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1174078

registered interest
date	28/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to publish the paper circulated by the Department of Health and Social Care’s Medicine and Supply Team to the NHS in November 2019 detailing the extent and range of drug shortages in the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL849
answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The Department has no plans to publish at this time.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2020 17:18:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175308

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 22 January (HL258), whether they can provide the information set out in Figure 3 on page 37 of the NHS Resolution Annual report and accounts 2018/19, published on 11 July 2019, in respect of clinical negligence cases only.
tabling member printed	Lord Hunt of Kings Heath
uin	HL793
answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>The following table shows settled clinical negligence claims in financial years 2017/18 and 2018/19.</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Settlement Type</p></td><td><p>Number of claims settled with damages</p></td><td><p>Number of claims settled with no damages</p></td><td><p>% damages</p></td><td><p>% No damages</p></td></tr><tr><td><p>2017/18</p></td><td><p>No proceedings</p></td><td><p>3,932</p></td><td><p>4,119</p></td><td><p>3,932 (33.1%)</p></td><td><p>4,119 (34.6%)</p></td></tr><tr><td><p>2018/19</p></td><td><p>No proceedings</p></td><td><p>4,015</p></td><td><p>3,858</p></td><td><p>4,015 (35.2%)</p></td><td><p>3,858 (33.8%)</p></td></tr><tr><td><p>2017/18</p></td><td><p>Proceedings</p></td><td><p>2,989</p></td><td><p>780</p></td><td><p>2,989 (25.1%)</p></td><td><p>780 (6.6%)</p></td></tr><tr><td><p>2018/19</p></td><td><p>Proceedings</p></td><td><p>2,872</p></td><td><p>615</p></td><td><p>2,872 (25.2%)</p></td><td><p>615 (5.4%)</p></td></tr><tr><td><p>2017/18</p></td><td><p>Trial</p></td><td><p>28</p></td><td><p>48</p></td><td><p>28 (0.2%)</p></td><td><p>48 (0.4%)</p></td></tr><tr><td><p>2018/19</p></td><td><p>Trial</p></td><td><p>22</p></td><td><p>35</p></td><td><p>22 (0.2%)</p></td><td><p>35 (0.3%)</p></td></tr></tbody></table><p> </p><p><em>Note: </em></p><p>The percentage figures in the table may not add to exactly 100% due to rounding.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2020 11:25:47 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175309

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of (1) the extent, and (2) the range, of drug shortages in the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL794
answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The majority of medicines are dispensed in England every day without issue, with over two million prescription items dispensed each day. However, the production of medicines is complex and highly regulated, and materials and processes must meet rigorous safety and quality standards. Supply problems can affect a wide range of drugs and can arise for various reasons, such as manufacturing issues, problems with the raw ingredients and batch failures.</p><p>The Department has well established processes to manage and mitigate supply problems that may arise at any one time and works closely with the Medicines and Healthcare Regulatory Authority (MHRA), the pharmaceutical industry, NHS England and NHS Improvement and others operating in the supply chain, to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p><p>Where issues do arise, the Department will use a host of tools which might include working with the MHRA to expedite regulatory procedures, working with manufacturers to manage remaining supplies and expedite the delivery of further stock and commissioning clinical advice on alternative options from specialist clinicians.</p><p>Furthermore, the team routinely works with specialist importer companies to obtain unlicensed products from abroad to help to manage supply issues affecting the National Health Service.</p><p>Occasionally the team will work with wholesalers and suppliers to put demand management processes in place to ensure the equitable distribution of stock throughout the country as this ensures the NHS can continue to access the medicines it requires.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL795 HL796 HL797 question first answered 06/02/2020 17:22:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175310

registered interest
date	27/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the causes of drug shortages in the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL795
answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The majority of medicines are dispensed in England every day without issue, with over two million prescription items dispensed each day. However, the production of medicines is complex and highly regulated, and materials and processes must meet rigorous safety and quality standards. Supply problems can affect a wide range of drugs and can arise for various reasons, such as manufacturing issues, problems with the raw ingredients and batch failures.</p><p>The Department has well established processes to manage and mitigate supply problems that may arise at any one time and works closely with the Medicines and Healthcare Regulatory Authority (MHRA), the pharmaceutical industry, NHS England and NHS Improvement and others operating in the supply chain, to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p><p>Where issues do arise, the Department will use a host of tools which might include working with the MHRA to expedite regulatory procedures, working with manufacturers to manage remaining supplies and expedite the delivery of further stock and commissioning clinical advice on alternative options from specialist clinicians.</p><p>Furthermore, the team routinely works with specialist importer companies to obtain unlicensed products from abroad to help to manage supply issues affecting the National Health Service.</p><p>Occasionally the team will work with wholesalers and suppliers to put demand management processes in place to ensure the equitable distribution of stock throughout the country as this ensures the NHS can continue to access the medicines it requires.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL794 HL796 HL797 question first answered 06/02/2020 17:22:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1172409

registered interest
date	21/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what responsibility NHS Property Services and NHS organisations have to ensure that NHS buildings which are of special architectural or historical interest, are considered for listing through an application to Historic England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL633
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>Guidance is provided to the National Health Service on the management of buildings of special architectural or historical interest in <em>Health Building Note 00-08 Part B: Supplementary information for Part A - Strategic framework for the efficient management of healthcare estates and facilities</em>. A copy of the guidance is attached.</p><p>There is no requirement under existing guidance Health Building Notes, the National Planning Policy Framework or at local level for any organisation, including the NHS, to request for an asset to be listed. There is only an obligation once something is listed by Heritage England (on behalf of the Secretary of State) or local listed status.</p><p>The Government’s policy for conserving and enhancing the historic environment including historic buildings is set out in the National Planning Policy framework. Trusts are responsible for implementing this guidance locally. Guidance is reviewed periodically to ensure it remains fit for purpose and at this time there are no current plans to amend or update this guidance.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL636 question first answered 29/01/2020 17:13:38 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HBN_08_Part_B.pdf title HBN_08_Part_B
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1172410

registered interest
date	21/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether either NHS Property Services or the Kingston Hospital NHS Foundation Trust considered applying for a listing through an application to Historic England in respect of the Regent Wing at Kingston Hospital before selling the building for commercial development.
tabling member printed	Lord Hunt of Kings Heath
uin	HL634
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>NHS Property Services report that it does not own any part of the estate of Kingston Hospital.</p><p>The Regent Wing required major capital investment to make it fit for purpose and would not provide appropriate modern healthcare facilities. The Trust has therefore saved substantial costs by disposing of the asset but has also been able to utilise the proceeds for other capital projects across the estate.</p><p>Before disposing of the asset, the Trust undertook a full heritage survey of the Regent Wing as part of its pre-application process with the local authority – no comments were made by the local community or local authority. The building was not found to be of significant worth nationally.</p><p>In addition, it undertakes regular community engagement sessions led by the Trust’s Chief Executive Officer, which has included the Regent Wing disposal. The purchaser of the site is planning to utilise it to develop residential accommodation.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL635 HL637 question first answered 29/01/2020 17:10:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1172411

registered interest
date	21/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what discussions NHS Property Services and the Kingston Hospital NHS Foundation Trust have had with the local community about the future use of the Regent Wing at Kingston Hospital.
tabling member printed	Lord Hunt of Kings Heath
uin	HL635
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>NHS Property Services report that it does not own any part of the estate of Kingston Hospital.</p><p>The Regent Wing required major capital investment to make it fit for purpose and would not provide appropriate modern healthcare facilities. The Trust has therefore saved substantial costs by disposing of the asset but has also been able to utilise the proceeds for other capital projects across the estate.</p><p>Before disposing of the asset, the Trust undertook a full heritage survey of the Regent Wing as part of its pre-application process with the local authority – no comments were made by the local community or local authority. The building was not found to be of significant worth nationally.</p><p>In addition, it undertakes regular community engagement sessions led by the Trust’s Chief Executive Officer, which has included the Regent Wing disposal. The purchaser of the site is planning to utilise it to develop residential accommodation.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL634 HL637 question first answered 29/01/2020 17:10:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1172412

registered interest
date	21/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have, if any, to issue guidance to NHS Property Services and NHS organisations to encourage the listing of NHS buildings of special architectural or historical interest through an application to Historic England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL636
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>Guidance is provided to the National Health Service on the management of buildings of special architectural or historical interest in <em>Health Building Note 00-08 Part B: Supplementary information for Part A - Strategic framework for the efficient management of healthcare estates and facilities</em>. A copy of the guidance is attached.</p><p>There is no requirement under existing guidance Health Building Notes, the National Planning Policy Framework or at local level for any organisation, including the NHS, to request for an asset to be listed. There is only an obligation once something is listed by Heritage England (on behalf of the Secretary of State) or local listed status.</p><p>The Government’s policy for conserving and enhancing the historic environment including historic buildings is set out in the National Planning Policy framework. Trusts are responsible for implementing this guidance locally. Guidance is reviewed periodically to ensure it remains fit for purpose and at this time there are no current plans to amend or update this guidance.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL633 question first answered 29/01/2020 17:13:38 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HBN_08_Part_B.pdf title HBN_08_Part_B
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1172413

registered interest
date	21/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
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 benefits that may accrue to the Kingston Hospital NHS Foundation Trust from the sale of the Regent Wing at Kingston Hospital to a commercial developer.
tabling member printed	Lord Hunt of Kings Heath
uin	HL637
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>NHS Property Services report that it does not own any part of the estate of Kingston Hospital.</p><p>The Regent Wing required major capital investment to make it fit for purpose and would not provide appropriate modern healthcare facilities. The Trust has therefore saved substantial costs by disposing of the asset but has also been able to utilise the proceeds for other capital projects across the estate.</p><p>Before disposing of the asset, the Trust undertook a full heritage survey of the Regent Wing as part of its pre-application process with the local authority – no comments were made by the local community or local authority. The building was not found to be of significant worth nationally.</p><p>In addition, it undertakes regular community engagement sessions led by the Trust’s Chief Executive Officer, which has included the Regent Wing disposal. The purchaser of the site is planning to utilise it to develop residential accommodation.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL634 HL635 question first answered 29/01/2020 17:10:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1171533

registered interest
date	16/01/2020
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Community Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to encourage the introduction of the Buurtzorg nursing model within the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL504
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>NHS England and NHS Improvement are committed to learning from a wide range of models of care from across the world to help improve patient care.</p><p>NHS England and NHS Improvement officials met once with representatives of Buurtzorg UK in 2019 and have previously visited the Netherlands to gain first-hand experience of this model of care. Whilst there are no current plans to encourage the introduction of the model in its pure form to the National Health Service, underpinning elements of the model for example, supported self-management and person-centred care, are strongly encouraged.</p><p>Given the Buurtzorg model continues to be trialled in a few areas in England, no national assessments have been undertaken.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL505 HL506 question first answered 29/01/2020 16:25:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath