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753272

registered interest
date	18/07/2017
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, further to the Written Answers by Lord O’Shaughnessy on 23 January (HL4387) and on 3 February (HL4841), whether the new data collection on extended access to general practice includes data on the number of days that general practices were continuously closed over the Christmas and New Year holidays 2016-17; if so, why the Written Answer on 23 January stated that the Department of Health does not hold that information; and if not, whether they intend to extend that data collection to such information.
tabling member printed	Lord Birt
uin	HL960
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The extended access data collection does not collect this information. There are no plans to extend the data collection to cover specific arrangements such as holiday cover. The data collection was agreed following negotiations between the General Practitioner Committee and NHS England, and any change or amendment to it would require further negotiation.</p> answering member printed Baroness Chisholm of Owlpen question first answered 20/07/2017 14:47:45 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	2533 label Biography information for Lord Birt

730987

registered interest
date	21/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Cybersecurity
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, following the letter from Dame Fiona Caldicott and David Behan to the Secretary of State for Health, dated 6 July 2016, what specific action they have taken to identify vulnerabilities to cyberattack of healthcare systems.
tabling member printed	Lord Birt
uin	HL13
answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The National Data Guardian’s Review of Data Security, Consent and Opt-outs, and the Care Quality Commission’s “Safe data, safe care” review, both published 6 July 2016, set clear recommendations to improve data and cyber security resilience in health and care.</p><p>For the health and care sector, a significant programme of work is underway to mitigate data and cyber security risks, including:</p><p>- CareCERT, NHS Digital’s Computer Emergency Response Team, established in 2015 to support the National Health Service to be more cyber resilient and respond to incidents when they happen. Working closely with the National Cyber Security Centre, the CareCERT suite of support services includes monitoring and assessing threats at the national level, issuing alerts to the sector, and providing on-site support to help local health and care organisations identify and mitigate vulnerabilities.</p><p> </p><p>- NHS Standard Contract requirements, which came into force in April 2017, to implement National Data Guardian’s review recommendations and data security standards.</p><p> </p><p>- Work to ensure that trusts, clinical commission groups and commissioning support units have implemented critical CareCERT advisories, and updated their firewalls and their antivirus software.</p><p>The Government expects to respond to those reviews shortly.</p> answering member printed Lord O'Shaughnessy question first answered 05/07/2017 14:29:23 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt

730989

registered interest
date	21/06/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Opening Hours
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 3 February (HL4841), what was the average number of days that GP surgeries were open in the period 27–30 December 2016.
tabling member printed	Lord Birt
uin	HL14
answer	answer is ministerial correction date of answer 03/07/2017 answer text <p>The information requested is not held centrally.</p><p> </p><p>Core hours for general practices are defined in the General Medical Services and Personal Medical Services regulations, The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016, SI 2016 No.875.</p><p> </p><p>Core hours are 8am – 6:30pm Monday to Friday, except Good Friday, Christmas Day and bank holidays.</p><p> </p><p>The 2015-16 GP Patient Survey showed that 74.6% of patients reported that their general practitioner surgery was open at convenient times and that 75.9% were satisfied with the hours that their surgery opened.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 03/07/2017 16:46:14 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt

692137

registered interest
date	20/02/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Air Pollution: Health Hazards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their assessment of the health risks posed by air pollution; and what plans they have, including targets, to reduce air pollution.
tabling member printed	Lord Birt
uin	HL5432
answer	answer is ministerial correction date of answer 28/02/2017 answer text <p>Long-term exposure to air pollution reduces life expectancy by increasing deaths from cardiovascular and respiratory conditions and lung cancer. Short-term exposure to elevated levels of air pollution can also have a range of adverse health effects, particularly on individuals with pre-existing heart or lung conditions, including exacerbation of asthma, effects on lung function, increases in hospital admissions and mortality.</p><p> </p><p>The Government is committed to tackling air pollution and that is why we are continuing as a matter of urgency to explore all possible further measures to improve air quality across the country. In addition, the United Kingdom has signed up to legally binding overall national ceilings for emissions of five major pollutants to be met by 2020 and 2030. The 2030 target should, if achieved, result in deaths from poor air quality being halved.</p> answering member printed Lord O'Shaughnessy question first answered 28/02/2017 17:04:38 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt

677375

registered interest
date	23/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Opening Hours
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 O’Shaughnessy on 23 January (HL4387), what plans they have to collect basic information about the opening hours of general practices.
tabling member printed	Lord Birt
uin	HL4841
answer	answer is ministerial correction date of answer 03/02/2017 answer text <p>General practitioner (GP) surgeries self-declare their opening hours to NHS England on an annual basis, this covers reception and phone line opening and closing times.</p><p> </p><p>A new data collection on extended access to general practice was launched during October 2016, in response to the government’s mandate to NHS England, which sets out: “to ensure everyone has easier and more convenient access to GP services, including appointments at evenings and weekends”. The collection has been set up to monitor the availability of pre-bookable appointments in general practice at evenings and weekends. The first collection took place during October 2016 and was published in December 2016. Collections will continue bi-annually until March 2021. The first report, <em>General Practice Extended Access: October 2016</em>, is attached. It should be noted that these are experimental statistics.</p> answering member printed Lord O'Shaughnessy question first answered 03/02/2017 14:23:26 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name GP-Extended-access-commentary-2016-12-01.pdf title General Practice Extended Access: October 2016
tabling member	2533 label Biography information for Lord Birt

673664

registered interest
date	16/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Expenditure
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what percentage of gross domestic product the UK has spent on healthcare since 2010; and what are the comparable figures for Germany and France.
tabling member printed	Lord Birt
uin	HL4656
answer	answer is ministerial correction date of answer 30/01/2017 answer text <p>The following table shows the United Kingdom combined public and private expenditure on healthcare as a percentage of gross domestic product from 2010 to 2014.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>UK</p></td></tr><tr><td><p>2010</p></td><td><p>8.5%</p></td></tr><tr><td><p>2011</p></td><td><p>8.4%</p></td></tr><tr><td><p>2012</p></td><td><p>8.5%</p></td></tr><tr><td><p>2013</p></td><td><p>9.9%</p></td></tr><tr><td><p>2014</p></td><td><p>9.9%</p></td></tr></tbody></table><p><em>Source: </em>Data extracted from Organisation for Economic Cooperation and Development (OECD) – January 2017</p><p> </p><p>Prior to 2013, UK expenditure on healthcare was not directly comparable with other OECD countries due to differing interpretations of what was classified as health expenditure.</p><p> </p><p>Following an update to the international accounting manual (the System of Health Accounts 2011) all OECD countries were asked to use the revised methodology to measure spend on healthcare.</p><p> </p><p>Since 2013 UK figures are now consistent with other OECD countries. The following table shows comparable combined public and private expenditure on healthcare as a percentage of gross domestic product between the UK, Germany and France.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>UK</p></td><td><p>Germany</p></td><td><p>France</p></td></tr><tr><td><p>2013</p></td><td><p>9.9%</p></td><td><p>10.9%</p></td><td><p>10.9%</p></td></tr><tr><td><p>2014</p></td><td><p>9.9%</p></td><td><p>11.0%</p></td><td><p>11.1%</p></td></tr></tbody></table><p><em>Source: </em>Data extracted from Organisation for Economic Cooperation and Development (OECD) – January 2017</p> answering member printed Lord O'Shaughnessy question first answered 30/01/2017 15:49:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt

670025

registered interest
date	09/01/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Opening Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what was the average number of days that general practitioner practices in England were continuously closed over the Christmas and New Year holidays.
tabling member printed	Lord Birt
uin	HL4387
answer	answer is ministerial correction date of answer 23/01/2017 answer text <p>This Department does not hold this information.</p><p> </p><p>Core hours for general practices are defined in the GMS and PMS Regulations (The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016, SI 2016 No.875).</p><p> </p><p>Core hours are 8am – 6:30pm Monday to Friday, except Good Friday, Christmas Day and bank holidays.</p> answering member printed Lord O'Shaughnessy question first answered 23/01/2017 12:16:08 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2533 label Biography information for Lord Birt

626790

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Per Capita Costs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the public sector spend on health per head of population in real terms for each of the years from, and including, 2010; and what is the projected spend per head in real terms for each of the years up to, and including, 2020.
tabling member printed	Lord Birt
uin	HL2868
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>Public sector spend on health in England per head of population from 2010-11 to 2015-16 and projected spend per head from 2016-17 to 2020-21 in cash and real terms is shown in table below:</p><p> </p><p>Department spend per head in England 2010-11 to 2020-21</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Plan/Outturn</p></td><td><p>Spend per head (£)</p></td><td><p>Spend per head 2016/17 prices (£)</p></td></tr><tr><td><p>2010/11</p></td><td><p>Outturn</p></td><td><p>1,908</p></td><td><p>2,077</p></td></tr><tr><td><p>2011/12</p></td><td><p>Outturn</p></td><td><p>1,937</p></td><td><p>2,079</p></td></tr><tr><td><p>2012/13</p></td><td><p>Outturn</p></td><td><p>1,967</p></td><td><p>2,069</p></td></tr><tr><td><p>2013/14</p></td><td><p>Outturn</p></td><td><p>2,038</p></td><td><p>2,109</p></td></tr><tr><td><p>2014/15</p></td><td><p>Outturn</p></td><td><p>2,087</p></td><td><p>2,127</p></td></tr><tr><td><p>2015/16</p></td><td><p>Outturn</p></td><td><p>2,140</p></td><td><p>2,172</p></td></tr><tr><td><p>2016-17</p></td><td><p>Plan</p></td><td><p>2,184</p></td><td><p>2,184</p></td></tr><tr><td><p>2017-18</p></td><td><p>Plan</p></td><td><p>2,223</p></td><td><p>2,184</p></td></tr><tr><td><p>2018-19</p></td><td><p>Plan</p></td><td><p>2,254</p></td><td><p>2,168</p></td></tr><tr><td><p>2019-20</p></td><td><p>Plan</p></td><td><p>2,287</p></td><td><p>2,159</p></td></tr><tr><td><p>2020-21</p></td><td><p>Plan</p></td><td><p>2,340</p></td><td><p>2,166</p></td></tr></tbody></table><p><strong> </strong></p><p>Notes:</p><p> </p><p>Real terms growth calculations based on Gross Domestic Product deflators 30 September 2016.</p><p> </p><p>Department public expenditure is classified as the Total Departmental Expenditure Limit set by HM Treasury.</p> answering member printed Lord Prior of Brampton question first answered 15/11/2016 15:50:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2533 label Biography information for Lord Birt

600989

registered interest
date	13/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to respond to the Care Quality Commission's finding that the adult social care sector is "approaching tipping point".
tabling member printed	Lord Birt
uin	HL2329
answer	answer is ministerial correction date of answer 25/10/2016 answer text <p>We welcome <em>The</em> <em>state of health and adult social care in England in 2015/16</em> report from the Care Quality Commission. The independent regulator was set up to give a single authoritative account to the Department on issues such as this.</p><p> </p><p>The report shows that 70 per cent of adult social care services are rated good or better and that improvement is taking place all over the country.</p><p> </p><p>Social care is critical in enabling older people to retain their independence and dignity. This is why, against the context of tough public sector finances, the Government has taken steps to protect social care services. The Government is giving local authorities access to up to £3.5 billion of new support for social care by 2019/20. This will increase social care spending in real terms by the end of the Parliament.</p><p> </p><p>Through the Care Act, we have a reformed care system that means local authorities are in a better position to meet the care needs of people who need them most. Councils now have greater flexibility to arrange care, as well as give greater choice and control to individuals.</p><p> </p><p>The Department will continue to work with providers and their trade bodies, who have come together as a taskforce to understand financial challenges in the sector. The Department is also working to support local authorities meet their Care Act duties to improve commissioning and encourage an effective care market.</p> answering member printed Lord Prior of Brampton question first answered 25/10/2016 16:29:15 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 20161013b_stateofcare1516_web.pdf title CQC State of Care Report
tabling member	2533 label Biography information for Lord Birt

524605

registered interest
date	13/06/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	EU Staff
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 11 May (HL8238) and the response deposited by Peterborough and Stamford Hospital NHS Trust on 18 May which showed that Peterborough’s City Hospital maternity unit has been closed to women about to give birth 41 times in the past three years, whether they will review the adequacy of the arrangements within the NHS for forecasting and meeting national and local demand for maternity services.
tabling member printed	Lord Birt
uin	HL638
answer	answer is ministerial correction date of answer 27/06/2016 answer text <p>The Maternity Transformation Programme (MTP) has been established to drive the implementation of the recommendations of <em>Better Births</em>, the report of the National Maternity Review. A copy of the report is attached. The MTP is overseen by the Maternity Transformation Board which met for the first time on 8 June and is chaired by Sarah-Jane Marsh, Chief Executive of Birmingham Children’s Hospital and Birmingham Women’s Hospital.</p><p> </p><p>The safety of mother and baby is paramount. We want to ensure that women have as many choices as possible, while minimising any known risk to either themselves or their baby.</p><p> </p><p>Maternity services are unable to plan the exact time and place of birth and there are occasions when a unit cannot safely accept more women into their care. In such cases, the only safe alternative is to close the unit temporarily. It is important of course, that where a unit closes, there are systems and guidelines in place to ensure pregnant women have access to the next closest maternity unit and the type of care they have chosen, including midwifery-led care.</p> answering member printed Lord Prior of Brampton question first answered 27/06/2016 14:27:41 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name national-maternity-review-report.pdf title Better Births Report
tabling member	2533 label Biography information for Lord Birt