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988456

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Illness: Prescription Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government (1) how many community prescriptions for mental health conditions were paid for by patients via prescription charges, and (2) what was the percentage of prescriptions for mental health conditions of overall community prescriptions in (a) 2015, (b) 2016, and (c) 2017.
	tabling member printed	Baroness Jolly
	uin	HL10655
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>We do not hold this data. Prescription forms do not include a clinical indication, therefore it is not possible to identify prescription items dispensed to treat mental health conditions.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL10730 question first answered 29/10/2018 15:16:18 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4203 label Biography information for Baroness Jolly

988450

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Vacancies
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many posts for qualified psychiatrists and mental health specialists in NHS England are currently vacant; and what percentage of the total this represents.
	tabling member printed	Lord Hylton
	uin	HL10649
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department does not hold the information requested.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:15:48 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2018 label Biography information for Lord Hylton

990150

	registered interest
	date	17/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	NHS: Negligence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much they spent in each of the last five years on clinical negligence pay-outs; and what proportion of the NHS budget this equates to.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL10772
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The following table shows total Government spending on clinical negligence pay-outs managed through the Clinical Negligence Scheme for Trusts (CNST) and NHS England total funding for the past five financial years. Government spending on clinical negligence pay-outs for CNST in the last five financial years has accounted for between 1.1% and 1.9% of the total funding provided to NHS England during the same period.</p><p>The rising costs of clinical negligence are a major concern and something the Government is committed to tackling, given that National Health Service resources used on clinical negligence are not available for front-line care. Building on the National Audit Office (NAO) report <em>Managing the costs of clinical negligence in trusts</em>, published in September 2017, we have been working intensively across Government and expect to set out more detail on the way forward in due course. The NAO report set out key recommendations for NHS Resolution to promote better and more consistent data, develop greater insight on the causes of clinical negligence claims and work more closely with legal services regulators. A copy of the report is attached.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Government spending on CNST clinical negligence pay-outs (£ billion)</p></td><td><p>NHS England total funding (cash) (£ billion)</p></td><td><p>Government spending on CNST clinical negligence pay-outs as a proportion of NHS England total funding</p></td></tr><tr><td><p>2013-14</p></td><td><p>1.1</p></td><td><p>93.9</p></td><td><p>1.2%</p></td></tr><tr><td><p>2014-15</p></td><td><p>1.1</p></td><td><p>97.3</p></td><td><p>1.1%</p></td></tr><tr><td><p>2015-16</p></td><td><p>1.4</p></td><td><p>100.5</p></td><td><p>1.4%</p></td></tr><tr><td><p>2016-17</p></td><td><p>1.6</p></td><td><p>106.0</p></td><td><p>1.5%</p></td></tr><tr><td><p>2017-18</p></td><td><p>2.1</p></td><td><p>109.8</p></td><td><p>1.9%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The NHS England total funding figures represent the total amount of funding provided to NHS England through the mandate each year.</li><li>The Government spending figures only cover spending specifically attributed to clinical negligence, principally pay-outs pertaining to CNST as managed by NHS Resolution plus associated administration costs. They do not include any unrecorded costs, for example staff employed by trusts to deal with claims. The figures do not include the cost of clinical negligence claims in primary care as primary care funding includes an unspecified element for indemnity premia.</li><li>The Government spending figure for 2017-18 includes the cost of additional funding to cover the change to the Personal Injury Discount Rate in February 2017 from 2.5% to -0.75%.</li><li>The figures do not include clinical negligence pay-outs relating to Department-funded indemnity schemes in respect of legacy bodies such as primary care trusts and Regional Health Authorities.</li></ol> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:28:04 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name NAO 11531-001 Clinical negligence report as published.pdf title Managing the costs of clinical negligence
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

988476

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how they intend to respond to the finding by the Education Policy Insititute that there has been a 26 per cent rise over the past five years in referrals to children's mental health services in England.
	tabling member printed	Lord Ouseley
	uin	HL10675
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Government does not plan to issue a formal response to the findings of the Education Policy Institute.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 15:04:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

988452

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Nurses: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to ensure access by nurses to continuing professional development.
	tabling member printed	Baroness Jolly
	uin	HL10651
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department recognises the importance of supporting employers in their responsibility for the development of the current workforce, which includes making available opportunities for nurses to meet the continuing professional development standards of the Nursing and Midwifery Council.</p><p>Building on the recommendations made by the Health and Social Care Select Committee in its Nursing Workforce Inquiry, the Department is working with Health Education England, NHS Improvement and NHS England to consider the approach to and funding of continuing professional development.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 16:01:12 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4203 label Biography information for Baroness Jolly

