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626790

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Per Capita Costs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the public sector spend on health per head of population in real terms for each of the years from, and including, 2010; and what is the projected spend per head in real terms for each of the years up to, and including, 2020.
tabling member printed	Lord Birt
uin	HL2868
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>Public sector spend on health in England per head of population from 2010-11 to 2015-16 and projected spend per head from 2016-17 to 2020-21 in cash and real terms is shown in table below:</p><p> </p><p>Department spend per head in England 2010-11 to 2020-21</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Plan/Outturn</p></td><td><p>Spend per head (£)</p></td><td><p>Spend per head 2016/17 prices (£)</p></td></tr><tr><td><p>2010/11</p></td><td><p>Outturn</p></td><td><p>1,908</p></td><td><p>2,077</p></td></tr><tr><td><p>2011/12</p></td><td><p>Outturn</p></td><td><p>1,937</p></td><td><p>2,079</p></td></tr><tr><td><p>2012/13</p></td><td><p>Outturn</p></td><td><p>1,967</p></td><td><p>2,069</p></td></tr><tr><td><p>2013/14</p></td><td><p>Outturn</p></td><td><p>2,038</p></td><td><p>2,109</p></td></tr><tr><td><p>2014/15</p></td><td><p>Outturn</p></td><td><p>2,087</p></td><td><p>2,127</p></td></tr><tr><td><p>2015/16</p></td><td><p>Outturn</p></td><td><p>2,140</p></td><td><p>2,172</p></td></tr><tr><td><p>2016-17</p></td><td><p>Plan</p></td><td><p>2,184</p></td><td><p>2,184</p></td></tr><tr><td><p>2017-18</p></td><td><p>Plan</p></td><td><p>2,223</p></td><td><p>2,184</p></td></tr><tr><td><p>2018-19</p></td><td><p>Plan</p></td><td><p>2,254</p></td><td><p>2,168</p></td></tr><tr><td><p>2019-20</p></td><td><p>Plan</p></td><td><p>2,287</p></td><td><p>2,159</p></td></tr><tr><td><p>2020-21</p></td><td><p>Plan</p></td><td><p>2,340</p></td><td><p>2,166</p></td></tr></tbody></table><p><strong> </strong></p><p>Notes:</p><p> </p><p>Real terms growth calculations based on Gross Domestic Product deflators 30 September 2016.</p><p> </p><p>Department public expenditure is classified as the Total Departmental Expenditure Limit set by HM Treasury.</p> answering member printed Lord Prior of Brampton question first answered 15/11/2016 15:50:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2533 label Biography information for Lord Birt

626817

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Atrial Fibrillation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what proportion of clinical commissioning groups commission technologies to support atrial fibrillation detection in routine care.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2895
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>NHS England’s Sustainable Improvement Team is taking action to promote the use of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) within general practitioner practices in England. This is a software audit tool developed by and trialled in the National Health Service. It greatly simplifies the process of identifying patients with Atrial Fibrillation who are not receiving the right management to help reduce their risk of stroke. As of 31 October 2016:</p><p> </p><p>- 2,220 of 7,619 practices had uploaded data from the latest version of GRASP-AF;</p><p>- 152 of 209 (73%) clinical commissioning groups have at least one practice uploading data from the latest version of GRASP-AF; and</p><p>- 18 CCGs (9%) have 100% of practices uploading data.</p><p> </p><p>On 29 September 2016, NHS RightCare introduced an optimal value pathway on cardiovascular disease (CVD) prevention. NHS RightCare is a programme committed to reducing unwarranted variation to improve people’s health and outcomes and reduce inequalities in health access, experience and outcomes.</p><p>The CVD prevention pathway is the first in a series of optimal value pathways on a number of conditions. These evidence based pathways are being developed in close collaboration with NHS England’s National Clinical Directors, Public Health England, the Royal Colleges, the National Institute for Health and Care Excellence and other non-statutory stakeholders, including patient groups.</p><p>NHS England’s National Clinical Director for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2898 HL2899 question first answered 15/11/2016 15:50:12 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

626818

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Atrial Fibrillation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what proportion of clinical commissioning groups commission community pharmacists to support patients with atrial fibrillation to adhere to anticoagulation therapy.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2896
answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>Information on the number of clinical commissioning groups commissioning such a service from community pharmacies is not held centrally.</p> answering member printed Lord Prior of Brampton question first answered 14/11/2016 11:32:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

626819

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Atrial Fibrillation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have any plans to run a public awareness campaign to improve the diagnosis of atrial fibrillation.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2897
answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>Public Health England (PHE) has recently run a Be Clear on Cancer campaign to raise awareness of respiratory symptoms, including breathlessness, which can be a symptom of Atrial Fibrillation.</p><p> </p><p>The campaign aimed to encourage those with inappropriate breathlessness or a persistent cough lasting three weeks or more to go and see their general practitioner.</p><p> </p><p>PHE also manages the Act FAST campaign to raise awareness of the signs of a stroke and encourage people to call 999 immediately, so that those experiencing a stroke get to hospital as soon as possible. People seen within three hours have a better chance of recovery and reduced disability. The campaign focuses on the FAST acronym that helps people to recognise the signs of stroke and understand the importance of emergency treatment. Atrial Fibrillation is one of the most common forms of abnormal heart rhythm and a major cause of stroke.</p> answering member printed Lord Prior of Brampton question first answered 14/11/2016 11:31:22 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

626820

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cardiovascular Diseases: Preventive Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they are taking to support the implementation of the NHS RightCare cardiovascular disease prevention optimal value pathway.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2898
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>NHS England’s Sustainable Improvement Team is taking action to promote the use of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) within general practitioner practices in England. This is a software audit tool developed by and trialled in the National Health Service. It greatly simplifies the process of identifying patients with Atrial Fibrillation who are not receiving the right management to help reduce their risk of stroke. As of 31 October 2016:</p><p> </p><p>- 2,220 of 7,619 practices had uploaded data from the latest version of GRASP-AF;</p><p>- 152 of 209 (73%) clinical commissioning groups have at least one practice uploading data from the latest version of GRASP-AF; and</p><p>- 18 CCGs (9%) have 100% of practices uploading data.</p><p> </p><p>On 29 September 2016, NHS RightCare introduced an optimal value pathway on cardiovascular disease (CVD) prevention. NHS RightCare is a programme committed to reducing unwarranted variation to improve people’s health and outcomes and reduce inequalities in health access, experience and outcomes.</p><p>The CVD prevention pathway is the first in a series of optimal value pathways on a number of conditions. These evidence based pathways are being developed in close collaboration with NHS England’s National Clinical Directors, Public Health England, the Royal Colleges, the National Institute for Health and Care Excellence and other non-statutory stakeholders, including patient groups.</p><p>NHS England’s National Clinical Director for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2895 HL2899 question first answered 15/11/2016 15:50:12 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

626821

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mechanical Thrombectomy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to ensure that all stroke victims are able to receive thrombectomies where appropriate.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2899
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>NHS England’s Sustainable Improvement Team is taking action to promote the use of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) within general practitioner practices in England. This is a software audit tool developed by and trialled in the National Health Service. It greatly simplifies the process of identifying patients with Atrial Fibrillation who are not receiving the right management to help reduce their risk of stroke. As of 31 October 2016:</p><p> </p><p>- 2,220 of 7,619 practices had uploaded data from the latest version of GRASP-AF;</p><p>- 152 of 209 (73%) clinical commissioning groups have at least one practice uploading data from the latest version of GRASP-AF; and</p><p>- 18 CCGs (9%) have 100% of practices uploading data.</p><p> </p><p>On 29 September 2016, NHS RightCare introduced an optimal value pathway on cardiovascular disease (CVD) prevention. NHS RightCare is a programme committed to reducing unwarranted variation to improve people’s health and outcomes and reduce inequalities in health access, experience and outcomes.</p><p>The CVD prevention pathway is the first in a series of optimal value pathways on a number of conditions. These evidence based pathways are being developed in close collaboration with NHS England’s National Clinical Directors, Public Health England, the Royal Colleges, the National Institute for Health and Care Excellence and other non-statutory stakeholders, including patient groups.</p><p>NHS England’s National Clinical Director for stroke is leading work to develop a full proposal which will consider the evidence and logistical issues involved in delivering mechanical thrombectomy to stroke patients across the country. This includes working with the relevant specialist societies, Royal Colleges and Health Education England to consider the workforce implications. Once the proposal has been developed, NHS England will decide whether the procedure should be made widely available.</p> answering member printed Lord Prior of Brampton grouped question UIN HL2895 HL2898 question first answered 15/11/2016 15:50:12 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

626825

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have any plans to consult the public on proposals to make doctors personally liable to the NHS if they fail to collect fees from health tourists, and to make it a disciplinary offence for any doctor to fail to check whether a patient is a health tourist.
tabling member printed	Lord Blencathra
uin	HL2903
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>The Government has no plans to make doctors personally liable to the National Health Service if they fail to collect fees from health tourists, nor to make it a disciplinary offence for any doctor that fails to check whether a patient is a health tourist.</p><p> </p><p>Our plans are instead to ensure that those who do not live here and contribute financially to this country make a fair contribution to the cost of their NHS care.</p> answering member printed Lord Prior of Brampton question first answered 15/11/2016 15:46:54 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	497 label Biography information for Lord Blencathra

626829

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the official figure of £10 billion extra in funding for the NHS by 2020–21 is correct.
tabling member printed	The Marquess of Lothian
uin	HL2907
answer	answer is ministerial correction date of answer 15/11/2016 answer text <p>The Spending Review in November 2015 settled the level of funding that the National Health Service in England will receive over the course of this Parliament. The NHS will be receiving £10 billion more per year in real terms by 2020-21 compared to 2014-15.</p><p> </p><p>In 2014-15, the NHS budget was £98.1 billion, in 2020-21 it will be £119.9 billion. That is a £21.8 billion increase in cash terms, or £10 billion in real terms.</p><p> </p><p>The following table provides the agreed figures as set out in the Spending Review 2015 document:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>NHS funding</p></td><td><p>Annual real terms increase</p></td><td><p>Cumulative delivery of £10 billion</p></td></tr><tr><td><p>2014-15</p></td><td><p>£98.1 billion</p></td><td><p>n/a</p></td><td><p>n/a</p></td></tr><tr><td><p>2015-16</p></td><td><p>£101.3 billion</p></td><td><p>1.9%</p></td><td><p>2</p></td></tr><tr><td><p>2016-17</p></td><td><p>£106.8 billion</p></td><td><p>3.6%</p></td><td><p>6</p></td></tr><tr><td><p>2017-18</p></td><td><p>£110.2 billion</p></td><td><p>1.3%</p></td><td><p>7</p></td></tr><tr><td><p>2018-19</p></td><td><p>£112.7 billion</p></td><td><p>0.4%</p></td><td><p>8</p></td></tr><tr><td><p>2019-20</p></td><td><p>£115.8 billion</p></td><td><p>0.7%</p></td><td><p>9</p></td></tr><tr><td><p>2020-21</p></td><td><p>£119.9 billion</p></td><td><p>1.4%</p></td><td><p>10</p></td></tr></tbody></table> answering member printed Lord Prior of Brampton question first answered 15/11/2016 15:46:21 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	259 label Biography information for The Marquess of Lothian

626830

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government (1) what are the present costs to the NHS of adult social care, and (2) how much additional funding they estimate is required to ensure the adequate provision of social care, particularly for the elderly.
tabling member printed	The Marquess of Lothian
uin	HL2908
answer	answer is ministerial correction date of answer 14/11/2016 answer text <p>The Government recognises that adult social care and National Health Service costs are closely related, and that savings can be achieved through better integration. For this reason we introduced the Government’s £5.3 billion Better Care Fund. This has provided much needed investment in better integrated care through locally developed plans, and by putting resources where the local NHS and social services think they are needed.</p><p> </p><p>Calculating the exact relationship between health and social care expenditure is complex and the subject of further work.</p><p> </p><p>The Autumn 2015 Spending Review settlement announced that local authorities who are responsible for social care would have the ability to raise additional funding to spend exclusively on adult social care through an annual council tax raise of up to two per cent above the existing threshold. The Government will be making further funding available to councils for adult social care through an improved Better Care Fund, rising to £1.5 billion by 2019-20. Taken together, this means local government has access to funding to increase social care spending in real terms by the end of the Parliament.</p> answering member printed Lord Prior of Brampton question first answered 14/11/2016 11:32:25 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	259 label Biography information for The Marquess of Lothian

626835

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Air Pollution
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to educate pregnant women about the detrimental effects of air pollution on foetuses.
tabling member printed	Baroness Jones of Whitchurch
uin	HL2913
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Government has produced resources to inform the public and professionals about the risks of carbon monoxide (CO) to the foetus. Elevated exposure to CO can occur indoors due to malfunctioning appliances. Sufficient “test your breath” postcards about the risks of CO have been made available for every pregnant woman for the past two years. An online training module has recently been launched, to support midwifery teams to effectively screen all pregnant women for CO. An algorithm for midwives, to help diagnose CO poisoning in pregnant women and offer advice, was also updated this year.</p><p> </p><p>More recently, a Foreword from the Chief Medical Officer for England introduced the report <em>Every breath we take: The lifelong impact of air pollution </em>which draws attention to the potential effects of indoor and outdoor air pollutants on the developing foetus, particularly the evidence for effects on premature birth and low birth weight. A copy of this report is attached.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:51:16 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Every breath we take_The lifelong impact of air pollution.pdf title Every breath we take report
tabling member	3792 label Biography information for Baroness Jones of Whitchurch