Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many children were seen by an NHS dentist in (a) Batley and Spen constituency, (b) Kirklees, (c) West Yorkshire and (d) England in each of the last seven years.
Answered by David Mowat
NHS Digital dental data are not available at constituency level nor is it possible to identify West Yorkshire specifically.
Data for the number of children aged 0 to 17 seen in the previous 12 months as at 31 December 2016 and the previous 24 months for periods ending 31 March 2016 to 31 March 2010 are available at specified geographies and dates and can be found in the table below.
NHS England has a legal duty to commission services to meet local need. NHS England is considering what steps can be taken to improve dental access in the local area.
Period ending | England | NHS England North (Yorkshire and the Humber) | Yorkshire and Humber Strategic Health Authority | Kirklees Local Authority | Kirklees Primary Care Trust |
Count | Count | Count | Count | Count | |
31 December 2016 1 | 6,743,989 | 732,459 | - | 66,385 | - |
Break in time series. Data for the period ending 31 December 2016 are not comparable to data from earlier periods. | |||||
31 March 2016 | 8,085,564 | 856,956 | - | 75,412 | - |
31 March 2015 | 7,987,182 | 850,304 | - | 74,675 | - |
31 March 2014 | 7,891,837 | 843,840 | - | 74,789 | - |
31 March 2013 | 7,837,950 | - | 823,722 | - | 74,854 |
31 March 2012 | 7,827,627 | - | 819,543 | - | 74,722 |
31 March 2011 | 7,769,555 | - | 813,076 | - | 73,652 |
31 March 2010 | 7,694,373 | - | 804,533 | - | 73,534 |
Notes:
1. Data in the above table for 31 December 2016 represent the number of child patients seen in the previous 12 months rather than the previous 24 months as in earlier periods. As this represents a distinct break in the time series, figures for December 2016 are not comparable to earlier data.
2. Patients seen are allocated to a geography (e.g. local authority) via the dentist which they attend for treatment and not by the home postcode of the patient.
3. The figures are for the number of patients seen at least once during the 12 month period. Patients are counted in this data set on their first visit only.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many staff are seconded to his Department; and how many such staff are seconded from which companies and organisations.
Answered by David Mowat
The Department does not hold this information centrally and it could only be obtained at disproportionate cost.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many children in (a) Batley and Spen constituency, (b) Kirklees, (c) West Yorkshire and (d) England were admitted to hospital for a tooth extraction due to decay in each of the last seven years.
Answered by David Mowat
Data is not available in the format requested. Such data as is available is shown in the table below.
A count of finished admission episodes (FAEs)1 with a primary diagnosis2 of dental caries3 and a main procedure4 of tooth extraction5, for patients aged between 0 and 17 within Batley and Spen parliamentary constituency6, Kirklees local authority district of residence7, Yorkshire and Humber Government office of residence8 and England from 2009-10 and 2015-16
Activity in English National Health Service Hospitals and English NHS commissioned activity in the independent sector | ||||
Year | Batley and Spen (FAEs) | Kirklees local authority district (FAEs) | Yorkshire and Humber (FAEs) | England (FAEs) |
2009-10 | 31 | 585 | 6,992 | 36,682 |
2010-11 | 51 | 606 | 6,638 | 36,510 |
2011-12 | 32 | 677 | 6,688 | 37,417 |
2012-13 | 33 | 586 | 6,853 | 37,569 |
2013-14 | 33 | 631 | 7,293 | 38,857 |
2014-15 | 54 | 625 | 7,430 | 39,962 |
2015-16 | 56 | 660 | 6,986 | 37,253 |
Source: Hospital Episode Statistics (HES), NHS Digital
Notes:
1. Finished admission episodes
A FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission episode finishes. Admissions do not represent the number of patients, as a person may have more than one admission within the period.
2. Primary Diagnosis
The primary diagnosis is the first of up to 20 (14 from 2002-03 to 2006-07 and seven prior to 2002-03) diagnosis fields in the HES data set and provides the main reason why the patient was admitted to hospital.
3. Dental caries
ICD-10 Clinical coding:
K02 - Dental Caries
4. Main Procedure
The first recorded procedure or intervention in each episode, usually the most resource intensive procedure or intervention performed during the episode. It is appropriate to use main procedure when looking at admission details, (e.g. time waited), but a more complete count of episodes with a particular procedure is obtained by looking at the main and the secondary procedures.
5.Tooth Extraction
OPCS 4.7 - Procedure code
F09.1 - Surgical removal of impacted wisdom tooth
F09.2 - Surgical removal of impacted tooth NECx
F09.3 - Surgical removal of wisdom tooth NEC
F09.4 - Surgical removal of tooth NEC
F09.5 - Surgical removal of retained root of tooth
F09.8 - Other specified surgical removal of tooth
F09.9 - Unspecified surgical removal of tooth
F10.1 - Full dental clearance
F10.2 - Upper dental clearance
F10.3 - Lower dental clearance
F10.4 - Extraction of multiple teeth NEC
F10.8 - Other specified simple extraction of tooth
F10.9 - Unspecified simple extraction tooth (Includes, but is not limited to extraction of single tooth)
6. Batley and Spen parliamentary constituency: PCON Code - A19
7. Kirklees local authority area: RESLADST-ONS –E08000034
8. Government Office of Residence. This derived field contains a code that defines the Government Office Region of residence of the patient. It is derived from the patient's postcode in the field homeadd (postcode of patient).
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, for what reason he is not a member of the Government's European Union Exit and Trade Committee.
Answered by David Mowat
My Rt. hon. Friend the Secretary of State for Health is not a member of the Government’s European Union Exit and Trade Committee as under article 168, section 7, of the Lisbon Treaty, health is a member state competence, so he does not need to attend every session. He is invited every time a matter directly affecting health comes up.
The list of Cabinet Committees and Implementation Taskforces, and their membership, is published here:
Other Ministers attend the European Union Exit and Trade Committee where the agenda item concerns their portfolio.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, if he will make it a requirement that dentistry practices update their information on the NHS Choices website.
Answered by David Mowat
NHS Digital has been working with NHS England, the Department, the Advertising Standards Authority and Healthwatch, to improve the information available to the public on dentistry on NHS Choices. The first tranche of improvements went live earlier this month. These included action to encourage practices to regularly update their profiles and, in particular, information on whether the practice is taking on new patients, which now has a mandatory 90 day review cycle. If this information is not updated or verified as still correct within a 90 day period, it will be temporarily removed from the site. Consideration continues to what further action could be taken to ensure information is updated regularly.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what guidance his Department gives to dentists on the currency of their NHS Choices profiles.
Answered by David Mowat
NHS Digital has been working with NHS England and other partner organisations to improve the information available to the public on dentistry on NHS Choices. The first improvements were made earlier this month. These included action to encourage practices to regularly update their profiles and, in particular, information on whether the practice is taking on new patients, which now has a mandatory 90 day review cycle. If this information is not updated or verified as still correct within a 90 day period, it will be temporarily removed from the site. NHS Digital is developing a guidance document to dentists following these changes. This will be made available by early summer to all dental practices in England holding an National Health Service contract.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the potential merits of making the drug Orkambi availabile to people with cystic fibrosis.
Answered by Baroness Blackwood of North Oxford
Ministers and Government officials have had a number of discussions with Vertex and NHS England in which the availability of Orkambi for the treatment of cystic fibrosis was raised.
The National Institute for Health and Care Excellence (NICE) is the independent body that develops guidance for the National Health Service on whether new drugs and treatments represent a clinically and cost effective use of resources.
NICE published final guidance on the use of Orkambi (lumacaftor-ivacaftor) for treating cystic fibrosis homozygous for the F508del mutation in July 2016 that does not recommend this treatment.
Where NICE has not been able to recommend a treatment, funding decisions should be made by the relevant NHS commissioner, based on an assessment of the available evidence.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what discussions he has had with Vetrex and NHS England on the drug Orkambi's availability to people with cystic fibrosis.
Answered by Baroness Blackwood of North Oxford
Ministers and Government officials have had a number of discussions with Vertex and NHS England in which the availability of Orkambi for the treatment of cystic fibrosis was raised.
The National Institute for Health and Care Excellence (NICE) is the independent body that develops guidance for the National Health Service on whether new drugs and treatments represent a clinically and cost effective use of resources.
NICE published final guidance on the use of Orkambi (lumacaftor-ivacaftor) for treating cystic fibrosis homozygous for the F508del mutation in July 2016 that does not recommend this treatment.
Where NICE has not been able to recommend a treatment, funding decisions should be made by the relevant NHS commissioner, based on an assessment of the available evidence.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what the implications for his policies are of the data from the Office for National Statistics on the disproportionately high rate of suicide among women in the culture, media and sport sectors; and if he will make a statement.
Answered by Baroness Blackwood of North Oxford
The data published by the Office for National Statistics (ONS) on 17 March builds on our knowledge of groups at high risk of suicide and where this may relate to their occupation, which we set out in the Cross-Government National Suicide Prevention Strategy in 2012.
Alongside the ONS data, Public Health England published suicide prevention and postvention toolkits for employers. Reducing the risk of suicide: a toolkit for employers and Crisis management in the event of a suicide: a postvention toolkit for employers are attached.
Departmental officials have been working with Public Health England to assess what impact this new data will have on our policies and we will continue to do that as we implement the National Strategy.
We published the updated National Suicide Prevention Strategy in January which set out how we will strengthen its delivery in key areas, including better targeting of high risk groups. Within the updated strategy we stated we will be working with industry to share best practice with other sectors such as Network Rail and the construction industry. We will provide further updates on developments through our annual suicide prevention progress reports.
Asked by: Tracy Brabin (Labour (Co-op) - Batley and Spen)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the findings in respect of the potential link between the pandemic, vaccination and narcolepsy of the study, Risk of narcolepsy in children and young people receiving AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine: retrospective analysis, published in the British Medical Journal in 2013.
Answered by Baroness Blackwood of North Oxford
The potential association between AS03 adjuvanted pandemic A/H1N1 2009 influenza vaccine and narcolepsy is a consideration in on-going legal proceedings so it would not be appropriate to comment at this stage.