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To ask the Secretary of State for Health, what assessment he has made of the outcome of the recent pilot in Bradford and its surrounding area on improving NHS dental availability.
To ask the Secretary of State for Health, what assessment he has made of the outcome of the recent pilot in Bradford and its surrounding area on improving NHS dental availability.
NHS England has advised that the outcome of this pilot has been fed into the commissioning plan agreed within Yorkshire and the Humber to support increased access in identified areas. Bradford South is one of those within this group. Work is ongoing to consider how this will be implemented in this area in 2018/19.
To ask the Secretary of State for Health, if his Department will hold discussions with Bradford Teaching Hospitals NHS Foundation Trust on patients with muscle-wasting conditions in the area and their access to neuromuscular care advice.
To ask the Secretary of State for Health, if his Department will hold discussions with Bradford Teaching Hospitals NHS Foundation Trust on patients with muscle-wasting conditions in the area and their access to neuromuscular care advice.
NHS England is responsible for commissioning specialised neurological services, including services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care that sets out what providers must have in place to offer evidence-based, safe and effective services.
The specification can be found at the following link:
www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf
National Health Service providers, working with local area teams, may establish patient access to neuromuscular care advisers if they consider it would benefit service provision; such decisions are a local matter.
To ask the Secretary of State for Health, what discussions he has had with Bradford Teaching Hospitals NHS Foundation Trust on ensuring that patients with muscle-wasting conditions who are served by that Trust have access to a neuromuscular care advisor.
To ask the Secretary of State for Health, what discussions he has had with Bradford Teaching Hospitals NHS Foundation Trust on ensuring that patients with muscle-wasting conditions who are served by that Trust have access to a neuromuscular care advisor.
No such discussions have been had. NHS England is responsible for commissioning specialised neurological services, including services for patients with neuromuscular disorders. NHS England has published a service specification for neurological care that sets out what providers must have in place to offer evidence-based, safe and effective services.
The specification can be found at the following link:
www.england.nhs.uk/wp-content/uploads/2013/06/d04-neurosci-spec-neuro.pdf
National Health Service providers, working with local area teams, may establish patient access to neuromuscular care advisers if they consider it would benefit service provision; such decisions are a local matter.
To ask the Secretary of State for Health, how many child patients as a relative proportion of the local population had an appointment with an NHS dentist in (a) Bradford Districts Clinical Commissioning Groups (CCG) and (b) Bradford City CCG in (i) July 2015 to June 2016, (ii) July 2014...
To ask the Secretary of State for Health, how many child patients as a relative proportion of the local population had an appointment with an NHS dentist in (a) Bradford Districts Clinical Commissioning Groups (CCG) and (b) Bradford City CCG in (i) July 2015 to June 2016, (ii) July 2014...
Information is not available in the format requested.
NHS Digital is not able to provide numbers of people who had an appointment with a National Health Service dentist. However, it is able to provide the number of patients seen at specified dates as a percentage of the population. This covers patients seen by an NHS dentist, including work undertaken by dentists under vocational training and orthodontic patients. It does not, however, cover dental treatment carried out in hospitals under Hospital Dental Services, nor under services provided privately.
Table: Count of the number of child patients (aged 17 and under) seen in the specified time periods, and as a percentage of the population in Bradford Districts CCG and Bradford City CCG
| Number of patients seen | Percentage of the population | ||||
| July 2012 - June 2014 | July 2013 - June 2015 | July 2015 - June 2016 | July 2012 - June 2014 | July 2013 - June 2015 | July 2015 - June 2016 |
NHS Bradford Districts Clinical Commissioning Group (CCG) | 47,562 | 48,805 | 44,719 | 54.4 | 55.8 | 50.8 |
NHS Bradford City CCG | 26,288 | 27,403 | 21,939 | 102.4 | 106.8 | 84.6 |
Notes:
1. The figures are for the number of patients seen at least once during the 24 month period. Patients are counted in this data set on their first visit only.
2. Patients seen are allocated to a CCG via the dentist which they attend for treatment and not by the home postcode of the patient. Most patients will live within the CCG/Region in which they receive primary care dental services but some will attend a dentist further afield (near their place of employment, for example). Therefore it is possible for the percentage of the population figures to exceed 100%.
3. Due to the change in methodology from patients seen in the previous 24 months to patients seen in the previous 12 months, data for the period ending 30 June 2016 is not comparable to previous years.
4. Population data are sourced from the Office for National Statistics.
To ask the Secretary of State for Health, how many adult patients as a relative proportion of the local population had an appointment with an NHS dentist in (a) Bradford Districts Clinical Commissioning Group (CCG) and (b) Bradford City CCG in (i) July 2015 to June 2016, (ii) July 2014...
To ask the Secretary of State for Health, how many adult patients as a relative proportion of the local population had an appointment with an NHS dentist in (a) Bradford Districts Clinical Commissioning Group (CCG) and (b) Bradford City CCG in (i) July 2015 to June 2016, (ii) July 2014...
Information is not available in the format requested.
NHS Digital is not able to provide numbers of people who had an appointment with a National Health Service dentist. However, it is able to provide the number of patients seen at specified dates as a percentage of the population. This covers patients seen by an NHS dentist, including work undertaken by dentists under vocational training and orthodontic patients. It does not, however, cover dental treatment carried out in hospitals under Hospital Dental Services, nor under services provided privately.
Table: Count of the number of adult patients (aged 18 and over) seen in the specified time periods, and as a percentage of the population, in Bradford Districts Clinical Commissioning Group (CCG) and Bradford City CCG | ||||||
| Number of patients seen | Percentage of the population | ||||
| July 2012 - June 2014 | July 2013 - June 2015 | July 2014 - June 2016 | July 2012 - June 2014 | July 2013 - June 2015 | July 2014 - June 2016 |
NHS Bradford Districts CCG | 113,474 | 113,105 | 116,467 | 45.9 | 45.8 | 46.9 |
NHS Bradford City CCG | 46,911 | 46,885 | 43,399 | 82.2 | 82.1 | 75.8 |
Notes:
1. The figures are for the number of patients seen at least once during the 24 month period. Patients are counted in this data set on their first visit only. An equivalent measure covering the 12 month period is not available.
2. Population data are sourced from the Office for National Statistics.
To ask the Secretary of State for Health, what estimate his Department has made of the number of pharmacies which will potentially be affected financially by planned changes to funding in the Bradford District Care Trust area.
To ask the Secretary of State for Health, what estimate his Department has made of the number of pharmacies which will potentially be affected financially by planned changes to funding in the Bradford District Care Trust area.
The proposals on which we are consulting will apply to all community pharmacies providing National Health Service pharmaceutical services in England.
Our proposals are about improving services for patients and the public and securing efficiencies and savings. The Government believes these efficiencies can be made within community pharmacy without compromising the quality of services or public access to them.
We have been consulting on the introduction of a Pharmacy Access Scheme, which will provide more NHS funds to certain pharmacies compared with others, considering factors such as location and the health needs of the local population.
The hon. Gentleman will be aware of my earlier answers to other questions. A wide range of aspects of the public health work that this Government are taking forward attack that very issue—the inequality of outcomes for some communities. I gave examples earlier, including the family nurse partnership and the troubled families programme, which has a health aspect to it. More widely, the universal health visiting programme, which has just moved into commissioning by local government, contains significant elements that were designed exactly to support poorer families and disadvantaged communities.
The hon. Gentleman will be aware of my earlier answers to other questions. A wide range of aspects of the public health work that this Government are taking forward attack that very issue—the inequality of outcomes for some communities. I gave examples earlier, including the family nurse partnership and the troubled families programme, which has a health aspect to it. More widely, the universal health visiting programme, which has just moved into commissioning by local government, contains significant elements that were designed exactly to support poorer families and disadvantaged communities.
According to Public Health England, life expectancy in the most deprived areas of Bradford is 9.6 years lower for men and eight years lower for women, demonstrating that there are clear health inequalities in urban areas in Bradford. The Government’s attack on the poor makes this issue worse, so will the Minister tell me what they are doing to tackle these inequalities and give people in Bradford the quality of life that they deserve?
According to Public Health England, life expectancy in the most deprived areas of Bradford is 9.6 years lower for men and eight years lower for women, demonstrating that there are clear health inequalities in urban areas in Bradford. The Government’s attack on the poor makes this issue worse, so will the Minister tell me what they are doing to tackle these inequalities and give people in Bradford the quality of life that they deserve?
According to Public Health England, life expectancy in the most deprived areas of Bradford is 9.6 years lower for men and eight years lower for women, demonstrating that there are clear health inequalities in urban areas in Bradford. The Government’s attack on the poor makes this issue worse, so will the Minister tell me what they are doing to tackle these inequalities and give people in Bradford the quality of life that they deserve?
