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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
star this property answering dept sort name Health remove filter
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
star 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
unstar 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
unstar 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 more like this
star this property tabling member
3701
unstar this property label Biography information for Baroness McDonagh more like this
100550
star this property registered interest false more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
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
star this property answering dept sort name Health remove filter
star this property hansard heading In Vitro Fertilisation more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property 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. more like this
star this property tabling member printed
Lord Alton of Liverpool more like this
star this property uin HL2287 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-10-29more like thismore than 2014-10-29
unstar this property 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>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-10-29T12:25:39.9703616Zmore like thismore than 2014-10-29T12:25:39.9703616Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
738
unstar this property label Biography information for Lord Alton of Liverpool more like this
100591
star this property registered interest false more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
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
star this property answering dept sort name Health remove filter
star this property hansard heading Orthopaedics more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property 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. more like this
star this property tabling member printed
Lord Harrison more like this
star this property uin HL2328 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2014-10-29more like thismore than 2014-10-29
unstar this property 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>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-10-29T12:26:37.6600521Zmore like thismore than 2014-10-29T12:26:37.6600521Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
2488
unstar this property label Biography information for Lord Harrison 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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star 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
unstar 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
unstar 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 more like this
star this property tabling member
3504
unstar 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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star 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
unstar 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
unstar 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 more like this
star this property tabling member
3504
unstar 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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star 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
unstar 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
unstar 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 more like this
star this property tabling member
1665
unstar 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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star 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
unstar 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
unstar 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 more like this
star this property tabling member
3757
unstar this property label Biography information for Baroness Valentine more like this
49884
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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government how many people have received National Health Service continuing care over the most recent five years for which figures are available; and what has been the cost of continuing care to the National Health Service for the most recent five years for which figures are available. more like this
star this property tabling member printed
Lord Bichard more like this
star this property uin HL6868 more like this
star this property answer
answer
unstar 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
unstar this property answer text <p>Primary care trusts held statutory responsibilities for National Health Service Continuing Healthcare until 31 March 2013 and the cost of funding such packages was not captured specifically in their audited accounts. From 2009, the Department collected information on the total cost of NHS Continuing Healthcare packages through a financial information management system<sup>1</sup>. The annual costs (England total) from that date were as follows:</p><p> </p><p>- 2009-10 - £2,030,071,000</p><p>- 2010-11 - £2,186,171,000</p><p>- 2011-12 - £2,324,655,000</p><p>- 2012-13 - £2,762,532,000</p><p> </p><p>From 2009, the Department published quarterly data on the numbers of individuals in receipt of NHS continuing Healthcare. This information can be viewed in detail on the Department's website at:</p><p> </p><p>www.gov.uk/government/publications/nhs-continuing-healthcare.</p><p> </p><p>The England total Quarter 4 figures for individuals in receipt of NHS Continuing Healthcare are as follows:</p><p> </p><p>- 2009-10 – 50,424</p><p>- 2010-11 – 53,264</p><p>- 2011-12 – 55,654</p><p>- 2012-13 – 58,809</p><p><strong> </strong></p><p>From 1 April 2013, statutory responsibilities for NHS Continuing Healthcare transferred to clinical commissioning groups and to NHS England.</p><p> </p><p><em>Notes:</em></p><p>1. This is management information and is not audited for Departmental accounts.</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 more like this
star this property tabling member
3863
unstar this property label Biography information for Lord Bichard more like this
49892
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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government how much the National Health Service is spending on autism awareness training for staff in 2014–15; and how that figure compares with that in previous years. more like this
star this property tabling member printed
Baroness Uddin more like this
star this property uin HL6872 more like this
star this property answer
answer
unstar 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
unstar this property answer text <p>Spending on autism awareness training in the National Health Service is not collected centrally.</p><p> </p><p>The 2010 Adult Autism Strategy for England, <em>Fulfilling and Rewarding Lives</em> and its related statutory guidance for the NHS and local authorities made it clear that basic autism training should be available to all staff working in health and social care. This has also been highlighted in, <em>Think Autism</em> – the recent update to the 2010 strategy. Since the 2010 strategy, Health Education England (HEE) has been established to ensure that the NHS workforce has the right numbers, skills, values and behaviours to meet patients' needs today and tomorrow. As part of the Government's 2014-15 Mandate to HEE, they should work with the royal colleges and other stakeholders to ensure staff are aware of the range of mental health conditions so they can provide appropriate care and support, and focus should include autism awareness.</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 2014-05-13T12:00:00.00Zmore like thismore than 2014-05-13T12:00:00.00Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
1827
unstar this property label Biography information for Baroness Uddin more like this
49896
star this property registered interest true 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
star this property answering dept sort name Health remove filter
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty's Government what is their response to the Care Quality Commission report on the East Midlands Ambulance Service published on 9 April; and when Mr Brian Britten will receive a full response to his complaint to the Service about an incident in February in which an ambulance in which he was being conveyed abruptly lurched. more like this
star this property tabling member printed
Lord Hunt of Kings Heath more like this
star this property uin HL6875 more like this
star this property answer
answer
unstar 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
unstar this property answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England and has a key responsibility in the overall assurance of safety and quality. The Government expects the East Midlands Ambulance Service NHS Trust to take prompt action to remedy the concerns recently highlighted by CQC inspectors.</p><p> </p><p>East Midlands Ambulance Service NHS Trust advises it has recently responded in full response to Mr Britten's complaint.</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 more like this
star this property tabling member
2024
unstar this property label Biography information for Lord Hunt of Kings Heath more like this