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921846

registered interest
date	11/06/2018
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	Personal Health Budgets
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many patients are currently in receipt of an NHS personal health budget; and what was the total cost of that scheme for each of the last three years for which figures are available.
tabling member printed	Lord Turnberg
uin	HL8535
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>28,040 individuals were in receipt of a personal health budget as of 2017-18 Q4.</p><p>In terms of the total cost of personal health budgets for each of the last three years, these figures are not held centrally, as it is clinical commissioning groups who have the duty to commission and deliver personal health budgets.</p><p>Personal health budgets use existing National Health Service money that would already have been spent on an individual, in a different way that meets the individual’s identified health needs. Evidence suggests that at worst, personal health budgets are cost-neutral, whilst demonstrating an ability to improve outcomes and enhance quality of life.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:45:29 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2537 label Biography information for Lord Turnberg

919353

registered interest
date	07/06/2018
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	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many doctors there were in general practice in each year between 2007 and 2017.
tabling member printed	Lord Dobbs
uin	HL8432
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The information requested for 2010-17 is shown in the following table. Due to changes in the methodology, comparable data is not available prior to 2010. Headcount general practitioners (GP) numbers (excluding locums) are provided as they are comparable 2010-17.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>All practitioners (excluding locums) headcount</p></td></tr><tr><td><p>2010</p></td><td><p>39,409</p></td></tr><tr><td><p>2011</p></td><td><p>40,008</p></td></tr><tr><td><p>2012</p></td><td><p>40,463</p></td></tr><tr><td><p>2013</p></td><td><p>40,236</p></td></tr><tr><td><p>2014</p></td><td><p>41,105</p></td></tr><tr><td><p>2015</p></td><td><p>40,648</p></td></tr><tr><td><p>2016</p></td><td><p>40,490</p></td></tr><tr><td><p>2017</p></td><td><p>39,843</p></td></tr></tbody></table><p> </p><p><em>Source:</em> NHS Digital</p><p> </p><ol><li>All data as of 30 September for England.</li><li>All data includes estimates for practices that did not provide fully valid GP data.</li><li>Figures shown do not include GPs working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres and walk-in centres.</li></ol> answering member printed Lord O'Shaughnessy question first answered 13/06/2018 11:32:04 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4192 label Biography information for Lord Dobbs

919355

registered interest
date	07/06/2018
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	Out-patients: Attendance
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 March (HL6008), why the information surrounding the number of missed appointments at hospital out-patient services is not collected centrally.
tabling member printed	Lord Dobbs
uin	HL8434
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>As stated in my answer of 19 March 2018, data for missed outpatient appointments is routinely collected and published.</p><p>Data for missed outpatient appointments in the years 2006-07 to 2016-17 is provided in the following table. This includes consultant and non-consultant-led appointments.</p><table><tbody><tr><td><p>Year</p></td><td><p>Total outpatient appointments</p></td><td><p>Did not attend (DNA) appointments</p></td><td><p>DNA appointments as % of total appointments</p></td></tr><tr><td><p>2006-07</p></td><td><p>63,217,226</p></td><td><p>5,311,966</p></td><td><p>8.4%</p></td></tr><tr><td><p>2007-08</p></td><td><p>66,649,484</p></td><td><p>5,553,244</p></td><td><p>8.3%</p></td></tr><tr><td><p>2008-09</p></td><td><p>74,853,493</p></td><td><p>5,993,680</p></td><td><p>8.0%</p></td></tr><tr><td><p>2009-10</p></td><td><p>84,198,458</p></td><td><p>6,690,258</p></td><td><p>7.9%</p></td></tr><tr><td><p>2010-11</p></td><td><p>87,998,505</p></td><td><p>6,883,886</p></td><td><p>7.8%</p></td></tr><tr><td><p>2011-12</p></td><td><p>90,956,844</p></td><td><p>6,785,034</p></td><td><p>7.5%</p></td></tr><tr><td><p>2012-13</p></td><td><p>94,091,748</p></td><td><p>6,860,222</p></td><td><p>7.3%</p></td></tr><tr><td><p>2013-14</p></td><td><p>101,844,824</p></td><td><p>7,095,839</p></td><td><p>7.0%</p></td></tr><tr><td><p>2014-15</p></td><td><p>107,188,423</p></td><td><p>7,442,949</p></td><td><p>6.9%</p></td></tr><tr><td><p>2015-16</p></td><td><p>113,298,661</p></td><td><p>7,519,829</p></td><td><p>6.6%</p></td></tr><tr><td><p>2016-17</p></td><td><p>118,578,912</p></td><td><p>7,938,009</p></td><td><p>6.7%</p></td></tr></tbody></table><p><em>Source</em>: Hospital Episode Statistics, NHS Digital</p><p>This is a count of hospital appointments, not individual patients, as the same person may have been booked into a National Health Service hospital on more than one occasion.</p><p>Information surrounding the cost of missed appointments at hospital out-patient services is not collected centrally.</p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:44:55 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4192 label Biography information for Lord Dobbs

