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1126877

	registered interest
	date	15/05/2019
	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	NHS: Cybersecurity
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how much the National Health Service spent on cyber security in each of the last five years.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254785
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254786 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1126878

	registered interest
	date	15/05/2019
	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	NHS: Cybercrime
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he has taken to ensure that NHS England is prepared to defend the NHS against cyber attacks.
	tabling member constituency	Windsor
	tabling member printed	Adam Afriyie
	uin	254786
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The information requested on cyber spending covers sensitive detail about cyber security investment for the National Health Service. In this instance, releasing this information at the level of any annual breakdown may assist in determining the effectiveness of detecting cyber-attacks on the NHS, and could compromise measures to protect NHS IT systems, leaving them vulnerable to future cyber-attacks.</p><p>However, in total, over £250 million will have been invested nationally to improve the cyber security of the health and care system between 2016 and 2021. This excludes both investment by local organisations, and wider national IT investment which supports better security such as Microsoft licensing for NHS organisations.</p><p>Regarding the steps taken to defend against cyber attacks on the NHS, the active cyber defence of NHS organisations is a local responsibility for each organisation to carry out. However, there is national support and practical guidance available to NHS organisations which is primarily delivered by NHS Digital but supported and prioritised for the highest risk organisations by NHS England and the Department. In the event of national-scale incidents that affect many health and care organisations, NHS Digital plays a vital role in coordinating and ensuring appropriate technical remediation, as part of the wider cross-system cyber security response led by the Department.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 254785 question first answered 24/05/2019 12:33:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	1586 label Biography information for Adam Afriyie

1126307

	registered interest
	date	13/05/2019
	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	NHS: Civil Proceedings
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much money the NHS spent as part of legal settlements in each year from 2009 to 2018; and how much of each year's spend relates to legal fees.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL15667
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS Resolution has provided the following information:</p><p>NHS Resolution has provided tables which cover:</p><p>- total expenditure for NHS Resolution Clinical Negligence Schemes and NHS Resolution non-clinical negligence schemes from 2009 to 2018;</p><p>- the total legal costs per financial year; and</p><p>- the draft budget for legal fees/damages 2019 for NHS Resolution Clinical Negligence Schemes and NHS Resolution non-clinical negligence schemes.</p><p>The data is attached due to the size of the data.</p><p>National Health Service spend on legal fees for matters other than clinical/non-clinical negligence settlements since 2009 has been interpreted as spend relating to NHS providers and commissioners.</p><p>This includes NHS trusts, NHS foundation trusts and NHS England and clinical commissioning groups. NHS spend on legal fees for non-negligence matters is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Total legal fees (£000s)</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,747</p></td></tr><tr><td><p>2014-15</p></td><td><p>171,806</p></td></tr><tr><td><p>2015-16</p></td><td><p>162,273</p></td></tr><tr><td><p>2016-17</p></td><td><p>172,135</p></td></tr><tr><td><p>2017-18</p></td><td><p>160,140</p></td></tr></tbody></table><p>Prior to 2013-14, expenditure on legal fees was not separately classified by primary care trusts and strategic health authorities who both carried out NHS commissioning and NHS trusts. Therefore, comparable information pre 2013-14 is unavailable.</p><p>There is no specific category of expenditure that isolates spend relating to legal settlements in the NHS.</p><p>We have interpreted the request for data for the amounts set aside in 2019 as the value of said provisions as at the end of the financial year, 31 March 2019. This data is still subject to audit and will not be available until after publication of the Annual Report and Accounts in July 2019.</p><p>The budget totals for legal fees relating to NHS spend in 2019 is not available.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15668 question first answered 24/05/2019 11:47:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL15667 & HL15668 Data.docx title HL15667_HL15668_data
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1126308

	registered interest
	date	13/05/2019
	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	NHS: Civil Proceedings
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much money the NHS has set aside for potential legal settlements in 2019; and how much they have budgeted for legal fees.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL15668
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS Resolution has provided the following information:</p><p>NHS Resolution has provided tables which cover:</p><p>- total expenditure for NHS Resolution Clinical Negligence Schemes and NHS Resolution non-clinical negligence schemes from 2009 to 2018;</p><p>- the total legal costs per financial year; and</p><p>- the draft budget for legal fees/damages 2019 for NHS Resolution Clinical Negligence Schemes and NHS Resolution non-clinical negligence schemes.</p><p>The data is attached due to the size of the data.</p><p>National Health Service spend on legal fees for matters other than clinical/non-clinical negligence settlements since 2009 has been interpreted as spend relating to NHS providers and commissioners.</p><p>This includes NHS trusts, NHS foundation trusts and NHS England and clinical commissioning groups. NHS spend on legal fees for non-negligence matters is shown in the following table.</p><table><tbody><tr><td><p>Year</p></td><td><p>Total legal fees (£000s)</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,747</p></td></tr><tr><td><p>2014-15</p></td><td><p>171,806</p></td></tr><tr><td><p>2015-16</p></td><td><p>162,273</p></td></tr><tr><td><p>2016-17</p></td><td><p>172,135</p></td></tr><tr><td><p>2017-18</p></td><td><p>160,140</p></td></tr></tbody></table><p>Prior to 2013-14, expenditure on legal fees was not separately classified by primary care trusts and strategic health authorities who both carried out NHS commissioning and NHS trusts. Therefore, comparable information pre 2013-14 is unavailable.</p><p>There is no specific category of expenditure that isolates spend relating to legal settlements in the NHS.</p><p>We have interpreted the request for data for the amounts set aside in 2019 as the value of said provisions as at the end of the financial year, 31 March 2019. This data is still subject to audit and will not be available until after publication of the Annual Report and Accounts in July 2019.</p><p>The budget totals for legal fees relating to NHS spend in 2019 is not available.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15667 question first answered 24/05/2019 11:47:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL15667 & HL15668 Data.docx title HL15667_HL15668_data
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1127265

	registered interest
	date	16/05/2019
	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	West Hertfordshire Hospitals NHS Trust: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much funding they provided to the West Hertfordshire Hospitals NHS Trust in each year from May 2010 to May 2015.
	tabling member printed	Baroness Thornhill
	uin	HL15818
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The Department does not hold the information requested on funding which was changed, cancelled or forfeited in each year from May 2010 to May 2015.</p><p>The following table shows the total amount of income that West Hertfordshire Hospitals NHS Trust received in the financial years 2011-12 to 2014-15.</p><table><tbody><tr><td><p>Year</p></td><td><p>Income £ million</p></td></tr><tr><td><p>2011-12</p></td><td><p>273.7</p></td></tr><tr><td><p>2012-13</p></td><td><p>278.2</p></td></tr><tr><td><p>2013-14</p></td><td><p>291.34</p></td></tr><tr><td><p>2014-15</p></td><td><p>344.97</p></td></tr></tbody></table><p> </p><p>We are not able to divide the income into years from May to April due to how the data is reported, which is by financial year. Additionally, this is total income, so it includes Government funding plus any additional funding that the trust received.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15819 question first answered 24/05/2019 11:48:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4558 label Biography information for Baroness Thornhill

1127266

	registered interest
	date	16/05/2019
	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	West Hertfordshire Hospitals NHS Trust: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what funding committed to the West Hertfordshire Hospitals NHS Trust from May 2005 to May 2010 was (1) changed, (2) cancelled, and (3) forfeit, in each year from May 2010 to May 2015.
	tabling member printed	Baroness Thornhill
	uin	HL15819
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The Department does not hold the information requested on funding which was changed, cancelled or forfeited in each year from May 2010 to May 2015.</p><p>The following table shows the total amount of income that West Hertfordshire Hospitals NHS Trust received in the financial years 2011-12 to 2014-15.</p><table><tbody><tr><td><p>Year</p></td><td><p>Income £ million</p></td></tr><tr><td><p>2011-12</p></td><td><p>273.7</p></td></tr><tr><td><p>2012-13</p></td><td><p>278.2</p></td></tr><tr><td><p>2013-14</p></td><td><p>291.34</p></td></tr><tr><td><p>2014-15</p></td><td><p>344.97</p></td></tr></tbody></table><p> </p><p>We are not able to divide the income into years from May to April due to how the data is reported, which is by financial year. Additionally, this is total income, so it includes Government funding plus any additional funding that the trust received.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15818 question first answered 24/05/2019 11:48:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4558 label Biography information for Baroness Thornhill

1127169

	registered interest
	date	16/05/2019
	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	Incontinence
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to improve urinary continence care in the NHS.
	tabling member constituency	Hornsey and Wood Green
	tabling member printed	Catherine West
	uin	255356
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>In England, it is the responsibility of National Health Service commissioners to make decisions on individual urinary continence care on the basis of the available evidence, taking into account guidance from the National Institute for Health and Care Excellence (NICE) and NHS England where available. In July 2018 NHS England published revised guidance for commissioners to support the development of high-quality continence services. NICE guidance is always evidence based, adhering to the latest clinical thinking and research to determine the best treatment for patients.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 13:53:02 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4523 label Biography information for Catherine West

1127181

	registered interest
	date	16/05/2019
	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	Prisons: Mental Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment has been made of the effectiveness of the assessment and treatment of prisoner mental health.
	tabling member constituency	Newcastle upon Tyne Central
	tabling member printed	Chi Onwurah
	uin	255324
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS England is working with partners across the criminal justice and immigration removal system to improve services for offenders and detainees with mental health difficulties.</p><p> </p><p>National Health Service England specialised commissioners and NHS England health and justice (H&amp;J) Commissioners have also been working collaboratively alongside the mental health team in NHS England to develop work to improve mental health of prisoners and to develop and improve the system for transfers and remissions of adult prisoners to mental health hospitals</p><p> </p><p>Mental health summits are being delivered regionally to develop the whole offender mental health pathway, identifying local anomalies, and gaps as well as good practice, and producing locally owned action plans to improve services.</p><p> </p><p>In addition, new service specifications have been published for both low and medium secure hospitals as well as prison mental health services. The prison mental health specification embeds the ‘Standards for Prison Mental Health Services’, developed by the Royal College of Psychiatrists to ensure high quality care for all.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:46:11 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4124 label Biography information for Chi Onwurah

1127292

	registered interest
	date	17/05/2019
	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	Hormone Replacement Therapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the availability of (a) Evorel and (b) Femseven sequi patches.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	255686
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>The manufacturer of Evorel transdermal patches has confirmed that supplies of all presentations are currently available. However, they have stated that in some cases supplies are slightly lower than normal and therefore they are applying restrictions on orders as a precaution to ensure limited stock is maintained.</p><p>The Department is aware that the supplier of FemSeven Sequi patches is experiencing long term supply issues. As a result, they are expected to be out of stock until late 2019. We remain in regular contact with the company to resolve this as soon as possible.</p><p>Supplies of other hormone replacement therapy transdermal patches continue to remain available and patients affected have been advised to discuss these alternative treatment options with their clinician.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 24/05/2019 14:48:55 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4418 label Biography information for Justin Madders

1127290

	registered interest
	date	17/05/2019
	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	Blood: Contamination
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 13 May 2019 to Question 249855 on Blood: Contamination, whether any treatment is offered to donors whose blood donation tests are positive for infection.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	uin	255657
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>NHS Blood and Transplant’s Clinical Support Team provides support and advice for any donor whose blood donation tests positive for infection.</p><p>The donor will be asked to discuss the result with one of NHS Blood and Transplant’s Clinical Support Team clinical staff and, with the donor’s consent, NHS Blood and Transplant’s Clinical Support Team will arrange a referral to their general practitioner or a specialist, who will discuss the need for any treatment with the donor.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 24/05/2019 12:55:05 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	478 label Biography information for Lord Field of Birkenhead