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820689

	registered interest
	date	11/01/2018
	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	Radioisotopes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what arrangements are currently in place for ensuring (1) the safety and quality of medical isotopes used by the NHS when they leave production centres in mainland Europe, and (2) the safe handling of such isotopes following arrival in the UK; and what role Euratom plays in delivering those arrangements.
	tabling member printed	Lord Warner
	uin	HL4659
	answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>Radio pharmaceuticals (medical isotopes) used for diagnostic procedures are human medicines and are the subject of European medicines regulations which sets out a licensing regime and includes controls on the quality of materials used and processes followed during manufacture and the way they are distributed within Europe.</p><p> </p><p>In the United Kingdom, human medicines are subject to national human medicines legislation which transposes the requirements of the European regulatory regime.</p><p> </p><p>As a form of radioactive material, medical radioisotopes are covered by the European atomic energy community (Euratom) Treaty framework. However, they are not classified as special fissile material so they are not covered by the safeguards provisions of that Treaty.</p><p> </p><p>The use and disposal of medical radioisotopes are governed by a set of standards established in domestic legislation (and regulated by domestic regulators) that have in some cases been informed by Euratom standards.</p><p> </p><p>The UK already has robust, domestic regimes in place for the safety, security, transport, use and disposal of nuclear and radioactive materials – including medical radioisotopes – throughout their lifecycle. These regimes will remain in place as the UK leaves Euratom, ensuring we exit with certainty, clarity and control.</p><p> </p><p>In addition, relevant Euratom and European Union safety and transport legislation Directives have already been, or are in the process of being, transposed into UK law before the UK’s withdrawal. The EU Withdrawal Bill will convert all European law, including that made under the Euratom Treaty, as it stands at the moment of exit into UK law.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 18/01/2018 12:22:06 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1732 label Biography information for Lord Warner

820662

	registered interest
	date	11/01/2018
	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	Dental Services: Fees and Charges
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 20 December 2017 (HL3994), what was the total number of fines issued for incorrectly claiming an exemption on NHS dental fees in the first six months of 2017–18.
	tabling member printed	Lord Colwyn
	uin	HL4632
	answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>The NHS Business Services Authority reports that a total of 217,539 fines were issued to patients on the grounds of incorrectly claiming an exemption from NHS Dental Patient Charges in the first six months of 2017–18.</p> answering member printed Lord O'Shaughnessy question first answered 18/01/2018 12:24:23 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3394 label Biography information for Lord Colwyn

819357

	registered interest
	date	09/01/2018
	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	Care Homes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many residential care beds there were in England in (1) 2005, (2) 2010, and (3) 2015.
	tabling member printed	Baroness McIntosh of Pickering
	uin	HL4559
	answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>The total number of beds in care homes remains broadly static but high quality care is not just about care home beds. Of those aged 65 and over who need local authority support, 62% are cared for in their own home. The number of home care agencies in England has increased by 55% since 2010 (3,184 more agencies).</p><p> </p><p>The following table shows the number of residential and nursing care home beds in England.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Residential care home beds</p></td><td><p>Nursing care home beds</p></td><td><p>Total beds</p></td></tr><tr><td><p>End March 2005</p></td><td><p>271,788</p></td><td><p>179,246</p></td><td><p>451,034</p></td></tr><tr><td><p>End March 2010</p></td><td><p>256,616</p></td><td><p>202,654</p></td><td><p>459,270</p></td></tr><tr><td><p>1 April 2015</p></td><td><p>239,307</p></td><td><p>224,754</p></td><td><p>464,061</p></td></tr></tbody></table><p> </p><p><em>Sources: </em></p><p>2005: Commission for Social Care Inspection (excludes 178 non-medical care home beds).</p><p>2010 onwards: Care Quality Commission (CQC). The 2015 data was calculated from the published CQC Care Directory With Filters which is only available online. Beds in care homes offering both residential and nursing services are treated as nursing beds, as the CQC data does not provide a residential/nursing split within each care home.</p> answering member printed Lord O'Shaughnessy question first answered 22/01/2018 14:43:54 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	384 label Biography information for Baroness McIntosh of Pickering

819363

	registered interest
	date	09/01/2018
	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	Naloxone
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following research by Release in regard to variation in the provision of, and access to, the potentially lifesaving drug naloxone, what assessment they have made of the adequacy of the response from local authorities; and whether they will take action to implement a nationally coordinated and monitored take-home naloxone programme in England.
	tabling member printed	Lord Patel of Bradford
	uin	HL4565
	answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>Naloxone has a vital role in saving lives and the Government is committed to widening its use in England. Public Health England has reviewed available research including surveys conducted by the Local Government Association and Release, and will use those findings in supporting local authorities to extend their provision of naloxone. The Government has updated advice and guidance on naloxone as part of its commitment to develop a more consistent and joined up approach to commissioning and delivery in England and will continue to monitor provision in all local areas.</p> answering member printed Lord O'Shaughnessy question first answered 22/01/2018 14:49:15 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3798 label Biography information for Lord Patel of Bradford

819341

	registered interest
	date	09/01/2018
	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	Social Services: Disability
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to consult disabled people regarding the separate strands of work on social care for disabled working-age adults that parallel those in the Social Care Green Paper for Older People.
	tabling member printed	Baroness Campbell of Surbiton
	uin	HL4545
	answer	answer is ministerial correction date of answer 22/01/2018 answer text <p>The Government is taking forward a programme of work in parallel to the Social Care Green Paper which will focus on working age adults with care needs. We are currently developing plans for engaging stakeholders in this work.</p><p>We will ensure that the views of people who use social care services, including disabled working-age adults, closely inform this work as it progresses.</p> answering member printed Lord O'Shaughnessy question first answered 22/01/2018 16:43:46 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3831 label Biography information for Baroness Campbell of Surbiton

820661

	registered interest
	date	11/01/2018
	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: Bullying
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the level of bullying reported in the latest NHS Staff Survey; and what were the comparable figures for each of the last 20 years.
	tabling member printed	Lord Clark of Windermere
	uin	HL4631
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Employers are responsible for tackling bullying and harassment of staff. The Department is not complacent and Ministers are committed to meeting their manifesto commitment in tackling rates of bullying and harassment which are far too high. To that end, the Department is working with employers and unions in partnership to prioritise actions including the importance of line manager training, continuing to raise the profile of the issue and using Care Quality Commission inspections to assess progress, as we enter the second year of the national Social Partnership Forum’s <em>Tackling Bullying in the NHS: A collective call to action</em> published in December 2016. A copy of <em>Tackling Bullying in the NHS</em> is attached.</p><p>NHS England has provided the information and statistics which are attached due to the size of the data. The NHS Staff Survey was first undertaken in 2003. Questions about harassment, bullying and abuse have been included each year since then although it is not always possible to compare results from different years due to amendments to questions or survey method. We have, therefore, put together figures from the Staff Survey in different groups i.e. figures for 2012 – 2016 are comparable but not with other groupings; similarly, those for 2010/11, 2004-9 and 2003. The results from 2012 to 2016 are comparable.</p> answering member printed Lord O'Shaughnessy attachment 1 file name HL4631 Staff Survey tables.docx title NHS Staff Survey tables 2 file name spf-tackling-bullying-final-v2-for-pubs-16217.pdf title Tackling Bullying in the NHS question first answered 24/01/2018 13:07:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	525 label Biography information for Lord Clark of Windermere

820673

	registered interest
	date	11/01/2018
	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	Department of Health and Social Care: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following the change of name of the Department of Health to the Department of Health and Social Care, whether there have been any changes in (1) the responsibilities of that Department, and (2) the arrangements in place between HM Government and local authorities with social care responsibilities in relation to health and social care; and if not, whether any such changes are planned.
	tabling member printed	Lord Greaves
	uin	HL4643
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Department has taken responsibility for the Green Paper on Care and Support but there are no changes, neither are there any such changes planned, to the arrangements the Government has in place with local authorities in terms of their duties under the Care Act 2014.</p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 13:09:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2569 label Biography information for Lord Greaves

820688

	registered interest
	date	11/01/2018
	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: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they plan to incorporate access targets from the NHS Constitution into the performance ratings of NHS Trusts that are produced by the Care Quality Commission.
	tabling member printed	Lord Warner
	uin	HL4658
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Care Quality Commission (CQC) has provided the following response:</p><p>The CQC already reports on access targets under the key inspection question: ‘are they responsive to people’s needs’. The CQC runs analysis on these indicators to support its monitoring, inspection and ratings of this key question.</p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 13:10:48 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1732 label Biography information for Lord Warner

823998

	registered interest
	date	16/01/2018
	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	Dental Services: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the total number of (1) primary care courses of treatment that contained tooth extractions, and (2) teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.
	tabling member printed	Lord Colwyn
	uin	HL4745
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Course of Treatment</p></td><td><p>Teeth</p></td></tr><tr><td><p>2016-17</p></td><td><p>513,646</p></td><td><p>909,745</p></td></tr><tr><td><p>2015-16</p></td><td><p>514,576</p></td><td><p>917,346</p></td></tr><tr><td><p>2014-15</p></td><td><p>524,163</p></td><td><p>946,142</p></td></tr><tr><td><p>2013-14</p></td><td><p>539,908</p></td><td><p>976,794</p></td></tr><tr><td><p>2012-13</p></td><td><p>533,694</p></td><td><p>963,514</p></td></tr><tr><td><p>2011-12</p></td><td><p>540,626</p></td><td><p>964,856</p></td></tr><tr><td><p>2010-11</p></td><td><p>540,689</p></td><td><p>964,841</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p><p>The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Course of Treatment</p></td><td><p>Teeth</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,147,135</p></td><td><p>3,120,812</p></td></tr><tr><td><p>2015-16</p></td><td><p>2,156,023</p></td><td><p>3,125,999</p></td></tr><tr><td><p>2014-15</p></td><td><p>2,185,518</p></td><td><p>3,150,456</p></td></tr><tr><td><p>2013-14</p></td><td><p>2,226,054</p></td><td><p>3,217,552</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,214,974</p></td><td><p>3,194,509</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,190,245</p></td><td><p>3,164,881</p></td></tr><tr><td><p>2010-11</p></td><td><p>2,125,120</p></td><td><p>3,061,914</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4746 question first answered 24/01/2018 15:56:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3394 label Biography information for Lord Colwyn

823999

	registered interest
	date	16/01/2018
	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	Dental Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the total number of (1) primary care courses of treatment that contained tooth extractions, and (2) teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.
	tabling member printed	Lord Colwyn
	uin	HL4746
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for children aged 0–17.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Course of Treatment</p></td><td><p>Teeth</p></td></tr><tr><td><p>2016-17</p></td><td><p>513,646</p></td><td><p>909,745</p></td></tr><tr><td><p>2015-16</p></td><td><p>514,576</p></td><td><p>917,346</p></td></tr><tr><td><p>2014-15</p></td><td><p>524,163</p></td><td><p>946,142</p></td></tr><tr><td><p>2013-14</p></td><td><p>539,908</p></td><td><p>976,794</p></td></tr><tr><td><p>2012-13</p></td><td><p>533,694</p></td><td><p>963,514</p></td></tr><tr><td><p>2011-12</p></td><td><p>540,626</p></td><td><p>964,856</p></td></tr><tr><td><p>2010-11</p></td><td><p>540,689</p></td><td><p>964,841</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p><p>The following table shows the total number of primary care courses of treatment that contained tooth extractions, and teeth extracted in primary care, in each year from 2010–11 to 2016–17, for adults aged 18 and over.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Course of Treatment</p></td><td><p>Teeth</p></td></tr><tr><td><p>2016-17</p></td><td><p>2,147,135</p></td><td><p>3,120,812</p></td></tr><tr><td><p>2015-16</p></td><td><p>2,156,023</p></td><td><p>3,125,999</p></td></tr><tr><td><p>2014-15</p></td><td><p>2,185,518</p></td><td><p>3,150,456</p></td></tr><tr><td><p>2013-14</p></td><td><p>2,226,054</p></td><td><p>3,217,552</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,214,974</p></td><td><p>3,194,509</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,190,245</p></td><td><p>3,164,881</p></td></tr><tr><td><p>2010-11</p></td><td><p>2,125,120</p></td><td><p>3,061,914</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL4745 question first answered 24/01/2018 15:56:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3394 label Biography information for Lord Colwyn