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752443

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many NHS Trusts achieved Improving Quality in Physiological Services accreditation for their paediatric audiology service in each of the last five financial years.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL889
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL890 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752444

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many contracts for Specialist Audiology Services used by children, and commissioned directly by NHS England, were signed in the financial years (1) 2015-16, and (2) 2016-17.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL890
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL889 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

750578

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Small Businesses: Loans
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many ectopic pregnancies have been treated in each of the last 10 years, broken down by NHS regions in England.
	tabling member printed	Baroness Taylor of Bolton
	uin	HL710
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The data requested cannot be provided by National Health Service region as regional boundaries have changed during this period. A table showing finished admissions episodes with a primary diagnosis of ectopic pregnancy by Government Office Region has been attached due to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 13:49:59 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL710 formatted table.docx title Finished admissions episodes ectopic pregnancy
	tabling member	407 label Biography information for Baroness Taylor of Bolton

751979

	registered interest
	date	13/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Financial Services: Greater London
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many individuals infected with blood contaminated by hepatitis C or HIV in the 1970s and 1980s remain alive.
	tabling member printed	Lord Black of Brentwood
	uin	HL814
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Department does not hold this information.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:09:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

751974

	registered interest
	date	13/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	European Committee for Standardization
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how much funding was allocated in 2016–17 to treat alcohol addiction in prisons.
	tabling member printed	Lord Farmer
	uin	HL809
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Department does not hold this information.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 11:03:13 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4321 label Biography information for Lord Farmer

752468

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how much the NHS pays for a one year supply of Apomorphine for a patient with Parkinson's Disease; how much they estimate it costs to manufacture a year's supply of that drug; what assessment they have made of the difficulties of manufacturing Apomorphine to clinical standards; and whether they intend to take any steps to reduce the cost of that drug to the NHS.
	tabling member printed	Lord Lucas
	uin	HL914
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The drug cost to the National Health Service for a one year supply of Apomorphine for a patient with Parkinson's Disease is estimated to be in the region of £5,300 and £9,000, based on the usual daily dose of 3 – 30mg. However, the maximum daily is 100mg, so the annual cost for some patient’s treatment may be higher.</p><p>We have no estimate of the cost of manufacture. We are not aware of any particular issues relating to the manufacture of this drug. Pharmaceutical companies participate in either the voluntary pharmaceutical price regulation scheme (PPRS) or the statutory medicines price regulation scheme, both of which regulate the cost of medicines to the NHS. Products covered by the statutory scheme are subject to a 15% cut to their list price. Companies in the PPRS pay a percentage of sales to the Government when growth in NHS spending on medicines exceeds an agreed level. NHS purchasers may also negotiate discounts with pharmaceutical companies in addition to national price regulation.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:12:09 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1879 label Biography information for Lord Lucas

750552

	registered interest
	date	11/07/2017
	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	Her Majesty's Government what assessment they have made of the chronic fatigue syndrome myalgic encephalomyelitis (ME/CFS) clinical services which were set up between 2004 and 2006; what proportion of patients accessing services recover from ME/CFS or show signs of improvement; and what assessment they have made of the value for money of these services.
	tabling member printed	The Countess of Mar
	uin	HL684
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>No central assessment has been made of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) clinical services established between 2004 and 2006. The commissioning of services for people with CFS/ME is a local matter, and the management of patients within such services is the responsibility of the commissioners, providers and clinicians responsible for their care. Clinical commissioning groups have a duty to exercise their functions effectively, efficiently and economically</p><p> </p><p>Since its publication in 2007, the National Institute for Health and Care Excellence (NICE) clinical guideline on the management of CFS/ME in adults and children, which set outs best practice on the care, treatment and support of people with the condition, has supported the local National Health Service in delivering services for people with the condition. The guidance recognises the challenges in managing a condition for which there is no definitive diagnostic test, no clear understanding of the causes and process of disease and no cure. The guidance is also clear that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. NICE is currently reviewing the guidance to ensure it reflects the latest available evidence and a decision regarding this matter is expected shortly.</p><p><br></p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 11:03:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1861 label Biography information for The Countess of Mar

750534

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Democratic Republic of Congo: Mining
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the level of suicide among teenagers in the UK.
	tabling member printed	Lord Eames
	uin	HL666
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Office for National Statistics publishes annual statistics on suicide registrations for the United Kingdom, including age-specific suicide rates by five-year age groups. A table attached provides statistics for suicides in people aged 10-14 and 15-19 in the UK between 1981 and 2015, the latest data available, is attached due to the size of the data.</p><p> </p><p>The Department leads delivery of the Cross-Government Suicide Prevention Strategy for England. Suicide prevention is a devolved matter in other UK countries.</p><p> </p><p>The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. The report identified ten common themes relating to suicides by people under 20 years of age:</p><p> </p><p>- family factors such as mental illness;</p><p>- abuse and neglect;</p><p>- bereavement and experience of suicide;</p><p>- bullying;</p><p>- suicide-related internet use;</p><p>- academic pressures, especially related to exams;</p><p>- social isolation or withdrawal;</p><p>- physical health conditions that may have social impact;</p><p>- alcohol and illicit drugs; and</p><p>- mental ill health, self-harm and suicidal ideas.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:11:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL666 formatted table.docx title Suicides in UK 1981-2015 10-19 year olds
	tabling member	2793 label Biography information for Lord Eames

752446

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government when NHS England plans to produce a commissioning specification for Specialist Audiology Services used by children and commissioned directly by NHS England.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL892
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>NHS England has produced the following service specifications for audiology services that it commissions, which apply to all ages and sit in the Trauma Programme of Care (Specialised Ear and Ophthalmology Services):</p><p> </p><p>- Specialised Ear Surgery: Cochlear Implants (All Ages); and</p><p>- Implantable Hearing Aids for Microtia, Bone Anchored Hearing Aids and Middle Ear Implants (All Ages).</p><p> </p><p>Copies of these service specifications are attached.</p><p> </p><p>NHS England has no plans to publish further service specifications for specialist audiology services used by children.</p><p> </p><p>NHS England has also published commissioning policies for the following services that are available for children:</p><p> </p><p>- Auditory brainstem implant with congential abnomalities of the auditory nerves of cochleae;</p><p>- Bone Anchored Hearing Aids; and</p><p>- Bone conducting hearing implants for hearing loss (all ages).</p> answering member printed Baroness Chisholm of Owlpen attachment 1 file name d09-ear-surg-coch-0414.pdf title Specialised Ear Surgery service specification 2 file name d09-implan-hear-aids.pdf title Implantable Hearing Aids service specification question first answered 20/07/2017 14:41:47 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

751964

	registered interest
	date	13/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Airports: Air Pollution
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether they have abandoned the Health Premium approach to funding part of the public health responsibilities of local government; and if so, why.
	tabling member printed	Lord Beecham
	uin	HL799
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Health Premium Incentive Scheme was a pilot exercise carried out in 2014/15. The Government currently has no plans to implement a similar scheme.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:06:37 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4181 label Biography information for Lord Beecham