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922426

	registered interest
	date	12/06/2018
	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: Re-employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	Can the Secretary of State for Health and Social Care, how many staff made redundant by his Department between January and March 2017 have been reemployed by his Department on (a) permanent, (b) agency or (c) contractor contracts.
	tabling member constituency	Leeds North West
	tabling member printed	Alex Sobel
	uin	152853
	answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>No staff have been reemployed by the Department who previously left under compulsory or voluntary redundancy, between January and March 2017.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2018 11:09:19 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4658 label Biography information for Alex Sobel

909619

	registered interest
	date	22/05/2018
	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: Handbooks
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how amendments to the NHS Constitution Handbook are communicated to patients.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL8114
	answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>In accordance with the Health Act 2009 we are currently reviewing the handbook that accompanies the NHS Constitution and will publish a revised version in summer 2018. As the handbook is an explanatory document, and cannot alter the NHS Constitution itself, this is a technical update that will bring the handbook up to date with policy developments since it was last published in 2015. Changes will be based largely on contributions provided from within the Department, from NHS England and from Public Health England.</p><p>As we set out in response to recommendations on National Health Service sustainability made by the House of Lords, we are looking particularly closely at the section in the handbook that explains patient responsibilities in the NHS Constitution. We will include a stronger statement about the role that patients and the public can play in supporting NHS sustainability by looking after their own health, adopting healthy behaviours, and making appropriate use of NHS resources. We will also point out where there is further information on the NHS website.</p><p>When the revised handbook is published, we will encourage NHS England, Public Health England and other stakeholders – including Healthwatch England as the independent national champion for people who use health and social care services – to promote it through their extensive networks. We will also publicise it through the NHS Constitution Twitter and Facebook accounts.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8112 HL8113 question first answered 05/06/2018 15:57:16 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

917774

	registered interest
	date	05/06/2018
	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	Hospital Beds
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many NHS hospital beds there were in England in (1) 1997, (2) 2007, and (3) 2017.
	tabling member printed	Lord Naseby
	uin	HL8368
	answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>From April 2010, NHS England started to publish quarterly information on the numbers of available and occupied beds open overnight and day only within National Health Service organisations. Previously, annual data was published.</p><p>A table showing the numbers of NHS hospital beds for the requested years is attached due to the size of the data.</p><p>There has been a long-term reduction in the number of general and acute beds open overnight because hospitals are dealing with patients more efficiently. The NHS now performs more day cases, length of stay is decreasing and more people are treated in community settings.</p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:57:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Data table for HL8368 formatted.docx title NHS Hospital Bed numbers
	tabling member	1251 label Biography information for Lord Naseby

919353

	registered interest
	date	07/06/2018
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many doctors there were in general practice in each year between 2007 and 2017.
	tabling member printed	Lord Dobbs
	uin	HL8432
	answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The information requested for 2010-17 is shown in the following table. Due to changes in the methodology, comparable data is not available prior to 2010. Headcount general practitioners (GP) numbers (excluding locums) are provided as they are comparable 2010-17.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>All practitioners (excluding locums) headcount</p></td></tr><tr><td><p>2010</p></td><td><p>39,409</p></td></tr><tr><td><p>2011</p></td><td><p>40,008</p></td></tr><tr><td><p>2012</p></td><td><p>40,463</p></td></tr><tr><td><p>2013</p></td><td><p>40,236</p></td></tr><tr><td><p>2014</p></td><td><p>41,105</p></td></tr><tr><td><p>2015</p></td><td><p>40,648</p></td></tr><tr><td><p>2016</p></td><td><p>40,490</p></td></tr><tr><td><p>2017</p></td><td><p>39,843</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS Digital</p><p> </p><ol><li>All data as of 30 September for England.</li><li>All data includes estimates for practices that did not provide fully valid GP data.</li><li>Figures shown do not include GPs working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres and walk-in centres.</li></ol> answering member printed Lord O'Shaughnessy question first answered 13/06/2018 11:32:04 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4192 label Biography information for Lord Dobbs

917776

	registered interest
	date	05/06/2018
	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	Care Homes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many residential care home beds there were in England in (1) 1997, (2) 2007, and (3) 2017.
	tabling member printed	Lord Naseby
	uin	HL8370
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The number of residential care home beds and care homes data in 1997 is not held centrally. Available data shows that between 2007 and 2017 the total number of beds in care homes remains broadly static whilst over the same period the number of care homes has gone down. However, high quality care also includes domiciliary care which increased by 57% since 2010 for those people aged 65 and over who are cared for through local authority support in their own home.</p><p> </p><p>The following tables show residential care home beds and care homes numbers in England for 2007 and 2017.</p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Beds in Residential Homes</p></td><td><p>265,539</p></td><td><p>238,684</p></td></tr><tr><td><p>Beds in Nursing Homes</p></td><td><p>182,920</p></td><td><p>221,110</p></td></tr><tr><td><p>Beds in Non-Medical Care Homes</p></td><td><p>298</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care home beds</p></td><td><p>448,757</p></td><td><p>459,794</p></td></tr></tbody></table><p><strong> </strong></p><p><strong><br> </strong></p><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Residential Homes</p></td><td><p>14,572</p></td><td><p>11,890</p></td></tr><tr><td><p>Nursing Homes</p></td><td><p>4,119</p></td><td><p>4,502</p></td></tr><tr><td><p>Non-Medical Care Homes</p></td><td><p>18</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care homes</p></td><td><p>18,709</p></td><td><p>16,392</p></td></tr></tbody></table><p> </p><p><em>Sources:</em> Commission for Social Care Inspection (2007), Care Quality Commission Care Directory With Filters.</p><p><em>Note:</em></p><p>Care homes that offer beds with nursing and beds without nursing are classified as nursing homes.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8369 question first answered 12/06/2018 10:47:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1251 label Biography information for Lord Naseby

917775

	registered interest
	date	05/06/2018
	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	Care Homes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many residential care homes there were in England in (1) 1997, (2) 2007, and (3) 2017.
	tabling member printed	Lord Naseby
	uin	HL8369
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The number of residential care home beds and care homes data in 1997 is not held centrally. Available data shows that between 2007 and 2017 the total number of beds in care homes remains broadly static whilst over the same period the number of care homes has gone down. However, high quality care also includes domiciliary care which increased by 57% since 2010 for those people aged 65 and over who are cared for through local authority support in their own home.</p><p> </p><p>The following tables show residential care home beds and care homes numbers in England for 2007 and 2017.</p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Beds in Residential Homes</p></td><td><p>265,539</p></td><td><p>238,684</p></td></tr><tr><td><p>Beds in Nursing Homes</p></td><td><p>182,920</p></td><td><p>221,110</p></td></tr><tr><td><p>Beds in Non-Medical Care Homes</p></td><td><p>298</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care home beds</p></td><td><p>448,757</p></td><td><p>459,794</p></td></tr></tbody></table><p><strong> </strong></p><p><strong><br> </strong></p><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Residential Homes</p></td><td><p>14,572</p></td><td><p>11,890</p></td></tr><tr><td><p>Nursing Homes</p></td><td><p>4,119</p></td><td><p>4,502</p></td></tr><tr><td><p>Non-Medical Care Homes</p></td><td><p>18</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care homes</p></td><td><p>18,709</p></td><td><p>16,392</p></td></tr></tbody></table><p> </p><p><em>Sources:</em> Commission for Social Care Inspection (2007), Care Quality Commission Care Directory With Filters.</p><p><em>Note:</em></p><p>Care homes that offer beds with nursing and beds without nursing are classified as nursing homes.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8370 question first answered 12/06/2018 10:47:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1251 label Biography information for Lord Naseby

921846

	registered interest
	date	11/06/2018
	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	Personal Health Budgets
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many patients are currently in receipt of an NHS personal health budget; and what was the total cost of that scheme for each of the last three years for which figures are available.
	tabling member printed	Lord Turnberg
	uin	HL8535
	answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>28,040 individuals were in receipt of a personal health budget as of 2017-18 Q4.</p><p>In terms of the total cost of personal health budgets for each of the last three years, these figures are not held centrally, as it is clinical commissioning groups who have the duty to commission and deliver personal health budgets.</p><p>Personal health budgets use existing National Health Service money that would already have been spent on an individual, in a different way that meets the individual’s identified health needs. Evidence suggests that at worst, personal health budgets are cost-neutral, whilst demonstrating an ability to improve outcomes and enhance quality of life.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:45:29 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2537 label Biography information for Lord Turnberg

909643

	registered interest
	date	22/05/2018
	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	Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how they intend to ensure that currently under-served groups, such as people who inject drugs and those in prisons, are included in the elimination plan for hepatitis C.
	tabling member printed	Baroness Masham of Ilton
	uin	HL8138
	answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>A variety of initiatives are underway in England to improve awareness and case finding, re-engagement and linkage to care, especially in drug services, primary care, prisons and accident and emergency centres. In addition, NHS England is funding access to new hepatitis C treatments in accordance with guidance from the National Institute for Health and Care Excellence.</p><p>As part of health services commissioned for those in detained settings, NHS England has rolled out an ambitious Opt-Out Blood Borne Viruses (BBV) testing programme. The key aim is to improve uptake rates for hepatitis C testing by the introduction of good practice for ‘meaningful offer’ of BBV testing across the adult prison estate. In this programme appropriately trained staff offer prisoners a BBV testing on an opt-out basis within 72 hours of reception in accordance with published national guidance, with referral to specialists for assessment for treatment (which can be delivered in prison or on release). This programme has been embedded across the secure estate from April 2018.</p><p>The creation of 22 operational delivery networks in England to drive improvements in treatment in local areas is intended to give all patients the access to the treatment they need regardless of where they live.</p> answering member printed Lord O'Shaughnessy question first answered 05/06/2018 15:59:48 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1850 label Biography information for Baroness Masham of Ilton

909623

	registered interest
	date	22/05/2018
	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	Drugs: Marketing
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had with the UK Medicines Verification Organisation about its policy of requiring companies who are Marketing Authorisation Holders to pay identical (1) set up, and (2) annual operational, fees regardless of the size of those companies; and what assessment they have made of the impact of that policy on the competitiveness of smaller companies.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL8118
	answer	answer is ministerial correction date of answer 05/06/2018 answer text <p>SecurMed, the United Kingdom’s National Medicines Verification Organisation, is responsible for the fee model and level of fees. In their supervisory capacity, the Department and the Medicines and Healthcare products Regulatory Agency have been involved in discussions with SecurMed to challenge and seek to influence the pricing model to ensure that the UK’s fee structure is fair and proportionate.</p><p>The European Commission has confirmed that the fee model being used by SecurMed is in line with the majority of other National Medicines Verification Organisations across the European Union.</p><p>However, in light of feedback on the potential impact of the proposed level of fees for smaller companies, SecurMed has announced an annual fee waiver scheme for the Marketing Authorisation Holders (MAH) Set up Fee and Annual MAH Operational Fee applicable to those MAH or Parallel Distributor legal entities who can demonstrate that they are a micro MAH in the relevant year.</p><p>There continues to be on-going efforts at a national and European level to ensure that fee models take into account the specific situation of small companies.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8119 HL8120 HL8121 question first answered 05/06/2018 16:09:16 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

916588

	registered interest
	date	04/06/2018
	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	Leukaemia: Ibrutinib
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate NHS England has made of the number of people with relapsed or refractory chronic lymphocytic leukaemia who will not receive ibrutinib as a result of the treatment’s Blueteq Approval Criteria published on the National Cancer Drugs Fund List.
	tabling member printed	Lord Mendelsohn
	uin	HL8294
	answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>An estimate of the number of patients with chronic lymphocytic leukaemia who will not receive treatment is not available. NHS England has advised that 828 patients with chronic lymphocytic leukaemia were registered to receive ibrutinib in 2017/18.</p> answering member printed Lord O'Shaughnessy question first answered 12/06/2018 10:51:00 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4286 label Biography information for Lord Mendelsohn