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389840

registered interest
date	14/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether he has made an estimate of the annual cost to the public purse of all medicines costing over £20 issued by the NHS; and if he will make a statement.
tabling member constituency	Heywood and Middleton
tabling member printed	Liz McInnes
uin	6914
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The number of dispensed prescription items valued greater than £20.00, with the net ingredient cost (NIC), compared with the total for all dispensed prescription items, is provided for the last complete calendar year.</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="3"><p>Prescription items written in the United Kingdom and dispensed, in the community, in England - 2014</p></td></tr><tr><td><p> </p></td><td><p>Items (000’s)</p></td><td><p>NIC (£000’s)</p></td></tr><tr><td><p>Items with NIC greater than £20.00</p></td><td><p>104,576.4</p></td><td><p>5,295,382.8</p></td></tr><tr><td><p>All items</p></td><td><p>1,064,573.8</p></td><td><p>8,852,574.9</p></td></tr></tbody></table><p> </p><p><em> </em></p><p> </p><p><em>Source:</em> Prescription Cost Analysis, provided by the Health and Social Care Information Centre</p><p> </p><p> </p><p> </p><p><em>Note:</em> NIC per item is an average; it is not an exact measure of the cost of the medicine. The quantity of the medicine prescribed can vary for each prescription item.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 20/07/2015 10:55:56 answering member 1201 label Biography information for Alistair Burt
tabling member	4342 label Biography information for Liz McInnes

389844

registered interest
date	14/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what changes have been made to the NHS Constitution in each of the last three years.
tabling member constituency	Ashton-under-Lyne
tabling member printed	Angela Rayner
uin	6973
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>In the past three years, the NHS Constitution has been amended twice. In April 2013, the NHS Constitution was updated to reflect a number of key areas, including:</p><p> </p><p> </p><p> </p><p>- patient involvement in discussions and decisions about their care and treatment, including end of life care;</p><p> </p><p>- a duty of candour;</p><p> </p><p>- the addition of a pledge to welcome feedback;</p><p> </p><p>- integrated care, reflecting the needs and preferences of patients;</p><p> </p><p>- new patient rights on complaints;</p><p> </p><p>- amending the language to better reflect patient involvement in managing their own care;</p><p> </p><p>- the addition of further staff rights, responsibilities and commitments; and</p><p> </p><p>- ensuring patients will not have to share hospital sleeping accommodation with patients of the opposite sex.</p><p> </p><p> </p><p> </p><p>Between February and April this year, the Department consulted on a package of further changes to the NHS Constitution. This included:</p><p> </p><p> </p><p> </p><p>- reflecting recommendations made by Sir Robert Francis QC in his Inquiry Report on Mid-Staffordshire NHS Foundation Trust;</p><p> </p><p>- incorporating a series of fundamental standards, below which standards of care should never fall;</p><p> </p><p>- highlighting the importance of transparency and accountability within the National Health Service;</p><p> </p><p>- giving greater prominence to mental health, through reflecting a parity of esteem between mental and physical health problems; and</p><p> </p><p>- making reference to the Armed Forces Covenant.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The updated NHS Constitution will be published alongside a revised version of the Handbook to the NHS Constitution on 27 July 2015. The Handbook outlines the contents of the NHS Constitution in further detail.</p><p> </p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 20/07/2015 10:07:01 answering member 3988 label Biography information for Ben Gummer
tabling member	4356 label Biography information for Angela Rayner

389845

registered interest
date	14/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Annual Reports
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to publish its annual accounts for 2014-15.
tabling member constituency	Leigh
tabling member printed	Andy Burnham
uin	7084
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Department’s Annual Report and Accounts for 2014-15 is expected to be laid by HM Treasury shortly.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/07/2015 10:59:34 answering member 3918 label Biography information for Jane Ellison
tabling member	1427 label Biography information for Andy Burnham

389847

registered interest
date	14/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Tobacco
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many times (a) he and (b) other Ministers in his Department met employees or third party representatives of tobacco companies in (i) 2013, (ii) 2014 and (iii) 2015 to date.
tabling member constituency	Pontypridd
tabling member printed	Owen Smith
uin	7009
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>None. Details of Ministerial meetings with external stakeholders are published quarterly in arrears on the Gov.UK website:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings" target="_blank">https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings</a></p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 20/07/2015 16:50:52 answering member 3918 label Biography information for Jane Ellison
tabling member	4042 label Biography information for Owen Smith

387709

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mesothelioma: Chemotherapy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether, following the decision by the panel of the Cancer Drugs Fund (CDF) that the clinical benefits of pemetrexed as a maintenance treatment in patients with locally advanced or metastatic non-squamous non-small cell lung cancer, and who had previously not progressed on chemotherapy with the combination of cisplatin and pemetrexed, were insufficient to justify retaining pemetrexed within the CDF, pemetrexed will be withdrawn as a treatment option for patients with mesothelioma.
tabling member printed	Lord Alton of Liverpool
uin	HL1086
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>NHS England has advised that pemetrexed (Alimta) for maintenance treatment of stage IIIB/IV non-squamous non-small cell lung cancer after response to pemetrexed-containing first line therapy will be reviewed by the national Cancer Drug Fund (CDF) panel at its next meeting at the end of July 2015. It will remain on the national CDF list for that indication pending the outcome of that further review.</p><p> </p><p> </p><p> </p><p>Pemetrexed remains available for those patients who meet the criteria set out in the National Institute for Health and Care Excellence’s technology appraisal guidance on pemetrexed for the treatment of malignant pleural mesothelioma (TA135).</p><p> </p> answering member printed Lord Prior of Brampton question first answered 20/07/2015 10:39:14 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

