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answering dept short name	Health
max ddp created	2014-10-24T17:08:42.137Z
min date	2014-10-20
max ddp modified	2015-02-06T19:19:11.237Z
max question first answered	2014-11-03T11:58:34.5403704Z

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registered interest

date

exactly:

or between:
and

answering body

answering dept id

answering dept short name

answering dept sort name

hansard heading

house id

legislature


pref label

question text

tabling member printed

uin

answer

is ministerial correction

date of answer

exactly:

or between:
and

answer text

answering member printed

question first answered

answering member


label

tabling member


label

100923

registered interest

date

24/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Accident and Emergency Departments

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government how many children under the age of five were taken by their parents to accident and emergency departments for treatment in 2012 and 2013.

tabling member printed

Baroness Manzoor

uin

HL2391

answer

is ministerial correction

date of answer

30/10/2014

answer text

This information is not available in the format requested. In the following table, we have provided information concerning the number of accident and emergency attendances1 (excluding planned attendances) for children aged under five by arrival mode, 2012-13 to 2013-142 (provisional data)3. Please be aware that data for 2013-14 is provisional and is therefore, subject to change. <table><tbody><tr><td>Arrival mode</td><td>2012-13</td><td>2013-14 (provisional)</td></tr><tr><td>Brought in by ambulance (including helicopter/air ambulance)</td><td>220,277</td><td>223,571</td></tr><tr><td>Other</td><td>1,572,518</td><td>1,511,042</td></tr><tr><td>Not known</td><td>21,296</td><td>36,840</td></tr><tr><td>Total</td><td>1,814,091</td><td>1,771,453</td></tr></tbody></table> Activity in English NHS Hospitals and English NHS commissioned activity in the independent sector Source: Hospital Episode Statistics (HES), Health and Social Care Information Centre4 Notes: 1. HES is not the official source of total A&E activity, this is the NHS England situation reports collection: http://www.england.nhs.uk/statistics/statistical-work-areas/ae-waiting-times-and-activity/ However, HES permits further analysis of A&E activity as there are a range of data items by which HES can be analysed. 2. HES figures are available from 2007-08 onwards. Changes to the figures over time need to be interpreted in the context of improvements in data quality and coverage and changes in National Health Service practice. For example, changes in activity may be due to changes in the provision of care. 3. The data is provisional and may be incomplete or contain errors for which no adjustments have yet been made. Counts produced from provisional data are likely to be lower than those generated for the same period in the final dataset. This shortfall will be most pronounced in the final month of the latest period, i.e. November from the (month 9) April to November extract. It is also probable that clinical data are not complete, which may in particular affect the last two months of any given period. There may also be errors due to coding inconsistencies that have not yet been investigated and corrected. 4. Hospital Episode Statistics (HES) are compiled from data sent by more than 300 NHS trusts and primary care trusts (PCTs) in England and from some independent sector organisations for activity commissioned by the English NHS. Health and Social Care Information Centre liaises closely with these organisations to encourage submission of complete and valid data and seeks to minimise inaccuracies. While this brings about improvement over time, some shortcomings remain.

answering member printed

Earl Howe

question first answered

30/10/2014 12:00:01

answering member

2000

label	Biography information for Earl Howe

tabling member

4289

label	Biography information for Baroness Manzoor

100924

registered interest

date

24/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Respiratory System: Diseases

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government what action they are taking to raise awareness of bronchiolitis among parents with very young children.

tabling member printed

Baroness Manzoor

uin

HL2392

answer

is ministerial correction

date of answer

30/10/2014

answer text

Bronchiolitis is a common lower respiratory tract infection that most commonly affects babies and young children under a year old. Most cases are mild and improve without specific treatment within about two weeks, although some children have severe symptoms and need treatment in hospital. Information for parents on bronchiolitis, including the symptoms, causes and potential treatments for the condition, is provided by the NHS Choices website at the following link: www.nhs.uk/Conditions/Bronchiolitis/Pages/Introduction.aspx In addition, the British Lung Foundation has produced a free leaflet on bronchiolitis in babies for parents: www.blf.org.uk/Publication/Detail/Bronchiolitis-and-your-baby and for clinicians the Clinical Knowledge Summary Service run by National Institute for Health & Care Excellence contains easily accessible information about the usual causes of acute chest signs in children and their management: http://cks.nice.org.uk/cough-acute-with-chest-signs-in-children

answering member printed

Earl Howe

question first answered

30/10/2014 16:24:09

answering member

2000

label	Biography information for Earl Howe

tabling member

4289

label	Biography information for Baroness Manzoor

100620

registered interest

date

23/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

NHS

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government how the Secretary of State for Health has discharged his duty to report on the treatment of National Health Service health care providers as specified in section 8 of the Health and Social Care Act 2012.