989338

	registered interest
	date	16/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what advice they provide to those under 40 years old about blood pressure and cholesterol tests.
	tabling member printed	Baroness Jolly
	uin	HL10732
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Health care professionals can provide an individual assessment in relation to blood pressure and cholesterol for those under 40, where, for instance, there is a strong family history of premature cardiovascular disease or a suspicion of familial hypercholesterolaemia, an inherited form of high cholesterol where cholesterol is doubled or more from birth.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:29:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4203 label Biography information for Baroness Jolly

988477

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Mental Health Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what are the health and well-being consequences for children who were not accepted for treatment last year despite being referred for specialist mental health care.
	tabling member printed	Lord Ouseley
	uin	HL10676
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>Some children and young people might find self-help or accessing support in schools more beneficial than a course of treatment in a specialist National Health Service mental health service and there are a range of reasons why children and young people may not access NHS services. A significant proportion of children and young people who seek help are legitimately signposted to other sources of help.</p><p>For example, a child displaying signs of anxiety due to a troubled home environment might need a social care response. We know that some children and young people or their parents might prefer to receive help from voluntary sector services.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 16:03:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

988457

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Alzheimer's Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of Specialised Early Care for Alzheimer's.
	tabling member printed	Lord Jones of Cheltenham
	uin	HL10656
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>No formal assessment of Specialised Early Care for Alzheimer’s has been made. The commissioning of health and social care services to meet the needs of the local population in line with relevant clinical guidelines is the responsibility of clinical commissioning groups and local authorities.</p><p>It is the responsibility of social care provider organisations by law, to ensure their employees are qualified and trained to carry out their duties including caring for people living with dementia. The skills and competencies that paid carers require in respect of dementia are set out in the <em>Dementia Training Standards Framework</em>. A copy of the <em>Dementia Training Standards Framework</em> is attached. In addition, the Government is committed to continuing to value, recognise and support unpaid carers to provide care in a way that supports their own health &amp; wellbeing. That is why on 5 June 2018, the Department published the <em>Carers Action Plan 2018-2020</em>, setting out a cross-Government programme of targeted work to support carers over the next two years and we will ensure a clear focus on carers in the forthcoming Adult Social Care Green Paper. A copy of the <em>Carers Action Plan</em> <em>2018-2020</em> is attached.</p><p> </p><p>Dementia remains a key priority for the Government. We are committed to all National Health Service and care staff receiving appropriate training on dementia. The Care Certificate helps to ensure that newly appointed healthcare assistants and social care support workers have undertaken dementia training. Skills for Care has developed a number of resources and qualifications to support those who care for people with dementia.</p><p> </p><p>Information is not held centrally on the training and advice available on Specialised Early Care for Alzheimer’s techniques.</p><p> </p><p>The Government is not taking any steps to encourage care homes to adopt Specialised Early Care for Alzheimer’s techniques as it is prioritising the <em>Dementia Training Standards Framework</em>.</p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy attachment 1 file name Dementia Core Skills Education and Training Framework.pdf title Dementia Training Standards Framework 2 file name carers-action-plan-2018-2020.pdf title Carers Action Plan 2018-2020 grouped question UIN HL10657 HL10658 question first answered 29/10/2018 16:06:44 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	248 label Biography information for Lord Jones of Cheltenham

989337

	registered interest
	date	16/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Heart Diseases: Screening
	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 effectiveness of the heart age test on the NHS website.
	tabling member printed	Baroness Jolly
	uin	HL10731
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Heart Age Test offers advice on lifestyle changes that help reduce people’s risk of heart attack and stroke and which can improve overall health and wellbeing, and has strong clinical and academic support.</p><p>As of September 2018, the Heart Age Test had been completed over 1.9 million times. In 2016, a British Medical Journal open paper was published, which analysed the first 500,000 test completions. The paper noted that estimated heart age was higher than chronological age for 79% of users and that demographic and risk factor profiles resembled the population of England.</p><p>Public Health England is currently leading an evaluation of the September 2018 Heart Age Test campaign. The evaluation will assess reach and recognition of the campaign as well as the extent to which the campaign acted as a prompt to use the Heart Age Test.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:36:12 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4203 label Biography information for Baroness Jolly

988451

	registered interest
	date	15/10/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Nurses: Vacancies
	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 impact the closure of the nursing policy unit had on nursing vacancies between 2016 and 2018.
	tabling member printed	Baroness Jolly
	uin	HL10650
	answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department has made no such assessment.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:28:03 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4203 label Biography information for Baroness Jolly