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100044

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why they notified the European Commission of the draft regulations for possible standardised packaging for tobacco products without waiting for the results of the recent consultation that closed on 7 August.
	tabling member printed	Lord Palmer
	uin	HL2250
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The consultation on introducing regulations for standardised packaging of tobacco ran between 26 June and 7 August 2014. All substantive responses were then considered before the regulations were notified in draft to the European Commission as technical standards under the procedures of Directive 98/34/EC. They were notified to the Commission on 29 August 2014.</p><p> </p><p><strong> </strong></p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:54:12 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100045

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when they will publish a revised impact assessment on standardised packaging of tobacco products following the comments of the Regulatory Policy Committee.
	tabling member printed	Lord Palmer
	uin	HL2251
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The consultation-stage impact assessment on standardised packaging of tobacco products is being updated following the public consultation, which ran between 26 June and 7 August 2014. The updated Impact Assessment takes into account previous comments from the Regulatory Policy Committee (RPC) and will be re-submitted to the RPC for their consideration before it is published.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:55:04 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100031

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Liver Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>.
	tabling member printed	Lord Avebury
	uin	HL2237
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. <br> <br> In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p><br> NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:52:44 answering member 2000 label Biography information for Earl Howe
	tabling member	1665 label Biography information for Lord Avebury

100035

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
	tabling member printed	Baroness McDonagh
	uin	HL2241
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

100036

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
	tabling member printed	Baroness McDonagh
	uin	HL2242
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

100037

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Dismissal
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many general practitioners have been dismissed by primary care trusts, or by the Care Quality Commission, in each year since 2005.
	tabling member printed	Baroness McDonagh
	uin	HL2243
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The information requested is not centrally collected. Departmental officials are aware that the General Medical Council does collect some demographic data about doctors and this is published in its annual report ‘The state of medical education and practice in the UK’.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC), the independent regulator of health and adult social care in England, has registered all general practitioner (GP) practices since April 2012. The CQC’s role is to inspect and regulate GP practices, including those practices run by single-handed GPs. The CQC regulates at a provider level and may remove a practice’s registration where care is not meeting the required standard. Actions taken against an individual GP would be the responsibility of NHS England for contractual issues and the General Medical Council for professional issues.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:18:49 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

100057

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services and Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what response they have given to the Care Quality Commission’s annual State of Care report.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2263
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The Secretary of State for Health has said “The Care Quality Commission’s (CQC) State of Health and Adult Social Care in England 2013-14 report highlights examples of excellent care but it also exposes unacceptable levels of variation. It also confirms that the NHS has seen a period of “hard realities and rapid change” following the scandal at Mid Staffordshire NHS Foundation Trust. We need to keep building on this to ensure greater cultural change, continuing transparency and a focus on safety to drive up standards of care across the country.”</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:20:34 answering member 2000 label Biography information for Earl Howe
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100060

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Alcoholic Drinks: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to address Britain’s drinking culture, which Public Health England recently identified as causing a rise in liver disease deaths.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2266
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:35:46 answering member 2000 label Biography information for Earl Howe
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100188

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Temporary Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much was spent by each NHS Trust and NHS foundation trust on contract and agency staff in each of the last five years.
	tabling member constituency	Birkenhead
	tabling member printed	Mr Frank Field
	uin	211294
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Following the Francis report many trusts increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their agency and temporary staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>Spend by each National Health Service foundation trust on contract and agency staff[1] in each of the last five years is attached.</p><p> </p><p> </p><p> </p><p>The amount spent by each NHS trust on contract and agency staff in 2013-14 is attached. Amounts for 2009-10 to 2012-13 were not separately identified from other non permanent staff[2].</p><p> </p><p> </p><p> </p><p> </p><p>1. The definition of Contract / Agency staff is: “Agency” employee payments for the employment of staff where the staff remain employees of the agency and “Contract staff” where the NHS trust has control over numbers and qualifications of staff (in contrast to a service obtained under contract) .</p><p> </p><p>[2] non-permanent staff are defined as “others engaged on the objectives of the organisation including staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS Trusts Contract and Agency Spend- 5 Years.xlsx title NHS trusts contract and agency spend- 5 years 2 file name NHS Trusts Contract and Agency Spend 2013-14.xlsx title NHS trusts contract and agency spend- 2013-14 question first answered 24/10/2014 12:25:09 answering member 3918 label Biography information for Jane Ellison
	tabling member	478 label Biography information for Lord Field of Birkenhead

100199

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Musculoskeletal Disorders
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with his EU counterpart about their treatment strategy for those with scoliosis; and if he will make a statement.
	tabling member constituency	Colchester
	tabling member printed	Sir Bob Russell
	uin	211372
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Ministers of the Department of Health have had no meetings with their European Union counterparts about treatment strategies for scoliosis.</p><p> </p><p> </p><p> </p><p>Scoliosis is the abnormal curvature of the spine to the sides but is not considered a disease and does not always require treatment. However, for those in which the condition causes a long-term problem, the Department in its mandate to NHS England sets out plans to enhance the quality of life for all patients with a long-term condition, including those affected by scoliosis.</p><p> </p><p> </p><p> </p><p>In addition, the National Institute for Health and Care Excellence published guidance in June 2014 which states that the ‘Magnetic Expansion Control System should be considered for children aged 2 and over with scoliosis, who need surgery to correct their curved spine’.</p><p> </p><p> </p><p> </p><p>Information concerning the number of finished consultant episodes for patients with a primary diagnosis of scoliosis in the last five years is attached. It should be noted that these figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year. Data also capture a small number of no-surgical interventions, such as drug treatments.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The cost of treating a patient aged 19 years and over with scoliosis or other spinal deformity in one episode of care under a consultant is £1,368. This is the national average unit cost reported by NHS trusts and foundation trusts in 2012-13 reference costs submitted to the Department. This national average unit cost varies from £924 for patients with the lowest level of complications and comorbidities to £2,412 for patients with the highest level of complications and comorbidities.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb grouped question UIN 211373 211378 question first answered 28/10/2014 15:37:57 answering member 1439 label Biography information for Norman Lamb attachment 1 file name Finished consultant episodes- Scoliosis- 2008-09 to 2012-13.xlsx title Scoliosis- Finished consultant episodes- 2008-2013
	tabling member	35 label Biography information for Sir Bob Russell