tabling member printed

Lord Hunt of Kings Heath

uin

HL2351

answer

is ministerial correction

date of answer

31/10/2014

answer text

The Secretary of State commissioned Monitor to lead a Fair Playing Field Review into the equal treatment of providers of National Health Service services. The Review published its final Report in March 2013. Since publication, Monitor has established a high level implementation group, of which the Department is a member, to take forward the Review’s recommendations. As part of its annual assurance processes the Department seeks confirmation from all its Directors General that they and our Arm’s Length Bodies have taken the duty into consideration, as outlined in Section 8 of the Health and Social Care Act 2012.

answering member printed

Earl Howe

question first answered

31/10/2014 13:18:46

answering member

2000

label	Biography information for Earl Howe

tabling member

2024

label	Biography information for Lord Hunt of Kings Heath

100623

registered interest

date

23/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

NHS: Cost Effectiveness

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government whether the "Nicholson Challenge" still operates within the National Health Service; if so, what efficiency savings have been identified to date; and, if not, why not.

tabling member printed

Lord Sharkey

uin

HL2354

answer

is ministerial correction

date of answer

30/10/2014

answer text

The 2010 Spending Review protected health funding in real terms. However, in order to continue to meet rising demands while improving services, it was estimated that up to £20 billion of efficiency savings would be required over the four years from 2011-12 to 2014-15. The National Health Service response to this challenge was organised through the Quality, Innovation, Productivity and Prevention (QIPP) initiative, also known colloquially as the ‘Nicholson challenge’ after Sir David Nicholson, who was Chief Executive of the NHS at the time that QIPP originated. The NHS is on track to deliver up to £20 billion efficiency savings, having reported around £15 billion of efficiencies in the first three years, all of which will be reinvested into frontline care.

answering member printed

Earl Howe

question first answered

30/10/2014 12:11:13

answering member

2000

label	Biography information for Earl Howe

tabling member

4196

label	Biography information for Lord Sharkey

100550

registered interest

date

22/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

IVF

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government, further to the Written Answers by Lord Darzi of Denham on 22 July 2008 (HL4926 and HL4927) and by Earl Howe on 9 July 2012 (HL1211), of how many cycles the Human Fertilisation and Embryology Authority are aware in which fresh embryo transfers took place after 15 or more eggs were collected over each of the past ten years.

tabling member printed

Lord Alton of Liverpool

uin

HL2287

answer

is ministerial correction

date of answer

29/10/2014

answer text

The number of treatment cycles in which fresh embryo transfers took place after 15 or more eggs were collected, in each of the last 10 years, is shown in the following table: <table><tbody><tr><td>Years</td><td>Cycles in which fresh embryo transfers took place after 15 or more eggs were collected</td></tr><tr><td>2004</td><td>5602</td></tr><tr><td>2005</td><td>5737</td></tr><tr><td>2006</td><td>5843</td></tr><tr><td>2007</td><td>6345</td></tr><tr><td>2008</td><td>6589</td></tr><tr><td>2009</td><td>7344</td></tr><tr><td>2010</td><td>7801</td></tr><tr><td>2011</td><td>8195</td></tr><tr><td>2012</td><td>8200</td></tr><tr><td>2013(1)</td><td>8128</td></tr></tbody></table> Source: The Human Fertilisation and Embryology Authority (1) 2013 is the most recent year for which information is available.

answering member printed

Earl Howe

question first answered

29/10/2014 12:25:39

answering member

2000

label	Biography information for Earl Howe

tabling member

738

label	Biography information for Lord Alton of Liverpool

100552

registered interest

date

22/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Dementia

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government what plans they have to help care for dementia patients in the community.

tabling member printed

Lord Taylor of Warwick

uin

HL2289

answer

is ministerial correction

date of answer

30/10/2014

answer text

Dementia is a key priority for this Government and we are committed to ensuring people with dementia and their carers receive the best possible care in all care settings. That is why in 2012 we launched the first ever Prime Minister’s Challenge on dementia to increase diagnosis rates, raise awareness and understanding and double funding for research in dementia by 2015. A number of steps have been taken to help care for dementia patients in the community: - On 1 April 2014 we put in place a new Dementia Directed Enhanced Service, which has had over 80% take up by general practitioners to reward practices for facilitating timely diagnosis and support for people with dementia. - In the hospital setting, through the Dementia Commissioning for Quality and Innovation reward (introduced from April 2012), with around 4,000 referrals a month, it is clear that more people with dementia in hospitals are being identified and assessed. - The Dementia Care & Support Compact, the care sector’s own response to the Prime Minister’s Challenge on Dementia, sets out a commitment to support the delivery of the challenge and improve care and support for people with dementia, their carers and families. - Health Education England, Skills for Care and Skills for Health launched pilots for the new Care Certificate on 28 April 2014. Taking place across a range of health and social care settings, the pilots are testing a set of standards designed to help employers to assess not only workers’ skills, but also the knowledge, behaviours and values that are required to deliver compassionate and quality care. The pilots are nearing completion. Subject to evaluation, we plan to introduce the Care Certificate by 1 April 2015. - The Government’s refreshed Mandate to Health Education England, published on 1 May 2014, builds on the existing ambition to have 100,000 National Health Service staff receive Tier 1 training on dementia by setting an ambition for a further 250,000 NHS staff to receive Tier 1 training on dementia by March 2015, with the tools and training opportunities being made available to all staff by the end of 2018. - 70 communities across England have signed up to the national Dementia Friendly Communities recognition process, with an increased ambition to reach 75 by March 2015. - On 7 May 2014 Public Health England and the Alzheimer’s Society launched a major new campaign with the aim of securing one million people to become dementia friends by March 2015. The campaign is aimed at improving understanding and attitudes about dementia and towards people with the condition. There are currently over 520,000 Dementia Friends. - We have made available £50 million capital funding for 2013-14 for the NHS and local authorities to work with providers to create better care environments to help people with dementia live well with the condition. The projects are now in the process of being evaluated and we will disseminate the key recommendations by the end of the year.

answering member printed

Earl Howe

question first answered

30/10/2014 16:22:09

answering member

2000

label	Biography information for Earl Howe

tabling member

1796

label	Biography information for Lord Taylor of Warwick

100591

registered interest

date

22/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Orthopaedics

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government in how many Clinical Commissioning Groups rates of (1) major, and (2) minor, amputations are more than 33 per cent above the national average; and how the national average compares with other European Union member states.

tabling member printed

Lord Harrison

uin

HL2328

answer

is ministerial correction

date of answer

29/10/2014

answer text

It is not possible to distinguish in Hospital Episode Statistics between 'major' and 'minor' amputations. The Health and Social Care Information Centre (HSCIC) has calculated the England average rate of amputation per 100,000 population and highlighted the clinical commissioning groups (CCGs) of residence having rates more than 33% higher than the national average. There are 25 such CCGs. This is not a count of people as the same person may have had more than one episode of care within the same time period. We do not have information on a comparison of rates of amputation with other European Union member states. <table><tbody><tr><td>Clinical Commissioning Group of residence</td><td>Count of finished consultant episodes</td><td>Population</td><td>Rate per 100,000 population</td></tr><tr><td>NHS SCARBOROUGH AND RYEDALE CCG</td><td>68</td><td>110,488</td><td>61.5</td></tr><tr><td>NHS EAST RIDING OF YORKSHIRE CCG</td><td>169</td><td>314,504</td><td>53.7</td></tr><tr><td>NHS DONCASTER CCG</td><td>159</td><td>302,739</td><td>52.5</td></tr><tr><td>NHS MANSFIELD AND ASHFIELD CCG</td><td>101</td><td>192,539</td><td>52.5</td></tr><tr><td>NHS BLACKPOOL CCG</td><td>72</td><td>141,976</td><td>50.7</td></tr><tr><td>NHS KNOWSLEY CCG</td><td>74</td><td>145,936</td><td>50.7</td></tr><tr><td>NHS DURHAM DALES, EASINGTON AND SEDGEFIELD CCG</td><td>138</td><td>273,043</td><td>50.5</td></tr><tr><td>NHS KERNOW CCG</td><td>272</td><td>540,178</td><td>50.4</td></tr><tr><td>NHS FAREHAM AND GOSPORT CCG</td><td>98</td><td>196,078</td><td>50.0</td></tr><tr><td>NHS LANCASHIRE NORTH CCG</td><td>78</td><td>158,528</td><td>49.2</td></tr><tr><td>NHS NORTHERN, EASTERN AND WESTERN DEVON CCG</td><td>421</td><td>869,408</td><td>48.4</td></tr><tr><td>NHS STOKE ON TRENT CCG</td><td>124</td><td>258,114</td><td>48.0</td></tr><tr><td>NHS TELFORD AND WREKIN CCG</td><td>80</td><td>167,682</td><td>47.7</td></tr><tr><td>NHS HEREFORDSHIRE CCG</td><td>88</td><td>184,932</td><td>47.6</td></tr><tr><td>NHS HULL CCG</td><td>122</td><td>257,204</td><td>47.4</td></tr><tr><td>NHS NORTH KIRKLEES CCG</td><td>88</td><td>186,706</td><td>47.1</td></tr><tr><td>NHS BOLTON CCG</td><td>131</td><td>278,984</td><td>47.0</td></tr><tr><td>NHS EAST STAFFORDSHIRE CCG</td><td>58</td><td>123,945</td><td>46.8</td></tr><tr><td>NHS COASTAL WEST SUSSEX CCG</td><td>222</td><td>476,677</td><td>46.6</td></tr><tr><td>NHS LINCOLNSHIRE EAST CCG</td><td>106</td><td>228,111</td><td>46.5</td></tr><tr><td>NHS HALTON CCG</td><td>58</td><td>125,692</td><td>46.1</td></tr><tr><td>NHS NEWARK & SHERWOOD CCG</td><td>53</td><td>115,897</td><td>45.7</td></tr><tr><td>NHS THANET CCG</td><td>62</td><td>135,661</td><td>45.7</td></tr><tr><td>NHS SOMERSET CCG</td><td>243</td><td>534,950</td><td>45.4</td></tr><tr><td>NHS BRADFORD CITY CCG</td><td>37</td><td>82,319</td><td>44.9</td></tr></tbody></table>

answering member printed

Earl Howe

question first answered

29/10/2014 12:26:37

answering member

2000

label	Biography information for Earl Howe

tabling member

2488

label	Biography information for Lord Harrison

100592

registered interest

date

22/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

GP Practice Lists: Immigration

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government (1) what is the average length of a general practitioner practice list; (2) what has been the level of net immigration since 2000; and (3) what is the number of additional general practitioners they estimate to have been required because of that immigration change since 2000.

tabling member printed

Lord Blencathra

uin

HL2329

answer

is ministerial correction

date of answer

30/10/2014

answer text

Figures for 30 September 2013, the latest date for which published figures are available, showed the average number of patients per general practitioner practice was 7,034. Information on the level of net immigration for 2000 to 2012 is published by the Office of National Statistics at: http://www.ons.gov.uk/ons/rel/migration1/long-term-international-migration/2012/table-2-01a.xls Final data, for 2013, will be released on 27 November 2014. No estimates are made of the number of additional general practitioners needed specifically related to immigration changes.

answering member printed

Earl Howe

question first answered

30/10/2014 16:23:07

answering member

2000

label	Biography information for Earl Howe

tabling member

497

label	Biography information for Lord Blencathra

100031

registered interest

date

21/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Liver Diseases

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report Liver Disease Profiles.

tabling member printed

Lord Avebury

uin

HL2237

answer

is ministerial correction

date of answer

03/11/2014

answer text

Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England. NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.

answering member printed

Earl Howe

question first answered

03/11/2014 11:52:44

answering member

2000

label	Biography information for Earl Howe

tabling member

1665

label	Biography information for Lord Avebury

100036

registered interest

date

21/10/2014

answering body

Department of Health

answering dept id

answering dept short name

Health

answering dept sort name

Health

hansard heading

Accident and Emergency Departments

house id

legislature

25277

pref label	House of Lords

question text

To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.

tabling member printed

Baroness McDonagh

uin

HL2242

answer

is ministerial correction

date of answer

27/10/2014

answer text

The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down. It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services. Any changes must be supported by the Government’s four tests for service change, namely: - support from general practitioner commissioners; - clarity on the clinical evidence base; - robust patient and public engagement; and - support for patient choice. Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population. More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.

answering member printed

Earl Howe

question first answered

27/10/2014 12:41:26

answering member

2000

label	Biography information for Earl Howe

tabling member

3701

label	Biography information for Baroness McDonagh