department of Health and the. Home Office. We continually review the FRANK service to ensure that it provides effective and up to date information.
The Home Office funds advertising to raise awareness of the FRANK service. The Department has funded and managed the FRANK service which comprises the helpline, e-mail, SMS, live chat and website and on 1 April this responsibility passed to Public Health England.
Health Services: Scotland
Margaret Curran: To ask the Secretary of State for Health when he last met (a) the Scottish Government Cabinet Secretary for Health and Wellbeing and (b) any other Scottish Government Minister; and what was discussed at any such meeting. [155674]
Norman Lamb: The Secretary of State for Health, the right hon. Member for South West Surrey (Mr Hunt), spoke to the Scottish Government Cabinet Secretary for Health and Wellbeing in October 2012, to update him on the Mental Health (Approval Functions) Bill. Ministers and officials in the Department work closely with their counterparts in the Scottish Government on various topics of mutual interest.
Health: Finance
Mr Jamie Reed: To ask the Secretary of State for Health (1) if he will take steps to reduce any inequality in the public health funding settlement for 2014-15; [156108]
(2) what calculations his Department used to calculate the regional public health funding settlement for 2014-15. [156109]
Anna Soubry: The allocation of the public health grant is based on a formula developed by the Advisory Committee on Resource Allocation (ACRA), an independent committee of general practitioners, public health experts, national health service managers and academics. Allocations informed by the formula have been made for 2013-14 and 2014-15.
The formula is designed to enable action to improve population wide health and reduce health inequalities. Full details of ACRA's methodology have been placed in the Library.
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Hospitals: Greater London
Mr Thomas: To ask the Secretary of State for Health how many operations were cancelled (a) by each London hospital trust and (b) in total in London in (i) 2010-11, (ii) 2011-12 and (iii) 2012-13; and if he will make a statement. [156476]
Anna Soubry: The information requested is not available in the format requested.
Tables containing quarterly information held by the Department for each London hospital trust for 2010-11, 2011-12, and 2012-13 (three quarters) have been placed in the Library.
On 1 April 2013, responsibility for publishing this information transferred to NHS England.
Human Papillomavirus: Sussex
Nicholas Soames: To ask the Secretary of State for Health (1) what information his Department holds on when all women in (a) Mid Sussex and (b) West Sussex attending for their cervical screen will be tested for HPV as a triage and test-of-cure; [156166]
(2) when he envisages that women in (a) Mid Sussex and (b) West Sussex will benefit from HPV testing as a primary screen. [156167]
Anna Soubry: NHS Cancer Screening Programmes gave approval for human papillomavirus (HPV) testing to begin across Sussex and East Surrey (which covers Mid and West Sussex) in early July 2012, and testing commenced on 25 July 2012. In year one of implementation, HPV testing for triage was done on the first occurrence of low grade abnormalities in eligible women routinely invited for screening (women aged 25 to 64), along with HPV test-of-cure for newly treated women with normal or low grade abnormalities six months after treatment. In year two, from July 2013, HPV testing as triage will be extended to all women with low grade abnormalities, and HPV test-of-cure extended to all women treated for abnormalities who have normal or low grade abnormalities six months after treatment.
The pilot of HPV testing as primary screening began in May 2013 at two of the six pilot sites. None of the six pilot sites covers the Mid and West Sussex areas. The pilot will be formally evaluated and, based on the results of the evaluation, HPV testing as primary screening will be rolled out across England. Timetables for this roll-out will be determined once we have the results of the evaluation.
Mental Health Services
Rosie Cooper: To ask the Secretary of State for Health (1) what consideration he has given to proposals on how innovative approaches to the secure mental health pathway will affect future demand for bed capacity within that sector; [156160]
(2) what proposals he has considered in respect of how innovative approaches to the secure mental health pathway could affect future demand for bed capacity within this sector. [156344]
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Anna Soubry: In April 2011, the Centre for Mental Health published pathways to unlocking secure mental health care. This report examined how pathways into and through secure mental health services could be improved to ensure patients are treated in the most appropriate setting.
NHS England is now responsible for commissioning services for the secure services pathway. It will evaluate innovative approaches to meet future needs as part of that responsibility.
Mental Illness: Debts
Mr Jim Cunningham: To ask the Secretary of State for Health (1) what steps his Department is taking to reduce psychological damage caused by high levels of household debt; [155625]
(2) if he will meet representatives of the StepChange Debt Charity to discuss its recent investigation into psychological damage caused by high levels of household debt. [155626]
Norman Lamb: We know that debt can be associated with, and even cause, mental health problems. The mental health strategy, ‘No Health Without Mental Health’, has several aims, one of which is to improve quality of services and make the most of the resources that we have. In pursuit of this aim, the Strategy recommends broadening the approach taken to mental health in order to tackle the wider social determinants and consequences of mental health problems. The Strategy suggests that this could include face-to-face debt advice, which we know can be cost-effective within five years. The initial cost of debt advice can be offset by savings to the national health service, which include legal aid and gains in terms of employment productivity, even before taking into account the costs saved by creditors.
I would be pleased to meet with StepChange Debt Charity to discuss the important work they have recently carried out on reducing the mental ill health caused by the pressure and stress related to debt.
Museum of Liverpool Life
Steve Rotheram: To ask the Secretary of State for Health if he will take steps to support the work of the Museum of Liverpool's House of Memories project. [155855]
Norman Lamb: The Department fully supports National Museums Liverpool's House of Memories programme and provided funding for the initiative in 2011-12 and 2012-13, as part of its wider work to implement the commitments on education and training set out in the National Dementia Strategy and the Prime Minister's Challenge on Dementia.
NHS 111
Stephen Barclay: To ask the Secretary of State for Health what NHS England’s role in oversight of the 111 service is; who the senior responsible owner of the 111 service is; and who the accounting officer is for all money spent on the 111 service to date. [156474]
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Anna Soubry: NHS England’s role in oversight of NHS 111 is threefold: to support clinical commissioning groups (CCGs) in their local implementation of the NHS 111 service; through its area teams, to work with CCGs to help stabilise performance in any site not meeting the necessary standards; and to manage national functions of NHS 111, such as the telephony infrastructure. The board of NHS England is accountable, through the chief operating officer, for the oversight of these functions. Dame Barbara Hakin has been the chief operating officer since 19 April 2013.
On 1 April 2013 responsibility for commissioning NHS 111 transferred to CCGs. As such, individual CCGs are accountable for commissioning local services and money spent, including for NHS 111.
As chief executive of NHS England, Sir David Nicholson is the accounting officer for all NHS England and CCG spend.
NHS: Internet
Keith Vaz: To ask the Secretary of State for Health when his Department launched the new website for NHS Improving Quality; and how many hits it has received since its launch. [155378]
Anna Soubry: NHS Improving Quality is a joint venture between NHS England and the Department of Health and is hosted by NHS England.
NHS England advises that NHS Improving Quality does not currently have its own website; rather it has a page on the NHS England website. NHS England advises that on 15 May 2013 this page had received 12,072 page views (the total number of visits) and 7,877 unique page views (the number of visits to the website during which the specified page was viewed at least once) since its launch on 11 March 2013.
NHS: Reorganisation
John Woodcock: To ask the Secretary of State for Health how many NHS reconfiguration proposals have been referred to him or his predecessor since May 2010; what proportion this represents of all reconfigurations proposed in that period; and what the outcome was of each referral. [156399]
Anna Soubry: Information concerning referrals to the Secretary of State for Health since May 2010 is given in the following table.
Local cases for the reconfiguration of services are determined by the national health service. As such, we cannot determine centrally what proportion of total reconfigurations this figure represents overall.
Except where indicated in the table, the Secretary of State for Health commissioned advice from the Independent Reconfiguration Panel, which he subsequently accepted in full on each occasion.
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North Tees and Hartlepool NHS Foundation Trust
Mr Iain Wright: To ask the Secretary of State for Health what information he holds on the number of never events that took place during surgical episodes at North Tees and Hartlepool NHS Foundation Trust in each of the last four years. [155201]
Dr Poulter: None. However, we are advised that NHS England operates the Strategic Executive Information System (STEIS) which is used by provider organisations and commissioners to record and manage serious incidents in the national health service, including never events.
We understand that North Tees and Hartlepool NHS Foundation Trust has reported two never events to STEIS. Both occurred as part of surgical episodes after the never events framework was introduced in 2009-10. One occurred in 2010-11 and one in 2012-13.
Nurses
Mr Thomas: To ask the Secretary of State for Health how many registered nurses worked for (a) each London hospital trust and (b) in all such trusts in (i) 2010-11, (ii) 2011-12 and (iii) 2012-13; and if he will make a statement. [156477]
Dr Poulter: The number of qualified nursing, midwifery and health visiting staff employed in the former London Strategic Health Authority area by organisation as at 30 September in each specified year are shown in the following table.
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|
Great Ormond Street Hospital For Children NHS Foundation Trust | |||
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| Notes: 1. Full-time equivalent figures are rounded to the nearest whole number. 2. As a consequence of TCS (Transforming Community Services) the former provider arm of some PCTs may have transferred into local acute Trusts. This can be seen in the large decreases in PCT staff numbers, and broadly equivalent increases in staff numbers in acute Trusts over time. 3. Data Quality: The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality where changes impact on figures already published. This is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses. 4. Barts Health NHS Trust was formed on 1 April 2012 by the merger of Barts and The London NHS Trust, Newham University Hospital NHS Trust and Whipps Cross University Hospital NHS Trust. Source: Health and Social Care Information Centre Non-Medical Workforce Census. | |||
Obesity and Diabetes
Keith Vaz: To ask the Secretary of State for Health when the Parliamentary Under Secretary of State for Public Health last met Dr Jonathan Valabhji, National Clinical Director for Obesity and Diabetes. [156331]
Anna Soubry: I have not met with Dr Jonathan Valabhji since his appointment as National Clinical Director for Obesity and Diabetes for NHS England in April. As Diabetes and obesity are priority areas, I will look to meet with him in the near future.
Organs: Donors
Hywel Williams: To ask the Secretary of State for Health what discussions have taken place between his Department and the Welsh Government on arrangements for organ donation following the introduction of presumed consent. [155550]
Anna Soubry: Ministers have been in contact with the Welsh Government and discussions are on-going at official level about the policy, financial, operational and legal implications of presumed consent for the United Kingdom donation programme.
Across the UK, we have made considerable progress over the last five years with a welcome significant improvement in organ donor rates. I wish to be certain that this progress can be maintained.
Osteoporosis
Seema Malhotra: To ask the Secretary of State for Health how much his Department has spent on the treatment of osteoporosis in (a) Hounslow, (b) London and (c) England in (i) 2009-10, (ii) 2010-11, (iii) 2011-12 and (iv) 2012-13. [156415]
Anna Soubry: The Department does not hold expenditure data on treatment that is specific to osteoporosis as this information is not available centrally. However, estimates of national health service spend relating to problems of the musculoskeletal system are available from programme budgeting data.
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The programme budgeting collection requires primary care trusts (PCTs) to analyse their expenditure by specific healthcare conditions. It is important to note that programme budgeting data cannot be used to analyse changes in investment in specific service areas between years. In order to improve the quality of the data, the calculation methodology is continually refined, as are the underlying data sources which support programme budgeting.
The following table includes estimated expenditure on 'Problems of the musculoskeletal system' for Hounslow, London and England for the years 2009-10 to 2011-12. Programme budgeting data for 2012-13 has not yet been collected.
| Estimated expenditure on problems of the musculoskeletal system | |||
| £000 | |||
| In: | 2009-10 | 2010-11 | 2011-12 |
| (1) Figures for Hounslow are based on the Hounslow PCT return. (2) Figures for London, are based the total estimated expenditure of all PCTs within NHS London Strategic Health Authority for this sub-category. (3) Figures for England are based on the aggregate of all PCT estimated expenditure for this sub-category. Source: Annual PCT programme budgeting returns. | |||
Psoriasis
Rosie Cooper: To ask the Secretary of State for Health (1) what resources he is making available to train general practitioners and other health professionals to implement (a) NICE guidelines on Psoriasis and (b) the NICE Quality Standard for Psoriasis; [155536]
(2) how he plans to incentivise the uptake of the Quality Standard for Psoriasis when it is published in August 2013; [155537]
(3) how he is incentivising the uptake of NICE guidance on Psoriasis. [155538]
Norman Lamb: The National Institute of Health and Care Excellence's (NICE) Psoriasis guideline is not mandatory. It represents evidence-based best practice and we would expect national health service organisations to take it fully into account as they design services to meet the needs of patients. It is for NHS organisations to consider how best to implement the guideline safely.
In relation to the Quality Standard on Psoriasis, NICE quality standards provide a clear description of what high-quality health and social care services look like and NHS England and clinical commissioning groups are legally required to have regard to them.
The mandate for NHS England sets out the improvements in health and healthcare outcomes that the NHS is expected to deliver. It is for NHS England to decide how they achieve the objectives set out in the mandate.
NHS England and NICE share the objectives of facilitating high quality care and improved outcomes for patients, while guiding practitioners and those who support them in providing effective and cost effective practice. We understand that the two organisations have a partnership agreement in place and will work together to enhance the dissemination and adoption of NICE guidance and quality standards.
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Radon Gas: Health Hazards
Paul Flynn: To ask the Secretary of State for Health with reference to the answer of 23 January 2013, Official Report, column 361W, on radon gas: health hazards, whether the Health Protection Agency or its successor, Public Health England, has now published the report on the potential areas of public health impact that might arise from the environmental aspects of hydraulic fracturing; if he will place in the Library a copy of any such report; and if he will supply details of how the report can be accessed online. [155649]
Anna Soubry: Public Health England (PHE) is preparing a report identifying potential public health issues and concerns, including radon (release/emissions) that might be associated with aspects of hydraulic fracturing, also referred to as fracking. The report is due out for public consultation in the summer. Once released for public consultation, the report will be freely available from the PHE website.
Scotland
Margaret Curran: To ask the Secretary of State for Health what (a) his Department and (b) its non-departmental public bodies procured from companies based in Scotland of a value in excess of £25,000 since May 2010; and what the cost to the public purse was of each such procurement contract. [155770]
Dr Poulter: Information held by both the Department of Health and its non-departmental public bodies (NDPBs) where available from May 2010 to 31 March 2013 is contained in the following tables, and has been derived from both post code and location details. Responses have been provided for the years that each NDPB has been in existence. Where NDPBs do not hold information, an entry of ‘NIL response’ has been declared.
The six NDPBs were: NHS Commissioning Board, Monitor, Care Quality Commission, Human Fertilisation and Embryology Authority, Human Tissue Authority and Health Protection Agency (HPA).
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Social Services
Paul Burstow: To ask the Secretary of State for Health with reference to his Department’s analysis of public expenditure on care and support by wealth quintile of care users (2012-13 prices); if he will place the data from which the graph was generated in the Library. [155848]
Norman Lamb: A copy of the data underlying this chart has been placed in the Library.
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Paul Burstow: To ask the Secretary of State for Health with reference to his statement of 11 February 2013, Official Report, column 593, on social care funding, if he will publish the evidential basis for his statement that up to 100,000 more people will receive financial support with their care further to the implementation of a cap on care costs. [155858]
Norman Lamb: The evidential basis is available in the impact assessment on funding reform at:
www.gov.uk/government/publications/the-government-published-a-series-of-impact-assessments-alongside-the-care-bill
The evidence for the number of people expected to benefit from these reforms is based upon a departmental model that simulates individual care journeys using data from the English Longitudinal Study of Aging. The detail of the modelling procedure is provided in annex B of the impact assessment.
Independent projections from the Personal and Social Services Research Unit project that these reforms will help 115,000 more people in 2030.
Streptococcus
Sir Bob Russell: To ask the Secretary of State for Health (1) what assessment his Department has made of the potential effectiveness of a point of care test for group B streptococcus carriage in maternity settings; and if he will make a statement; [155690]
(2) what steps his Department is taking to develop a point of care test for group B streptococcus carriage in pregnant women considered to be at high risk; what time-scale has been set for the introduction of such a test; and if he will make a statement. [155691]
Dr Poulter: The National Institute for Health Research Health Technology Assessment programme is planning to publish a call for research proposals in July this year on rapid testing for group B streptococcal colonisation in pregnant women considered to be at high risk.
Training
Priti Patel: To ask the Secretary of State for Health how many officials in (a) his Department and (b) the non-departmental public bodies for which he is responsible enrolled in publicly funded training courses in each of the last five years; what the total cost has been of such courses; and what the monetary value was of the 10 highest training course fees in each such year. [155430]
Dr Poulter: The Department does not centrally hold all of the information requested.
The Department provides publicly funded training to its officials via a central corporate training and development budget and also via its directorate's local training budgets. Extracting the information required from these local budgets would incur disproportionate costs.
Therefore data have only been provided for the corporately funded training only and does not reflect the total Department expenditure on all training and development for its officials.
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The number of officials attending corporately funded training in 2012-13 was 2,151 and 2011-12 it was 1,230. Details of numbers attending prior to 2011-12 were not recorded centrally.
The total spend for corporately funded training only, over the last five years is set out in the following table.
| Costs (£) | |
Data on the 10 highest value training courses over the last five years are not available centrally and to extract the data would incur disproportionate costs.
The Department does not hold centrally information about its non-departmental public bodies publicly-funded training courses. Consequently data were sought from the individual bodies and the information provided has been placed in the Library.
Travel
Priti Patel: To ask the Secretary of State for Health how many officials in (a) his Department and (b) the non-departmental public bodies for which he is responsible claimed reimbursement for travel subsistence expenses in each of the last five years; what the total cost was of such claims; and what the monetary value was of the 20 highest subsistence claims in each such year. [155410]
Dr Poulter: The answer is restricted to those bodies that were executive non-departmental public bodies (ENDPBs) for the periods in question and are still in existence as an ENDPB, or as part of another body.
| Number of officials | Amount of travel subsistence reimbursed (£) | |
The monetary value of the 20 highest subsistence claims is shown in the following table. This includes subsistence for overseas travel which is also used to pay for hotel costs.
Individual claims can range from one journey up to multiple journeys over a period of three months.
| £ | |||||
| 2012-13 | 2011-12 | 2010-11 | 2009-10 | 2008-09 | |
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(b) Non-departmental public bodies
Health Protection Agency (HPA)—Part of Public Health England from 1 April 2013
| Number of officials | Amount of travel subsistence reimbursed (£) | |
The monetary value of the 20 highest subsistence claims for the HPA is shown in the following table. Data for the financial year 2008-09 are not included as the details are held in an archived expenses system and to retrieve the information would be at disproportionate cost.
| £ | |||||
| 2012-13 | 2011-12 | 2010-11 | 2009-10 | 2008-09 | |
| Number of officials | Amount of travel subsistence reimbursed (£) | |
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The monetary value of the 20 highest subsistence claims for NHS England is shown in the following table:
| £ | |||||
| 2012-13 | 2011-12 | 2010-11 | 2009-10 | 2008-09 | |
| Number of officials | Amount of travel subsistence reimbursed (£) | |
The monetary value of the 20 highest subsistence claims for the HTA is shown in the following table:
| £ | |||||
| 2012-13 | 2011-12 | 2010-11 | 2009-10 | 2008-09 | |
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