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101009

registered interest
date	27/10/2014
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, further to the announcement by NHS England that general practitioners are to be paid an additional £55 for diagnosing dementia in patients, what other complaints or illnesses diagnosed by general practitioners are already rewarded by payments additional to their salaries; and whether they will review the system of additional payments of this sort.
tabling member printed	Lord Stoddart of Swindon
uin	HL2465
answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>General Practitioner (GP) income is made up of global sum payments for carrying out essential and additional services under the contract. Practices may also receive further payments for specific services including:</p><p> </p><p> </p><p> </p><p>- enhanced services – those that require an enhanced level of service provision above what is required under the core contract. The additional payment for diagnosing dementia falls within this category; and</p><p> </p><p> </p><p> </p><p>- the quality and outcomes framework (QOF) - a voluntary incentive scheme that provides payment to GP practices for how well they care for patients based on performance against a number of agreed indicators.</p><p> </p><p> </p><p> </p><p>Specifically on diagnosis, a number of QOF indicators are concerned with the establishment of disease registers. In order to receive payment GPs are required to ensure diagnosis levels consistent with those expected for their population for the following conditions:</p><p> </p><p> </p><p> </p><p>- atrial fibrillation;</p><p> </p><p>- coronary heart disease;</p><p> </p><p>- heart failure;</p><p> </p><p>- hypertension;</p><p> </p><p>- peripheral arterial disease;</p><p> </p><p>- stroke and trans-ischaemic attack;</p><p> </p><p>- diabetes mellitus;</p><p> </p><p>- hypothyroidism;</p><p> </p><p>- asthma;</p><p> </p><p>- chronic obstructive pulmonary disease;</p><p> </p><p>- dementia;</p><p> </p><p>- depression;</p><p> </p><p>- schizophrenia, bipolar affective disorder and other psychoses and other patients on lithium therapy;</p><p> </p><p>- cancer;</p><p> </p><p>- chronic kidney disease;</p><p> </p><p>- epilepsy;</p><p> </p><p>- osteoporosis;</p><p> </p><p>- rheumatoid arthritis; and</p><p> </p><p>- obesity.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p>Each year NHS Employers, on behalf of NHS England, negotiates the new GP contract with the General Practitioners Council of the British Medical Association. This includes discussion of changes to the Enhanced Services and QOF.</p><p> </p> answering member printed Earl Howe question first answered 05/11/2014 12:10:48 answering member 2000 label Biography information for Earl Howe
tabling member	950 label Biography information for Lord Stoddart of Swindon

100925

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have any plans to locate health visitors in accident and emergency departments.
tabling member printed	Baroness Manzoor
uin	HL2393
answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>The Department knows that some parts of the National Health Service are under pressure at the moment. Health Visitors and other health professionals have the potential to play a strong role in reducing the burden on emergency departments. We welcome proposals on innovative ways to achieve this.</p><p> </p><p> </p><p> </p><p>NHS England has advised that while health visiting services are currently provided in many community locations including children’s centres, community clinics and local general practitioner surgeries, NHS England is carrying out work to look at how health visitors, in response to local need, can support other frontline services and provide more support and advice to parents on caring for their children.</p><p> </p><p> </p><p> </p><p>For example, London and Midland and East Regions are looking at opportunities which will simultaneously enhance the health visiting service provision and support a reduction in accident and emergency attendance and waiting times over the winter period.</p><p> </p><p> </p><p> </p><p>In both regions the services offered will fall within the professional scope of Health Visitors and are designed to support families receive the most appropriate care. In addition, health visitors in accident and emergency departments can support delivery of the high impact areas: particularly managing minor illness, preventing accidents and also support maternal mental health, early attachment, and transition to parenthood and breastfeeding.</p><p> </p><p> </p><p> </p><p>These ideas have been shared with the other regions.</p><p> </p> answering member printed Earl Howe question first answered 05/11/2014 12:09:46 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100939

registered interest
date	24/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health and Social Care Act 2012
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the answer by Earl Howe on 22 October (HL Deb, col 631), what has been the cost of the reforms introduced under the Health and Social Care Act 2012 in (1) 2012, and (2) 2013; and what are the anticipated costs in (3) 2014, and (4) 2015.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL2407
answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>The cost of the reforms have been recorded by financial year as follows:</p><p> </p><p> </p><p> </p><p>2010-11 £199 million</p><p> </p><p>2011-12 £264 million</p><p> </p><p>2012-13 £633 million</p><p> </p><p>2013-14 £220 million</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>We anticipate the future costs will be below £180 million and within the £1.5 billion as announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136. The majority of the remaining anticipated costs are expected to be incurred in 2014-15.</p><p> </p><p><strong> </strong></p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 05/11/2014 12:08:50 answering member 2000 label Biography information for Earl Howe
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe