PARLIAMENTARY DEBATES - United Kingdom Parliament

PARLIAMENTARY DEBATES - United Kingdom Parliament PARLIAMENTARY DEBATES - United Kingdom Parliament

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1087W Written Answers 26 MARCH 2013 Written Answers 1088W (b) Nottingham University Hospitals NHS Trust 2010 January February March April May June July August September October November December 8.3 8.6 8.5 8.9 8.6 8.3 8.4 9.1 8.7 8.7 8.5 8.6 (c) England 8.7 9.1 8.0 8.0 8.4 8.3 8.3 8.3 8.7 8.7 8.3 7.9 (a) Sherwood Forest Hospitals NHS Foundation Trust (b) Nottingham University Hospitals NHS Trust 2011 January February March April May June July August September October November December 11.1 10.4 10.8 9.4 10.4 10.2 10.2 10.2 10.8 10.2 10.8 9.5 9.4 9.8 8.0 7.6 8.2 8.7 8.0 8.2 8.1 8.6 8.3 7.5 (c) England 9.1 9.0 7.9 7.7 8.4 8.7 8.2 8.1 8.8 8.4 8.1 7.8 (a) Sherwood Forest Hospitals NHS Foundation Trust (b) Nottingham University Hospitals NHS Trust 2012 January February March April May June July August September October November December 10.7 10.6 10.1 9.5 9.9 9.8 10.5 10.7 12.7 12.2 11.0 9.9 8.7 8.5 8.7 8.7 9.5 10.6 9.5 8.8 9.9 9.3 9.1 . 9.2 (c) England 8.8 8.7 8.1 8.1 8.4 8.4 8.5 8.3 8.8 8.6 8.3 8.0 January 2013 (a) Sherwood Forest Hospitals NHS 10.7 Foundation Trust (b) Nottingham University 10.7 Hospitals NHS Trust (c) England 9.2 Note: Data is not collected quarterly, data is collected monthly. Admitted pathways are those completed (patients who started treatment) during the month. Source: Department for Health Referral to Treatment Waiting times return Human Papillomavirus Mr Blunt: To ask the Secretary of State for Health what assessment he has made of a possible link between the rise in cases of Chlamydia but not in other sexually transmitted infections in the 15 to 19 male and female age group and the introduction of the HPV vaccine. [149463] Anna Soubry: The Health Protection Agency is unaware of any link between the human papillomavirus vaccination and Chlamydia diagnosis rates. Mr Blunt: To ask the Secretary of State for Health what reports he has received on the data submitted by the manufacturer to the US Food and Drug Administration on the increased risk of pre-cancerous lesions after vaccination with Gardasil; and what steps are in place to monitor cervical cancer rates in the human papillomavirus vaccinated population. [149464] Anna Soubry: The data were fully considered by European regulators prior to licensing and there were no concerns that administration of Gardasil may increase the risk of pre-cancerous lesions. Cancer rates are monitored through cancer registries. Given the difference in the age at which most cervical cancers occur and the age of routine human papillomavirus (HPV) immunisation, a reduction in cervical cancer incidence is not expected to be seen for at least a decade or more and is likely to be seen first in the results from the cervical screening programme before cancer registries. For this reason the Health Protection Agency has been commissioned to monitor the early impact of HPV immunisation on type- specific (vaccine and non-vaccine) HPV infection rates and initial results from this programme are anticipated to be published within the next year. Infant Mortality: Bradford George Galloway: To ask the Secretary of State for Health (1) what steps he is taking to reduce the rate of infant mortality in Bradford; [149381] (2) what assessment he has made of the rate of infant mortality in Bradford; [149382]

1089W Written Answers 26 MARCH 2013 Written Answers 1090W (3) what assessment he has made of the possible link between child mortality and poverty levels in Bradford. [149460] Dr Poulter: The infant mortality rate for Bradford, deaths under one year, is higher than in England, with 7.5 infant deaths per 1,000 live births in 2009-11, compared to a rate of 4.4 deaths per 1,000 live births in England for the same period. The higher rate in Bradford to some extent reflects the higher level of deprivation, Bradford is ranked 26 out of 326 local authorities on the English Indices of Deprivation, rank 1 being the most deprived. We have given a high priority to early year’s issues, including reducing the inequalities in infant mortality. The evidence-based Healthy Child Programme is the key programme for pregnant women, mothers and children. It seeks to prevent problems during pregnancy, at birth and in the early years, and help reduce health inequalities. We are increasing by 50% the number of health visitors and doubling the number of places on the Family Nurse Partnership programme to 13,000 by 2015. This programme offers support to at-risk, first-time young parents from early pregnancy until the child is two years old. Infant mortality is an indicator in both the NHS and Public Health outcomes framework. The transfer of public health responsibilities to local government will improve the responsiveness of public health to local challenges and needs. Public Health England will provide national leadership and nationwide expertise on public health issues, including work on tackling health inequalities in the early years. Infant mortality and child mortality link to poverty, as noted by Professor Sir Michael Marrnot in his strategic review of health inequalities, “Fair Society, Healthy Lives” (2010). Child mortality covers deaths from ages’ one to 17 years. In Bradford, the child mortality rate was 23.6 deaths per 100,000 of people in the same age group for 2009-11. This compares with a rate of 13.7 per 100,000 for England for the same period. We recognise the importance of tackling poor health outcomes among children and young people. We established a Children and Young Peoples Health Outcomes Forum to consider these issues, and recently launched a pledge to improve health of children and young people, improve services from pregnancy to adolescence and beyond and reduce avoidable deaths, as part of our response to the recommendations of the Forum. The Royal Colleges, health organisations and other relevant bodies have signed up to this pledge. Mental Health Services: Young People Paul Burstow: To ask the Secretary of State for Health (1) how much each local authority in England has spent on (a) Tier 1, (b) Tier 2, (c) Tier 3 and (d) Tier 4 within children and adolescent mental health services in each of the last three years; [150162] (2) how much each local authority in England has spent on children and adolescent mental health services in each of the last three years for which figures are available. [150163] Norman Lamb: Provision for Child and Adolescent Mental Health Services (CAMHS) is included in both the overall financial allocations made to the national health service and in financial allocations made to local authorities through the Local Government Revenue Support Grant. All current social care grants, including the old CAMHS grant, were rolled into the Local Government Revenue Support Grant (LGRSG) for the Spending review period 2011-15. The LGRSG is the main route by which local authorities receive the majority of their funding for local public service delivery, and is issued via the Department for Communities and Local Government. CAMHS funding is included in funding provided for on-going personal social services. The funding for all Department of Health revenue grants has been maintained and will rise in line with inflation over the spending review period (£767.02 million in 2011-12, £784.43 million in 2012-13, £804.98 million in 2013-13 and £826.31 million in 2014-15 for ongoing personal social services). Individual elements of funding are not ring fenced. It is for commissioners to decide how to use the resources available to them to best meet the needs of their local populations. The Department for Education has also made funding available through the Early Intervention Grant to local authorities and schools for a wide range of services for children, young people and families including targeted mental health support in schools. This grant is due to finish at the end of the financial year. From April 2013, this funding is being moved and the majority will be paid as part of the Dedicated Schools Grant as part of changes to give schools greater flexibility to respond to the individual needs of their pupils. Mid Staffordshire NHS Foundation Trust Andrew Bridgen: To ask the Secretary of State for Health how many representations, letters, emails and other items of correspondence his Department received expressing doubts, concerns or opposition towards Mid Staffordshire Trust’s bid for foundation trust status up to 30 June 2007. [149584] Anna Soubry: Records are only available from August 2005. A search of the Department’s ministerial correspondence database has identified one item of correspondence logged before 1 January 2008 in relation to Mid Staffordshire NHS Trust’s application to become a foundation trust. Andrew Bridgen: To ask the Secretary of State for Health how many individual complaints his Department received from members of the public on care and treatment by Mid Staffordshire NHS Foundation Trust and its predecessor in each month between 1 April 2005 and 30 June 2007. [149585] Dr Poulter: Records are only available from August 2005. A search of the Department’s ministerial correspondence database has identified 31 individual complaints about Mid Staffordshire NHS Foundation received between 1 August 2005 and 30 June 2007. The following table shows the number of complaints split by month received. These figures represent correspondence received by the Department’s Ministerial correspondence unit only.

1089W<br />

Written Answers<br />

26 MARCH 2013<br />

Written Answers<br />

1090W<br />

(3) what assessment he has made of the possible link<br />

between child mortality and poverty levels in Bradford.<br />

[149460]<br />

Dr Poulter: The infant mortality rate for Bradford,<br />

deaths under one year, is higher than in England, with<br />

7.5 infant deaths per 1,000 live births in 2009-11, compared<br />

to a rate of 4.4 deaths per 1,000 live births in England<br />

for the same period. The higher rate in Bradford to<br />

some extent reflects the higher level of deprivation,<br />

Bradford is ranked 26 out of 326 local authorities on<br />

the English Indices of Deprivation, rank 1 being the<br />

most deprived.<br />

We have given a high priority to early year’s issues,<br />

including reducing the inequalities in infant mortality.<br />

The evidence-based Healthy Child Programme is the<br />

key programme for pregnant women, mothers and children.<br />

It seeks to prevent problems during pregnancy, at birth<br />

and in the early years, and help reduce health inequalities.<br />

We are increasing by 50% the number of health visitors<br />

and doubling the number of places on the Family<br />

Nurse Partnership programme to 13,000 by 2015. This<br />

programme offers support to at-risk, first-time young<br />

parents from early pregnancy until the child is two years<br />

old.<br />

Infant mortality is an indicator in both the NHS and<br />

Public Health outcomes framework. The transfer of<br />

public health responsibilities to local government will<br />

improve the responsiveness of public health to local<br />

challenges and needs. Public Health England will provide<br />

national leadership and nationwide expertise on public<br />

health issues, including work on tackling health inequalities<br />

in the early years. Infant mortality and child mortality<br />

link to poverty, as noted by Professor Sir Michael<br />

Marrnot in his strategic review of health inequalities,<br />

“Fair Society, Healthy Lives” (2010). Child mortality<br />

covers deaths from ages’ one to 17 years. In Bradford,<br />

the child mortality rate was 23.6 deaths per 100,000 of<br />

people in the same age group for 2009-11. This compares<br />

with a rate of 13.7 per 100,000 for England for the same<br />

period.<br />

We recognise the importance of tackling poor health<br />

outcomes among children and young people. We established<br />

a Children and Young Peoples Health Outcomes Forum<br />

to consider these issues, and recently launched a pledge<br />

to improve health of children and young people, improve<br />

services from pregnancy to adolescence and beyond<br />

and reduce avoidable deaths, as part of our response to<br />

the recommendations of the Forum. The Royal Colleges,<br />

health organisations and other relevant bodies have<br />

signed up to this pledge.<br />

Mental Health Services: Young People<br />

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

Health (1) how much each local authority in England<br />

has spent on (a) Tier 1, (b) Tier 2, (c) Tier 3 and (d)<br />

Tier 4 within children and adolescent mental health<br />

services in each of the last three years; [150162]<br />

(2) how much each local authority in England has<br />

spent on children and adolescent mental health services<br />

in each of the last three years for which figures are<br />

available. [150163]<br />

Norman Lamb: Provision for Child and Adolescent<br />

Mental Health Services (CAMHS) is included in both<br />

the overall financial allocations made to the national<br />

health service and in financial allocations made to local<br />

authorities through the Local Government Revenue<br />

Support Grant.<br />

All current social care grants, including the old CAMHS<br />

grant, were rolled into the Local Government Revenue<br />

Support Grant (LGRSG) for the Spending review period<br />

2011-15. The LGRSG is the main route by which local<br />

authorities receive the majority of their funding for<br />

local public service delivery, and is issued via the Department<br />

for Communities and Local Government.<br />

CAMHS funding is included in funding provided for<br />

on-going personal social services. The funding for all<br />

Department of Health revenue grants has been maintained<br />

and will rise in line with inflation over the spending<br />

review period (£767.02 million in 2011-12, £784.43 million<br />

in 2012-13, £804.98 million in 2013-13 and £826.31 million<br />

in 2014-15 for ongoing personal social services). Individual<br />

elements of funding are not ring fenced. It is for<br />

commissioners to decide how to use the resources available<br />

to them to best meet the needs of their local populations.<br />

The Department for Education has also made funding<br />

available through the Early Intervention Grant to local<br />

authorities and schools for a wide range of services for<br />

children, young people and families including targeted<br />

mental health support in schools. This grant is due to<br />

finish at the end of the financial year. From April 2013,<br />

this funding is being moved and the majority will be<br />

paid as part of the Dedicated Schools Grant as part of<br />

changes to give schools greater flexibility to respond to<br />

the individual needs of their pupils.<br />

Mid Staffordshire NHS Foundation Trust<br />

Andrew Bridgen: To ask the Secretary of State for<br />

Health how many representations, letters, emails and<br />

other items of correspondence his Department received<br />

expressing doubts, concerns or opposition towards<br />

Mid Staffordshire Trust’s bid for foundation trust<br />

status up to 30 June 2007. [149584]<br />

Anna Soubry: Records are only available from August<br />

2005. A search of the Department’s ministerial<br />

correspondence database has identified one item of<br />

correspondence logged before 1 January 2008 in relation<br />

to Mid Staffordshire NHS Trust’s application to become<br />

a foundation trust.<br />

Andrew Bridgen: To ask the Secretary of State for<br />

Health how many individual complaints his<br />

Department received from members of the public on<br />

care and treatment by Mid Staffordshire NHS<br />

Foundation Trust and its predecessor in each month<br />

between 1 April 2005 and 30 June 2007. [149585]<br />

Dr Poulter: Records are only available from August<br />

2005. A search of the Department’s ministerial<br />

correspondence database has identified 31 individual<br />

complaints about Mid Staffordshire NHS Foundation<br />

received between 1 August 2005 and 30 June 2007. The<br />

following table shows the number of complaints split by<br />

month received. These figures represent correspondence<br />

received by the Department’s Ministerial correspondence<br />

unit only.

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