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100036
star this property registered interest false more like this
star this property date less than 2014-10-21more like thismore than 2014-10-21
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property hansard heading Accident and Emergency Departments more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property 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. more like this
star this property tabling member printed
Baroness McDonagh more like this
star this property uin HL2242 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-10-27more like thismore than 2014-10-27
star this property 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>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-10-27T12:41:26.5594108Zmore like thismore than 2014-10-27T12:41:26.5594108Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3701
star this property label Biography information for Baroness McDonagh more like this
49803
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government how many (1) non-cancer and (2) cancer-based lymphoedema and lipoedema patients were identified by the National Health Service in each of the last three years; how many such patients were treated by the National Health Service in each of the last three years; and what was the cost of those treatments. more like this
star this property tabling member printed
Baroness Greengross more like this
star this property uin HL6823 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>Hospital Episode Statistics (HES) data does not separately identify those cases of lymphoedema that are associated with cancer from those that are not, and is unable to identify cases of lipoedema as there is no coding available for this condition, based on the tenth revision of the International Classification of Diseases (ICD).</p><p>Further to this, HES data is not linked to costing information and therefore this information cannot be provided.</p><p> </p><p>In the following table we have provided the number of finished admission episodes (FAEs) for patients with a primary diagnosis of lymphoedema from 2010-11 to 2012-13.</p><table><tbody><tr><td><p>Year</p></td><td><p>FAE</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,887</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,026</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,099</p></td></tr></tbody></table><p> </p><p><em>Note:</em></p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission</p>
star this property answering member printed Earl Howe more like this
star this property grouped question UIN
HL6824 more like this
HL6825 more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
2518
star this property label Biography information for Baroness Greengross more like this
49804
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what research they support into the number of patients identified by the National Health Service as having lymphoedema or lipoedema. more like this
star this property tabling member printed
Baroness Greengross more like this
star this property uin HL6824 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>Hospital Episode Statistics (HES) data does not separately identify those cases of lymphoedema that are associated with cancer from those that are not, and is unable to identify cases of lipoedema as there is no coding available for this condition, based on the tenth revision of the International Classification of Diseases (ICD).</p><p>Further to this, HES data is not linked to costing information and therefore this information cannot be provided.</p><p> </p><p>In the following table we have provided the number of finished admission episodes (FAEs) for patients with a primary diagnosis of lymphoedema from 2010-11 to 2012-13.</p><table><tbody><tr><td><p>Year</p></td><td><p>FAE</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,887</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,026</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,099</p></td></tr></tbody></table><p> </p><p><em>Note:</em></p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission</p>
star this property answering member printed Earl Howe more like this
star this property grouped question UIN
HL6823 more like this
HL6825 more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
2518
star this property label Biography information for Baroness Greengross more like this
49806
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what estimate they have made of the potential savings to the National Health Service and social services of providing care for lymphoedema and lipoedema patients from the time of diagnosis. more like this
star this property tabling member printed
Baroness Greengross more like this
star this property uin HL6825 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>Hospital Episode Statistics (HES) data does not separately identify those cases of lymphoedema that are associated with cancer from those that are not, and is unable to identify cases of lipoedema as there is no coding available for this condition, based on the tenth revision of the International Classification of Diseases (ICD).</p><p>Further to this, HES data is not linked to costing information and therefore this information cannot be provided.</p><p> </p><p>In the following table we have provided the number of finished admission episodes (FAEs) for patients with a primary diagnosis of lymphoedema from 2010-11 to 2012-13.</p><table><tbody><tr><td><p>Year</p></td><td><p>FAE</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,887</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,026</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,099</p></td></tr></tbody></table><p> </p><p><em>Note:</em></p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission</p>
star this property answering member printed Earl Howe more like this
star this property grouped question UIN
HL6823 more like this
HL6824 more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
2518
star this property label Biography information for Baroness Greengross more like this
49825
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government how many neurofibromatosis sufferers they estimate to be in the United Kingdom, broken down by (1) county, and (2) type. more like this
star this property tabling member printed
Lord Bassam of Brighton more like this
star this property uin HL6836 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>NHS England commissions neurofibromatosis type two (NF2) services and complex neurofibromatosis type 1 (NF1) services as part of its remit to deliver specialised services.</p><p> </p><p>NHS England has published service specifications for both types of neurofibromatosis. These estimate that in England there are 11,267 individuals with NF1 and 862 with NF2.</p><p> </p><p>The Department does not have specific guidance relating to the special travel needs of neurofibromatosis sufferers. Domestic equality legislation makes it unlawful for transport operators to discriminate against a disabled person simply because they are disabled, treat disabled people less favourably or fail to make reasonable adjustments in the way they provide their services, depending on the type of vehicles and the services they offer to the public.</p><p> </p><p>Furthermore, an extra level of protection is provided by recently implemented European regulations on passenger rights across all transport modes. These provide a set of rules for the treatment of disabled people and people with reduced mobility.</p>
star this property answering member printed Earl Howe more like this
star this property grouped question UIN HL6841 more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3504
star this property label Biography information for Lord Bassam of Brighton more like this
49826
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what diagnostic training general practitioners receive with regard to neurofibromatosis. more like this
star this property tabling member printed
Lord Bassam of Brighton more like this
star this property uin HL6837 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>The content and standard of medical training of trainee general practitioners (GPs) is the responsibility of the General Medical Council, which is an independent statutory body. It has the general function of promoting high standards of education and co-ordinating all stages of education to ensure that medical students and newly qualified doctors are equipped with the knowledge, skills and attitudes essential for professional practice.</p><p> </p><p>In the specific area of genetics in primary care, the curriculum designed by the Royal College of General Practitioners (RCGP) requires GPs to understand that while some genetic conditions always present with the same signs and symptoms, others can show variability between family members, particularly some autosomal dominant conditions (such as neurofibromatosis type 1).</p><p> </p><p>The Government has mandated Health Education England (HEE) to provide national leadership on education, training and workforce development in the National Health Service. This mandate includes a commitment that HEE will ensure that GP training produces GPs with the required competencies to practise in the new NHS. Consequently HEE will work with stakeholders to influence training curricula as appropriate.</p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3504
star this property label Biography information for Lord Bassam of Brighton more like this
49827
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what financial support is provided to carers of neurofibromatosis sufferers. more like this
star this property tabling member printed
Lord Bassam of Brighton more like this
star this property uin HL6838 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>We are very much aware of and greatly value the significant contribution which unpaid carers make to the care of disabled people.</p><p> </p><p>If a disabled person has neurofibromatosis and qualifies for a 'gateway' benefit, then their carer could be entitled to Carer's Allowance, which is currently £61.35 per week. This will depend on certain conditions of both the disabled person and the carer being satisfied. Universal Credit includes a carer element where an eligible adult in the household provides regular and substantial care for a person with a long-term health condition or disability. The element is awarded where that person satisfies the conditions of entitlement of Carer's Allowance.</p><p> </p><p>Support for carers is an integral part of social care. Under current legislation, local authorities have a duty to assess carers who are providing substantial care on a regular basis, when requested to do so. The assessment and any eligible services to follow that are designed to support a carer to continue their caring responsibilities, are for the local authority to determine.</p><p> </p><p>Carers are also central to the Government's proposals for improving care and support, and there are significant improvements in the Care Bill for carers. The Bill extends carers' rights to an assessment, which will be based on an appearance of need and will include consideration of the impact of caring on the carer, and the outcomes they wish to achieve. For the first time, there will be a duty on local authorities to meet carers' eligible needs for support, putting them on an equal footing to the people they care for.</p><p> </p><p>We have also provided £400 million to the National Health Service over four years from 2011 for carers to have breaks from their caring responsibilities. In the 2013 Spending Review, we announced the £3.8 billion Better Care Fund, which includes £130 millionfunding for carers' breaks for 2015-16.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3504
star this property label Biography information for Lord Bassam of Brighton more like this
49830
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what plans they have to provide guidance to long-haul transport providers to ensure that the special travel needs of neurofibromatosis sufferers are taken into account. more like this
star this property tabling member printed
Lord Bassam of Brighton more like this
star this property uin HL6841 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>NHS England commissions neurofibromatosis type two (NF2) services and complex neurofibromatosis type 1 (NF1) services as part of its remit to deliver specialised services.</p><p> </p><p>NHS England has published service specifications for both types of neurofibromatosis. These estimate that in England there are 11,267 individuals with NF1 and 862 with NF2.</p><p> </p><p>The Department does not have specific guidance relating to the special travel needs of neurofibromatosis sufferers. Domestic equality legislation makes it unlawful for transport operators to discriminate against a disabled person simply because they are disabled, treat disabled people less favourably or fail to make reasonable adjustments in the way they provide their services, depending on the type of vehicles and the services they offer to the public.</p><p> </p><p>Furthermore, an extra level of protection is provided by recently implemented European regulations on passenger rights across all transport modes. These provide a set of rules for the treatment of disabled people and people with reduced mobility.</p>
star this property answering member printed Earl Howe more like this
star this property grouped question UIN HL6836 more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3504
star this property label Biography information for Lord Bassam of Brighton more like this
49858
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government by what date they will revisit the decision on whether to include Gypsies and Irish Travellers as an ethnic category in the NHS National Data Dictionary; and what account they have taken of the recommendation by the National Inclusion Health Board to the Health and Social Care Information Centre to use the 2011 Census ethnic category classifications in national data collection. more like this
star this property tabling member printed
Lord Avebury more like this
star this property uin HL6855 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-13more like thismore than 2014-05-13
star this property answer text <p>NHS England, in collaboration with other bodies, will shortly produce guidance that advises on the codes for data collection, including those for ethnicity. National Health Service organisations continue to use the 2001 codes in order to support consistency with other data systems within the NHS. NHS organisations can choose to use either the 2001 or the 2011 categories.</p><p> </p><p>Additional codes can be included as appropriate at a local level to reflect the demographic make-up of the local population. This allows local monitoring to take place in a way that supports service planning, decision-making, and key processes such as the Joint Strategic Needs Assessment.</p><p> </p><p>We envisage this position will be revisited, with decisions to change this advice based upon the breadth of utilisation of the new coding system.</p><p> </p><p>The Department, Public Health England and NHS England are together considering the findings and recommendations in the report from the National Inclusion Health Board.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
1665
star this property label Biography information for Lord Avebury more like this
49880
star this property registered interest false more like this
star this property date less than 2014-05-06more like thismore than 2014-05-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
star this property house id 2 more like this
star this property legislature
25277
unstar this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what training is available for general practitioners in identifying cases of female genital mutilation. more like this
star this property tabling member printed
Baroness Valentine more like this
star this property uin HL6866 more like this
star this property answer
answer
star this property is ministerial correction false more like this
star this property date of answer less than 2014-05-14more like thismore than 2014-05-14
star this property answer text <p>The Government published the guidance, <em>Multi-Agency Practice Guidelines: Female Genital Mutilation</em> in 2011, which provides advice to health professionals and the steps to be taken when dealing with suspected or actual female genital mutilation (FGM).</p><p> </p><p>The Department is working with NHS England, Health Education England and the Royal Colleges to develop materials and training to support National Health Service staff including general practioners to better identify and support girls at risk of FGM. Further announcements on this work will be made in due course.</p><p><strong> </strong></p><p>An FGM NHS Choices page (<a href="http://www.nhs.uk/fgm" target="_blank">www.nhs.uk/fgm</a>) was recently launched containing information and support for frontline professionals who are concerned about the practice and are seeking advice.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-05-14T12:00:00.00Zmore like thismore than 2014-05-14T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3757
star this property label Biography information for Baroness Valentine more like this