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922426

	registered interest
	date	12/06/2018
	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	Department of Health and Social Care: Re-employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	Can the Secretary of State for Health and Social Care, how many staff made redundant by his Department between January and March 2017 have been reemployed by his Department on (a) permanent, (b) agency or (c) contractor contracts.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	uin	152853
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>No staff have been reemployed by the Department who previously left under compulsory or voluntary redundancy, between January and March 2017.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2018 11:09:19 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4658 label Biography information for Alex Sobel

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

919365

	registered interest
	date	07/06/2018
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Almshouses
	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 future role of almshouses in providing housing to elderly people.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL8443
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>Almshouses have played an important role for many years in providing affordable homes, and often support, for older and other vulnerable residents in need. They provide a safe and secure environment in communities across the country, particularly in many rural areas. It is clear that almshouses, not least through the dedication and work of the trustees and volunteers who run them, will continue to play a most valuable role in the future.</p><p> </p> answering member printed Lord Bourne of Aberystwyth question first answered 20/06/2018 12:24:08 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

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

918917

	registered interest
	date	06/06/2018
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Water: National Policy Statements
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what progress they have made in consulting on the National Policy Statement for Water Resources; and when the outcome of that consultation will be published.
	tabling member printed	Baroness Jones of Whitchurch
	uin	HL8413
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>I announced that a national policy statement for water resources would be developed in a written ministerial statement in March 2017 (HLWS532). In November 2017, the government consulted on the approach to developing the statement and proposals to amend the definitions of nationally significant infrastructure projects for water in the Planning Act 2008. The summary of responses and government response was published in March. The government undertook a further informal consultation on amendments to the definitions in April. The government will set out the final thresholds and infrastructure types for the proposed amendment to the Planning Act 2008 in the summer. The government will consult on the draft national policy statement this autumn.</p> answering member printed Lord Gardiner of Kimble question first answered 20/06/2018 13:11:11 answering member 4161 label Biography information for Lord Gardiner of Kimble
	tabling member	3792 label Biography information for Baroness Jones of Whitchurch

918916

	registered interest
	date	06/06/2018
	answering body	Department for Environment, Food and Rural Affairs
	answering dept id	13
	answering dept short name	Environment, Food and Rural Affairs
	answering dept sort name	Environment, Food and Rural Affairs
	hansard heading	Environment Protection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they have taken to involve scientists, economists and environmentalists in developing a set of metrics to measure the progress of the 25 Year Environment Plan; and when those metrics will be published.
	tabling member printed	Baroness Jones of Whitchurch
	uin	HL8412
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>We have engaged with scientists, economists and environmentalists from a number of external organisations since January to inform the development of a comprehensive suite of metrics and indicators.</p><p> </p><p>We will engage further with interested parties over the summer to canvas views on what this suite of indicators and metrics ought to cover. This will be achieved through a combination of publicly available briefing papers and targeted technical meetings with individual organisations and small groups of interested parties.</p><p> </p><p><strong> </strong></p><p>The package of metrics we propose will then be subject to a further period of formal consultation in order to ensure we get this important measure absolutely right.</p> answering member printed Lord Gardiner of Kimble question first answered 20/06/2018 13:12:00 answering member 4161 label Biography information for Lord Gardiner of Kimble
	tabling member	3792 label Biography information for Baroness Jones of Whitchurch

924179

	registered interest
	date	14/06/2018
	answering body	Ministry of Housing, Communities and Local Government
	answering dept id	7
	answering dept short name	Housing, Communities and Local Government
	answering dept sort name	Housing, Communities and Local Government
	hansard heading	Mosques
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they collect data on the number of (1) mosques, and (2) madrassas, in England and Wales; and if so, how many there are.
	tabling member printed	Lord Pearson of Rannoch
	uin	HL8658
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>We estimate that there are around 1500 mosques and prayer halls in England. We do not hold any data on the number of madrassas.</p> answering member printed Lord Bourne of Aberystwyth question first answered 20/06/2018 12:24:38 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	3153 label Biography information for Lord Pearson of Rannoch

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