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1022920

registered interest
date	10/12/2018
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	Home Care Services: Living Wage
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 22 November (HL11744), what assessment they have made of whether local authorities are complying with guidelines to ensure that home care workers are paid the national living wage for travelling between appointments.
tabling member printed	Lord Wills
uin	HL12172
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The Department has made no assessment itself. However, Her Majesty’s Revenue and Customs deals with complaints about underpayment of the National Minimum Wage and National Living Wage. It has worked with other agencies and departments to raise awareness of the rules and has undertaken targeted enforcement to ensure that workers are paid what they are legally owed.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 15:44:50 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

1012552

registered interest
date	22/11/2018
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	Home Care Services: Living Wage
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that (1) home care workers receive the National Living Wage, and (2) travel time between clients for such workers is treated as working time for the purpose of the National Living Wage.
tabling member printed	Lord Wills
uin	HL11744
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>The 2015 Spending Review settlement factored in the need for local authorities to increase fees paid to providers to cover the additional costs of paying the National Living Wage to their workers. The Government has continued to monitor and listen to the social care sector, and provided an additional £2 billion of new money to social care in March 2017 to manage a number of pressures including the National Living Wage.</p><p>In the guidance to the Care Act 2014 we have set out local government’s responsibility to facilitate local markets that offer a range of high quality services, underpinned by an effective workforce. Local authorities should assure themselves and have evidence that service providers remunerate staff with a view to retain an effective workforce. Remuneration must comply with national minimum wage and national living wage legislation and this includes remuneration for any time spent travelling between appointments.</p> answering member printed Lord O'Shaughnessy question first answered 06/12/2018 15:18:05 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998937

registered interest
date	31/10/2018
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	Abscesses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many leg ulcer patients in England were aged (1) 18 to 39 years, (2) 40 to 59 years, and (3) 60 years or older, in each of the last ten years.
tabling member printed	Lord Wills
uin	HL11183
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:25:08 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998938

registered interest
date	31/10/2018
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	Abscesses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many leg ulcer patients in England were (1) male, and (2) female, in each of the last ten years.
tabling member printed	Lord Wills
uin	HL11184
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:25:03 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998939

registered interest
date	31/10/2018
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	Abscesses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many leg ulcer patients in England were in (1) higher and intermediate managerial, administrative, or professional occupations, (2) supervisory, clerical and junior managerial, administrative, or professional occupations, (3) skilled manual occupations, (4) semi-skilled and unskilled manual occupations, and (5) no occupation, in each of the last ten years.
tabling member printed	Lord Wills
uin	HL11185
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The requested information is not centrally held by the Department. NHS Digital does not routinely collect any socio-economic or occupation-related data in association with patient episodes.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:25:16 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998483

registered interest
date	30/10/2018
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	Abscesses
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 number of people in England suffering from leg ulcers in England in each of the last 10 years.
tabling member printed	Lord Wills
uin	HL11142
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:24:05 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998484

registered interest
date	30/10/2018
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	Abscesses
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 cost to the NHS in England of leg ulcers in each of the last 10 years.
tabling member printed	Lord Wills
uin	HL11143
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>No such assessment has been made as the relevant data is not centrally held by the Department.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:23:50 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998485

registered interest
date	30/10/2018
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	Abscesses
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 benefits to the NHS in England of early endovenous ablation of leg ulcers.
tabling member printed	Lord Wills
uin	HL11144
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>The results of the Early Venous Reflux Ablation (EVRA) study (2018) and the Effect of Surgery and Compression on Healing and Recurrence (ESCHAR) trial (2004) indicate that early superficial endovenous ablation improves healing of venous leg ulceration, reduces the risk of ulcer recurrence and is cost-effective.</p><p>Therefore, the results of the EVRA study and the ESCHAR trial will be incorporated into the National Wound Care Strategy Programme recommendations for care, as this will bring benefits to both patients and the National Health Service.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:23:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998486

registered interest
date	30/10/2018
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	Varicose Veins
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 benefits to people aged over 65 of endovenous ablation treatment of varicose veins.
tabling member printed	Lord Wills
uin	HL11145
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>Varicose veins can cause complications because they stop blood flowing properly, including venous leg ulcers as a result of chronic venous insufficiency.</p><p>The results of the Early Venous Reflux Ablation (EVRA) study (2018) and the Effect of Surgery and Compression on Healing and Recurrence (ESCHAR) trial (2004) indicate that early superficial endovenous ablation improves healing of venous leg ulceration, reduces the risk of ulcer recurrence and is cost-effective.</p><p>Therefore, the results of the EVRA study and the ESCHAR trial will be incorporated into the National Wound Care Strategy Programme recommendations for care, as this will bring benefits to both patients and the National Health Service.</p><p>The EVRA study and the ESCHAR trial included patients over the age of 65 so the results are applicable to older people. However, no sub-analysis is presented for people over the age of 65 so it is not possible to identify if there are any benefits or risks beyond the overall results for people over 65.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 13:40:14 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills

998487

registered interest
date	30/10/2018
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	Abscesses
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 annual cost to the NHS in England of leg ulcer patients undergoing superficial venous reflux treatment.
tabling member printed	Lord Wills
uin	HL11146
answer	answer is ministerial correction date of answer 13/11/2018 answer text <p>No such assessment has been made as the relevant data is not held centrally by the Department.</p> answering member printed Lord O'Shaughnessy question first answered 13/11/2018 14:23:58 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	260 label Biography information for Lord Wills