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61553

	registered interest
	date	12/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Learning Disability: 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 ensure that people with learning disabilities are not excluded from NHS England's five-year strategic plan for National Health Service commissioners to improve quality of and access to health care, outlined in Everyone Counts: Planning for Patients 2014/15–2018/19.
	tabling member printed	Baroness Hollins
	uin	HL322
	answer	answer is ministerial correction date of answer 26/06/2014 answer text <p>The Government's Mandate to NHS England, sets out our ambitions for the health service, which include an objective that NHS England ensures clinical commissioning groups work with local authorities to ensure that vulnerable people, particularly those with learning disabilities and autism, receive safe, appropriate, high quality care. NHS England sets out how it will achieve the objectives in the Mandate in its 2014-15 – 2016-17 business plan. The Government will hold NHS England to account for its achievement.</p><p> </p><p><em>Everyone Counts: Planning for Patients 2014/15 to 2018/19</em>sets out a framework within which commissioners will need to work with providers and partners in local government to develop five year plans to secure the continuity of sustainable high quality care for all. Building on <em>Everyone Counts</em>, NHS England is beginning a programme of work to consider how to improve quality of and access to health care for people with learning disabilities. Within the framework there is specific reference to <em>Transforming Care: A national response to Winterbourne View Hospital. </em>This is a non-negotiable item that NHS England expects to be part of every relationship between commissioners and providers. As part of this, clinical commissioning groups, local authorities and specialised commissioners should work together to implement the core specification which describes the core principles that must be present in all education, health and social care services for children, young people, adults and older people with learning disabilities and/or autism who either display, or are at risk of displaying, behaviour that challenges.</p><p> </p><p>NHS England is committed to work to reduce premature mortality amongst people with learning disability, including actions in response to the Confidential Inquiry into Premature Deaths of People with Learning Disabilities.</p><p> </p> answering member printed Earl Howe question first answered 26/06/2014 14:01:36 question first ministerially corrected 26/06/2014 15:34:49 answering member 2000 label Biography information for Earl Howe previous answer version 6304 answering member printed Earl Baldwin of Bewdley answering member 3446
	tabling member	4190 label Biography information for Baroness Hollins

63270

	registered interest
	date	23/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many general practitioner practices were (a) refurbished and (b) replaced in each of the last 10 years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	201710
	answer	answer is ministerial correction date of answer 26/06/2014 answer text <p>Prior to April 2013, granting funding for the refurbishment and replacement of general practitioner premises was the responsibility of primary care trusts (PCTs). Information pertaining to this period is not held centrally and could only be obtained at disproportionate cost.</p><p> </p><p>Responsibility for funding general practice premises development has now been transferred to NHS England.</p><p> </p><p>Between 1 April 2013 and 1 April 2014, more than 100 business cases for premises development were approved by NHS England. NHS England <ins class="ministerial">will be publishing </ins><del class="ministerial">has now published</del> Principles of Good Practice <ins class="ministerial">later in the autumn. This </ins> <del class="ministerial">that</del> set<ins class="ministerial">s</ins> out how <del class="ministerial">area</del> teams should review and prioritise business case proposals, and since 1 April 2014 a further 46 business cases have been approved.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 26/06/2014 14:49:17 question first ministerially corrected 11/09/2014 13:48:27 answering member 1439 label Biography information for Norman Lamb previous answer version 6377 answering member constituency North Norfolk answering member printed Norman Lamb answering member 1439 label Biography information for Norman Lamb
	tabling member	1503 label Biography information for Mr Jamie Reed

61086

	registered interest
	date	10/06/2014
	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, how many training places for general practice were (a) commissioned and (b) filled in each of the last five years.
	tabling member constituency	Copeland
	tabling member printed	Mr Jamie Reed
	uin	200007
	answer	answer is ministerial correction date of answer 16/06/2014 answer text <p>The Department set up Health Education England (HEE) to deliver a better health and healthcare workforce for England. HEE is responsible for ensuring a secure workforce supply for the future balancing need against demand, taking into account factors such as the age profile of the existing workforce, the impact of technology, and new drugs.</p><p> </p><p>The Department has recognised the need to increase the general practitioner (GP) workforce and between September 2010 and September 2013, the number of full time equivalent GPs has risen by 1,051. Additionally, the Department has included in the HEE mandate a requirement that “HEE will ensure that 50% of trainees completing foundation level training enter GP training programmes by 2016”.</p><p> </p><p>Further work is being undertaken by HEE to improve applications and fill rate in to GP training to support the mandate target of 3,250 appointments into GP training by 2016 in England. This includes a review of the GP recruitment process, developing a pre-GP year to give exposure to prospective GP applicants of the specialty and careers advice for foundation doctors and medical students.</p><p> </p><p>In recognition of the contribution the GP workforce makes in the NHS, HEE will also undertake additional work on GP recruitment and retention, return to practice and reducing attrition rates, all of which will play a part in increasing the GP workforce.</p><p> </p><p>The following table indicates the number of posts commissioned and filled and the fill rate for GP training in England for the last five years. The numbers of posts have been increased for 2014 to 2,946 to support the government’s mandate requirement for HEE to increase GP training.</p><p> </p><p> </p><p> </p><table><tbody><tr><td> </td><td><p>Posts Commissioned</p></td><td><p>Posts Filled</p></td><td><p>% Filled</p></td></tr><tr><td><p>2010</p></td><td><p>2,732</p></td><td><p>2,800</p></td><td><p>102.49%</p></td></tr><tr><td><p>2011</p></td><td><p>2,672</p></td><td><p>2,658</p></td><td><p>99.48%</p></td></tr><tr><td><p>2012</p></td><td><p>2,687</p></td><td><p>2,669</p></td><td><p>99.33%</p></td></tr><tr><td><p>2013</p></td><td><p>2,761</p></td><td><p>2,738</p></td><td><p>99.17%</p></td></tr><tr><td><p>2014</p></td><td><p><del class="ministerial">2,946</del> <ins class="ministerial">3,043</ins></p></td><td><p>2,630</p></td><td><p>89.27%</p></td></tr></tbody></table><p> </p><p><em>Source</em>: HEE data</p><p> </p><p>Deferment resulting from factors such as maternity leave can cause a higher than 100% fill rate in some years.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/06/2014 16:44:34 question first ministerially corrected 14/10/2014 10:52:22 answering member 3932 label Biography information for Dr Dan Poulter previous answer version 1687 answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	1503 label Biography information for Mr Jamie Reed

64342

	registered interest
	date	26/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Knee Replacements
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many NHS knee replacement operations were carried out in England, by region, in the last three years.
	tabling member constituency	Harlow
	tabling member printed	Robert Halfon
	uin	202780
	answer	answer is ministerial correction date of answer 03/07/2014 answer text <p>The attached table shows how many knee replacement operations were carried out in England, by region, in the last three years.</p><p> </p><p>The following table shows how many knee replacement revisions were carried out by the National Health Service in England in the last three years. Information relating to how long the average time interval was between total knee replacement and subsequent revision procedures is not held centrally.</p><table><tbody><tr><td><p>Year</p></td><td><p>Region</p></td><td><p>Full Knee Replacement</p></td><td><p>Only one bone in the knee joint is replaced</p></td></tr><tr><td><p>2010-11</p></td><td><p>North East</p></td><td><p>456</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>825</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>759</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>551</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>751</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>733</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>738</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>673</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>670</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>868</p></td><td><p>7</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>7,024</p></td><td><p>25</p></td></tr><tr><td><p>2011-12</p></td><td><p>North East</p></td><td><p>422</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>704</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>751</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>547</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>728</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>612</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>747</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>613</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>576</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>839</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>6,539</p></td><td><p>14</p></td></tr><tr><td><p>2012-13</p></td><td><p>North East</p></td><td><p>396</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>North West</p></td><td><p>759</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>Yorkshire And The Humber</p></td><td><p>677</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Midlands</p></td><td><p>572</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>West Midlands</p></td><td><p>713</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>East Of England</p></td><td><p>596</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>London</p></td><td><p>768</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South East Coast</p></td><td><p>584</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South Central</p></td><td><p>545</p></td><td><p>*</p></td></tr><tr><td> </td><td><p>South West</p></td><td><p>915</p></td><td><p>8</p></td></tr><tr><td> </td><td><p>England Total</p></td><td><p>6,525</p></td><td><p>18</p></td></tr></tbody></table><p><em>Notes: </em></p><p>1. Finished Consultant Episode (FCE): Both tables show FCEs. An FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. The figures do not represent the number of different patients, as a person.</p><p>2. The data should not be described as a count of people as the same person may have been admitted on one or more occasion.</p><p>3. †Providers that are not based in England have been removed, and therefore the national totals may not be equal to the sum of the regional totals.</p><p>4. To protect patient confidentiality, figures between 1 and 5 have been replaced with “*” (an asterisk). Where it was still possible to identify figures from the total, additional figures have been replaced with &quot;*”.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/07/2014 14:46:03 question first ministerially corrected 28/10/2014 09:31:52 answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202780_PQ202778 - Amended Table.docx title Table previous answer version 7888 answering member constituency Battersea answering member printed Jane Ellison answering member 3918 label Biography information for Jane Ellison attachment 1 file name PQ202780_PQ202778 - Table.docx title Table
	tabling member	3985 label Biography information for Robert Halfon

65204

	registered interest
	date	01/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Empty Property
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their estimate of the value of unoccupied property and unused land owned by the National Health Service.
	tabling member printed	Lord Turnberg
	uin	HL740
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>The information requested is not collected centrally.</p><p> </p><p>National Health Service organisations are responsible locally for making decisions regarding the use of their facilities, including the use of property and land.</p><p> </p> answering member printed Earl Howe question first answered 08/07/2014 15:27:22 answering member 2000 label Biography information for Earl Howe
	tabling member	2537 label Biography information for Lord Turnberg

64119

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of the publication of the National Institute for Health and Care Excellence clinical guideline 180, what action they are taking to ensure appropriate risk stratification and uptake of anti-thrombotic therapy among patients with atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	uin	HL623
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>NHS England is taking a number of actions to improve the care and management of people with atrial fibrillation (AF). It has published <em>Our Ambition to Reduce Premature Mortality: A resource to support commissioners in setting a level of ambition</em>, which identifies improved management of AF as a priority for reducing premature mortality. The resource can be found at:</p><p> </p><p>www.england.nhs.uk/ourwork/sop/red-prem-mort/</p><p> </p><p>National Health Service Improving Quality's <em>Living Longer Lives</em> programme includes promoting the use of a simple but effective audit tool called Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) which simplifies the process of identifying patients with AF who are not receiving the right treatment. NHS Improving Quality is currently collaborating with partner organisations, including charities, to support the nationwide roll-out of GRASP-AF.</p><p> </p><p>This work will be supported by the publication of an economic analysis commissioned by NHS Improving Quality using GRASP data which demonstrates both the current and potential impact of atrial fibrillation management on the number of AF related strokes.</p><p><em> </em></p><p>Discussions are also underway to consider whether opportunistic testing for atrial fibrillation (AF) should be encouraged nationally as part of the NHS Health Check programme.</p><p> </p> answering member printed Earl Howe grouped question UIN HL622 question first answered 08/07/2014 15:27:07 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64118

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to improve the diagnosis of atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	uin	HL622
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>NHS England is taking a number of actions to improve the care and management of people with atrial fibrillation (AF). It has published <em>Our Ambition to Reduce Premature Mortality: A resource to support commissioners in setting a level of ambition</em>, which identifies improved management of AF as a priority for reducing premature mortality. The resource can be found at:</p><p> </p><p>www.england.nhs.uk/ourwork/sop/red-prem-mort/</p><p> </p><p>National Health Service Improving Quality's <em>Living Longer Lives</em> programme includes promoting the use of a simple but effective audit tool called Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) which simplifies the process of identifying patients with AF who are not receiving the right treatment. NHS Improving Quality is currently collaborating with partner organisations, including charities, to support the nationwide roll-out of GRASP-AF.</p><p> </p><p>This work will be supported by the publication of an economic analysis commissioned by NHS Improving Quality using GRASP data which demonstrates both the current and potential impact of atrial fibrillation management on the number of AF related strokes.</p><p><em> </em></p><p>Discussions are also underway to consider whether opportunistic testing for atrial fibrillation (AF) should be encouraged nationally as part of the NHS Health Check programme.</p><p> </p> answering member printed Earl Howe grouped question UIN HL623 question first answered 08/07/2014 15:27:07 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

63785

	registered interest
	date	24/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Advisory Bodies
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which advisory committees provide advice on chemicals, toxicology and endocrinology; how they are funded; and what each committee costs per annum.
	tabling member printed	The Countess of Mar
	uin	HL569
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>There are a number of Scientific Advisory Committees that provide advice to Government on chemicals, toxicology and endocrinology. They are listed as follows.</p><p> </p><p>The Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment provides advice to the Food Standards Agency, the Department of Health, Public Health England, and other Government departments and agencies on matters concerning the toxicity of chemicals. The costs of meetings are met by the Food Standards Agency, which comes to a total cost of around £35,000 per annum.</p><p> </p><p>The Committee on Carcinogenicity is an expert scientific committee of the Department that provides expert advice on matters concerning the potential carcinogenicity of chemicals, ranging from natural products to new synthetic chemicals used in pesticides or pharmaceuticals. The costs of its meetings are met by Public Health England including travel costs for members and fees, at a total cost of around £10,000 per annum.</p><p> </p><p>The Committee on Mutagenicity is an independent advisory committee that provides advice to Government departments and agencies on matters concerning the potential mutagenicity of chemicals, ranging from natural products to new synthetic chemicals used in pesticides or pharmaceuticals. The costs of its meetings are met by Public Health England including travel costs for members and fees, at a total cost of around £10,000 per annum.</p><p> </p><p>The Committee on the Medical Effects of Air Pollutants (COMEAP) is an expert scientific committee of the Department that provides expert advice on the effects on health of both outdoor and indoor air pollutants on the basis of currently available data. The costs of its meetings are met by Public Health England, including travel costs and fees for members, at a total cost of around £14,000 per annum.</p><p> </p><p>The Hazardous Substances Advisory Committee is an expert scientific committee of the Department for Environment, Food and Rural Affairs (DEFRA) that provides expert advice on how to protect the environment, and human health via the environment, from potentially hazardous substances. The costs of its meetings are met by DEFRA at a total cost of around £30,000 per annum.</p><p> </p><p>The Advisory Committee on Toxic Substances advises the Health and Safety (HSE) Executive Board on matters relating to the prevention, control and management of hazards and risks to the health and safety of persons arising from the supply or use of toxic substances at work, with due regard to any related risks to consumers, the public and the environment. Funding for the committee comes from HSE and four meetings in total in the last three years have cost £2,000.</p><p> </p> answering member printed Earl Howe question first answered 08/07/2014 15:26:20 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

63794

	registered interest
	date	24/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Veterans: Mental Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to help war veterans with mental illness.
	tabling member printed	Lord Patel of Blackburn
	uin	HL578
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>All of the recommendations put forward by the hon Member for South West Wiltshire Dr Andrew Murrison in his report on Armed Forces and veterans' mental health – ‘Fighting Fit' - in 2010 have been implemented by the Department and the National Health Service in England in relation to services for veterans and by the Ministry of Defence for serving personnel.</p><p> </p><p>Funding of £7.2 million is providing 10 veteran mental health teams across England. Each team provides mental health services that are specifically tailored to meet their local veteran population's needs and requirements. A National Veteran Mental Health Network has been established to identify and disseminate good practice across England and a national 24-hour veteran mental health helpline has been put in place.</p><p> </p><p>An online, mental health well-being and counselling service for Armed Forces, their families and veterans – the Big White Wall - has also been developed. Working with the Royal College of General Practitioners we have put in place an e-learning training package for general practitioners (GPs). Health Education England has been mandated to provide training that will be available from summer 2015 to ensure that there will be a specialist GP in every local area trained in both the physical and mental health needs of veterans.</p><p> </p><p>NHS England has commissioned Combat Stress to provide an acute Post Traumatic Stress Disorder services for veterans.</p><p> </p> answering member printed Earl Howe question first answered 07/07/2014 11:31:38 answering member 2000 label Biography information for Earl Howe
	tabling member	2526 label Biography information for Lord Patel of Blackburn

63800

	registered interest
	date	24/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Veterans: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the remarks by Lord Astor of Hever on 23 June (HL Deb, col 1059), how many general practitioners they plan to train to respond to the physical and mental health needs of veterans in (1) England, (2) Wales, (3) Scotland, and (4) Northern Ireland.
	tabling member printed	Lord Rogan
	uin	HL584
	answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The NHS Mandate from the Government to Health Education England includes an objective to raise awareness of psychological and physical issues which are commonly faced by veterans and their families and the resources which are available to help them.</p><p> </p><p>Health Education England are working to ensure that there is training available so that there can be a specialist general practitioners in all 211 clinical commissioning groups (CCGs) trained in the physical and mental health needs of armed forces veterans by summer 2015. Health Education England are working with the Royal College of General Practitioners to ensure that the learning is taken up and used to support the development of care and services to veterans.</p><p> </p><p>NHS England is exploring how CCGs and other local networks can best support general practitioners in using the available learning and developing the knowledge and skills needed to support this important group of patients who may have particular mental and physical health needs.</p><p><strong> </strong></p><p>Health and social care is a devolved matter and the responsibility of individual devolved administrations and therefore we cannot respond to this question in relation to Wales, Scotland and Northern Ireland.</p> answering member printed Earl Howe question first answered 07/07/2014 11:24:30 answering member 2000 label Biography information for Earl Howe
	tabling member	2478 label Biography information for Lord Rogan