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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.