Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what information his Department holds on the number of 999 calls received each year from or concerning a person who is feeling suicidal.
Answered by Jackie Doyle-Price
Data is not collected centrally.
Guidance for 999 call handlers on how to respond to callers who are feeling suicidal is developed and delivered by each local ambulance trust, informed by the Mental Health Care Crisis Concordat. This sets out the principles and good practice that should be followed by health staff, police officers and approved mental health professionals when working together to help people in a mental health crisis.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what information his Department holds on the number and proportion of people presenting at A&E feeling suicidal who are (a) given treatment, (b) referred to another service and (c) given no treatment or referral.
Answered by Jackie Doyle-Price
Data on the number and proportion of people presenting at accident and emergency (A&E) feeling suicidal who are given treatment, referred to another service and given no treatment or referral is not collected centrally. Through their A&E Hospital Episode Statistics, NHS Digital are able to identify patients who are recorded for ‘self-harm’ and patients diagnosed as having ‘psychiatric conditions’, but these are not specific to ‘suicidal’.
Through the Five Year Forward View for Mental Health, we are committed to roll-out liaison mental health teams in general hospitals by 2020/21 with 50% of them meeting the core 24 standard. This means that teams of specially trained mental health professionals will be able to support people who present at emergency departments with mental health issues, which would include providing assessments and referring on to specialist mental health services or community teams.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what progress he has made on the development of a state-backed indemnity scheme for GPs.
Answered by Philip Dunne
We recognise that the rising cost of indemnity cover is a source of concern for GPs. That is why, in October 2017, the Secretary of State announced that the Government would develop a state-backed indemnity scheme for general practice in England. This complex piece of work is at an early stage. We are working with GP representatives and others to develop our plans over the next 12-18 months.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, when the 2014 National Study of Health and Wellbeing data will be made available through the UK data service for secondary research.
Answered by Jackie Doyle-Price
A version of the dataset has been transferred to the United Kingdom data service. NHS Digital anticipates it will be made available for researchers to apply for within the month of November 2017, subject to the Independent Group Advising on the Release of Data for NHS Digital recommending approval of the proposed terms and conditions for release.
Individual researchers will then need to apply for access to the data and these applications will be reviewed by NHS Digital. NHS Digital has applied additional disclosure control measures to ensure the privacy of individuals is protected while looking to ensure maximum use to be made of these valuable, publicly funded data collections.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether his Department or its agencies have submitted any bids for Libor funding in any of the last five years.
Answered by Philip Dunne
Libor funding guidance states that only the following types of organisation are eligible to apply:
- a registered charity;
- a Community Interest Company; or
- an Armed Forces unit with a Unit Identification Number (UIN).
Information and guidance about Libor applications can be found at:
https://www.gov.uk/government/publications/libor-funding-applications
All successful Libor bids can be found at:
https://www.gov.uk/government/publications/armed-forces-covenant-libor-fund-successful-projects
and
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what progress his Department has made on the formal review of the Debt and Mental Health Evidence Form which was announced by the Prime Minister in January 2017.
Answered by Jackie Doyle-Price
The Department is working with the Money and Mental Health Policy Institute to review the practice of general practitioners (GPs) charging patients for completing Mental Health Evidence Forms. The review was launched at a roundtable discussion at No. 10 in July and a review group has been established with representation from the financial and credit sectors, GPs and the debt advice sector. The review is expected to be completed by the end of the year.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether his Department has reviewed the Law Commission's review of the Mental Capacity Act and the Deprivation of Liberty Safeguards.
Answered by Baroness Blackwood of North Oxford
The Department is considering the Law Commission’s report and recommendations and will respond in due course.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps he plans to take following the removal of the target allocation for public health spending to assist (a) Plymouth City Council and (b) others disadvantaged in public health spend allocations to move towards fair share allocations.
Answered by Baroness Blackwood of North Oxford
The Department for Communities and Local Government consulted recently on whether the public health grant should be replaced by income from local authorities’ retained business rates. We will review the question of target allocations of funding for public health in the light of the outcome of that consultation.
Asked by: Johnny Mercer (Conservative - Plymouth, Moor View)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many limb amputations were undertaken in the Plymouth area in each of the last five years; and how many such operations were as a result of (a) smoking and (b) diabetes.
Answered by Jane Ellison
The information is not available in the format requested. Such information as is available is in the following table.
Count of finished consultant episodes (FCEs) with (a) a main or secondary procedure of amputation and (b) a primary diagnosis of diabetes and a main or secondary procedure of amputation by the selected hospital provider for the years 2009-10 to 2013-14.
Plymouth Hospitals NHS Trust | ||
Year | Number of amputations | Amputations with a diagnosis of diabetes |
2009-10 | 178 | 41 |
2010-11 | 215 | 36 |
2011-12 | 216 | 47 |
2012-13 | 238 | 73 |
2013-14 | 203 | 50 |
Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre
Notes
1. Finished Consultant Episode (FCE)
A finished consultant episode (FCE) is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.
2. Number of episodes with a main or secondary procedure
The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. Note that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.
3. OPCS codes for amputation procedure
The following OPCS codes were used to define amputation:
X07 - Amputation of arm
X08 - Amputation of hand
X09 - Amputation of leg
X10 - Amputation of foot
X11 - Amputation of toe
X121 – Re-amputation at higher level
One of the following site codes must be assigned in a secondary position to X12.1 in order to identify an amputation:
Z68 - Bone of shoulder girdle
Z69 - Humerus
Z70 - Radius
Z71 - Ulna
Z72 - Other bone of arm or wrist
Z73 - Other bone of hand
Z76 - Femur
Z77 - Tibia
Z78 – Other bone of lower leg
Z79 - Bone of tarsus
Z80 - Other bone of foot
4. Primary diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and 7 prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
5. ICD-10 diagnosis codes for diabetes
The following ICD-10 codes were used to identify diabetes:
E10 - Insulin-dependent diabetes mellitus
E11 - Non-insulin-dependent diabetes mellitus
E12 - Malnutrition-related diabetes mellitus
E13 - Other specified diabetes mellitus
E14 - Unspecified diabetes Mellitus
6. Hospital Provider
A provider code is a unique code that identifies an organisation acting as a health care provider (e.g. NHS trust). Data from some independent sector providers, where the onus for arrangement of data flows is on the commissioner, may be missing. Care must be taken when using these data as the counts may be lower than true figures.
7) Assessing growth through time (Admitted patient care)
HES figures are available from 1989-90 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage (particularly in earlier years), improvements in coverage of independent sector activity (particularly from 2006-07) and changes in NHS practice. For example, apparent reductions in activity may be due to a number of procedures which may now be undertaken in outpatient settings and so no longer include in admitted patient HES data. Conversely, apparent increases in activity may be due to improved recording of diagnosis or procedure information.
Note that HES include activity ending in the year in question and run from April to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March 2013.