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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

100550

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answers by Lord Darzi of Denham on 22 July 2008 (HL4926 and HL4927) and by Earl Howe on 9 July 2012 (HL1211), of how many cycles the Human Fertilisation and Embryology Authority are aware in which fresh embryo transfers took place after 15 or more eggs were collected over each of the past ten years.
	tabling member printed	Lord Alton of Liverpool
	uin	HL2287
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The number of treatment cycles in which fresh embryo transfers took place after 15 or more eggs were collected, in each of the last 10 years, is shown in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Years</p></td><td><p>Cycles in which fresh embryo transfers took place after 15 or more eggs were collected</p></td></tr><tr><td><p>2004</p></td><td><p>5602</p></td></tr><tr><td><p>2005</p></td><td><p>5737</p></td></tr><tr><td><p>2006</p></td><td><p>5843</p></td></tr><tr><td><p>2007</p></td><td><p>6345</p></td></tr><tr><td><p>2008</p></td><td><p>6589</p></td></tr><tr><td><p>2009</p></td><td><p>7344</p></td></tr><tr><td><p>2010</p></td><td><p>7801</p></td></tr><tr><td><p>2011</p></td><td><p>8195</p></td></tr><tr><td><p>2012</p></td><td><p>8200</p></td></tr><tr><td><p>2013(1)</p></td><td><p>8128</p></td></tr></tbody></table><p> </p><p>Source: The Human Fertilisation and Embryology Authority</p><p> </p><p> </p><p> </p><p>(1) 2013 is the most recent year for which information is available.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:25:39 answering member 2000 label Biography information for Earl Howe
	tabling member	738 label Biography information for Lord Alton of Liverpool

100591

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Orthopaedics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government in how many Clinical Commissioning Groups rates of (1) major, and (2) minor, amputations are more than 33 per cent above the national average; and how the national average compares with other European Union member states.
	tabling member printed	Lord Harrison
	uin	HL2328
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>It is not possible to distinguish in Hospital Episode Statistics between 'major' and 'minor' amputations.</p><p> </p><p>The Health and Social Care Information Centre (HSCIC) has calculated the England average rate of amputation per 100,000 population and highlighted the clinical commissioning groups (CCGs) of residence having rates more than 33% higher than the national average. There are 25 such CCGs.</p><p> </p><p>This is not a count of people as the same person may have had more than one episode of care within the same time period.</p><p> </p><p>We do not have information on a comparison of rates of amputation with other European Union member states.</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group of residence</p></td><td><p>Count of finished consultant episodes</p></td><td><p>Population</p></td><td><p>Rate per 100,000 population</p></td></tr><tr><td><p>NHS SCARBOROUGH AND RYEDALE CCG</p></td><td><p>68</p></td><td><p>110,488</p></td><td><p>61.5</p></td></tr><tr><td><p>NHS EAST RIDING OF YORKSHIRE CCG</p></td><td><p>169</p></td><td><p>314,504</p></td><td><p>53.7</p></td></tr><tr><td><p>NHS DONCASTER CCG</p></td><td><p>159</p></td><td><p>302,739</p></td><td><p>52.5</p></td></tr><tr><td><p>NHS MANSFIELD AND ASHFIELD CCG</p></td><td><p>101</p></td><td><p>192,539</p></td><td><p>52.5</p></td></tr><tr><td><p>NHS BLACKPOOL CCG</p></td><td><p>72</p></td><td><p>141,976</p></td><td><p>50.7</p></td></tr><tr><td><p>NHS KNOWSLEY CCG</p></td><td><p>74</p></td><td><p>145,936</p></td><td><p>50.7</p></td></tr><tr><td><p>NHS DURHAM DALES, EASINGTON AND SEDGEFIELD CCG</p></td><td><p>138</p></td><td><p>273,043</p></td><td><p>50.5</p></td></tr><tr><td><p>NHS KERNOW CCG</p></td><td><p>272</p></td><td><p>540,178</p></td><td><p>50.4</p></td></tr><tr><td><p>NHS FAREHAM AND GOSPORT CCG</p></td><td><p>98</p></td><td><p>196,078</p></td><td><p>50.0</p></td></tr><tr><td><p>NHS LANCASHIRE NORTH CCG</p></td><td><p>78</p></td><td><p>158,528</p></td><td><p>49.2</p></td></tr><tr><td><p>NHS NORTHERN, EASTERN AND WESTERN DEVON CCG</p></td><td><p>421</p></td><td><p>869,408</p></td><td><p>48.4</p></td></tr><tr><td><p>NHS STOKE ON TRENT CCG</p></td><td><p>124</p></td><td><p>258,114</p></td><td><p>48.0</p></td></tr><tr><td><p>NHS TELFORD AND WREKIN CCG</p></td><td><p>80</p></td><td><p>167,682</p></td><td><p>47.7</p></td></tr><tr><td><p>NHS HEREFORDSHIRE CCG</p></td><td><p>88</p></td><td><p>184,932</p></td><td><p>47.6</p></td></tr><tr><td><p>NHS HULL CCG</p></td><td><p>122</p></td><td><p>257,204</p></td><td><p>47.4</p></td></tr><tr><td><p>NHS NORTH KIRKLEES CCG</p></td><td><p>88</p></td><td><p>186,706</p></td><td><p>47.1</p></td></tr><tr><td><p>NHS BOLTON CCG</p></td><td><p>131</p></td><td><p>278,984</p></td><td><p>47.0</p></td></tr><tr><td><p>NHS EAST STAFFORDSHIRE CCG</p></td><td><p>58</p></td><td><p>123,945</p></td><td><p>46.8</p></td></tr><tr><td><p>NHS COASTAL WEST SUSSEX CCG</p></td><td><p>222</p></td><td><p>476,677</p></td><td><p>46.6</p></td></tr><tr><td><p>NHS LINCOLNSHIRE EAST CCG</p></td><td><p>106</p></td><td><p>228,111</p></td><td><p>46.5</p></td></tr><tr><td><p>NHS HALTON CCG</p></td><td><p>58</p></td><td><p>125,692</p></td><td><p>46.1</p></td></tr><tr><td><p>NHS NEWARK &amp; SHERWOOD CCG</p></td><td><p>53</p></td><td><p>115,897</p></td><td><p>45.7</p></td></tr><tr><td><p>NHS THANET CCG</p></td><td><p>62</p></td><td><p>135,661</p></td><td><p>45.7</p></td></tr><tr><td><p>NHS SOMERSET CCG</p></td><td><p>243</p></td><td><p>534,950</p></td><td><p>45.4</p></td></tr><tr><td><p>NHS BRADFORD CITY CCG</p></td><td><p>37</p></td><td><p>82,319</p></td><td><p>44.9</p></td></tr></tbody></table><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:26:37 answering member 2000 label Biography information for Earl Howe
	tabling member	2488 label Biography information for Lord Harrison

100642

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Transatlantic Trade and Investment Partnership
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they have undertaken an impact assessment of the potential impacts on the National Health Service of the Transatlantic Trade and Investment Partnership which is being negotiated between the European Union and the United States.
	tabling member printed	Baroness Manzoor
	uin	HL2373
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2374 HL2375 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
	tabling member	4289 label Biography information for Baroness Manzoor

100643

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Transatlantic Trade and Investment Partnership
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what are the implications for the National Health Service and the staff who work in the National Health Service if the Transatlantic Trade and Investment Partnership is agreed.
	tabling member printed	Baroness Manzoor
	uin	HL2374
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2375 question first answered 29/10/2014 12:27:47 answering member 2000 label Biography information for Earl Howe
	tabling member	4289 label Biography information for Baroness Manzoor

100644

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Transatlantic Trade and Investment Partnership
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what are the implications for hospitals and foundation trusts if the Transatlantic Trade and Investment Partnership is agreed.
	tabling member printed	Baroness Manzoor
	uin	HL2375
	answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2374 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
	tabling member	4289 label Biography information for Baroness Manzoor

49803

	registered interest
	date	06/05/2014
	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	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.
	tabling member printed	Baroness Greengross
	uin	HL6823
	answer	answer is ministerial correction date of answer 13/05/2014 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> answering member printed Earl Howe grouped question UIN HL6824 HL6825 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2518 label Biography information for Baroness Greengross

49804

	registered interest
	date	06/05/2014
	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	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.
	tabling member printed	Baroness Greengross
	uin	HL6824
	answer	answer is ministerial correction date of answer 13/05/2014 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> answering member printed Earl Howe grouped question UIN HL6823 HL6825 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2518 label Biography information for Baroness Greengross

49806

	registered interest
	date	06/05/2014
	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	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.
	tabling member printed	Baroness Greengross
	uin	HL6825
	answer	answer is ministerial correction date of answer 13/05/2014 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> answering member printed Earl Howe grouped question UIN HL6823 HL6824 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2518 label Biography information for Baroness Greengross

49825

	registered interest
	date	06/05/2014
	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	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.
	tabling member printed	Lord Bassam of Brighton
	uin	HL6836
	answer	answer is ministerial correction date of answer 13/05/2014 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> answering member printed Earl Howe grouped question UIN HL6841 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3504 label Biography information for Lord Bassam of Brighton