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79576

registered interest
date	23/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the answer by Earl Howe on 9 July (HL Deb, col 216), how many managerial and clerical appointments have been made to NHS England.
tabling member printed	Lord Grocott
uin	HL1474
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>As stated in NHS England’s annual report for 2013-2014, <em>National Health Service Commissioning Board: Annual Report and Accounts 2013-14</em>, which was published on 22 July 2014, NHS England employed 6,231 staff as at 31 March 2014. These posts can all be considered as managerial or clerical.</p><p> </p><p>In addition, 9,060 commissioning support unit staff were employed under a hosting arrangement with the NHS Business Services Authority.</p><p> </p><p>It is not possible to give a more recent verified figure for number of appointments.</p><p><strong> </strong></p><p>The annual report is available on NHS England’s website at:</p><p> </p><p>www.england.nhs.uk/publications/</p> answering member printed Earl Howe question first answered 28/07/2014 16:35:15 answering member 2000 label Biography information for Earl Howe
tabling member	276 label Biography information for Lord Grocott

79141

registered interest
date	21/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Wheelchairs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the National Health Service wheelchair voucher scheme.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1302
answer	answer is ministerial correction date of answer 29/07/2014 answer text <p>The Government has not made any assessments relating to the wheelchair voucher scheme. NHS England is leading work with all groups involved in wheelchair services to improve current services.</p> answering member printed Earl Howe grouped question UIN HL1303 HL1304 question first answered 29/07/2014 11:42:49 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

79143

registered interest
date	21/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Wheelchairs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the impact of the power of local National Health Service providers to set their own level of the National Health Service wheelchair vouchers on levels of access to the scheme in different areas<b></b>.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1304
answer	answer is ministerial correction date of answer 29/07/2014 answer text <p>The Government has not made any assessments relating to the wheelchair voucher scheme. NHS England is leading work with all groups involved in wheelchair services to improve current services.</p> answering member printed Earl Howe grouped question UIN HL1302 HL1303 question first answered 29/07/2014 11:42:48 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

79163

registered interest
date	21/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Rural Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they propose any additional financial support to general practitioner practices in rural areas.
tabling member printed	Lord Trefgarne
uin	HL1324
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>The Carr-Hill resource allocation formula is used to calculate the global sum, which is the basic payment made to all GP practices. This is based on the practice population and is weighted for factors that influence relative needs and costs.</p><p> </p><p>These factors include rurality, which is measured by the average distance patients have to travel to a practice and the population density of the area from which a practice draws its patients.</p><p> </p> answering member printed Earl Howe question first answered 28/07/2014 11:39:41 answering member 2000 label Biography information for Earl Howe
tabling member	1813 label Biography information for Lord Trefgarne

78956

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they intend to take action to improve accident and emergency unit waiting times, in the light of reported missed targets over the last year.
tabling member printed	Lord Taylor of Warwick
uin	HL1273
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>National Health Service accident and emergency (A&amp;E) departments are measured against a standard that at least 95% of patients should be admitted, transferred or discharged within four hours of arrival. The standard applies to all types of (A&amp;E) departments, including major (A&amp;E) departments, minor injury units, and walk-in centres.</p><p> </p><p>This standard was met in all four quarters and for the whole of 2013-14, with performance at 95.7% for the year. It has been met for the first quarter (April to June) of 2014-15, with performance at 95.1%.</p><p> </p><p>There were 21.8 million attendances at (A&amp;E) departments in 2013-14 compared to 20.5 million in 2009-10, and in the face of rising demand not all patients are receiving care within the standard. NHS England, the NHS Trust Development Authority and Monitor are working with the most challenged providers and commissioners. £400 million has been made available this year to ensure local urgent and emergency care services are sustainable and prepared for winter.</p><p> </p> answering member printed Earl Howe question first answered 22/07/2014 16:29:07 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

78957

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how effective they consider the process of special measures to have been for failing hospitals.
tabling member printed	Lord Taylor of Warwick
uin	HL1274
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>Progress is being made in nearly every trust and the Chief Inspector of Hospitals has recommended that five of the initial 11 placed in special measures a year ago should come out. As a result the Department and its arm’s length bodies are finally turning around performance in failing hospitals.</p><p> </p><p>The Government will no longer tolerate services which persistently fail to reach an acceptable standard. It is therefore introducing a special measures regime from 1 April 2015 for all adult social care providers registered with and inspected by the Care Quality Commission (CQC).</p><p> </p><p>Providers that are rated as inadequate by the CQC under its new inspection regime will be given a clear timescale within which they will be expected to improve, or face actions which could lead to their closing down. This clarity on timing will provide an incentive for providers to improve quickly and help local authorities and others plan for alternative provision should services have to close. It will also give the public confidence that poor care will be tackled more quickly.</p><p> </p><p>During the autumn, the Department will work with the CQC, social care providers and people using services, their families and carers on the details of the regime, including what support can be given to failing providers to help them improve their services.</p> answering member printed Earl Howe grouped question UIN HL1275 question first answered 28/07/2014 11:41:13 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

78958

registered interest
date	18/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how effective they expect the extension of the special measures process to failing care homes to be.
tabling member printed	Lord Taylor of Warwick
uin	HL1275
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>Progress is being made in nearly every trust and the Chief Inspector of Hospitals has recommended that five of the initial 11 placed in special measures a year ago should come out. As a result the Department and its arm’s length bodies are finally turning around performance in failing hospitals.</p><p> </p><p>The Government will no longer tolerate services which persistently fail to reach an acceptable standard. It is therefore introducing a special measures regime from 1 April 2015 for all adult social care providers registered with and inspected by the Care Quality Commission (CQC).</p><p> </p><p>Providers that are rated as inadequate by the CQC under its new inspection regime will be given a clear timescale within which they will be expected to improve, or face actions which could lead to their closing down. This clarity on timing will provide an incentive for providers to improve quickly and help local authorities and others plan for alternative provision should services have to close. It will also give the public confidence that poor care will be tackled more quickly.</p><p> </p><p>During the autumn, the Department will work with the CQC, social care providers and people using services, their families and carers on the details of the regime, including what support can be given to failing providers to help them improve their services.</p> answering member printed Earl Howe grouped question UIN HL1274 question first answered 28/07/2014 11:41:13 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

78726

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ambulance Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the process used to appoint Dr Anthony Marsh to the post of Chief Executive for (a) West Midlands Ambulance Service NHS Trust and (b) East of England Ambulance Service NHS Trust; if he will place in the Library copies of all correspondence between his Department and both ambulance trusts on these appointments; what level of salary Dr Anthony Marsh receives for each role; and if he will make a statement.
tabling member constituency	West Bromwich East
tabling member printed	Mr Tom Watson
uin	206570
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Anthony Marsh was appointed Chief Executive of West Midlands Ambulance Service NHS Trust (WMAS) in July 2006. Dr Marsh was previously Chief Executive of Essex Ambulance Service.</p><p> </p><p>Dr Marsh became Chief Executive of East of England Ambulance Service NHS Trust (EEAST) from 1 January 2014. He was seconded to EEAST at the request of the NHS Trust Development Authority (NHS TDA) because of persistent poor performance at EEAST and the Trust’s failure to appoint a substantive Chief Executive when it attempted to recruit to the post on several occasions in recent years. He is contracted to work three days a week at EEAST in addition to continuing in his chief executive role at WMAS.</p><p> </p><p>The NHS TDA advises that Dr Marsh’s salary is £232,226.42 per annum in total, which includes a £50,000 uplift to his former WMAS salary for his additional duties at EEAST. EEAST pays 60% of Dr Marsh’s salary. The £50,000 additional salary payment was agreed between the remuneration committees of WMAS and EEAST for the increased responsibility of running two trusts.</p><p> </p><p>The NHS TDA believes that Dr Marsh has already made a significant impact at EEAST, with the recruitment of 400 additional paramedics expected this year, 147 new ambulances now ordered and a £1 million reduction in management costs, which is being re-invested into the front line.</p><p> </p><p>A search of the Department’s Ministerial correspondence database has not identified any correspondence between the Department and either ambulance trust on these appointments. This search represents correspondence received by the Department’s Ministerial correspondence unit only.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 16:08:24 answering member 3918 label Biography information for Jane Ellison
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

78727

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce inequalities covering his public health functions for the whole population.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206558
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Reducing health inequalities is a Government priority, shown by our introduction of the first-ever set of health inequalities duties in the 2012 Health and Social Care Act.</p><p> </p><p>Public health has a key role to play in reducing health inequalities across the whole population through ill health prevention and helping reduce premature, avoidable mortality. We transferred responsibility for improving public health from the National Health Service to local government to bring greater effectiveness and innovation in responding to local health needs. We provided local government with a ring-fenced grant of £5.36 billion.</p><p> </p><p>At local level, Directors of Public Health will champion these health needs and work with local government, NHS colleagues and other sectors to address them.</p><p> </p><p>We established Public Health England (PHE) to provide leadership, and to protect and improve the public’s health and wellbeing and reduce health inequalities. It supports action on health inequalities at local and national level by promoting good practice and building on the evidence of ‘what works.’</p><p> </p><p>We have recently published <em>Living Well for Longer</em> (April 2014) which provides national support for local action on reducing premature mortality. It sets out what PHE and NHS England will do alongside the Department and the rest of Government to address avoidable and premature mortality across the population, including vulnerable groups such as those on low-income and those with mental illness.</p><p> </p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 15:49:34 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger

78728

registered interest
date	17/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of moving the immunisation coordinator role from primary care trust into commissioning positions on the availability of immunisation advice to nurse-based practitioners.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	206559
answer	answer is ministerial correction date of answer 22/07/2014 answer text <p>Public Health England (PHE) Screening and Immunisation Teams, including immunisation co-ordinators, have been embedded within NHS England area teams since 1 April 2013.</p><p> </p><p>Immunisation advice remains available to health professionals, including nurse-based practitioners, through local PHE Health Protection Teams and Screening and Immunisation Teams within NHS England, who are supported by a national expert advice line. Comprehensive web-based advice including such resources as frequently asked questions, also remain available.</p><p> </p><p>We have not made any specific assessment of the possible effect on the availability of immunisation advice to nurse-based practitioners by PHE in this context.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 22/07/2014 15:53:40 answering member 3918 label Biography information for Jane Ellison
tabling member	4036 label Biography information for Luciana Berger