387712

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Records: Transgender People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps are being taken to ensure that the Health and Social Care Information Centre informs transsexual patients whose health data has been wrongly disclosed to third parties.
tabling member printed	Baroness Barker
uin	HL1089
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Health and Social Care Information Centre (HSCIC) takes every precaution to ensure compliance with legislation and that identifiable data is not disclosed without a legal basis to do so. There are strict controls set out within the Data Protection Act that govern the disclosure of sensitive data.</p><p> </p><p><strong> </strong></p><p> </p><p>In all scenarios involving patient’s health data being wrongly disclosed, irrespective of the personal circumstances of a patient, HSCIC would seek to ensure appropriate reporting, investigations and corrective actions took place.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL1090 question first answered 20/07/2015 10:38:41 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2501 label Biography information for Baroness Barker

387713

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health and Social Care Information Centre: Gender Recognition
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to ensure that the Health and Social Care Information Centre does not contravene section 22 of the Gender Recognition Act 2004.
tabling member printed	Baroness Barker
uin	HL1090
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Health and Social Care Information Centre (HSCIC) takes every precaution to ensure compliance with legislation and that identifiable data is not disclosed without a legal basis to do so. There are strict controls set out within the Data Protection Act that govern the disclosure of sensitive data.</p><p> </p><p><strong> </strong></p><p> </p><p>In all scenarios involving patient’s health data being wrongly disclosed, irrespective of the personal circumstances of a patient, HSCIC would seek to ensure appropriate reporting, investigations and corrective actions took place.</p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL1089 question first answered 20/07/2015 10:38:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2501 label Biography information for Baroness Barker

387717

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Monitor: Employment Agencies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many agency staff Monitor has used since 2010; and at what cost.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1094
answer	answer is ministerial correction date of answer 14/07/2015 answer text <p>Monitor use agency staff to temporarily fill administrative and clerical roles according to the business needs of the organisation, providing cover for vacancy, holiday and sickness.</p><p> </p><p> </p><p> </p><p>The table below shows Monitor’s approximate average headcount for agency staff between 2010-11 and 2014-15. The total cost over this period was £1.564 million including VAT.</p><p> </p><p> </p><p> </p><p>To note, there is some discrepancy in the data as collection methodology changed in 2011, when it started to be collected monthly.</p><p> </p><p> </p><p> </p><p>Figures for headcount and spend on agency staff:</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Average Headcount</p></td><td><p>Cost, £000 incl VAT</p></td></tr><tr><td><p>2010-11</p></td><td><p>5.5</p></td><td><p>160**</p></td></tr><tr><td><p>2011-12</p></td><td><p>8</p></td><td><p>235**</p></td></tr><tr><td><p>2012-13</p></td><td><p>13</p></td><td><p>385*</p></td></tr><tr><td><p>2013-14</p></td><td><p>12.5</p></td><td><p>418</p></td></tr><tr><td><p>2014-15</p></td><td><p>10.5</p></td><td><p>366</p></td></tr><tr><td> </td><td> </td><td> </td></tr><tr><td><p>Sum</p></td><td><p>50</p></td><td><p>1,564</p></td></tr><tr><td><p>Average</p></td><td><p>10</p></td><td><p>313</p></td></tr></tbody></table><p> </p><p>* Extrapolation of full year position from incomplete data</p><p> </p><p>** Extrapolation based on trends</p><p> </p> answering member printed Lord Prior of Brampton question first answered 14/07/2015 15:28:39 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

387718

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Monitor: Temporary Employment
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of Monitor’s use of temporary staff to work with NHS Foundation Trusts on reducing agency staff costs as a model for the National Health Service.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1095
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>This Government is determined to reduce expensive staffing agency costs in the National Health Service.</p><p> </p><p> </p><p> </p><p>Monitor’s project will look at how best to reduce this spend and enable the NHS to set up systems to deliver savings.</p><p> </p><p><strong> </strong></p><p> </p><p>Spending on temporary staff in the NHS was £2.4 billion in 2013-14. In contrast, this initial work, led by Monitor, will cost £175,000 (excluding VAT) and could lead to substantive appointments being made to take the work forwards if required.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 20/07/2015 10:39:45 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

387719

registered interest
date	06/07/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Professions: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what representations they have received from Monitor regarding the case for increasing training places for doctors and nurses since 2010.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1096
answer	answer is ministerial correction date of answer 20/07/2015 answer text <p>The Department has not received any specific representations from Monitor regarding increasing the number of training places for doctors and nurses.</p><p> </p><p><strong> </strong></p><p> </p><p>Health Education England (HEE) is responsible for workforce planning for the National Health Service and as part of that process liaise with all arms length bodies, including Monitor, individual healthcare providers and key stakeholders regards medical and non medical staffing requirements going forward.</p><p> </p><p> </p><p> </p><p>The Department set up HEE to deliver a better health and healthcare workforce for England. HEE is responsible for ensuring a secure workforce supply for the future balancing need against demand, taking into account factors such as the age profile of the existing workforce, the impact of technology, and new drugs.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 20/07/2015 10:41:02 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath