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228351

registered interest
date	18/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Empty Property
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what percentage of the National Health Service estate is currently not in use; and what is the total cost to the taxpayer of maintaining unused NHS properties.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5821
answer	answer is ministerial correction date of answer 25/03/2015 answer text <p>The information is not available centrally.</p> answering member printed Earl Howe question first answered 25/03/2015 13:46:37 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

227334

registered interest
date	13/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	National Institute for Health and Care Excellence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the extent to which the National Institute for Health and Care Excellence is promoting innovation in the provision of health and social care as required by the Health and Social Care Act 2012.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5721
answer	answer is ministerial correction date of answer 23/03/2015 answer text <p>The National Institute for Health and Care Excellence (NICE) plays an important role in promoting innovation in the health and care system through the development of authoritative, evidence-based guidance on the most effective and cost-effective ways to prevent and treat ill health, and through the dissemination of information on innovative new technologies. For example, in the development of its technology appraisal guidance and Highly Specialised Technologies guidance, NICE ensures that the benefits to patients from an innovative technology are fully captured in its decision-making. NICE also disseminates information on innovative new drugs and other technologies through tailored briefings for the health and care system.</p><p> </p> answering member printed Earl Howe question first answered 23/03/2015 13:55:28 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

224925

registered interest
date	03/03/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assumptions have been made by Monitor and NHS England on the size of the overall NHS provider sector deficit for 2015–16 should their proposed Enhanced Tariff Offer be accepted.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5369
answer	answer is ministerial correction date of answer 17/03/2015 answer text <p>NHS England and Monitor have estimated that the Enhanced Tariff Option, set out in the letter to providers from the NHS England and Monitor Chief Executives on 18 February 2015, is worth around £500 million more to providers than the tariff proposals they consulted on for next year, as a consequence of differences including a lower efficiency requirement and an increase in the marginal rate reimbursement for increases in emergency admissions. Estimates of the financial position for individual providers and for the NHS provider sector as a whole, will be dependent on the outcomes of the planning process for 2015-16, which is still underway.</p><p> </p> answering member printed Earl Howe question first answered 17/03/2015 12:24:00 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

222801

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 13 February (HL4626), which patient organisations were consulted in October 2014 on proposed changes to the Cancer Drugs fund re-evaluation process.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5142
answer	answer is ministerial correction date of answer 05/03/2015 answer text <p>NHS England has advised that its proposals for changes to the operation of the Cancer Drugs Fund in 2014-15 and 2015-16 went out to public consultation for a four week period from 3 October 2014.</p><p> </p><p> </p><p> </p><p>A direct mail regarding the consultation was sent for onward cascading to the following charities and patient organisations:</p><p> </p><p> </p><p> </p><p>Healthwatch England</p><p> </p><p>National Voices</p><p> </p><p>Help and Care</p><p> </p><p>National Association for Patient Participation</p><p> </p><p>National Association for Voluntary &amp; Community Action</p><p> </p><p>National Care Forum</p><p> </p><p>Patient Concern</p><p> </p><p>Patients Association</p><p> </p><p>Patient Opinion</p><p> </p><p>Patient Information Forum</p><p> </p><p><strong>Association of Chief Executives of Voluntary Organisations</strong></p><p> </p><p>Action on Smoking &amp; Health</p><p> </p><p>Age UK</p><p> </p><p>Alzheimer’s Society</p><p> </p><p>Anthony Nolan Trust</p><p> </p><p>Association of Medical Research Charities</p><p> </p><p>Breakthrough Breast Cancer</p><p> </p><p>British Heart Foundation</p><p> </p><p>British Kidney Patient Association</p><p> </p><p>British Red Cross</p><p> </p><p>Cancer Research UK</p><p> </p><p>Carers Trust</p><p> </p><p>Carers UK</p><p> </p><p>Citizens Advice Bureau</p><p> </p><p>Kidney Cancer Support Network</p><p> </p><p>Kidney Research UK</p><p> </p><p>Macmillan Cancer Support</p><p> </p><p>Marie Curie Cancer Care</p><p> </p><p>Men's Health Forum</p><p> </p><p>National Council for Palliative Care</p><p> </p><p>National Council for Voluntary Organisations</p><p> </p><p>Cancer 52</p><p> </p><p>Prostate Cancer UK</p><p> </p><p>Myeloma UK</p><p> </p><p>Rarer Cancers Foundation</p><p> </p><p>Roy Castle Lung Foundation</p><p> </p><p>Beating Bowel Cancer</p><p> </p><p>Clicsargent</p><p> </p><p>UK Health Forum</p><p> </p><p>Leukaemia Care</p><p> </p><p>Brain Tumour UK</p><p> </p><p>Breast Cancer Care</p><p> </p><p>Children with Cancer UK</p><p> </p><p>Bowel Cancer UK</p><p> </p><p> </p><p> </p><p>The information was also sent directly to over 300 registered stakeholders of the NHS England Chemotherapy Clinical Reference Group (CRG) which includes many patient organisations.</p><p> </p><p> </p><p> </p><p>In addition, the following organisations attended a patient organisations and charities consultation event:</p><p> </p><p> </p><p> </p><p>Beating Bowel Cancer</p><p> </p><p>Breast Cancer Campaign</p><p> </p><p>Breakthrough Breast Cancer</p><p> </p><p>GIST Support UK</p><p> </p><p>Transforming Cancer Services for London Team</p><p> </p><p>MHP Health</p><p> </p><p>Target Ovarian Cancer</p><p> </p><p>Cancer 52</p><p> </p><p>Pancreatic Cancer UK</p><p> </p><p>James Whale Fund for Kidney Cancer</p><p> </p><p>Cancer Research UK</p><p> </p><p>Jo's Cervical Cancer Trust</p><p> </p><p>Lymphoma Association</p><p> </p><p>Macmillan Cancer Support</p><p> </p><p>The Brain Tumour Charity</p><p> </p><p>Prostate Cancer UK</p><p> </p><p>Rarer Cancers Foundation</p><p> </p><p>MDS UK Patient Support Group</p><p> </p><p><strong> </strong></p><p> </p> answering member printed Earl Howe question first answered 05/03/2015 16:34:01 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

