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652965

registered interest
date	06/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Home Care Services
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 all homecare workers receive training relating specifically to dementia.
tabling member printed	Baroness Greengross
uin	HL3855
answer	answer is ministerial correction date of answer 16/12/2016 answer text <p>The <em>Challenge on Dementia 2020</em>, published in February 2015, made clear that, by 2020, we expect social care providers to provide appropriate training on dementia to all relevant staff. A copy of the <em>Challenge on Dementia 2020</em> is attached.</p><p> </p><p>The Department estimates that more than 100,000 social care workers have already received dementia awareness training. Newly appointed health care assistants and social care support workers, including those providing care and support to people with dementia and their carers, should undergo training as part of the national implementation of the Care Certificate.</p><p> </p><p>Standard 9 of the Care Certificate concerns awareness of mental health, dementia and learning disabilities. In meeting the standard, each worker must show that he or she understands the needs and experiences of people with mental health conditions, dementia or learning disabilities, the importance of promoting their health and wellbeing, the adjustments which may be necessary in delivering their care, and the importance of early detection. They must also prove that they understand the legal context, including mental capacity considerations.</p><p> </p><p>This standard is based in tier 1 of the Dementia Core Skills Education and Training Framework, which focuses on awareness. This tier of knowledge is applicable across the spectrum of health and adult social care services and so is at an appropriate level to inform the Care Certificate’s content.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3856 HL3857 question first answered 16/12/2016 13:13:47 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Challenge on Dementia 2020.pdf title Challenge on Dementia 2020
tabling member	2518 label Biography information for Baroness Greengross

652966

registered interest
date	06/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Home Care Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what recent assessment they have made of the level of dementia training provided to homecare workers delivering care to people with dementia.
tabling member printed	Baroness Greengross
uin	HL3856
answer	answer is ministerial correction date of answer 16/12/2016 answer text <p>The <em>Challenge on Dementia 2020</em>, published in February 2015, made clear that, by 2020, we expect social care providers to provide appropriate training on dementia to all relevant staff. A copy of the <em>Challenge on Dementia 2020</em> is attached.</p><p> </p><p>The Department estimates that more than 100,000 social care workers have already received dementia awareness training. Newly appointed health care assistants and social care support workers, including those providing care and support to people with dementia and their carers, should undergo training as part of the national implementation of the Care Certificate.</p><p> </p><p>Standard 9 of the Care Certificate concerns awareness of mental health, dementia and learning disabilities. In meeting the standard, each worker must show that he or she understands the needs and experiences of people with mental health conditions, dementia or learning disabilities, the importance of promoting their health and wellbeing, the adjustments which may be necessary in delivering their care, and the importance of early detection. They must also prove that they understand the legal context, including mental capacity considerations.</p><p> </p><p>This standard is based in tier 1 of the Dementia Core Skills Education and Training Framework, which focuses on awareness. This tier of knowledge is applicable across the spectrum of health and adult social care services and so is at an appropriate level to inform the Care Certificate’s content.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3855 HL3857 question first answered 16/12/2016 13:13:47 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Challenge on Dementia 2020.pdf title Challenge on Dementia 2020
tabling member	2518 label Biography information for Baroness Greengross

652967

registered interest
date	06/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Home Care Services: Training
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 people delivering homecare are at Tier 2 within the Care Certificate, equivalent to their NHS counterparts.
tabling member printed	Baroness Greengross
uin	HL3857
answer	answer is ministerial correction date of answer 16/12/2016 answer text <p>The <em>Challenge on Dementia 2020</em>, published in February 2015, made clear that, by 2020, we expect social care providers to provide appropriate training on dementia to all relevant staff. A copy of the <em>Challenge on Dementia 2020</em> is attached.</p><p> </p><p>The Department estimates that more than 100,000 social care workers have already received dementia awareness training. Newly appointed health care assistants and social care support workers, including those providing care and support to people with dementia and their carers, should undergo training as part of the national implementation of the Care Certificate.</p><p> </p><p>Standard 9 of the Care Certificate concerns awareness of mental health, dementia and learning disabilities. In meeting the standard, each worker must show that he or she understands the needs and experiences of people with mental health conditions, dementia or learning disabilities, the importance of promoting their health and wellbeing, the adjustments which may be necessary in delivering their care, and the importance of early detection. They must also prove that they understand the legal context, including mental capacity considerations.</p><p> </p><p>This standard is based in tier 1 of the Dementia Core Skills Education and Training Framework, which focuses on awareness. This tier of knowledge is applicable across the spectrum of health and adult social care services and so is at an appropriate level to inform the Care Certificate’s content.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3855 HL3856 question first answered 16/12/2016 13:13:47 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Challenge on Dementia 2020.pdf title Challenge on Dementia 2020
tabling member	2518 label Biography information for Baroness Greengross

517802

registered interest
date	05/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Diseases: Vaccination
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 26 April (HL7576), why the current section 7a public health functions agreement does not include performance indicators for the provision of pneumococcal vaccination to severely immunocompromised children aged at least five years and adults, as recommended by the Joint Committee on Vaccination and Immunisation in July 2013.
tabling member printed	Baroness Greengross
uin	HL8225
answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>The performance indicators included in the 2016-17 S7A public health functions agreement do not reflect every activity which is carried out under the agreement.</p><p> </p><p>As I stated in my answer of 26 April, the provision of pneumococcal vaccination to severely immunocompromised children aged at least five years and adults, as recommended by the Joint Committee on Vaccination and Immunisation in July 2013, is reflected in the relevant service specification for the existing pneumococcal immunisation programme and within the document <em>Immunisation against Infectious Diseases</em> (‘the Green Book’). The Green Book is published on the GOV.UK website in an online only format.</p><p> </p><p>A copy of the service specification on the pneumococcal immunisation programme is attached.</p><p><strong> </strong></p> answering member printed Lord Prior of Brampton question first answered 11/05/2016 16:22:09 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL8225_Service-Specification-08.pdf title Service Specification
tabling member	2518 label Biography information for Baroness Greengross

511534

registered interest
date	12/04/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Diseases: Vaccination
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 21 March (HL7044), why the current section 7a public health functions agreement does not include key deliverables for the provision of pneumococcal vaccination to severely immunocompromised children aged at least five years and adults, as recommended by the Joint Committee on Vaccination and Immunisation in July 2013.
tabling member printed	Baroness Greengross
uin	HL7576
answer	answer is ministerial correction date of answer 26/04/2016 answer text <p>The 2016-17 Section 7A public health functions agreement specifies key deliverables in relation to new or changed programmes that are being introduced within 2016-17. <br> <br> The provision of pneumococcal vaccination to severely immunocompromised children aged at least five years and adults, as recommended by the Joint Committee on Vaccination and Immunisation in July 2013, is reflected in the relevant service specification for the existing pneumococcal immunisation programme and within the document <em>Immunisation against Infectious Diseases </em>(‘the Green Book’). The Green Book is published on the GOV.UK website in an online only format.</p> answering member printed Lord Prior of Brampton question first answered 26/04/2016 13:01:51 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross

476462

registered interest
date	15/03/2016
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 what plans they have to carry out a review of incentives and reimbursement for the delivery of routine immunisation programmes.
tabling member printed	Baroness Greengross
uin	HL7040
answer	answer is ministerial correction date of answer 23/03/2016 answer text <p>NHS England has a specific role to commission those public health services set out in the Section 7A public health functions agreement 2016-17, including immunisation programmes and to hold to account providers to ensure that they deliver the contracts that have been agreed. The agreement sets out specific outputs and outcomes to be achieved by NHS England including performance indicators that outline minimum levels of vaccination coverage for different programmes. NHS England publishes national service specifications outlining the minimum levels of vaccinations expected, which in turn are put into contracts with providers at local level. <br> <br> The Section 7A agreement requires NHS England to at least maintain, or improve, national levels of performance on existing services, while also implementing planned changes. It also includes an ambition to reduce local variation in performance between different geographical areas.</p><p>There are no plans to review incentives, however a number are already in place. For example, within primary care general practitioner (GP) settings, some vaccination services such as flu for those with diabetes have quality outcome framework indicators attached, whereby GPs are rewarded for good practice. Also, as part of the contracts given outside of the primary care settings, local teams can develop Commissioning for Quality and Innovation payments that link a proportion of providers' income to the achievement of local quality improvement goals.</p><p> </p><p> </p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL7041 question first answered 23/03/2016 14:28:20 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross

476463

registered interest
date	15/03/2016
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 what plans NHS England has to establish performance floors setting out minimum levels of vaccination coverage in different areas of the country, in line with the commitment in its Putting Patients First business plan.
tabling member printed	Baroness Greengross
uin	HL7041
answer	answer is ministerial correction date of answer 23/03/2016 answer text <p>NHS England has a specific role to commission those public health services set out in the Section 7A public health functions agreement 2016-17, including immunisation programmes and to hold to account providers to ensure that they deliver the contracts that have been agreed. The agreement sets out specific outputs and outcomes to be achieved by NHS England including performance indicators that outline minimum levels of vaccination coverage for different programmes. NHS England publishes national service specifications outlining the minimum levels of vaccinations expected, which in turn are put into contracts with providers at local level. <br> <br> The Section 7A agreement requires NHS England to at least maintain, or improve, national levels of performance on existing services, while also implementing planned changes. It also includes an ambition to reduce local variation in performance between different geographical areas.</p><p>There are no plans to review incentives, however a number are already in place. For example, within primary care general practitioner (GP) settings, some vaccination services such as flu for those with diabetes have quality outcome framework indicators attached, whereby GPs are rewarded for good practice. Also, as part of the contracts given outside of the primary care settings, local teams can develop Commissioning for Quality and Innovation payments that link a proportion of providers' income to the achievement of local quality improvement goals.</p><p> </p><p> </p><p> </p> answering member printed Lord Prior of Brampton grouped question UIN HL7040 question first answered 23/03/2016 14:28:20 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross

476464

registered interest
date	15/03/2016
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 what actions (1) NHS England, and (2) Public Health England, are taking to improve levels of vaccination coverage of recommended vaccines for adults in areas with low levels of uptake.
tabling member printed	Baroness Greengross
uin	HL7042
answer	answer is ministerial correction date of answer 23/03/2016 answer text <p>Through the National Health Service public health functions agreement (S7A), NHS England commissions services from a variety of providers across England, and has a national service specification outlining the national standards and expectations. Immunisation programmes are delivered in partnership with Public Health England (PHE) and the Department, who use contracting and commissioning levers to reduce variation in local levels of performance between different geographical areas. In addition, organisations are working together on a number of priority programmes where there is variation, such as measles, mumps, and rubella to put in place effective actions for improvement.</p><p> </p><p>PHE works in partnership with NHS England and Directors of Public Health to ensure that local population needs are understood and addressed by local immunisation services, and with NHS England local teams to provide leadership and coordination to sustain and improve the successful delivery of existing programmes.</p><p> </p><p>PHE constantly monitors cases of vaccine preventable disease and levels of vaccine coverage.</p><p><strong> </strong></p> answering member printed Lord Prior of Brampton question first answered 23/03/2016 15:00:14 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross

476465

registered interest
date	15/03/2016
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 what plans Public Health England has to issue guidance to healthcare professionals on the use of nationally procured vaccine stock.
tabling member printed	Baroness Greengross
uin	HL7043
answer	answer is ministerial correction date of answer 23/03/2016 answer text <p>Public Health England issues guidance to healthcare professionals on the use of nationally procured vaccine stock through chapter three of its publication, ‘Immunisation against infectious diseases’ titled ‘Storage, distribution and disposal of vaccines’. A copy is attached.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/03/2016 14:36:28 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL7043_Green_Book_Chapter_3_v3_0W_LIBRARY DOCUMENT.pdf title Chapter Procured Vaccine Stock
tabling member	2518 label Biography information for Baroness Greengross

476467

registered interest
date	15/03/2016
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 what plans they have to ensure that the section 7a agreement between the Department of Health and NHS England is automatically updated to reflect recommendations made by the Joint Committee on Vaccination and Immunisation.
tabling member printed	Baroness Greengross
uin	HL7044
answer	answer is ministerial correction date of answer 21/03/2016 answer text <p>The Section 7A public health functions agreement is updated on an annual basis, at which point any new recommendations from relevant expert committees, including the Joint Committee on Vaccinations and Immunisation (JCVI), are taken into account. <br> <br> If the JCVI makes a recommendation which is urgent, for example in the case of a public health emergency, the agreement can be amended in-year by agreement between the Department and NHS England.</p> answering member printed Lord Prior of Brampton question first answered 21/03/2016 17:45:50 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2518 label Biography information for Baroness Greengross