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421090

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of people referred for talking therapies received cognitive behaviour therapy in each of the last five years.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	uin	11784
	answer	answer is ministerial correction date of answer 16/10/2015 answer text <p>Information on the proportion of people referred for talking therapies who received cognitive behavioural therapy during 2013/14 is given on the attached table <em>Proportion of Improving Access to Psychological Therapies (IAPT) referrals that finished a course of treatment between 1<sup>st</sup> April 2013 and 31<sup>st</sup> March 2014, for selected therapy types, England</em>. Information for previous years is not available centrally. Information on 2014/15 will be published in November 2015.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 16/10/2015 12:56:33 question first ministerially corrected 16/10/2015 13:29:49 answering member 1201 label Biography information for Alistair Burt attachment 1 file name PQ 11784 IAPT referrals 2013-14.xlsx title IAPT Referrals for Selected Therapy Types 2013-14 previous answer version 23809 answering member constituency North East Bedfordshire answering member printed Alistair Burt answering member 1201 label Biography information for Alistair Burt
	tabling member	4036 label Biography information for Luciana Berger

420883

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Foundation Trusts: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what discussions took place between government officials or special advisers and Monitor over the publishing of Q1 financial figures for NHS Foundation Trusts prior to the Conservative Party Conference.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2569
	answer	answer is ministerial correction date of answer 26/10/2015 answer text <p>Departmental officials regularly have conversations with the Department’s arm’s length bodies, including with Monitor, about the ongoing work of Government business, including the publication of Quarter 1 financial figures.</p> answering member printed Lord Prior of Brampton question first answered 26/10/2015 17:49:31 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420884

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Foundation Trusts: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether Monitor was instructed by officials to delay publishing Q1 financial figures for NHS Foundation Trusts ahead of the Conservative Party Conference, and if so, why.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2570
	answer	answer is ministerial correction date of answer 26/10/2015 answer text <p>Departmental officials have no legal powers to instruct Monitor to delay publication of financial performance data. Departmental officials regularly have conversations with the Department’s arm’s length bodies, including with Monitor, about the ongoing work of Government business, including the publication of Quarter 1 financial figures from both Monitor and the Trust Development Authority.</p> answering member printed Lord Prior of Brampton question first answered 26/10/2015 17:48:49 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420885

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why patients in England cannot access the drug Docetaxel, in contrast to patients in Scotland.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2571
	answer	answer is ministerial correction date of answer 23/10/2015 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body which, for England, makes decisions on the clinical and cost effectiveness of products based on thorough assessment of the best available evidence. NICE has recommended docetaxel for the treatment of hormone-refractory metastatic prostate cancer (where the disease becomes unresponsive to hormone treatment). It has not appraised docetaxel for use alongside hormone treatment.</p><br /><p>In the absence of guidance from NICE, it is for commissioners in England to make funding decisions on drugs and treatments based on the available evidence. Although docetaxel is not licensed for this indication, there is no funding, legal or regulatory barrier to prescribing drugs off-licence. Where clinically appropriate, off-licence prescribing is safe and legal and most clinicians regularly prescribe in this way.</p> answering member printed Lord Prior of Brampton question first answered 23/10/2015 12:17:38 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420886

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	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 reasons for the variation in elective surgery rates among the most affluent and least affluent areas of England recorded in the recent survey by the Health Service Journal.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2572
	answer	answer is ministerial correction date of answer 26/10/2015 answer text <p>NHS England has advised it is aware of the findings of the survey.</p><br /><p>The NHS Atlas of Variation in Healthcare, published in September 2015 by Public Health England, NHS England and NHS Right Care, aims to identify unwarranted variation, and the causes of variation, in the provision of health services. Linked to this, the NHS Right Care programme will advise local health systems on variation in elective surgery intervention rates and support them to look at reasons for this and identify any changes needed.</p><br /><p>The NHS Atlas of Variation in Healthcare is too large to attach to this reply, but can be found online at the following:</p><br /><p><a href="http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf" target="_blank">http://www.rightcare.nhs.uk/atlas/RC_nhsAtlas3_HIGH_150915.pdf</a></p><p><strong></strong></p><p><strong></strong></p> answering member printed Lord Prior of Brampton question first answered 26/10/2015 17:50:16 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420887

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Junior Doctors: Conditions of Employment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they set aside the agreement in principle with the British Medical Association on junior doctor working and instead acted to impose a new contract, and if so, why.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2573
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>No agreement ever existed - in principle or otherwise – beyond the Heads of Terms that were the basis for negotiations. No agreement has been set aside by the Government or the Department.</p><br /><p>NHS Employers and the British Medical Association (BMA) agreed Heads of Terms for negotiations in July 2013 and commenced negotiations in October 2013, the intention being to conclude negotiations by the end of October 2014. The BMA walked away from those negotiations on 16 October 2014.</p><br /><p>As part of negotiations, proposals for a new contract had been made by the management side (employers from each of the four United Kingdom countries). The BMA said it could not agree to these. The Government therefore asked the independent Review Body on Doctors’ and Dentists’ Remuneration (DDRB) to make recommendations.</p><br /><p>The DDRB took evidence from the BMA, NHS Employers, the Department of Health and other parties. NHS Employers’ evidence, on behalf of the four UK countries, set out the proposals made by employers in negotiations, illustrating how these related to the jointly agreed Heads of Terms. The BMA’s evidence set out alternative proposals, which had not been made during negotiations.</p><br /><p>The DDRB’s report broadly endorsed the proposals made by NHS Employers and made recommendations, identifying some areas where further discussion was needed. The Government invited both parties to return to the table with the DDRB recommendations forming the basis for further negotiations.</p><br /><p>The Government, in England, has made clear its desire for the BMA to be involved in work to introduce a new contract. The Government has asked NHS Employers to work on the detailed design of a new contract for introduction in August 2016 and has continued to encourage the BMA to return to negotiations and take part in that work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2574 question first answered 21/10/2015 11:43:55 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420888

