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1089512

registered interest
date	15/03/2019
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	Methadone: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), whether any public body other than NHS Digital holds the necessary prescription level data to provide the annual cost of prescribing methadone in England for each of the last five years; and if not, why not.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14593
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14594 HL14595 HL14596 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089513

registered interest
date	15/03/2019
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	Methadone
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), what was the annual cost to the NHS of providing methadone in England in each of the last five years, broken down by (1) ordering, (2) storage, (3) transport, (4) security, (5) administration, (6) prescription, and (7) dispensing costs.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14594
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14595 HL14596 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089514

registered interest
date	15/03/2019
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	Methadone: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), how much NHS England spent on prescribing methadone in each of the last five years.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14595
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14594 HL14596 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089515

registered interest
date	15/03/2019
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	Methadone: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), what data they hold on the annual cost of prescribing methadone on the NHS in England.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14596
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14594 HL14595 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089516

registered interest
date	15/03/2019
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	Methadone: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), what costs are associated with the NHS prescribing methadone in England; and which public bodies, if any, collate data in relation such costs.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14597
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14594 HL14595 HL14596 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089517

registered interest
date	15/03/2019
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	Methadone: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), whether they will now answer the question put, namely what the annual cost of prescribing methadone in England was in each of the last five years.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL14598
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14594 HL14595 HL14596 HL14597 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089519

registered interest
date	15/03/2019
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	Medical Records: Data Protection
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether NHS Digital is compliant with all legal obligations under the national data opt out Direction 2017, in particular the requirements in that Direction under the subheading Analysis of the impact of national opt outs; and if so, what analysis NHS Digital has undertaken.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14600
answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>NHS Digital has complied with all aspects of the national data opt-out Direction 2017. The national data opt-out, including the systems to collect and store national data opt-out preferences, was implemented on 25 May 2018.</p><p>Since July 2018, NHS Digital has published regular statistical publications on the number of people with a national data opt-out. Since November 2018 the analysis has included a breakdown by age, gender and geography.</p><p>NHS Digital has also produced some analysis of the impact on Hospital Episode Statistics. The analysis is based on recent national data opt-out data and will be published by April 2019.</p> answering member printed Baroness Blackwood of North Oxford question first answered 28/03/2019 16:34:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1087513

registered interest
date	12/03/2019
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: Agency Workers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much was spent on NHS agency staff in the last ten years for which records are available.
tabling member printed	Lord Alton of Liverpool
uin	HL14440
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Due to the way that agency expenditure was measured across legacy organisations prior to the creation of NHS Improvement, comparable figures are only available from 2012-13 onwards.</p><p>The following table shows that after a 40% increase in total agency expenditure between 2012-13 and 2015-16, new measures introduced to reduce agency spend across the National Health Service have been successful. Since their introduction, agency spend has fallen from a peak of £3.6 billion in 2015-16 to £2.4 billion in 2017-18 – a £1.2 billion reduction.</p><p>We recognise that there is still more to be done in this area, and we are committed to reducing trusts’ reliance on expensive agency workers, whilst ensuring they can meet their temporary staffing needs. One of the ways we are achieving this is by working with NHS Improvement to support trusts to develop tech-enabled, sustainable and effective in-house staff banks that cover all staff groups and therefore provide a viable alternative to agency.</p><p> </p><p>Year Total Agency Expenditure</p><p>2012-13 £2,113 million</p><p>2013-14 £2,589 million</p><p>2014-15 £3,190 million</p><p>2015-16 £3,635 million</p><p>2016-17 £2,935 million</p><p>2017-18 £2,407 million</p><p>2018-19 (year to date, month 10) £1,999 million</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/03/2019 14:03:38 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1087514

registered interest
date	12/03/2019
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: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS staff were killed at work in each of the last ten years for which records are available; and what were the reasons for those deaths.
tabling member printed	Lord Alton of Liverpool
uin	HL14441
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Individual trusts are responsible for maintaining such records at a local level.</p><p>The Health and Safety Executive is responsible for maintaining national records of people killed at work. However, these statistics do not separately identify whether individuals are National Health Service staff.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/03/2019 17:50:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1087523

registered interest
date	12/03/2019
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	Health Services: Reciprocal Arrangements
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the E111 European Health Insurance Card will be valid after 29 March in the event of (1) their present exit plan being agreed, (2) a no-deal Brexit, (3) the UK remaining in the Single Market, (4) the UK remaining in a customs union, and (5) the UK remaining in the EU.
tabling member printed	Lord Berkeley
uin	HL14448
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>On 19 March 2019, I laid a written ministerial statement (HLWS1396) on the Department’s plans for the continuity of reciprocal healthcare arrangements in the event we exit the European Union without a deal. This statement includes specific guidance on European Health Insurance Cards (EHICs).</p><p>The United Kingdom Government remains committed to leaving the EU with a deal. Subject to the ratification of the Withdrawal Agreement by Parliament, UK nationals will be able to continue benefiting from existing EU provisions, such as the EHIC scheme, during the implementation period until the end of December 2020.</p><p>In the event that the UK leaves the EU without a deal, the UK Government is seeking agreements with Member States, so that no individuals face sudden changes to their healthcare cover.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/03/2019 14:04:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3526 label Biography information for Lord Berkeley