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731063

	registered interest
	date	21/06/2017
	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	Her Majesty's Government how many mentally ill people are currently in prison in England and Wales; what proportion of the prison population have mental illnesses; and what proposals they have to increase the number of beds in specialist hospitals for mentally ill patients.
	tabling member printed	Lord Ouseley
	uin	HL71
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The information on how many mentally ill people are currently in prison in England and Wales is not collected centrally. NHS England is currently carrying out a service review across all adult high, medium and low secure services in order to improve access, egress and throughput.</p> answering member printed Lord O'Shaughnessy question first answered 05/07/2017 12:19:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

732079

	registered interest
	date	22/06/2017
	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	Her Majesty's Government how many nursing posts were unfilled in NHS England on the most recent date for which figures are available; and what plans they have to fill those places.
	tabling member printed	Lord Ouseley
	uin	HL132
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The information is not available in the format requested.</p><p> </p><p>Health Education England (HEE) provide estimates of staff shortages and the plan for tackling these issues as part of their Workforce Plan for England publication.</p><p> </p><p>HEE plan to publish the Workforce Plan for England 2017/18 in due course.</p> answering member printed Lord O'Shaughnessy question first answered 05/07/2017 14:28:05 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

732080

	registered interest
	date	22/06/2017
	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	Her Majesty's Government how many vacancies exist in the social care sector in England; and what assessment they have made of the impact of those vacancies on the services being provided to elderly and disabled people.
	tabling member printed	Lord Ouseley
	uin	HL133
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Skills for Care workforce data shows that there were 90,335 vacant posts in the adult social care sector. This equates to a vacancy rate of 6.8%. This data is as at March 2016 for the independent sector and September 2015 for statutory local authorities.</p><p> </p><p>Current vacancies, in addition to demographic changes in the population and raised expectations mean there will be an increasing demand on care services in the future, including from the elderly and disabled. Skills for Care, an employer-led workforce development organisation for adult social care, is looking to address this through their recruitment and retention strategy.</p> answering member printed Lord O'Shaughnessy question first answered 05/07/2017 12:18:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2170 label Biography information for Lord Ouseley

730987

	registered interest
	date	21/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Cybersecurity
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, following the letter from Dame Fiona Caldicott and David Behan to the Secretary of State for Health, dated 6 July 2016, what specific action they have taken to identify vulnerabilities to cyberattack of healthcare systems.
	tabling member printed	Lord Birt
	uin	HL13
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The National Data Guardian’s Review of Data Security, Consent and Opt-outs, and the Care Quality Commission’s “Safe data, safe care” review, both published 6 July 2016, set clear recommendations to improve data and cyber security resilience in health and care.</p><p>For the health and care sector, a significant programme of work is underway to mitigate data and cyber security risks, including:</p><p>- CareCERT, NHS Digital’s Computer Emergency Response Team, established in 2015 to support the National Health Service to be more cyber resilient and respond to incidents when they happen. Working closely with the National Cyber Security Centre, the CareCERT suite of support services includes monitoring and assessing threats at the national level, issuing alerts to the sector, and providing on-site support to help local health and care organisations identify and mitigate vulnerabilities.</p><p> </p><p>- NHS Standard Contract requirements, which came into force in April 2017, to implement National Data Guardian’s review recommendations and data security standards.</p><p> </p><p>- Work to ensure that trusts, clinical commission groups and commissioning support units have implemented critical CareCERT advisories, and updated their firewalls and their antivirus software.</p><p>The Government expects to respond to those reviews shortly.</p> answering member printed Lord O'Shaughnessy question first answered 05/07/2017 14:29:23 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2533 label Biography information for Lord Birt

746263

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, for what reasons Dudley Clinical Commissioning Group has advertised the contract for the multi-speciality community provider abroad.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1587
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>Dudley Clinical Commissioning Group (CCG) is solely responsible for carrying out the procurement, including the agreement of the award criteria, selection process and evaluation, and award of the contract.</p><p> </p><p>The commissioner can design the award criteria to reflect the service being contracted. The criteria for Dudley Multispecialty Community Provider (MCP) can be viewed in the comprehensive outcomes framework which is available on Dudley CCG’s website.</p><p> </p><p>CCGs must be compliant with the Public Contracts Regulations (PCR 2015). This includes running a procurement process that is equal and transparent, which means that commissioners cannot discriminate against, or in favour of, bidders on the grounds of geographic location. PCR 2015 also requires that contracts for clinical services with a lifetime cost over the £589,148 threshold must be advertised in the Official Journal of the European Union.</p><p> </p><p>It will be for bidding providers to determine the ownership model of that provider. Neither the advert nor the criteria should specify the organisational form of the body that will be awarded the contract, and the precise arrangements will not be known until bids have been received and reviewed. Local areas will need to work through the trade-offs between:</p><p> </p><p>- the degree of formal integration they want to achieve and the strength of governance and decision making required for implementation of the model; and</p><p>- their appetite for change and the pace at which they are able to proceed.</p><p> </p><p>Any holder of the MCP contract, regardless of organisational form, will be required in to be work closely with local stakeholders, including local general practitioners to deliver the care model.</p><p>In November 2016 NHS England and NHS Improvement published details of a new Integrated Support and Assurance Process (ISAP). The dual purpose of the ISAP is to guide the work of local commissioners and providers in creating successful and safe schemes, and to provide a means of assurance that this has happened. The ISAP process will test the ability of the provider to deliver the contract. The contract can only be awarded once all stages of the ISAP have been completed.</p><p> </p><p>Once awarded, the contract can only be disposed of to a third party with the approval of the CCG and they may require any replacing provider to provide a guarantee from its parent or another party as a condition of the approval.</p><p> </p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1568 1570 1586 1594 1608 1609 1707 question first answered 05/07/2017 09:44:33 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

746278

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how Dudley Clinical Commissioning Group has kept the public informed of the proposed multi-specialty community provider; and what public representations that group has received in response to that proposal.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1567
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1566 1583 1589 1590 1610 1624 question first answered 05/07/2017 10:01:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

733054

	registered interest
	date	27/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Professions: Civil Proceedings
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many GPs and doctors have been sued by patients in each of the last five years; and what the cost to the public purse was of settlements relating to those cases.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	1523
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department does not hold the information on general practitioner (GP) clinical negligence litigation claims brought against GPs. GPs mainly buy their indemnity cover from one of the three private not-for-profit Medical Defence Organisations. They offer indemnity cover to all doctors for any private work, good Samaritan acts, and for representation for professional regulatory issues. They also provide clinical negligence cover relating to National Health Service work.</p><p> </p><p>Indemnity for clinical negligence claims brought against employed GPs, doctors and all NHS staff in England is provided by the employer organisation. All NHS providers of care are members of NHS Resolution’s (NHSR) Clinical Negligence Scheme for Trusts (CNST) and claims for compensation will ordinarily be brought against the NHS care provider organisation. The data provided below contains information on payments made in year under NHSR CNST scheme over the past five years.</p><p> </p><table><tbody><tr><td><p>Type</p></td><td><p>2011/12</p></td><td><p>2012/13</p></td><td><p>2013/14</p></td><td><p>2014/15</p></td><td><p>2015/16</p></td></tr><tr><td><p> </p></td><td><p>£000</p></td><td><p>£000</p></td><td><p>£000</p></td><td><p>£000</p></td><td><p>£000</p></td></tr><tr><td><p>Compensation</p></td><td><p>£775,159</p></td><td><p>£783,967</p></td><td><p>£729,237</p></td><td><p>£671,564</p></td><td><p>£862,841</p></td></tr><tr><td><p>Claimant legal Costs</p></td><td><p>£254,784</p></td><td><p>£261,262</p></td><td><p>£236,938</p></td><td><p>£274,539</p></td><td><p>£399,902</p></td></tr><tr><td><p>Defence legal Costs</p></td><td><p>£65,359</p></td><td><p>£72,425</p></td><td><p>£84,997</p></td><td><p>£98,251</p></td><td><p>£115,519</p></td></tr></tbody></table><p> </p><p>Further information regarding payments for compensation and legal costs made against individual NHS care provider organisations over the last five years can also be found on NHS Resolution’s website at:</p><p><a href="http://www.nhsla.com/Pages/Publications.aspx?library=currentactivity%7cfactsheets%7cfactsheet5trustandhealthauthorityclaimsdata" target="_blank">http://www.nhsla.com/Pages/Publications.aspx?library=currentactivity%7cfactsheets%7cfactsheet5trustandhealthauthorityclaimsdata</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 05/07/2017 16:48:59 answering member 1542 label Biography information for Philip Dunne
	tabling member	4131 label Biography information for Jim Shannon

