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Written Question
Wheelchairs: Out-patients
Friday 11th September 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what assessment he has made of the adequacy of the current levels of funding within the NHS for wheelchair provision for outpatients.

Answered by Alistair Burt

Wheelchair services are the responsibility of local clinical commissioning groups (CCGs). No information is currently held centrally about CCGs’ expenditure on wheelchair services or the level of service that they provide, including information about access and patient experience, that would enable the transparent assessment and benchmarking of provision for outpatients.

NHS England has recently established a new national wheelchair dataset, which went live from 1 July. This will enable the use of data in future to drive improvement in wheelchair services.


Written Question
Athletics: Training
Thursday 10th September 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what estimate he has made of the number of athletics coaches coaching in England.

Answered by Tracey Crouch

Government recognises the critically important role that coaches play in community sport across England.

According to the latest available figures provided by England Athletics, the number of athletics coaches coaching in England over the last five years was:

Year

Total number of coaches

2014 - 2015

51,031

2013 - 2014

46,810

2012 - 2013

43,109

2011- 2012

36,077

2010 - 2011

32,367


Written Question
Tourism
Monday 8th June 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department for Digital, Culture, Media & Sport:

To ask the Secretary of State for Culture, Media and Sport, what steps he is taking to promote tourism and develop the tourism industry in England.

Answered by Tracey Crouch

The GREAT Britain campaign continues to promote great British holidays at home, through the 'Holidays at Home' are GREAT campaign, and overseas. In its first 3 years of operation, it is estimated that the campaign has now generated £520.6 million in incremental spend for the domestic tourism industry and over two million domestic overnight holiday trips. It is anticipated that Visit Britain's GREAT activity will help generate an extra £305 million in incremental spend by inbound visitors (2012/13-2013/14).

We are also encouraging travel outside of London through the visa-waiver scheme for Chinese tourists, and our £10 million tourism in the North and £5 million tourism in the South West funds, which aim to create joined-up strategies for promoting these areas as top holiday destinations for international travellers.


Written Question
VAT
Tuesday 3rd February 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the HM Treasury:

To ask Mr Chancellor of the Exchequer, what estimate he has made of the cost to the public purse of businesses invoicing VAT on goods and services discounted for early payment in cases when the discount is not subsequently applied.

Answered by David Gauke

The introduction of this measure will protect over £250 million pounds of tax revenue per annum.


Written Question
VAT
Tuesday 3rd February 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the HM Treasury:

To ask Mr Chancellor of the Exchequer, if he will make an estimate of the cost to businesses of the requirement to double invoice VAT on goods and services which have been discounted for early payment.

Answered by David Gauke

There is no requirement to double invoice.


Written Question
VAT
Wednesday 28th January 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the HM Treasury:

To ask Mr Chancellor of the Exchequer, what discussions he has had with business organisations about changes to VAT invoicing requirements when discounting for early payment.

Answered by David Gauke

HMRC consulted on VAT accounting for prompt payment discounts between 17 June and 9 September 2014. HMRC listened to business concerns and issued guidance in December 2014 which will make it easier for businesses to account for VAT on prompt payment discounts.


Written Question
VAT
Wednesday 28th January 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the HM Treasury:

To ask Mr Chancellor of the Exchequer, what discussions he has had with the Secretary of State for Business, Innovation and Skills on the effect on businesses of changes to VAT invoicing on discounting for early payment schemes.

Answered by David Gauke

HM Treasury is in regular contact with the Department for Business, Innovation and Skills on a wide range of issues


Written Question
Orthopaedics: Young People
Tuesday 27th January 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what steps he has taken to provide care and respite funding for young adult amputees.

Answered by Dan Poulter

Information on specific funding for young adult amputees is not held centrally.

NHS England has advised that the rehabilitation and re-ablement of all patients is provided by a specialised Multi-Disciplinary Team (MDT) which should be consultant led. The needs of patients of all age groups are addressed including physical, psychological, social, emotional and spiritual with the emphasis on individual outcomes, independence and prevention keeping patients dexterous, mobile and safe. Secondary injuries should be minimised.

The NHS Standard Contract for Complex Disability Equipment – Prosthetics, which applies to all ages, sets out how the specialist centres should operate and the required level of service delivered. It also recognises that children, young adults, veterans and other patients require a flexible model of care which provides longer term involvement with the full MDT. The specification also recognises that child growth is a recognised clinical need.


Written Question
Chronic Illnesses
Tuesday 27th January 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what proportion of long-term conditions which entitle patients to free prescriptions are curable.

Answered by George Freeman

The list of medical conditions that give entitlement to apply for a National Health Service prescription charge medical exemption certificate are:

- a permanent fistula (including caecostomy, colostomy, laryngostomy, or ileostomy) which requires continuous surgical dressing or requires an appliance forms of hypoadrenalism (including Addison's disease) for which specific substitution therapy is essential;

- diabetes insipidus or other forms of hypopituitarism;

- diabetes mellitus (except where treatment of the diabetes is by diet alone);

- hypoparathyroidism;

- myasthenia gravis;

- myxoedema (that is, hypothyroidism requiring thyroid hormone replacement);

- epilepsy requiring continuous anti-convulsive therapy;

- continuing physical disability which prevents the patient from leaving his residence without the help of another person; and

- patients undergoing treatment for cancer, the effects of cancer or the effects of current or previous cancer treatment. (From 1 April 2009).

Clinical advice from NHS England is that the majority of these conditions are considered to be permanent, incurable conditions. Only in exceptional cases would a person have the possibility of curative treatment for one of these conditions.


Written Question
Pain
Tuesday 27th January 2015

Asked by: Andrew Bingham (Conservative - High Peak)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health, what the average waiting time is for pain management in each region.

Answered by Norman Lamb

The information requested is shown in the following table. These data are from hospital episode statistics and measure the time waited between decision to admit and admission to hospital. They are not the same as referral to treatment waiting times, which measure waiting times from referral to the start of consultant-led treatment by 18 treatment functions (subdivisions of consultant main specialties), but which do not include condition specific information.

The average (median) number of days waited for pain management treatment, 2012-13

Average (median) waiting time (days)

Area Team of Residence

Admissions

First Outpatient Attendances

Cheshire, Warrington And Wirral Area Team

59

46

Durham, Darlington And Tees Area Team

65

52

Greater Manchester Area Team

64

42

Lancashire Area Team

55

38

Merseyside Area Team

58

50

Cumbria, Northumberland, Tyne And Wear Area Team

44

49

North Yorkshire And Humber Area Team

57

55

South Yorkshire And Bassetlaw Area Team

41

26

West Yorkshire Area Team

84

54

Arden, Herefordshire And Worcestershire Area Team

49

49

Birmingham And The Black Country Area Team

47

52

Derbyshire And Nottinghamshire Area Team

47

29

East Anglia Area Team

61

50

Essex Area Team

56

55

Hertfordshire And The South Midlands Area Team

84

68

Leicestershire And Lincolnshire Area Team

63

54

Shropshire And Staffordshire Area Team

64

61

Bath, Gloucestershire, Swindon And Wiltshire Area Team

56

60

Bristol, North Somerset, Somerset And South Gloucestershire Area Team

18

50

Devon, Cornwall And Isles Of Scilly Area Team

77

49

Kent And Medway Area Team

58

49

Surrey And Sussex Area Team

66

59

Thames Valley Area Team

69

56

Wessex Area Team

65

48

London Area Team

70

63

England

63

51

Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre

Notes:

  1. The data provided are finished admission episodes (FAEs) and outpatient first attendances where the treatment specialty was either pain management or paediatric pain management.
  2. An FAE is the first period of admitted patient 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 patients, as a person may have more than one admission within the period.
  3. Attendances at outpatient clinics. Includes first and follow-up attendances and telephone consultations, excludes did not attends and cancellations.
  4. Area Team of Residence is the area team containing the patient’s normal home address. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.
  5. The treatment specialty is the specialty under which the consultant responsible for care of the patient is working, which may be different to the specialty under which the consultant is registered. Care is needed when analysing HES data by specialty, or by groups of specialties (such as "acute"). Trusts have different ways of managing specialties and attributing codes so it is better to analyse by specific diagnoses, operations or other recorded information.
  6. The median, rather than the mean, time waited is given as the mean can be affected by a relatively small number of records with a long time waited, however the median is less affected by this issue.