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100923

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 how many children under the age of five were taken by their parents to accident and emergency departments for treatment in 2012 and 2013.
tabling member printed	Baroness Manzoor
uin	HL2391
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>This information is not available in the format requested.</p><p> </p><p><strong> </strong></p><p> </p><p>In the following table, we have provided information concerning the number of accident and emergency attendances<sup>1</sup> (excluding planned attendances) for children aged under five by arrival mode, 2012-13 to 2013-14<sup>2</sup> (provisional data)<sup>3</sup>.</p><p> </p><p> </p><p> </p><p>Please be aware that data for 2013-14 is provisional and is therefore, subject to change.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Arrival mode</p></td><td><p>2012-13</p></td><td><p>2013-14 (provisional)</p></td></tr><tr><td><p>Brought in by ambulance (including helicopter/air ambulance)</p></td><td><p>220,277</p></td><td><p>223,571</p></td></tr><tr><td><p>Other</p></td><td><p>1,572,518</p></td><td><p>1,511,042</p></td></tr><tr><td><p>Not known</p></td><td><p>21,296</p></td><td><p>36,840</p></td></tr><tr><td><p>Total</p></td><td><p>1,814,091</p></td><td><p>1,771,453</p></td></tr></tbody></table><p> </p><p>Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector</p><p> </p><p><em>Source:</em> Hospital Episode Statistics (HES), Health and Social Care Information Centre<sup>4 </sup></p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><p>1. HES is not the official source of total A&amp;E activity, this is the NHS England situation reports collection:</p><p> </p><p> </p><p> </p><p>http://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/</p><p> </p><p> </p><p> </p><p>However, HES permits further analysis of A&amp;E activity as there are a range of data items by which HES can be analysed.</p><p> </p><p> </p><p> </p><p>2. HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in National Health Service practice. For example, changes in activity may be due to changes in the provision of care.</p><p> </p><p> </p><p> </p><p>3. The data is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>4. Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England and from some independent sector organisations for activity commissioned by the English NHS. Health and Social Care Information Centre liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain.</p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 12:00:01 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100623

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Cost Effectiveness
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the "Nicholson Challenge" still operates within the National Health Service; if so, what efficiency savings have been identified to date; and, if not, why not.
tabling member printed	Lord Sharkey
uin	HL2354
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The 2010 Spending Review protected health funding in real terms. However, in order to continue to meet rising demands while improving services, it was estimated that up to £20 billion of efficiency savings would be required over the four years from 2011-12 to 2014-15.</p><p> </p><p> </p><p> </p><p>The National Health Service response to this challenge was organised through the Quality, Innovation, Productivity and Prevention (QIPP) initiative, also known colloquially as the ‘Nicholson challenge’ after Sir David Nicholson, who was Chief Executive of the NHS at the time that QIPP originated.</p><p> </p><p> </p><p> </p><p>The NHS is on track to deliver up to £20 billion efficiency savings, having reported around £15 billion of efficiencies in the first three years, all of which will be reinvested into frontline care.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 12:11:13 answering member 2000 label Biography information for Earl Howe
tabling member	4196 label Biography information for Lord Sharkey

100642

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have undertaken an impact assessment of the potential impacts on the National Health Service of the Transatlantic Trade and Investment Partnership which is being negotiated between the European Union and the United States.
tabling member printed	Baroness Manzoor
uin	HL2373
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2374 HL2375 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100643

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the implications for the National Health Service and the staff who work in the National Health Service if the Transatlantic Trade and Investment Partnership is agreed.
tabling member printed	Baroness Manzoor
uin	HL2374
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2375 question first answered 29/10/2014 12:27:47 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100644

registered interest
date	23/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the implications for hospitals and foundation trusts if the Transatlantic Trade and Investment Partnership is agreed.
tabling member printed	Baroness Manzoor
uin	HL2375
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2373 HL2374 question first answered 29/10/2014 12:27:46 answering member 2000 label Biography information for Earl Howe
tabling member	4289 label Biography information for Baroness Manzoor

100550

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by Lord Darzi of Denham on 22 July 2008 (HL4926 and HL4927) and by Earl Howe on 9 July 2012 (HL1211), of how many cycles the Human Fertilisation and Embryology Authority are aware in which fresh embryo transfers took place after 15 or more eggs were collected over each of the past ten years.
tabling member printed	Lord Alton of Liverpool
uin	HL2287
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The number of treatment cycles in which fresh embryo transfers took place after 15 or more eggs were collected, in each of the last 10 years, is shown in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Years</p></td><td><p>Cycles in which fresh embryo transfers took place after 15 or more eggs were collected</p></td></tr><tr><td><p>2004</p></td><td><p>5602</p></td></tr><tr><td><p>2005</p></td><td><p>5737</p></td></tr><tr><td><p>2006</p></td><td><p>5843</p></td></tr><tr><td><p>2007</p></td><td><p>6345</p></td></tr><tr><td><p>2008</p></td><td><p>6589</p></td></tr><tr><td><p>2009</p></td><td><p>7344</p></td></tr><tr><td><p>2010</p></td><td><p>7801</p></td></tr><tr><td><p>2011</p></td><td><p>8195</p></td></tr><tr><td><p>2012</p></td><td><p>8200</p></td></tr><tr><td><p>2013(1)</p></td><td><p>8128</p></td></tr></tbody></table><p> </p><p>Source: The Human Fertilisation and Embryology Authority</p><p> </p><p> </p><p> </p><p>(1) 2013 is the most recent year for which information is available.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:25:39 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

100591

registered interest
date	22/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orthopaedics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government in how many Clinical Commissioning Groups rates of (1) major, and (2) minor, amputations are more than 33 per cent above the national average; and how the national average compares with other European Union member states.
tabling member printed	Lord Harrison
uin	HL2328
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>It is not possible to distinguish in Hospital Episode Statistics between 'major' and 'minor' amputations.</p><p> </p><p>The Health and Social Care Information Centre (HSCIC) has calculated the England average rate of amputation per 100,000 population and highlighted the clinical commissioning groups (CCGs) of residence having rates more than 33% higher than the national average. There are 25 such CCGs.</p><p> </p><p>This is not a count of people as the same person may have had more than one episode of care within the same time period.</p><p> </p><p>We do not have information on a comparison of rates of amputation with other European Union member states.</p><p> </p><table><tbody><tr><td><p>Clinical Commissioning Group of residence</p></td><td><p>Count of finished consultant episodes</p></td><td><p>Population</p></td><td><p>Rate per 100,000 population</p></td></tr><tr><td><p>NHS SCARBOROUGH AND RYEDALE CCG</p></td><td><p>68</p></td><td><p>110,488</p></td><td><p>61.5</p></td></tr><tr><td><p>NHS EAST RIDING OF YORKSHIRE CCG</p></td><td><p>169</p></td><td><p>314,504</p></td><td><p>53.7</p></td></tr><tr><td><p>NHS DONCASTER CCG</p></td><td><p>159</p></td><td><p>302,739</p></td><td><p>52.5</p></td></tr><tr><td><p>NHS MANSFIELD AND ASHFIELD CCG</p></td><td><p>101</p></td><td><p>192,539</p></td><td><p>52.5</p></td></tr><tr><td><p>NHS BLACKPOOL CCG</p></td><td><p>72</p></td><td><p>141,976</p></td><td><p>50.7</p></td></tr><tr><td><p>NHS KNOWSLEY CCG</p></td><td><p>74</p></td><td><p>145,936</p></td><td><p>50.7</p></td></tr><tr><td><p>NHS DURHAM DALES, EASINGTON AND SEDGEFIELD CCG</p></td><td><p>138</p></td><td><p>273,043</p></td><td><p>50.5</p></td></tr><tr><td><p>NHS KERNOW CCG</p></td><td><p>272</p></td><td><p>540,178</p></td><td><p>50.4</p></td></tr><tr><td><p>NHS FAREHAM AND GOSPORT CCG</p></td><td><p>98</p></td><td><p>196,078</p></td><td><p>50.0</p></td></tr><tr><td><p>NHS LANCASHIRE NORTH CCG</p></td><td><p>78</p></td><td><p>158,528</p></td><td><p>49.2</p></td></tr><tr><td><p>NHS NORTHERN, EASTERN AND WESTERN DEVON CCG</p></td><td><p>421</p></td><td><p>869,408</p></td><td><p>48.4</p></td></tr><tr><td><p>NHS STOKE ON TRENT CCG</p></td><td><p>124</p></td><td><p>258,114</p></td><td><p>48.0</p></td></tr><tr><td><p>NHS TELFORD AND WREKIN CCG</p></td><td><p>80</p></td><td><p>167,682</p></td><td><p>47.7</p></td></tr><tr><td><p>NHS HEREFORDSHIRE CCG</p></td><td><p>88</p></td><td><p>184,932</p></td><td><p>47.6</p></td></tr><tr><td><p>NHS HULL CCG</p></td><td><p>122</p></td><td><p>257,204</p></td><td><p>47.4</p></td></tr><tr><td><p>NHS NORTH KIRKLEES CCG</p></td><td><p>88</p></td><td><p>186,706</p></td><td><p>47.1</p></td></tr><tr><td><p>NHS BOLTON CCG</p></td><td><p>131</p></td><td><p>278,984</p></td><td><p>47.0</p></td></tr><tr><td><p>NHS EAST STAFFORDSHIRE CCG</p></td><td><p>58</p></td><td><p>123,945</p></td><td><p>46.8</p></td></tr><tr><td><p>NHS COASTAL WEST SUSSEX CCG</p></td><td><p>222</p></td><td><p>476,677</p></td><td><p>46.6</p></td></tr><tr><td><p>NHS LINCOLNSHIRE EAST CCG</p></td><td><p>106</p></td><td><p>228,111</p></td><td><p>46.5</p></td></tr><tr><td><p>NHS HALTON CCG</p></td><td><p>58</p></td><td><p>125,692</p></td><td><p>46.1</p></td></tr><tr><td><p>NHS NEWARK &amp; SHERWOOD CCG</p></td><td><p>53</p></td><td><p>115,897</p></td><td><p>45.7</p></td></tr><tr><td><p>NHS THANET CCG</p></td><td><p>62</p></td><td><p>135,661</p></td><td><p>45.7</p></td></tr><tr><td><p>NHS SOMERSET CCG</p></td><td><p>243</p></td><td><p>534,950</p></td><td><p>45.4</p></td></tr><tr><td><p>NHS BRADFORD CITY CCG</p></td><td><p>37</p></td><td><p>82,319</p></td><td><p>44.9</p></td></tr></tbody></table><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:26:37 answering member 2000 label Biography information for Earl Howe
tabling member	2488 label Biography information for Lord Harrison

100036

registered interest
date	21/10/2014
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 what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

99968

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what effect spending pre-emptions by NHS England have had on the ability of NHS England to ensure parity of esteem as required by the Health and Social Care Act 2012, the NHS Mandate for 2013 to 2015 and the Refreshed Mandate for 2014 to 2015.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2183
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Funding for mental health has increased by £120 million in 2014-15, a rise of 1.4% in cash terms. Total mental health spending will rise from £8.5 billion in 2013-14 to £8.62 billion in 2014-15.</p><p> </p><p> </p><p> </p><p>The Government has committed an additional £40 million funding boost for mental health services in 2014-15. A further £80 million in 2015-16 will be freed by NHS England from existing budgets.</p><p> </p><p> </p><p> </p><p>The Department and NHS England continue to work together to ensure that there are consistent messages to commissioners and providers about the importance of delivering parity of esteem for people with mental health needs.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England are responsible for setting the national tariff arrangements and are working together to develop a national payment system for mental health which promotes early intervention, access to effective evidence-based care, improved outcomes and recovery.</p><p> </p><p>The national tariff arrangements for 2015-16 will include examples of new and innovative payment models which local commissioners and providers may choose to adopt next year.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:24:43 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99969

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the procurement process operated by NHS England in relation to general practitioner practices allows for the track record of the bidders sufficiently to be taken into account in the procurement decision.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2184
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2185 question first answered 27/10/2014 12:39:20 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath