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1176639

	registered interest
	date	05/02/2020
	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	Hospitals: Weather
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what support they have given to hospitals to help them manage any increases in activity and workforce shortages over the winter period.
	tabling member printed	Baroness Thornton
	uin	HL1391
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1390 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1176638

	registered interest
	date	05/02/2020
	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 Services: Weather
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of NHS trusts' ability to manage increased patient risk this winter.
	tabling member printed	Baroness Thornton
	uin	HL1390
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1391 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1174479

	registered interest
	date	29/01/2020
	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	Urinary Tract Infections
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the proposed Commissioning for Quality and Innovation for urinary tract infections will include any specific references to catheter-associated urinary tract infections.
	tabling member printed	Baroness Masham of Ilton
	uin	HL939
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p><strong> </strong></p><p>The 2020/21 Commissioning for Quality and Innovation scheme for urinary tract infections will include specific reference to catheter-associated urinary tract infections, aligned to the National Institute for Health and Care Excellence antimicrobial prescribing guidance NG113.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:48:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1174478

	registered interest
	date	29/01/2020
	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	Electronic Cigarettes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what statistics they have about the prevalence of e-cigarette use, particularly among young people; what evidence they are collecting to determine whether e-cigarettes and vaping devices are an effective way to stop smoking; and what action they are taking to ensure that there is full awareness of the health risks of using e-cigarettes and vaping devices amongst young people.
	tabling member printed	The Marquess of Lothian
	uin	HL938
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>Data from nationally representative surveys indicate that, in England, current vaping among young people remains low and concentrated among those who have already smoked. Among adults, vaping prevalence is 6.3%, with almost all vapers being smokers or ex-smokers. This data can be found in the attached Office for National Statistics statistical bulletin, <em>Adult smoking habits in the United Kingdom: 2018</em>.</p><p>Smoking rates continue to decline among both adults and youth. Public Health England (PHE) monitors the developing evidence on effectiveness of e-cigarettes for quitting smoking. A major UK randomised control trial has found e-cigarettes to be twice as effective as nicotine replacement therapy products when combined with behavioural support.</p><p>Data from English stop smoking services indicate that people who use an e-cigarette in their attempt to quit have the highest success rates. UK regulation of e-cigarettes includes measures to protect young people, including a ban on most forms of advertising, a minimum age of sale of 18 years and a ban on proxy purchasing.</p><p>PHE provides evidence-based information to healthcare professionals, teachers and the public about the relative harmfulness of e-cigarettes, vaping devices and smoked tobacco.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:06:04 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name ONS statistical bulletin `Adult smoking habits in the UK 2018`.pdf title Adult smoking habits in the United Kingdom
	tabling member	259 label Biography information for The Marquess of Lothian

1174115

	registered interest
	date	28/01/2020
	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	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the average daily cost of a bed in (1) an acute hospital ward; (2) a nursing home; and (3) a residential care home, in England in the latest financial year for which information is available.
	tabling member printed	Lord Warner
	uin	HL886
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The average daily costs of a bed in an acute hospital ward and in a care home setting are calculated differently and come from different sources, so are not directly comparable.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:02:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1732 label Biography information for Lord Warner

1174114

	registered interest
	date	28/01/2020
	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	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimates they have made of the proportion of patients in acute hospital wards in England that are there inappropriately because of the absence of adult social care services; what the annual cost of such patients is to the NHS; and what plans they have to reduce such proportions and costs.
	tabling member printed	Lord Warner
	uin	HL885
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The information is not available in the format requested.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:02:49 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1732 label Biography information for Lord Warner

1174113

	registered interest
	date	28/01/2020
	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	Better Care Fund
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have commissioned any independent evaluation of the effectiveness of the Better Care Fund in (1) improving the discharge of patients from acute hospitals and (2) reducing pressure on local authority adult social care budgets.
	tabling member printed	Lord Warner
	uin	HL884
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The Policy Research Unit on Quality and Outcomes of Person-Centred Care (QORU) was commissioned by the Department to carry out a system’s level evaluation of the Better Care Fund (BCF) covering its first year in 2015/16. <em>A system-level evaluation of the Better Care Fund: Final Report </em>was published in 2018, a copy of which is attached.</p><p>QORU found that areas which spent more BCF money per person had fewer delayed transfers of care than areas with low spending and concluded that the BCF reduced delays. The evaluation also found that local areas planned to spend a quarter of their BCF funding on maintaining social care services in 2015/16, underlining the contribution that the BCF makes to maintaining social care expenditure.</p><p>We continue to monitor and evaluate the BCF, to inform our approach to the Fund going forward. Last year, 93% of local areas agreed that joint working had improved as a result of the BCF.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:03:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name BCF final report.pdf title Better Care Fund: Final Report
	tabling member	1732 label Biography information for Lord Warner

1174109

	registered interest
	date	28/01/2020
	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	Doctors: Stress
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of Resilience burnout and coping mechanisms in UK doctors: a cross-sectional study, published in the British Medical Journal on 27 January.
	tabling member printed	Lord Taylor of Warwick
	uin	HL880
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The Government is committed to supporting the health and wellbeing of doctors, so that doctors can continue to support the health and wellbeing of their patients. The National Health Service currently provides mental health support for doctors in England through the NHS Practitioner Health Programme, a mental health assessment and treatment service that NHS doctors and dentists can access via confidential self-referral.</p><p>The Government is committed to addressing the pressures facing NHS staff, including those caused by staff shortages. The NHS will publish the final NHS People Plan in early 2020, ensuring the NHS has a workforce with the appropriate people and skills to meet demand. A ‘new offer’ will be published alongside this plan, detailing the health and wellbeing support that all NHS staff can expect to receive from their employer.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:04:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1175496

	registered interest
	date	03/02/2020
	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	Vaccination: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to make it easier for parents to access vaccination services for their children.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1268
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>As announced in the June 2019 Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em>, the Government is committed to publishing a Vaccine Strategy, which considers a range of actions to address access to vaccination services as an important factor in improving vaccine uptake.</p><p>In addition, the NHS Long Term Plan committed to a fundamental review of general practitioner (GP) vaccination and immunisation standards, funding and procurement, alongside a review of GP access. Interim findings of this work were published on 25 October and are being fed into the ongoing GP contract negotiations.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 15:03:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175495

	registered interest
	date	03/02/2020
	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	Vaccination: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to improve consistency by healthcare professionals in reminding parents to vaccinate their children.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1267
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The Department is aware that effective reminder systems are likely to be a key factor in improving vaccine uptake. This was highlighted in the January 2019 Royal Society for Public Health report <em>Moving the Needle</em>, which noted that such services are desired by 80% of United Kingdom adults surveyed. As such, the Department is considering options for improved, and more consistent, methods for reminding parents of vaccination appointments, including rolling out a text reminder service, as announced by the Secretary of State for Health and Social Care in November 2019.</p><p>More widely, the Government is committed to publishing a national Vaccine Strategy as announced in July 2019 as part of the Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em>. The strategy, which will be published shortly, carefully considers an array of options to improve our vaccine uptake rates.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:54:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath