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  • Eric Ollerenshaw – 2014 Parliamentary Question to the Department of Health

    Eric Ollerenshaw – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Eric Ollerenshaw on 2014-06-12.

    To ask the Secretary of State for Health, what assessment he has made of the potential merits of adaptive licensing or early access schemes (a) in the UK and (b) across the EU; and if he will make a statement.

    Norman Lamb

    The potential merits and impact of adaptive licensing and early access to medicine schemes were considered by the Expert Group on innovation in the regulation of healthcare that was established in June 2012 following the Prime Minister’s 2011 Life Science Strategy. The Expert Group was composed of a range of experts from government, industry, patient and health professional stakeholders.

    In their 2013 report, the group welcomed the proposal for the Early Access to Medicines Scheme (EAMS), for highly promising unlicensed medicinal products in areas of high unmet medical need, and urged the Government to introduce it as soon as possible. The Medicines and Healthcare products Regulatory Agency launched the EAMS on 7 April 2014.

    On adaptive licensing, the group saw opportunities for more use of the existing legal flexibilities to facilitate patient access to innovative products. The Group urged for the pilot on adaptive licensing by the European Medicines Agency (EMA) to be launched at the earliest opportunity.

    The EMA published its adaptive licensing pilot project on 19 March. The Government sees this pilot as a test for current licensing flexibilities and the methodology of adaptive licensing. We welcome the pilot and will continue to be actively engaged in the debate in Europe.

    A copy of the report of the Expert Group on innovation in the regulation of healthcare has been placed in the Library.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what assessment he has made of the effect of work-based stress on suicide levels.

    Norman Lamb

    Numerous studies, including the Marmot Review into health inequalities in England (published in 2010) draw attention to the impacts of unemployment, and particularly long-term unemployment, on mental health.

    Research also demonstrates that work related stress and mental health problems often go together. Work related stress may trigger an existing mental health problem that the person may otherwise have successfully managed.

    However, common mental health problems and stress can exist independently. For example, people can have work related stress leading to physical symptoms such as high blood pressure, without experiencing anxiety and depression. They can also have anxiety and depression that is unrelated to stress.

    Gainful employment promotes mental well-being. Unfortunately, the workplace can also be the source of nonproductive stress leading to physical and mental health problems, including suicidal thoughts and behaviours and suicide.

    A number of studies demonstrate an association between the areas of England worst affected during the recent financial crisis and increased suicide rates. Between 2008 and 2010, there were approximately 800 more suicides among men and 155 more among women than would have been expected based on historical trends. This was supported by a recent review of the international impact of the global economic crisis. A rise in poor health status associated with the recession has also been found not only for the unemployed, but also among people who remain employed.

    People come into contact with the welfare system at a time when they may be vulnerable because of unemployment and its associated consequences. The Department for Work and Pensions provides guidance and training for staff to help them identify and support people who are vulnerable, including those who may be at risk of suicide or self-harm.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, how much a GP practice is paid for each patient visit to a GP.

    Dr Daniel Poulter

    General practitioner (GP) practices are not paid for each patient visit to a GP. GP practices hold contracts with NHS England to provide primary medical services for their registered list and receive capitated payments for doing so.

  • Virendra Sharma – 2014 Parliamentary Question to the Department of Health

    Virendra Sharma – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Virendra Sharma on 2014-06-12.

    To ask the Secretary of State for Health, if he will publish the review by the NHS on intellectual property, Innovation, Health and Wealth.

    Dr Daniel Poulter

    NHS England has advised that work to develop proposals following the review is still continuing, and proposals will be shared in due course.

  • Miss Anne McIntosh – 2014 Parliamentary Question to the Department of Health

    Miss Anne McIntosh – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Miss Anne McIntosh on 2014-06-12.

    To ask the Secretary of State for Health, what future plans he has for community hospitals in the NHS; and if he will make a statement.

    Jane Ellison

    The majority of NHS services, including services provided in community hospitals, are commissioned by clinical commissioning groups (CCGs). Future plans for community hospitals therefore need to be developed locally rather than determined at a national level.

    NHS England expects CCGs’ commissioning decisions to be underpinned by clinical insight and knowledge of local healthcare needs and to have regard to the need to address health inequalities.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what the out-of-hospital survival rates are for patients who suffer a heart attack in each year since 1984 for which information is available.

    Jane Ellison

    Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.

    The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.

    The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.

    However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what assessment he has made of the potential benefits of using mobile telephone apps to use GPS to locate trained resuscitators and atrial fibrilation equipment to bring a rapid response to those who have suffered a heart attack.

    Jane Ellison

    The development of mobile device based Apps are being considered by NHS England across health and care settings and are still in development and launched the Health Apps Library in March 2013.

    NHS England is taking a leading role on apps in a number of areas:

    – Health Apps Library: In recognition of needing to support patients and the public in knowing which apps they can trust and that are safe. Only apps that have successfully completed a clinical safety review process are listed.

    – Overall United Kingdom Apps Review Framework: In recognising the need to help apps developers understand what review and regulation they need to go through, NHS England, the Health and Social Care Information Centre and the Medicines and Healthcare products Regulatory Agency are jointly working together to create an overall review framework for health apps.

    – Integrated apps: The future direction of apps is to move from lots of individual apps for specific purposes that are not linked to “integrated apps” that brings different pieces of information together.

    Sudden and unexpected cardiac arrest remains a major public health concern in all countries and can affect all ages.

    Defibrillators that can save many lives within minutes of the event are widely available, but rapid location of these and also trained community responders is an urgent and unmet need. Apps have been developed and several are in use but they will not achieve their full potential until integrated into a national scheme which NHS England is considering.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what comparative assessment he has made of the rates of mental ill health caused by (a) working long hours and (b) being unemployed.

    Norman Lamb

    Numerous studies, including the Marmot Review into health inequalities in England (published in 2010) draw attention to the impacts of unemployment, and particularly long-term unemployment, on mental health.

    Research also demonstrates that work related stress and mental health problems often go together. Work related stress may trigger an existing mental health problem that the person may otherwise have successfully managed.

    However, common mental health problems and stress can exist independently. For example, people can have work related stress leading to physical symptoms such as high blood pressure, without experiencing anxiety and depression. They can also have anxiety and depression that is unrelated to stress.

    Gainful employment promotes mental well-being. Unfortunately, the workplace can also be the source of nonproductive stress leading to physical and mental health problems, including suicidal thoughts and behaviours and suicide.

    A number of studies demonstrate an association between the areas of England worst affected during the recent financial crisis and increased suicide rates. Between 2008 and 2010, there were approximately 800 more suicides among men and 155 more among women than would have been expected based on historical trends. This was supported by a recent review of the international impact of the global economic crisis. A rise in poor health status associated with the recession has also been found not only for the unemployed, but also among people who remain employed.

    People come into contact with the welfare system at a time when they may be vulnerable because of unemployment and its associated consequences. The Department for Work and Pensions provides guidance and training for staff to help them identify and support people who are vulnerable, including those who may be at risk of suicide or self-harm.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what estimate he has made of the incidence of heart attacks among workers who work (a) 40 and (b) 60 hours a week.

    Jane Ellison

    Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.

    The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.

    The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.

    However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.

  • Chris Ruane – 2014 Parliamentary Question to the Department of Health

    Chris Ruane – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Chris Ruane on 2014-06-12.

    To ask the Secretary of State for Health, what recent assessment he has made of the effect of stress on heart failure.

    Jane Ellison

    Information onsurvival rates for patients who suffer an out of hospital heart attack or an out of hospital cardiac arrest are not collected centrally.

    The British Heart Foundation suggests that between 2-12% of people treated by the emergency services after suffering an out of hospital cardiac arrest survive to be discharged from hospital.

    The Department has made no assessment of the effect of stress on heart failure, nor has it made any estimate of heart attacks among workers who work 40 or 60 hours per week.

    However, researchers analysing data from the Whitehall II study observed that people who believed stress was significantly affecting their health had double the risk of suffering from coronary heart disease, compared to people who did not believe stress was having an impact.