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438504

	registered interest
	date	15/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	care.data Advisory Group
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the current membership of the care.data Advisory Group.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL4600
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The care.data Advisory Group met between March 2014 and October 2015 and has now been disbanded. The group was Chaired by Ciarán Devane, who at the time was a non-executive director of NHS England, and included representatives from the following organisations:</p><br /><p>- Academy of Medical Royal Colleges;</p><p>- Association of Medical Research Charities;</p><p>- Big Brother Watch;</p><p>- British Heart Foundation;</p><p>- British Medical Association;</p><p>- HealthWatch England;</p><p>- Hurley Group;</p><p>- Kings College London;</p><p>- Kings Fund;</p><p>- medConfidential;</p><p>- MIND;</p><p>- National Institute for Health Research;</p><p>- National Voices;</p><p>- Patients4Data;</p><p>- Royal College of General Practitioners;</p><p>- Royal College of Psychiatrists;</p><p>- Clinical Commissioning Groups;</p><p>- UCL Partners; and</p><p>- Wellcome Trust.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:26:06 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

438501

	registered interest
	date	15/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	UnitingCare Partnership
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how the NHS Strategic Projects Team is to be held to account for the advice it gave to the Cambridgeshire and Peterborough Clinical Commissioning Group, and to the NHS Commissioning Board, on the contract for older people's services in Cambridge and Peterborough.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL4597
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>NHS England advises that it will be commissioning an investigation into the circumstances leading up to the termination of the contract between Cambridgeshire and Peterborough Clinical Commissioning Group and UnitingCare Partnership LLP to deliver urgent care for the over 65s and adult community services. This will include the role of the Strategic Projects Team. NHS England is also considering how similar contracts will be managed and assured in the future.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4598 question first answered 21/12/2015 17:22:33 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

438502

	registered interest
	date	15/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	UnitingCare Partnership
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they intend to establish an independent external assessment of the reasons for the failure of the contract for older people's services in Cambridge and Peterborough; and what plans they have for a moratorium on further large-scale procurements until lessons from that contract have been learnt.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL4598
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>NHS England advises that it will be commissioning an investigation into the circumstances leading up to the termination of the contract between Cambridgeshire and Peterborough Clinical Commissioning Group and UnitingCare Partnership LLP to deliver urgent care for the over 65s and adult community services. This will include the role of the Strategic Projects Team. NHS England is also considering how similar contracts will be managed and assured in the future.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4597 question first answered 21/12/2015 17:22:33 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

437034

	registered interest
	date	10/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 10 December (HL3975), what was the increase in demand they assumed and modelled for social care year on year for each year between 2015 and 2020.
	tabling member printed	Lord Scriven
	uin	HL4500
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>To model the increased demographic demand on state funded adult social care the Department commissioned modelling from the Personal Social Services Research Unit (PSSRU). PSSRU’s analysis is currently in the process of being peer reviewed prior to publication.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:14:46 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4333 label Biography information for Lord Scriven

438514

	registered interest
	date	15/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what amount they plan to make available to local authorities to add to the Better Care Fund in each year from 2016–17 to 2019–20 inclusive, in the light of the commitment to make £1.5 billion available by 2019–20 set out in paragraph 2.124 of the Spending Review and Autumn Statement 2015.
	tabling member printed	Lord Warner
	uin	HL4610
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The annual breakdown of the £1.5 billion that will be made available to local authorities by 2019-20 to add to the Better Care Fund, as announced by the Chancellor in the 2015 Spending Review, has not yet been finalised. More detailed figures will be announced in due course.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:42:37 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1732 label Biography information for Lord Warner

439125

	registered interest
	date	16/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps are being taken to increase the number of Wellbeing Hubs nationally to help individuals with complex care requirements to access support locally for their individual requirements.
	tabling member printed	Baroness Redfern
	uin	HL4667
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>Where commissioned, wellbeing hubs can provide a range services including lifestyle advice, information about self-management courses and help to access local support, including social care. It is for the local National Health Service to decide whether to commission wellbeing hubs and which services should be offered in order to best meet the needs of local populations.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:49:56 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4551 label Biography information for Baroness Redfern

436978

	registered interest
	date	10/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Queen Elizabeth the Queen Mother Hospital
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether any disciplinary action is being taken against the doctors at the Queen Elizabeth The Queen Mother Hospital in Margate who listed Down’s syndrome and learning difficulties among the reasons for issuing a Do Not Resuscitate order.
	tabling member printed	Lord Alton of Liverpool
	uin	HL4444
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Department expects National Health Service trusts and NHS foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions Relating to Cardiopulmonary Resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be tailored to the individual circumstances of the patient and must not be made on the basis of blanket assumptions. A copy of the guidance is attached.</p><p>Where a person lacks capacity to make decisions about their care or treatment, the Mental Capacity Act makes clear that doctors must act in the best interests of patients. Doctors must take account as far as possible of the known wishes of the person and consult with relatives and colleagues as appropriate to help inform their decision.</p><p>Departmental officials have recently contacted the Trust about recent media coverage concerning an incident when Down’s syndrome was listed as a reason to issue a Do Not Resuscitate order. The Trust confirms it accepts that it failed to consult with the family and has apologised unreservedly for this isolated incident by a junior doctor.</p><br /><p>In regards to any disciplinary action taken against the doctor this would be an operational issue for the Foundation Trust. We have written to Ms Nikki Cole, Chair of East Kent Hospitals University NHS Foundation Trust informing her of the Noble Lord’s enquiry. She will reply shortly and a copy of the letter will be placed in the Library.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4441 HL4445 question first answered 21/12/2015 17:11:57 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name DecisionsRelatingToCPR.pdf title Decisions Relating to CPR
	tabling member	738 label Biography information for Lord Alton of Liverpool

436572

	registered interest
	date	09/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Nutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what further steps they plan to take to improve the diet of pregnant women and new mothers.
	tabling member printed	Baroness Miller of Chilthorne Domer
	uin	HL4406
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>Parents receive health and lifestyle advice, including advice on diet, weight control and physical activity, from their health visitor as part of the Healthy Child Programme.</p><br /><p>For parents, the Government provides online advice on maternal nutrition via the NHS Choices website and the Start4Life website.</p><br /><p>The Your Pregnancy and Baby guide on NHS Choices includes information about a healthy diet in pregnancy. Start4Life produce a range of information booklets with advice for parents, including Healthy Habits for Baby and You which provides information and advice on eating healthily and exercise in pregnancy.</p><p>The Government’s statutory Healthy Start scheme aims to provide a nutritional safety net to the most nutritionally vulnerable pregnant women, new mothers and children under four years old in low income families. The scheme provides vouchers for basic healthy foods (milk, fresh and frozen fruit and vegetables) and infant formula milk. This encourages healthy eating the scheme covers approximately half a million pregnant women, new mothers, and children under four years old in low income families throughout the United Kingdom.</p><br /><p>We currently have no plans to extend the current dietary advice given to pregnant women and new mothers.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 12:20:31 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1934 label Biography information for Baroness Miller of Chilthorne Domer

436573

	registered interest
	date	09/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Nutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of the implications of a poor maternal diet in pregnancy for the life chances of babies, in the light of research conducted in the last decade.
	tabling member printed	Baroness Miller of Chilthorne Domer
	uin	HL4407
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The most recent assessment of the influence of poor maternal diet on later health consequences, including the risk of chronic disease in adulthood, was carried out for government by the Scientific Advisory Committee on Nutrition (SACN) in 2011.</p><p>Taking into account the international evidence base and the findings from the United Kingdom National Diet and Nutrition Surveys showing that women of childbearing age are not meeting dietary recommendations, SACN concluded that there is cause for concern. It advised that improving the nutritional status of women of childbearing age, infants and young children, has the potential to improve the health of future generations.</p><p>Current dietary advice to women of reproductive age, those planning a pregnancy and those who are pregnant, is promoted via the NHS Choices website as well as the government’s social marketing campaigns, such as Start4Life.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 17:00:08 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1934 label Biography information for Baroness Miller of Chilthorne Domer

436584

	registered interest
	date	09/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS England
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 9 December (HL4036), what assessment they have made of whether it is appropriate for the Chief Executive of NHS England to take part in a political debate programme, and of whether doing so is consistent with the requirement for senior public servants to remain politically neutral; and whether they plan to issue new guidance to NHS England on the basis of that assessment.
	tabling member printed	Lord Scriven
	uin	HL4418
	answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Chief Executive of NHS England, Simon Stevens, is not a civil servant and it is for him to take decisions on invitations received. There are no plans to issue guidance to NHS England.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 12:59:36 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4333 label Biography information for Lord Scriven