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919354

	registered interest
	date	07/06/2018
	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	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many patients were treated by doctors in general practice in each year between 2007 and 2017.
	tabling member printed	Lord Dobbs
	uin	HL8433
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>The number of patients treated by doctors in general practice is not collected or held centrally. The number of general practitioner (GP) appointments is not collected or held centrally. NHS Digital and NHS England are currently undergoing a review process on these appointments data. When this is published it will not include retrospective appointment data.</p><p> </p><p>The number of registered patients at GP practices in England has been collected since April 2013 and is presented in the following table.</p><p> </p><table><tbody><tr><td><p>Date</p></td><td><p>Number of patients registered at a GP practice</p></td></tr><tr><td><p>2013</p></td><td><p>56,043,609</p></td></tr><tr><td><p>2014</p></td><td><p>56,442,722</p></td></tr><tr><td><p>2015</p></td><td><p>57,011,772</p></td></tr><tr><td><p>2016</p></td><td><p>57,631,776</p></td></tr><tr><td><p>2017</p></td><td><p>58,328,549</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>The data presented covers England only.</li><li>Data snapshot extracted on 1 April from NHS Digital maintained GP Payments system.</li></ol><p>The data does not go back further than April 2013.</p> answering member printed Lord O'Shaughnessy question first answered 20/06/2018 13:49:43 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4192 label Biography information for Lord Dobbs

919361

	registered interest
	date	07/06/2018
	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	General Practitioners: Working Hours
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the number of hours worked by GPs in the NHS; whether working hours are increasing; whether they intend to limit the number of hours worked; and what discussions they have had with doctors' organisations about GPs' working hours.
	tabling member printed	Lord Hunt of Chesterton
	uin	HL8440
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>Based on responses to the GP Worklife Survey, the average weekly hours worked by general practitioners (GPs) in England has remained relatively stable since 2008, but increased slightly from 41.4 hours to 41.8 hours per week between 2015 and 2017.</p><p>The following table summarises statistics for average weekly hours worked by GPs from 2008 to 2017.</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of responses</p></td><td><p>Mean</p></td></tr><tr><td><p>2008</p></td><td><p>634</p></td><td><p>42.1</p></td></tr><tr><td><p>2010</p></td><td><p>1,054</p></td><td><p>41.4</p></td></tr><tr><td><p>2012</p></td><td><p>1,112</p></td><td><p>41.7</p></td></tr><tr><td><p>2015</p></td><td><p>1,113</p></td><td><p>41.4</p></td></tr><tr><td><p>2017</p></td><td><p>869</p></td><td><p>41.8</p></td></tr></tbody></table><p> </p><p>The Department regularly meets with the Royal College of General Practitioners and representatives from the profession to discuss a range of issues, including the number of hours worked by GPs. GP contractors are required to provide essential and additional services within core hours in order to meet the reasonable needs of their patients. It is for the practice partners to agree the working hours of individual GPs within the practice.</p><p>Any changes to these arrangements will need to be negotiated between NHS England and the GPs’ representative body, the General Practitioners’ Committee of the British Medical Association.</p><p>The working hours for salaried GPs are set out in the salaried GP model terms and conditions of service. This defines full-time as 37.5 hours per week, and specifies that working hours should be carefully defined within a job plan.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/06/2018 13:46:06 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2543 label Biography information for Lord Hunt of Chesterton

919356

	registered interest
	date	07/06/2018
	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 Professions: Dismissal
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of (1) doctors, and (2) nurses who have been dismissed for misconduct at work.
	tabling member printed	Lord Dobbs
	uin	HL8435
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>NHS Digital publishes data on dismissals under reasons for leaving. The reasons include capability, conduct, statutory and “for some other substantial reason”. The following table shows National Health Service Hospital and Community Health Services (HCHS) doctors and nurses and health visitors dismissed for ‘conduct’ over the last five years, headcount.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p>Doctors</p></td><td><p>Nurses and health visitors</p></td></tr><tr><td><p>2011-12</p></td><td><p>Q1</p></td><td><p>9</p></td><td><p>83</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q2</p></td><td><p>13</p></td><td><p>108</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>11</p></td><td><p>95</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>12</p></td><td><p>99</p></td></tr><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2012-13</p></td><td><p>Q1</p></td><td><p>5</p></td><td><p>71</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q2</p></td><td><p>4</p></td><td><p>105</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>5</p></td><td><p>86</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>10</p></td><td><p>102</p></td></tr><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2013-14</p></td><td><p>Q1</p></td><td><p>10</p></td><td><p>90</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q2</p></td><td><p>8</p></td><td><p>98</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>4</p></td><td><p>109</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>12</p></td><td><p>92</p></td></tr><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2014-15</p></td><td><p>Q1</p></td><td><p>11</p></td><td><p>92</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q2</p></td><td><p>9</p></td><td><p>100</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>16</p></td><td><p>81</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>9</p></td><td><p>77</p></td></tr><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2015-16</p></td><td><p>Q1</p></td><td><p>9</p></td><td><p>91</p></td></tr><tr><td><p> </p></td><td><p>Q2</p></td><td><p>4</p></td><td><p>88</p></td></tr><tr><td><p> </p></td><td><p>Q3</p></td><td><p>2</p></td><td><p>88</p></td></tr><tr><td><p> </p></td><td><p>Q4</p></td><td><p>11</p></td><td><p>80</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2016-17</p></td><td><p>Q1</p></td><td><p>9</p></td><td><p>70</p></td></tr><tr><td><p> </p></td><td><p>Q2</p></td><td><p>10</p></td><td><p>83</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>5</p></td><td><p>63</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>6</p></td><td><p>79</p></td></tr><tr><td><p><strong> </strong></p></td><td><p> </p></td><td><p> </p></td></tr><tr><td><p>2017-18</p></td><td><p>Q1</p></td><td><p>7</p></td><td><p>90</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q2</p></td><td><p>7</p></td><td><p>67</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q3</p></td><td><p>9</p></td><td><p>62</p></td></tr><tr><td><p><strong> </strong></p></td><td><p>Q4</p></td><td><p>Data not released yet</p></td><td><p>Data not released yet</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> NHS HCHS monthly workforce statistics, NHS Digital</p><p>Notes:</p><p>- Quarter 1: 1 April - 30 June</p><p>- Quarter 2: 1 July - 30 September</p><p>- Quarter 3: 1 October - 31 December</p><p>- Quarter 4: 1 January - 31 March</p><p><em> </em></p><p>- These figures are based upon information recorded in Electronic Staff Record (ESR) by organisations as part of locally managed staff leaving processes. The accuracy and quality of this data is reliant on local organisations updating each person’s records appropriately when a staff member moves or leaves.</p><p> </p><p>- These figures represent NHS staff who are employed and directly paid by NHS organisations in England using ESR. Two foundation trusts do not use ESR, and these are Moorfields Eye Hospital NHS Foundation Trust and Chesterfield Royal Hospital NHS Foundation Trust.</p> answering member printed Lord O'Shaughnessy question first answered 20/06/2018 13:48:30 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4192 label Biography information for Lord Dobbs

918937

	registered interest
	date	06/06/2018
	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	Speech and Language Disorders: Children and Young People
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to commission research into the effectiveness of speech and language therapy interventions for children and young people with mental health needs and speech, language and communication needs.
	tabling member printed	Lord Shinkwin
	uin	HL8430
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>There are currently five active projects funded by the National Institute for Health Research on effectiveness of speech and language therapy interventions for children and young people. There are no current plans to commission further research at this stage.</p><p>Public Health England has formed a partnership with the Department for Education to improve early language acquisition; this will enable health visitors and early years practitioners to identify and support children’s early speech, language and communication needs through training guidance and an enhanced early language assessment tool.</p> answering member printed Lord O'Shaughnessy question first answered 20/06/2018 13:45:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4557 label Biography information for Lord Shinkwin

919369

	registered interest
	date	07/06/2018
	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	Chronic Fatigue Syndrome
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 5 June (HL8135), what assessment they have made of the ethicality of the continued recommendation of graded exercise therapy and cognitive behavioural therapy to patients with myalgic encephalomyelitis or chronic fatigue syndrome, following scientific research demonstrating that such therapies are not effective and may harm patients with that illness, and the imminent update of NICE guideline CG53, published in 2007.
	tabling member printed	The Countess of Mar
	uin	HL8447
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>We are aware that there are concerns that more recent data and analysis suggests graded exercise therapy (GET) and cognitive behavioural therapy (CBT), which are recommended by the National Institute for Health and Care Excellence (NICE), for patients with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) might not be as effective as has been found by previous trial results. It is important that all the evidence, including new evidence, is looked at closely. We welcome NICE’s decision to update its clinical guideline on CFS/ME and to examine the new analysis of the evidence base supporting the use of CBT and GET. Updated NICE guidance is planned for publication in 2020.</p><p>It is important to highlight that the current NICE CFS/ME guideline acknowledges that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. NICE also makes clear that, in common with all people receiving care in the National Health Service, those with CFS/ME have the right to refuse or withdraw from any component of their care plan.</p> answering member printed Lord O'Shaughnessy question first answered 20/06/2018 13:49:18 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1861 label Biography information for The Countess of Mar