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100045

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when they will publish a revised impact assessment on standardised packaging of tobacco products following the comments of the Regulatory Policy Committee.
	tabling member printed	Lord Palmer
	uin	HL2251
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The consultation-stage impact assessment on standardised packaging of tobacco products is being updated following the public consultation, which ran between 26 June and 7 August 2014. The updated Impact Assessment takes into account previous comments from the Regulatory Policy Committee (RPC) and will be re-submitted to the RPC for their consideration before it is published.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:55:04 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100549

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether ministerial agreement has been reached on whether the United Kingdom is to proceed with standardised tobacco packaging; and whether it had been reached when they notified the European Commission on the draft regulations.
	tabling member printed	Lord Palmer
	uin	HL2286
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>The Government has not yet made a final decision on whether to introduce standardised packaging of tobacco products.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 15:43:17 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

100035

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
	tabling member printed	Baroness McDonagh
	uin	HL2241
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
	tabling member	3701 label Biography information for Baroness McDonagh

100060

	registered interest
	date	21/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Alcoholic Drinks: Misuse
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to address Britain’s drinking culture, which Public Health England recently identified as causing a rise in liver disease deaths.
	tabling member printed	Lord Taylor of Warwick
	uin	HL2266
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:35:46 answering member 2000 label Biography information for Earl Howe
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100590

	registered interest
	date	22/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Orthopaedics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they have (1) considered, and (2) taken, to reduce the number of preventable amputations occurring within the National Health Service.
	tabling member printed	Lord Harrison
	uin	HL2327
	answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>Diabetes is one of the most common causes of amputations in the United Kingdom and there are a variety of mechanisms in place to support the care of people with diabetes to minimise the risk of amputations. NHS England published Action for Diabetes, which sets out that in many cases amputation as a result of diabetes is avoidable.</p><p> </p><p> </p><p> </p><p>NHS England has also piloted a diabetes service specification in a small number of clinical commissioning groups (CCGs). Feedback has been very positive and they have now published the service specification on the NHS Commissioning Assembly website so that it is available nationally for CCGs to use.</p><p> </p><p> </p><p> </p><p>In addition, the National Diabetes Foot Care Audit was launched this year. The audit aims to establish the extent to which national guidelines on the management of diabetic foot disease are being met, and will provide local teams with the evidence needed to tackle any identified differences in practice which will lead in turn to an overall improvement in management and outcomes for patients.</p><p> </p><p> </p><p> </p><p>Finally, NHS Improving Quality is supporting a project to reduce the high mortality associated with diabetic foot disease. People with diabetic foot disease are at particularly high risk of premature death, much of which is due to cardiovascular disease, with 5 year mortality for those with Type 1 or Type 2 diabetes and diabetic foot disease around 50%. The project will pilot an approach in several multidisciplinary foot clinics across the country over the next 18 months to introduce an additional clinical pathway which includes a cardiological test and subsequent actions to address risk.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:24 answering member 2000 label Biography information for Earl Howe
	tabling member	2488 label Biography information for Lord Harrison

100854

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Workers: Minimum Wage
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether his Department has made an assessment of or received evidence on the effect on care standards of non-payment of the national minimum wage in the social care sector.
	tabling member constituency	Stockton North
	tabling member printed	Alex Cunningham
	uin	211866
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The Department has not conducted any recent research on the effect of treatment of staff on standards of care and on the relationship between levels of pay and quality of social care services.</p><p> </p><p> </p><p> </p><p>As part of the development of Caring for our Future white paper in 2011, the Department undertook extensive engagement with both service users and carers who highlighted a range of issues they felt needed addressing to ensure high quality care and support is available. In addressing this, the Department, working with the Sector Skills Council – Skills for Care – and other partners, has implemented a range of policies that has included setting out clear minimum training standards, recruiting more apprentices and supporting the transformation of the social work profession.</p><p> </p><p> </p><p> </p><p>There are a number of factors that determine the quality of care provided in the social care sector, including the way staff are treated. Pay is not the single most significant factor in delivering high quality services.</p><p> </p><p> </p><p> </p><p>The Department is clear however that care providers must abide by the law with regards to payment of the national minimum wage and is taking steps to ensure this happens. The Department is liaising with the Department for Business, Innovation and Skills to name and shame any social care providers who do not comply with the national minimum wage legislation and Her Majesty’s Revenue and Customs is continuing to carry out enforcement action in the social care sector and will investigate all complaints made by care workers that their employer is not paying them the national minimum wage. In addition, it is looking to ensure that the statutory guidance that will accompany the Care Act on commissioning and market shaping explicitly states local authorities should have evidence that contract terms, conditions and fee levels are appropriate to provide the agreed care packages with agreed quality of care.</p><p> </p><p> </p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 03/11/2014 16:37:18 answering member 1439 label Biography information for Norman Lamb
	tabling member	4122 label Biography information for Alex Cunningham

100891

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Skin Cancer
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, if he will make it his policy to introduce a screening programme for people who have previously had treatment for skin cancer.
	tabling member constituency	Bassetlaw
	tabling member printed	John Mann
	uin	211914
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The National Institute for Health and Care Excellence (NICE) has published cancer service guidance which outlines how healthcare services for people with skin tumours, including melanoma, should be organised. In May 2010 NICE issued a partial update to the guidance, including new recommendations on the management of low-risk basal cell carcinomas in the community.</p><p> </p><p> </p><p> </p><p>NICE is currently developing a clinical guideline on the assessment and management of melanoma, which is currently planned for publication in July 2015.</p><p> </p><p>Further details of NICE’s guidance on skin cancer are available at:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer" target="_blank">http://www.nice.org.uk/guidance/conditions-and-diseases/cancer/skin-cancer</a></p><p> </p><p> </p><p> </p><p>Information for the public on skin cancer is available on the NHS Choices website.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 03/11/2014 17:57:18 answering member 3918 label Biography information for Jane Ellison
	tabling member	1387 label Biography information for Lord Mann

101109

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	School Milk
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment she has made of the effect of recent changes to the nursery milk scheme on the ability of schools to fulfil the requirements of the School Food Standards in relation to milk.
	tabling member constituency	Livingston
	tabling member printed	Graeme Morrice
	uin	212127
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>A modernised Nursery Milk Scheme is currently under development and expected to be tendered in due course.</p><p> </p><p> </p><p> </p><p>The assessment of any effects of the changes to the Nursery Milk Scheme are part of ongoing discussions between officials via a cross Government Nursery Milk Scheme Task and Finish Group.</p><p> </p><p> </p><p> </p><p>The changes have no impact on either the current School Food Standards Regulations or the new School Food Standards Regulations which come into force on 1 January 2015.</p><p> </p><p> </p><p> </p><p>The Nursery Milk Scheme is available to all children under five who attend an eligible childcare setting for two hours per day or more. Eligible settings include child-minders, day care providers, private and local authority run nurseries. The School Food Standards apply to schools rather than nursery and private childcare and child minder settings.</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 03/11/2014 16:47:01 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4012 label Biography information for Graeme Morrice

101142

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Reorganisation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much funding his Department allocated to the Health Reform Evaluation Programme for 2014-15; and how much was allocated in each of the five previous years.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211976
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Research projects on health reform were commissioned during 2007 and 2008 and brought together within the framework of the independent Health Reform Evaluation Programme. Following a supplementary call for research proposals in 2013, four new projects are commencing during the period October 2014 to January 2015.</p><p> </p><p> </p><p> </p><p>Expenditure by the Department on the Health Reform Evaluation Programme is shown in the following table.</p><p> </p><p> </p><p> </p><p><em>£ million</em></p><p> </p><table><tbody><tr><td><p>2009-10</p></td><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td><td><p>2014-15</p><p>Planned</p></td></tr><tr><td><p>1.5</p></td><td><p>2.2</p></td><td><p>2.0</p></td><td><p>0.4</p></td><td><p>0.0</p></td><td><p>0.4</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:53:57 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne

101143

	registered interest
	date	27/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Orphan Drugs
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much the NHS spent on orphan medicines in each of the last three years; and what proportion of total medicines expenditure that represented in each year.
	tabling member constituency	Denton and Reddish
	tabling member printed	Andrew Gwynne
	uin	211977
	answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The information is not collected because it could only be obtained at disproportionate cost.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 03/11/2014 17:56:30 answering member 4020 label Biography information for George Freeman
	tabling member	1506 label Biography information for Andrew Gwynne