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100044

	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	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why they notified the European Commission of the draft regulations for possible standardised packaging for tobacco products without waiting for the results of the recent consultation that closed on 7 August.
	tabling member printed	Lord Palmer
	uin	HL2250
	answer	answer is ministerial correction date of answer 03/11/2014 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> answering member printed Earl Howe question first answered 03/11/2014 11:54:12 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100045

	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	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when they will publish a revised impact assessment on standardised packaging of tobacco products following the comments of the Regulatory Policy Committee.
	tabling member printed	Lord Palmer
	uin	HL2251
	answer	answer is ministerial correction date of answer 03/11/2014 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> answering member printed Earl Howe question first answered 03/11/2014 11:55:04 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100031

	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	Liver Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>.
	tabling member printed	Lord Avebury
	uin	HL2237
	answer	answer is ministerial correction date of answer 03/11/2014 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> answering member printed Earl Howe question first answered 03/11/2014 11:52:44 answering member 2000 label Biography information for Earl Howe
	tabling member	1665 label Biography information for Lord Avebury

100854

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Workers: Minimum Wage
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether his Department has made an assessment of or received evidence on the effect on care standards of non-payment of the national minimum wage in the social care sector.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	211866
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The Department has not conducted any recent research on the effect of treatment of staff on standards of care and on the relationship between levels of pay and quality of social care services.</p><p> </p><p> </p><p> </p><p>As part of the development of Caring for our Future white paper in 2011, the Department undertook extensive engagement with both service users and carers who highlighted a range of issues they felt needed addressing to ensure high quality care and support is available. In addressing this, the Department, working with the Sector Skills Council – Skills for Care – and other partners, has implemented a range of policies that has included setting out clear minimum training standards, recruiting more apprentices and supporting the transformation of the social work profession.</p><p> </p><p> </p><p> </p><p>There are a number of factors that determine the quality of care provided in the social care sector, including the way staff are treated. Pay is not the single most significant factor in delivering high quality services.</p><p> </p><p> </p><p> </p><p>The Department is clear however that care providers must abide by the law with regards to payment of the national minimum wage and is taking steps to ensure this happens. The Department is liaising with the Department for Business, Innovation and Skills to name and shame any social care providers who do not comply with the national minimum wage legislation and Her Majesty’s Revenue and Customs is continuing to carry out enforcement action in the social care sector and will investigate all complaints made by care workers that their employer is not paying them the national minimum wage. In addition, it is looking to ensure that the statutory guidance that will accompany the Care Act on commissioning and market shaping explicitly states local authorities should have evidence that contract terms, conditions and fee levels are appropriate to provide the agreed care packages with agreed quality of care.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:37:18 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

100891

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make it his policy to introduce a screening programme for people who have previously had treatment for skin cancer.
	tabling member constituency	Bassetlaw
	tabling member printed	John Mann
	uin	211914
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) has published cancer service guidance which outlines how healthcare services for people with skin tumours, including melanoma, should be organised. In May 2010 NICE issued a partial update to the guidance, including new recommendations on the management of low-risk basal cell carcinomas in the community.</p><p> </p><p> </p><p> </p><p>NICE is currently developing a clinical guideline on the assessment and management of melanoma, which is currently planned for publication in July 2015.</p><p> </p><p>Further details of NICE’s guidance on skin cancer are available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer" target="_blank">http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer</a></p><p> </p><p> </p><p> </p><p>Information for the public on skin cancer is available on the NHS Choices website.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:18 answering member 3918 label Biography information for Jane Ellison
	tabling member	1387 label Biography information for Lord Mann

101109

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	School Milk
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment she has made of the effect of recent changes to the nursery milk scheme on the ability of schools to fulfil the requirements of the School Food Standards in relation to milk.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	212127
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>A modernised Nursery Milk Scheme is currently under development and expected to be tendered in due course.</p><p> </p><p> </p><p> </p><p>The assessment of any effects of the changes to the Nursery Milk Scheme are part of ongoing discussions between officials via a cross Government Nursery Milk Scheme Task and Finish Group.</p><p> </p><p> </p><p> </p><p>The changes have no impact on either the current School Food Standards Regulations or the new School Food Standards Regulations which come into force on 1 January 2015.</p><p> </p><p> </p><p> </p><p>The Nursery Milk Scheme is available to all children under five who attend an eligible childcare setting for two hours per day or more. Eligible settings include child-minders, day care providers, private and local authority run nurseries. The School Food Standards apply to schools rather than nursery and private childcare and child minder settings.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:47:01 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4012 label Biography information for Graeme Morrice

101142

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much funding his Department allocated to the Health Reform Evaluation Programme for 2014-15; and how much was allocated in each of the five previous years.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211976
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Research projects on health reform were commissioned during 2007 and 2008 and brought together within the framework of the independent Health Reform Evaluation Programme. Following a supplementary call for research proposals in 2013, four new projects are commencing during the period October 2014 to January 2015.</p><p> </p><p> </p><p> </p><p>Expenditure by the Department on the Health Reform Evaluation Programme is shown in the following table.</p><p> </p><p> </p><p> </p><p><em>£ million</em></p><p> </p><table><tbody><tr><td><p>2009-10</p></td><td><p>2010-11</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><p>Planned</p></td></tr><tr><td><p>1.5</p></td><td><p>2.2</p></td><td><p>2.0</p></td><td><p>0.4</p></td><td><p>0.0</p></td><td><p>0.4</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:53:57 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

101143

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Orphan Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS spent on orphan medicines in each of the last three years; and what proportion of total medicines expenditure that represented in each year.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211977
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information is not collected because it could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:56:30 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

101144

	registered interest
	date	27/10/2014
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the cost of Health Education England's third round of recruitment for general practice training posts.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211940
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The third round of national recruitment was one of the initiatives undertaken by Health Education England (HEE) to support recruitment into general practitioner (GP) training places. HEE continues to work with its partners to reach its mandate commitment of ensuring 3,250 trainees enter ST1 GP training by 2016.</p><p> </p><p> </p><p> </p><p>The estimated breakdown of costs is below:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Description</p></td><td><p>Total</p></td></tr><tr><td><p>Stage 2 Assessment</p></td><td><p>£10,000</p></td></tr><tr><td><p>Stage 3 Venue</p></td><td><p>£24,230</p></td></tr><tr><td><p>Printing costs</p></td><td><p>£893</p></td></tr><tr><td><p>Assessors - clinical</p></td><td><p>£29,088</p></td></tr><tr><td><p>Assessors - non-clinical</p></td><td><p>£3,636</p></td></tr><tr><td><p>Moderators - clinical</p></td><td><p>£1,212</p></td></tr><tr><td><p>Moderators - non clinical</p></td><td><p>£606</p></td></tr><tr><td><p>Trainee expenses</p></td><td><p>£25,200</p></td></tr><tr><td><p>Role Players</p></td><td><p>£18,920</p></td></tr><tr><td><p> </p></td><td><p>£113,785</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:41:24 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1506 label Biography information for Andrew Gwynne

101145

	registered interest
	date	27/10/2014
	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	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps he is taking to improve access to NICE-recommended mindfulness-based therapies on the NHS.
	tabling member constituency	Vale of Clwyd
	tabling member printed	Chris Ruane
	uin	211947
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Over the course of the current spending review, we are investing in excess of £400 million in England to give thousands of people access to National Institute for Health and Care Excellence-approved psychological therapies, including Mindfulness-Based Cognitive Therapy.</p><p> </p><p>The 2014-15 Mandate to NHS England makes clear that ‘everyone who needs it should have timely access to evidence based services’. The Mandate sets a clear objective for NHS England to deliver the key objectives of the Improving Access to Psychological Therapy (IAPT) programme – providing access to therapies to 15% of those eligible (around 900,000 people) per year by 2015.</p><p> </p><p> </p><p> </p><p>We are increasing the availability of IAPT services to cover children and young people and exploring extending services to people with long-term physical health problems and those with severe mental illness.</p><p> </p><p> </p><p> </p><p>We have invested £54 million over the period 2011 – 2015/16 in the Children and Young People’s Improving Access to Psychological Therapies (CYP IAPT) programme. The Programme works with services covering up to 60% of England’s 0-19 population, and will cover approximately 68% by the end of 2014-15. This is giving children and young people improved access to the best evidenced mental health care. NHS England is planning for a countrywide extension of the programme with Health Education England.</p><p> </p><p> </p><p> </p><p>The IAPT programme is working with a number of the Department’s Strategic Partners to promote wider access of the service to all sections of the community. The partners are working with IAPT service providers to identify and overcome the barriers to people gaining access to IAPT services.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:48:01 answering member 1439 label Biography information for Norman Lamb
	tabling member	534 label Biography information for Chris Ruane