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164499
star this property registered interest false more like this
star this property date less than 2014-11-24more like thismore than 2014-11-24
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar 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 NHS: Negligence 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 by how much the provision for clinical negligence claims against the National Health Service has grown in the last year; why it has grown; and what strategy is in place for reducing that amount. more like this
star this property tabling member printed
Lord Sharkey more like this
star this property uin HL3092 more like this
star this property answer
answer
star this property is ministerial correction true more like this
star this property date of answer less than 2014-12-04more like thismore than 2014-12-04
star this property answer text <p>As at 31 March 2014, the National Health Service Litigation Authority (NHS LA) estimates that it has potential liabilities of £26.1 billion, of which £25.7 billion relates to clinical negligence. This is an increase of £3.1 billion from 31 March 201<del class="ministerial">4<ins class="ministerial">3</ins></del>, which can mainly be attributed to a continual rise in clinical negligence claims over recent years. There are a number of factors driving this increase, including the rise in the number of patients cared for and in the complexity of their care; and the general rise in litigation across a number of sectors including the NHS, driven in part by ‘no win, no fee’ agreements. It is anticipated that the effect of the latter is likely to diminish as a result of the Government’s Legal Aid Sentencing and Punishment of Offenders Act of 2012.</p><p> </p><p>The Department believes the best way to reduce negligence claims is to improve patient care and safety. In March 2014, the Secretary of State for Health issued a call to action to make the NHS the safest healthcare system in the world and achieve a three-year goal to halve avoidable harm and save 6,000 lives. The Sign up to Safety campaign embodies the ambition of the NHS to build a culture of safety, bringing together individuals and organisations with a contribution to make towards the patient safety goal. Elements of this campaign will focus on a reduction in avoidable harm that can lead to compensation claims. Organisations that sign up are setting out what they will do to strengthen patient safety, including a safety improvement plan which shows how their organisation intends to save lives and reduce harm for patients over the next three years. The NHS Litigation Authority, which already provides a “safety and learning service” to trusts<strong>,</strong> will support those organisations which have patient safety improvement plans that show a likely reduction in their higher volume, higher value claims.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-12-04T16:04:05.87Zmore like thismore than 2014-12-04T16:04:05.87Z
star this property question first ministerially corrected
less than 2015-01-13T14:37:59.487Zmore like thismore than 2015-01-13T14:37:59.487Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property previous answer version
31769
star this property answering member printed Earl Howe more like this
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
4196
unstar this property label Biography information for Lord Sharkey more like this
177981
star this property registered interest false more like this
star this property date less than 2015-02-04more like thismore than 2015-02-04
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar 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 Passive Smoking 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 is their estimate of the number of people who died as a result of passive smoking in each of the last five years. more like this
star this property tabling member printed
Lord Laird more like this
star this property uin HL4692 more like this
star this property answer
answer
star this property is ministerial correction true more like this
star this property date of answer less than 2015-02-17more like thismore than 2015-02-17
star this property answer text <p>Exposure to secondhand smoke is a serious health hazard. More than 50 carcinogens have been identified in secondhand smoke.</p><p> </p><p> </p><p> </p><p>The report of the United States Surgeon General titled “<em>The health consequences of involuntary exposure to tobacco smoke”</em> concluded that secondhand smoke causes premature death and disease in children and adults who do not smoke. The scientific evidence indicates that there is no risk-free level of exposure to secondhand smoke. Children exposed to secondhand smoke are at an increased risk for sudden infant death syndrome, acute respiratory infections, ear problems and more severe asthma. Smoking by parents causes respiratory symptoms and slows lung growth in children. Exposure of adults to secondhand smoke has immediate adverse effects on the cardiovascular system and causes coronary heart disease and lung cancer. Legislation to stop smoking in vehicles carrying children will come into force in England on 1 October 2015.</p><p> </p><p><br /> The report of the Royal College of <ins class="ministerial">Physicians </ins><del class="ministerial">Surgeons</del> titled “<em>Going smoke-free: The medical case for clean air in the home, at work and in public places”</em> included estimates that secondhand smoke exposure caused approximately 12<del class="ministerial">2</del>,200 deaths in the United Kingdom in 2003, and that the majority of these deaths occurred as a result of exposure to secondhand smoke in the home. These estimates were made prior to the introduction of smokefree legislation in England in 2007. Over the past decade, the proportion of smokers who say that they do not smoke in the home has increased.</p><p> </p><p> </p><p> </p><p>The evidence is clear that smokefree legislation in England has had beneficial effects on health, as set out in the report “<em>The Impact of smokefree legislation in England: evidence review”</em> which was published alongside the Government’s <em>“Tobacco Control Plan for England”</em> in March 2011.</p><p> </p><p> </p><p> </p><p>The reports referred to have been placed in the Library.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2015-02-17T16:08:25.233Zmore like thismore than 2015-02-17T16:08:25.233Z
