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58574

	registered interest
	date	05/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether personality disorder services remain a priority commitment for the National Health Service; and if so, what guidance is provided to NHS England to ensure that quality services continue to be commissioned.
	tabling member printed	Lord Alderdice
	uin	HL99
	answer	answer is ministerial correction date of answer 19/06/2014 answer text Personality disorder services remain a priority commitment for the National Health Service. In 2011 the Government published No health, without mental health, a cross Government mental health outcomes strategy for people of all ages which remains the Government's vision for improving services for people with mental health problems; this specifically includes people with personality disorders. The Mandate to NHS England makes clear that by March 2015, we expect NHS England to make measurable progress towards achieving true parity of esteem between mental and physical health and that everyone who needs it should have timely access to evidence-based services. answering member printed Earl Howe question first answered 19/06/2014 11:56:04 answering member 2000 label Biography information for Earl Howe
	tabling member	3478 label Biography information for Lord Alderdice

50430

	registered interest
	date	08/05/2014
	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 whether they will define the challenges referred to in the Department of Health's April 2014 publication Living Well for Longer that they have laid before the drinks industry to reduce alcohol harm to health that is linked to premature avoidable deaths.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL7010
	answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>In July 2013, the Government set a challenge to the alcohol industry to ask them to do more to reduce alcohol harm through the Public Health Responsibility Deal alcohol network. The challenge was formally set out in the 17 July 2013 Government's response document <em>Next steps following the consultation on delivering the Government's alcohol strategy</em>. It says:</p><p> </p><p>“The Government believes that the alcohol industry can go further to show that voluntary action can deliver the significant changes needed. It is now challenging industry to take action in other areas, increasing their level of ambition and ownership of the issues, to reduce alcohol-related crime and disorder and health harms, tackle the harmful effects of binge drinking and to support growth in local economies. This includes seeking rapid action in the following areas: supporting targeted local action; tackling the high strength or high volume products that can cause the most harm; promoting and displaying alcohol responsibly in shops; and improving education around drinking.”</p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

50429

	registered interest
	date	08/05/2014
	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 assessment NHS England has made of the effectiveness of Local Area Teams in commissioning NHS dental services since April 2013.
	tabling member printed	Lord Colwyn
	uin	HL7009
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>We are informed by NHS England that the Direct Commissioning Assurance Framework, which was published in November 2013, sets out the methodology for how NHS England can demonstrate effective use of public funds in commissioning safe, high quality and sustainable services within available resources</p><p> </p><p>The assurance process is evidence-based and draws on a wide range of information and indicators to assess how well services are being commissioned. The evidence used includes local insight from area teams and wider National Health Service functions. A finance and performance delivery dashboard is also used and dental data is an important component of this. Through this process, NHS England is able to ensure that the delivery of NHS dental services is monitored as an important component of the assurance process and that any concerns are addressed promptly.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3394 label Biography information for Lord Colwyn

50427

	registered interest
	date	08/05/2014
	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 proposals they have to increase the number of dental practices piloting the National Health Service's new contractual arrangements; and what is the timetable for those reforms to be completed.
	tabling member printed	Lord Colwyn
	uin	HL7007
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Decisions on the detailed shape of the next stage have not yet been taken. The forthcoming engagement exercise on the reforms with the dental community is intended to increase awareness of the process and allow an opportunity for the wider dental community to input.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3394 label Biography information for Lord Colwyn

50426

	registered interest
	date	08/05/2014
	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 assessment Public Health England has made of whether the current number of consultants in dental public health is sufficient; and when they expect to make a decision on whether the current 12-month fixed-term contracts will be extended.
	tabling member printed	Lord Colwyn
	uin	HL7006
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Public Health England (PHE) has commenced a review of the number of dental public health consultants required to meet its statutory and non–statutory functions and this will report in the autumn 2014. A decision will be made on the fixed term contracts as part of the review.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3394 label Biography information for Lord Colwyn

50287

	registered interest
	date	07/05/2014
	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 whether they have considered strengthening National Health Service data confidentiality by removing the final digit of the postcode from each anonymised patient record uploaded from hospitals, general practitioner practices and other NHS bodies.
	tabling member printed	Baroness Byford
	uin	HL7005
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Anonymised records cannot include the last three digits of a postcode and would generally not include postcodes at all. A postcode is sometimes needed for analytical purposes, for example to calculate distances from a specific point such as a hazard but where this is the case, the data cannot be classed as anonymised and so there must be a clear legal basis for its use.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3343 label Biography information for Baroness Byford

50286

	registered interest
	date	07/05/2014
	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 whether persons whose National Health Service data has been compromised are informed of that fact; and, if so, what remedy or compensation is available to them.
	tabling member printed	Baroness Byford
	uin	HL7004
	answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>National Health Service organisations are individually responsible for managing incidents where patient data has been compromised. Guidance provided by the Health and Social Care Information Centre is that data subjects should be informed when personal data about them has been lost or inappropriately placed in the public domain, unless the cost of doing so would be prohibitive or the risk to those concerned is judged to be minimal. Where there is any risk of identity theft it is strongly recommended that this is done.</p><p> </p><p>There are no central guidelines on remedies or compensation. Individuals whose data has been compromised may make a complaint through local NHS complaints procedures or if they believe that an incident resulted from a breach of data protection requirements they may report this to the Information Commissioner. In some circumstances individuals might seek redress through the Civil Courts.</p><p> </p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3343 label Biography information for Baroness Byford

50285

	registered interest
	date	07/05/2014
	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, further to the Written Answer by the Parliamentary Under-Secretary of State for Health, Dr Daniel Poulter MP, on 18 March (HC Deb, 574W), how many of the 145 serious data breaches reported for acute trusts were the result of theft; how many individuals were involved; how many trusts were implicated; and how many trusts were involved in more than one such breach.
	tabling member printed	Baroness Byford
	uin	HL7003
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>In the period from 1 June 2013 to 14 March 2014 where details of serious incidents have been reported through the Health and Social Care Information Centre (HSCIC) Incident Reporting tool there have been 21 breaches reported by acute trusts under the categories of either ‘lost or stolen' hardware or paperwork. Seven of these are verified as theft and 14 are possible thefts but this has not been proven. 19 trusts each reported a single incident and one reported two.</p><p> </p><p>The numbers of individuals affected are indicated in the volume column of following table.</p><table><tbody><tr><td><p>ID</p><p>(IG Incident log look up number)</p></td><td><p>Lost or Stolen?</p></td><td><p>Volume (estimate in some cases)</p></td></tr><tr><td><p>IGI/1581</p></td><td><p>Lost/Stolen</p></td><td><p>29</p></td></tr><tr><td><p>IGI/1558</p></td><td><p>Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/1564</p></td><td><p>Lost/Stolen</p></td><td><p>132</p></td></tr><tr><td><p>IGI/1746</p></td><td><p>Lost/Stolen</p></td><td><p>20</p></td></tr><tr><td><p>IGI/1497</p></td><td><p>Lost/Stolen</p></td><td><p>38</p></td></tr><tr><td><p>IGI/1421</p></td><td><p>Stolen</p></td><td><p>46</p></td></tr><tr><td><p>IGI/1599</p></td><td><p>Lost/stolen</p></td><td><p>7</p></td></tr><tr><td><p>IGI/1316</p></td><td><p>Stolen</p></td><td><p>416</p></td></tr><tr><td><p>IGI/1255</p></td><td><p>Lost/Stolen</p></td><td><p>23</p></td></tr><tr><td><p>IGI/1256</p></td><td><p>Stolen</p></td><td><p>2</p></td></tr><tr><td><p>IGI/1251</p></td><td><p>Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/1206</p></td><td><p>Lost/stolen</p></td><td><p>13</p></td></tr><tr><td><p>IGI/1015</p></td><td><p>Lost/stolen</p></td><td><p>27</p></td></tr><tr><td><p>IGI/1160</p></td><td><p>Lost/stolen</p></td><td><p>1</p></td></tr><tr><td><p>IGI/947</p></td><td><p>Lost/Stolen</p></td><td><p>7</p></td></tr><tr><td><p>IGI/879</p></td><td><p>Lost/Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/730</p></td><td><p>Lost/Stolen</p></td><td><p>17</p></td></tr><tr><td><p>IGI/1385</p></td><td><p>Lost/Stolen</p></td><td><p>4</p></td></tr><tr><td><p>IGI/663</p></td><td><p>Stolen</p></td><td><p>100</p></td></tr><tr><td><p>IGI/493</p></td><td><p>Stolen</p></td><td><p>115</p></td></tr><tr><td><p>IGI/533</p></td><td><p>Lost/Stolen</p></td><td><p>5,000</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	3343 label Biography information for Baroness Byford

50267

	registered interest
	date	07/05/2014
	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 consideration they have given to using the purchasing power of the National Health Service as a major customer of AstraZeneca and Pfizer to ensure that Pfizer honours any undertakings given in the event of a successful takeover of AstraZeneca.
	tabling member printed	Lord Oakeshott of Seagrove Bay
	uin	HL6985
	answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Both companies supply the National Health Service with vital medicines that are used to treat millions of patients each year. It is for clinicians to make prescribing decisions based on their patient's individual clinical circumstances and our priority is to ensure that patients continue to get the medicines they need.</p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2536 label Biography information for Lord Oakeshott of Seagrove Bay

50266

	registered interest
	date	07/05/2014
	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, for each of the last three years for which figures are available, what was the total National Health Service expenditure on drugs and medicines produced by (1) AstraZeneca, (2) Pfizer, and (3) GlaxoSmithKline; and what percentage of the National Health Service's total expenditure on drugs and medicines each of those figures represents.
	tabling member printed	Lord Oakeshott of Seagrove Bay
	uin	HL6984
	answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The following table sets out for 2011, 2012 and 2013, National Health Service spend on medicines and percentage of spend, for AstraZeneca, Pfizer and GlaxoSmithKline in primary care only.</p><p> </p><p>This does not include data on NHS use of medicines in hospitals, as comparable current data sources do not take account of the discounts available.</p><p> </p><table><tbody><tr><td colspan="7"><p>Net ingredient cost and proportion of all primary care spend by manufacturer, in England, for the years 2011, 2012 and 2013, based on prescription items dispensed in the community in England.<sup>1</sup></p></td></tr><tr><td><p> </p></td><td colspan="2"><p>2011</p></td><td colspan="2"><p>2012</p></td><td colspan="2"><p>2013</p></td></tr><tr><td><p>Manufacturer name</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td></tr><tr><td><p>AstraZeneca</p></td><td><p>451,931</p></td><td><p>5.5</p></td><td><p>366,037</p></td><td><p>4.7</p></td><td><p>353,981</p></td><td><p>4.5</p></td></tr><tr><td><p>Pfizer</p></td><td><p>771,631</p></td><td><p>9.5</p></td><td><p>521,610</p></td><td><p>6.7</p></td><td><p>408,643</p></td><td><p>5.2</p></td></tr><tr><td><p>GlaxoSmithKline</p></td><td><p>597,634</p></td><td><p>7.3</p></td><td><p>565,881</p></td><td><p>7.2</p></td><td><p>542,992</p></td><td><p>6.9</p></td></tr><tr><td><p>Total (all primary care expenditure on medicines in England <sup>2</sup>)</p></td><td><p>8,164,364</p></td><td><p>100.0</p></td><td><p>7,840,390</p></td><td><p>100.0</p></td><td><p>7,888,304</p></td><td><p>100.0</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> Prescription Cost Analysis provided by the Health and Social Care Information Centre</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>This may not include spend on those medicines made by the companies that are also available generically.</p><p><sup>2. </sup>This total relates to all medicines contained within British National Formulary (BNF) Chapters 1 to 19. The cost of dressings and appliances contained within BNF Chapters 20 to 23 has been excluded.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2536 label Biography information for Lord Oakeshott of Seagrove Bay