917772

registered interest
date	05/06/2018
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	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to introduce a system for reporting adverse reactions to psychiatric and psychological treatments similar to the Yellow Card Scheme for medicines; and if not, why not.
tabling member printed	The Countess of Mar
uin	HL8366
answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>There are no current plans to introduce a separate scheme for reporting adverse reactions to psychiatric and psychological treatments. The Yellow Card Scheme already includes a facility to report suspected adverse incidents associated with products used in psychiatric and psychological treatments.</p><p>The National Institute for Health and Care Excellence (NICE) produces guidance for the National Health Service on how to treat certain health conditions, including mental health conditions and NICE clinical guidelines provide advice on the care and support that should be offered to people who use health and care services, including some therapeutic interventions for mental health. NICE guidance is based on a thorough assessment of the available evidence and is developed through extensive engagement with stakeholders. NHS organisations are expected to take it fully into account in the design of services to meet the needs of their populations.</p><p>NICE’s Quality Standard 14 - <em>Service user experience in adult mental health services </em>states that service providers should ensure systems are in place to collect feedback on the experience of care from service users and their families or carers. A copy of the Quality Standard is attached.</p> answering member printed Lord O'Shaughnessy question first answered 19/06/2018 16:18:34 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name service-user-experience-in-adult-mental-health-services-pdf-2098485311173.pdf title Service user experience in adult mental health
tabling member	1861 label Biography information for The Countess of Mar

917774

registered interest
date	05/06/2018
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	Hospital Beds
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS hospital beds there were in England in (1) 1997, (2) 2007, and (3) 2017.
tabling member printed	Lord Naseby
uin	HL8368
answer	answer is ministerial correction date of answer 14/06/2018 answer text <p>From April 2010, NHS England started to publish quarterly information on the numbers of available and occupied beds open overnight and day only within National Health Service organisations. Previously, annual data was published.</p><p>A table showing the numbers of NHS hospital beds for the requested years is attached due to the size of the data.</p><p>There has been a long-term reduction in the number of general and acute beds open overnight because hospitals are dealing with patients more efficiently. The NHS now performs more day cases, length of stay is decreasing and more people are treated in community settings.</p> answering member printed Lord O'Shaughnessy question first answered 14/06/2018 12:57:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Data table for HL8368 formatted.docx title NHS Hospital Bed numbers
tabling member	1251 label Biography information for Lord Naseby

917775

registered interest
date	05/06/2018
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	Care Homes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many residential care homes there were in England in (1) 1997, (2) 2007, and (3) 2017.
tabling member printed	Lord Naseby
uin	HL8369
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The number of residential care home beds and care homes data in 1997 is not held centrally. Available data shows that between 2007 and 2017 the total number of beds in care homes remains broadly static whilst over the same period the number of care homes has gone down. However, high quality care also includes domiciliary care which increased by 57% since 2010 for those people aged 65 and over who are cared for through local authority support in their own home.</p><p> </p><p>The following tables show residential care home beds and care homes numbers in England for 2007 and 2017.</p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Beds in Residential Homes</p></td><td><p>265,539</p></td><td><p>238,684</p></td></tr><tr><td><p>Beds in Nursing Homes</p></td><td><p>182,920</p></td><td><p>221,110</p></td></tr><tr><td><p>Beds in Non-Medical Care Homes</p></td><td><p>298</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care home beds</p></td><td><p>448,757</p></td><td><p>459,794</p></td></tr></tbody></table><p><strong> </strong></p><p><strong><br> </strong></p><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Residential Homes</p></td><td><p>14,572</p></td><td><p>11,890</p></td></tr><tr><td><p>Nursing Homes</p></td><td><p>4,119</p></td><td><p>4,502</p></td></tr><tr><td><p>Non-Medical Care Homes</p></td><td><p>18</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care homes</p></td><td><p>18,709</p></td><td><p>16,392</p></td></tr></tbody></table><p> </p><p><em>Sources:</em> Commission for Social Care Inspection (2007), Care Quality Commission Care Directory With Filters.</p><p><em>Note:</em></p><p>Care homes that offer beds with nursing and beds without nursing are classified as nursing homes.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8370 question first answered 12/06/2018 10:47:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1251 label Biography information for Lord Naseby

917776

registered interest
date	05/06/2018
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	Care Homes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many residential care home beds there were in England in (1) 1997, (2) 2007, and (3) 2017.
tabling member printed	Lord Naseby
uin	HL8370
answer	answer is ministerial correction date of answer 12/06/2018 answer text <p>The number of residential care home beds and care homes data in 1997 is not held centrally. Available data shows that between 2007 and 2017 the total number of beds in care homes remains broadly static whilst over the same period the number of care homes has gone down. However, high quality care also includes domiciliary care which increased by 57% since 2010 for those people aged 65 and over who are cared for through local authority support in their own home.</p><p> </p><p>The following tables show residential care home beds and care homes numbers in England for 2007 and 2017.</p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Beds in Residential Homes</p></td><td><p>265,539</p></td><td><p>238,684</p></td></tr><tr><td><p>Beds in Nursing Homes</p></td><td><p>182,920</p></td><td><p>221,110</p></td></tr><tr><td><p>Beds in Non-Medical Care Homes</p></td><td><p>298</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care home beds</p></td><td><p>448,757</p></td><td><p>459,794</p></td></tr></tbody></table><p><strong> </strong></p><p><strong><br> </strong></p><p><strong> </strong></p><p><strong> </strong></p><table><tbody><tr><td><p>England</p></td><td><p>31 March 2007</p></td><td><p>3 April 2017</p></td></tr><tr><td><p>Residential Homes</p></td><td><p>14,572</p></td><td><p>11,890</p></td></tr><tr><td><p>Nursing Homes</p></td><td><p>4,119</p></td><td><p>4,502</p></td></tr><tr><td><p>Non-Medical Care Homes</p></td><td><p>18</p></td><td><p>N/A</p></td></tr><tr><td><p>Total care homes</p></td><td><p>18,709</p></td><td><p>16,392</p></td></tr></tbody></table><p> </p><p><em>Sources:</em> Commission for Social Care Inspection (2007), Care Quality Commission Care Directory With Filters.</p><p><em>Note:</em></p><p>Care homes that offer beds with nursing and beds without nursing are classified as nursing homes.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8369 question first answered 12/06/2018 10:47:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1251 label Biography information for Lord Naseby

916530

registered interest
date	04/06/2018
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	Transplant Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what requirements exist for hospitals in the UK to register patients who have obtained organ transplants overseas.
tabling member printed	Lord Alton of Liverpool
uin	HL8236
answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>NHS Blood and Transplant (NHSBT) is responsible for organ donation in the United Kingdom. To monitor the number of patients who have undergone transplant surgery abroad, NHSBT contacts transplant and satellite units to ask them for details of patients who have been transplanted abroad and have then come to the UK for follow-up.</p><p>Some of these patients lived in the UK and travelled overseas specifically for the transplant, others may have been living overseas when they have their transplant. NHSBT is unable to distinguish which scenario applies to any recipient.</p><p>UK hospitals are only able to record information about patients that received transplants abroad when they come into contact with the patient for follow up care.</p><p>The Government has no current plans to make collecting such information a legal requirement.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8237 question first answered 18/06/2018 11:59:10 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

916531

registered interest
date	04/06/2018
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	Transplant Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will consider requiring hospitals in the UK to register patients who have obtained organ transplants overseas.
tabling member printed	Lord Alton of Liverpool
uin	HL8237
answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>NHS Blood and Transplant (NHSBT) is responsible for organ donation in the United Kingdom. To monitor the number of patients who have undergone transplant surgery abroad, NHSBT contacts transplant and satellite units to ask them for details of patients who have been transplanted abroad and have then come to the UK for follow-up.</p><p>Some of these patients lived in the UK and travelled overseas specifically for the transplant, others may have been living overseas when they have their transplant. NHSBT is unable to distinguish which scenario applies to any recipient.</p><p>UK hospitals are only able to record information about patients that received transplants abroad when they come into contact with the patient for follow up care.</p><p>The Government has no current plans to make collecting such information a legal requirement.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL8236 question first answered 18/06/2018 11:59:10 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

916587

registered interest
date	04/06/2018
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	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to protect people experiencing mental health problems from accessing treatment from unqualified counsellors and psychotherapists, including by requiring statutory registration.
tabling member printed	Lord Macpherson of Earl's Court
uin	HL8293
answer	answer is ministerial correction date of answer 13/06/2018 answer text <p>The Five Year Forward View for Mental Health, published in February 2016, includes the recommendation that:</p><p>“The Department of Health should consider how to introduce the regulation of psychological therapy services, which are not currently inspected unless they are provided within secondary mental health services.”</p><p>The Department is currently working with the Care Quality Commission to examine the options and possibilities for taking this recommendation forward. The Department is committed to proportionate regulation of healthcare professionals.</p><p>We are considering options for deciding the right level of regulatory oversight for professional groups following on from our Promoting Professionalism, Reforming Regulation public consultation, which closed on 23 January 2018. We expect to publish a full response to this consultation in due course.</p> answering member printed Lord O'Shaughnessy question first answered 13/06/2018 11:35:12 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4586 label Biography information for Lord Macpherson of Earl's Court