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1047854

registered interest
date	24/01/2019
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	HIV Infection: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to extend access to the Pre-Exposure Prophylaxis pill.
tabling member printed	Lord Storey
uin	HL13132
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>On 30 January, the Secretary of State for Health and Social Care announced that the Pre-exposure Prophylaxis (PrEP) Impact trial would be expanded to 26,000 people. Work is underway with partners to take this forward. The PrEP Oversight Board has requested information on local capacity to make the additional places available, and will review this later in February.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 15:52:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4238 label Biography information for Lord Storey

1037620

registered interest
date	08/01/2019
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: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Manzoor on 7 January (HL12528), how they format clinical negligence claims.
tabling member printed	Lord Storey
uin	HL12674
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>NHS Resolution formats its clinical negligence claims using a coding system.</p><p>NHS Resolution has advised that it codes claims under its management to identify whether formal court proceedings have commenced. However, the reasons for this can be multiple and complex, i.e. a dispute on breach of duty, causation, the amount due to be paid in compensation, the imminent expiry of the limitation period, a combination of all four, or alternatively, the need for court approval of a settlement. Given this, and the fact that the claimant’s reasons for commencing court proceedings may not be shared with NHS Resolution, the reasons for commencement are not coded separately.</p> answering member printed Baroness Manzoor question first answered 22/01/2019 16:18:11 answering member 4289 label Biography information for Baroness Manzoor
tabling member	4238 label Biography information for Lord Storey

1036976

registered interest
date	07/01/2019
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
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government with which professional associations the NHS consulted in developing the NHS Long Term Plan.
tabling member printed	Lord Storey
uin	HL12618
answer	answer is ministerial correction date of answer 21/01/2019 answer text <p>A list of the organisations who attended events, joined webinars or submitted evidence and views to inform the NHS Long Term Plan is attached, due to the size of the data.</p> answering member printed Baroness Manzoor question first answered 21/01/2019 16:40:29 answering member 4289 label Biography information for Baroness Manzoor attachment 1 file name formatted HL12618 NHS LTP professional associations consulted list.docx title Organisations consulted for NHS Long Term Plan
tabling member	4238 label Biography information for Lord Storey

1036980

registered interest
date	07/01/2019
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	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS registered dentists there currently are.
tabling member printed	Lord Storey
uin	HL12622
answer	answer is ministerial correction date of answer 21/01/2019 answer text <p>Data is not held in the format requested.</p><p>Information on numbers of National Health Service dentists is collected and published on the numbers of dentists who deliver some NHS care in each 12 month period.</p><p>The latest data shows there were 24,308 dentists who performed some NHS activity in England in 2017/18.</p> answering member printed Baroness Manzoor question first answered 21/01/2019 16:40:42 answering member 4289 label Biography information for Baroness Manzoor
tabling member	4238 label Biography information for Lord Storey

1029642

registered interest
date	20/12/2018
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, further to the Written Answer by Lord O'Shaughnessy on 19 December (HL12113), how many clinical negligence cases resolved in 2017–18 had proceedings issued because of issues in dispute, including (1) breach of duty, and (2) causation; and of such cases, how many resulted in a payment of damages to the claimant.
tabling member printed	Lord Storey
uin	HL12528
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>NHS Resolution has advised that the information is not collated by them in the format requested.</p> answering member printed Baroness Manzoor question first answered 07/01/2019 16:49:43 answering member 4289 label Biography information for Baroness Manzoor
tabling member	4238 label Biography information for Lord Storey

1029126

registered interest
date	19/12/2018
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 NHS registered dental practices in England and Wales in each of the last ten years.
tabling member printed	Lord Storey
uin	HL12474
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The data is not currently available centrally in the format requested.</p> answering member printed Baroness Manzoor question first answered 07/01/2019 16:56:06 answering member 4289 label Biography information for Baroness Manzoor
tabling member	4238 label Biography information for Lord Storey

1025364

registered interest
date	14/12/2018
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, further to the Written Answer by Lord O'Shaughnessy on 13 December (HL12091), how much of their total spend on clinical negligence legal defence costs in (1) 2016–17, and (2) 2017–18, was used for (a) NHS Resolution services, and (b) external solicitors including disbursements.
tabling member printed	Lord Storey
uin	HL12330
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>NHS Resolution has advised that the figures provided for legal defence costs in my Written Answer of 13 December were for external solicitors including disbursements.</p><p>NHS Resolution has provided the following table which shows its own administration costs for dealing with clinical negligence claims in 2016/17 and 2017/18.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Admin Costs £000s</p></td></tr><tr><td><p>2017/18</p></td><td><p>11,634</p></td></tr><tr><td><p>2016/17</p></td><td><p>9,982</p></td></tr></tbody></table> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:38:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey

1024861

registered interest
date	13/12/2018
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 whether they have undertaken forward planning or modelling to estimate the cost of clinical negligence claims in the period to 2020–21.
tabling member printed	Lord Storey
uin	HL12302
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>NHS Resolution annually reviews and updates five-year forecasts for the cost of clinical negligence following an actuarial review of activity and key assumptions that underpin those costs, e.g. claims inflation, claims volumes. These key assumptions are published in the organisation’s Annual Report and Accounts. Clinical negligence costs relate to four indemnity schemes operated by NHS Resolution: Clinical Negligence Scheme for Trusts (CNST), which covers NHS providers of secondary health care, and the Existing Liabilities, Ex-Regional Health Authorities, and the Department of Health and Social Care’s Clinical schemes, all of which relate to legacy organisations.</p><p>The cost of clinical negligence claims covered by the figures in this response are damages, claimant legal costs, defence legal costs, and NHS Resolution’s administration costs. The costs reported here do not include costs incurred locally by NHS providers in dealing with claims, such as their own administration costs.</p><p>NHS Resolution’s Statement of Net Expenditure estimates costs of clinical negligence at £11.7 billion in its 2020-21 accounts. This the total of the two dimensions in relation to “costs” in the context of Government budgeting:</p><p>- Department Expenditure Limit costs – these are the costs of settling claims during the financial year and the administration of those claims. This is estimated to be £2.6 billion for 2020-21; and</p><p>- Annually Managed Expenditure costs – this is the change in the value of the liability arising from clinical negligence claims, both from those that have been received, and those that are expected to be received in relation to incidents up to 31 March 2021. This is estimated to be £9.1 billion for 2020-21.</p><p> </p><p>The costs for 2020-21 have been estimated on the basis of the current personal injury discount rate of minus 0.75%. However, once the Civil Liability Bill becomes law, the Lord Chancellor is expected to review the rate promptly. The figures provided here may therefore, change as a result. NHS Resolution will also review its five-year forecasts again following the production of its 2018-19 Annual Report and Accounts, and any changes in the underpinning actuarial assumptions are likely to result in revised projections. The figures quoted should therefore be considered as broad estimates based on the latest available information and subject to change in the future.</p><p>Notes:</p><p>The Department Expenditure Limit costs are lower than the £3.2 billion costs for CNST only reported by the National Audit Office in their report <em>Managing the costs of clinical negligence in trusts</em>, published in September 2017. The £3.2 billion represents the 2016 forecast for CNST based on a personal injury discount rate of 2.5%. Actuarial reviews of assumptions undertaken by NHS Resolution in 2017 and 2018 have resulted in favourable movements in key assumptions.</p><p>The figures provided do not include claims brought against general practitioners, who are covered by separate indemnity arrangements through medical defence organisations and for which data is not centrally available.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:30:07 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey

1020566

registered interest
date	06/12/2018
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 what proportion of clinical negligence cases result in a legal action being (1) issued, and (2) decided by the courts; and, in the cases decided by a court, in what proportion the claimant fully, or partially, succeeds.
tabling member printed	Lord Storey
uin	HL12113
answer	answer is ministerial correction date of answer 19/12/2018 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>NHS Resolution has provided the following information which is based on information for clinical negligence cases resolved in 2017-18.</p><p>Of the 11,896 clinical negligence cases that were resolved in 2017-18:</p><p> </p><p>- 3,845 (32.4%) had proceedings issued;</p><p>- 76 of the 3,845 cases went to trial (representing around 2% of those clinical negligence cases where proceedings had been issued); and</p><p>- 28 of the 76 cases that went to trial in 2017-18 resulted in the claimant being successful (i.e. the claimant was awarded damages in 37% of cases).</p><p> </p><p>Notes:</p><p>- Proceedings may need to be issued in claims where there are no substantive issues in dispute but the court’s approval of the settlement is required (for cases where the claimant lacks capacity – e.g. minors).</p><p>- A claim is defined as successful where the claimant is awarded damages.</p><p> </p><p>NHS Resolution is unable to report on whether or not a claimant is partially successful – a claim is either successful or not. It should be noted that, in most cases, the claimant does not receive everything that was claimed for given the nature of clinical negligence litigation. The extent to which the final award is a departure from what was claimed for depends on an array of factors that impact on each party’s view of the risks inherent in pursuing the issue(s) to trial.</p> answering member printed Lord O'Shaughnessy question first answered 19/12/2018 12:41:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey

1020309

registered interest
date	05/12/2018
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, further to the Written Answer by Lord O'Shaughnessy on 5 November (HL10962), whether the figures for the total government spend on clinical negligence in 2016–17 and 2018–19 include legal costs.
tabling member printed	Lord Storey
uin	HL12091
answer	answer is ministerial correction date of answer 13/12/2018 answer text <p>NHS Resolution handles clinical negligence claims on behalf of National Health Service organisations and independent sector providers of NHS care in England.</p><p>As stated in my answer of 5 November, the total Government spend on clinical negligence was £1.7 billion in the financial year 2016-17 and £2.2 billion in the financial year 2017-18. These figures did include legal costs and NHS Resolution has provided the following information about legal costs in these two financial years.</p><p>Legal costs for 2016-17 were:</p><p>- Claimant costs: £498 million</p><p>- Defence costs: £126 million</p><p>Legal costs for 2017-18 were:</p><p>- Claimant costs: £467 million</p><p>- Defence costs: £129 million</p><p>Note:</p><p>Claimant costs are legal costs incurred by the claimant in bringing a claim for compensation.</p><p>Defence costs are legal costs incurred by NHS Resolution in dealing with the claim received.</p> answering member printed Lord O'Shaughnessy question first answered 13/12/2018 14:58:28 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey