Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will request that NHS England review its policy on individual funding requests.
Answered by George Freeman
We have no such plans. We understand that NHS England is currently reviewing its generic policies, including its interim commissioning policy on individual funding requests.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many admissions to hospital with a (a) primary and (b) secondary diagnosis of coronary heart disease per head of population there were in (i) each clinical commissioning group and its predecessor organisation and (ii) England in each of the last 10 years.
Answered by Jane Ellison
The following tables show the number of admissions to hospital with a primary and secondary diagnosis of coronary heart disease by primary care trust of treatment for the years 2004/05 to 2012/13; by clinical commissioning group of treatment for 2013/14 and for England as a whole.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many discharge episodes there have been with a (a) primary and (b) secondary diagnosis of coronary heart disease in (i) each clinical commissioning group or its predecessor organisation and (ii) England in each of the last 10 years.
Answered by Jane Ellison
The attached tables show a count of finished discharge episodes with a primary diagnosis and secondary diagnosis of coronary heart disease by primary care trust of treatment for the years 2004/05 to 2012/13 and by clinical commissioning group of treatment for 2013/14.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the oral Answer by the Parliamentary Under-Secretary of State for Health of 13 January 2015, Official Report, HC Deb column 703, on mental health care (pregnant women), if he will publish his Department's plans and the funding committed for ensuring that every maternity unit has staff specially trained in perinatal mental health skills by 2017; and if he will make a statement.
Answered by Dan Poulter
Improving diagnosis and services for women with pregnancy-related mental health problems is one of the Department's priorities for maternity care.
‘Closing the gap: priorities for essential change in mental health’, published in January 2014, sets out the Government’s plans to ensure new mothers receive better support so that the incidence and impact of perinatal mental health problems can be reduced.
The Government’s Mandate to Health Education England (HEE) from April 2014 to March 2015 asks HEE to ensure post-registration training in perinatal mental health to ensure that trained specialist mental health staff are available to support mothers in every birthing unit by 2017.
To meet this mandate commitment, HEE, in conjunction with the Institute of Health Visiting, has developed three e-learning modules specifically covering topics such as perinatal depression and other maternal mental health disorders. The modules have been designed specifically for nursing, midwifery and health visiting staff. HEE is continuing to work to ensure midwives in training have a core training module focusing on perinatal mental health and to develop a continuing professional education framework for the existing maternity and early years workforce in 2015.
HEE’s 13 Local Education and Training Boards are taking forward the commitment locally to ensure that every maternity unit has staff specially trained in perinatal mental health skills. HEE has advised that information on the funding committed is not collected centrally.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, for how long each person has been detained under Section 136 of the Mental Health Act 1983 in each case where the place of safety was a police cell since 2010; and what the length of wait between assessment and transfer to hospital was in each such case.
Answered by Norman Lamb
We do not collect the information requested centrally. However, according to the 2013 joint review by Her Majesty’s Inspectorate of Constabulary, Her Majesty’s Inspectorate of Prisons, the Care Quality Commission and Healthcare Inspectorate Wales, an examination of 70 cases across seven police forces showed that the average time spent in police custody under section 136 of the Mental Health Act 1983 (MHA) was 10 hours 32 minutes.
Section 136 of the MHA allows a person to be detained up to a maximum period of 72 hours in any place of safety. As the MHA Code of Practice (2008) states, irrespective of the 72 hour maximum time limit, any examination and interview or other steps must take place as soon as possible and the length of detention should not exceed the minimum required to enable this to happen.
The Department of Health and the Home Office published a joint review of the operation of sections 135 and 136 of the MHA on 18 December:
Consideration was given to recommending the creation of a statutory minimum time period for the wait between assessment and transfer to hospital where that is the outcome. However, the review concluded that local agreements should set out a minimum standard for assessments including acceptable time frames.
The review did, nonetheless, recommend reducing the maximum length of detention under Sections 135 and 136 of the MHA to 24 hours from 72 hours, with the possibility of an extension if necessary. Next steps regarding the recommendations for legislative change are subject to the development of a timetable for implementation, a detailed impact assessment, and plans for implementation and future funding being agreed between partners.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 8 December 2014 to Question 216645, whether the data requested is available in another format.
Answered by Jane Ellison
The Hospital Episode Statistics (HES) database uses the International Classification of Diseases 10 (ICD-10) method of recording diseases and diagnoses. The term cardiovascular disease (CVD) is too broad to be used in this classification system.
Definitions of CVD vary, but the World Health Organization (WHO) defines cardiovascular diseases as a group of disorders of the heart and blood vessels which include:
- coronary heart disease: disease of the blood vessels supplying the heart muscle;
- cerebrovascular disease: disease of the blood vessels supplying the brain;
- peripheral arterial disease: disease of blood vessels supplying the arms and legs;
- rheumatic heart disease: damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria;
- congenital heart disease: malformations of heart structure existing at birth; and
- deep vein thrombosis and pulmonary embolism: blood clots in the leg veins, which can dislodge and move to the heart and lungs.
Data recorded on the HES database is available for coronary heart disease, stroke,
diabetes related peripheral vascular disease, deep vein thrombosis and pulmonary embolism. Data may also be available for some of the other diseases included in the WHO’s definition of CVD.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 8 December 2014 to Question 216646, whether the data requested is available in another format.
Answered by Jane Ellison
The Hospital Episode Statistics (HES) database uses the International Classification of Diseases 10 (ICD-10) method of recording diseases and diagnoses. The term cardiovascular disease (CVD) is too broad to be used in this classification system.
Definitions of CVD vary, but the World Health Organization (WHO) defines cardiovascular diseases as a group of disorders of the heart and blood vessels which include:
- coronary heart disease: disease of the blood vessels supplying the heart muscle;
- cerebrovascular disease: disease of the blood vessels supplying the brain;
- peripheral arterial disease: disease of blood vessels supplying the arms and legs;
- rheumatic heart disease: damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria;
- congenital heart disease: malformations of heart structure existing at birth; and
- deep vein thrombosis and pulmonary embolism: blood clots in the leg veins, which can dislodge and move to the heart and lungs.
Data recorded on the HES database is available for coronary heart disease, stroke,
diabetes related peripheral vascular disease, deep vein thrombosis and pulmonary embolism. Data may also be available for some of the other diseases included in the WHO’s definition of CVD.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 8 December 2014 to Question 216613, whether the data requested is available in another format.
Answered by Jane Ellison
The Hospital Episode Statistics (HES) database uses the International Classification of Diseases 10 (ICD-10) method of recording diseases and diagnoses. The term cardiovascular disease (CVD) is too broad to be used in this classification system.
Definitions of CVD vary, but the World Health Organization (WHO) defines cardiovascular diseases as a group of disorders of the heart and blood vessels which include:
- coronary heart disease: disease of the blood vessels supplying the heart muscle;
- cerebrovascular disease: disease of the blood vessels supplying the brain;
- peripheral arterial disease: disease of blood vessels supplying the arms and legs;
- rheumatic heart disease: damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria;
- congenital heart disease: malformations of heart structure existing at birth; and
- deep vein thrombosis and pulmonary embolism: blood clots in the leg veins, which can dislodge and move to the heart and lungs.
Data recorded on the HES database is available for coronary heart disease, stroke,
diabetes related peripheral vascular disease, deep vein thrombosis and pulmonary embolism. Data may also be available for some of the other diseases included in the WHO’s definition of CVD.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, pursuant to the Answer of 8 December 2014 to Question 216642, whether the data requested is available in another format.
Answered by Jane Ellison
The Hospital Episode Statistics (HES) database uses the International Classification of Diseases 10 (ICD-10) method of recording diseases and diagnoses. The term cardiovascular disease (CVD) is too broad to be used in this classification system.
Definitions of CVD vary, but the World Health Organization (WHO) defines cardiovascular diseases as a group of disorders of the heart and blood vessels which include:
- coronary heart disease: disease of the blood vessels supplying the heart muscle;
- cerebrovascular disease: disease of the blood vessels supplying the brain;
- peripheral arterial disease: disease of blood vessels supplying the arms and legs;
- rheumatic heart disease: damage to the heart muscle and heart valves from rheumatic fever, caused by streptococcal bacteria;
- congenital heart disease: malformations of heart structure existing at birth; and
- deep vein thrombosis and pulmonary embolism: blood clots in the leg veins, which can dislodge and move to the heart and lungs.
Data recorded on the HES database is available for coronary heart disease, stroke,
diabetes related peripheral vascular disease, deep vein thrombosis and pulmonary embolism. Data may also be available for some of the other diseases included in the WHO’s definition of CVD.
Asked by: Paul Burstow (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps his Department has taken in response to the reduction in the number of operational Breast Network Site Specific Groups in England in the past three Cancer Peer Review cycles.
Answered by Jane Ellison
The National Peer Review Report 2013-14 is due for publication shortly and as part of this publication the Cancer Strategic Clinical Networks will be asked to address this issue.
NHS England is currently reviewing the national peer review programme with a view to considering how its success might be extended into other new areas of specialised commissioning. Regardless of the outcome of this review, cancer peer review will continue to play a critical part of any broader peer review programme we may look to introduce.
The provision of site specific networks, such as those for breast cancer, is written into the national peer review requirements, therefore the future of local breast network groups will be decided as part of the review of the programme.