The hon. Gentleman will be aware of my earlier answers to other questions. A wide range of aspects of the public health work that this Government are taking forward attack that very issue—the inequality of outcomes for some communities. I gave examples earlier, including the family nurse partnership and the troubled families programme, which has a health aspect to it. More widely, the universal health visiting programme, which has just moved into commissioning by local government, contains significant elements that were designed exactly to support poorer families and disadvantaged communities.
What lessons his Department has learned from the Born In Bradford research study.
What lessons his Department has learned from the Born In Bradford research study.
By tracking the lives of 13,500 children and their families, the Born in Bradford research study is providing information that will help us to understand the causes of common childhood illnesses, and to explore the mental and social development of a new generation.
By tracking the lives of 13,500 children and their families, the Born in Bradford research study is providing information that will help us to understand the causes of common childhood illnesses, and to explore the mental and social development of a new generation.
By tracking the lives of 13,500 children and their families, the Born in Bradford research study is providing information that will help us to understand the causes of common childhood illnesses, and to explore the mental and social development of a new generation.
What lessons his Department has learned from the Born In Bradford research study.
In the Born in Bradford study, 63% of Pakistani mothers are married to cousins, and within that group there was a doubling of the risk of a baby’s being born with a congenital anomaly. The report also found that “a larger number” of children born to cousins
“will have health problems that may lead to death, or long term illness for the baby.”
How much do health issues related to first-cousin marriages cost the NHS, and, given those findings, is it not time that such marriages were outlawed?
In the Born in Bradford study, 63% of Pakistani mothers are married to cousins, and within that group there was a doubling of the risk of a baby’s being born with a congenital anomaly. The report also found that “a larger number” of children born to cousins
“will have health problems that may lead to death, or long term illness for the baby.”
How much do health issues related to first-cousin marriages cost the NHS, and, given those findings, is it not time that such marriages were outlawed?
We do not have any financial information, but it is important to point out that the Born in Bradford study showed that there was an increase in the risk of birth defects from 3% to 6% in consanguineous marriages. However, that clearly highlights that not all babies born to couples who are related have a genetic problem, and the key issue is to help women to make an informed choice before they get pregnant and to direct them to genetic counselling where that may be required.
We do not have any financial information, but it is important to point out that the Born in Bradford study showed that there was an increase in the risk of birth defects from 3% to 6% in consanguineous marriages. However, that clearly highlights that not all babies born to couples who are related have a genetic problem, and the key issue is to help women to make an informed choice before they get pregnant and to direct them to genetic counselling where that may be required.
We do not have any financial information, but it is important to point out that the Born in Bradford study showed that there was an increase in the risk of birth defects from 3% to 6% in consanguineous marriages. However, that clearly highlights that not all babies born to couples who are related have a genetic problem, and the key issue is to help women to make an informed choice before they get pregnant and to direct them to genetic counselling where that may be required.
In the Born in Bradford study, 63% of Pakistani mothers are married to cousins, and within that group there was a doubling of the risk of a baby’s being born with a congenital anomaly. The report also found that “a larger number” of children born to cousins
“will have health problems that may lead to death, or long term illness for the baby.”
How much do health issues related to first-cousin marriages cost the NHS, and, given those findings, is it not time that such marriages were outlawed?
(6) if he will make an assessment of the potential effect on local services of NHS England's proposed changes to the funding formula for NHS Bradford City Clinical Commissioning Group;
Mr Barron:
(6) if he will make an assessment of the potential effect on local services of NHS England's proposed changes to the funding formula for NHS Bradford City Clinical Commissioning Group;
Mr Barron:
Responsibility for resource allocation is a matter for NHS England as set out in The Mandate. The Government has made clear in the mandate that one of the governing principles should be equal access for equal need, and that changes in allocations should not result in the destabilising of local health economies.
Initial findings from NHS England's fundamental review of allocation policy, which drew on the expert advice of the independent Advisory Committee on Resource Allocation and, involved a range of external partners, were considered by the NHS England board at their meeting on 17 December. The board paper is available at:
www.england.nhs.uk/wp-content/uploads/2013/12/bm-item7.pdf
I refer the right hon. Member to the written ministerial statement issued by the Secretary of State for Health, the right hon. Member for South West Surrey (Mr Hunt), on 17 December 2013, Official Report, columns 88-89WS.
(8) if he will make an assessment of the potential effect on local services of NHS England's proposed changes to the funding formula for NHS Bradford Districts Clinical Commissioning Group;
Mr Barron:
(8) if he will make an assessment of the potential effect on local services of NHS England's proposed changes to the funding formula for NHS Bradford Districts Clinical Commissioning Group;
Mr Barron:
Responsibility for resource allocation is a matter for NHS England as set out in The Mandate. The Government has made clear in the mandate that one of the governing principles should be equal access for equal need, and that changes in allocations should not result in the destabilising of local health economies.
Initial findings from NHS England's fundamental review of allocation policy, which drew on the expert advice of the independent Advisory Committee on Resource Allocation and, involved a range of external partners, were considered by the NHS England board at their meeting on 17 December. The board paper is available at:
www.england.nhs.uk/wp-content/uploads/2013/12/bm-item7.pdf
I refer the right hon. Member to the written ministerial statement issued by the Secretary of State for Health, the right hon. Member for South West Surrey (Mr Hunt), on 17 December 2013, Official Report, columns 88-89WS.
To ask the Secretary of State for Health what the reasons are for the changes in the number of inpatient diagnoses of primary or secondary malnutrition in Bradford Teaching Hospitals NHS Foundation Trust between (a) 2008 and 2010 and (b) 2010 and 2013.
To ask the Secretary of State for Health what the reasons are for the changes in the number of inpatient diagnoses of primary or secondary malnutrition in Bradford Teaching Hospitals NHS Foundation Trust between (a) 2008 and 2010 and (b) 2010 and 2013.
This information is not collected centrally.
To ask the Secretary of State for Health how many people with malnutrition were admitted to Bradford Teaching Hospitals NHS Foundation Trust hospitals in each of the last five years.
To ask the Secretary of State for Health how many people with malnutrition were admitted to Bradford Teaching Hospitals NHS Foundation Trust hospitals in each of the last five years.
The number of in-patient finished admission episodes with a primary or secondary diagnosis of malnutrition at Bradford Teaching Hospitals NHS Foundation Trust for the fiscal years 2008-09 to 2012-13 is shown in the following table:
| Provider
code | Provider
name | 2008-09 | 2009-10 | 2010-11 | 2011-12 | 2012-13 |
| RAE | Bradford
Teaching Hospitals NHS Foundation
Trust | 52 | 65 | 101 | 136 | 100 |
| Notes: 1. In-patients are patients who are admitted to hospital and occupy a bed. Including both admissions where an overnight stay is planned and day cases. 2. A finished admission episode (FAE) is the first period of in-patient care under one consultant within one health care provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of in-patients, as a person may have more than one admission within the year. 3. ICD-10 codes used to identify admissions due to Malnutrition: E40.X—Kwashiorkor E41.X—Nutritional marasmus E42.X—Marasmic kwashiorkor E43.X—Unspecified severe protein-energy malnutrition E44.0—Moderate protein-energy malnutrition E44.1—Mild protein-energy malnutrition E45.X—Retarded development following protein-energy malnutrition E46.X—Unspecified protein-energy malnutrition O25.X—Malnutrition in pregnancy 4. A provider code is a unique code that identifies an organisation acting as a health care provider (e.g. NHS Trust or PCT). 5. 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 out-patient settings and so no longer include in admitted patient HES data. 6. Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England and from some independent sector organisations for activity commissioned by the English NHS. The NHS Information Centre for health and social care liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain. Source: Hospital Episode Statistics (HES). The Health and Social Care Information Centre. |
I congratulate my hon. Friend the Member for Bradford East (Mr Ward) on securing the debate and on all the work he has done both in Bradford and to bring the stories from Bradford to a national forum. He has done more than anyone to highlight the importance of care...
I congratulate my hon. Friend the Member for Bradford East (Mr Ward) on securing the debate and on all the work he has done both in Bradford and to bring the stories from Bradford to a national forum. He has done more than anyone to highlight the importance of care...
Idle and Thackley.
Idle and Thackley.
Idle and Thackley—those wonderful names. Local councillors got the community involved and that is exactly what needs to happen. When we talk about how to meet the extraordinary challenges of the future, with an ageing community, there must ultimately be collaboration between statutory services and the community. Bradford appears to...
Idle and Thackley—those wonderful names. Local councillors got the community involved and that is exactly what needs to happen. When we talk about how to meet the extraordinary challenges of the future, with an ageing community, there must ultimately be collaboration between statutory services and the community. Bradford appears to...
May I say how much I welcome the policy on the assessment of carers? Many carers who visit my constituency office are on the verge of needing care themselves because of the stress that they are under. It is the failure to identify their personal needs and the support that...
May I say how much I welcome the policy on the assessment of carers? Many carers who visit my constituency office are on the verge of needing care themselves because of the stress that they are under. It is the failure to identify their personal needs and the support that...