star this property question first ministerially corrected
less than 2015-03-12T12:34:25.527Zmore like thismore than 2015-03-12T12:34:25.527Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property previous answer version
45462
star this property answering member printed Earl Howe more like this
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
2479
unstar this property label Biography information for Lord Laird more like this
61553
star this property registered interest false more like this
star this property date less than 2014-06-12more like thismore than 2014-06-12
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
unstar 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 Learning Disability: Health Services 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 plans they have to ensure that people with learning disabilities are not excluded from NHS England's five-year strategic plan for National Health Service commissioners to improve quality of and access to health care, outlined in Everyone Counts: Planning for Patients 2014/15–2018/19. more like this
star this property tabling member printed
Baroness Hollins more like this
star this property uin HL322 more like this
star this property answer
answer
star this property is ministerial correction true more like this
star this property date of answer less than 2014-06-26more like thismore than 2014-06-26
star this property answer text <p>The Government's Mandate to NHS England, sets out our ambitions for the health service, which include an objective that NHS England ensures clinical commissioning groups work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. NHS England sets out how it will achieve the objectives in the Mandate in its 2014-15 – 2016-17 business plan. The Government will hold NHS England to account for its achievement.</p><p> </p><p><em>Everyone Counts: Planning for Patients 2014/15 to 2018/19</em>sets out a framework within which commissioners will need to work with providers and partners in local government to develop five year plans to secure the continuity of sustainable high quality care for all. Building on <em>Everyone Counts</em>, NHS England is beginning a programme of work to consider how to improve quality of and access to health care for people with learning disabilities. Within the framework there is specific reference to <em>Transforming Care: A national response to Winterbourne View Hospital. </em>This is a non-negotiable item that NHS England expects to be part of every relationship between commissioners and providers. As part of this, clinical commissioning groups, local authorities and specialised commissioners should work together to implement the core specification which describes the core principles that must be present in all education, health and social care services for children, young people, adults and older people with learning disabilities and/or autism who either display, or are at risk of displaying, behaviour that challenges.</p><p> </p><p>NHS England is committed to work to reduce premature mortality amongst people with learning disability, including actions in response to the Confidential Inquiry into Premature Deaths of People with Learning Disabilities.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-06-26T14:01:36.177Zmore like thismore than 2014-06-26T14:01:36.177Z
star this property question first ministerially corrected
less than 2014-06-26T15:34:49.2071264Zmore like thismore than 2014-06-26T15:34:49.2071264Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property previous answer version
6304
star this property answering member printed Earl Baldwin of Bewdley more like this
star this property answering member 3446
star this property tabling member
4190
unstar this property label Biography information for Baroness Hollins more like this
100031
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
unstar 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 Liver Diseases 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 steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>. more like this
star this property tabling member printed
Lord Avebury more like this
star this property uin HL2237 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 2014-11-03more like thismore than 2014-11-03
star this property answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. <br> <br> In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p><br> NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-03T11:52:44.2850714Zmore like thismore than 2014-11-03T11:52:44.2850714Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
1665
unstar this property label Biography information for Lord Avebury more like this
100035
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
unstar 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 NHS: Reorganisation 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 is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012. more like this
star this property tabling member printed
Baroness McDonagh more like this
star this property uin HL2241 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 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</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 2014-11-04T12:33:57.8617553Zmore like thismore than 2014-11-04T12:33:57.8617553Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3701
unstar this property label Biography information for Baroness McDonagh more like this
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
unstar 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
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
unstar this property label Biography information for Baroness McDonagh more like this
100037
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
unstar 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 General Practitioners: Dismissal 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 how many general practitioners have been dismissed by primary care trusts, or by the Care Quality Commission, in each year since 2005. more like this
star this property tabling member printed
Baroness McDonagh more like this
star this property uin HL2243 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 2014-10-30more like thismore than 2014-10-30
star this property answer text <p>The information requested is not centrally collected. Departmental officials are aware that the General Medical Council does collect some demographic data about doctors and this is published in its annual report ‘The state of medical education and practice in the UK’.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC), the independent regulator of health and adult social care in England, has registered all general practitioner (GP) practices since April 2012. The CQC’s role is to inspect and regulate GP practices, including those practices run by single-handed GPs. The CQC regulates at a provider level and may remove a practice’s registration where care is not meeting the required standard. Actions taken against an individual GP would be the responsibility of NHS England for contractual issues and the General Medical Council for professional issues.</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 2014-10-30T16:18:49.8123222Zmore like thismore than 2014-10-30T16:18:49.8123222Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3701
unstar this property label Biography information for Baroness McDonagh more like this
100044
star this property registered interest true 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
unstar 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 Tobacco: Packaging 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 why they notified the European Commission of the draft regulations for possible standardised packaging for tobacco products without waiting for the results of the recent consultation that closed on 7 August. more like this
star this property tabling member printed
Lord Palmer more like this
star this property uin HL2250 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 2014-11-03more like thismore than 2014-11-03
star this property answer text <p>The consultation on introducing regulations for standardised packaging of tobacco ran between 26 June and 7 August 2014. All substantive responses were then considered before the regulations were notified in draft to the European Commission as technical standards under the procedures of Directive 98/34/EC. They were notified to the Commission on 29 August 2014.</p><p> </p><p><strong> </strong></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 2014-11-03T11:54:12.5872489Zmore like thismore than 2014-11-03T11:54:12.5872489Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3192
unstar this property label Biography information for Lord Palmer more like this
100045
star this property registered interest true 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
unstar 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 Tobacco: Packaging 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 when they will publish a revised impact assessment on standardised packaging of tobacco products following the comments of the Regulatory Policy Committee. more like this
star this property tabling member printed
Lord Palmer more like this
star this property uin HL2251 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 2014-11-03more like thismore than 2014-11-03
star this property answer text <p>The consultation-stage impact assessment on standardised packaging of tobacco products is being updated following the public consultation, which ran between 26 June and 7 August 2014. The updated Impact Assessment takes into account previous comments from the Regulatory Policy Committee (RPC) and will be re-submitted to the RPC for their consideration before it is published.</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 2014-11-03T11:55:04.6967513Zmore like thismore than 2014-11-03T11:55:04.6967513Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
3192
unstar this property label Biography information for Lord Palmer more like this
100057
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
unstar 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 Health Services and Social Services 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 response they have given to the Care Quality Commission’s annual State of Care report. more like this
star this property tabling member printed
Lord Taylor of Warwick more like this
star this property uin HL2263 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 2014-10-30more like thismore than 2014-10-30
star this property answer text <p>The Secretary of State for Health has said “The Care Quality Commission’s (CQC) State of Health and Adult Social Care in England 2013-14 report highlights examples of excellent care but it also exposes unacceptable levels of variation. It also confirms that the NHS has seen a period of “hard realities and rapid change” following the scandal at Mid Staffordshire NHS Foundation Trust. We need to keep building on this to ensure greater cultural change, continuing transparency and a focus on safety to drive up standards of care across the country.”</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 2014-10-30T16:20:34.482949Zmore like thismore than 2014-10-30T16:20:34.482949Z
star this property answering member
2000
star this property label Biography information for Earl Howe remove filter
star this property tabling member
1796
unstar this property label Biography information for Lord Taylor of Warwick more like this