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450637

registered interest
date	04/02/2016
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Lead: Ammunition
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether there is a widespread risk of lead poisoning in migratory waterbirds resulting from the use of lead ammunition, for the purpose of interpreting the Guidelines to Resolution 11.15, <i>Preventing Poisoning of Migratory Birds</i>, agreed at the Eleventh Conference of the Parties to the Convention on Migratory Species.
tabling member printed	Lord Krebs
uin	HL5938
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p>Through the Environmental Protection (Restriction on Use of Lead Shot) (England) Regulations 1999, the use of lead shot ammunition is restricted to protect waterfowl from lead poisoning. Its use is banned on all foreshores, certain Sites of Special Scientific Interest and for the shooting of all ducks and geese, coot and moorhen. The supply of lead weights for fishing is also prohibited. One recent piece of research suggests compliance with the Regulations is relatively low with around 70% of wild duck carcasses bought from game dealers in England having been shot with lead ammunition. We will continue to look at how the Lead Shot Regulations can be better implemented.</p> answering member printed Lord Gardiner of Kimble grouped question UIN HL5937 question first answered 16/02/2016 14:18:07 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	3736 label Biography information for Lord Krebs

450638

registered interest
date	04/02/2016
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Public Records
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 Bridges of Headley on 3 February (HL4852), whether they aim to release the official records from 1987 relating to the ban on the publication of <i>Spycatcher</i> that year; and if not, when they expect those records will be released to the National Archives under the 20-year rule.
tabling member printed	Lord Lester of Herne Hill
uin	HL5939
answer	answer is ministerial correction date of answer 22/02/2016 answer text <p>As set out in my answer to the noble Lord on 3 February, the Cabinet Office is actively reviewing its remaining 1987 and 1988 files and is seeking to complete this work as quickly as possible. It would be premature to comment about what will be released until this work is complete.</p> answering member printed Lord Bridges of Headley question first answered 22/02/2016 12:24:34 answering member 4535 label Biography information for Lord Bridges of Headley
tabling member	2037 label Biography information for Lord Lester of Herne Hill

450639

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether the new revised list of treatments available via the Cancer Drugs Fund will ensure increased access for patients to effective treatment.
tabling member printed	Baroness Masham of Ilton
uin	HL5940
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England has advised that the Cancer Drugs Fund (CDF) is reprioritised on a regular basis so that the resources available are focussed on the drugs providing the greatest benefit to patients. All decisions on drugs to be maintained in the CDF are based on the best available evidence, the cost of the treatment and the advice of clinicians.</p><p>The Government remains committed to the CDF and in 2015/16 £340 million has been invested in the Fund. NHS England and the National Institute for Health and Care Excellence are currently consulting on draft proposals on the future direction of the CDF. The consultation is open until 11 February 2016.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:36 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450640

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what discussions the Department of Health has had with NHS England about agreeing a long-term arrangement to control the cost of medical indemnity cover for out-of-hours GPs.
tabling member printed	Baroness Masham of Ilton
uin	HL5941
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:08:47 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450641

registered interest
date	04/02/2016
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 what steps they are taking to develop the model of co-location of urgent and emergency primary care service with accident and emergency departments.
tabling member printed	Baroness Masham of Ilton
uin	HL5942
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>In August 2015, NHS England published <em>Safer, faster, better: good practice in delivering urgent and emergency care. </em>A copy is attached. This provides guidance to help frontline providers and commissioners re-design urgent and emergency care services, including considering locating urgent care centres in emergency departments.</p><p><em>Safer, faster, better</em> notes that urgent care centres co-located with emergency departments provide an opportunity to stream patients with less serious illnesses and injuries to a service that is resourced to meet their needs, while reducing crowding in emergency departments. It also sets out that to preserve flow, urgent care centre staff and cubicles must wherever possible be entirely separated from the majors/admission stream and that where urgent care centres are co-located with emergency departments, there must be appropriate integration, with shared governance arrangements and clearly defined protocols for the two-way transfer of patients.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:53:09 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name trans-uec - HL5942.pdf title Safer, Faster, Better
tabling member	1850 label Biography information for Baroness Masham of Ilton

450642

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to encourage GPs to undertake out-of-hours shifts in primary care.
tabling member printed	Baroness Masham of Ilton
uin	HL5943
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 08:36:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450643

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Social Enterprises
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 role of social enterprises in delivering high-quality healthcare services.
tabling member printed	Baroness Masham of Ilton
uin	HL5944
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>It is a statutory obligation that decisions on healthcare provision should be taken independently by local commissioners. Clinical commissioning groups (CCGs) must decide how to use their resources in a way which is evidence based, clinically-led and cost-effective in order to provide high-quality healthcare for people in their area. CCGs must also balance both short-term need and long-term transformation in line with the NHS Five Year Forward View’s (5YFV) objectives.</p><p><strong> </strong></p><p>However, the Government firmly believes that providers from all sectors, including social enterprises, play an important role in providing high quality, safe and efficient care to patients, as well as helping to realise the ambitions set out in the NHS 5YFV.</p><p> </p><p>The NHS 5YFV partners have recently published an updated national support package for the vanguards, ‘<em>The Forward View into action: New Care Models support for the vanguards’</em>, which emphasises the importance of drawing on the expertise and resources of the voluntary and social enterprise sector. A copy of the updated support package document is attached.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:19 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL 5944 acc-uec-support-package.pdf title The Forward View into Action
tabling member	1850 label Biography information for Baroness Masham of Ilton

450644

registered interest
date	04/02/2016
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Developing Countries: Malaria
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how the £536 million spent by the Department for International Development on malaria in 2013–14 was disbursed, and how much of the total committed to malaria in 2014–15 has not yet been spent.
tabling member printed	Baroness Northover
uin	HL5945
answer	answer is ministerial correction date of answer 18/02/2016 answer text <p>The methodology used to monitor UK malaria spend between 2008/09 and 2014/15 was published in the 2010 Framework for Results for Malaria. In 2013/14 the UK provided £536 million to help reduce malaria deaths. The UK is helping to tackle malaria through bilateral and multilateral channels. The UK’s bilateral support includes: malaria-specific bilateral programmes (36% of total malaria spend in 2013/14); support to strengthening health systems (20% of malaria spend in 2013/14); and other bilateral support including the delivery of interventions to reduce malaria in pregnancy and supporting malaria related research (10% of 2013/14 malaria spend).</p><p>The main contribution to tackling malaria through multilateral channels is the UK support to the Global Fund to Fight AIDS, TB and Malaria (31% of total malaria spend in 2013/14).All of the Department’s 2014/15 spend on malaria has been disbursed. The UK’s investment on malaria has contributed to saving more than six million lives over the past 15 years.</p> answering member printed Baroness Verma question first answered 18/02/2016 16:59:27 answering member 3790 label Biography information for Baroness Verma
tabling member	2539 label Biography information for Baroness Northover

450645

registered interest
date	04/02/2016
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Agriculture: Subsidies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when they expect all valid claims from farmers in 2015 to the Rural Payments Agency to be paid.
tabling member printed	Baroness Quin
uin	HL5946
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p><br>The 2015 Basic Payment Scheme payment window runs between December 2015 and June 2016. As of the end of January the Rural Payments Agency had paid around 66,800 farmers approximately £1 billion. The Rural Payments Agency is focused on paying the remainder as promptly as possible.</p><p> </p><p>2015 was the first year of the new complex Common Agricultural Policy. The Rural Payments Agency anticipates improvements on payment performance for the 2016 Basic Payment Scheme.</p> answering member printed Lord Gardiner of Kimble grouped question UIN HL5947 question first answered 16/02/2016 15:45:30 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	518 label Biography information for Baroness Quin

450646

registered interest
date	04/02/2016
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Agriculture: Subsidies
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to ensure timely and effective processing of Rural Payments Agency payments to farmers in 2016.
tabling member printed	Baroness Quin
uin	HL5947
answer	answer is ministerial correction date of answer 16/02/2016 answer text <p><br>The 2015 Basic Payment Scheme payment window runs between December 2015 and June 2016. As of the end of January the Rural Payments Agency had paid around 66,800 farmers approximately £1 billion. The Rural Payments Agency is focused on paying the remainder as promptly as possible.</p><p> </p><p>2015 was the first year of the new complex Common Agricultural Policy. The Rural Payments Agency anticipates improvements on payment performance for the 2016 Basic Payment Scheme.</p> answering member printed Lord Gardiner of Kimble grouped question UIN HL5946 question first answered 16/02/2016 15:45:30 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	518 label Biography information for Baroness Quin