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451765

registered interest
date	09/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incontinence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether Clinical Commissioning Groups and NHS trusts are responsible for the funding or provision of incontinence pads to residents of (1) care homes for personal care, and (2) care homes with nursing care.
tabling member printed	Baroness Greengross
uin	HL6040
answer	answer is ministerial correction date of answer 23/02/2016 answer text <p><ins class="ministerial">The legislation under which NHS England and clinical commissioning groups (CCGs) commission services requires them to arrange for the provision of services for which they are responsible, to such extent as they consider necessary to meet all reasonable requirements.</ins></p><p><ins class="ministerial">For CCGs, this includes offering continence services as part of their obligation to provide community health. Although CCGs often focus on prevention and treatment, it is expected any standard continence service should include access to products. </ins><del class="ministerial">There is no legal requirement to supply these products.</del> The criteria for the provisioning of continence products are set by individual <del class="ministerial">clinical commissioning groups (</del>CCGs<del class="ministerial">)</del>. To support CCGs, NHS England has recently published new guidance to help improve the care and experience of children and adults with continence issues. This encourages much greater collaboration between health and social care.</p><p> </p><p>A copy of the guidance <em>Excellence in continence care</em> is attached.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/02/2016 12:41:19 question first ministerially corrected 22/03/2016 11:59:02 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Excellence in continence care guidance.pdf title Excellence in continence care previous answer version 46599 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Excellence in continence care guidance.pdf title Excellence in continence care
tabling member	2518 label Biography information for Baroness Greengross

429215

registered interest
date	18/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Mental Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what policy the NHS has about protecting the mental health of its workforce.
tabling member printed	Baroness Greengross
uin	HL3699
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>NHS England’s recent announcement &quot;A healthy NHS workforce&quot;, aims to raise staff awareness and understanding of mental health issues and ensure staff have access to help, support and treatment when they need it.</p><br /><p>“A healthy NHS workforce” includes, for example, line manager training and, providing NHS staff rapid access to talking therapies. This is currently being tested as part of the Healthy Workforce programme led by NHS England.</p><br /><p>NHS Employers is working with NHS England and Public Health England on improving NHS staff health and wellbeing. They offer extensive information and tools for managers to support their employees who are demonstrating signs of mental health problems, or returning to work following periods of sickness absence.</p><br /><p>These resources, which are only available online, can be found at the following link:</p><br /><p>www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/supporting-line-managers/managers-guide-on-supporting-workplace-mental-health/supporting-staff-who-are-experiencing-mental-health-problems</p> answering member printed Lord Prior of Brampton question first answered 01/12/2015 12:29:17 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross

429216

registered interest
date	18/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Suicide
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 employees have attempted, or committed, suicide in each year between 2009 and 2014.
tabling member printed	Baroness Greengross
uin	HL3700
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The Government has not assessed how many National Health Service employees have attempted, or committed, suicide in each year between 2009 and 2014. The Department does not collect this information centrally.</p><br /><p>However, the Department is not complacent and commissions NHS Employers to support trusts to improve the physical and mental health and wellbeing of their employees, which is the responsibility of employers across the NHS in England.</p><br /><p>NHS Employers is working with NHS England and Public Health England on NHS England’s recently announced “A healthy NHS workforce&quot;, a commitment in its Five Year Forward View “which includes increasing awareness of and addressing mental health issues affecting NHS staff”. A copy of the announcement is attached.</p><br /> answering member printed Lord Prior of Brampton question first answered 01/12/2015 12:26:03 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Simon Stevens announces major drive to improve health in NHS workplace.docx title A Healthy NHS Workforce announcement
tabling member	2518 label Biography information for Baroness Greengross

429217

registered interest
date	18/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Mental Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they are taking to address the stigma of mental health problems amongst healthcare workers.
tabling member printed	Baroness Greengross
uin	HL3701
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The Government included in its Mandate to NHS England an objective for them to “make partnership a success”. This includes “<em>championing the Time to Change campaign to raise awareness of mental health issues and reduce stigma, including in the NHS workforce</em>”.</p><br /><p>In taking this forward, NHS England recently announced the &quot;A healthy NHS workforce&quot; initiative. This aims to raise staff awareness and understanding of mental health issues, helping to ensure they have access to help, support and treatment when they need it. A copy of the announcement is attached.</p><br /><p>“A healthy NHS workforce” includes, for example, line manager trainingand, providing NHS staff rapid access to talking therapies. Thisis currently being tested as part of the Healthy Workforce programme led by NHS England.</p><br /><p>In addition, NHS Employers have launched the <em>How are you feeling NHS? </em>toolkit. This has been developed with NHS staff to help bridge a gap in understanding and enable them to: talk openly and regularly about their emotional health; assess the impact emotional wellbeing has on themselves, their colleagues and patients, and help with action planning to enable more good days than bad. The online only resource can be found at:</p><br /><p><a href="http://www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/how-are-you-feeling-nhs-toolkit" target="_blank">www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/how-are-you-feeling-nhs-toolkit</a></p><br /> <br /> answering member printed Lord Prior of Brampton question first answered 01/12/2015 12:13:47 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Simon Stevens announces major drive to improve health in NHS workplace.docx title A Healthy NHS Workforce announcement
tabling member	2518 label Biography information for Baroness Greengross

429218

registered interest
date	18/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Sick Leave
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many days were lost through the sickness of healthcare workers in each year between 2009 and 2014.
tabling member printed	Baroness Greengross
uin	HL3702
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The number of days lost through the sickness of healthcare workers between 2009 and 2014 were:</p><br /><table><tbody><tr><td><p>England</p></td><td><p>Full Time Equivalent Days Lost to Sickness Absence (includes non-working days)</p></td><td><p>Full Time Equivalent Days Available (includes non-working days)</p></td><td><p>Sickness Absence Rate</p></td></tr><tr><td><p>2009-10</p></td><td><p>16,745,315</p></td><td><p>380,199,666</p></td><td><p>4.40%</p></td></tr><tr><td><p>2010-11</p></td><td><p>15,947,054</p></td><td><p>383,278,845</p></td><td><p>4.16%</p></td></tr><tr><td><p>2011-12</p></td><td><p>15,555,507</p></td><td><p>377,908,880</p></td><td><p>4.12%</p></td></tr><tr><td><p>2012-13</p></td><td><p>15,947,518</p></td><td><p>376,187,354</p></td><td><p>4.24%</p></td></tr><tr><td><p>2013-14</p></td><td><p>15,385,468</p></td><td><p>378,691,376</p></td><td><p>4.06%</p></td></tr><tr><td><p>2014-15</p></td><td><p>16,423,722</p></td><td><p>386,388,483</p></td><td><p>4.25%</p></td></tr></tbody></table><br /><p><em>Source:</em> Health and Social Care Information Centre</p><br /><p>The Government does not record the cost incurred by the National Health Service due to days lost through the sickness of healthcare workers.</p><br /><p>Employers are responsible for reducing the days lost through sickness of their staff. The Department supports the NHS by commissioning NHS Employers to provide trusts with advice, guidance and good practice on improving NHS staff health and wellbeing which is available on an online only resource at:</p><br /><p><a href="http://www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/supporting-line-managers/managers-guide-on-supporting-workplace-mental-health/supporting-staff-who-are-experiencing-mental-health-problems" target="_blank">www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/supporting-line-managers/managers-guide-on-supporting-workplace-mental-health/supporting-staff-who-are-experiencing-mental-health-problems</a></p><br /><p>NHS Employers is also working with NHS England and Public Health England on a £5 million initiative to improve NHS staff health announced in its Five Year Forward View. A copy of the ‘A healthy NHS workforce’ announcement is attached.</p><br /> answering member printed Lord Prior of Brampton grouped question UIN HL3703 question first answered 01/12/2015 12:21:01 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Simon Stevens announces major drive to improve health in NHS workplace.docx title A Healthy NHS Workforce Announcement
tabling member	2518 label Biography information for Baroness Greengross

