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Written Question
Defibrillators
Monday 10th September 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent steps his Department has taken to increase the number of defibrillators available in public places.

Answered by Steve Barclay - Secretary of State for Environment, Food and Rural Affairs

Since the Department’s Cardiovascular Disease Outcomes Strategy was published in 2013, which highlighted the lives that could be saved by better cardiopulmonary resuscitation (CPR) training and availability of Public Access Defibrillators (PAD), the Community Resuscitation Steering Group chaired by NHS England has highlighted various issues and taken steps to try to improve them. These include:

- in order to further support the National Health Service and local communities, the Government provided £2 million to make PADs more widely available and to increase the number of people trained in CPR. The Government provided £1 million in the 2015 Budget to increase the availability and accessibility of PADs and numbers trained in CPR; this led to 700 more PADs in communities across England; and

- in the March 2016 Budget, a further £1 million was made available to make PADs and CPR more widely available in communities across England.

Beyond the recent central funding initiatives, since the end of the Department’s National Defibrillator Programme in 2007 PADs are also funded privately or by charities. Local ambulance trusts are thought to be best placed to know what is needed in their local area, and often offer advice to charities and the public on the operation and placement of PADs.

The Government recognises that better provision of defibrillators and increasing the number of people trained in CPR could help save more lives of those who have a cardiac arrest outside a hospital setting. We therefore encourage organisations to consider purchasing a defibrillator as part of their first-aid equipment, particularly for places where there are high concentrations of people.


Written Question
Defibrillators: Medway
Thursday 6th September 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what information his Department holds on the number of publically accessible defibrillators in Medway.

Answered by Steve Brine

The Department does not centrally hold the requested information. NHS Medway Clinical Commissioning Group has been advised by the local council that there are defibrillators located across Medway, including at the Council’s Gun Wharf Office and sports centres in Medway Park, Strood, Hoo, Splashes and The Strand. This list is not definitive.

Steps are being taken to improve access to information on public access defibrillators (PADs). The British Heart Foundation (BHF) funded a project to determine if it was feasible and affordable to establish a national database of PADs and to make this available to ambulance services; the project concluded it was feasible and the BHF has now committed the funds to make it happen, and two ambulance services are currently involved in determining the structure and function of the database.

This database will later be offered to all services once shown to be safe and effective. The principal intention is to make the data available to and controlled by ambulance services, so that PAD location information is readily available when someone makes a 999 call. The BHF is conducting the development of the database with full professional guidance and with the support of the Association of Ambulance Chief Executives.


Written Question
Pregnancy: Mental Health Services
Thursday 12th July 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much funding was allocated to increase the effectiveness of GPs in identifying perinatal mental health problems in mothers in each year since 2010.

Answered by Jackie Doyle-Price

General practitioners and primary care teams have a crucial role in supporting the identification of perinatal mental illness and treatment, and are part of an integrated pathway of services. This includes monitoring early onset conditions, providing pre-conception counselling and referring women to specialist mental health services, including Improving Access to Psychological Therapies and specialist perinatal community teams, if necessary.

NHS England is investing £63 million between 2016/17 and 2018/19 to support development of specialist perinatal mental health community services across England as part of a £365 million transformation programme of perinatal mental health services to 2020/21. Local teams work in close partnership with wider system partners, including primary care, to provide care and treatment to women with perinatal mental illness.

NHS England has also invested in multidisciplinary perinatal mental health clinical networks which include general practitioners. The networks drive forward change, focusing on collaborative working. The networks develop local, integrated pathways and support early identification of those at risk of mental illness in the perinatal period, enabling better outcomes for women in all communities.

Targeted funding of £1.2 million was provided in 2017 to enable the training of primary care, maternity and mental health staff to increase awareness and skills related to perinatal mental health.


Written Question
Dementia
Thursday 12th July 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what proportion of adults in (a) Medway and (b) England have been diagnosed with dementia in each of the last five years.

Answered by Caroline Dinenage

Information is not available in the format requested.

Information on the number of patients recorded as having a diagnosis of dementia on the practice dementia register, the total number of registered patients and the estimated dementia prevalence rate for England and NHS Medway Clinical Commissioning Group (CCG) for the last five years and is shown in the following tables.

Number of patients on the dementia register, the number of registered patients and prevalence, England. 2012/13 to 2016/17

2016/17

2015/16

2014/15

2013/14

2012/13

Registered patients

58,029,147

56,458,662

56,817,654

56,324,887

56,012,096

Patients on the dementia register

443,839

428,343

419,073

348,973

318,669

Prevalence

0.76

0.76

0.74

0.62

0.57

Number of patients on the dementia register, the number of registered patients and prevalence, NHS Medway CCG. 2012/13 to 2016/17

2016/17

2015/16

2014/15

2013/14

2012/13

Registered patients

294,834

292,050

291,501

290,818

284,552

Patients on the dementia register

1,609

1,674

1,597

1,377

1,332

Prevalence

0.55

0.57

0.55

0.47

0.47

Sources: NHS Digital. Quality and Outcomes Framework data collection.


Written Question
Prostate Cancer: Health Education
Wednesday 11th July 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much funding his Department has allocated to prostate cancer awareness campaigns since 2010.

Answered by Steve Brine

The Be Clear on Cancer spend on prostate cancer is available in the following table.

Public Health England (PHE) ran a Be Clear on Cancer prostate cancer local pilot campaign from October to November 2014, specifically targeting Black African-Caribbean men, because of their significantly increased risk of developing prostate cancer compared to the general male population. The campaign included posters, print, community radio messaging, street ambassadors and public relations. All campaign materials have been made available to Prostate Cancer UK so that they can be used in any future activity.

Marketing spend on prostate cancer 2010-2017

Financial Year(s)

Marketing Spend

2010-13

£0

2013-14

£270,000

2014-15

£0

2015-17

£0

Total

£270,000

Notes:

  1. Marketing spend is defined for this purpose as advertising spend covering only the media costs (inclusive of agency commission).
  2. These figures do not include recruitment/classified advertising costs and ad hoc spend under £10,000.
  3. All figures rounded to the nearest £10,000.
  4. All PHE spend over £25,000, including on public health campaigns, is published routinely and available at the following link:

https://www.gov.uk/government/collections/phe-spend-over-25000


Written Question
Mental Health Services: Waiting Lists
Thursday 28th June 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in waiting times for accessing mental health services.

Answered by Jackie Doyle-Price

The Government is committed to improving access to mental health services across England and ensuring that people get access to the right treatment, at the right time and in the right place.

Performance against Improving Access to Psychological Therapies (IAPT) waiting time standards consistently exceeds the national targets. In March 2018, 98.7% of those people completing treatment waited less than 18 weeks for their treatment to start in England against a target of 95% and 89.2% of people completing treatment waited less than six weeks against a target of 75%. The recovery target, which states that at least 50% of people who complete treatment should move to recovery, was exceeded in March 2018 with a 52.5% recovery rate.

According to the latest data for April 2018, 74.4% of patients referred to Early Intervention in Psychosis services start treatment within two weeks (exceeding our current target of 50%).

For quarter four of 2017/18, children and young people’s eating disorder data showed that 78.9% of patients started urgent treatment within one week and 79.9% of patients started routine treatment within four weeks. This is positive progress towards meeting the 95% target for both routine and urgent cases to start treatment within four weeks and one week respectively, by 2020/21.

Further information on performance against national waiting times standards can be found in NHS England’s Five Year Forward View for Mental Health Dashboard.

https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/

Through the joint health and education Green Paper on children and young people’s mental Health, we have also committed to piloting a four week waiting time for access to specialist National Health Service children and young people’s mental health services.


Written Question
Mental Health Services
Thursday 28th June 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what recent assessment he has made of trends in waiting times for accessing mental health services.

Answered by Jackie Doyle-Price

The Government is committed to improving access to mental health services across England and ensuring that people get access to the right treatment, at the right time and in the right place.

Performance against Improving Access to Psychological Therapies (IAPT) waiting time standards consistently exceeds the national targets. In March 2018, 98.7% of those people completing treatment waited less than 18 weeks for their treatment to start in England against a target of 95% and 89.2% of people completing treatment waited less than six weeks against a target of 75%. The recovery target, which states that at least 50% of people who complete treatment should move to recovery, was exceeded in March 2018 with a 52.5% recovery rate.

According to the latest data for April 2018, 74.4% of patients referred to Early Intervention in Psychosis services start treatment within two weeks (exceeding our current target of 50%).

For quarter four of 2017/18, children and young people’s eating disorder data showed that 78.9% of patients started urgent treatment within one week and 79.9% of patients started routine treatment within four weeks. This is positive progress towards meeting the 95% target for both routine and urgent cases to start treatment within four weeks and one week respectively, by 2020/21.

Further information on performance against national waiting times standards can be found in NHS England’s Five Year Forward View for Mental Health Dashboard.

https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/

Through the joint health and education Green Paper on children and young people’s mental Health, we have also committed to piloting a four week waiting time for access to specialist National Health Service children and young people’s mental health services.


Written Question
Mental Health Services: Kent
Wednesday 27th June 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the per capita spend on mental health services was by primary care trusts in (a) Medway and (b) Kent in each of the last five years.

Answered by Jackie Doyle-Price

The information requested is not available in the format requested because it is not possible to separate out mental health spend per capita, because primary care trusts were superseded by clinical commissioning groups in 2013, and because information is available for the previous two financial years only.

Expenditure on mental health by clinical commissioning groups (CCGs) is published by NHS England in the Five Year Forward View for Mental Health Dashboard. The actual spend for the Kent CCGs, including Medway CCG, on mental health for the years available is shown in the following table.

Actual spend on mental health by CCGs in Kent. 2015/16 and 2016/17

CCG

Actual Spend 2015/16 (£ thousand)

Actual Spend 2016/17 (£ thousand)

Ashford CCG

14,374

15,672

Canterbury and Coastal CCG

34,274

36,388

Dartford, Gravesham and Swanley CCG

30,958

32,126

Medway CCG

28,869

30,447

South Kent Coast CCG

32,349

33,609

Swale CCG

14,535

15,240

Thanet CCG

24,575

26,836

West Kent CCG

54,077

57,190

Source: https://www.england.nhs.uk/mental-health/taskforce/imp/mh-dashboard/


Written Question
Colorectal Cancer: Screening
Thursday 21st June 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, how much of the Public Health England budget has been spent on bowel cancer screening awareness campaigns in each year since 2010.

Answered by Steve Brine

Public Health England (PHE) has not funded any bowel cancer screening awareness campaigns.

PHE’s Be Clear on Cancer campaigns aim to raise the public’s awareness of signs and symptoms of cancer, and are an important step in helping to diagnose cancers earlier. In 2017, PHE collaborated with Cancer Research UK (CRUK) to deliver a jointly-branded, Be Clear on Cancer/CRUK pilot screening campaign in the North West of England to promote the uptake of bowel screening. The campaign was funded by CRUK.


Written Question
Familial Hypercholesterolaemia
Thursday 21st June 2018

Asked by: Rehman Chishti (Conservative - Gillingham and Rainham)

Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to raise awareness of familial hypercholesterolemia.

Answered by Steve Brine

Public Health England develops best practice guidance for the NHS Health Check programme. NHS Health Checks help identify people with familial hypercholesterolaemia (FH) and also raise awareness of the condition by ensuring those with a cholesterol level of 7.5mmol/L or higher, or a family history of a cardiac event under the age of 60, are referred for FH assessment. In the first five years of the NHS Health Check programme, 6,864,964 of the eligible population have received a check.