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100037

	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	General Practitioners: Dismissal
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many general practitioners have been dismissed by primary care trusts, or by the Care Quality Commission, in each year since 2005.
	tabling member printed	Baroness McDonagh
	uin	HL2243
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The information requested is not centrally collected. Departmental officials are aware that the General Medical Council does collect some demographic data about doctors and this is published in its annual report ‘The state of medical education and practice in the UK’.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC), the independent regulator of health and adult social care in England, has registered all general practitioner (GP) practices since April 2012. The CQC’s role is to inspect and regulate GP practices, including those practices run by single-handed GPs. The CQC regulates at a provider level and may remove a practice’s registration where care is not meeting the required standard. Actions taken against an individual GP would be the responsibility of NHS England for contractual issues and the General Medical Council for professional issues.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:18:49 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

100057

	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	Health Services and Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what response they have given to the Care Quality Commission’s annual State of Care report.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2263
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The Secretary of State for Health has said “The Care Quality Commission’s (CQC) State of Health and Adult Social Care in England 2013-14 report highlights examples of excellent care but it also exposes unacceptable levels of variation. It also confirms that the NHS has seen a period of “hard realities and rapid change” following the scandal at Mid Staffordshire NHS Foundation Trust. We need to keep building on this to ensure greater cultural change, continuing transparency and a focus on safety to drive up standards of care across the country.”</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:20:34 answering member 2000 label Biography information for Earl Howe
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100552

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dementia
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what plans they have to help care for dementia patients in the community.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2289
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Dementia is a key priority for this Government and we are committed to ensuring people with dementia and their carers receive the best possible care in all care settings. That is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015.</p><p> </p><p> </p><p> </p><p>A number of steps have been taken to help care for dementia patients in the community:</p><p> </p><p> </p><p> </p><p>- On 1 April 2014 we put in place a new Dementia Directed Enhanced Service, which has had over 80% take up by general practitioners to reward practices for facilitating timely diagnosis and support for people with dementia.</p><p> </p><p> </p><p> </p><p>- In the hospital setting, through the Dementia Commissioning for Quality and Innovation reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed.</p><p> </p><p> </p><p> </p><p>- The Dementia Care &amp; Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families.</p><p> </p><p> </p><p> </p><p>- Health Education England, Skills for Care and Skills for Health launched pilots for the new Care Certificate on 28 April 2014. Taking place across a range of health and social care settings, the pilots are testing a set of standards designed to help employers to assess not only workers’ skills, but also the knowledge, behaviours and values that are required to deliver compassionate and quality care. The pilots are nearing completion. Subject to evaluation, we plan to introduce the Care Certificate by 1 April 2015.</p><p> </p><p> </p><p> </p><p>- The Government’s refreshed Mandate to Health Education England, published on 1 May 2014, builds on the existing ambition to have 100,000 National Health Service staff receive Tier 1 training on dementia by setting an ambition for a further 250,000 NHS staff to receive Tier 1 training on dementia by March 2015, with the tools and training opportunities being made available to all staff by the end of 2018.</p><p> </p><p> </p><p> </p><p>- 70 communities across England have signed up to the national Dementia Friendly Communities recognition process, with an increased ambition to reach 75 by March 2015.</p><p> </p><p> </p><p> </p><p>- On 7 May 2014 Public Health England and the Alzheimer’s Society launched a major new campaign with the aim of securing one million people to become dementia friends by March 2015. The campaign is aimed at improving understanding and attitudes about dementia and towards people with the condition. There are currently over 520,000 Dementia Friends.</p><p> </p><p> </p><p> </p><p>- We have made available £50 million capital funding for 2013-14 for the NHS and local authorities to work with providers to create better care environments to help people with dementia live well with the condition. The projects are now in the process of being evaluated and we will disseminate the key recommendations by the end of the year.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:22:09 answering member 2000 label Biography information for Earl Howe
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100592

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Practice Lists: Immigration
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government (1) what is the average length of a general practitioner practice list; (2) what has been the level of net immigration since 2000; and (3) what is the number of additional general practitioners they estimate to have been required because of that immigration change since 2000.
	tabling member printed	Lord Blencathra
	uin	HL2329
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Figures for 30 September 2013, the latest date for which published figures are available, showed the average number of patients per general practitioner practice was 7,034.</p><p> </p><p> </p><p> </p><p>Information on the level of net immigration for 2000 to 2012 is published by the Office of National Statistics at:</p><p> </p><p> </p><p> </p><p>http://www.ons.gov.uk/ons/rel/migration1/long-term-international-migration/2012/table-2-01a.xls</p><p> </p><p> </p><p> </p><p>Final data, for 2013, will be released on 27 November 2014.</p><p> </p><p> </p><p> </p><p>No estimates are made of the number of additional general practitioners needed specifically related to immigration changes.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:23:07 answering member 2000 label Biography information for Earl Howe
	tabling member	497 label Biography information for Lord Blencathra

100623

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Cost Effectiveness
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the "Nicholson Challenge" still operates within the National Health Service; if so, what efficiency savings have been identified to date; and, if not, why not.
	tabling member printed	Lord Sharkey
	uin	HL2354
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The 2010 Spending Review protected health funding in real terms. However, in order to continue to meet rising demands while improving services, it was estimated that up to £20 billion of efficiency savings would be required over the four years from 2011-12 to 2014-15.</p><p> </p><p> </p><p> </p><p>The National Health Service response to this challenge was organised through the Quality, Innovation, Productivity and Prevention (QIPP) initiative, also known colloquially as the ‘Nicholson challenge’ after Sir David Nicholson, who was Chief Executive of the NHS at the time that QIPP originated.</p><p> </p><p> </p><p> </p><p>The NHS is on track to deliver up to £20 billion efficiency savings, having reported around £15 billion of efficiencies in the first three years, all of which will be reinvested into frontline care.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 12:11:13 answering member 2000 label Biography information for Earl Howe
	tabling member	4196 label Biography information for Lord Sharkey

100706

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Influenza: Vaccination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the (a) uptake and (b) effectiveness of the influenza immunisation vaccine campaign.
	tabling member constituency	Belfast North
	tabling member printed	Mr Nigel Dodds
	uin	211669
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Immunisation against influenza for the 2014-15 season commenced in September and good progress has been made. Provisional percentage vaccine uptake rates for various groups as at week ending 19 October are shown in the following table (figures relate to England):</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Age Group</p></td><td><p>Uptake Rate (%)</p></td></tr><tr><td><p>People aged 65 years or older</p></td><td><p>44.6</p></td></tr><tr><td><p>People aged six months to under 65 years in risk groups</p></td><td><p>25.2</p></td></tr><tr><td><p>Pregnant women</p></td><td><p>22.4</p></td></tr><tr><td><p>Children aged two years old</p></td><td><p>8.1</p></td></tr><tr><td><p>Children aged three years old</p></td><td><p>8.8</p></td></tr><tr><td><p>Children aged four years old</p></td><td><p>6.5</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Vaccine uptake rates for those aged 65 and over, those under 65 with a clinical condition, and pregnant women are slightly higher than at the same point in the last two years. Uptake for two and three year olds is lower than at this point a year ago. For the new cohort of four year olds, vaccination levels are similar to those for two and three year olds.</p><p> </p><p> </p><p> </p><p>It is not possible to make an assessment of the effectiveness of the 2014-15 influenza immunisation programme at this very early stage before the influenza virus is circulating. The planned programme of campaign communication is ongoing.</p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 16:57:25 answering member 3918 label Biography information for Jane Ellison
	tabling member	1388 label Biography information for Lord Dodds of Duncairn

100707

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Neural Tube Defects: Folic Acid
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to raise awareness of the use of folic acid prior to conception as a preventative measure for neural tube defects.
	tabling member constituency	Belfast North
	tabling member printed	Mr Nigel Dodds
	uin	211670
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Public Health England (PHE) strongly encourages women to take a folic acid supplement from before they are pregnant to the 12th week of pregnancy, to reduce the risk of having a baby with a neural tube defect. This advice is included in public health messages around pregnancy and planning a pregnancy.</p><p> </p><p> </p><p> </p><p>National Institute for Health and Care Excellence guidance states that advice on folic acid supplementation should be provided as part of antenatal care at first contact with a healthcare professional. Advice on folic acid supplementation for women who are pregnant or planning a pregnancy, is disseminated through a variety of sources including the NHS Choices website, the NHS Information Service for Parents, the charity ‘Tommy’s’, and Start4Life - PHE’s campaign to give babies the best start in life and reduce the risk of poor health in the future.</p><p> </p><p> </p><p> </p><p>PHE has recently established a media partnership to communicate the key healthy behaviour messages prior to conception in more mainstream women’s magazine media.</p><p> </p><p><strong> </strong></p><p> </p><p>In addition, the Department has commissioned the Behavioural Insights Team to look at innovative approaches to raising awareness of the need to take folic acid supplements during pregnancy. This programme of work is scheduled for completion by the end of January 2015.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 16:59:32 answering member 3918 label Biography information for Jane Ellison
	tabling member	1388 label Biography information for Lord Dodds of Duncairn

100713

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Abortion: Republic of Ireland
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many Irish nationals had (a) one and (b) more than one abortion via NHS England in 2013.
	tabling member constituency	The Wrekin
	tabling member printed	Mark Pritchard
	uin	211676
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>No Irish nationals have had one or more than one abortion via NHS England in 2013.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 30/10/2014 17:15:07 answering member 3918 label Biography information for Jane Ellison
	tabling member	1576 label Biography information for Mark Pritchard

100716

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Assistive Technology: Annual Reports
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will publish the Risk Assessment for his Department's decision to bring the production of the annual report on Research and Development Work Relating to Assistive Technology in house from 2015.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211709
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Section 22 of the Chronically Sick and Disabled Persons Act 1970 sets out the following requirement:</p><p> </p><p> </p><p> </p><p>“The Secretary of State shall as respects each year lay before Parliament a report on the progress made during that year in research and development work carried out by or on behalf of any Minister of the Crown in relation to equipment that might increase the range of activities and independence or well-being of disabled persons, and in particular such equipment that might improve the indoor and outdoor mobility of such persons.”</p><p> </p><p> </p><p> </p><p>In recent years the report has been produced by the Foundation for Assistive Technology and this contract expired in June 2014 following production of the report for 2013-14. Future reports will be produced by the Department and it is expected that the report for 2014-15 will be laid before Parliament and published in July 2015.</p><p> </p><p>There has been no specific impact or risk assessment. The Government will continue to meet the requirement set out in section 22.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 211707 211708 211710 question first answered 30/10/2014 16:13:24 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

100717

	registered interest
	date	23/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Assistive Technology: Annual Reports
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will publish the Impact Assessment for his Department's decision to bring the production of the annual report on Research and Development Work Relating to Assistive Technology in house from 2015.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211710
	answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>Section 22 of the Chronically Sick and Disabled Persons Act 1970 sets out the following requirement:</p><p> </p><p> </p><p> </p><p>“The Secretary of State shall as respects each year lay before Parliament a report on the progress made during that year in research and development work carried out by or on behalf of any Minister of the Crown in relation to equipment that might increase the range of activities and independence or well-being of disabled persons, and in particular such equipment that might improve the indoor and outdoor mobility of such persons.”</p><p> </p><p> </p><p> </p><p>In recent years the report has been produced by the Foundation for Assistive Technology and this contract expired in June 2014 following production of the report for 2013-14. Future reports will be produced by the Department and it is expected that the report for 2014-15 will be laid before Parliament and published in July 2015.</p><p> </p><p>There has been no specific impact or risk assessment. The Government will continue to meet the requirement set out in section 22.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 211707 211708 211709 question first answered 30/10/2014 16:13:24 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne