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1145217

	registered interest
	date	05/09/2019
	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 UK citizens will continue to benefit from the European Health Insurance Card in the event of the UK leaving the EU without a deal on 31 October; if so, by what mechanism; and if not, what alternative provision, if any, they intend to make.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL17744
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has proposed to all European Union Member States that when we leave, we should maintain the existing healthcare arrangements including the European Healthcare Insurance Card (EHIC) Scheme until 31 December 2020, with the aim of minimising disruption to healthcare provision for United Kingdom nationals and EU citizens. This is subject to agreement by individual EU Member States.</p><p>In a ‘no deal’ scenario, the continuation of the EHIC scheme will be dependent on the UK agreeing its continuation with individual Member States through bilateral reciprocal healthcare agreements. It is not possible for the UK Government to guarantee access unilaterally to healthcare abroad, as this depends on decisions by Member States.</p><p>The UK Government has already committed to fund healthcare for UK-insured people who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p>The Government always advises UK nationals to take out comprehensive travel insurance when going overseas, both to EU and non-EU destinations. The EHIC is not an alternative to travel insurance and we have always advised that individuals should have both when travelling abroad.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1145218

	registered interest
	date	05/09/2019
	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	Accident and Emergency Departments: Greater Manchester
	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 7 August (HL17449), in what format the data are available for average annual waiting times for each accident and emergency department in Greater Manchester in each of the last five years.
	tabling member printed	Lord Bradley
	uin	HL17745
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member. </del></p><p> </p><p><ins class="ministerial">Data is not available in the format of average waiting times at individual accident and emergency (A&amp;E) units. Data is available at a National Health Service trust provider level as some NHS trusts have more than one A&amp;E unit. The data for providers in Greater Manchester, 2013-14 to 2018-19 (provisional) is attached, due to the size of the data. 2018-19 data is provisional and subject to change.</ins></p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:04 question first ministerially corrected 30/09/2019 11:22:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Table for HL17745 formatted.docx title Greater Manchester A&E waiting times previous answer version 135698 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1145225

	registered interest
	date	05/09/2019
	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	Department of Health and Social Care: Databases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many reports have been commissioned in the last three years on the value or curation of data controlled or generated by (1) the National Health Service, (2) the Department of Health and Social Care, and (3) arms-length bodies of that department; which departments commissioned those reports; when those reports were completed or are due to be completed; which organisations produced those reports; what was the cost of each of those reports; what are the titles of those reports; and whether those reports are in the public domain.
	tabling member printed	Lord Freyberg
	uin	HL17752
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information is not held centrally and could only be obtained at disproportionate cost.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1145226

	registered interest
	date	05/09/2019
	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 Treatments: Greater London
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they took to ensure that board members of the Clinical Commissioning Groups in South East London read the South East London Treatment Access Policy Document 2019/20 in full before agreeing to it.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17753
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:08 question first ministerially corrected 30/09/2019 11:14:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135699 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1145229

	registered interest
	date	05/09/2019
	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	Antimicrobials: Research
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they intend to start the pilot scheme to test a subscription model to fund the development of new antimicrobials, announced on 9 July.
	tabling member printed	Baroness Masham of Ilton
	uin	HL17756
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The United Kingdom national action plan for antimicrobial resistance (AMR), published on 24 January, includes the commitment to lead the way in testing innovative models that pay companies for antibiotics based primarily on a health technology assessment of their value to the National Health Service, as opposed to the volumes used.</p><p>This project was formally launched by the National Institute for Health and Care Excellence and NHS England and NHS Improvement on 9 July.</p><p>A period of targeted engagement to secure stakeholder input into the development of key areas of the project, including the proposed approach for topic selection, the approach to evaluation, and the outline commercial model was launched on 9 July and concluded on 6 September 2019.</p><p>The next stages will involve the development of an evaluation framework and commercial model, selection of products to be included in the test and undertaking a value assessment for the selected products.</p><p>It is anticipated that payments will be implemented to companies from spring 2021 following commercial negotiation with companies.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:56:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1145243

	registered interest
	date	05/09/2019
	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	Food: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to introduce a snack tax to help reduce obesity.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17770
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The Department has no plans to introduce a snack tax.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:36 question first ministerially corrected 30/09/2019 11:21:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135702 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1145245

	registered interest
	date	05/09/2019
	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	Doctors: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps the NHS is taking to increase the number of trainee doctors recruited each year.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17772
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has committed to an extra 1,500 undergraduate medical school places - a 25% increase taking the total number of medical school training places in England to 7,500. The first 630 places were taken up in September 2018 with a further 690 places available in September 2019. The remaining additional 180 places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>Following graduation from medical school, eligible applicants are allocated a place on the United Kingdom Foundation Programme.</p><p>The number of medical specialty training places that are available each year is set by Health Education England and based on their assessment of service gaps and predicted workforce needs.</p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups. For doctors, it also focussed on reducing geographical and specialty imbalances. Subsequently, the interim NHS People Plan set out the action we will take now and over the long term to meet the challenges of supply, reform, culture and leadership, and changes in demand for health care. Actions include reviewing what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems; and the establishment of a national programme board to address geographic and specialty shortages in doctors.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1144882

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to direct the Clinical Commissioning Groups in South East London to withdraw their prohibition on single women receiving fertility treatment on the NHS as laid out in the South East London Treatment Access Policy Document 2019/20.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17716
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:40 question first ministerially corrected 30/09/2019 11:20:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135703 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144883

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	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 statement contained in page 34 of the South East London Treatment Access Policy Document 2019/20 that "because of the known disadvantage that providing assisted conception to a single woman would cause both the child and the mother, funding of assisted conception for single women is not available".
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17717
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:57 question first ministerially corrected 30/09/2019 11:19:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135706 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144075

	registered interest
	date	03/09/2019
	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: Directors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to appoint a "turnaround director" for NHS England and NHS Improvement; and to whom such a director would be accountable.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17563
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS England and NHS Improvement are not in the process of recruiting a turnaround director for the organisation.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:46:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144076

	registered interest
	date	03/09/2019
	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: Directors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether regional directors of NHS England and NHS Improvement are responsible for tackling bullying in their regions; and whether regional directors are responsible for the conduct of any "turnaround directors" appointed in their regions.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17564
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Individual National Health Service organisations are primarily responsible for addressing and preventing bullying in the workforce and for the conduct of all their employees including temporary staff or specialist contractors.</p><p>To ensure consistency the performance management of NHS organisations is underpinned by a single oversight framework, which is overseen by Regional Directors.</p><p>The NHS Constitution also sets out the rights and responsibilities of all NHS staff to be free from harassment, bullying or violence.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:47:23 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144077

	registered interest
	date	03/09/2019
	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: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the cost to the NHS of the Turnaround Programme in each of the last three years.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17565
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17566 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144078

	registered interest
	date	03/09/2019
	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: Directors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the average daily rate earned by "turnaround directors" in the NHS.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17566
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17565 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144097

	registered interest
	date	03/09/2019
	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	Fit and Proper Persons Requirement Review
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Interim NHS People Plan, published on 3 June, what steps they are taking to implement the recommendations of the Kark review of the fit and proper persons test, published on 6 February; and when they expect to complete their response to that review.
	tabling member printed	Lord Blunkett
	uin	HL17585
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has accepted in principle recommendations 1 and 2 of the Review by Tom Kark QC into the Fit and Proper Persons test, namely:</p><p> </p><p>- to develop competency standards for all NHS directors; and</p><p>- to create a central database of NHS director employment and training data.</p><p>The Government has asked Baroness Harding of Winscombe, to take forward implementation of the two accepted recommendations and to engage on the remaining recommendations alongside work to develop the NHS People Plan.</p><p>A response is expected later this year.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:49:41 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	395 label Biography information for Lord Blunkett

1144152

	registered interest
	date	03/09/2019
	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	Hospitals: Statistics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) charities, (2) public bodies, (3) commercial companies, and (4) others, received Hospital Episode Statistics data from NHS Digital in August; and what percentage of each had (a) informed consent, (b) opt outs applied, and (c) neither.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17640
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS Digital has advised that the numbers of organisations that have received Hospital Episode Statistics (HES) data and the percentage of each that had informed consent, opt outs applied and neither within the month of August is shown in the following table.</p><p> </p><table><tbody><tr><td colspan="5"><p>Organisations receiving HES data in August 2019, by Organisation Type</p></td></tr><tr><td><p>Organisation Type</p></td><td><p>Informed Consent</p></td><td><p>Opt outs applied</p></td><td><p>Neither</p></td><td><p>Total</p></td></tr><tr><td><p>Charities</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>Public Body</p></td><td><p>1 (1%)</p></td><td><p>5 (4%)</p></td><td><p>117 (95%)</p></td><td><p>123 (100%)</p></td></tr><tr><td><p>Commercial</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>7 (100%)</p></td><td><p>7 (100%)</p></td></tr><tr><td><p>Other</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>2 (100%)</p></td><td><p>2 (100%)</p></td></tr><tr><td><p>Total</p></td><td><p>132</p></td></tr></tbody></table><p> </p><p>The HES data against the organisation type “charities” has not been released within August.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:47:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1142430

	registered interest
	date	25/07/2019
	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	General Practitioners: Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of pension provision for GP practice nurses and, in particular, the impact of their exclusion from the NHS pension scheme until 1997.
	tabling member printed	Baroness Altmann
	uin	HL17504
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Membership of the NHS Pension Scheme was extended to general practitioner (GP) practice nurses from September 1997, following an agreement reached with organisations representing nurses and GPs. Prior to this date, GP practice nurses were excluded because eligibility was originally limited to those directly employed by a National Health Service body. GP practice nurses are employed directly by self-employed GPs, rather than the NHS.</p><p>The pressure on NHS Pension Scheme costs, which are met mutually across all members and their employers, meant that practice nurses could not be offered retrospective membership for employment before 1997. This was accepted by staff representatives at the time of the agreement, and remains the current position.</p><p>However, GP practice nurses and their employers can make voluntary extra contributions to purchase units of ‘Additional Pension’ and so boost their NHS retirement pensions.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:43:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1142432

	registered interest
	date	25/07/2019
	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: Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to compensate senior NHS staff who have inadvertently exceeded the tapered annual pensions allowance.
	tabling member printed	Baroness Altmann
	uin	HL17506
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>For the majority of people, their pension contributions are tax-free. This makes pensions tax relief one of the most expensive reliefs in the personal tax system. The reforms to the lifetime and annual allowance made in the previous two parliaments are expected to save over £6 billion per year and are necessary to deliver a fair system and protect public finances. Less than 1% of pension savers will have to reduce their saving or face an annual allowance charge as a result of the tapered annual allowance.</p><p>While there are no plans to compensate senior National Health Service staff who exceed their tax-free pension savings allowances, the Scheme Pays facility is there to assist NHS Pension Scheme members who breach the annual allowance, and allows them to settle their lifetime and annual allowance charges without making an upfront payment. The Scheme Pays facility was recently extended to cover tax charges of any amount and those arising from the tapered annual allowance.</p><p>The Government has launched a full public consultation setting out proposals to make the NHS Pension Scheme more flexible for clinicians, to give them more control over their pension growth and tax liabilities.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:06:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1142460

	registered interest
	date	25/07/2019
	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 and Social Services: Departmental Responsibilities
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of (1) the benefits to date of bringing health and social care together in one political portfolio, and (2) the benefits that will arise in future years of bringing the two areas together.
	tabling member printed	Baroness Neville-Rolfe
	uin	HL17534
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>The Department was renamed the Department of Health and Social Care in January 2018 and took on responsibility for the Social Care Green Paper.</p><p> </p><p>Whilst we have made no specific assessment, the Department has been working on bringing health and social care together to achieve whole-person, integrated care with the National Health Service and social care systems operating in a joined-up way. The Better Care Fund continues to drive forward the integration of health and social care in England.</p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:44:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4284 label Biography information for Baroness Neville-Rolfe

1141905

	registered interest
	date	24/07/2019
	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	Accident and Emergency Departments: Greater Manchester
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what were the average annual waiting times for each accident and emergency department in Greater Manchester in each of the last five years.
	tabling member printed	Lord Bradley
	uin	HL17449
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Data is not available in the format requested.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:37:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1141914

	registered interest
	date	24/07/2019
	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, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, published on 15 July, what is meant by "fair terms" for (1) NHS organisations, and (2) the NHS as a whole.
	tabling member printed	Lord Freyberg
	uin	HL17458
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17459 HL17460 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141915

	registered interest
	date	24/07/2019
	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, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, which organisation or body will hold to account the boards of NHS organisations in ensuring that "any arrangements entered into by their organisation are fair, including recognising and safeguarding the value of the data that is shared and the resources which are generated as a result of the arrangement”.
	tabling member printed	Lord Freyberg
	uin	HL17459
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17458 HL17460 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141916

	registered interest
	date	24/07/2019
	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, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, whether, in referring to NHS organisations, national NHS organisations, pertinent departments and arms-length bodies are required not to enter into “exclusive arrangements for raw data held by them”.
	tabling member printed	Lord Freyberg
	uin	HL17460
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17458 HL17459 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141919

	registered interest
	date	24/07/2019
	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	Bacterial Diseases
	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 9 July (HL16592), what is their view of the proportion of each of the resulting illness, deaths and costs that could be prevented by new efforts to prevent transmission; and what are the costs of new measures introduced in 2019 to prevent transmission of carbapenem-resistant Enterobacteriaceae.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL17463
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>Public Health England (PHE) has prioritised collecting the necessary data across the National Health Service to enable estimation and monitoring of the proportion of cases, deaths and costs attributable to carbapenemase-resistant Enterobacteriaceae.</p><p>In May 2015 PHE implemented an enhanced surveillance system of all carbapenemase-producing Gram negative bacteria, which was modified in 2019 to maximise efficiency. The health burden of cases, estimated from these data, will be published in the <em>English Surveillance Programme for Antimicrobial Utilisation Report</em> in November 2019.</p><p>The few published reports of outbreaks have estimated costs of at least £1 million, and up to £5 million, all indicating multi-model control measures are required, as outlined in the PHE toolkit for prevention and control of carbapenemase-producing Enterobacteriaceae which is currently being updated.</p><p>Using national surveillance and patient administration data to develop mathematical models, work is ongoing to estimate the reduction in levels of illness and death when specified detection and control measures are applied by 2020. Developed models will enable associated costs incurred to be estimated and the cost-effectiveness of control measures to be established by 2021.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:07:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1141940

	registered interest
	date	24/07/2019
	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	Gambling: Rehabilitation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answers by Baroness Blackwood of North Oxford on 17 July (HL16963 and HL16964), what was the budget of Leeds and York Partnership NHS Trust for funding the NHS Northern Gambling Clinic; and what is the projected cost of that clinic in (1) 2020, (2) 2021, and (3) 2022.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL17484
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>NHS England and NHS Improvement have allocated £600,000 to Central and North West London NHS Foundation Trust and £370,000 to Leeds and York Partnership NHS Foundation Trust for gambling harm services provision in 2019/20, which includes funding for these clinics.</p><p> </p><p>GambleAware, an independent charity, is providing additional funding for these clinics. Information on this funding is not held centrally.</p><p> </p><p>Future years’ funding is not yet available.</p><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17485 question first answered 06/08/2019 14:58:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1141941

	registered interest
	date	24/07/2019
	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	National Problem Gambling Clinic
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answers by Baroness Blackwood of North Oxford on 17 July (HL16963 and HL16964), what was the budget of the Central and North West London NHS Foundation Trust for funding the National Problem Gambling Clinic; and what is the projected cost of that clinic in (1) 2020, (2) 2021, and (3) 2022.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL17485
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>NHS England and NHS Improvement have allocated £600,000 to Central and North West London NHS Foundation Trust and £370,000 to Leeds and York Partnership NHS Foundation Trust for gambling harm services provision in 2019/20, which includes funding for these clinics.</p><p> </p><p>GambleAware, an independent charity, is providing additional funding for these clinics. Information on this funding is not held centrally.</p><p> </p><p>Future years’ funding is not yet available.</p><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17484 question first answered 06/08/2019 14:58:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4308 label Biography information for The Lord Bishop of St Albans