Young Offenders: Alternatives to Prison
Dan Jarvis: To ask the Secretary of State for Justice how many young offenders have breached referral orders in each year since they were introduced. [191652]
Jeremy Wright: The information requested is not held centrally. Breach of sentences in the criminal courts is not an offence and so is not recorded as such. Additional powers to punish young offenders for breaching the terms of their referral order contract have been included in the Criminal Justice and Courts Bill, now before Parliament. These will give the court, in certain circumstances, the additional options of either imposing a fine up to a maximum of £2,500, or extending the referral order up to the maximum length of 12 months as an alternative to revoking the referral order and resentencing.
Youth Custody
Alex Cunningham: To ask the Secretary of State for Justice how many places have been (a) created and (b) decommissioned in (i) secure children's homes, (ii) secure training centres and (iii) young offender institutions in each year since 2010. [189760]
Jeremy Wright: Overall crime and proven offending by young people has fallen in recent years. Fewer young people have entered the criminal justice system, and as a result fewer young people have ended up in custody. This has allowed excess capacity in the youth secure estate to be decommissioned.
The Youth Justice Board is responsible for purchasing places in secure children’s homes, secure training centres and under-18 young offender institutions.
No places have been created or decommissioned in secure training centres since 2010. The following tables provide the number of new places contracted and those decommissioned in secure children’s homes and under-18 young offender institutions in each year since 2010.
| Secure children’s homes1 | ||
| New places contracted | Places decommissioned | |
17 Mar 2014 : Column 445W
| 1 The figures above show additional places contracted and those decommissioned across all the secure children’s homes (SCHs) holding contracts with the Youth Justice Board. In 2010-11, six additional places were contracted across three SCHs, and six were decommissioned in two different SCHs. In 2011-12, one additional place was contracted in one SCH, and nine were decommissioned in another SCH. In 2012-13, 17 places were decommissioned across four SCHs. | ||
| Under-18 young offender institutions | ||
| New places commissioned | Places decommissioned | |
| 1 These places refer to the 65 new places commissioned at Cookham Wood YOI. | ||
Health
Abortion
Mr Streeter: To ask the Secretary of State for Health which official body has responsibility for ensuring that HSA4 forms are correctly filled out; whether he plans to provide details of the procedures that are used by that body to investigate incomplete HSA4 forms to ensure that the terminations in question were legally and safely conducted; and if he will make a statement. [190800]
Jane Ellison: A practitioner terminating a pregnancy has a legal duty to submit form HSA4 to the Chief Medical Officer within 14 days of the termination and to certify to the best of their knowledge that the information contained in the forms is correct. Every form is checked for compliance with the Abortion Act 1967 by Department officials, authorised by the Chief Medical Officer. Selected forms are also scrutinised by a Department medical adviser. Forms with missing information are returned to the practitioner, and if the revised forms are not returned within six weeks, reminders will be sent regularly until the information is received. The Department has published detailed guidance on the completion of HSA4 forms.
Jim Dobbin: To ask the Secretary of State for Health pursuant to the answer of 6 March 2014, Official Report, column 949W, on abortion, whether the general discussions with the British Pregnancy Advisory Service and Marie Stopes International involved sharing with those organisations any of the interpretations of the law which it is proposed should be included in the new guidelines; on what date each such discussion took place; what discussions his Department had over the same period with pregnancy and abortion counselling organisations which do not provide abortion services; what representations he has received from private sector abortion providers regarding the proposed new guidelines; what the name of each such organisation is; on what date each such representation was made; and if he will make a statement. [191211]
Jane Ellison:
Departmental officials met with the British Pregnancy Advisory Service on 20 December 2013 and Marie Stopes International on 13 December 2013. At both meetings, the consultation on the update
17 Mar 2014 : Column 446W
of the Procedures for the Approval of Independent Sector Places for the Termination of Pregnancy and the letter from the Chief Medical Officer to all doctors involved in abortion care dated 22 November 2013 were discussed. No recent meetings have been held with pregnancy and abortion counselling organisations who do not provide abortion services.
Accident and Emergency Departments
David Simpson: To ask the Secretary of State for Health what steps his Department is taking to increase the number of accident and emergency doctors. [191317]
Dr Poulter: The shortage of accident and emergency (A&E) doctors is long-standing and was first identified in 2004. Recently the Department has set up Health Education England (HEE) to deliver a better health and health care workforce for England.
HEE has established the Emergency Medicine Workforce Implementation Group to develop and implement innovative workforce inventions to support the workforce in emergency departments.
HEE has also increased the number of Acute Core Common Stem (ACCS) Emergency Medicine (EM) posts to account for the attrition rate that is currently being experienced. HEE has formally agreed to increase ACCS EM by 75 posts per year for the next three years. A parallel run-through training programme has been developed to also increase retention in specialty training.
HEE is also looking to expand its training and consultant workforce on an interim basis through international recruitment. It is establishing a targeted recruitment programme in India and exploring opportunities in Europe. HEE is working with the College of Emergency Medicine on this initiative and is planning to go out to India in May 2014.
NHS Employers is currently in negotiations with the British Medical Association on changes to contractual arrangements. It is the Government's aim that medical contracts be reformed so that they offer the right rewards for doctors in all specialties, including those like A&E where there have been historical recruitment challenges.
Ms Buck: To ask the Secretary of State for Health what (a) change and (b) percentage change there was in Accident and Emergency (i) admissions and (ii) attendance in each NHS trust in each of the last four years. [191535]
Jane Ellison: The information has been placed in the Library for the financial years 2009-10 to 2012-13.
Luciana Berger: To ask the Secretary of State for Health how many accident and emergency attendances there were by children in each year since 2010. [191579]
Jane Ellison: The information is shown in the following table.
| Number of accident and emergency (A&E) attendances by children in each year since 2010 | |
| Attendances | |
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| Notes: 1. Children are defined as aged 0 to 17 years. 2. A&E attendances are a count of the number of attendances at A&E and do not represent the number of patients as an individual may attend on more than one occasion in any given period. 3. Changes to the figures over time should be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. 4. NHS England situation reports are the official source for A&E attendances. However, HES publish more detailed data on A&E attendances that are broken down by age and diagnosis. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre | |
Ambulance Services
Mr Jamie Reed: To ask the Secretary of State for Health how many ambulances have taken longer than (a) 30 minutes and (b) one hour to arrive at the patient in each region in each of the last five years. [191796]
Jane Ellison: These data are not collected centrally. However, we do collect ambulance performance against the three national response time standards.
There are three ambulance response time standards, which ambulance trusts are required to meet at trust level:
75% of Category A 'Red 1' calls should be reached within eight minutes, from the time the call 'connects'. 'Red 1' calls are those patients in cardiac arrest or similar. (The A8 Red 1 performance measure);
75% of Category A 'Red 2' calls should be reached within eight minutes, from the time that either (i) the chief complaint is identified, (ii) the call handler determines a priority response is required, or (iii) after 60 seconds has elapsed, whichever is the sooner. 'Red 2' calls are those patients such as strokes and fits, which are still life threatening emergencies, but not as time critical as 'Red 1' patients. (The A8 Red 2 performance measure); and
95% of all Category A calls should receive an 'ambulance capable of conveying the patient within 19 minutes' (The A19 performance measure).
The most recent performance (January 2014) shows that nationally, ambulance services have met all three standards. These data are published by NHS England on a monthly basis and can be found at the following link:
www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/
A8 and A19 are the only nationally mandated response time standards. It is a matter for local commissioners to agree with ambulance trusts the appropriate protocols for dealing with non-Category A calls based on available clinical guidelines and local circumstances. However, efficiency, timeliness and high quality care for patients are nevertheless expected.
Arthritis
Nic Dakin: To ask the Secretary of State for Health how many NHS providers deliver care that meets the quality statements contained within QS33, the quality standard for rheumatoid arthritis development by the National Institute for Health and Care Excellence. [191640]
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Norman Lamb: No assessment has been made of the number of national health service providers who deliver care that meet the quality statements contained within the Rheumatoid Arthritis Quality Standard, QS33, developed by the National Institute for Health and Care Excellence (NICE).
While providers and commissioners must have regard to the NICE quality standards in planning and delivering services, the quality standards do not provide a comprehensive service specification and are not mandatory.
Quality standards are important in setting out to patients, the public, commissioners and providers what a high quality service should look like in a particular area of care.
NHS England continues to champion their use with providers and commissioners.
Calderdale Royal Hospital
Mrs Riordan: To ask the Secretary of State for Health how much has been spent on improving accident and emergency facilities at Calderdale Royal Hospital in the last five years. [191193]
Jane Ellison: The information requested is not collected centrally.
The amount spent on improvements to accident and emergency facilities at Calderdale Royal Hospital is a matter for the local national health service.
We have written to Andrew Haigh, Chair of the Calderdale and Huddersfield NHS Foundation Trust, informing him of the hon. Member's query. He will reply shortly and a copy of the letter will be placed in the Library.
Mrs Riordan: To ask the Secretary of State for Health how many people have accessed treatment at Calderdale Royal Hospital in (a) each of the last 12 months and (b) each of the last five years. [191194]
Jane Ellison: The data requested are not collected centrally. Information is available at national health service trust level, but not at hospital site level.
Information on the number of admitted patient care finished admission episodes, accident and emergency (A&E) attendances (including planned attendances), and attended outpatient appointments for all hospital sites managed by Calderdale and Huddersfield NHS Foundation Trust, is shown in the following table
| Year | Month | Admitted patient care-finished admission episodes | A&E attendances | Attended out-patient appointments |
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| Notes: 1. These figures do not represent the number of patients as it is possible for an individual to have one or more episodes of care or hospital attendances in any given period. 2. Finished admission episodes A finished admission episode (FAE) is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the period. 3. Assessing growth through time (In-patients) Hospital Episode Statistics (HES) figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. 4. Assessing growth through time (A&E) HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. 5. Assessing growth through time (Out-patients) HES figures are available from 2003-04 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care. Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre | ||||
Congenital Abnormalities
Andrew Selous: To ask the Secretary of State for Health how many ground E abortions for cleft palate were diagnosed by (a) ultrasound and (b) other diagnostic tests in each of the last 10 years; what other methods of diagnosis were listed under other; and how many such diagnoses which did not result in abortion were recorded in the same period. [191643]
Jane Ellison: This information cannot be provided. Cleft lip and palate is associated with other foetal abnormalities. It is therefore not possible to extract from Form HSA4 the method used to diagnose cleft lip and palate in isolation from the other abnormalities that have been listed.
Emergency Services
Hilary Benn: To ask the Secretary of State for Health on what proportion of occasions when a fire engine was despatched in response to a 999 call an ambulance was sent to the same incident in the last year for which information is available. [191794]
Jane Ellison: This information is not collected centrally.
Genomics England
Mr Godsiff: To ask the Secretary of State for Health whether representatives of commercial companies will be appointed to the board of Genomics England Limited. [191229]
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Jane Ellison: No representatives of commercial companies have been or will be appointed to the board of Genomics England. Genomics England has appointed independent non-executive directors for their knowledge, skills and experience in their respective fields, who sit alongside representatives of NHS England and the Department.
Mr Godsiff: To ask the Secretary of State for Health what contractual or similar relationship exists between NHS England, PA Consulting and Genomics England Limited. [191230]
Jane Ellison: UK Trade & Industry (UKTI) has an existing contractual relationship with PA Consulting to provide support on inward investment. Through this existing contract, UKTI has seconded someone to work with Genomics England part-time for three months. There is no contract in place between PA Consulting and NHS England on the £100,000 genome project led by Genomics England.
Health Education
Mrs Main: To ask the Secretary of State for Health how much his Department spends on reproductive health education and family planning; and what his policy is on such matters. [191192]
Jane Ellison: An estimated £110 million per year was spent by primary care trusts on commissioning contraception services prior to 1 April 2013, when responsibility for commissioning these services transferred to local authorities. Local authority spending on these services in 2013-14 will be published on the gov.uk website later this year. Contraception is also provided by general practitioners (GPs) as an additional service under the GP contracts, but the Department does not hold information on this element of spending.
The Department also has a contract with the Family Planning Association to produce and distribute information resources on sexual health including reproductive health and contraception. The value of the contract is £1,129,653 for the period from July 2012 to 31 March 2015.
Health Services: Hearing Impairment
Stephen Lloyd: To ask the Secretary of State for Health pursuant to the answer of 19 November 2013, Official Report, columns 831-32W, on health services: hearing impairment, if he will place in the Library a copy of the initial survey on the implementation of AQP in audiology services. [191312]
Jane Ellison: The initial survey on the implementation of Any Qualified Provider in audiology services was commissioned by Professor Sue Hill, who is now the chief scientific officer at NHS England. The survey findings have been shared with stakeholders for comment, and are in the process of being finalised. There are no plans at present for NHS England to formally publish the document, but the final survey results will be shared with stakeholders.
From 1 April 2013 it has been entirely for commissioners to decide where to extend choice of provider to further services, in the best interests of patients.
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Hospital Beds: Greater London
Ms Buck:
To ask the Secretary of State for Health what (a) change and (b) percentage change there was in the estimated number of delayed discharges in each
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London hospital trust in each of the last four years. [191534]
Jane Ellison: The information requested is shown in the following table:
| Average number of patients delayed | |||||||
| 2009 | 2010 | 2011 | 2012 | 2013 | 2009 vs. 2010 change | 2009 vs. 2010 % change | |
|
Barking, Havering and Redbridge University Hospitals NHS trust | |||||||
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17 Mar 2014 : Column 454W
| 2010 vs. 2011 change | 2010 vs. 2011 % change | 2011 vs. 2012 change | 2011 vs. 2012 % change | 2012 vs. 2013 change | 2012 vs. 2013 % change | |
|
Barking, Havering and Redbridge University Hospitals NHS trust | ||||||
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17 Mar 2014 : Column 456W
| Source: NHS England statistics | ||||||
Hospitals: Parking
Rosie Cooper: To ask the Secretary of State for Health whether his Department has issued any guidance to hospital trusts on the management of car parks and the issuing of parking charge notices. [191556]
Dr Poulter: National health service organisations are responsible locally for decisions on the management of car parking in relation to patients, visitors and staff which will be made to support their clinical and operational needs.
Guidance relating to the management of car parks is included in:
“Fair for all, not free for all—Principles for sustainable car parking”, published by the NHS Confederation; and
“Health Technical Memorandum 07-03”—Transport management and car-parking”, published by the Department. A copy of this document has already been placed in the Library.
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Information Centre for Health and Social Care
Barbara Keeley: To ask the Secretary of State for Health how many senior staff employed at the Health and Social Care were previously employed at the NHS Information Centre; and what the grade is of each such member of staff. [191116]
Dr Poulter: There are 11 members of the Health and Social Care Information Centre (HSCIC) management board, six of whom are non-executive directors and five of whom are executive directors. Three of the non-executive directors and two of the executive directors were previously members of the NHS Information Centre (NHSIC) management board. One of the executive members is graded as a very senior manager post and the other transferred as a senior doctor.
Two of the current non-executive directors who previously worked at the NHSIC will leave on 31 March 2014. One of the executive directors who previously worked at the NHSIC will leave the HSCIC on 31 March 2014.
Barbara Keeley: To ask the Secretary of State for Health how many staff are employed at the Health and Social Care Information Centre; and how many of those staff were previously employed at the NHS Information Centre. [191121]
Dr Poulter: As at 28 February 2014 the Health and Social Care Information Centre employs 2,075.5 full-time equivalent staff, of whom 494 were previously employed at the NHS Information Centre.
Barbara Keeley: To ask the Secretary of State for Health how many former staff of the NHS Information Centre were employed in the Health and Social Care Information Centre. [191490]
Dr Poulter: As at 28 February 2014, the Health and Social Care Information Centre (HSCIC) employs 2,075.5 full time equivalent staff. 550 employees of the NHS Information Centre transferred to the HSCIC on 1 April 2013.
Barbara Keeley: To ask the Secretary of State for Health how many senior staff at what level in the Health and Social Care Information Centre previously worked at the NHS Information Centre. [191491]
Dr Poulter: There are 11 members of the Health and Social Care Information Centre (HSCIC) management board, six of whom are non-executive directors and five of whom are executive directors. Three of the non-executive directors and two of the executive directors were previously members of the NHS Information Centre (NHSIC) management board. One of the executive members is graded as a very senior manager post and the other transferred as a senior doctor.
Two of the current non-executive directors who previously worked at the NHSIC will leave on 31 March 2014. One of the executive directors will leave the HSCIC on 31 March 2014.
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Kidneys: Donors
Jim Shannon: To ask the Secretary of State for Health what steps his Department is taking to encourage more older people to become kidney donors. [191416]
Jane Ellison: NHS Blood and Transplant (NHSBT) actively campaigns to promote public awareness about the importance of organ donation and transplantation and to encourage people to join the NHS Organ Donor Register. Although NHSBT’s promotional activity does not specifically include initiatives to encourage older people to become kidney donors, it does however raise awareness that there is no age restriction to becoming an organ donor. For organs it is the condition of the organ and the individual's health, not age, which is the deciding factor.
Medical Records: Databases
Mr Godsiff: To ask the Secretary of State for Health which companies outside the NHS have received NHS patient data over the last 10 years; what data were provided; and how much was charged for those data in each case. [191104]
Dr Poulter: Sir Nick Partridge, a Non-Executive Director on the Health and Social Care Information Centre (HSCIC) Board has agreed to conduct an audit of all the data releases made by the predecessor organisation, NHS Information Centre, from its inception on 1 April 2005 and report on this to the HSCIC Board by the end of April 2014.
A report is to be published on 2 April detailing all data released under the HSCIC, since April 2013, including the legal basis on which data was released and the purpose to which the data are being put. The report will be updated on a quarterly basis and is intended to encourage public scrutiny of HSCIC decisions.
Mr Godsiff: To ask the Secretary of State for Health whether advice on the use of data without consent has been obtained from the Confidentiality Advisory Committee. [191209]
Dr Poulter: Identifiable information can be processed only with a legal basis to do so.
Prior to April 2013 the NHS Information Centre relied upon Regulation 5 of the Health Service (Control of Patient Information) Regulations 2002 (often referred to as “section 251 support”) for the processing of identifiable information where patient consent could not practicably be gained, and sought approval from the Ethics and Confidentiality Committee which has since become the Confidentiality Advisory Group (CAG).
One of the measures outlined in the Care Bill, currently before Parliament, stipulates the Health and Social Care Information Centre must have regard to external advice given by the committee appointed by the Health Research Authority, the CAG, when publishing or otherwise disseminating information.
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Mr Godsiff: To ask the Secretary of State for Health whether NHS England plans to upload care.data to Google servers or use Google’s Big Query service. [191218]
Dr Poulter: The Health and Social Care Information Centre can only release information under its general dissemination powers if for the purposes of health and care or adult social care provision, or in future, under amendments to the Care Bill for the promotion of health.
Mr Godsiff: To ask the Secretary of State for Health whether his Department has concluded a memorandum of understanding with US medical authorities over the future sharing of NHS patient data. [191223]
Dr Poulter: A memorandum of understanding was signed between the Secretary of State for Health, NHS England, the Health and Social Care Information Centre and the United States Department of Human and Health Services on the 23 January 2014 on a collaboration of work on health information technology and open data. There are no plans in this working agreement to share any patient identifiable information between countries.
A copy of the signed memorandum of understanding has been placed in the Library.
Mr Godsiff: To ask the Secretary of State for Health whether patients can opt out of their hospital data being shared or uploaded to anyone who does not directly provide them with care. [191349]
Dr Poulter: Patients should talk to their care provider if they object to information that identifies them being shared or uploaded to anyone who does not directly provide them with care.
The NHS Constitution does say individuals have a right to object to the disclosure of personal confidential data about them and they have a right to have any reasonable objections considered. In addition, the Secretary of State for Health, has given a commitment that in relation to data held in general practitioner records, individuals' objections to disclosure to the Health and Social Information Centre will be respected.
Medical Records: Genetics
Mr Godsiff: To ask the Secretary of State for Health with reference to paragraph 20 of NHS England Board Paper NHSE 180 716, what is meant by the exploitation of sequencing data. [191212]
Dr Poulter: Genomics is a separate programme from care.data. By “exploitation of sequencing data”, NHS England is referring in its board paper entitled “NHS England Genomics Strategy” to how the national health service can make the best use of genomic data from volunteers who have donated their data on the basis of consent for the benefit of other NHS patients.
Mr Godsiff: To ask the Secretary of State for Health (1) what work has been done by NHS England to consider how genomic sequencing data might be held, connected to patient records and used; [191226]
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(2) whether genomic data will be extracted as part of care.data; [191227]
(3) whether proposed links between care.data and genetic data will be reviewed by an independent ethics committee; [191228]
(4) whether PA Consulting or any other commercial company has or will have access to NHS genomic data; [191231]
(5) whether informed consent must be obtained before genomic data is (a) taken from patients and (b) stored. [191248]
Jane Ellison: Genomic data are vital for patient care and research. Access to genomic data is controlled under the same national health service safeguards as other patient data as outlined in the Data Protection Act 1998. Under the Human Tissue Act 2004 it is an offence to analyse DNA for diagnosis or research without consent.
NHS England, the Department and Genomics England are in discussions about the future use of genetic and genomic data for health care and research as part of the Prime Minister's commitment to introduce the benefits of genomic technology for NHS patients.
The Board of Genomics England is advised by an independent Ethics Committee chaired by Professor Michael Parker. It is made up of patients and experts on ethics who will ensure that the project has regard to a wide range of relevant ethical issues.
Medical Treatments
Mr Simon Burns: To ask the Secretary of State for Health which technology appraisals conducted by the National Institute for Health and Care Excellence and completed in each year since 2005 (a) did and (b) did not have a Patient Access Scheme attached to them for consideration; to what technology each such Patient Access Scheme related; what the outcome of the appraisal in each case was; and in each such case whether the technology was (i) fully recommended, (ii) partly recommended and (iii) not recommended. [191488]
Norman Lamb: The information requested has been placed in the Library.
Mental Health Services
Andrew Rosindell: To ask the Secretary of State for Health (1) what steps his Department is taking to improve the lives of people experiencing mental health problems; [191394]
(2) what steps his Department is taking to support the carers of people with mental health problems; [191395]
(3) what steps he is taking to improve the provision of care to people with mental health problems; [191396]
(4) how much his Department spent on mental health research in 2013. [191397]
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Norman Lamb: We have already taken significant steps to improve the lives of and provision of care to, people with mental health issues. Mental health and well-being is a priority for this Government. Our overarching goal is to ensure that mental health has equal priority with physical health, and that everyone who needs it has timely access to the best available treatment.
We made it a key priority in our Mandate to NHS England, to put mental health on a par with physical health. Consequently, we have enshrined in law the equal status of mental and physical health in the Health and Social Care Act 2012.
This commitment is at the heart of our document ‘Closing the Gap; Priorities for essential change in mental health’ which sets out our priorities for action in mental health, the 25 areas where people can expect to see and experience the fastest changes. It also sets out our expectations and shows how changes in local service planning and delivery will make a difference in the next two or three years to the lives of people with mental ill health.
We are investing over £400 million to give thousands of people, in all areas of the country, access to approved psychological therapies. The Improving Access to Psychological Therapies programme is fundamental to the success of our drive to improve mental health services.
On 18 February 2014 we published our mental health ‘Crisis—Care Concordat’ a shared agreement produced by the Home Office and the Department in association with 20 national organisations. This sets out how police, health, social work and ambulance professionals should work together to help people going through a mental health crisis. It describes the principles and best practice that need to be in place to make sure that crisis services work together to give vulnerable people an appropriate response that provides safe care and support in the right setting.
Carers are central to the Government's proposals for improving care and support, including those who are caring for those with mental health problems. There are significant improvements in the Care Bill for carers, including extending carers' rights to an assessment, which will include consideration of the impact of caring on the carer, and the outcomes they wish to achieve. For the first time, there will be a duty on local authorities to meet carers' eligible needs for support, putting them on an equal footing to the people they care for.
We have provided £400 million to the NHS over four years from 2011 for carers to have breaks from their caring responsibilities. In the 2013 spending review, we announced the £3.8 billion Better Care Fund, which includes £130 million funding for carers' breaks for 2015-16.
The Department spent £70.4 million on mental health research in 2012-13.
Multiple Sclerosis
Jim Shannon: To ask the Secretary of State for Health what discussions he has had with the British Medical Association and the National Institute for Health and Care Excellence about approval of the Tecfidera form of dimethyl fumarate as a treatment for MS through the NHS. [191380]
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Norman Lamb: Ministers have had no such discussions with the British Medical Association or the National Institute for Health and Care Excellence (NICE).
NICE is currently appraising Tecfidera (dimethyl fumarate) for the treatment of relapsing-remitting multiple sclerosis, and issued initial draft guidance for consultation on 19 February 2014.
In the absence of NICE technology appraisal guidance, it is for national health service commissioners to make funding decisions on the use of Tecfidera based on an assessment of the available evidence and the individual patient's clinical circumstances.
NHS England
Mr Godsiff: To ask the Secretary of State for Health whether any directors of NHS England are on the board of (a) HSCIC, (b) Genomics England Limited and (c) PA Consulting. [191208]
Jane Ellison: This information is in the public domain. NHS England has one director in common with the board of Genomics England Limited, who is Professor Sir Malcolm Grant, as listed in his declaration of interests which is available on the NHS England website; and no directors in common with the boards of Health and Social Care Information Centre (HSCIS) and PA Consulting.
Non-executive directors of NHS England are:
Lord Victor Adebowale;
Margaret Casely-Hayford;
Ciaran Devane;
Dame Moira Gibb;
Professor Sir Malcolm Grant; and
Ed Smith CBE.
The executive directors of NHS England are:
Paul Baumann;
Jane Cummings;
Dame Barbara Hakin;
Professor Sir Bruce Keogh;
Tim Kelsey;
Bill McCarthy;
Sir David Nicholson;
Rosamond Roughton; and
Jo-Anne Wass.
The board of Genomics England consists of:
Professor Sir John Bell;
Professor Mark Caulfield FMedSci;
Sir John Chisholm;
Dame Sally Davies;
Kevin J. Dean;
Professor Sir Malcolm Grant;
Professor Michael Parker;
Vivienne Parry; and
Jon Symonds CBE.
The board of PA Consulting consists of:
Marcus Agius;
Esther Dyson;
Andrew Hooke;
Alan Middleton;
Tom Mullen;
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Michael Queen; and
Richard Wilson.
This information is also available at the following websites:
NHS England:
www.england.nhs.uk/about/whos-who/
HSCIC:
www.hscic.gov.uk/our-board
PA Consulting:
www.paconsulting.com/about-us/board-of-directors/
Genomics England Limited:
www.genomicsengland.co.uk/the-board/
17 Mar 2014 : Column 464W
and
www.england.nhs.uk/wp-content/uploads/2013/12/malcolm-grant-decl.pdf
We are advised by Genomics England that they will be updating their website.
Mr Slaughter: To ask the Secretary of State for Health what the name, job title and salary level is of each director who has worked in NHS England since its formation. [191533]
Jane Ellison: The information for national director level staff in post during 2013-14 is shown in the following table:
| Name | Job title | Salary (in £5,000 bands) £000 |
| 1 Margaret Casely-Hayford and Naguib Kheraj waived their entitlement to remuneration for their appointments. | ||
Earlier information, covering the period from which NHS England was first established in shadow form as the NHS Commissioning Board in October 2011, has been published in that organisation's annual reports, copies of which are held in the Library.
Information on regional director and equivalent level posts, with corresponding salary bands, is collected every six months by NHS England, as it is by all Government Departments and arm's length bodies. A copy of the information as at 31 March 2013 has been placed in the Library.
Information covering the period April 2013 to September 2013 is currently being validated by NHS England, as individual staff members must be. informed before publication. However, NHS England expects to be able to disclose the information at the end of the financial year.
NHS: Annual Reports
Mr Simon Burns: To ask the Secretary of State for Health when he expects the NHS Annual Report to be published; and if he will make a statement. [191748]
Dr Poulter: The Department's Annual Report and Accounts for 2013-14 is expected to be laid before Parliament and published before parliamentary summer recess. The Secretary of State will lay before Parliament and publish an annual report on the performance of the health service in England in 2013-14 later in the year.
North West Ambulance Service NHS Trust
Mr Jamie Reed: To ask the Secretary of State for Health what discussions he has had with North West Ambulance Service Trust about delays in attending call-outs. [191789]
Jane Ellison: No Ministers in the Department have held such discussions with the North West Ambulance Service NHS Trust.
The most recent performance data (January 2014) show that North West Ambulance Service NHS Trust has met all three national response time standards. These data are published by NHS England on a monthly basis and can be found at the following link:
www.england.nhs.uk/statistics/statistical-work-areas/ambulance-quality-indicators/
PA Consulting Group
Mr Godsiff: To ask the Secretary of State for Health what steps his Department is taking to ensure that the NHS hospital episode dataset uploaded by PA Consulting is removed after the agreement end date. [191222]
Dr Poulter: The data sharing agreement with PA Consulting is due to end on 30 November 2015, following which PA Consulting will be required to provide a certificate of destruction for the data. The Health and Social Care Information Centre will then decide whether any follow up action is required, such as an audit.
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Mr Godsiff: To ask the Secretary of State for Health whether any security audits have been conducted by his Department on PA Consulting following that company's cancellation of its contracts with the Home Office. [191224]
Dr Poulter: The Health and Social Care Information Centre (HSCIC) can confirm that no security audit has been carried out by or for HSCIC in relation to PA Consulting to date since contracts were cancelled with the Home Office. However, if the requirement should arise, the HSCIC has the ability to audit the recipients of any data at any time.
Mr Godsiff: To ask the Secretary of State for Health whether NHS England has received payment for allowing PA Consulting to use NHS data. [191225]
Dr Poulter: The Health and Social Care Information Centre is the organisation which holds the data sharing agreement with PA Consulting.
NHS England has not received any payments from PA Consulting to use national health service data.