Probation

Mr Ainsworth: To ask the Secretary of State for Justice whether he has undertaken an evaluation of (a) the effects on the probation system of the introduction of a payment by results model and (b) the effectiveness of similar systems operating in other countries. [178985]

Jeremy Wright: Our Transforming Rehabilitation proposals will see the roll-out of a payment by results model that will offer strong incentives to providers to focus on reducing reoffending.

The United Kingdom is leading the way in implementing such a model. We are currently piloting a number of different approaches to payment by results across Government and have gained valuable learning to date.

The lessons we have drawn from implementing our pilots and from the experience of other Departments in using payment by results give us confidence that we can design and commission robust contracts that drive the right behaviours and generate value for money.

Of particular value in terms of learning for the Transforming Rehabilitation reforms are the pilots in HMP Peterborough and HMP Doncaster. The interim results for these pilots and reducing reoffending rates are encouraging and can be found at:

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/254186/annex-a-payment-by-results-oct13.pdf

Final results for the first pilot cohorts will be available in 2014.

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Probation: Private Sector

Mr Llwyd: To ask the Secretary of State for Justice (1) whether Atos has been approved for the purposes of competitive tendering for the provision of probation services in England and Wales; [179856]

(2) how many companies or consortia have been approved for the purposes of competitive tendering for the provision of probation services in England and Wales; [179857]

(3) whether Capita has been approved for the purposes of competitive tendering for the provision of probation services in England and Wales; [179858]

(4) whether G4S has been approved for the purposes of competitive tendering for the provision of probation services in England and Wales. [179859]

Jeremy Wright: On 19 September we launched the competition to find the future owners of the 21 community rehabilitation companies (CRCs) which will deliver rehabilitation services in England and Wales, as set out in the Transforming Rehabilitation strategy, announced in May. The Pre-Qualification Questionnaire (PQQ) stage of the competition closed on 14 November and 35 bidders, representing more than 50 organisations, have submitted a PQQ. We are encouraged by this response, which demonstrates that innovative partnerships between organisations of all sectors will be bidding to run CRCs.

No organisations have been yet been approved under this process as the evaluation of responses is ongoing. The competition will continue through 2014 with contracts being awarded and mobilised by 2015.

Jeremy Corbyn: To ask the Secretary of State for Justice (1) whether GEO has been approved for the purposes of competitive tendering for probation services in England and Wales; [179882]

(2) whether Delta has been approved for the purposes of competitive tendering for probation services in England and Wales; [179883]

(3) whether Stonham Home Housing Group has been approved for the purposes of competitive tendering for probation services in England and Wales. [179884]

Jeremy Wright: On 19 September we launched the competition to find the future owners of the 21 Community Rehabilitation Companies (CRCs) which will deliver rehabilitation services in England and Wales, as set out in the Transforming Rehabilitation Strategy, announced in May. The Pre-Qualification Questionnaire (PQQ) stage of the competition closed on 14 November. 35 bidders, representing more than 50 organisations, have submitted a PQQ. We are encouraged by this response, which demonstrates that innovative partnerships between organisations of all sectors will be bidding to run CRCs.

No organisations have been yet been approved under this process as the evaluation of responses is ongoing. The competition will continue through 2014 with contracts being awarded and mobilised by 2015.

Procurement

Ian Lavery: To ask the Secretary of State for Justice what companies have formally expressed an interest in bidding as a potential provider for his Department's

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Compliance and Enforcement Service contract since the contract notice was published in the Official Journal of the European Union. [178728]

Mr Vara: We are not in a position to disclose the names of the companies who have expressed an interest in bidding as a potential provider for the Compliance and Enforcement Services competition following publication of the contract notice in the Official Journal of the European Union.

This information is commercially sensitive as we have not announced the outcome of the pre-qualification stage.

Sexual Offences: Victim Support Schemes

Kate Green: To ask the Secretary of State for Justice, pursuant to the answer of 16 October 2013, Official Report, column 787W, on sexual offences: victim support schemes, what support is available to male perpetrators of sexual violence or abuse whose offending behaviour is related to their own past experience as a victim of sexual abuse or violence. [180010]

Jeremy Wright: As part of the National Offender Management Service (NOMS) Rehabilitation Services Specification, providers of prison services for both public and privately-managed prisons are required to ensure that all

“prisoners who have been victims of domestic violence, rape or abuse have access as required, to appropriate support throughout custody”.

NHS England and NHS Wales provide a range of mental health services in custody in England and Wales which can be accessed through appropriate referral. Prisoners can also refer themselves or be referred to the prisons health care provider, who can facilitate contact with relevant services such as counselling. Offenders in the community are able to access mainstream treatment services available to the general population and offender managers will provide support to offenders in seeking help from NHS provision.

Sex offending treatment programmes are not primarily intended to help people deal with their own victimisation experiences as the main purpose is to address their offending behaviour. However, evaluation studies have found that offenders who complete such programmes usually report reduced feelings of distress and see themselves as better able to manage their emotions. Where a prisoner with a sexual offence is not ready for treatment owing to problems with emotional or mental well-being resulting from their own experience of abuse, a referral can be made to the prison health care provider.

Finally, NOMS part-funds the “Stop it Now” helpline which provides advice and support to offenders and professionals working with sexual offenders.

Social Security Benefits: Kettering

Mr Hollobone: To ask the Secretary of State for Justice what the average wait for a benefit appeal tribunal hearing for benefit claimants from the Kettering constituency is; what steps he is taking to reduce these waiting times to at least the national average; and what the reasons are for the length of wait faced by claimants in Kettering constituency. [180278]

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Mr Vara: The first-tier tribunal—Social Security and Child Support (SSCS), administered by HM Courts and Tribunals Service (HMCTS), hears appeals against Department for Work and Pensions’ (DWP) decisions on a range of benefits.

The average waiting time from receipt to disposal for all SSCS appeals between April and September 2013 (the latest period for which statistics have been published) was 18.5 weeks nationally and 35.2 weeks in the Kettering venue.

There was a build up of cases at the SSCS tribunal in Kettering due to a lack of suitable accommodation. The tribunal’s work load is often unpredictable but HMCTS has responded quickly to put in place more hearing rooms and more judges to increase the capacity of the tribunal. Additional venue capacity was made available at Kettering magistrates court in June 2012 which has led to a 300% rise in SSCS sessions in Kettering. HMCTS has continued to target extra resources at Kettering in order to reduce waiting times for appellants. From January 2014, an additional day a week is being made available at the venue, which will increase capacity by 400% overall, and which will have a positive impact on waiting times.

The effect on waiting times will not be immediate, especially as the oldest cases, which can take longer to hear, are being targeted first. Older cases are more likely to be complex and have had more than one hearing. For example, a first hearing may have been adjourned for further evidence to be gathered and submitted. Complex cases also often need a longer time slot, reducing the number of cases that can be heard per session. The impact these measures have on waiting times continues to be monitored closely.

Where possible, appellants are given the opportunity to have their appeals heard at alternative venues in order to avoid unnecessary delays. HMCTS is also seeking to identify additional hearing venues in the area so that capacity can be further increased.

Trials

Sadiq Khan: To ask the Secretary of State for Justice what the average daily cost is of a (a) Crown court trial and (b) magistrates' court trial. [178976]

Mr Vara: I refer the right hon. Member to the reply given to the right hon. Gentleman on 14 October 2013, Official Report, columns 502-04W.

Health

Accident and Emergency Departments

Margaret Hodge: To ask the Secretary of State for Health what the average waiting time in accident and emergency was (a) in Barking, Bexley, Havering and Redbridge University Hospitals NHS Trust, (b) across London and (c) in England in each of the last four (i) quarters and (ii) years. [179940]

Jane Ellison: There are three measures of waiting times in the NHS Health and Social Care Information Centre Hospital Episode Statistics (HES) for accident and emergency (A&E). These are time to assessment; time to treatment; and time to departure. The information requested is shown in the following tables. Final data for 2012-13 are not yet available.

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Margaret Hodge: To ask the Secretary of State for Health how many patients visited accident and emergency departments in (a) Barking, Havering and Redbridge University Hospitals NHS Trust, (b) each London NHS Trust and (c) England in each year since 2010. [179941]

Jane Ellison: The information requested is shown in the following table.

These data reflect organisational changes as well as changes in activity levels and therefore comparison between trusts may not be appropriate. For example, during 2012- 13 Type 3 accident and emergency services previously provided by primary care trusts transferred to NHS trusts, NHS foundation trusts or the independent sector.

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Margaret Hodge: To ask the Secretary of State for Health how many patients waited longer than the admission target to accident and emergency in (a) Barking, Havering and Redbridge University Hospitals NHS Trust, (b) each NHS trust in London and (c) England in each month in 2012-13. [179942]

Jane Ellison: The information requested is shown in the following table:

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Margaret Hodge: To ask the Secretary of State for Health how many medical posts in accident and emergency departments were left vacant in (a) Barking, Havering and Redbridge University Hospitals NHS Trust, (b) each NHS trust in London and (c) England in each year in 2009-10. [179943]

Dr Poulter: The number of medical posts in accident and emergency departments left vacant in Barking, Havering and Redbridge University Hospitals NHS Trust, in each of the NHS trusts in London and England in 2009 and 2010 is available for consultants only and has been placed in the Library.

Luciana Berger: To ask the Secretary of State for Health what assessment he has made of the proportion of accident and emergency departments which have at least one alcohol liaison nurse. [180042]

Jane Ellison: Two recent studies have assessed the number of alcohol liaison nurses in accident and emergency departments (A&E).

A King's College London survey in 2012 found that 72% of A&E departments in England had access to an alcohol health worker or clinical nurse specialist.

This year, a report by the National Confidential Inquiry into Patient Outcome and Death (‘Measuring the Units, A review of patients who died with alcohol-related liver disease’) found that 161 out of 205 hospitals (79%) in England, Wales and Northern Ireland, the Isle of Man, Guernsey and Jersey reported having an alcohol liaison service.

Public Health England has recently conducted a survey of hospital-based alcohol services which includes information about alcohol liaison nurses. The report of the survey will be published in early 2014.

Accident and Emergency Departments: East Midlands

Gloria De Piero: To ask the Secretary of State for Health if he will provide additional funding to NHS trusts in the East Midlands for development of resilience to increased pressures on accident and emergency departments during winter. [179900]

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Jane Ellison: We recognise that winter places additional pressures on accident and emergency departments. That is why we have allocated £250 million of additional winter funding, much earlier than previous years, to NHS England to help cope with winter pressures (with another £250 million for 2014-15). Decisions on which trusts to concentrate the resources for the upcoming winter were made jointly by NHS England, Monitor and the NHS Trust Development Authority.

NHS England has also announced a further £150 million to ensure the national health service is able to maintain the current high-level of patient care during winter. It has gone to those areas which did not receive additional funding from the Government two months ago, and has helped them bolster existing plans.

Alzheimer's Disease

David Simpson: To ask the Secretary of State for Health how many people in each region of the UK were diagnosed with Alzheimer’s disease, by region in each of the last five years. [179852]

Norman Lamb: The number of people recorded on practice disease registers is available in the quality and outcomes framework (QOF), published by the Health and Social Care Information Centre (HSCIC). The number of diagnoses is not available but the number of people on the dementia register is available. This is a measure of prevalence rather than incidence.

QOF does not have any information specifically on Alzheimer’s disease and the HSCIC only has information for England.

The numbers on the dementia register in the last five years are given in the following tables. Information for 2008-09 to 2011-12 (table 1) is presented at strategic health authority level and for 2012-13, under the new NHS structure, at commissioning region level (table 2).

QOF registers are constructed to underpin indicators on quality of care, and they do not necessarily equate to prevalence as may be defined by epidemiologists. For example, prevalence figures based on QOF registers may differ from prevalence figures from other sources because of coding or definitional issues. It is difficult to interpret year-on-year changes in the size of QOF registers, for example, a gradual rise in patients on a QOF register could be due partly to epidemiological factors (such as an ageing population) or due partly to increased case finding.

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Arthritis: Children

Jim Shannon: To ask the Secretary of State for Health how many children have been diagnosed with juvenile arthritis in each of the last three years. [180040]

Dr Poulter: Hospital Episode Statistics (HES) data do not directly collect information on the number of children diagnosed with juvenile arthritis (which would include diagnoses in out-patient clinics). The following table gives the number of finished admission episodes for children aged 0 to 17 years with a primary diagnosis of juvenile arthritis in England for 2010-11 to 2012-13, comprising activity in English NHS Hospitals and English NHS commissioned activity in the independent sector.

A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider.

Blood: Donors

John Healey: To ask the Secretary of State for Health (1) how much blood has been donated in each NHS blood and transplant local area, in each month of the last two years; [179803]

(2) how many donor sessions for each NHS blood and transplant local area, ran in each month of the last two years; [179804]

(3) how many full-time staff are employed in each NHS blood and transplant local area; [179805]

(4) how many donors in each NHS blood and transplant local area have given blood (a) six or more times a year, (b) between four and six times a year, (c) between two and four times a year and (d) once a year in each of the last two years; [179809]

(5) how many registered donors there are in each NHS blood and transplant local area; [179810]

(6) how much blood was donated in each NHS blood and transplant local area in each of the last five years. [179811]

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Jane Ellison: The information, which was provided by NHS Blood and Transplant, has been placed in the Library.

Additionally, constituency based information for all English constituencies can be found at:

www.nhsbt.nhs.uk/news/constituency_statistics/constituency_statistics.html

Cancer

Mr Jim Cunningham: To ask the Secretary of State for Health (1) pursuant to the answer of 3 July 2013, Official Report, column 700W, on cancer, what steps (a) his Department and (b) NHS England is taking to ensure that cancer survival rates in Britain match the level of the best in Europe; [180059]

(2) what steps his Department is taking to improve the experience of older people with cancer. [180060]

Jane Ellison: Our Mandate to NHS England set out an ambition to make England one of the most successful countries in Europe at preventing premature deaths from illnesses such as cancer.

On 10 December 2013, the Department, NHS England and Public Health England jointly published the third annual report on the implementation of our Cancer Outcomes Strategy. The strategy set out actions to tackle preventable cancer incidence, improve the quality and efficiency of cancer services, improve patients' experience of care; improve quality of life for cancer survivors; and deliver outcomes that are comparable with the best in Europe. The third annual report sets out progress over the last year, including:

significant developments in cancer screening—particularly on the first phase of introducing Bowel Scope Screening;

activity to promote earlier diagnosis of symptomatic cancers, through the Be Clear on Cancer campaigns and the associated work with primary and secondary care;

progress in ensuring better access for all to the best possible treatment, such as improved-access to Intensity Modulated Radiotherapy; and

significant developments in the collection and reporting of new datasets and the analysis of information, to drive improvements and to inform patients.

The report also provides an update on work to improve the experience of cancer patients. On 30 August 2013, NHS England published the report of the 2013 Cancer Patient Experience Survey, which showed that cancer patients' experience of care is improving with 88% of patients reporting that their care was either excellent or very good. However, the survey also found that variation in experience remained between with some groups of patients, such as older people, reporting less positive views about their treatment.

The trust level reports of the survey provide benchmarked data nationally and between teams, allowing providers to identify priority improvement areas. In addition to this NHS Improving Quality, the new NHS Improvement body, is working on rapid response programmes to visit trusts with poor scores to discuss results and suggest improvements. NHS England will also work with high performing trusts to identify best practice that can be shared and developed into toolkits. It will then work with trusts with poorer scores to review how they use insight to develop service improvement plans.

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A copy of ‘Improving Outcomes: A Strategy for Cancer Third Annual Report’ has been placed in the Library.

Mr Jim Cunningham: To ask the Secretary of State for Health what steps his Department is taking to improve the prevention and earlier diagnosis of (a) kidney, (b) stomach, (c) ovarian and (d) colorectal cancer. [180061]

Jane Ellison: Along with our partners in Public Health England, we are taking wide-ranging action to tackle risk factors for the prevention of diseases, including cancer, and addressing: tobacco use; obesity; unhealthy diets; physical inactivity; and harmful consumption of alcohol. Key elements of the work programme involve action at the national level, including working with industry through the Public Health Responsibility Deal, alongside strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives through social marketing campaigns such as Change4Life.

On the prevention of cancer specifically, we are offering vaccination of young women against human papillomavirus, which is known to cause most cervical cancers, and funding activity on skin cancer prevention.

In partnership with the Department and NHS England (including NHS Improving Quality), Public Health England has taken on the running of the Be Clear on Cancer (BCOC) campaigns to highlight the symptoms of a range of cancers and to encourage people with the relevant symptoms to visit their general practitioner. To date we have run national BCOC campaigns to raise awareness on "blood in poo" as a symptom of bowel cancer and "blood in pee" as a symptom of kidney (and bladder) cancer. We have run local pilots for ovarian and oesophagogastric cancers. The oesophagogastric cancer pilot covered symptoms of oesophageal and stomach cancers. These campaigns have now been upgraded and in early 2014 will run as regional pilots. We have also run national campaigns on lung cancer.

Cancer screening is also an important way to detect cancer early. Since it began inviting men and women aged 60 to 69 in 2006 (now extended to men and women aged up to 75), over 12 million home testing kits have been returned completed as part of the NHS Bowel Cancer Screening Programme, and over 17,500 cancers diagnosed. Public Health England is now piloting Bowel Scope Screening (BSS), a one-off complementary screening method to the home testing kits for men and women aged 55, with the potential to save 3,000 lives a year. The Secretary of State's commitment is to have the BSS programme rolled out to 60% of England by the end of March 2015, and the rest of England by the end of 2016.

Care Homes

David Simpson: To ask the Secretary of State for Health what guidance his Department has issued to care homes on prevention of the spread of (a) norovirus and (b) other diseases. [179006]

Jane Ellison: Guidelines for the management of norovirus outbreaks in acute and community health and social care settings were published in March 2012. The ‘Guidelines

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for the management of norovirus outbreaks in acute and community health and social care settings’ includes specific advice for the management of norovirus outbreaks in nursing and. residential homes. In addition, Public Health England (PHE) will be ensuring that an alert system is in place to warn health care providers of any norovirus outbreak in care homes, so that infection control measures can be implemented immediately.

An information resource on the prevention and control of infection generally in care homes was published in February 2013. The resource was developed by the Department of Health (England) and the Health Protection Agency (now PHE) in conjunction with the Care Quality Commission. The aim of the resource is to provide information and guidance on infection prevention and control that will aid care home managers when they undertake risk assessments and develop local policies.

Carnall Farrar LLP

Charlotte Leslie: To ask the Secretary of State for Health how many contracts NHS England awarded to Carnall Farrar LLP in the last five years; and what the (a) value and (b) date was of each such contract. [180385]

Dr Poulter: NHS England, legally known as the NHS Commissioning Board, took on its full responsibilities on 1 April 2013 but came into being in shadow form as a special health authority in October 2011. NHS England has advised it has not awarded any contracts to Carnall Farrar LLP since then.

Clinical Commissioning Groups

Debbie Abrahams: To ask the Secretary of State for Health what recent discussions he has had with NHS England on changes to the funding formula for clinical commissioning groups. [179788]

Dr Poulter: NHS England and the Department have been discussing health funding, including progress on the fundamental review of allocations, at regular meetings.

Responsibility for resource allocation is a matter for NHS England as set out in The Mandate. NHS England is overseeing the fundamental review of allocation policy and will draw on the expert advice of the independent Advisory Committee on Resource Allocation (ACRA) and involve a range of external partners. NHS England will consider the recommendations and findings of ACRA as part of this.

Gloria De Piero: To ask the Secretary of State for Health what changes in per capita funding to (a) NHS Mansfield and Ashfield Clinical Commissioning Group (CCG) and (b) NHS Nottingham West CCG are being proposed in the 2013-14 working paper on CCG allocations and indicative target allocations. [179885]

Dr Poulter: I refer the hon. Member to the written answer I gave to my hon. Friend the Member for Stafford (Jeremy Lefroy) on 9 December 2013, Official Report, column 94W.

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NHS England is currently considering the initial findings arising from the fundamental review of allocations policy as it decides on 2014-15 clinical commissioning group allocations.

Diabetes

Keith Vaz: To ask the Secretary of State for Health what steps he took to raise awareness of diabetes on World Diabetes Day on 14 November 2013. [178909]

Jane Ellison: The Government recognise the important role of World Diabetes Day in raising awareness of the condition across the globe. On World Diabetes Day, I participated in a radio interview to discuss the importance of the prevention and earlier diagnosis of diabetes, particularly among the South Asian community who are at an increased risk of developing Type 2 diabetes.

Across the national health service a number of local initiatives took place to mark World Diabetes Day this year, including scheduled talks at health fairs and local specialist diabetes teams offering free health checks and risk assessments.

Female Genital Mutilation

Helen Jones: To ask the Secretary of State for Health what steps he has taken to implement the recommendations in the report, Tackling FGM in the UK; and if he will make a statement. [180279]

Jane Ellison: The Government welcome the inter-collegiate report Tackling FGM in the United Kingdom, published recently. Female genital mutilation (FGM) is child abuse. We are committed to preventing and tackling FGM and are clear that safeguarding, prevention and a multi-agency approach are important to protect girls and young women from this abhorrent procedure.

It is a priority of the Department to continue working with the medical Royal Colleges and other organisations supporting this report, Government departments and the Director of Public Prosecutions towards eradicating FGM in England. I recently met with stakeholders and representatives from Royal Colleges involved in the development of the inter-collegiate report to discuss the report's recommendations, and the group will meet again in the new year to continue this dialogue.

The Department is currently looking at how best the national health service could collect and share information on FGM, with options in development to collect information on prevalence. With this work under way I will be looking to make an announcement in the new year.

Food Banks

Sir Tony Cunningham: To ask the Secretary of State for Health which food banks each Minister in his Department has visited since May 2010. [180015]

Dr Poulter: No Department of Health Ministers have made a visit to a food bank since May 2010.

General Practitioners

Dr Thérèse Coffey: To ask the Secretary of State for Health what the expenditure by NHS England (a) in total and (b) per capita for each GP practice in England was in 2012-13. [178997]

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Dr Poulter: NHS England did not take on its role until April 2013.

For 2012-13, the Department's expenditure on general practice (GP) in England was £8,459.3 million.

Per capita expenditure for GP practices is not collected centrally.

Health Services

Gloria De Piero: To ask the Secretary of State for Health which NHS trusts in the east midlands have failed to meet their referral to treatment targets since May 2010; and in what months each such failure occurred. [179886]

Jane Ellison: The national health service trusts in the east midlands which have not consistently met each of the three standards for referral to treatment (RTT) waiting times since May 2010 are shown in the following tables. The months in which the standards have not been met are also shown for each trust. The standard for incomplete pathways was introduced in April 2012.

Hospitals: ICT

Mr Jim Cunningham: To ask the Secretary of State for Health what recent assessment his Department made of the performance of IT systems in hospitals in England. [180377]

Dr Poulter: There has not been a recent national assessment of the performance of information technology

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(IT) systems in hospitals in England. The majority of IT systems used in hospitals are managed and assessed at a local level to ensure they support local requirements.

However it is important that such systems are developed within a framework of national standards that will ensure that better quality information can move freely and safely around the system.

To help track progress in delivering appropriate IT systems in the NHS, NHS England, in conjunction with EHI Intelligence

www.ehi.co.uk/ehi-intelligence/CDMI-report.cfm

launched a Clinical Digital Maturity Index on 5 November this year. This index reports the underlying information technology capability that national health service organisations have to enable them to deliver high quality patient care. Over time the Index will demonstrate the levels of IT maturity in the NHS.

Information systems and services supplied to NHS organisations in England under the remaining Local Service Provider contracts with British Telecommunications and Computer Sciences Corporation are governed by service level agreements (SLA). The SLAs set standards of reliability and performance which is monitored in real-time.

Mr Jim Cunningham: To ask the Secretary of State for Health who provides the IT services to each hospital in NHS England. [180378]

Dr Poulter: The majority of information technology systems used in hospitals are managed and operated at a local level by local national health service organisations according to their specific needs.

Mr Jim Cunningham: To ask the Secretary of State for Health what recent representations he has received on the IT systems in use in hospitals in England. [180379]

Dr Poulter: A search of the Department's ministerial correspondence database has identified six items of correspondence received since 1 June 2013 about the information technology (IT) systems in use in hospitals in England. This is a minimum figure which represents correspondence received by the Department's ministerial correspondence unit only.

The Secretary of State for Health, my right hon. Friend the Member for South West Surrey (Mr Hunt) has had one meeting with Airedale Trust and clinical commissioning group to discuss integration; IT systems were mentioned. I met with the hon. Member for West Lancashire (Rosie Cooper) on 5 November to discuss the use of mobile technologies in the NHS and barriers to data sharing. Representatives from the national health service and Blackberry were also present.

Internet: Bullying

David Simpson: To ask the Secretary of State for Health what assessment his Department has made of the long-term effects of cyber bullying on its victims. [179040]

Norman Lamb: The Department has made no assessment of the long-term effect of cyber bullying.

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Kidneys: Cancer

Jim Shannon: To ask the Secretary of State for Health what discussions he has had with medical professionals about recent innovations in surgery to treat kidney cancer. [180039]

Jane Ellison: There have been no recent meetings between Ministers and medical professionals about recent innovations in surgery to treat kidney cancer.

Lung Cancer

David Simpson: To ask the Secretary of State for Health how much his Department spent on campaigns alerting people to the symptoms of lung cancer in each of the last five years. [179086]

Jane Ellison: Campaigns are now the responsibility of Public Health England. Be Clear on Cancer campaigns (encouraging symptom recognition and earlier general practitioner presentation) have been running since early 2011.

Lung cancer campaigns have run regionally and nationally with the following spend:

NHS: Management Consultants

Charlotte Leslie: To ask the Secretary of State for Health what external consultancy contracts were procured by NHS London in each year since 2005; what the value of each such contract was; and what the date of each such contract was. [180384]

Dr Poulter: This information is not held centrally and, in relation to the detail of each contract (ie with whom and on what date), could be obtained only at disproportionate cost.

However, NHS London Strategic Health Authority published its total annual spend on consultancy in its annual accounts. The information is shown in the following table. It should be noted that NHS London's first annual report as a clustered strategic health authority was issued for the financial year 2006-07.

NHS: Public Appointments

Gloria De Piero: To ask the Secretary of State for Health how many women were members of NHS boards in each year between 1997 and 2013. [179888]

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Dr Poulter: The following table shows the number of women appointed as chairs and non-executive directors to national health service boards in-year from 1997-98 onwards. Executive appointments are made at organisational level and therefore have not been collected centrally for the entire time period. The figures show appointments to and NHS trusts. Data on NHS foundation trusts are not held centrally.

Obesity

Keith Vaz: To ask the Secretary of State for Health what actions his Department is planning for National Obesity Awareness Week 2014. [178910]

Jane Ellison: National Obesity Awareness Week 2014 is an initiative led by the National Obesity Forum. Officials from the Department and Public Health England have met with the organisers to discuss ways we can engage with the initiative. In addition, I hope to attend the National Obesity Awareness Week parliamentary reception on 13 January 2014.

Dr McCrea: To ask the Secretary of State for Health what recent meetings he has held with his counterparts in the devolved Administrations on obesity problems throughout the UK. [179839]

Jane Ellison: No recent meetings have taken place. However, departmental officials meet their devolved Administration counterparts quarterly to discuss issues around obesity and diet.

Pregnancy: Mental Health Services

Annette Brooke: To ask the Secretary of State for Health (1) what progress has been made in implementing the National Institute for Health and Care Excellence guidelines on perinatal mental health; [180063]

(2) what assessment he has made of the (a) demand for and (b) capacity of perinatal mental health services in each NHS trust area; [180064]

(3) what proportion of mother and baby mental health units have been running over capacity in the last five years. [180065]

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Dr Poulter: The National Institute for Health and Care Excellence (NICE) clinical guidelines on antenatal and postnatal mental health offer best practice advice on the care of women suffering from perinatal mental health conditions. Health professionals and the organisations who employ them are expected to take it fully into account. Implementation of the guidance is the responsibility of local national health service commissioners and providers.

Health Education England has agreed to work with partners to ensure that pre- and post-registration training in perinatal mental health is available to enable specialist staff for every birthing unit by 2017.

NHS England is responsible for commissioning specialised perinatal mental health services and will, through the Maternity and Children Strategic Clinical Networks, support the development of other maternity and perinatal mental health networks, as recommended in the National Institute for Health and Care Excellence guidelines on antenatal and postnatal mental health. Such networks can develop action plans and collaborative working to drive improvements in access and quality of care to enhance the experience of women and families generally, and more specifically for the women who are at risk of poor mental health during pregnancy and following childbirth.

No central assessment has been made of the demand for and capacity of perinatal mental health services in each NHS trust area, nor what proportion of mother and baby mental health units have been running over capacity in the last five years.

The Mandate from the Government to NHS England includes an objective for NHS England to work with partner organisations to reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.

Following publication of the NSPCC report ‘All Babies Count: Spotlight on Perinatal Mental Health’ I hosted a roundtable discussion with key partners to share initiatives.

Pregnancy: Mental Illness

Andrew Percy: To ask the Secretary of State for Health (1) which NHS trusts and foundation trusts provide places in a specialist mother and baby unit where the mother may be treated for perinatal mental illness without being separated from her baby; [179965]

(2) what assessment he has made of the sufficiency of the number of midwives trained to offer perinatal mental health support within the last five years; [179966]

(3) how many and which NHS trusts and foundation trusts have sufficient levels of midwives trained to support women dealing with perinatal mental illness. [179967]

Dr Poulter: NHS England commissions 17 in-patient mother and baby units, 11 of which have integrated perinatal community psychiatric teams:

Northumberland, Tyne and Wear NHS FT

Beadnell Mother and Baby Unit, Morpeth, Northumberland^*

Leeds Partnership NHS FT

Mother and Baby Unit, The Mount, Leeds^*

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Manchester Mental Health and Social Care Trust

The Anderson Ward, Wythenshawe Hospital, Manchester^*

Nottinghamshire Healthcare NHS Trust

Margaret Oates Mother and Baby Unit, Queen's Medical Centre, Nottingham*

Derbyshire Mental Health Services NHS FT

The Beeches, Derby City General Hospital, Derby^*

Leicestershire Partnership NHS Trust

Mother and Baby Unit, Glenfield Hospital, Leicester^*

South Staffordshire and Shropshire Healthcare NHS FT

Brockington Mother and Baby Unit, St George's Hospital, Stafford^*

Birmingham and Solihull Mental Health NHS FT

Mother and Baby Unit, Queen Elizabeth Hospital, Birmingham^*

Hertfordshire Partnership NHS FT

Thumbswood Mother and Baby Unit, Queen Elizabeth II Hospital, Welwyn

North Essex Partnership NHS FT

Rainbow Mother and Baby Unit, The Linden Centre, Chelmsford, Essex

East London NHS FT

Margaret Oates Mother and Baby Unit, Homerton Hospital, London*

Central and Northwest London NHS FT

Coombe Wood Perinatal Mental Health Unit, Coombe Wood, London

South London and Maudsley NHS FT

Channi Kumar Mother and Baby Unit, Bethlem Royal Hospital, Kent^*

Avon and Wiltshire Mental Health NHS FT

New Horizons Mother and Baby Centre, Southmead Hospital, Bristol

Hampshire Partnership NHS FT

Perinatal Services (Mother and Baby Unit), Royal Hampshire County Hospital,Winchester, Hampshire^*

Dorset Healthcare University NHS FT

Florence House Mother and Baby Unit, Bournemouth

The Eastbourne Clinic

The Eastbourne Clinic Mother and Baby Unit, Eastbourne, East Sussex.

The current pre-registration curricular for midwifery training identifies how to support women with mental health support requirements. No central assessment had been made of the number of midwives trained to offer perinatal mental health support within the last five years, nor how many and which national health service trusts and foundation trusts have sufficient levels of midwives trained to support women dealing with perinatal mental illness.

Health Education England (HEE) has responsibility for promoting high quality education and training that is responsive to the changing needs of patients and local communities and will work with stakeholders to influence training curricula as appropriate.

HEE has committed to ensuring we have a work force with the right numbers, the right skills, values and behaviours to deliver high quality care for patients; and has recently published the first comprehensive workforce planning guidance, setting out a clear and transparent process for the system, which can be found at:

http://hee.nhs.uk/wp-content/blogs.dir/321/files/2012/08/Workforce-Planning-Guide-Final-June-2013.pdf

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HEE has also agreed to work with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff for every birthing unit by 2017.

HEE currently commissions approximately 2,500 training places each year and, working with NHS England, is committed to ensuring that sufficient midwives are trained and available, with an ambition to provide every woman with personalised one-to-one care through pregnancy, childbirth and during the postnatal period. This work will make recommendations on how women who have mental health support requirements or who have suffered a miscarriage, stillbirth or neonatal death of a baby receive appropriate support from specialised trained midwives.

^* Units that have an integrated linked specialised perinatal community psychiatric team.

Source:

NHS England.

Andrew Percy: To ask the Secretary of State for Health (1) what estimate he has made of the number of clinical commissioning groups with a (a) specialist designed lead for perinatal mental health and (b) perinatal mental health strategy; [179992]

(2) what estimate he has made of the number of GPs (a) with training in dealing with perinatal mental illness and (b) who have received refresher training in the last five years. [179993]

Dr Poulter: Information on the number of clinical commissioning groups with a specialist designed lead for perinatal mental health and perinatal mental health strategy, and the number of general practitioners with training in dealing with perinatal illness who have received refresher training in the last five years is not available.

Health Education England (HEE) has responsibility for promoting high quality education and training that is responsive to the changing needs of patients and local communities and will work with stakeholders to influence training curricula as appropriate.

HEE has committed to ensuring we have a workforce with the right numbers, the right skills, values and behaviours to deliver high quality care for patients, and have recently published the first comprehensive workforce planning guidance, setting out a clear and transparent process for the system, which can be found at:

http://hee.nhs.uk/wp-content/blogs.dir/321/files/2012/08/Workforce-Planning-Guide-Final-June-2013.pdf

HEE has also agreed to work with partners to ensure that pre and post registration training in perinatal mental health is available to enable specialist staff for every birthing unit by 2017.