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93402

	registered interest
	date	14/10/2014
	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 what action they will take to ensure that NHS England ensures parity of esteem as required by the Health and Social Care Act 2012, the NHS Mandate for 2013 to 2015 and the Refreshed Mandate for 2014 to 2015.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2068
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Government holds the National Health Service to account for achieving parity of esteem as required by the Health and Social Care Act 2012, through setting objectives in the NHS England Mandate for 2013-15 and the refreshed Mandate for 2014-15. In addition to measuring progress on specific objectives in the Mandate, outcomes for mental health patients are monitored through the NHS Outcomes Framework, which forms an essential part of the way in which the Secretary of State holds NHS England to account.</p><p> </p><p> </p><p> </p><p>Our recently published five-year plan,<em> Achieving Better Access to Mental Health Services by 2020,</em> sets out action the Government is taking to provide better access to mental health services within the next year, including the first ever national waiting time standards for mental health services. It also sets out our vision for further progress by 2020.</p><p> </p><p> </p><p> </p><p>£40 million in additional funding has been identified to enable change in the current financial year, and a further £80 million will be freed up for 2015-16 to support implementation of waiting times in mental health services.</p><p> </p> answering member printed Earl Howe question first answered 28/10/2014 15:13:50 answering member 2000 label Biography information for Earl Howe
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93429

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Viral Haemorrhagic Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the agreement in the former Nurses and Midwives Whitley Council on increased pay for nurses caring for persons with viral haemorrhagic diseases such as Marburg fever and ebola is still in force.
	tabling member printed	Lord MacKenzie of Culkein
	uin	HL2095
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>The Whitley Council allowance for “<em>nursing patients with infectious communicable diseases</em>” ended when Agenda for Change (AfC) started in December 2004.</p><p> </p><p> </p><p> </p><p>This is because AfC pay bands are related to the National Health Service job evaluation scheme. AfC was designed to ensure equal pay for staff carrying out work rated as ‘equivalent’ or ‘of equal value’. Factors which determined the need for Whitley allowances are measured in AfC by job evaluation. This determines the pay band which feeds through to pay.</p><p> </p><p> </p><p> </p><p>Decisions relating to the banding of NHS staff, including nurses and midwives, are matters for the NHS organisation concerned as the employer. They are best placed to determine the content of individual jobs.</p><p> </p> answering member printed Earl Howe question first answered 28/10/2014 15:15:33 answering member 2000 label Biography information for Earl Howe
	tabling member	2507 label Biography information for Lord MacKenzie of Culkein

93707

	registered interest
	date	15/10/2014
	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 what percentage of patients who attempt to access talking therapies are offered the full choice of National Institute for Health and Care Excellence approved treatments.
	tabling member printed	Baroness Royall of Blaisdon
	uin	HL2136
	answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>National data is not available on the percentage of patients accessing talking therapies who are offered a choice of National Institute for Health and Care Excellence (NICE) approved psychological therapies.</p><p> </p><p> </p><p> </p><p>NICE has recommended a range of psychological therapeutic interventions in its clinical guidelines, including Cognitive Behavioural Therapy, Interpersonal therapy, brief dynamic interpersonal therapy, couple therapy for depression and counselling for depression.</p><p> </p><p> </p><p> </p><p>Not all psychological therapeutic interventions therapies are appropriate for all patients. The decision on the most appropriate therapy for each patient should be made between a patient and their clinician.</p><p> </p><p> </p><p> </p><p>In 2012, the Department agreed significant additional investment of £22 million in Improving Access to Psychological Therapies (IAPT) over three years up to 2015. The additional funding will be used to extend the range and availability of evidence-based therapies and is in addition to the investment made in 2010 of £400 million in the IAPT programme up to 2015.</p><p> </p> answering member printed Earl Howe question first answered 28/10/2014 15:16:25 answering member 2000 label Biography information for Earl Howe
	tabling member	3703 label Biography information for Baroness Royall of Blaisdon

100036

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Accident and Emergency Departments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
	tabling member printed	Baroness McDonagh
	uin	HL2242
	answer	answer is ministerial correction date of answer 27/10/2014 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> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

99970

	registered interest
	date	20/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why the procurement process operated by NHS England in relation to general practitioner practices allows for references in respect of the bidders to be taken up rather than allowing for a review of their track record.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2185
	answer	answer is ministerial correction date of answer 27/10/2014 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> answering member printed Earl Howe grouped question UIN HL2184 question first answered 27/10/2014 12:39:21 answering member 2000 label Biography information for Earl Howe
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99969

	registered interest
	date	20/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the procurement process operated by NHS England in relation to general practitioner practices allows for the track record of the bidders sufficiently to be taken into account in the procurement decision.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2184
	answer	answer is ministerial correction date of answer 27/10/2014 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> answering member printed Earl Howe grouped question UIN HL2185 question first answered 27/10/2014 12:39:20 answering member 2000 label Biography information for Earl Howe
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

92783

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why waiting times for children referred to Child and Adolescent Mental Health Services have increased; and what action they will take to reduce waiting times.
	tabling member printed	Lord Ouseley
	uin	HL2019
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Information on waiting times for Child and Adolescent Mental Health Services is not collected centrally. There is anecdotal evidence of increasing waiting times in some areas. We do not know whether or not this is due to an increase in referrals or the prevalence of mental health conditions but will be seeking further information by commissioning a survey into the prevalence of mental illness in children and young people.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020</em> announced improvements that will be made to services for patients with emerging psychosis, including setting the first ever waiting time standard in mental health from April 2015. It also sets out a longer term ambition to extend waiting time standards across all mental health services by 2020.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:23:20 answering member 2000 label Biography information for Earl Howe
	tabling member	2170 label Biography information for Lord Ouseley

92784

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Suicide: Young People
	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 causes of suicides among young people; and what action they propose to reduce such fatalities by providing more effective and quicker access to mental health services.
	tabling member printed	Lord Ouseley
	uin	HL2020
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The causes of suicides are not currently collected but the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness at the University of Manchester will be setting up a national investigation into suicides by young people under 25, which will be covering antecedents such as bullying, use of social media &amp; contact with services. This investigation will be funded by National Health Service England and is due to begin in April 2015.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:24:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2170 label Biography information for Lord Ouseley

92813

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is their assessment of the impact of the provision of housing on treatment completion for vulnerable populations in the United Kingdom suffering from (1) hepatitis B, and (2) hepatitis C.
	tabling member printed	Baroness Suttie
	uin	HL2049
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Public Health England has not made any formal assessment of the impact of the provision of housing on treatment completion for vulnerable populations in the United Kingdom suffering from hepatitis B, and hepatitis C.</p><p> </p><p> </p><p> </p><p>Our estimates of the prevalence of chronic hepatitis B and C infection in the UK population are 180,000<sup>1</sup> and 214,000[2] respectively.</p><p> </p><p> </p><p> </p><p>Studies of hepatitis B and C in the UK homeless population are limited but a recent survey of people who inject drugs found that those who had ever been homeless were more likely to have antibodies against hepatitis C (42%) than those that were in stable accommodation (34%)<sup>3</sup>.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>[1]Department of Health. (2002a) Getting ahead of the curve: a strategy for combating infectious diseases (including other aspects of health protection). A report by the Chief Medical Officer.London</p><p> </p><p> </p><p> </p><p>2Hepatitis C in the UK, Annual Report 2014 Public Health England.</p><p> </p><p>https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/337115/HCV_in_the_UK_2014_24_July.pdf</p><p> </p><p> </p><p> </p><p>3Health Protection Agency, Health Protection Scotland, National Public Health Service for Wales, CDSC Northern Ireland, CRDHB. Shooting Up: Infections among injecting drug users in the United Kingdom 2008. London: Health Protection Agency, October 2009.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:27:52 answering member 2000 label Biography information for Earl Howe
	tabling member	4298 label Biography information for Baroness Suttie

92814

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what plans they have to implement a national outreach service for diseases such as tuberculosis, HIV and diabetes for areas with high health inequalities.
	tabling member printed	Baroness Suttie
	uin	HL2050
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Department through NHS England has a legal duty to have regard to reducing health inequalities and this will be reflected in any assessment for the potential development of national services.</p><p> </p><p> </p><p> </p><p>Diagnosing, treating and preventing transmission of TB among under-served groups will prevent transmission of infection to the wider population and reduce health and social inequalities. Public Health England and NHS England will launch the Collaborative TB Strategy for England 2015-2020 this year. The strategy sets out the improvements that need to be achieved across 10 key evidence based areas of action to reduce TB in England, and the mechanisms by which these should be delivered. One of the key evidence based areas of action is to reduce incidence of TB in under-served populations by providing specific and targeted outreach interventions (informed by proven models such as “Find &amp; Treat” in London). These include specific services for active case finding for TB of the lungs among homeless people and those attending substance misuse services, use of mobile X-ray units (MXUs) with incentives for people to have chest X-rays, enhanced case management and return to service interventions to prevent loss to follow up.</p><p> </p><p><strong> </strong></p><p> </p><p>There are a number of actions being taken to improve access to HIV testing and reduce late diagnosis, especially in areas with high inequalities. These include the Terrence Higgins Trust to manage a national HIV Prevention Contract which the Department funds; information PHE publishes on rates of late HIV diagnoses by LA, socio-demography, and risk group; and joint PHE and DH approaches to increase HIV testing through funding a national home-sampling service that resulted in a large number of the most at-risk getting tested for HIV.</p><p> </p><p> </p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services, so they would decide, depending on local needs and circumstances, whether an outreach service was appropriate. The NHS Health Check plays an important role in reducing the risk of diabetes and identifying people earlier who have the disease and plays a key role in tackling health inequalities.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:35:23 answering member 2000 label Biography information for Earl Howe
	tabling member	4298 label Biography information for Baroness Suttie