222802

registered interest
date	23/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England: Optum
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they consider that NHS England carried out appropriate due diligence in giving preferred contractor status to the company Optum.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5143
answer	answer is ministerial correction date of answer 06/03/2015 answer text <p>On 5 February 2015 NHS England announced the results of the Commissioning Support Lead Provider Framework. This framework agreement does not give Optum preferred provider status, but allows clinical commissioning groups and NHS England to run open competitions between accredited providers to source excellent and affordable commissioning support services.</p><p> </p><p> </p><p> </p><p>NHS England has assured the Department that it carried out appropriate due diligence in regard to Optum Health Solutions UK being appointed as a provider on the Commissioning Support Lead Provider Framework.</p><p> </p><p> </p><p> </p><p>As well as rigorously testing quality and value for money, NHS England ran a 12 month European Union compliant procurement process and carried out the necessary legal and financial checks, before appointing Optum Health Solutions UK as one of the providers on the Commissioning Support Lead Provider Framework.</p><p> </p> answering member printed Earl Howe question first answered 06/03/2015 11:02:09 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

179234

registered interest
date	11/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have plans to introduce a Strategic Clinical Network for musculoskeletal disorders, as recommended by the Arthritis and Musculoskeletal Alliance.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4971
answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>NHS England’s National Clinical Director for musculoskeletal (MSK) conditions, Peter Kay, is currently working in partnership with the Arthritis and Musculoskeletal Alliance (ARMA), to develop new MSK clinical networks across England.</p><p> </p><p> </p><p> </p><p>The work ARMA has done to date has been very successful in capturing examples of best practice in MSK care across England, bringing together health professionals and commissioners and building a strong consensus on the way forward for models of care for MSK patients across the entire MSK community. Work is ongoing in this area and NHS England and ARMA are in dialogue about the nature of such support.</p><p> </p><p> </p><p> </p><p>NHS England is undertaking a review of the role, purpose and function of the sub-regional infrastructure that it funds, which is focussed on supporting commissioners and providers to improve the quality of services including Strategic Clinical Networks (SCN), Clinical Senates and Academic Health Science Networks. The purpose of the review is to understand how the best value can be secured from the investment in these functions, in support of commissioners and providers in improving quality. This review is ongoing and is expected to reach its conclusions by the end of March.</p><p> </p><p> </p><p> </p><p>Regarding plans to introduce MSK networks as part of the SCN programme, NHS England has made clear that as priorities change, or should the work of one of the initial SCNS conclude, it will identify new conditions or patient groups that would benefit from an SCN approach.</p><p> </p><p> </p><p> </p><p>The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs). NHS England advises that it is aware that provision of good FLS is not uniform across the country and it continues to work with CCGs to support them to develop appropriate local FLS services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted.</p><p> </p><p> </p><p> </p><p>In addition to this, the guidance from the National Institute for Health and Care Excellence <em>Falls: assessment and prevention of falls in older people </em>sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:06:32 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

179235

registered interest
date	11/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have plans to undertake a comprehensive, cross-government strategy and programme for health and work, as recommended by the Arthritis and Musculoskeletal Alliance.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4972
answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>The Government currently does not have plans to undertake a comprehensive cross-Government strategy and programme for health and work, as recommended by the Arthritis and Musculoskeletal Alliance.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:21:20 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

179236

registered interest
date	11/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fractures
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps will be taken by NHS England and other national health bodies to encourage the local commissioning of fracture liaison services, in the light of the advice issued by NHS England that the Fracture Liaison Services model represents best practice.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4973
answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>NHS England’s National Clinical Director for musculoskeletal (MSK) conditions, Peter Kay, is currently working in partnership with the Arthritis and Musculoskeletal Alliance (ARMA), to develop new MSK clinical networks across England.</p><p> </p><p> </p><p> </p><p>The work ARMA has done to date has been very successful in capturing examples of best practice in MSK care across England, bringing together health professionals and commissioners and building a strong consensus on the way forward for models of care for MSK patients across the entire MSK community. Work is ongoing in this area and NHS England and ARMA are in dialogue about the nature of such support.</p><p> </p><p> </p><p> </p><p>NHS England is undertaking a review of the role, purpose and function of the sub-regional infrastructure that it funds, which is focussed on supporting commissioners and providers to improve the quality of services including Strategic Clinical Networks (SCN), Clinical Senates and Academic Health Science Networks. The purpose of the review is to understand how the best value can be secured from the investment in these functions, in support of commissioners and providers in improving quality. This review is ongoing and is expected to reach its conclusions by the end of March.</p><p> </p><p> </p><p> </p><p>Regarding plans to introduce MSK networks as part of the SCN programme, NHS England has made clear that as priorities change, or should the work of one of the initial SCNS conclude, it will identify new conditions or patient groups that would benefit from an SCN approach.</p><p> </p><p> </p><p> </p><p>The provision of fracture liaison services (FLS) and falls services is a matter for local clinical commissioning groups (CCGs). NHS England advises that it is aware that provision of good FLS is not uniform across the country and it continues to work with CCGs to support them to develop appropriate local FLS services. It also advises that the FLS model recommended by the International Osteoporosis Foundation and the National Osteoporosis society is recognised as best practice and is being promoted.</p><p> </p><p> </p><p> </p><p>In addition to this, the guidance from the National Institute for Health and Care Excellence <em>Falls: assessment and prevention of falls in older people </em>sets out best practice for clinicians on the management of patients aged 65 and over who are susceptible to falls.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:20:48 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

179237

registered interest
date	11/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Musculoskeletal Disorders
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the amount of musculoskeletal training in the general practitioner curriculum, whether they will they publish a workforce development strategy for healthcare professionals, including general practitioners and specialist practitioners in musculoskeletal disorders.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4974
answer	answer is ministerial correction date of answer 24/02/2015 answer text <p>The content and standard of medical training is the responsibility of the General Medical Council (GMC), which is an independent statutory body. It has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p><strong> </strong></p><p> </p><p>Health Education England (HEE) will work with bodies that set curricula such as the GMC and the Royal College of General Practitioners to seek to ensure general practice training meets the needs of patients.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, HEE has established an independent Primary Care Workforce Commission which is chaired by Professor Martin Roland of the University of Cambridge. The Commission will identify models of primary care that will meet the needs of the future National Health Service including greater emphasis on community, primary and integrated services. It will focus on patient and population need; emerging models of care to respond to the population need; and maximising new skill sets and education and training.</p><p> </p> answering member printed Earl Howe question first answered 24/02/2015 15:46:01 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

178711

registered interest
date	09/02/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Competition
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether there are any plans by NHS England to publish (1) with Monitor, or (2) without Monitor, a choice and competition framework as required by the Health and Social Care Act 2012.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4859
answer	answer is ministerial correction date of answer 23/02/2015 answer text <p>There is no requirement under the Health and Social Care Act 2012 for NHS England to publish a choice and competition framework. Monitor published statutory guidance, <em>Substantive guidance on the Procurement, Patient Choice and Competition Regulations</em>, in December 2013 to help commissioners understand how to apply the regulations when procuring clinical services. NHS England and Monitor have also run a series of joint workshops for commissioners and continue to provide advice and support to clinical commissioners in individual cases, where appropriate.</p><p> </p> answering member printed Earl Howe grouped question UIN HL4860 HL4861 question first answered 23/02/2015 15:03:20 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath