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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

823995

	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	Prescriptions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which medicines and foods that are readily available over the counter, or in shops, can be prescribed by GPs, and whether they intend to ban all such prescriptions.
	tabling member printed	Lord Blencathra
	uin	HL4742
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Some medicines and foods which are available to buy over the counter can be made available on prescription where they have a role in managing a patient’s clinical condition. A general practitioner is able to prescribe any product on the National Health Service they consider necessary for the treatment of their patient unless it is listed in Schedule 1 to the NHS (General Medical Services Contracts) (Prescription of Drugs etc.) Regulations 2004. However, the Department encourages prescribing in line with clinical and cost effective guidance from the National Institute for Health and Care Excellence (NICE). NICE provides national guidance on the promotion of good health and the prevention and treatment of ill health.</p><p>The Department has no plans to ban the prescribing of all over the counter medicines and medical foods on prescription.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 15:59:17 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	497 label Biography information for Lord Blencathra

823177

	registered interest
	date	15/01/2018
	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	Clinical Trials: EU Law
	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 consequences of failing to align with the forthcoming EU Clinical Trials Regulation on (1) the UK medical research sector, and (2) patient access to cross-border clinical trials.
	tabling member printed	Baroness Hayter of Kentish Town
	uin	HL4668
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support the United Kingdom medical research sector and patient access to cross-border clinical trials after we leave the EU.</p><p>In the United Kingdom, the Medicines and Healthcare products Regulatory Agency, Health Research Authority, ethics services, National Institute for Health Research and the National Health Service have been working towards implementation of the new European Clinical Trials Regulation (CTR) since it was agreed in 2014. The application date of the CTR across the EU is yet to be set by the European Commission, but is expected to be in 2019.</p><p>Whatever the outcome of the UK’s EU exit negotiations, the current regulatory approval legislation will stay in place until such time as any changes are needed, so there will be no interruption in UK clinical trials approval. The EU Withdrawal Bill will make the current UK clinical trials regulations (2004 2001/1031) that implement the clinical trials directive (2001/20/EC) operable on exit day and this is not contingent on any decision about whether the CTR will apply in the future.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4670 question first answered 24/01/2018 16:00:34 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

823179

	registered interest
	date	15/01/2018
	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	Clinical Trials: EU Law
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend that the EU Clinical Trials Regulation 536/2014, which is not due to come into effect until after the UK has left the EU, will have direct effect in UK law.
	tabling member printed	Baroness Hayter of Kentish Town
	uin	HL4670
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support the United Kingdom medical research sector and patient access to cross-border clinical trials after we leave the EU.</p><p>In the United Kingdom, the Medicines and Healthcare products Regulatory Agency, Health Research Authority, ethics services, National Institute for Health Research and the National Health Service have been working towards implementation of the new European Clinical Trials Regulation (CTR) since it was agreed in 2014. The application date of the CTR across the EU is yet to be set by the European Commission, but is expected to be in 2019.</p><p>Whatever the outcome of the UK’s EU exit negotiations, the current regulatory approval legislation will stay in place until such time as any changes are needed, so there will be no interruption in UK clinical trials approval. The EU Withdrawal Bill will make the current UK clinical trials regulations (2004 2001/1031) that implement the clinical trials directive (2001/20/EC) operable on exit day and this is not contingent on any decision about whether the CTR will apply in the future.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4668 question first answered 24/01/2018 16:00:34 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

823215

	registered interest
	date	15/01/2018
	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: Negligence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many actions for clinical negligence were filed against NHS England institutions in each of the last ten years; how many of those actions were (1) brought to trial, and (2) withdrawn; and what was the average length of time between filing and conclusion.
	tabling member printed	Lord Sharkey
	uin	HL4706
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>General practitioners’ (GPs) and dentists’ indemnity to cover clinical negligence payments is currently provided privately by Medical Defence Organisations. The Department does not have access to this information regarding primary care and dentistry.</p><p>NHS Resolution has provided the following information:</p><p>NHS Resolution has included all clinical negligence claims, excluding those against independent sector organisations.</p><p>NHS Resolution has advised that many of these claims have not been settled yet and so the number of claims that have been taken to trial and the number of claims that have closed with nil damages will increase over time. Likewise the time to resolution, i.e. notification to settlement of damages, is based on claims that have settled so far. This figure will change when further claims have been resolved, especially in the more recent years.</p><p> </p><p>The following table shows clinical negligence claims notified 2007/08 to 2016/17 as at 31/03/2017 excluding claims against independent sector organisations.</p><table><tbody><tr><td><p>Year of Notification</p></td><td><p>Number of Claims Received</p></td><td><p>Number of Claims Settled with Nil Damages</p></td><td><p>Number of Claims that have gone to Trial</p></td><td><p>Average Time from Notification to Settlement of Damages (years)</p></td></tr><tr><td><p>2007/08</p></td><td><p>5,468</p></td><td><p>1,933</p></td><td><p>24</p></td><td><p>1.47</p></td></tr><tr><td><p>2008/09</p></td><td><p>6,092</p></td><td><p>2,121</p></td><td><p>37</p></td><td><p>1.44</p></td></tr><tr><td><p>2009/10</p></td><td><p>6,656</p></td><td><p>1,897</p></td><td><p>39</p></td><td><p>1.30</p></td></tr><tr><td><p>2010/11</p></td><td><p>8,642</p></td><td><p>2,651</p></td><td><p>48</p></td><td><p>1.26</p></td></tr><tr><td><p>2011/12</p></td><td><p>9,132</p></td><td><p>2,840</p></td><td><p>83</p></td><td><p>1.32</p></td></tr><tr><td><p>2012/13</p></td><td><p>10,117</p></td><td><p>3,343</p></td><td><p>68</p></td><td><p>1.33</p></td></tr><tr><td><p>2013/14</p></td><td><p>11,908</p></td><td><p>3,968</p></td><td><p>52</p></td><td><p>1.25</p></td></tr><tr><td><p>2014/15</p></td><td><p>11,404</p></td><td><p>3,758</p></td><td><p>28</p></td><td><p>1.08</p></td></tr><tr><td><p>2015/16</p></td><td><p>10,841</p></td><td><p>3,231</p></td><td><p>1</p></td><td><p>0.80</p></td></tr><tr><td><p>2016/17</p></td><td><p>10,441</p></td><td><p>1,314</p></td><td><p>1</p></td><td><p>0.48</p></td></tr></tbody></table><p> </p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:02:41 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4196 label Biography information for Lord Sharkey

823182

	registered interest
	date	15/01/2018
	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	Yeovil District Hospital NHS Foundation Trust
	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 Yeovil District Hospital NHS Foundation Trust fully consulted with partners in their local Sustainability and Transformation Partnerships over proposals to establish a wholly-owned company to run estates and other support services.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL4673
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Yeovil District Hospital NHS Foundation Trust briefed all members of the Somerset Sustainability and Transformation Plan footprint (Somerset and Taunton Foundation Trust, Somerset Partnership Foundation Trust, Somerset Clinical Comissioning Group and Somerset County Council) about its plans to establish a wholly-owned company to run its estates and other support services. As required by the National NHS Standard Contract, the Trust sought and received permission from Somerset CCG, Dorset CCG and NHS England Specialist Commissioning for some of the estates services previously delivered by the Trust to be delivered by the new wholly-owned subsidiary.</p><p>NHS Improvement has advised that following legal advice sought by the Trust, informal staff consultation took place in October 2017 and that a further formal consultation took place in November 2017.</p><p>National Health Service organisations are responsible for deciding locally the most appropriate structures they need to deliver services to their patients within available resources.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4674 HL4675 question first answered 24/01/2018 16:04:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath