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93399

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the nature of the relationship between Ministers, the Prescribed Specialised Services Advisory Group and NHS England in prescribing specialised services under the Health and Social Care Act 2012.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2065
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2066 HL2067 question first answered 24/10/2014 11:31:33 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93400

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they plan to change the scope of specialised services directly commissioned by NHS England.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2066
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2065 HL2067 question first answered 24/10/2014 11:31:34 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93401

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services
	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 commissioning of specialised services by NHS England.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL2067
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Secretary of State for Health, in his Annual Assessment of National Health Service England’s Annual Report for the last financial year (2013-14), has stated that “[NHS England] must […] ensure that spending controls are effective, particularly around specialised commissioning.” A copy of the Secretary of State’s Annual Assessment has been placed in the library.</p><p> </p><p> </p><p> </p><p>Section 3B(1)(d) of the National Health Service Act 2006, as amended by the Health and Social Care Act 2012, gives the Secretary of State the power to require the NHS Commissioning Board (known as NHS England) to commission prescribed services or facilities in relation to England by making regulations. Using this power, the Secretary of State may require NHS England to commission specialised services for people with rare or very rare conditions. Before deciding whether to make regulations, the Secretary of State must (a) obtain appropriate advice for that purpose and (b) consult NHS England. The Prescribed Specialised Services Advisory Group (PSSAG) is a Department of Health appointed expert committee which was established in 2013 to provide the Secretary of State with this advice. NHS England commissions all the services listed in Schedule 4 of The National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012.</p><p> </p><p> </p><p> </p><p>The scope of specialised services directly commissioned by NHS England is kept under review.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2065 HL2066 question first answered 24/10/2014 11:31:31 answering member 2000 label Biography information for Earl Howe attachment 1 file name Annual_Assessment_of_NHSE.pdf title Annual Assesment of NHSE
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

92779

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Pay
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what are the (1) average, and (2) median, earnings of a salaried general practitioner in England and Wales.
	tabling member printed	Lord Lipsey
	uin	HL2015
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The information in relation to salaried general practitioners (GP) (HL2015) is recorded in the following table:</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="7"><p>Salaried GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£64,700</p></td><td><p>£8,100</p></td><td><p>£56,600</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,700</p></td></tr><tr><td><p>Wales</p></td><td><p>£65,200</p></td><td><p>£11,100</p></td><td><p>£54,100</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,300</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>The information relating to partner general practitioners (HL2016) is recorded in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p>Contractor GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£289,300</p></td><td><p>£184,200</p></td><td><p>£105,100</p></td><td colspan="2"><p>Data not held</p></td><td><p>£102,100</p></td></tr><tr><td><p>Wales</p></td><td><p>£233,800</p></td><td><p>£142,800</p></td><td><p>£91,000</p></td><td colspan="2"><p>Data not held</p></td><td><p>£90,700</p></td></tr></tbody></table><p> </p><p>Copyright © 2014 Health and Social Care Information Centre</p><p> </p><p>Source: GP Earnings and Expenses Enquiries</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><table><tbody><tr><td><p>The tables are presented in cash terms of income before tax for contractor GPs (partners) and salaried GPs under a General Medical Services (GMS) or Personal Medical Services (PMS) contract and exclude expenses. This is taxable income before pension contributions are deducted, made up of gross earnings less total expenses, also known as net income.</p></td></tr><tr><td><p>The data covers income from both NHS and private sources where a GP has at least some NHS income. Figures are rounded to the nearest £100.</p><p> </p><p>The median earnings gross income and expenses data is not held, only the income before tax.</p></td></tr></tbody></table><p> </p><p>Data is for GPs under a GMS or PMS contract only</p><p> </p> answering member printed Earl Howe grouped question UIN HL2016 question first answered 24/10/2014 11:34:32 answering member 2000 label Biography information for Earl Howe
	tabling member	2492 label Biography information for Lord Lipsey

92780

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Pay
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what are the (1) average and (2) median, earnings of a partner general practitioner in England and Wales.
	tabling member printed	Lord Lipsey
	uin	HL2016
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The information in relation to salaried general practitioners (GP) (HL2015) is recorded in the following table:</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="7"><p>Salaried GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£64,700</p></td><td><p>£8,100</p></td><td><p>£56,600</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,700</p></td></tr><tr><td><p>Wales</p></td><td><p>£65,200</p></td><td><p>£11,100</p></td><td><p>£54,100</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,300</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>The information relating to partner general practitioners (HL2016) is recorded in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p>Contractor GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£289,300</p></td><td><p>£184,200</p></td><td><p>£105,100</p></td><td colspan="2"><p>Data not held</p></td><td><p>£102,100</p></td></tr><tr><td><p>Wales</p></td><td><p>£233,800</p></td><td><p>£142,800</p></td><td><p>£91,000</p></td><td colspan="2"><p>Data not held</p></td><td><p>£90,700</p></td></tr></tbody></table><p> </p><p>Copyright © 2014 Health and Social Care Information Centre</p><p> </p><p>Source: GP Earnings and Expenses Enquiries</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><table><tbody><tr><td><p>The tables are presented in cash terms of income before tax for contractor GPs (partners) and salaried GPs under a General Medical Services (GMS) or Personal Medical Services (PMS) contract and exclude expenses. This is taxable income before pension contributions are deducted, made up of gross earnings less total expenses, also known as net income.</p></td></tr><tr><td><p>The data covers income from both NHS and private sources where a GP has at least some NHS income. Figures are rounded to the nearest £100.</p><p> </p><p>The median earnings gross income and expenses data is not held, only the income before tax.</p></td></tr></tbody></table><p> </p><p>Data is for GPs under a GMS or PMS contract only</p><p> </p> answering member printed Earl Howe grouped question UIN HL2015 question first answered 24/10/2014 11:34:33 answering member 2000 label Biography information for Earl Howe
	tabling member	2492 label Biography information for Lord Lipsey

100056

	registered interest
	date	21/10/2014
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to provide further advice to schools on how to tackle childhood obesity.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2262
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>This Government recognises that through physical education, competitive school sport and encouraging healthy eating, schools can help address the problem of childhood obesity. The PE and sports premium is part of a package of measures to tackle obesity in primary schools. Our research found 96% of schools said that their pupils are now living healthier lives as a result of the funding. In addition, the introduction of universal infant free school meals will ensure that all infants receive a nutritious school lunch.</p><p> </p> answering member printed Lord Nash question first answered 24/10/2014 12:35:00 answering member 4270 label Biography information for Lord Nash
	tabling member	1796 label Biography information for Lord Taylor of Warwick

92759

	registered interest
	date	13/10/2014
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Turkey
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what discussions they have had, or intend to have, with President Erdogan over the nature of secular society in Turkey.
	tabling member printed	Lord Patten
	uin	HL1995
	answer	answer is ministerial correction date of answer 24/10/2014 answer text We and our EU partners regularly engage with the Turkish government on the full range of EU accession matters, including on human rights and freedom of religion and belief. We are encouraged by the progress Turkey has made on these issues. In particular, we welcome the steps taken to protect the interests of religious minorities in Turkey. This includes the freedom granted to hold religious services at the Greek Orthodox Sumela Monastery and Armenian Orthodox Akdamar Church; updated religious textbooks for schools; and the returning of property seized by the state to religious minorities. We are also encouraged by the ‘democratisation package’ announced by the Turkish government in October 2013, aimed at addressing concerns over minority rights. answering member printed Baroness Anelay of St Johns question first answered 24/10/2014 12:57:03 answering member 3474 label Biography information for Baroness Anelay of St Johns
	tabling member	1137 label Biography information for Lord Patten

92776

	registered interest
	date	13/10/2014
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Cyprus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the public support of the Secretary of State for Northern Ireland for the Greek-Cypriot cause reflects the Cabinet’s position in respect of Cyprus; and, if not, what action they intend to take.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2012
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The UK remains committed to supporting the UN's efforts to achieve a settlement based on a bizonal, bicommunal federation with political equality as defined by the relevant Security Council resolutions. We will continue to encourage the leaders of both communities to keep up the momentum on the talks which restarted in February this year.</p> answering member printed Baroness Anelay of St Johns question first answered 24/10/2014 12:38:11 answering member 3474 label Biography information for Baroness Anelay of St Johns
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

92783

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Health Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government why waiting times for children referred to Child and Adolescent Mental Health Services have increased; and what action they will take to reduce waiting times.
	tabling member printed	Lord Ouseley
	uin	HL2019
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Information on waiting times for Child and Adolescent Mental Health Services is not collected centrally. There is anecdotal evidence of increasing waiting times in some areas. We do not know whether or not this is due to an increase in referrals or the prevalence of mental health conditions but will be seeking further information by commissioning a survey into the prevalence of mental illness in children and young people.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020</em> announced improvements that will be made to services for patients with emerging psychosis, including setting the first ever waiting time standard in mental health from April 2015. It also sets out a longer term ambition to extend waiting time standards across all mental health services by 2020.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:23:20 answering member 2000 label Biography information for Earl Howe
	tabling member	2170 label Biography information for Lord Ouseley

92784

	registered interest
	date	13/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Suicide: Young People
	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 causes of suicides among young people; and what action they propose to reduce such fatalities by providing more effective and quicker access to mental health services.
	tabling member printed	Lord Ouseley
	uin	HL2020
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The causes of suicides are not currently collected but the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness at the University of Manchester will be setting up a national investigation into suicides by young people under 25, which will be covering antecedents such as bullying, use of social media &amp; contact with services. This investigation will be funded by National Health Service England and is due to begin in April 2015.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:24:00 answering member 2000 label Biography information for Earl Howe
	tabling member	2170 label Biography information for Lord Ouseley