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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

746124

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	Health Services: Dudley
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on not allowing bids for Dudley's new multi-speciality community provider from particular countries or organisations; and if he will make a statement.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	1586
answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1568 1570 1587 1594 1608 1609 1707 question first answered 05/07/2017 09:44:33 answering member 4067 label Biography information for Steve Brine
tabling member	1511 label Biography information for Lord Austin of Dudley

746182

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	Heart Diseases: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many paediatric congenital heart disease surgery cases there were in (a) 2000-01 and (b) 2015-16; and how many of those cases in each time period resulted in a fatality.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	1783
answer	answer is ministerial correction date of answer 06/07/2017 answer text <p>The National Congenital Heart Disease Audit run by the National Institute for Cardiovascular Outcomes Research (NICOR) began collecting data in 2000-01 and at that stage the 2000-01 data was based on paediatric cases only. There are no reliable data from before that period.</p><p> </p><p>In 2000-01 there were 4,105 paediatric surgical procedures and 227 deaths had occurred by 30 days after surgery.</p><p> </p><p>NICOR have provided the following breakdown of 2013-16 procedures which is due to be published in full later this month.</p><p> </p><p>In 2013-16 there were 32,033 procedures and 663 deaths had occurred at 30 days.</p><p> </p><p>Of these, 22,930 were paediatric procedures and of that total 570 deaths had occurred at 30 days.</p><p> </p><p>The Audit reports on three years’ figures due to the relatively small number of cases involved with a large number of different procedures, and in order to minimise the risk of identifying individuals.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1784 question first answered 06/07/2017 14:49:02 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

746183

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	Heart Diseases: Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many congenital heart disease surgery cases there were in (a) 2000-01 and (b) 2015-16; and how many of those cases in each time period resulted in a fatality.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	1784
answer	answer is ministerial correction date of answer 06/07/2017 answer text <p>The National Congenital Heart Disease Audit run by the National Institute for Cardiovascular Outcomes Research (NICOR) began collecting data in 2000-01 and at that stage the 2000-01 data was based on paediatric cases only. There are no reliable data from before that period.</p><p> </p><p>In 2000-01 there were 4,105 paediatric surgical procedures and 227 deaths had occurred by 30 days after surgery.</p><p> </p><p>NICOR have provided the following breakdown of 2013-16 procedures which is due to be published in full later this month.</p><p> </p><p>In 2013-16 there were 32,033 procedures and 663 deaths had occurred at 30 days.</p><p> </p><p>Of these, 22,930 were paediatric procedures and of that total 570 deaths had occurred at 30 days.</p><p> </p><p>The Audit reports on three years’ figures due to the relatively small number of cases involved with a large number of different procedures, and in order to minimise the risk of identifying individuals.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1783 question first answered 06/07/2017 14:49:02 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

746216

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	NHS Shared Business Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many and what proportion of board meetings of NHS Shared Business Service he has attended in each of the last five years.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	1862
answer	answer is ministerial correction date of answer 06/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State is not a member of the board, and as such does not attend board meetings. The Department appoints board members and has recently increased its membership to the board of NHS Shared Business Services to provide oversight.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 1910 question first answered 06/07/2017 15:43:32 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4418 label Biography information for Justin Madders