732935

	registered interest
	date	27/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Procurement
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many contracts put out to tender by his Department were awarded to (a) charities and (b) social enterprises in each year since 2010.
	tabling member constituency	Hemsworth
	tabling member printed	Jon Trickett
	uin	1254
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department does not categorise individual contracts into those named in the question.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 05/07/2017 16:13:01 answering member 1542 label Biography information for Philip Dunne
	tabling member	410 label Biography information for Jon Trickett

746267

	registered interest
	date	28/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: Dudley
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people responded to consultations organised by Dudley Clinical Commissioning Group on its proposed multi-specialty community provider; and what assessment has been made of the content of those responses.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	1566
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>The Department expects clinical commissioning groups (CCG) to assure themselves that they have satisfied their legal duties, including the need to consult local populations. In line with this, Dudley CCG undertook a full public consultation last summer to inform the development of the Multispecialty Community Provider (MCP) contract. NHS England has told us that the consultation exercise reached several thousand people (including staff) and received over 600 contributions.</p><p> </p><p>A report was commissioned from ICF Consulting Services on the consultation process and considered by Dudley CCG Board in September 2016. A copy of the report is available on the CCG’s website:</p><p><a href="http://www.dudleyccg.nhs.uk/mcpconsult" target="_blank">www.dudleyccg.nhs.uk/mcpconsult</a></p><p> </p><p>The local consultation followed a significant period of involvement with local people. In partnership with Healthwatch Dudley, Dudley CCG visited over 50 community groups. Dudley CCG have a patient representative on the Procurement Board, a group of representatives who have helped to shape the procurement questions and the CCG will continue to engage with them as they move through competitive dialogue.</p><p> </p><p>Dudley CCG has held regular staff briefings, with staff of all of the main organisations involved (including some staff representatives), over a period of several months. There is a further series of staff engagement events planned, with leaders across health and care giving presentations on what the MCP will mean.</p><p> </p><p>Further engagement has taken place with a range of local providers, including those outside Dudley which serve Dudley patients, and local voluntary sector bodies. All local providers, including the local hospital and mental health trust, are members of Partnership Board which has have developed the model of care for the MCP.</p><p> </p><p>The MCP Project Board reports on a monthly basis to Dudley CCG’s public Board meeting. Reports have been made to the Health and Wellbeing Board and the Overview and Scrutiny Committee. The issue features as a regular item at the CCG’s Healthcare Forum.</p><p> </p><p>Dudley CCG expects the MCP to operate in line with public service and National Health Service values. It will be expected to meet in public; be open and transparent; have effective means of securing patient and public involvement; and engage with the Council, the Health and Wellbeing Board and the Overview and Scrutiny Committee, as well as local communities and the voluntary sector.</p><p> </p><p>Before substantive service change can occur, we have been clear that there should be public consultation. NHS England has processes in place to ensure this. The Government has been clear that all significant service changes have to pass include an ability to demonstrate strong public and patient engagements.</p><p> </p><p>To date the Secretary of State for Health has received no representations from the Dudley Group of Hospitals on Dudley CCG’s contract for an MCP.</p><p> </p><p>The Government has set clear guidelines and tests to ensure that any significant reconfigurations have demonstrated strong public and patient engagements. Furthermore, those changes must be backed by a clear clinical evidence base and a credible plan to improve performance without affecting patient care. NHS England has processes in place to ensure this.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 1567 1583 1589 1590 1610 1624 question first answered 05/07/2017 10:01:27 answering member 4067 label Biography information for Steve Brine
	tabling member	1511 label Biography information for Lord Austin of Dudley

732959

	registered interest
	date	27/06/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Agency Nurses
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many registered nurses are working solely through bank or agency arrangements.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	1369
	answer	answer is ministerial correction date of answer 05/07/2017 answer text <p>NHS Digital collects data on headcount nurse and health visitor bank staff in the National Health Service trusts and clinical commissioning groups who are paid through Electronic Staff Records (ESR). Latest data shows that 12,358 (headcount) nurse and health visitor staff are solely employed as Bank staff at March 2017. Information on Agency staff and Bank staff not paid through ESR is not available.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 05/07/2017 16:28:21 answering member 1542 label Biography information for Philip Dunne
	tabling member	4418 label Biography information for Justin Madders