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450639

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether the new revised list of treatments available via the Cancer Drugs Fund will ensure increased access for patients to effective treatment.
tabling member printed	Baroness Masham of Ilton
uin	HL5940
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England has advised that the Cancer Drugs Fund (CDF) is reprioritised on a regular basis so that the resources available are focussed on the drugs providing the greatest benefit to patients. All decisions on drugs to be maintained in the CDF are based on the best available evidence, the cost of the treatment and the advice of clinicians.</p><p>The Government remains committed to the CDF and in 2015/16 £340 million has been invested in the Fund. NHS England and the National Institute for Health and Care Excellence are currently consulting on draft proposals on the future direction of the CDF. The consultation is open until 11 February 2016.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:36 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450640

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what discussions the Department of Health has had with NHS England about agreeing a long-term arrangement to control the cost of medical indemnity cover for out-of-hours GPs.
tabling member printed	Baroness Masham of Ilton
uin	HL5941
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:08:47 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450641

registered interest
date	04/02/2016
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 steps they are taking to develop the model of co-location of urgent and emergency primary care service with accident and emergency departments.
tabling member printed	Baroness Masham of Ilton
uin	HL5942
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>In August 2015, NHS England published <em>Safer, faster, better: good practice in delivering urgent and emergency care. </em>A copy is attached. This provides guidance to help frontline providers and commissioners re-design urgent and emergency care services, including considering locating urgent care centres in emergency departments.</p><p><em>Safer, faster, better</em> notes that urgent care centres co-located with emergency departments provide an opportunity to stream patients with less serious illnesses and injuries to a service that is resourced to meet their needs, while reducing crowding in emergency departments. It also sets out that to preserve flow, urgent care centre staff and cubicles must wherever possible be entirely separated from the majors/admission stream and that where urgent care centres are co-located with emergency departments, there must be appropriate integration, with shared governance arrangements and clearly defined protocols for the two-way transfer of patients.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:53:09 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name trans-uec - HL5942.pdf title Safer, Faster, Better
tabling member	1850 label Biography information for Baroness Masham of Ilton

450642

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to encourage GPs to undertake out-of-hours shifts in primary care.
tabling member printed	Baroness Masham of Ilton
uin	HL5943
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 08:36:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450643

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Social Enterprises
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 role of social enterprises in delivering high-quality healthcare services.
tabling member printed	Baroness Masham of Ilton
uin	HL5944
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>It is a statutory obligation that decisions on healthcare provision should be taken independently by local commissioners. Clinical commissioning groups (CCGs) must decide how to use their resources in a way which is evidence based, clinically-led and cost-effective in order to provide high-quality healthcare for people in their area. CCGs must also balance both short-term need and long-term transformation in line with the NHS Five Year Forward View’s (5YFV) objectives.</p><p><strong> </strong></p><p>However, the Government firmly believes that providers from all sectors, including social enterprises, play an important role in providing high quality, safe and efficient care to patients, as well as helping to realise the ambitions set out in the NHS 5YFV.</p><p> </p><p>The NHS 5YFV partners have recently published an updated national support package for the vanguards, ‘<em>The Forward View into action: New Care Models support for the vanguards’</em>, which emphasises the importance of drawing on the expertise and resources of the voluntary and social enterprise sector. A copy of the updated support package document is attached.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:19 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL 5944 acc-uec-support-package.pdf title The Forward View into Action
tabling member	1850 label Biography information for Baroness Masham of Ilton

450749

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Overdoses
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to ensure that NHS hospitals make referrals straight to crisis teams in cases where a patient has taken an overdose of medication.
tabling member constituency	Preston
tabling member printed	Mr Mark Hendrick
uin	25982
answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>The National Institute for Health and Care Excellence (NICE) guideline [CG133] regarding the longer-term management of self-harm in over eight’s sets out that care plans – including risk management and crisis plans – should be multidisciplinary and developed collaboratively with the person who self-harms and, provided the person agrees, with their family, carers or significant others. Care plans should also be shared with an individual’s general practitioner.</p><p> </p><p>It is for National Health Service organisations to design services to meet the needs of their local populations.</p><p> </p><p>NICE has produced a Clinical Knowledge Summary on the management of poisoning or overdose which is available at:</p><p> </p><p><a href="http://cks.nice.org.uk/poisoning-or-overdose#!scenario" target="_blank">http://cks.nice.org.uk/poisoning-or-overdose#!scenario</a></p><p> </p><p>This states that the person, if self-harm is found to be a factor, should have a psychiatric assessment by a trained professional.</p><p> </p><p>The Government’s Suicide Prevention Strategy also has details of what should be done if an overdose is suspected to be intentional. The Strategy acknowledges that emergency departments and primary care have important roles in the care of people who self-harm, with a focus on good communication and follow-up.</p><p> </p><p>In January, the Prime Minister announced £247 million to be used to develop further the provision of liaison psychiatry services in Emergency Departments in England. These services will ensure that people attending Emergency Departments who have mental ill health are assessed quickly and receive the most appropriate treatment.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 25940 25981 question first answered 09/02/2016 16:12:58 answering member 1201 label Biography information for Alistair Burt
tabling member	473 label Biography information for Sir Mark Hendrick

450750

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many three year olds received a free NHS dental check in (a) Nottingham North constituency, (b) Nottingham and (c) the UK; and if he will make a statement.
tabling member constituency	Nottingham North
tabling member printed	Mr Graham Allen
uin	25934
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>Information is not collected centrally on the number of three year olds who received a free NHS dental examination. Information is available for the number of courses of treatment for 0-17 year olds that contained a dental examination.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 12/02/2016 10:17:49 answering member 1201 label Biography information for Alistair Burt
tabling member	364 label Biography information for Mr Graham Allen

450751

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children in Care
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Prime Minister's announcement of 11 January 2016 on £1.4 billion of funding for mental health services, what proportion of that funding will support children in care and care leavers.
tabling member constituency	Burnley
tabling member printed	Julie Cooper
uin	25867
answer	answer is ministerial correction date of answer 10/02/2016 answer text <p>The Government is committed to making the full £1.4 billion investment available over the course of this Parliament to improve mental health services for children and young people.</p><p> </p><p>In line with guidance published by NHS England, all clinical commissioning groups (CCGs) have produced Local Transformation Plans (LTPs) for children and young people’s mental health and these have all now been assured and funding allocated for implementation. These plans required all key partners to agree locally how best to meet the mental health needs of children and young people in their local populations and should cover the whole spectrum of need, which includes improving access to mental health services for vulnerable groups such children in care and care leavers so that they can receive high quality mental health care when they need it. It is for local partners to decide how much of the funding which will be allocated to CCGs to improve local services throughout the five years will be spent specifically on children in care and other vulnerable groups. However, this will be based on an assessment of local needs and set out in the LTPs.</p><p> </p><p>The Government’s overall strategy to improve outcomes for care leavers is set out in the <em>Care Leaver Strategy: A cross-departmental strategy for young people leaving care</em> report (October 2013), and a one-year-on document, <em>Care Leaver Strategy: One year on progress update</em>, (October 2014) that reported on progress made and set out how the Government intends to further improve support for care leavers. The Government intends to publish its refreshed Care Leaver Strategy later this year.</p><p> </p><p>The Local Government Association has produced a spreadsheet giving details of every LTP which can be found using the following webpage address:</p><p> </p><p><a href="http://www.local.gov.uk/camhs" target="_blank">www.local.gov.uk/camhs</a></p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 10/02/2016 14:52:04 answering member 1201 label Biography information for Alistair Burt
tabling member	4405 label Biography information for Julie Cooper

450752

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many complaints were received about (a) adult and (b) children and adolescent mental health services in (i) England, (ii) London, (iii) each London borough and (iv) each London health trust in each year since 2010.
tabling member constituency	Tooting
tabling member printed	Sadiq Khan
uin	25881
answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>The information is not held in the format requested, however, figures for complaints received about mental health services in England, London and each London health trust in each year since 2010 are in the attached table.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 09/02/2016 16:07:47 answering member 1201 label Biography information for Alistair Burt attachment 1 file name PQ25881 table.xlsx title Mental health services written complaints
tabling member	1577 label Biography information for Sadiq Khan

450753

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many young people in children and adolescent mental health services waited longer than (a) one, (b) two, (c) three, (d) four, (e) five and (f) six months between referral and treatment in (i) England, (ii) London, (iii) each London borough and (vi) each London health trust in (A) 2010, (B) 2011, (C) 2012, (D) 2013, (E) 2014 and (F) 2015.
tabling member constituency	Tooting
tabling member printed	Sadiq Khan
uin	25877
answer	answer is ministerial correction date of answer 09/02/2016 answer text <p>This information is not held centrally.</p> answering member constituency North East Bedfordshire answering member printed Alistair Burt grouped question UIN 25878 question first answered 09/02/2016 16:25:29 answering member 1201 label Biography information for Alistair Burt
tabling member	1577 label Biography information for Sadiq Khan