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1144075

registered interest
date	03/09/2019
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: Directors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to appoint a "turnaround director" for NHS England and NHS Improvement; and to whom such a director would be accountable.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL17563
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS England and NHS Improvement are not in the process of recruiting a turnaround director for the organisation.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:46:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144076

registered interest
date	03/09/2019
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: Directors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether regional directors of NHS England and NHS Improvement are responsible for tackling bullying in their regions; and whether regional directors are responsible for the conduct of any "turnaround directors" appointed in their regions.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL17564
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>Individual National Health Service organisations are primarily responsible for addressing and preventing bullying in the workforce and for the conduct of all their employees including temporary staff or specialist contractors.</p><p>To ensure consistency the performance management of NHS organisations is underpinned by a single oversight framework, which is overseen by Regional Directors.</p><p>The NHS Constitution also sets out the rights and responsibilities of all NHS staff to be free from harassment, bullying or violence.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:47:23 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144077

registered interest
date	03/09/2019
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: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what was the cost to the NHS of the Turnaround Programme in each of the last three years.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL17565
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17566 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144078

registered interest
date	03/09/2019
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: Directors
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the average daily rate earned by "turnaround directors" in the NHS.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL17566
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17565 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144097

registered interest
date	03/09/2019
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	Fit and Proper Persons Requirement Review
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Interim NHS People Plan, published on 3 June, what steps they are taking to implement the recommendations of the Kark review of the fit and proper persons test, published on 6 February; and when they expect to complete their response to that review.
tabling member printed	Lord Blunkett
uin	HL17585
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has accepted in principle recommendations 1 and 2 of the Review by Tom Kark QC into the Fit and Proper Persons test, namely:</p><p> </p><p>- to develop competency standards for all NHS directors; and</p><p>- to create a central database of NHS director employment and training data.</p><p>The Government has asked Baroness Harding of Winscombe, to take forward implementation of the two accepted recommendations and to engage on the remaining recommendations alongside work to develop the NHS People Plan.</p><p>A response is expected later this year.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:49:41 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	395 label Biography information for Lord Blunkett

1144144

registered interest
date	03/09/2019
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	Dementia
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to improve dementia care research and support for carers of people with dementia across the UK.
tabling member printed	Lord Hay of Ballyore
uin	HL17632
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The Government’s Dementia 2020 Challenge aims to make England the best country in the world for dementia care, support, awareness and research. The Government is committed to supporting research into dementia to find a disease-modifying treatment by 2025, and to help people with dementia live well with the condition. People participating in research are central to this effort, as are the health and social care staff who support their participation.</ins></p><p><ins class="ministerial">We expect all people who are newly diagnosed with dementia, and their carers, to receive information on opportunities to take part in research into dementia. By 2020, we expect all relevant staff to have received appropriate dementia training. This should include training relevant staff to be able to signpost interested individuals towards research via the Join Dementia Research service. We are also currently exploring options for increasing take-up of the more advanced Tier 2 training to everyone who needs it.</ins></p><p><ins class="ministerial">We are committed to supporting carers to provide care in ways that protect and preserve their own health and wellbeing. In June 2018, we published the Carers Action Plan, a cross-Government programme of targeted work, including a £5 million Carers Innovation Fund to encourage innovative and creative ways of supporting carers. In addition, we are working with local government on a sector-led improvement programme of work focused on the implementation of the Care Act 2014 duties for carers.</ins></p><p><ins class="ministerial">The Department funds research through the National Institute for Health Research (NIHR). The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics such as dementia. Research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health including dementia. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. In all disease areas, the amount of the NIHR’s funding depends on the volume and quality of scientific activity.</ins></p><p><ins class="ministerial">The NIHR funding for dementia research was £43.0 million in 2017/18, having increased from £27 million in 2013/14. Government spending overall on dementia research is running ahead of the Government’s 2020 Dementia Challenge commitment to maintain this at £300 million over five years. The total in 2017/18 was £82.5 million; £43 million via the NIHR, £36.3 million via the Medical Research Council and £3.2 million via the Economic and Social Research Council.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:58:38 question first ministerially corrected 30/09/2019 10:59:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135712 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4352 label Biography information for Lord Hay of Ballyore

1144152

registered interest
date	03/09/2019
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	Hospitals: Statistics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many (1) charities, (2) public bodies, (3) commercial companies, and (4) others, received Hospital Episode Statistics data from NHS Digital in August; and what percentage of each had (a) informed consent, (b) opt outs applied, and (c) neither.
tabling member printed	Lord Hunt of Kings Heath
uin	HL17640
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS Digital has advised that the numbers of organisations that have received Hospital Episode Statistics (HES) data and the percentage of each that had informed consent, opt outs applied and neither within the month of August is shown in the following table.</p><p> </p><table><tbody><tr><td colspan="5"><p>Organisations receiving HES data in August 2019, by Organisation Type</p></td></tr><tr><td><p>Organisation Type</p></td><td><p>Informed Consent</p></td><td><p>Opt outs applied</p></td><td><p>Neither</p></td><td><p>Total</p></td></tr><tr><td><p>Charities</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>Public Body</p></td><td><p>1 (1%)</p></td><td><p>5 (4%)</p></td><td><p>117 (95%)</p></td><td><p>123 (100%)</p></td></tr><tr><td><p>Commercial</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>7 (100%)</p></td><td><p>7 (100%)</p></td></tr><tr><td><p>Other</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>2 (100%)</p></td><td><p>2 (100%)</p></td></tr><tr><td><p>Total</p></td><td><p>132</p></td></tr></tbody></table><p> </p><p>The HES data against the organisation type “charities” has not been released within August.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:47:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144153

registered interest
date	03/09/2019
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	Palliative Care: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the additional £25 million announced for hospice and palliative services by the Prime Minister on 20 August will be (1) an annually recurring figure, and (2) in addition to current grants from, and contracts with, the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL17641
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:00 question first ministerially corrected 30/09/2019 11:01:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135714 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144154

registered interest
date	03/09/2019
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	Palliative Care: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what discussions they intend to have with NHS England to ensure that any contracts between the NHS and the providers of hospice and palliative care services will be for a minimum three year period to provide certainty of funding.
tabling member printed	Lord Hunt of Kings Heath
uin	HL17642
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:04 question first ministerially corrected 30/09/2019 11:00:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135717 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1142826

registered interest
date	02/09/2019
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	Cannabis: Medical Treatments
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, how many prescriptions for medical cannabis have been issued on the NHS since the rescheduling of cannabis based products.
tabling member constituency	Inverclyde
tabling member printed	Ronnie Cowan
uin	284234
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS England and NHS Improvement are using extant systems to monitor use of the newly rescheduled unlicensed cannabis-based products for medicinal use in England. In England, these systems monitor the number of items dispensed and associated costs in primary care and the volume of products used and associated cost in secondary care. NHS England and NHS Improvement Controlled Drug Accountable Officers are also collecting local intelligence in both the National Health Service and independent sector.</p><p>The NHS Business Services Authority (NHSBSA) is only able to provide information on prescriptions for cannabis-based medicines that have been prescribed and submitted to the NHS Business Services Authority. It does not hold information on prescriptions for cannabis-based medicines which have been issued but not fulfilled.</p><p>The following table shows the number of items for Nabilone and Sativex (licensed cannabis-based medicines) and unlicensed cannabis-based medicines that were prescribed on a NHS prescription, dispensed in the community and submitted to the NHS Business Services Authority for reimbursement between November 2018 and June 2019.</p><table><tbody><tr><td rowspan="2"><p>Month</p></td><td colspan="2"><p>Licensed cannabis-based medicines</p></td><td rowspan="2"><p>Unlicensed cannabis-based medicines</p></td></tr><tr><td><p>Nabilone</p></td><td><p>Sativex</p></td></tr><tr><td><p>November 2018</p></td><td><p>46</p></td><td><p>175</p></td><td><p>2</p></td></tr><tr><td><p>December 2018</p></td><td><p>49</p></td><td><p>181</p></td><td><p>1</p></td></tr><tr><td><p>January 2019</p></td><td><p>44</p></td><td><p>167</p></td><td><p>2</p></td></tr><tr><td><p>February 2019</p></td><td><p>36</p></td><td><p>159</p></td><td><p>1</p></td></tr><tr><td><p>March 2019</p></td><td><p>51</p></td><td><p>171</p></td><td><p>2</p></td></tr><tr><td><p>April 2019</p></td><td><p>49</p></td><td><p>156</p></td><td><p>2</p></td></tr><tr><td><p>May 2019</p></td><td><p>59</p></td><td><p>176</p></td><td><p>2</p></td></tr><tr><td><p>June 2019</p></td><td><p>47</p></td><td><p>187</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>381</p></td><td><p>1,372</p></td><td><p>12</p></td></tr></tbody></table><p><strong> </strong></p><p>In addition to the above, 185 patients have accessed Epidiolex/Epidyolex though the manufacturer’s (GW Pharma) early access programmes ahead of a licensing decision by the European Medicines Agency.</p> answering member constituency Bury St Edmunds answering member printed Jo Churchill question first answered 09/09/2019 15:20:43 answering member 4380 label Biography information for Jo Churchill
tabling member	4465 label Biography information for Ronnie Cowan