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446471

registered interest
date	20/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Private Finance Initiative
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether the necessity to ensure that private finance initiative hospitals retain maximum use is distorting the siting of full accident and emergency and consultant-led maternity units.
tabling member printed	Baroness Pinnock
uin	HL5243
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>Decisions on reconfiguration are for local commissioners based on identification of local need. NHS England published <em>Planning, assuring and delivering service change for patients</em> on 29 October 2015, a copy of which is attached, providing refreshed guidance for those considering, and involved in, service reconfiguration.</p><br /><p>The guidance makes clear that any proposal for service reconfiguration must satisfy the Government’s four tests for change:</p><br /><p>(i) strong public and patient engagement;</p><p>(ii) consistency with current and prospective need for patient choice;</p><p>(iii) a clear clinical evidence base; and</p><p>(iv) support for proposals from clinical commissioners.</p><br /><p>The guidance includes that commissioners should build proposals by identifying the range of service change options that could improve outcomes within available resources; and that proposals should be clear about the impact of the proposed changes on outcomes for patients.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:18:03 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name plan-ass-deliv-serv-chge.pdf title NHS England service reconfiguration guidance
tabling member	4341 label Biography information for Baroness Pinnock

446510

registered interest
date	20/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS Trusts: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of how many NHS trusts would not have been in financial balance in financial year 2014–15 without further in-year supplements to their approved budget for that year; and what percentage of all NHS trusts that represents.
tabling member printed	Lord Warner
uin	HL5282
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>National Health Service trusts and foundation trusts do not receive budgets directly from the Department. They receive income via the provision of services to NHS England and clinical commissioning groups, through what might be described as trading activity.</p><br /><p>In addition to normal income sources, in 2014-15 the Department provided non-recurrent deficit support income directly to NHS trusts. Without this non-recurrent funding, 125 organisations would have been in financial deficit. This equates to 51% of all NHS trusts and foundation trusts.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:16:48 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1732 label Biography information for Lord Warner

445766

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS 111: East Midlands
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the outcome of the Clinical Commissioning Group review into recent allegations about the NHS 111 service in the East Midlands.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5176
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>NHS England advises that North Derbyshire Clinical Commissioning Group (CCG) comprehensively and swiftly investigated the allegations about the NHS 111 service in the East Midlands. The core of the allegations has no substance.</p><p>The report however made a number of recommendations for the service, and the CCG will update NHS England regularly as these are implemented.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:15:05 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445767

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Nurses: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the planned replacement of student bursaries by loans, how many nurse placements will be funded by Health Education England in 2017–18.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5177
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>It is not possible to determine these numbers at this stage as these will be based on the Health Education England (HEE) workforce plan, which is completed annually ahead of each student intake. HEE will continue to have a key leading role in the commissioning of nursing, midwifery and allied health courses. It will continue to provide sufficient clinical placement funding for those places needed to meet the workforce planning needs of the National Health Service.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:15:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445770

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Podiatry
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 6 January (HL4745), on what evidence the forecast in Health Education England's (HEE) commissioning and investment plan for 2016–17 of a rise in podiatry workforce demand of 1.5 per cent between 2015 and 2020 is based; and why HEE decided to reduce the number of commissioned education and training courses in podiatry in 2016–17 by 9.7 per cent compared to 2015–16.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5180
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>National Health Service future workforce demand is based on a comprehensive collection of NHS provider forecasts taken up by Health Education England (HEE) and discussed both locally and nationally with commissioners and professional leaders as to likely direction of travel.</p><br /><p>In order to afford the expansion of priority areas such as adult nurse, paramedic and mental health training numbers, HEE has taken a risk assessment based approach to deciding on where to focus commissions for training places in 2016/17.</p><br /><p>The HEE commissioning and investment plan - 2016/17 includes a forecast increase in the level of podiatry commissions of 36.4% by 2020.</p><br /> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:14:13 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445784

registered interest
date	19/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Greater Manchester
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many (1) children, and (2) adults, had an appointment with an NHS dentist in each of the 10 districts of Greater Manchester in each of the last five years.
tabling member printed	Lord Bradley
uin	HL5194
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>Information is not available in the format requested.</p><br /><p>The attached tables show the unique number of patients who received National Health Service dental care in the previous 24 months. An equivalent measure covering the 12 month period is not available.</p><br /> <br /> <br /> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:12:44 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Greater Manchester dental appointment tables HL5194.docx title Greater Manchester dental care
tabling member	452 label Biography information for Lord Bradley

445348

registered interest
date	18/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Commissioning Support Units
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether, as a result of the review of the NHS Commissioning Board’s policy on the autonomy of Commissioning Support Units (CSUs), CSUs that want to become staff enterprises or staff mutuals will have access to working capital on the same basis as other options open to CSUs.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5112
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>It will be for NHS England’s Commissioning Committee to decide, in due course, whether to offer Clinical Support Units (CSUs) who apply to become autonomous, access to working capital and if so, on what terms.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:11:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445349

registered interest
date	18/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Commissioning Support Units
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why the requirement laid down by the NHS Commissioning Board for Commissioning Support Units to become autonomous by the end of 2016 is to be removed.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5113
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>No decision has been made. The proposed change was at the request of Clinical Support Units’ (CSU) Managing Directors - to give greaterflexibility to apply to become autonomous when they are ready, rather than having to work to a fixed timetable. A decision will be taken once NHS England’sCommissioning Committee has met.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:11:01 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

445388

registered interest
date	18/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of evidence from many parts of the world, what evaluation has been carried out of the potential cost savings from centralising NHS procurement of common generic drugs.
tabling member printed	Lord Moonie
uin	HL5152
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>As I said in my previous answer on 4 January to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2015-12-16/HL4657/" target="_blank">HL4657</a>, on behalf of National Health Service secondary care establishments (hospitals) in England the Department’s Commercial Medicines Unit undertakes a long established centralised tender programme for framework agreements for generic medicines. This is in compliance with European Union procurement regulations.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 12:10:06 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	621 label Biography information for Lord Moonie

444841

registered interest
date	14/01/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Human Fertilisation and Embryology Authority can confirm that a stated aim of the proposed research to perform genome editing in human embryos by researchers at the Francis Crick Institute has been to better understand why miscarriages occur in some pregnancies; if so, whether they can disclose which specific assay the researchers concerned have proposed using to determine whether embryos subjected to gene editing might be either able or unable to implant in a womb; and if not, why not.
tabling member printed	Lord Alton of Liverpool
uin	HL5039
answer	answer is ministerial correction date of answer 27/01/2016 answer text <p>The Human Fertilisation and Embryology Act 1990, as amended, permits the editing of genes in human embryos for research purposes only. It is illegal under the Act to place such embryos in a woman. There are no plans to change this.</p><br /><p>The Human Fertilisation and Embryology Authority has advised that its licence committee considered an application to use CRISPR-Cas9 (a genome editing technique) in one of their licensed research projects on 14 January 2016. The outcome of the committee’s consideration and a description of the research will be made public as soon as the minutes have been agreed and the applicant has been informed.</p> answering member printed Lord Prior of Brampton question first answered 27/01/2016 14:42:34 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool