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100031

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	1665 label Biography information for Lord Avebury

100035

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	3701 label Biography information for Baroness McDonagh

100036

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	3701 label Biography information for Baroness McDonagh

100037

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	3701 label Biography information for Baroness McDonagh

100044

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	3192 label Biography information for Lord Palmer

100045

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	3192 label Biography information for Lord Palmer

100057

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer 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>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100060

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p>
	tabling member	1796 label Biography information for Lord Taylor of Warwick

99968

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>Funding for mental health has increased by £120 million in 2014-15, a rise of 1.4% in cash terms. Total mental health spending will rise from £8.5 billion in 2013-14 to £8.62 billion in 2014-15.</p><p> </p><p> </p><p> </p><p>The Government has committed an additional £40 million funding boost for mental health services in 2014-15. A further £80 million in 2015-16 will be freed by NHS England from existing budgets.</p><p> </p><p> </p><p> </p><p>The Department and NHS England continue to work together to ensure that there are consistent messages to commissioners and providers about the importance of delivering parity of esteem for people with mental health needs.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England are responsible for setting the national tariff arrangements and are working together to develop a national payment system for mental health which promotes early intervention, access to effective evidence-based care, improved outcomes and recovery.</p><p> </p><p>The national tariff arrangements for 2015-16 will include examples of new and innovative payment models which local commissioners and providers may choose to adopt next year.</p><p> </p>
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99969

	answering body	Department of Health
	house id	2
	type	WrittenParliamentaryQuestion
	answer	answer answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p>
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath