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  • Nicholas Brown – 2014 Parliamentary Question to the Department of Health

    Nicholas Brown – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Nicholas Brown on 2014-06-05.

    To ask the Secretary of State for Health, what steps his Department takes to record and identify instances where non-pharmacological treatments have caused adverse reactions in patients.

    Norman Lamb

    Reports of suspected adverse drug reactions (ADRs) are collected by the Medicines and Healthcare products Regulatory Agency (MHRA) and Commission for Human Medicines through the spontaneous reporting scheme; the Yellow Card Scheme. The scheme has been in place since 1964 and collects ADR reports from across the whole United Kingdom and includes all medicines, including non-pharmacological treatments such as herbal and homeopathic medicines.

    Reports are received from healthcare professionals and members of the public on a voluntary basis. However there is a legal requirement for pharmaceutical companies to report suspected ADRs to their products. The MHRA receives approximately 30,000 ADR reports per year. All reports received are rapidly entered onto the MHRA’s ADR database for assessment by a team of medical, pharmaceutical and scientific assessors. The purpose of the scheme is to provide an early warning that the safety of a product may require further investigation and the scheme has a proven track record of identifying safety issues.

    National Health Service organisations will also record details of adverse incidents in local risk management systems and other datasets such as the Hospital Episodes Statistics datasets. Many of these systems rely on accurate coding to enable data extract and analysis, and codes specific to non pharmacological treatments may not always be available.

  • Nicholas Brown – 2014 Parliamentary Question to the Department for Business, Innovation and Skills

    Nicholas Brown – 2014 Parliamentary Question to the Department for Business, Innovation and Skills

    The below Parliamentary question was asked by Nicholas Brown on 2014-06-05.

    To ask the Secretary of State for Business, Innovation and Skills, with reference to the Answer of 6 May 2014, Official Report, column 87W, on holiday leave, what assessment his Department has made of the conclusions of the Citizen’s Advice Bureau’s Report entitled Give us a Break on the lack of awareness and denial of paid holiday entitlement to UK workers.

    Jenny Willott

    The Citizen’s Advice Bureau’s Report, Give us a Break, was a formal submission to the Ministerial Review of Workplace Rights, Compliance and Enforcement and therefore this Department assessed the report along with other submissions to the review. The written Ministerial Statement following the review was laid in parliament on 10th July 2012. We continually review a broad range of evidence. As outlined in reply of 6 May 2014, Official Report, column 87W, the right to paid annual leave is an important right, and we would urge workers who feel they are not receiving it to contact the Pay and Work Rights Helpline (0800 917 2368) or Acas (www.acas.org.uk) for free and confidential advice.

  • David Simpson – 2014 Parliamentary Question to the Northern Ireland Office

    David Simpson – 2014 Parliamentary Question to the Northern Ireland Office

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Northern Ireland, what assessment she has made of the Giro D’Italia in Northern Ireland; and what plans she has to ensure a positive legacy from the event.

    Mrs Theresa Villiers

    The Northern Ireland Tourist Board (NITB) estimates that the Giro d’Italia “Grande Partenza” was viewed by 775 million people in 165 countries across the world giving this huge audience the opportunity to enjoy the wonderful scenery of Northern Ireland. NITB has estimated that the event should generate 140,000 tourist visits to Northern Ireland.

    Building on the legacy of the Giro d’Italia is, of course, for the Northern Ireland Executive to take forward and I understand that the Assembly has discussed the issue.

  • David Simpson – 2014 Parliamentary Question to the Department for Transport

    David Simpson – 2014 Parliamentary Question to the Department for Transport

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Transport, what steps his Department has taken to ensure that costs of public transport do not increase.

    Stephen Hammond

    I recognise concerns passengers have about impacts of fares on household budgets, which is why for the first time in a decade average regulated rail fares have been capped at inflation for 2014.

    Outside London, bus services are deregulated and fares are mainly a matter for the commercial judgement of bus operators. However, the Government has made a commitment to retain the current Bus Service Operators Grant (BSOG) rate for the remainder of this parliament and has frozen the fuel duty rate until May 2015.

    Public transport costs in Northern Ireland are a matter for the NI Assembly.

  • David Simpson – 2014 Parliamentary Question to the Home Office

    David Simpson – 2014 Parliamentary Question to the Home Office

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for the Home Department, when she plans to bring forward legislative proposals to prevent modern slavery.

    Karen Bradley

    The Government is determined to lead the global fight against modern slavery,
    and have introduced the Modern Slavery Bill to help us do so. The Bill aims to
    give law enforcement the tools to stamp out modern slavery and to enhance protection for
    victims. The Bill was published on 10th June 2014.

  • David Simpson – 2014 Parliamentary Question to the Department for Culture Media and Sport

    David Simpson – 2014 Parliamentary Question to the Department for Culture Media and Sport

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Culture, Media and Sport, what steps his Department is taking to encourage primary school children to become active and involved in local sports organisations.

    Mrs Helen Grant

    Over 17,500 schools are voluntarily taking part in the Sainsbury’s School Games—over 70% of all schools in England—including approximately 13,000 primary schools. Participating schools can choose from sports formats developed by 31 National Governing bodies for sport. Schools are supported by 450 School Games organisers across the country, who are connecting School Games to community sports clubs to help ensure activity is sustained beyond school.

    In addition, through the primary PE and sport premium, we are investing over £450 million across government (up to and including the academic year 2015/16) to improve physical education and sport in primary schools. Heads are free to choose how they use the funding to secure the greatest impact, which may include working with local sports organisations and/or increasing pupils’ participation in the School Games.

  • David Simpson – 2014 Parliamentary Question to the Department for Communities and Local Government

    David Simpson – 2014 Parliamentary Question to the Department for Communities and Local Government

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Communities and Local Government, what steps his Department is taking to assist homeowners facing problems paying their mortgages and to provide practical advice and support.

    Kris Hopkins

    The Council of Mortgage Lenders reported 28,900 repossessions in 2013, down from 33,900 in 2012 and the lowest level since 2007. It has revised down its forecasts for 2014 to 28,000. The Government is not complacent, but believes this fall in repossessions is a consequence of improved arrears management by lenders and action the Coalition Government has taken to tackle the deficit and keep interest rates down.

    Homeowners struggling with mortgage payments should take action as soon as possible by discussing their situation with their lender or contacting money advice experts such as Citizens Advice, Shelter, StepChange or National Debtline for free and independent advice on taking control of their finances.

    Government support is available in the form of Support for Mortgage Interest, paid as part of DWP benefits to help eligible out-of-work households meet their monthly mortgage interest payments. The Budget in March this year extended the enhancements to the Support for Mortgage Interest scheme (a shortened 13 week waiting period and an increased capital limit of £200,000), until 31 March 2016.

    Within England the Government continues to ensure the provision of free on-the-day legal advice (the Housing Possession Court Duty Scheme) to assist households at possession hearings. We are providing £470 million of funding in the current Spending Review period to prevent and tackle homelessness and repossessions.

  • David Simpson – 2014 Parliamentary Question to the Department of Health

    David Simpson – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Health, what recent progress he has made on ensuring that mental health has equal standing with physical health.

    Norman Lamb

    Mental health has been a priority for this Government for several years now. We made this commitment explicit in the Health and Social Care Act 2012 which, for the first time, creates equal status for mental and physical health across Government and for the NHS and social care.

    The Ministerial Advisory Group brings together individuals and organisations with a specific interest in the cross government mental health strategy No Health Without Mental Health and how it is delivered.

    The Mandate to NHS England 2014-15 makes clear that ‘everyone who needs it should have timely access to evidence-based services’, this will involve extending and ensuring more open access to programmes, in particular for children and young people, and for those out of work.

    Closing the Gap, our new mental health action plan, which has attracted widespread, cross-sector support, sets out our priorities for essential change in mental health, 25 areas where people can expect to see and experience the fastest changes. The document challenges the health and social care community to move further and faster to transform care and support; the public health community, alongside local government, to give health and wellbeing promotion and prevention the long-overdue attention it needs and deserves; and individuals and communities to shift attitudes in mental health.

    The Department of Health is leading an information revolution around mental health. The new national Mental Health Intelligence Network will draw together comprehensive information about mental health and wellbeing.

    The new Crisis Care Concordat, signed by more than 20 national organisations, is a commitment for all agencies involved in supporting someone in a crisis to work together to improve the system of care and support so people in crisis are kept safe and helped to find the support they need. All the signatories have pledged to work together and our expectation is that, in every locality in England, local partnerships of health, criminal justice and local authority agencies will agree and commit to local Mental Health Crisis Declarations.

    System partners are also taking responsibility for the drive for parity. Public Health England (PHE) has made a commitment to addressing parity of esteem through prioritising mental health and working to embed it throughout all PHE programmes. Greater attention is needed to mental health throughout the public health system and PHE seeks to enable and support this through its leadership and delivery of a Wellbeing and Mental Health programme. It is supporting local authorities and other partners to give greater attention to mental health within the public health system.

    PHE was established on 1 April 2013 with the mission to protect and improve the nation’s health and to address inequalities through working with national and local government, the NHS, industry and the voluntary and community sector. PHE is an operationally autonomous executive agency of the Department of Health.

    PHE has made a commitment to addressing parity of esteem through prioritising mental health and working to embed it throughout all its programmes. Greater attention is needed to mental health throughout the public health system and PHE seeks to enable and support this through its leadership and delivery of a Wellbeing and Mental Health programme. It is supporting local authorities and other partners to give greater attention to mental health within the public health system.

    Their approach centres on the following five main objectives:

    1. Promoting good mental health and improving population wellbeing;

    2. Preventing mental health problems and preventing suicide and self-harm;

    3. Supporting people living with and recovering from mental illness;

    4. Tackling inequalities and improving the wider determinants of wellbeing and mental health; and

    5. Enabling and embedding wellbeing and mental health across the public health system.

    PHE has embraced the principles of Parity of Esteem and from the outset and all through transition, there has been a commitment by PHE to ensure mental health is a core part of the new public health system and PHE’s work. Even though there was no central national resource attached to mental health to be transferred into PHE, they have invested in establishing a presence for mental health across their work and they continue to embed population mental health and wellbeing across public health.

    Health Education England is developing training programmes that will enable all healthcare employers to ensure that their staff have a greater awareness of mental health problems and how they may affect their patients. This will include understanding the links between patient’s physical and mental health, so that staff know what actions they can take to ensure that patients receive appropriate support for both their mental and physical health care needs.

  • David Simpson – 2014 Parliamentary Question to the Department of Health

    David Simpson – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by David Simpson on 2014-06-05.

    To ask the Secretary of State for Health, what steps his Department is taking to maintain and improve specialist services for children suffering from brittle bone disease.

    Dr Daniel Poulter

    The nature of brittle bone disease requires care across the healthcare system, the majority being provided in the community by a variety of therapists with involvement from a wide multi-disciplinary team. The provision of services for children with brittle bone disease in Northern Ireland will be a matter for the Northern Ireland Executive and the health service in Northern Ireland.

    In England, in the majority of cases the local clinical commissioning group (CCG) will decide on the level of provision of services, taking into account the needs of the population it serves. The CCG’s decisions are underpinned by clinical insight and knowledge of local healthcare needs.

    Complex childhood brittle bone services in England are commissioned by NHS England which has developed a specification for these services. This can be found at:

    www.england.nhs.uk/wp-content/uploads/2013/06/e13-child-osteo-imperfecta.pdf

  • Luciana Berger – 2014 Parliamentary Question to the Department of Health

    Luciana Berger – 2014 Parliamentary Question to the Department of Health

    The below Parliamentary question was asked by Luciana Berger on 2014-06-05.

    To ask the Secretary of State for Health, what assessment he has made of the importance of psychological support services for patients suffering from cancer of the unknown primary.

    Jane Ellison

    The National Institute for Health and Care Excellence (NICE) guidance manual: Improving Supportive and Palliative Care for Adults with Cancer (www.nice.org.uk/nicemedia/pdf/csgspmanual.pdf) provides a framework for the provision of psychological support in people with cancer – including cancer of unknown primary.

    The NICE clinical guideline for Depression with a chronic physical health problem (CG91) is also a useful resource.

    All patients should have systematic psychological assessment and have access to an appropriate psychological intervention from professionals competent to provide them.