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Junior Doctors: Conditions of Employment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government on what basis officials in the Department of Health have said that the claims made by Dr Dan Poulter, formerly the minister in charge of negotiations, that they had set aside an agreement in principle with the British Medical Association on junior doctor working and instead acted to impose a new contract, were incorrect.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2574
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>No agreement ever existed - in principle or otherwise – beyond the Heads of Terms that were the basis for negotiations. No agreement has been set aside by the Government or the Department.</p><br /><p>NHS Employers and the British Medical Association (BMA) agreed Heads of Terms for negotiations in July 2013 and commenced negotiations in October 2013, the intention being to conclude negotiations by the end of October 2014. The BMA walked away from those negotiations on 16 October 2014.</p><br /><p>As part of negotiations, proposals for a new contract had been made by the management side (employers from each of the four United Kingdom countries). The BMA said it could not agree to these. The Government therefore asked the independent Review Body on Doctors’ and Dentists’ Remuneration (DDRB) to make recommendations.</p><br /><p>The DDRB took evidence from the BMA, NHS Employers, the Department of Health and other parties. NHS Employers’ evidence, on behalf of the four UK countries, set out the proposals made by employers in negotiations, illustrating how these related to the jointly agreed Heads of Terms. The BMA’s evidence set out alternative proposals, which had not been made during negotiations.</p><br /><p>The DDRB’s report broadly endorsed the proposals made by NHS Employers and made recommendations, identifying some areas where further discussion was needed. The Government invited both parties to return to the table with the DDRB recommendations forming the basis for further negotiations.</p><br /><p>The Government, in England, has made clear its desire for the BMA to be involved in work to introduce a new contract. The Government has asked NHS Employers to work on the detailed design of a new contract for introduction in August 2016 and has continued to encourage the BMA to return to negotiations and take part in that work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2573 question first answered 21/10/2015 11:43:55 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

420895

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: Migrant Workers
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the light of the Migration Advisory Committee's recommendation that nurses should not be added to the shortage occupation list, what they expect will be the impact of changes to the immigration rules on the running of hospitals, care homes, and care in the community.
	tabling member printed	Baroness Masham of Ilton
	uin	HL2581
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>On 15 October 2015, the Home Secretary announced that the Tier 2 restrictions will be temporarily changed for nurses so that they can be recruited from outside the European Economic Area (EEA).</p><p><strong></strong></p><p>Nurses will be added to the Government’s Shortage Occupation List (SoL) on an interim basis. The temporary rule change, which will apply to applications considered from December, will mean that nurses from outside the EEA who apply to work in the United Kingdom will have their applications for nursing posts prioritised.</p><p><strong></strong></p><p>The change is designed to ease pressure on health and care services ahead of the busy winter period and at a time when the Government is introducing tough new controls on agency spending. It will help improve continuity of care for patients and maintain safe staffing levels.</p><br /><p>The Home Secretary has also asked the Migration Advisory Committee to carry out a review of the evidence about whether nurses should remain on the SoL and to report back to the Home Office by 15 February 2016.</p> answering member printed Lord Prior of Brampton question first answered 21/10/2015 11:46:08 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1850 label Biography information for Baroness Masham of Ilton

420898

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what they estimate is the cost to the NHS of bed-blocking by patients who have received all their medical treatment; and what steps they are taking to reduce this.
	tabling member printed	Lord Smith of Leigh
	uin	HL2584
	answer	answer is ministerial correction date of answer 21/10/2015 answer text <p>The Department has made no formal estimate of the costs of delayed discharge to the National Health Service. It is recognised that such delayed discharges do use resource which could be deployed elsewhere, and all parts of the NHS and those with responsibility outside it, are continually looking for ways in which to reduce the number of delays.</p> answering member printed Lord Prior of Brampton question first answered 21/10/2015 11:02:43 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2509 label Biography information for Lord Smith of Leigh

420899

	registered interest
	date	13/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they have plans to introduce requirements for Clinical Commissioning Groups with patients in acute hospitals in other areas to prioritise those patients to prevent bed-blocking.
	tabling member printed	Lord Smith of Leigh
	uin	HL2585
	answer	answer is ministerial correction date of answer 23/10/2015 answer text <p>NHS England has advised that it does not currently have plans to introduce requirements on clinical commissioning groups to prioritise patients in one area over another.</p><br /><p>However, NHS England is working to improve patient flow, for example through the Urgent and Emergency Care Review, which proposes a radical transformation in the way services are provided to deliver a more sustainable urgent and emergency care system, delivering care closer to home whenever it is safe and appropriate to do so.</p><br /><p>NHS England has also recently published guidance on <em>Transforming urgent and emergency care services in England </em>to help frontline providers and commissioners deliver safer, faster and better urgent and emergency care to patients of all ages, collaborating in networks that cross traditional boundaries in order to deliver best practice. A copy of the guidance is attached.</p> answering member printed Lord Prior of Brampton question first answered 23/10/2015 10:54:03 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name NHS England Guidance.pdf title NHS England Urgent Care Guidance
	tabling member	2509 label Biography information for Lord Smith of Leigh