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107W<br />

Written Answers<br />

26 OCTOBER 2009<br />

Written Answers<br />

108W<br />

Transfers under all sections of the Mental Health Act by strategic health authority 2008-09<br />

Region Quarter 1 Quarter 2 Quarter 3 Quarter 4 Total<br />

South East 46 51 54 47 198<br />

South West 34 27 27 13 101<br />

Wales 9 13 7 9 38<br />

Total 342 307 335 294 1,278<br />

Paul Holmes: To ask the Secretary of State for<br />

Health what steps he has taken since the publication of<br />

Lord Bradley’s review of people with mental health<br />

problems or learning disabilities in the criminal justice<br />

system to improve the identification of mental health<br />

problems or learning disabilities among prisoners on<br />

their reception into prison. [295327]<br />

Phil Hope: Lord Bradley made 82 recommendations,<br />

many of which Lord Bradley himself recognised needed<br />

further work to ensure that all implications are considered<br />

for children, young people and adults. The Government<br />

have accepted the direction set out in the report and has<br />

committed to report to <strong>Parliament</strong> on the progress<br />

made by the end of October.<br />

A Health and Criminal Justice National Programme<br />

Board has been fully operational since June 2009 bringing<br />

together senior officials in the key Departments<br />

(Department of Health, Ministry of Justice, Home<br />

Office, Department for Children, Schools and Families).<br />

The Programme Board has been meeting monthly to<br />

pull together a national delivery plan and ensure appropriate<br />

cross-government representation and engagement as<br />

actions are being developed.<br />

The first objective of the Programme Board has been<br />

to develop a national delivery plan that will set out our<br />

shared vision for improving health and social care services<br />

for all those in touch with the criminal justice system<br />

including reviewing arrangements for reception for those<br />

entering prison. The newly established Health and Criminal<br />

Justice Programme Board have been working hard to<br />

ensure that all the Bradley recommendations are fully<br />

incorporated into this cross-government plan.<br />

Ministers are due to report to parliament by the end<br />

of this month on progress in this regard.<br />

Myelodysplastic Syndromes: Health Services<br />

Mr. Amess: To ask the Secretary of State for Health<br />

what recent representations he has received from (a)<br />

hon. Members, (b) members of the House of Lords,<br />

(c) patient groups and (d) clinicians on treatment and<br />

care for people diagnosed with myelodysplastic<br />

syndromes (MDS); what his policy on such care and<br />

treatment is; and if he will make a statement. [295038]<br />

Ann Keen: Since the beginning of the 2008-09<br />

parliamentary year, the Department has received four<br />

parliamentary questions and at least 25 items of<br />

correspondence relating to myelodysplastic syndromes.<br />

Of these, 15 were from hon. Members, one from a<br />

member of the House of Lords and nine from members<br />

of the public.<br />

The 2003 “Improving Outcomes in Haematological<br />

Cancers” guidance from the National Institute for Health<br />

and Clinical Excellence (NICE) sets out recommendations<br />

about the care and treatment of patients with<br />

myelodysplastic syndromes (MDS), with the emphasis<br />

on symptom control and supportive treatment.<br />

It is for the national health service locally to implement<br />

this guidance. Good progress has been made and the<br />

National Cancer Action Team continue to work with<br />

the NHS at a local level to ensure full implementation.<br />

NICE is currently appraising azacitidine for the treatment<br />

of MDS, and currently expects to publish final guidance<br />

on this drug in May 2010.<br />

NHS: Finance<br />

Norman Lamb: To ask the Secretary of State for<br />

Health pursuant to the answer of 16 October 2009,<br />

Official Report, columns 1169-72W, on NHS: finance,<br />

how much each loan was for; when each loan was taken<br />

out; and how much is expected to be repaid in respect<br />

of each loan. [294923]<br />

Mr. Mike O’Brien: The Department makes loans to<br />

national health services trusts and national health service<br />

foundation trusts. The information requested has been<br />

placed in the Library.<br />

Patient Choice Schemes<br />

Mr. Stephen O’Brien: To ask the Secretary of State<br />

for Health what steps he plans to take for implementing<br />

a patient’s right to make choices about their healthcare<br />

through statutory directions to primary care trusts; and<br />

whether those directions will be published. [295502]<br />

Mr. Mike O’Brien: The Primary Care Trusts ‘Choice<br />

of Secondary Care Provider Directions 2009’were published<br />

alongside the NHS Constitution on 21 January 2009<br />

and came into effect on 1 April 2009. The Directions<br />

place a number of new duties on primary care trusts,<br />

including a duty to make arrangements to ensure that<br />

patients who need an elective referral are offered a<br />

choice of any clinically appropriate provider. The Directions<br />

have been placed in the Library.<br />

Prescription Drugs: Licensing<br />

Mr. Amess: To ask the Secretary of State for Health<br />

what guidance his Department provides to primary<br />

care trusts on making decisions about the post-licence<br />

use of new medicines; and if he will make a statement.<br />

[295037]<br />

Mr. Mike O’Brien: The Government have issued a<br />

statutory funding direction which, unless it has<br />

been amended or waived for a specific treatment, requires<br />

national health service organisations to make funding<br />

available for treatments recommended by the National<br />

Institute for Health and Clinical Excellence (NICE)<br />

within three months of publication of final technology<br />

appraisal guidance.<br />

New statutory directions were issued to primary care<br />

trusts and NHS trusts concerning decisions about medicines<br />

and other treatments where there is no positive NICE<br />

recommendation. These came into force on 1 April<br />

2009 and are supported by guiding principles and good<br />

practice guidance.

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