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947531

registered interest
date	24/07/2018
answering body	Department for Transport
answering dept id	27
answering dept short name	Transport
answering dept sort name	Transport
hansard heading	High Speed 2 Line
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 likelihood that HS2 will go significantly over budget; and whether they will consider using the funds allocated to HS2 to improve existing infrastructure, including railway lines in the north of England, and commuter services.
tabling member printed	Lord Alton of Liverpool
uin	HL9826
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>HS2 Ltd remain committed to delivering a transformational project for the UK. Each Phase of the HS2 project is subject to ongoing oversight by the Department for Transport and to regular assessment by the Infrastructure Projects Authority (IPA) to assess the likelihood of successful delivery. The IPA recently described the HS2 programme as ‘on target to be completed on time and on budget’.</p><p> </p><p>Phase 2a and 2b of HS2 are intended to improve connectivity between Birmingham and the East Midlands, Leeds and Manchester and other destinations in the North of England and Scotland. The Department continues to work with Transport for the North to develop services between destinations in the North of England and with regions across the UK to improve commuter services.</p><p> </p> answering member printed Baroness Sugg question first answered 26/07/2018 13:07:18 answering member 4584 label Biography information for Baroness Sugg
tabling member	738 label Biography information for Lord Alton of Liverpool

947546

registered interest
date	24/07/2018
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	Gambling: Mental Health
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 case for additional research to be undertaken about the residual neurological impact of rapid highs and lows from gambling, particularly in connection with the long-term effects on mental health.
tabling member printed	Lord Chadlington
uin	HL9836
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>There are currently no plans to undertake research about the residual neurological impact of rapid highs and lows from gambling, particularly in connection with the long-term effects on mental health. However the Public Health Research programme, part of the National Institute for Health Research, is commissioning research on the effectiveness of interventions to prevent or reduce problem gambling. The deadline for applications to undertake this research was 24 July.</p> answering member printed Lord O'Shaughnessy question first answered 26/07/2018 13:07:54 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3318 label Biography information for Lord Chadlington

947547

registered interest
date	24/07/2018
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	Community Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what measures they are taking to address the impact of the reduction in the number of district nurses in England from 7,700 in 2010 to 4,400 in 2018, as reported by NHS Digital.
tabling member printed	Baroness Cox
uin	HL9837
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p> </p><p>NHS Digital’s data, which is drawn from the Electronic Staff Record, shows a drop in the number of full-time equivalent district nurses across the National Health Service. However, because of changes, made in 2009, to the way that community health services are commissioned – i.e. to a range of different types of provider – this does not represent the full picture and there will be many district nurses providing NHS funded services in organisations that do not provide a return to the Electronic Staff Record.</p><p> </p><p>However, we are not complacent, which is why we are increasing the supply of registered nurses to meet the growth in demand and have announced additional clinical placement funding that will enable around 5,000 more nursing students to enter training each year from September 2018. This is a historic increase.</p><p> </p><p>We are committed to developing and supporting the wellbeing of the whole community workforce to deliver safe, quality patient-centred care. Health Education England is currently considering how to further support the community nursing workforce.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9838 question first answered 26/07/2018 12:52:37 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3364 label Biography information for Baroness Cox

947551

registered interest
date	24/07/2018
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	Community Nurses
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 on patient safety and wellbeing of the falling numbers of district nurses in England reported by NHS Digital.
tabling member printed	Baroness Cox
uin	HL9838
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p> </p><p>NHS Digital’s data, which is drawn from the Electronic Staff Record, shows a drop in the number of full-time equivalent district nurses across the National Health Service. However, because of changes, made in 2009, to the way that community health services are commissioned – i.e. to a range of different types of provider – this does not represent the full picture and there will be many district nurses providing NHS funded services in organisations that do not provide a return to the Electronic Staff Record.</p><p> </p><p>However, we are not complacent, which is why we are increasing the supply of registered nurses to meet the growth in demand and have announced additional clinical placement funding that will enable around 5,000 more nursing students to enter training each year from September 2018. This is a historic increase.</p><p> </p><p>We are committed to developing and supporting the wellbeing of the whole community workforce to deliver safe, quality patient-centred care. Health Education England is currently considering how to further support the community nursing workforce.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9837 question first answered 26/07/2018 12:52:36 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3364 label Biography information for Baroness Cox

947553

registered interest
date	24/07/2018
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	Community Nurses
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 financial challenges faced by nurses in England where they take a reduction in salary for the duration of the one-year education programme to qualify as a district nurse.
tabling member printed	Baroness Cox
uin	HL9839
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9840 HL9841 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3364 label Biography information for Baroness Cox

947554

registered interest
date	24/07/2018
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	Community Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what measures they are taking to reduce any impact on patient care resulting from the absence of funding to backfill a post when a registered nurse in the district nursing team undertakes a year-long programme of education in order to qualify as a district nurse.
tabling member printed	Baroness Cox
uin	HL9840
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9839 HL9841 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3364 label Biography information for Baroness Cox

947555

registered interest
date	24/07/2018
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	Community Nurses
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their response to the letter sent on 22 June by Dr Bob Brown, Trustee of the Queen’s Nursing Institute and chair the Community Nurse Executive Network, to Health Education England, which highlighted the lack of funding from Health Education England to support district nurse education after September.
tabling member printed	Baroness Cox
uin	HL9841
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>Community health services play a crucial role in keeping people living healthier for longer through proactively managing health in a setting where patients feel most comfortable. Having the right workforce is fundamental to ensure this can happen and the Government acknowledges the challenge of meeting increased demand for care from community nurses.</p><p>We want to do more to support nurses, including those facing financial difficulty, who undertake the one-year education programme to qualify as a district nurse. On 9 May 2018, the Minister of State for Health (Stephen Barclay) announced that some postgraduate students starting district nursing courses will be eligible to receive up to £10,000 as a 'golden hello’. The Government announced £10 million to support this and we are currently considering how this is best delivered on the ground. Health Education England has agreed to provide funding for all community nursing specialist practice qualifications until 2020. In addition to this, we are expanding routes into district nursing by developing an apprenticeship.</p><p>Employers across the National Health Service are responsible for rostering their staff effectively, including providing cover for staff who are on training, to ensure they can deliver excellent patient care. Health Education England is currently considering how to further support the community nursing workforce.</p><p>Health Education England has advised they are grateful to Dr Bob Brown, Queen’s Nursing Institute, for raising his concerns regarding the future development of the district nurse workforce. A full written response to Dr Brown’s letter is being sent imminently.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9839 HL9840 question first answered 26/07/2018 12:43:40 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3364 label Biography information for Baroness Cox

947561

registered interest
date	24/07/2018
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: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what guidance they provide to local authorities regarding the payment for travel time to carers travelling between clients; and whether local authorities are required to check if any external contractors they use to provide caring services are paying those costs.
tabling member printed	Baroness Gardner of Parkes
uin	HL9845
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>The Government provides online guidance on the steps employers and others must take to comply with the National Minimum Wage, which states that the hours of work that count for minimum wage purposes include any time when a worker is travelling from one work assignment to another.</p><p>The Government is clear that local authorities should have regard to the cost of care when setting prices. This is set out in the statutory guidance to the Care Act 2014.</p><p> </p><p>In 2016 the Department worked with local government, the care sector and the Chartered Institute of Public Finance and Accountancy to produce a guide to understanding providers’ costs and fair fees – this was published in January 2017. A copy of <em>Working with care providers to understand costs</em><em>: </em><em>A guide for adult social care commissioners</em> is attached.</p> answering member printed Lord O'Shaughnessy question first answered 26/07/2018 12:44:46 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL9845 - Cost_of_Care_Report.pdf title Working with care providers to understand costs
tabling member	3596 label Biography information for Baroness Gardner of Parkes

947563

registered interest
date	24/07/2018
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: Females
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether there will be a sustained focus on women and girls in developing countries in the forthcoming Department for International Development Spending Review.
tabling member printed	Baroness Hodgson of Abinger
uin	HL9846
answer	answer is ministerial correction date of answer 30/07/2018 answer text <p>Gender equality is a top development priority and a top priority for the UK. Our manifesto and legislative commitments put girls and women at the heart of development and humanitarian spending. The process for agreeing Spending Review commitments will commence in the autumn, under a Treasury lead.</p> answering member printed Lord Bates question first answered 30/07/2018 14:45:38 answering member 1091 label Biography information for Lord Bates
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

947564

registered interest
date	24/07/2018
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	PrescQIPP
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 accuracy of the information provided by PrescQIPP to Clinical Commissioning Groups to aid their commissioning decisions.
tabling member printed	Lord Hunt of Kings Heath
uin	HL9847
answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>We have not made any assessment on the accuracy and advice provided by PrescQIPP. Nor have we made any assessment on whether the advice provided by PrescQIPP to clinical commissioning groups (CCGs) is consistent with national guidelines on the prescription of liothyronine to National Health Service patients. We can confirm that we have not received any assurances from PrescQIPP on whether or not it has taken patient stakeholder views into account as it is the responsibility of CCGs to seek any such assurances.</p><p>PrescQIPP is an independent social enterprise and it is for CCGs to decide whether and how they take that guidance into account when making decisions. However, NHS England expects CCGs to have due regard to the guidance <em>Items which should not routinely be prescribed in primary care: Guidance for CCGs,</em> published in November 2017 by NHS England and NHS Clinical Commissioners when considering the prescribing of liothyronine. A copy of the guidance is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9848 HL9849 question first answered 26/07/2018 12:46:36 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name items-which-should-not-be-routinely-precscribed-in-pc-ccg-guidance.pdf title Items which should not routinely be prescribed
tabling member	2024 label Biography information for Lord Hunt of Kings Heath