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746105

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what is their latest estimate of the number of nursing posts vacant within the NHS in England.
tabling member printed	Lord Wigley
uin	HL247
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The information is not available in the format requested.</p><p> </p><p>Health Education England (HEE) provide estimates of staff shortages in National Health Service trusts as part of their Workforce Plan for England publication. Staff shortages as defined by HEE may be filled by nurses working in agency, bank or overtime, however no estimate of the extent to which this occurs is available.</p><p> </p><p>HEE plan to publish the Workforce Plan for England 2017/18 in due course.</p> answering member printed Lord O'Shaughnessy question first answered 12/07/2017 13:50:07 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley

746106

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government how many mental health patients in England were sent away from their local area for treatment in each of the past three years for which figures are available.
tabling member printed	Lord Wigley
uin	HL248
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>The Out of Area Placement (OAP) definition was agreed in October 2016. The latest data published on OAPs covers the period from 17 October 2016 to 30 April 2017. During that time 4,153 OAPs have been recorded as starting in England.</p> answering member printed Lord O'Shaughnessy question first answered 11/07/2017 15:00:59 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley

746107

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what steps they plan to take to address the shortage of psychiatrists.
tabling member printed	Lord Wigley
uin	HL249
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>A five year workforce plan to deliver the Five Year Forward View for Mental Health is currently being finalised by Health Education England (HEE) and will be published in due course. Analysis and development of the workforce strategy have been completed and HEE is now working with arm’s length body partners to agree the associated goals, trajectories, actions, and other deliverables associated with the implementation of the strategy.</p> answering member printed Lord O'Shaughnessy question first answered 11/07/2017 14:26:07 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley

746108

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what discussions, if any, they have held with representatives of NHS doctors regarding the potential impact of the increasing cost of medical indemnity.
tabling member printed	Lord Wigley
uin	HL250
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Department is aware of pressures for doctors regarding the potential impact of the increasing cost of medical indemnity.</p><p> </p><p>General practitioners (GPs) are the National Health Service doctors who are most directly affected by the rising cost of medical indemnity. Doctors working in hospitals are not directly exposed to rising costs as their employers purchase indemnity to cover their activities. The Department has been in frequent dialogue with GP representative bodies on the subject of rising cost of indemnity, and this has been a subject of interest for some time. The Department has a series of regular scheduled meetings with GP representatives, and indemnity is frequently discussed at these meetings. In addition, it is not uncommon for discussions to take place outside of these scheduled meetings where either party has a reason to have a more specific conversation about indemnity costs.</p><p> </p><p>Indemnity for clinical negligence claims brought against NHS employed GPs, doctors and all NHS staff in England is provided by the employer organisation. All NHS providers of care are members of NHS Resolution’s Clinical Negligence Scheme for Trusts and claims for compensation will ordinarily be brought against the NHS care provider organisation.</p><p><strong> </strong></p><p>The Government has publically committed to ensuring that NHS Resolution has appropriate funding to cover changes to hospitals’ clinical negligence costs.</p> answering member printed Lord O'Shaughnessy question first answered 12/07/2017 13:37:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley

746109

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lumacaftor/ivacaftor: Children
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether they plan to allow the prescription of the drug Orkambi for cystic fibrosis sufferers under the age of 12; and if not, why not.
tabling member printed	Lord Wigley
uin	HL251
answer	answer is ministerial correction date of answer 11/07/2017 answer text <p>Orkambi does not have a marketing authorisation in the United Kingdom for use in the treatment of children aged under 12 with cystic fibrosis. Where clinically appropriate and subject to the relevant commissioner making funding available, Orkambi may be prescribed as an off-label drug. Off-label prescribing is supported in guidance given to prescribers by both the General Medical Council and by the Medicines and Healthcare products Regulatory Agency.</p> answering member printed Lord O'Shaughnessy question first answered 11/07/2017 15:01:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley

746110

registered interest
date	28/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what is their assessment of the current provision of wheelchairs for disabled people; the adequacy of funding for such provision; and whether they will investigate reports at the recent British Medical Association Annual Conference that disabled people are resorting to crowd-funding to pay for wheelchairs.
tabling member printed	Lord Wigley
uin	HL252
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>In England, local clinical commissioning groups (CCGs) are responsible for commissioning wheelchair services for their local populations and funding for these services is determined locally.</p><p> </p><p>NHS England’s wheelchair operational data collection is designed to enable the gathering and dissemination of data that can be used for benchmarking and improving the commissioning of wheelchair services and outcomes for wheelchair users. The data collection, which has been undertaken since July 2015, is available as an online only resource.</p><p> </p><p>NHS England is setting targets for CCGs for improvements in wheelchair provision. In the planning guidance issued to the National Health Service in September 2016, CCGs have been asked to describe how they will halve the number of children waiting 18 weeks or more by Q4 2017/18 and eliminate 18 week waits for wheelchairs by the end of 2018/19.</p><p> </p><p>As part of comprehensive plans for the expansion of personal budgets, a specific personal health budget for wheelchair users has been developed. The personal wheelchair budget model introduces potential for using wider-system resources to support individuals’ whole needs. For example, individuals can use a personal wheelchair budget to provide for a higher specification wheelchair to maximise their independence.</p> answering member printed Lord O'Shaughnessy question first answered 12/07/2017 15:16:18 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	547 label Biography information for Lord Wigley