Youth Custody: Education
Dan Jarvis: To ask the Secretary of State for Education how many hours of education or training children receive each week in (a) young offenders institutions and (b) secure training centres. [180623]
Mr Laws: In 2012/13, young people in public sector under-18 Young Offender Institutions received an average of 13 hours of education and training per week, against the contracted minimum of 15 hours per week, for 52 weeks.
Secure Training Centres are contracted to deliver 25 hours per school week of education and training to their young people. In 2012/13, the average received was 26 hours.
The Ministry of Justice published a consultation paper earlier this year on “Transforming Youth Custody”, setting out its vision for putting education at the heart of detention. It will be making announcements about this shortly.
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Health
Accident and Emergency Departments: Hampshire
Mr Mike Hancock: To ask the Secretary of State for Health how many (a) doctors and (b) nurses worked in NHS accident and emergency departments in (i) Portsmouth South constituency and (ii) Hampshire in each of the last five years. [179930]
Dr Poulter: The information is not available in the format requested. Such information as is available is in the following table.
| Hospital and Community Health Services (HCHS): medical staff in the accident and emergency (A&E) specialty in selected organisations (full-time equivalents as at 30 September each year) | |||||
| 2008 | 2009 | 2010 | 2011 | 2012 | |
| n/a = Not applicable. Notes: 1. The data shown here are for IMHS HCHS doctors recorded as having a specialty of Emergency Medicine. This should capture all those doctors trained in Emergency Medicine but it does not necessarily show where they work. Doctors may also be coded by specialty based on the department where they work. Emergency Medicine is likely therefore to capture all A&E doctors plus some who are employed in Emergency Admission Units, although these are expected to be few. 2. A doctor does not need to be trained in Emergency Medicine to be working in A&E. For example, doctors trained in general medicine could be working in A&E and may still be recorded under the specialty they trained in, and therefore not included in the Emergency Medicine doctors shown here. 3. Emergency Medicine is the General Medical Council (Statutory Instrument approved) Main Specialty. It is also currently known as Accident and Emergency within Workforce Data Standards. NHS HCHS Workforce excludes general practitioners, GP practice staff and high street dentists. 4. 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. Source: Health and Social Care Information Centre Medical and Dental Workforce Census | |||||
Alcoholic drinks: Young People
Luciana Berger: To ask the Secretary of State for Health when the steering group to reduce the admission of young people with alcohol dependency will next convene. [180178]
Jane Ellison: We are not aware of any steering group with the purpose of reducing hospital admissions for young people dependent on alcohol.
Public Health England (PHE) is developing a model pathway to reduce under-18-year-olds’ alcohol-related attendances in accident and emergency departments. PHE has been working with an expert group which has collated sample pathways from all over England. The next meeting will be in early 2014.
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Arthritis
Nic Dakin: To ask the Secretary of State for Health (1) what safeguards are in place to ensure that NHS commissioners comply with guidance on the treatment and care of people with rheumatoid arthritis; [180426]
(2) what assessment he has made of the reasons for variations in the uptake of treatments for rheumatoid arthritis. [180458]
Norman Lamb: No recent assessment has been made of the reasons for variations in the uptake of treatments for rheumatoid arthritis.
The Department's Mandate to the national health service set an objective to improve the quality of life for people with long-term conditions, such as rheumatoid arthritis. The NHS Outcomes Framework contains the indicators that are used to hold NHS England to account for making progress.
To support commissioners, in 2009 and 2013 respectively, the National Institute for Health and Care Excellence (NICE) published its clinical guideline and a quality standard on rheumatoid arthritis. NICE quality standards are a concise set of statements designed to drive and measure priority quality improvements within a particular area of care. They are derived from the best available evidence and set out the markers of high-quality, cost-effective care. NHS England is statutorily required to have regard to NICE quality standards.
NHS commissioners are legally required by regulations to fund treatments recommended by NICE in its technology appraisal guidance. Patients have a right in the NHS Constitution to access drugs and treatments recommended by NICE technology appraisal guidance that their clinicians want to prescribe.
Cancer
Nic Dakin: To ask the Secretary of State for Health with reference to the answer of 13 May 2013, Official Report, column 38W, on cancer, what measures the Clinical Commissioning Group Outcomes Indicator Set 2014/15 will include to drive improvements on five- year cancer survival rates. [180507]
Jane Ellison: The Clinical Commissioning Group Outcomes Indicator Set (CCG OIS) is part of NHS England's systematic approach to promoting quality improvement. Its aim is to support CCGs and health and wellbeing partners in improving outcomes by providing comparative information on the quality of health services commissioned by CCGs and the associated health outcomes.
NHS England will be publishing the 2014-15 CCG OIS next year, subject to final approval, which will set out measures aimed at supporting improvements in the five-year cancer survival.
Cancer: Older People
Nic Dakin: To ask the Secretary of State for Health (1) what steps his Department is taking to improve one and five-year cancer survival rates for older people; [180508]
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(2) what steps his Department is taking to reduce the difference between cancer survival rates in the UK and comparable European countries. [180509]
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. The NHS Outcomes Framework contains composite indicators on one-year and five-year survival for breast, lung and colorectal cancer, and one and five-year survival rate indicators from all cancers though which improvements in cancer survival will be measured.
On 10 December 2013, the Department, NHS England and Public Health England (PHE) 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 highlights the findings of the “Cancer Services Coming of Age” report; a £1 million project to improve cancer care for older people, undertaken by the Department, Macmillan Cancer Support and Age UK.
The project involved a series of pilots that tested whether appropriate assessment of older cancer patients would result in improved access to appropriate cancer treatment, based on need and not age. They also tested whether action, as a result of an age-appropriate assessment, improved the scope for older people to benefit from treatment.
The Coming of Age report, aimed at commissioners, commissioning support units and providers makes key recommendations as to how services might be developed and offers to increase older people's survival rates and improve their quality of life, by better meeting their needs more fully and involving them in decision making. It will also help services to fulfil their new equalities duties regarding the Equality Act 2010, which was extended to public services in 2012.
Furthermore, following successful local and regional pilots, early in 2014, PHE in partnership with the Department and NHS England (including NHS Improving Quality) will run a national Be Clear on Cancer breast cancer campaign for women over 70 and their influences to encourage women with symptoms to visit their general practitioners. The campaign will run from 3 February to 16 March 2014 and will include television, press, direct mail and out-of-home media advertising. The key message is: ‘one in three women who get breast cancer are over 70, so don't assume you are past it.’
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We have also committed over £170 million over this spending review period to expand and improve our cancer screening programmes, including extending the age range for the NHS Bowel Screening programme to men and women up to their 75th birthday (men and women over this age can self-refer) and undertaking the NHS Breast Screening programme aged extension randomisation trial (including inviting women aged 71-73).
Care Homes
Dr McCrea: To ask the Secretary of State for Health what recent meetings he has held with his counterparts in the devolved Administrations on best practice in care homes throughout the UK. [179835]
Norman Lamb: The Department's Ministers have not met with their counterparts in the devolved Administrations to discuss best practice in care homes recently.
However, officials of the Department meet annually with representatives of the devolved Administrations and the Social Care Institute for Excellence (SCIE) to investigate what can be learned from best practice in other parts of the United Kingdom and to discuss collaborating on projects to gain value for money for service users. SCIE's remit is United Kingdom-wide.
Deloitte
Charlotte Leslie: To ask the Secretary of State for Health if he will place in the Library copies of correspondence between Peter Coates and Deloitte MCS Limited on 5 February and 10 February 2010. [180611]
Jane Ellison: The Department has received a Freedom of Information requesting this information, which it is considering and will respond to it within 20 working days.
Diabetes
John Healey: To ask the Secretary of State for Health (1) what assessment his Department has made of the provision of insulin pumps for (a) adults and (b) children in each of the Clinical Commissioning Group areas in England in the last 12 months; [179806]
(2) if he will conduct an audit of insulin pump provision; [179807]
(3) what assessment he has made of the findings of the National Diabetes Audit on the number of sufferers with type 1 diabetes who are offered a place on a structured education course in the last year. [179956]
Jane Ellison: The Secretary of State has made no assessment of the provision of insulin pumps for adults and children in each of the clinical commissioning group areas in England in the last 12 months and has no plans to conduct an audit of insulin pump provision. The United Kingdom Insulin Pump Audit published in May 2013 demonstrated that 6% of adults with type 1 diabetes and 19% of children with type 1 diabetes are now treated with insulin pumps.
The Department is aware that the National Diabetes Audit found that very few people with diabetes are offered a place on a structured education course in the
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last year. These are all matters for NHS England to consider as it has responsibility for determining the overall national approach to improve clinical outcomes from health-care services for people with diabetes.
The National Institute for Health and Care Excellence (NICE) recommends insulin pump therapy as an option for adults and children over the age of 12 years with type 1 diabetes, provided that multiple-daily insulin therapy has failed. It also recommends that insulin pump therapy can be used for children younger then 12 years with type 1 diabetes, provided specific criteria are met. Health and care professionals are expected to take NICE guidance on the treatment of relevant conditions fully into account when deciding how to treat a patient.
The NICE Quality Standard for diabetes, published in July 2011, sets out that people with diabetes should receive a structured educational programme. NHS England is statutorily required to have regard to NICE quality standards.
NHS England has said that one of its major priorities is for patients with type 1 diabetes to achieve patient empowerment and self-care through education, as for all patients with long-term conditions. As of 1 April this year, NHS England can use the following to promote provision of structured education for those with type 1 diabetes:
a new Quality Outcomes Frame work indicator has been introduced, incentivising provision of structured education within nine months of first diagnosis; and
if someone with type 1 diabetes is admitted with diabetic ketoacidosis, a new best-practice tariff rewards the provision of structured education within three months of hospital discharge.
General Practitioners
Simon Hughes: To ask the Secretary of State for Health what 24-hour GP services operate in (a) England, (b) Greater London and (c) the London Borough of Southwark. [180405]
Norman Lamb: The requested information is not held centrally.
Under the terms of their contract with NHS England, all general practitioner (GP) practices are responsible for the provision of GP services to their patients 24 hours a day. However, they are able to opt out of providing services outside of core hours if they wish. In these circumstances, it is the responsibility, of NHS England, delegated to clinical commissioning groups, to ensure patients have access to primary medical services during the out-of-hours period.
Health: Screening
Jim Shannon: To ask the Secretary of State for Health if he will take steps to ensure that every man has a health MOT with his GP between the ages of 40 and 50. [180035]
Jane Ellison:
Men aged between 40 and 74 who have not been diagnosed with an existing vascular disease or who are being treated for certain risk factors should be offered an NHS Health Check every five years. The NHS Health Check is a risk assessment and risk management programme, commissioned by local authorities, aimed at preventing heart disease, stroke,
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diabetes, and kidney disease. Every individual attending an NHS Health Check receives a personal assessment, setting out their level of risk and exactly what they can do to reduce it and where necessary, is referred to their general practitioner for further tests or treatment.
Hospital Beds
Derek Twigg: To ask the Secretary of State for Health what recent assessment he has made of the effects of reductions in local authority budgets on bed blocking in NHS hospitals. [180485]
Norman Lamb: In October 2013 there were 123,808 total delayed days, of which 78,424 were in the acute sector. Overall, 26% of the delayed days were attributable to local authority social care and 6% where both local authorities and the national health service were jointly responsible.
In 2012-13, the most recent year for which we have complete information, there were 37,473 fewer days lost due to delays attributable to local authority adult social care compared to the previous year, of which 1,251 fewer days were in the acute sector and 36,222 fewer days in the non-acute sector.
Local public sector bodies are responsible for setting their own budgets to meet the needs of the local population. Encouraging and helping to facilitate better, more joined-up health and social care is a major priority for the Government. In 2013-14 the NHS will provide £0.9 billion to support social care services, rising to £1.1 billion in 2015-16. In 2015-16 we will introduce a £3.8 billion pooled budget for better care, so that people get the care they need when and where they need it—this means local NHS organisations and local authorities will need to have joint plans in place from April 2014 to drive improvements in 2014-15.
Hospitals: North West
Derek Twigg: To ask the Secretary of State for Health what plans he has for reconfiguration of acute hospital trusts providing healthcare to the populations of north Cheshire and south Merseyside. [180474]
Jane Ellison: Decisions about the configuration of local health services are a matter for the national health service locally.
Meningitis: Vaccination
Dr Offord: To ask the Secretary of State for Health if he will make an assessment of the potential benefits of dispensing Bexsero under general prescription. [180482]
Jane Ellison: The Joint Committee on Vaccination and Immunisation (JCVI), the independent expert committee that advises the Government on matters of immunisation, published an interim position statement on the use of Meningitis B vaccine (Bexsero) on 24 July for consultation with key stakeholders. Following consultation, JCVI announced on 25 October that it had requested further analyses to be undertaken in the light of new or recently published evidence submitted.
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JCVI will finalise its advice in the new year, and until then, it will be premature to make any assessment of the potential benefits of dispensing Bexsero under general prescription.
MMR Vaccine
Debbie Abrahams: To ask the Secretary of State for Health what proportion of people between 10 and 16 years old had received at least one dose of the MMR vaccine as at 31 May 2013. [180602]
Jane Ellison: The national measles mumps rubella (MMR) catch-up programme for 10 to 16-year-olds was launched in April 2013. MMR coverage is routinely collected at two and five years. Baseline coverage for children aged 10 to 16 years was estimated from annual coverage data at five years collected between 2002 and 2008 and adjusted for any MMR vaccination received subsequently. This provided a baseline estimate of between 92% and 93% in April 2013. Preliminary data until the end of May 2013 based on a proportion of practices, estimate that the percentage of 10 to 16-year-olds with no record of having received MMR reduced by around 1.3%1.
Public Health England is undertaking an audit to assess what proportion of 10 to 16-year-olds recorded as unvaccinated for MMR on local Child Health Information Systems have a record of vaccination with their general practice. This audit will provide an estimate of coverage as at August 2013.
1 Health Protection Report. Volume 7 Number 28. Published on: 12 July 2013. Available at:
www.hpa.org.uk/hpr/archives/2013/hpr2813.pdf
NHS Property Services
Charlotte Leslie: To ask the Secretary of State for Health what procedure will be used to appoint a new chairman of NHS Property Services. [180613]
Jane Ellison: NHS Property Services Ltd is running a recruitment process to appoint a new chairman. The role was advertised in The Sunday Times on 15 December, with a closing date of 6 January 2014.
NHS Trust Development Authority
Charlotte Leslie: To ask the Secretary of State for Health how many staff are employed by the NHS Trust Development Authority; which external consultants the NHS Trust Development Authority employs; and at what cost such staff are employed. [180612]
Jane Ellison: At 30 November 2013 the NHS Trust Development Authority (NTDA) employed 203 staff.
The NTDA engages external contractors to provide support for specific work projects and programmes to deliver the corporate objectives and support to national health service trusts. For the period 1 April to 30 November 2013 the NTDA has contracted with 16 contractors or specialist firms at a total cost of £825,000.
The names of the 16 contractors are:
Ernst and Young LLP
Deloitte
Gareth Cruddace Limited
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Buckley Gray Consultancy
IMAS
RJC Financial Solutions Ltd
Carnall Farrar LLP
Odgers Interim
Foxwell Associates Ltd
Hays Specialist Recruitment Ltd
Karen Campion
Allen Lane Ltd
Change-FX OD Ltd
Heather Lawrence Consulting
The Dearden Partnership LLP
DC Health Limited
NHS: Crime Prevention
Charlotte Leslie: To ask the Secretary of State for Health how much funding has been allocated to NHS Protect in each year since 2005. [180610]
Dr Poulter: NHS Protect has a broad security management remit and is the unit that leads work to tackle crime in the national health service.
The NHS Protect operating budget in each year since 2005-06, net of NHS Business Services Authority corporate costs, is shown in the following table:
| Cost (£ million) | |
NHS: Ministers of Religion
Mr Jamie Reed: To ask the Secretary of State for Health how many hospital chaplains were working in the NHS in each of the last five years. [180621]
Norman Lamb: From April 2013, the commissioning of healthcare chaplaincy became the responsibility of NHS England.
The Department (prior to April 2013) and NHS England (post April 2013) does not collect information on national health service chaplaincy positions centrally as these positions are locally determined by each individual trust.
Local NHS trusts are responsible for determining, delivering and funding religious and spiritual care in a way that meets the needs of their patients, carers and staff. Unlike prisons and the armed services, there is no statutory requirement for hospitals to provide chaplaincy services. However, healthcare chaplaincy has been part of the services available to patients since the inception of the NHS.
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Nurses: Pay
Simon Hughes: To ask the Secretary of State for Health what the rate of pay is of each grade of nurse working in (a) administration, (b) education and (c) clinical care in (i) England and (ii) Greater London; and how many nurses were working in each such grade at the latest date for which figures are available. [180255]
Dr Poulter: Information is not available on how many qualified nursing, midwifery and health visiting staff work in administration, education and clinical care. Qualified nursing, midwifery and health visiting staff working in Hospital and Community Health Services (HCHS) are employed on Agenda for Change (AfC) terms and conditions. This is the national pay framework for NHS staff other than very senior managers and medical staff. Within this pay framework nurses can be employed across a range of pay bands. Nurses employed by general practices are not employed on national terms and conditions.
The following table sets out the AfC pay bands and pay ranges and the full-time equivalent number of HCHS qualified nursing, midwifery and health visiting staff working in each for (i) England and (ii) the Health Education England London areas as at 31 August 2013. This does not cover nurses employed by general practitioner practices.
| AfC band | Pay range | England | Of which: London1 |
| Notes: 1. It is impossible to separate monthly work force nursing figures between administration, education and clinical care. All levels and areas of work are included in the figures. 2. AfC pay band data are not intended for general publication. There is no direct systematic link between pay band and occupation code within the Electronic Staff Record (ESR) system from which these data are derived. Though we work with individual organisations to try and remove such data quality issues, the figures should be viewed as an estimate, rather than an exact accounting standard. 3. London area figures are an aggregate of the Health Education North West London, Health Education South London and Health Education North Central and East London areas. 4. Full-time equivalent figures are rounded to the nearest whole number. 5. Monthly data: As from 21 July 2010 the Health and Social Care Information Centre has published provisional monthly NHS work force data. As expected with provisional statistics, some figures may be revised from month to month as issues are uncovered and resolved. The monthly work force data are not directly comparable with the annual work force census; they include only those staff on the ESR (i.e. they do not include primary care staff or bank staff). There are also new methods of presenting data (headcount methodology is different and there is now a role count). This information is available from September 2009 onwards at the following website: www.hscic.gov.uk 6. 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. Source: Health and Social Care Information Centre Provisional Monthly Workforce Statistics | |||
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Osteoporosis
Karl Turner: To ask the Secretary of State for Health (1) what proportion of fractures by (a) men and (b) women aged 50 or over of the (i) hip, (ii) wrist, (iii) vertebra, (iv) femur, (v) neck and (vi) knee can be attributed to osteoporosis in each of the last 10 years for which figures are available; [180526]
(2) how many (a) men and (b) women aged 50 or over have broken a (i) hip, (ii) wrist, (iii) vertebra, (iv) femur, (v) neck and (vi) knee in each of the last 10 years for which figures are available. [180527]
Norman Lamb: This information is not available in the format requested. In the following tables we have provided a count of finished admission episodes (FAEs) with a primary or secondary diagnosis of fractures attributable to osteoporosis by men and women aged 50 or above, for the years 2003-04 to 2012-13.
We have also provided a count of FAEs for men and women aged 50 and over with a primary or secondary diagnosis of fracture of a hip, wrist, vertebra, femur, neck and knee for the years 2003-04 to 2012-13. We have also included FAEs for men and women aged 50 and over with a primary or secondary diagnosis of fracture of the lower arm. This is because coding advice for wrist fracture is difficult to interpret. There are several bones in the wrist itself, and there are the ulna and radius bones which extend from the wrist to the elbow. Common understanding of wrist fracture would include fractures to the ulna or radius close to the wrist, but we cannot identify where on the bone the fracture occurred, only the bone itself.
There data are limited to admitted patient care; some of these types of fracture are likely to be dealt with in accident and emergency or another healthcare setting.
FAEs are not a count of patients because a patient may have had more than one episode of care within the time period.
FAEs with a primary or secondary diagnosis of fractures attributable to osteoporosis by men and women aged 50 or above, for the years 2003-04 to 2012-13.
| Men | Women | |
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| FAEs for men and women aged 50 and over with a primary or secondary diagnosis of fracture of a hip, wrist, vertebra, femur, neck and knee and lower arm for the years 2003-04 to 2012-13 | ||||||||||||||
| Fracture of hip | Fracture of wrist | Fracture of vertebra | Fracture of femur | Fracture of neck | Fracture of knee | Fracture of lower arm | ||||||||
| Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female | |
Pregnancy: Mental Illness
Annette Brooke: To ask the Secretary of State for Health (1) what progress has been made on improving the prevention and detection of perinatal mental health issues; [180115]
(2) how much funding each NHS Trust and Foundation Trust has (a) allocated and (b) been spent on perinatal mental health services in the last five years. [180116]
Dr Poulter: Improving diagnosis and services for women with pregnancy-related mental health problems is one of the Department's objectives for maternity care.
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 post-natal depression through earlier diagnosis, and better intervention and support.
Health Education England 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 post-natal period. This work will make recommendations on how women who have mental health support requirements receive appropriate support from specialised trained midwives.
Health Education England 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.
The Institute of Health Visiting has delivered perinatal mental health training and introduced three interactive e-learning modules. This new resource will help health visitors in the detection and management of perinatal depression and other maternal mental health conditions. The modules focus on perinatal depression and other maternal mental health disorders, how to recognise perinatal anxiety and depression, interventions for perinatal anxiety, depression and related disorders.
To achieve this, we are committed to having an extra 4,200 health visitors in post by 2015. The maternal mental health pathway, a guide to support professionals to develop indicators and ways of measuring outcomes to access improvement, sets out the benefits and principles for health visitors, midwives, specialist mental health services and general practitioners working together in pregnancy and the first post-natal year, as the basis for the detailed local pathway to meet the physical and mental health and wellbeing needs of parents, babies and families.
The Department has commissioned the National Perinatal Epidemiology Unit at Oxford university to develop and test a perinatal mental health indicator which would reflect the mental health care a woman receives at certain critical perinatal time points: the antenatal booking, the early post-natal period and approximately one year post-natally. The project will run from April 2013 until December 2015 and the ambition is to have a maternal mental health indicator in the 2016 re-fresh of the Public Health Outcomes Framework.
Information on how much funding each NHS trust and foundation trust has allocated and been spent on perinatal mental health services in the last five years is not available centrally.
Young Offenders: Mental Illness
Dan Jarvis: To ask the Secretary of State for Health what proportion of children in youth offender institutions suffer from mental health disorders. [180493]
Norman Lamb: This information is not collected by the Department or NHS England. However, the Youth Justice Board commissioned a 2005 study by Richard Harrington, Sue Bailey and others which showed that 31% of young people aged between 13 and 18 years and who had committed an offence also had a mental health need.
A copy of this report, “Mental Health Needs and Effectiveness of Provision for Young Offenders in Custody and in the Community” has been placed in the Library.
Electoral Commission Committee
Elections: Voting Behaviour
Mr Nigel Evans: To ask the hon. Member for South West Devon, representing the Speaker's Committee on the Electoral Commission, what the turnout was in the most recent (a) general and (b) local elections in (i) Ribble Valley constituency, (ii) Lancashire and (iii) the UK. [180418]
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Mr Streeter: The Electoral Commission informs me that turnout in the Ribble Valley constituency at the May 2010 UK parliamentary general election was 67.3%. Across the 16 constituencies in Lancashire turnout was 64.7%. Overall UK-wide turnout was 65.3%.
At the local government elections in May 2011, the turnout for Ribble Valley borough council was 45.0%. Across the local authorities in Lancashire turnout was 41.2%. Overall, in England turnout was 42.0% and in Northern Ireland it was 55.7%.
At the May 2013 county council elections, turnout was 28.3% for the Ribble Valley borough council area, 31.3% in Lancashire and 30.8% across all county councils in England.
Energy and Climate Change
Climate Change
Mr Lilley: To ask the Secretary of State for Energy and Climate Change what the evidential basis is for his Department's statement that scientific evidence shows that extreme weather events are most certainly intensifying. [180349]
Gregory Barker: The Intergovernmental Panel on Climate Change's (IPCC) recently published Working Group I contribution to its Fifth Assessment Report (AR5)1 shows there is growing evidence that some types of extreme weather events are intensifying.
The AR5 report concludes that since the mid-20th century it is very likely that the frequency and/or duration of heat waves have likely increased in large parts of Europe, Asia and Australia, there are likely more land regions where the number of heavy precipitation events has increased than where it has decreased, and the frequency or intensity of heavy precipitation events has likely increased in North America and Europe. The AR5 report also concludes that it is virtually certain there have been increases in intense tropical cyclone activity in the North Atlantic, since 1970. Lack of data or studies limits the ability to draw conclusions on how the intensity of some types of extreme weather events has changed in other regions.
A number of recent studies have shown increased risk of certain extreme weather events happening as a result of climate change due to human-caused greenhouse gas emissions2, 3. The AR5 report concludes it is likely that human influence has more than doubled the probability of occurrence of some observed heat waves in some locations.
1 IPCC, 2013: Summary for Policymakers. In: Climate Change 2013: The Physical Science Basis. Contribution of Working Group I to the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. See Table SPM.1.
http://www.ipcc.ch/report/ar5/wg1/
2 Peterson et al (Eds) 2013. Explaining Extreme Events of 2012 from a Climate Perspective. Special Supplement to the Bull. Amer. Meteor. Soc, 94 (9), S1-S74.
http://www.ametsoc.org/2012extremeeventsclimate.pdf
3 Peterson, T.C., Stott, P. A., Herring, S. (Eds) 2012. Explaining Extreme Events of 2011 from a Climate Perspective. Bull. Amer. Meteor. Soc, 93, 1041-1067. doi:
http://dx.doi.org/10.1175/BAMS-D-12-00021.1
17 Dec 2013 : Column 606W
Energy
Mr Tom Clarke: To ask the Secretary of State for Energy and Climate Change what estimate he has made of the potential amount of investment arising from implementation of the provisions in the Energy Bill. [179959]
Gregory Barker: As set out in the impact assessment for the draft Electricity Market Reform Delivery Plan published in July 2013, it is estimated that current proposals will help to support investment in the electricity sector (covering both generation and networks infrastructure) worth £100-110 billion between now and 2020.
A revised investment estimate will be included as part of the impact assessment for the final Electricity Market Reform Delivery Plan, which will be published later this month.
Energy Company Obligation
Jonathan Reynolds: To ask the Secretary of State for Energy and Climate Change what estimate he has made of the amount by which energy companies' spending on people in fuel poverty will change over the course of the current Parliament as a result of the changes to the Energy Company Obligation announced in the autumn statement. [180252]
Gregory Barker: The targets for the Energy Company Obligation (ECO) are set in output terms, rather than financial terms. In terms of the elements of ECO directed at fuel poverty—Affordable Warmth (AW) and Carbon Saving Communities (CSCO—the output targets for the end of March 2015 will not change. The carbon target under CSCO will remain at 6.8MTC02 and the notional bill savings target for AW will stay at £4.2 billion. We expect this to translate into support for 230,000 low income households per year. Next year we will consult on setting new targets pro rata for the period 2015-17.
Jonathan Reynolds: To ask the Secretary of State for Energy and Climate Change what the average household fuel poverty gap was for the most recent period for which figures are available; and whether he expects this to increase following the changes to the Energy Company Obligation announced in the autumn statement. [180253]
Gregory Barker: The average fuel poverty gap in 2011 was £438 (2011 prices).
It is not easy to isolate the impact of a given policy on levels of fuel poverty and future fuel poverty gap figures will reflect wider changes in energy prices and bills, household incomes and energy efficiency levels. However, the Energy Company Obligation (ECO) changes we will consult on next year could be expected, on their own, to lower the average fuel poverty gap since the support directed at the fuel poor will continue and typical energy bills will be lower than they would otherwise have been.
Energy: Billing
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to his statement of 2 December 2013, Official Report, column 628, on energy bills, (a) when and (b) how the £12 rebate to domestic electricity customers will be paid. [180202]
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Gregory Barker: Subject to consultation, we are proposing that all licensed electricity suppliers will apply the £12 rebate directly to the accounts of GB domestic electricity customers. We expect the first of two annual rebates to be paid in autumn 2014.
Energy: Company Accounts
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the statement of 31 October 2013, Official Report, column 1096, on Annual Energy Statement, what the terms of reference of the report on the transparency of the financial accounts of the energy companies are; and if he will make a statement. [180276]
Michael Fallon [holding answer 16 December 2013]:The Secretary of State for Energy and Climate Change, the right hon. Member for Kingston and Surbiton (Mr Davey), has asked Ofgem to deliver, by spring 2014, a full report on the transparency of financial accounts of the energy companies and ways this could be improved. The exact terms of reference for the report are a matter for Ofgem.
Energy: Competition
Caroline Flint: To ask the Secretary of State for Energy and Climate Change what estimate his Department has made of the market share of (a) British Gas, (b) E.ON, (c) EDF, (d) RWE npower, (e) SSE and (f) Scottish Power in the domestic (i) electricity and (ii) gas supply market in each of the last 10 years. [180082]
Michael Fallon [holding answer 16 December 2013]: DECC publish aggregate statistics regarding the domestic market, but do not publish company specific market share information.
Such data are published annually by Ofgem in their National Report to the European Commission. The latest version is available at:
https://www.ofgem.gov.uk/publications-and-updates/2013-national-report-european-commission
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the statement of 31 October 2013, Official Report, column 1095, if he will publish the terms of reference of the annual review of the state of competition in the energy markets. [180084]
Michael Fallon [holding answer 16 December 2013]: The Annual Competition Assessment is being prepared by the independent regulator, Ofgem, in conjunction with the Office of Fair Trading (OFT), and the framework will be published by them on 19 December.
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the statement of 31 October 2013, Official Report, column 1095, on Annual Energy Statement, by what criteria he will assess the state of competition in the energy markets. [180153]
Michael Fallon:
The Annual Competition Assessment is being prepared by the independent regulator, Ofgem, in conjunction with the Office of Fair Trading (OFT).
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The criteria for the assessment will be set by the independent regulators, and the framework will be published on 19 December.
Energy: Conservation
Jonathan Reynolds: To ask the Secretary of State for Energy and Climate Change with reference to paragraph 1.261 of the autumn statement, what new incentives will be in the schemes to support the take-up of energy efficiency measures. [180248]
Gregory Barker: In the autumn statement, we announced new schemes worth £540 million over three years to incentivise energy efficiency for home-movers, landlords and public sector buildings. We are currently working on the details of the schemes. More details will be announced early in the new year.
Energy: Prices
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to the answer of 28 November 2013, Official Report, column 385, on decarbonisation, what estimate his Department has made of the difference in cost to consumers of setting a decarbonisation target in (a) 2014 and (b) 2016. [180194]
Gregory Barker: The Government here maintained the view that the right time to conduct a detailed analysis to understand the impacts of setting a decarbonisation target is at the same time as setting the 5th Carbon Budget, which is in 2016. This analysis will include the likely impacts to consumer bills. This approach is in line with the Government's decarbonisation provisions that are included within the Energy Bill.
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to his statement of 2 December 2013, Official Report, column 628, on energy bills, what the evidential basis is for the statement that changes to the energy company obligation will result in a reduction in bills of between £30 and £35. [180203]
Gregory Barker: The Government have previously modelled and estimated the costs to energy suppliers of delivering the Energy Company Obligation (ECO) scheme to be around £1.3 billion per year, or around £50 of the typical domestic dual fuel bill. However, energy suppliers make their own assumptions about the costs of delivery which they rely on when making pricing decisions. The £30 to £35 cut in bills from proposed changes to ECO is an estimate of the savings that companies have indicated they will be able to make. DECC will publish an analytical assessment alongside the consultation on the proposed changes to the scheme.
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to his statement of 2 December 2013, Official Report, column 631, on energy bills, when his Department will publish the (a) consultation paper and (b) impact assessment on the proposed changes to the energy company obligation. [180204]
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Gregory Barker: The Department will publish its consultation on the proposed changes to the Energy Company Obligation, including economic analysis of their potential impact, in the first quarter of 2014.
Derek Twigg: To ask the Secretary of State for Energy and Climate Change pursuant to the answer of 9 December 2013, Official Report, column 13W, on energy: prices, for what reasons he has not held any meeting where he has asked energy companies to lower or not increase their prices. [180473]
Michael Fallon: In a competitive market, it would not be appropriate for Ministers to dictate pricing strategies to energy companies. DECC has received representations to introduce such a policy of price fixing. This would result in higher prices for consumers before and after a freeze and damage investment. Therefore we have rejected these representations.
Derek Twigg: To ask the Secretary of State for Energy and Climate Change pursuant to the answer of 9 December 2013, Official Report, column 13W, on energy: prices, how many meetings he had with the big six energy companies in November 2013. [180486]
Michael Fallon: The Secretary of State for Energy and Climate Change, my right hon. Friend the Member for Kingston and Surbiton (Mr Davey), met officials from big six energy companies on three separate occasions during November.
Derek Twigg: To ask the Secretary of State for Energy and Climate Change pursuant to the answer of 9 December 2013, Official Report, column 13W, on energy: prices, what estimate he has made of the cost of providing the information requested on the dates of meetings. [180487]
Michael Fallon: The cost of providing a full answer would have been over the threshold of £850 set out in Cabinet Office guidelines.
Fuel Poverty
Caroline Flint: To ask the Secretary of State for Energy and Climate Change what estimate his Department has made of the number of pre-payment energy customers who are in fuel poverty. [18014]
Gregory Barker: DECC have recently announced the intention to adopt the new Low Income High Costs (LIHC) indicator, to measure fuel poverty, based on the recommendations from Professor Hills' independent review.
The number of households in fuel poverty under the LIHC indicator in England in 2011 who used pre-payment for gas and electricity is as follows:
| Number of households in fuel poverty (thousand) | |
Caroline Flint: To ask the Secretary of State for Energy and Climate Change what estimate his Department has made of the (a) number and (b) proportion of off-grid gas households who are in fuel poverty. [180241]
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Gregory Barker: DECC have recently announced the intention to adopt the new Low Income High Costs (LIHC) indicator to measure fuel poverty, based on the recommendations from Professor Hills' independent review.
The number and proportion of households in fuel poverty under the LIHC indicator in England in 2011 who are off gas grid is as follows:
| Number of households in fuel poverty (thousand) | Percentage of all fuel poor households that are in this group | |
Jonathan Reynolds: To ask the Secretary of State for Energy and Climate Change what the total spend on fuel poverty measures will be for 2013 compared to each of the last five years. [180245]
Gregory Barker: Detailed information on spending from 2008-09 to 2012-13 on fuel poverty under Warm Front, the Carbon Emissions Reduction Target, the Community Energy Saving programme, the Warm Home Discount and the predecessor voluntary scheme has already been provided in response to written questions. For example, I refer the hon. Member to the answer I gave the right hon. Member for Don Valley (Caroline Flint) on 1 July 2013, Official Report, column 422W.
The maximum spending obligation in 2013-14 under the Warm Home Discount, as set out in regulations, is £300 million. Requirements on energy companies under the new energy companies obligation are set in output, rather than spending, terms. In the original ECO impact assessment, we estimated average annual spending directed at fuel poverty through Affordable Warmth and Carbon Saving Communities to be £540 million for the period to 2015.
Insulation
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to his statement of 2 December 2013, Official Report, column 635, on energy bills, what estimate his Department has made of the likely reductions in solid wall insulations as a result of the proposed change to the energy company obligation. [180223]
Gregory Barker: The Department will publish its consultation on the proposed changes to the Energy Company Obligation (ECO), including economic analysis of their potential impact, in the first quarter of 2014. The proposed changes to the ECO will oblige energy companies to provide a minimum number of homes with solid wall insulation. This will give certainty to this industry, allowing it to invest for the future.
Ministers
Ian Lucas: To ask the Secretary of State for Energy and Climate Change how much was spent on ministerial salaries in the last year for which figures are available. [180097]
Gregory Barker: Details of the Department of Energy and Climate Change's ministerial salaries can be found in the Department's annual report and accounts 2012-13 (HC 18) Page 220:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/209325/9589-TSO-DECC_AR-2012-13_Accessible.pdf
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Renewable Energy
Caroline Flint: To ask the Secretary of State for Energy and Climate Change pursuant to his answer of 28 November 2013, Official Report, column 386, on decarbonisation, what the evidential basis is for the statement that £31 billion has been invested in renewable electricity since 2010. [180193]
Gregory Barker: I refer the right hon. Member to the answer I gave her on 18 November 2013, Official Report, column 725-726W.
Warm Home Discount Scheme
Caroline Flint: To ask the Secretary of State for Energy and Climate Change what estimate his Department has made of how many people are eligible for the Warm Home Discount core group rebate in (a) 2013-14 and (b) 2014-15. [180159]
Gregory Barker: This winter, a total of 1,161,938 people were eligible to receive the £135 Warm Home Discount core group rebate automatically by 31 December. This is as a result of data matching between the Department for Work and Pensions (DWP) and participating energy suppliers.
A total of 306,271 customers who received the qualifying benefit but whose data were not matched between DWP and energy suppliers, were sent a letter asking them to contact a dedicated call centre to provide further information. Based on our experience from previous years, we estimate approximately 76,000 of those customers will receive the £135 rebate. Many of the remaining customers will not have met the scheme's eligibility criteria.
We will estimate the number of core group rebates for 2014-15 by 14 February 2014 in order to notify Ofgem of the non-core spending obligation for that year.
Caroline Flint: To ask the Secretary of State for Energy and Climate Change if he will require all electricity suppliers to pay the Warm Home Discount in (a) 2014 and (b) 2015. [180160]
Gregory Barker: The Warm Home Discount Regulations 2011 govern the operation of the scheme. Under these regulations, participation is compulsory for all electricity suppliers who have at least 250,000 domestic customers on 31 December preceding each scheme year. This rule will apply for the 2014-15 scheme year (Year 4).
New regulations will be needed for the 2015-16 scheme year, for which the Government have already announced a £320 million budget. We will consult on the details of how the scheme should operate in 2014. We expect to invite views on the participation threshold as part of that consultation exercise.
Caroline Flint: To ask the Secretary of State for Energy and Climate Change what estimate his Department has made of the number of customers eligible for the Warm Home Discount who are not customers of suppliers who participate in the scheme. [180161]
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Gregory Barker: There are two broad eligibility rules for receipt of the Warm Home Discount:
(i) Customers need to be electricity account holders with a participating supplier;
(ii) Customers need to be in receipt of certain passport benefits or in a group that is at risk of being in fuel poverty.
In December 2012, the seven suppliers participating in the Warm Home Discount accounted for over 98% of the domestic market. The details are set out at:
https://www.ofgem.gov.uk/publications-and-updates/2013-national-report-european-commission
We do not have data relating to the number of customers of non-participating suppliers who would meet the second eligibility criterion.
Justice
Direct Selling
Steve Brine: To ask the Secretary of State for Justice what steps he is taking to tackle rogue PPI claim companies and nuisance calling by those companies. [901661]
Mr Vara: Our priority is to protect the public by rooting out and punishing bad practices by claims companies. The Claims Management Regulator is expanding its resources, consulting on a new set of toughened rules to crack down on abuses and later next year, claims companies will face fines for rule breaches.
HM Courts and Tribunals Service
Bridget Phillipson: To ask the Secretary of State for Justice what plans he has for the future of HM Courts and Tribunals Service. [901670]
Mr Vara: On 26 March 2013, Official Report, columns 94-95WS, the Lord Chancellor and Secretary of State for Justice, my right hon. Friend the Member for Epsom and Ewell (Chris Grayling), made a written ministerial statement setting out that he had asked the Department to look at the way we deliver our court and tribunals services to ensure access to justice is quick and effective while providing value for money for the taxpayer. We will, of course, update Parliament in due course when proposals have been developed.
Offenders: Rehabilitation
Sadiq Khan: To ask the Secretary of State for Justice (1) when he expects to sign contracts with the community rehabilitation companies; [175823]
(2) when he expects community rehabilitation companies to take over responsibility for supervision of low and medium-risk offenders. [175824]
Jeremy Wright: On 19 September the Ministry of Justice launched its competition to find the future owners of the 21 Community Rehabilitation Companies (CRCs) who will deliver rehabilitation services in England and Wales as set out in the Government's Transforming Rehabilitation Strategy.
The Transforming Rehabilitation competition will continue through 2014 with contracts being awarded and mobilised by 2015.
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Rape: Victim Support Schemes
Helen Jones: To ask the Secretary of State for Justice what services have received Government funding for rape crisis centres and helplines (a) nationally and (b) in each region in each year since 2010. [179062]
Damian Green:
The Government are committed to supporting victims of rape and sexual abuse. In 2011 the Ministry of Justice launched the Rape Support Fund (2011-14) which has provided nearly £4 million per year to support 77 rape support centres, including
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13 new and emerging rape support centres in areas of need, with a further two new centres planned for 2014-15. This is part of the coalition commitment to provide stable funding for rape support centres as part of the Violence Against Women and Girls strategy.
The Ministry of Justice does not currently specifically fund any telephone helplines for victims of rape and sexual violence.
The rape support centres that have benefitted from the Combined Fund—Sexual Violence (2010-11) and/or the Rape Support Fund (2011-14) are listed in the following table:
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|
Rape and Sexual Abuse Support Centre (Cheshire and Merseyside) |
Rape and Sexual Abuse Support Centre (Cheshire and Merseyside) | |
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Helen Jones: To ask the Secretary of State for Justice (1) how much of the Government's funding for rape support centres has been spent in each region in each year since 2011; [180215]
(2) which domestic violence helplines received how much funding in each year since 2011; [180216]
(3) which rape support centres have received what funding in each year since 2011. [180217]
Damian Green: In 2011 the Ministry of Justice launched the Rape Support Fund (2011-14) which has provided nearly £4 million per year to support 77 rape support centres, including 13 new and emerging rape support centres in areas of need, with a further two new centres planned for 2014-15. A breakdown of funding, per centre, area and year can be found in the following table.
| Total annual award | Total annual award | Forecasted total annual award | ||
| Area | Grantee name | 2011-12 (£) | 2012-13 (£) | 2013-14 (£) |
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| * Centres that cover more than one area receive one payment per year for all areas combined. 1 The 13 new and emerging centres. 2 Waveney Rape and Abuse Centre closed in 2012-13. | ||||