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1146912

	registered interest
	date	30/09/2019
	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 assurance, if any, they have received that medication brought from new sources other than the EU will meet the same standards as present.
	tabling member printed	Baroness Afshar
	uin	HL17886
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>All human medicines marketed in the United Kingdom must meet stringent requirements for quality, safety and efficacy set out in UK medicines legislation and supporting guidelines. These apply regardless of the source of the medicine.</p><p>The Medicines and Healthcare products Regulatory Agency (MHRA), the Government body responsible for the safety and licensing of medicines in the UK, regularly inspect pharmaceutical manufacturing plants in the UK and in third countries.</p><p>Regardless of the location of the site of manufacture, the manufacturer must demonstrate to the MHRA that the product is manufactured according to the registered UK licence (marketing authorisation) and to at least the minimum standard detailed in the European Union Guide to Good Manufacturing Practice.</p><p>In addition, each batch of medicine manufactured in a third country is tested within the UK on import and the manufacturing document reviewed by the license holders Qualified Person before being certified for release to the market.</p><p>All these measures will remain in place if the UK leaves the EU.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:37:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3847 label Biography information for Baroness Afshar

1135681

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of applications received for NHS Continuing Healthcare Funding in England in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16774
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16775 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135682

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16775
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135683

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of rejected applications for NHS Continuing Healthcare funding in England were then granted on (1) first, and (2) second, appeal in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16776
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135684

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted (1) within less than one month, (2) within less than three months, (3) within three to six months, (4) within six to 12 months, and (5) after 12 months, of the date of application.
	tabling member printed	Baroness Altmann
	uin	HL16777
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16776 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1142430

	registered interest
	date	25/07/2019
	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	General Practitioners: Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of pension provision for GP practice nurses and, in particular, the impact of their exclusion from the NHS pension scheme until 1997.
	tabling member printed	Baroness Altmann
	uin	HL17504
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Membership of the NHS Pension Scheme was extended to general practitioner (GP) practice nurses from September 1997, following an agreement reached with organisations representing nurses and GPs. Prior to this date, GP practice nurses were excluded because eligibility was originally limited to those directly employed by a National Health Service body. GP practice nurses are employed directly by self-employed GPs, rather than the NHS.</p><p>The pressure on NHS Pension Scheme costs, which are met mutually across all members and their employers, meant that practice nurses could not be offered retrospective membership for employment before 1997. This was accepted by staff representatives at the time of the agreement, and remains the current position.</p><p>However, GP practice nurses and their employers can make voluntary extra contributions to purchase units of ‘Additional Pension’ and so boost their NHS retirement pensions.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:43:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1142432

	registered interest
	date	25/07/2019
	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: Pensions
	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 compensate senior NHS staff who have inadvertently exceeded the tapered annual pensions allowance.
	tabling member printed	Baroness Altmann
	uin	HL17506
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>For the majority of people, their pension contributions are tax-free. This makes pensions tax relief one of the most expensive reliefs in the personal tax system. The reforms to the lifetime and annual allowance made in the previous two parliaments are expected to save over £6 billion per year and are necessary to deliver a fair system and protect public finances. Less than 1% of pension savers will have to reduce their saving or face an annual allowance charge as a result of the tapered annual allowance.</p><p>While there are no plans to compensate senior National Health Service staff who exceed their tax-free pension savings allowances, the Scheme Pays facility is there to assist NHS Pension Scheme members who breach the annual allowance, and allows them to settle their lifetime and annual allowance charges without making an upfront payment. The Scheme Pays facility was recently extended to cover tax charges of any amount and those arising from the tapered annual allowance.</p><p>The Government has launched a full public consultation setting out proposals to make the NHS Pension Scheme more flexible for clinicians, to give them more control over their pension growth and tax liabilities.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:06:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1156545

	registered interest
	date	28/10/2019
	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 and Medical Equipment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what preventive measures they have put in place to protect the NHS from running short of essential medicines and medical supplies in preparation for a possible no-deal Brexit on 31 October or any other date; and what estimate they have made of the costs incurred from such measures.
	tabling member printed	Baroness Altmann
	uin	HL425
	answer	answer is ministerial correction date of answer 05/11/2019 answer text <p>It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/11/2019 17:12:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1156546

	registered interest
	date	28/10/2019
	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	Nurses: Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many NHS practice nurses in England, after working in NHS GP practices across the country, have been excluded from the NHS pension arrangements available to other NHS staff; what estimate they have made of the pension such nurses would have accrued, on average, had they been able to accrue pensions in the same way as nurses working in other parts of the NHS.
	tabling member printed	Baroness Altmann
	uin	HL426
	answer	answer is ministerial correction date of answer 05/11/2019 answer text <p>It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/11/2019 17:12:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1156547

	registered interest
	date	28/10/2019
	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	Doctors: Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their estimate of how many NHS senior medical staff have been asked to pay extra tax as a result of their pension contributions exceeding the Tapered Annual Allowance in the (1) 2016–17, (2) 2017–18, and (3) 2018–19 tax years; and what was the average amount of tax that such staff were asked to pay in each of those years.
	tabling member printed	Baroness Altmann
	uin	HL427
	answer	answer is ministerial correction date of answer 05/11/2019 answer text <p>It has not proved possible to respond to this question in the time available before Dissolution. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/11/2019 17:14:43 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann