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63777

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Spinal Injuries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to ensure that there are enough designated beds in spinal injury centres for patients with spinal injuries resulting in paralysis.
tabling member printed	Baroness Masham of Ilton
uin	HL561
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>NHS England has advised that all three centres have periodically experienced problems admitting patients promptly, especially for those patients requiring ventilation, and consequently waiting lists for admission have developed. To ensure patients awaiting admission receive appropriate assessment and support, the centres have been providing outreach care to patients at the hospitals to which they are admitted, which will usually be a major trauma centre.</p><p> </p><p>The fluctuations of waiting times and the ability to discharge a patient to the next phase of their care are key factors in enabling the admission of new patients to a centre. NHS England, the eight specialist centres in England and the Spinal Injuries Association are working together to recommend changes to the continuing care process that would enable spinal cord injured patients to move to the next stage of their care as soon as clinically appropriate.</p><p> </p><p>The overall bed complement for England is being reviewed through a demand and capacity project, led by the Spinal Cord Injury Clinical Reference Group (CRG). The CRG aims to produce a report in 2015-16.</p> answering member printed Earl Howe grouped question UIN HL562 question first answered 01/07/2014 11:44:59 answering member 2000 label Biography information for Earl Howe
tabling member	1850 label Biography information for Baroness Masham of Ilton

63778

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Spinal Injuries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how long the waiting lists for beds for patients with spinal injuries are at the spinal units at (1) the National Spinal Injuries Centre, Stoke Mandeville Hospital, (2) the Duke of Cornwall Spinal Treatment Centre, Salisbury, and (3) the Royal National OrthopaedicHospital, Stanmore.
tabling member printed	Baroness Masham of Ilton
uin	HL562
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>NHS England has advised that all three centres have periodically experienced problems admitting patients promptly, especially for those patients requiring ventilation, and consequently waiting lists for admission have developed. To ensure patients awaiting admission receive appropriate assessment and support, the centres have been providing outreach care to patients at the hospitals to which they are admitted, which will usually be a major trauma centre.</p><p> </p><p>The fluctuations of waiting times and the ability to discharge a patient to the next phase of their care are key factors in enabling the admission of new patients to a centre. NHS England, the eight specialist centres in England and the Spinal Injuries Association are working together to recommend changes to the continuing care process that would enable spinal cord injured patients to move to the next stage of their care as soon as clinically appropriate.</p><p> </p><p>The overall bed complement for England is being reviewed through a demand and capacity project, led by the Spinal Cord Injury Clinical Reference Group (CRG). The CRG aims to produce a report in 2015-16.</p> answering member printed Earl Howe grouped question UIN HL561 question first answered 01/07/2014 11:44:59 answering member 2000 label Biography information for Earl Howe
tabling member	1850 label Biography information for Baroness Masham of Ilton

63785

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Advisory Bodies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government which advisory committees provide advice on chemicals, toxicology and endocrinology; how they are funded; and what each committee costs per annum.
tabling member printed	The Countess of Mar
uin	HL569
answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>There are a number of Scientific Advisory Committees that provide advice to Government on chemicals, toxicology and endocrinology. They are listed as follows.</p><p> </p><p>The Committee on Toxicity of Chemicals in Food, Consumer Products and the Environment provides advice to the Food Standards Agency, the Department of Health, Public Health England, and other Government departments and agencies on matters concerning the toxicity of chemicals. The costs of meetings are met by the Food Standards Agency, which comes to a total cost of around £35,000 per annum.</p><p> </p><p>The Committee on Carcinogenicity is an expert scientific committee of the Department that provides expert advice on matters concerning the potential carcinogenicity of chemicals, ranging from natural products to new synthetic chemicals used in pesticides or pharmaceuticals. The costs of its meetings are met by Public Health England including travel costs for members and fees, at a total cost of around £10,000 per annum.</p><p> </p><p>The Committee on Mutagenicity is an independent advisory committee that provides advice to Government departments and agencies on matters concerning the potential mutagenicity of chemicals, ranging from natural products to new synthetic chemicals used in pesticides or pharmaceuticals. The costs of its meetings are met by Public Health England including travel costs for members and fees, at a total cost of around £10,000 per annum.</p><p> </p><p>The Committee on the Medical Effects of Air Pollutants (COMEAP) is an expert scientific committee of the Department that provides expert advice on the effects on health of both outdoor and indoor air pollutants on the basis of currently available data. The costs of its meetings are met by Public Health England, including travel costs and fees for members, at a total cost of around £14,000 per annum.</p><p> </p><p>The Hazardous Substances Advisory Committee is an expert scientific committee of the Department for Environment, Food and Rural Affairs (DEFRA) that provides expert advice on how to protect the environment, and human health via the environment, from potentially hazardous substances. The costs of its meetings are met by DEFRA at a total cost of around £30,000 per annum.</p><p> </p><p>The Advisory Committee on Toxic Substances advises the Health and Safety (HSE) Executive Board on matters relating to the prevention, control and management of hazards and risks to the health and safety of persons arising from the supply or use of toxic substances at work, with due regard to any related risks to consumers, the public and the environment. Funding for the committee comes from HSE and four meetings in total in the last three years have cost £2,000.</p><p> </p> answering member printed Earl Howe question first answered 08/07/2014 15:26:20 answering member 2000 label Biography information for Earl Howe
tabling member	1861 label Biography information for The Countess of Mar

63793

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that hospitals have senior doctors on duty overnight.
tabling member printed	Lord Patel of Blackburn
uin	HL577
answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>Everyone Counts: Planning for patients 2013-14 committed the National Health Service to move towards routine services being available seven days a week. The NHS Services, Seven Days a Week Forum was established to provide evidence and insight to support commissioners and providers to make this happen – which is essential to delivering a much more patient focused service, and one which offers the opportunity to improve clinical outcomes.</p><p> </p><p>The Forum's Summary of Initial Findings concluded the NHS should adopt 10 evidence-based clinical standards to end current variations in outcomes. It was recognised the presence of consultants and the supervision they provide to doctors in training is integral to the delivery of the clinical standards, and should be available seven days a week.</p><p> </p><p>To achieve this NHS England will use the range of commissioning tools and levers at its disposal, including the NHS Contract.</p><p> </p><p>A seven day service does not mean individual doctors or nurses having to work every day of the week. Instead they will require hospitals to adjust their staffing rotas, making full use of the 76% increase in consultants since 2000.</p><p> </p> answering member printed Earl Howe question first answered 01/07/2014 11:43:45 answering member 2000 label Biography information for Earl Howe
tabling member	2526 label Biography information for Lord Patel of Blackburn

63794

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Veterans: Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to help war veterans with mental illness.
tabling member printed	Lord Patel of Blackburn
uin	HL578
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>All of the recommendations put forward by the hon Member for South West Wiltshire Dr Andrew Murrison in his report on Armed Forces and veterans' mental health – ‘Fighting Fit' - in 2010 have been implemented by the Department and the National Health Service in England in relation to services for veterans and by the Ministry of Defence for serving personnel.</p><p> </p><p>Funding of £7.2 million is providing 10 veteran mental health teams across England. Each team provides mental health services that are specifically tailored to meet their local veteran population's needs and requirements. A National Veteran Mental Health Network has been established to identify and disseminate good practice across England and a national 24-hour veteran mental health helpline has been put in place.</p><p> </p><p>An online, mental health well-being and counselling service for Armed Forces, their families and veterans – the Big White Wall - has also been developed. Working with the Royal College of General Practitioners we have put in place an e-learning training package for general practitioners (GPs). Health Education England has been mandated to provide training that will be available from summer 2015 to ensure that there will be a specialist GP in every local area trained in both the physical and mental health needs of veterans.</p><p> </p><p>NHS England has commissioned Combat Stress to provide an acute Post Traumatic Stress Disorder services for veterans.</p><p> </p> answering member printed Earl Howe question first answered 07/07/2014 11:31:38 answering member 2000 label Biography information for Earl Howe
tabling member	2526 label Biography information for Lord Patel of Blackburn

63800

registered interest
date	24/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Veterans: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the remarks by Lord Astor of Hever on 23 June (HL Deb, col 1059), how many general practitioners they plan to train to respond to the physical and mental health needs of veterans in (1) England, (2) Wales, (3) Scotland, and (4) Northern Ireland.
tabling member printed	Lord Rogan
uin	HL584
answer	answer is ministerial correction date of answer 07/07/2014 answer text <p>The NHS Mandate from the Government to Health Education England includes an objective to raise awareness of psychological and physical issues which are commonly faced by veterans and their families and the resources which are available to help them.</p><p> </p><p>Health Education England are working to ensure that there is training available so that there can be a specialist general practitioners in all 211 clinical commissioning groups (CCGs) trained in the physical and mental health needs of armed forces veterans by summer 2015. Health Education England are working with the Royal College of General Practitioners to ensure that the learning is taken up and used to support the development of care and services to veterans.</p><p> </p><p>NHS England is exploring how CCGs and other local networks can best support general practitioners in using the available learning and developing the knowledge and skills needed to support this important group of patients who may have particular mental and physical health needs.</p><p><strong> </strong></p><p>Health and social care is a devolved matter and the responsibility of individual devolved administrations and therefore we cannot respond to this question in relation to Wales, Scotland and Northern Ireland.</p> answering member printed Earl Howe question first answered 07/07/2014 11:24:30 answering member 2000 label Biography information for Earl Howe
tabling member	2478 label Biography information for Lord Rogan

63812

registered interest
date	24/06/2014
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 and how they plan to respond to the British Medical Association's vote on 23 June to resist NHS cuts.
tabling member printed	Lord Taylor of Warwick
uin	HL596
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>National health service funding in England has not been cut – over the last four years the NHS has received annual real terms growth. Funding is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. The NHS is on track to make up to £20 billion efficiency savings this parliament to reinvest into frontline care and we are confident that it will continue to make the efficiency improvements necessary to meet rising demand.</p> answering member printed Earl Howe question first answered 30/06/2014 10:53:11 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

62793

registered interest
date	19/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many repeat abortions were performed in 2013 on women aged (1) under 16, (2) 16 to 17, (3) 18 to 19, (4) 20 to 29, (5) 30 to 34, and (6) 35 and over, in each clinical commissioning group and local authority area.
tabling member printed	Baroness Gould of Potternewton
uin	HL473
answer	answer is ministerial correction date of answer 02/07/2014 answer text <p>This information can only be provided at disproportionate cost.</p><p><strong> </strong></p><p>Abortion statistics are published annually. Table 4b of the latest statistical data (2013) gives information on repeat abortions for ages under 25 and 25+ by clinical commissioning group and local authority. A copy of the Annual Statistics, England and Wales: 2013 has been placed in the Library.</p> answering member printed Earl Howe question first answered 02/07/2014 14:04:36 answering member 2000 label Biography information for Earl Howe attachment 1 file name HL473 - Lib Doc.pdf title Abortion Statistics, England and Wales: 2013
tabling member	3573 label Biography information for Baroness Gould of Potternewton

62794

registered interest
date	19/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Contraceptives
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in each year since 2010, what was the (1) total number of, and (2) net ingredient cost of, each type of contraceptive and contraceptive device dispensed in (a) community clinics, and (b) general practice, in each clinical commissioning group and local authority area in England.
tabling member printed	Baroness Gould of Potternewton
uin	HL474
answer	answer is ministerial correction date of answer 25/06/2014 answer text <p>Information is not held centrally on the numbers or cost of contraceptives supplied direct to patients through community clinics or general practices.</p> answering member printed Earl Howe question first answered 25/06/2014 11:36:56 answering member 2000 label Biography information for Earl Howe
tabling member	3573 label Biography information for Baroness Gould of Potternewton

62795

registered interest
date	19/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Contraceptives
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in each year since 2010, how many prescriptions were written for (1) oral contraceptives, (2) intrauterine systems for the purpose of contraception, (3) contraceptive injections, (4) contraceptive sub-dermal implants, (5) emergency hormonal contraceptives, and (6) intrauterine devices for the purpose of emergency contraception, in each clinical commissioning group area.
tabling member printed	Baroness Gould of Potternewton
uin	HL475
answer	answer is ministerial correction date of answer 25/06/2014 answer text <p>Information is not collected centrally on the number of prescriptions written. However, information is available on the number of prescription items dispensed.</p><p> </p><p>A series of tables representing the four financial years 2010-11 to 2013-14, have been placed in the Library. These provide information on each of the categories of contraceptives requested, apart from intrauterine devices for the purpose of emergency contraception, as information is not held on whether intrauterine devices are for emergency or non-emergency use, however, totals for all intrauterine devices are included within the category of intrauterine systems for the purpose of contraception.</p><p> </p><p>The tables are based on ePACT data, representing prescriptions written in England and dispensed in the community in the United Kingdom. This does not include supply through community clinics. Information is not available for Q1 of 2010. Commissioning care group areas were formed in April 2013. Information prior to this time is in the form of primary care trusts. Contraceptives are defined products listed within British National Formulary (BNF) Section 7.3 <em>Contraceptives</em>.</p> answering member printed Earl Howe question first answered 25/06/2014 11:35:34 answering member 2000 label Biography information for Earl Howe attachment 1 file name HL475 - Lib Doc Table.xlsx title Contraception prescriptions by PCT 2012-2014
tabling member	3573 label Biography information for Baroness Gould of Potternewton