429219

registered interest
date	18/11/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Sick Leave
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what cost was incurred by the NHS due to days lost through the sickness of healthcare workers in each year between 2009 and 2014.
tabling member printed	Baroness Greengross
uin	HL3703
answer	answer is ministerial correction date of answer 01/12/2015 answer text <p>The number of days lost through the sickness of healthcare workers between 2009 and 2014 were:</p><br /><table><tbody><tr><td><p>England</p></td><td><p>Full Time Equivalent Days Lost to Sickness Absence (includes non-working days)</p></td><td><p>Full Time Equivalent Days Available (includes non-working days)</p></td><td><p>Sickness Absence Rate</p></td></tr><tr><td><p>2009-10</p></td><td><p>16,745,315</p></td><td><p>380,199,666</p></td><td><p>4.40%</p></td></tr><tr><td><p>2010-11</p></td><td><p>15,947,054</p></td><td><p>383,278,845</p></td><td><p>4.16%</p></td></tr><tr><td><p>2011-12</p></td><td><p>15,555,507</p></td><td><p>377,908,880</p></td><td><p>4.12%</p></td></tr><tr><td><p>2012-13</p></td><td><p>15,947,518</p></td><td><p>376,187,354</p></td><td><p>4.24%</p></td></tr><tr><td><p>2013-14</p></td><td><p>15,385,468</p></td><td><p>378,691,376</p></td><td><p>4.06%</p></td></tr><tr><td><p>2014-15</p></td><td><p>16,423,722</p></td><td><p>386,388,483</p></td><td><p>4.25%</p></td></tr></tbody></table><br /><p><em>Source:</em> Health and Social Care Information Centre</p><br /><p>The Government does not record the cost incurred by the National Health Service due to days lost through the sickness of healthcare workers.</p><br /><p>Employers are responsible for reducing the days lost through sickness of their staff. The Department supports the NHS by commissioning NHS Employers to provide trusts with advice, guidance and good practice on improving NHS staff health and wellbeing which is available on an online only resource at:</p><br /><p><a href="http://www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/supporting-line-managers/managers-guide-on-supporting-workplace-mental-health/supporting-staff-who-are-experiencing-mental-health-problems" target="_blank">www.nhsemployers.org/your-workforce/retain-and-improve/staff-experience/health-work-and-wellbeing/protecting-staff-and-preventing-ill-health/supporting-line-managers/managers-guide-on-supporting-workplace-mental-health/supporting-staff-who-are-experiencing-mental-health-problems</a></p><br /><p>NHS Employers is also working with NHS England and Public Health England on a £5 million initiative to improve NHS staff health announced in its Five Year Forward View. A copy of the ‘A healthy NHS workforce’ announcement is attached.</p><br /> answering member printed Lord Prior of Brampton grouped question UIN HL3702 question first answered 01/12/2015 12:21:01 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Simon Stevens announces major drive to improve health in NHS workplace.docx title A Healthy NHS Workforce Announcement
tabling member	2518 label Biography information for Baroness Greengross

174860

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when the Joint Committee on Vaccination and Immunisation pneumococcal sub-committee plans to complete its review of pneumococcal disease immunisation.
tabling member printed	Baroness Greengross
uin	HL4287
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Joint Committee on Vaccination and Immunisation concluded a review of the adult pneumococcal vaccination programme in 2012. The Committee started a new review at its meeting on 28 January, taking into account the latest information on the epidemiology, cost-effectiveness and impact of adult pneumococcal vaccination. It is anticipated that the review will take six months to complete, subject to the availability of the necessary evidence.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:52:35 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174861

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether, following completion of the Joint Committee on Vaccination and Immunisation (JCVI) pneumococcal sub-committee's review of pneumococcal disease and the main JCVI meeting of June 2015, they will implement any recommendations made by the JCVI on the pneumococcal disease immunisation programme from winter 2015–16.
tabling member printed	Baroness Greengross
uin	HL4288
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Secretary of State has not requested a recommendation about immunisation against pneumococcal disease from the Joint Committee on Vaccination and Immunisation (JCVI) under the terms of the Health Protection (Vaccination) Regulations 2009.</p><p> </p><p> </p><p> </p><p>We will consider carefully any advice received from the JCVI about immunisation against pneumococcal disease in due course.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:53:01 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174862

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government which recommendations made by the Joint Committee on Vaccination and Immunisation (JCVI) have been implemented by the Secretary of State for Health since May 2010; and in each case, on what date the recommendation was made and on what date it was implemented.
tabling member printed	Baroness Greengross
uin	HL4289
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The information requested is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Recommendation from the Joint Committee on Vaccination and Immunisation</p></td><td><p>Date of recommendation</p></td><td><p>Date of implementation</p></td></tr><tr><td><p>The use of rotavirus vaccine in the routine infant immunisation programme, if vaccine prices were much less than those at which they are currently being offered, so that such an immunisation programme is cost-effective.</p></td><td><p>February 2009</p></td><td><p>July 2013</p></td></tr><tr><td><p>The use of herpes zoster (shingles) vaccine vaccination programme for adults aged 70 years up to and including 79 years provided that a vaccine is available at a cost effective price.</p></td><td><p>March 2010 (full statement)</p></td><td><p>September 2013<sup>1</sup></p></td></tr><tr><td><p>The use of the Respiratory Syncytial Virus (RSV) prophylactic medicine Palivizumab to prevent serious RSV disease in at risk pre-term infants.</p></td><td><p>October 2010</p></td><td><p>October 2010<sup>2</sup></p></td></tr><tr><td><p>The annual influenza vaccination programme be extended to include children aged 2 to under 17 years of age.</p></td><td><p>July 2012</p></td><td><p>September 2013<sup>3</sup></p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Notes</p><p> </p><ol start="1" type="1"><li>This programme is being phased in with 71-79 year-olds being offered shingles vaccines on a “catch-up” basis alongside the routine cohort of 70 year-olds. In 2013, vaccine was offered to 70 and 79 year-olds.</li></ol><p> </p><p> </p><p> </p><ol start="2" type="1"><li>This programme is to protect at-risk pre-term infants for whom RSV infection is likely to cause serious illness or death. It is not managed centrally but commissioned through specialised commissioning. Guidance was provided to the National Health Service in “Immunisation against Infectious Disease” following this recommendation in 2010.</li></ol><p> </p><p> </p><p> </p><ol start="3" type="1"><li>The extension programme for children will be phased in over a number of years. This extension began in 2013-14 with all two and three year-olds being offered vaccination through general practitioner surgeries, and 5-11 year old children in seven areas being offered vaccination through pilot programmes.</li></ol><p> </p> answering member printed Earl Howe question first answered 03/02/2015 15:24:48 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174863

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what referrals concerning pneumococcal disease the Secretary of State for Health has made to the Joint Committee on Vaccination and Immunisation in the last five years; and on what dates those were made.
tabling member printed	Baroness Greengross
uin	HL4290
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Secretary of State has not requested a recommendation about immunisation against pneumococcal disease from the Joint Committee on Vaccination and Immunisation (JCVI) under the terms of the Health Protection (Vaccination) Regulations 2009 in the last five years.</p><p> </p><p> </p><p> </p><p>Departmental officials requested advice from the JCVI in early 2014 about the use of pneumococcal conjugate vaccine (PCV). At its meeting on 4 June 2014, the minutes of which are available on GOV.UK, the JCVI concluded that PCV13 should remain the pneumococcal conjugate vaccine of choice for infants in the United Kingdom at this time. We have accepted this advice.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:53:22 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross