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100035
star this property registered interest false more like this
star this property date less than 2014-10-21more like thismore than 2014-10-21
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading NHS: Reorganisation more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012. more like this
star this property tabling member printed
Baroness McDonagh more like this
star this property uin HL2241 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-04T12:33:57.8617553Zmore like thismore than 2014-11-04T12:33:57.8617553Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
3701
unstar this property label Biography information for Baroness McDonagh more like this
100060
star this property registered interest false more like this
star this property date less than 2014-10-21more like thismore than 2014-10-21
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Alcoholic Drinks: Misuse more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what steps they are taking to address Britain’s drinking culture, which Public Health England recently identified as causing a rise in liver disease deaths. more like this
star this property tabling member printed
Lord Taylor of Warwick more like this
star this property uin HL2266 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-04T12:35:46.3988105Zmore like thismore than 2014-11-04T12:35:46.3988105Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
1796
unstar this property label Biography information for Lord Taylor of Warwick more like this
100549
star this property registered interest true more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Tobacco: Packaging more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government whether ministerial agreement has been reached on whether the United Kingdom is to proceed with standardised tobacco packaging; and whether it had been reached when they notified the European Commission on the draft regulations. more like this
star this property tabling member printed
Lord Palmer more like this
star this property uin HL2286 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>The Government has not yet made a final decision on whether to introduce standardised packaging of tobacco products.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-04T15:43:17.6960158Zmore like thismore than 2014-11-04T15:43:17.6960158Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
3192
unstar this property label Biography information for Lord Palmer more like this
100551
star this property registered interest false more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Alcoholic Drinks: Misuse more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what steps they are taking in respect of Britain's drinking culture in order to reduce liver disease deaths. more like this
star this property tabling member printed
Lord Taylor of Warwick more like this
star this property uin HL2288 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>The Government is taking a number of steps to tackle alcohol problems and reduce alcohol-related liver disease. These are being led by Public Health England (PHE), working with partners across government and local authorities. Through the Responsibility Deal the Government is also working with industry partners to tackle alcohol problems.</p><p> </p><p> </p><p> </p><p>On 23 October 2014, PHE published its priorities for protecting and improving the nation’s health and one of the seven issues they will be focusing on is preventing and reducing the harmful effects of alcohol. This priority includes two actions relating to liver disease:</p><p> </p><p> </p><p> </p><p>- producing a framework on liver disease outlining public health actions to tackle liver disease, including alcohol; and</p><p> </p><p> </p><p> </p><p>- launching liver disease profiles to support local authority health and wellbeing boards to understand liver disease and its risk factors in their area and, in turn, design effective local population level interventions.</p><p> </p><p> </p><p> </p><p>Other key actions from PHE on alcohol and liver disease include:</p><p> </p><p> </p><p> </p><p>- developing the evidence base for what works in preventing alcoholic liver disease and increasing awareness of the harmful effects of alcohol and the impact of interventions, to support policy development nationally and locally;</p><p> </p><p> </p><p> </p><p>- supporting and promoting effective use of licensing legislation and local powers to create a safer drinking environment that encourages people who drink to do so at a lower risk levels. Part of this is improving the effectiveness of the powers directors of public health have on alcohol licencing;</p><p> </p><p> </p><p> </p><p>- encouraging and supporting people who drink to do so within the lower risk levels;</p><p> </p><p> </p><p> </p><p>- reducing the harmful impact of alcohol on individuals who already experience harm. PHE will be supporting a widespread roll-out of interventions and brief advice; and</p><p> </p><p> </p><p> </p><p>- supporting improvements in treatment provision in line with National Institute for Health and Care Excellence guidance. Locally, PHE is supporting the development of effective alcohol specialist services in secondary care and accessible, evidence-based specialist treatment for dependent drinkers.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-04T15:43:53.9706419Zmore like thismore than 2014-11-04T15:43:53.9706419Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
1796
unstar this property label Biography information for Lord Taylor of Warwick more like this
100590
star this property registered interest false more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Orthopaedics more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what action they have (1) considered, and (2) taken, to reduce the number of preventable amputations occurring within the National Health Service. more like this
star this property tabling member printed
Lord Harrison more like this
star this property uin HL2327 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-04more like thismore than 2014-11-04
star this property answer text <p>Diabetes is one of the most common causes of amputations in the United Kingdom and there are a variety of mechanisms in place to support the care of people with diabetes to minimise the risk of amputations. NHS England published Action for Diabetes, which sets out that in many cases amputation as a result of diabetes is avoidable.</p><p> </p><p> </p><p> </p><p>NHS England has also piloted a diabetes service specification in a small number of clinical commissioning groups (CCGs). Feedback has been very positive and they have now published the service specification on the NHS Commissioning Assembly website so that it is available nationally for CCGs to use.</p><p> </p><p> </p><p> </p><p>In addition, the National Diabetes Foot Care Audit was launched this year. The audit aims to establish the extent to which national guidelines on the management of diabetic foot disease are being met, and will provide local teams with the evidence needed to tackle any identified differences in practice which will lead in turn to an overall improvement in management and outcomes for patients.</p><p> </p><p> </p><p> </p><p>Finally, NHS Improving Quality is supporting a project to reduce the high mortality associated with diabetic foot disease. People with diabetic foot disease are at particularly high risk of premature death, much of which is due to cardiovascular disease, with 5 year mortality for those with Type 1 or Type 2 diabetes and diabetic foot disease around 50%. The project will pilot an approach in several multidisciplinary foot clinics across the country over the next 18 months to introduce an additional clinical pathway which includes a cardiological test and subsequent actions to address risk.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-04T12:33:24.8595687Zmore like thismore than 2014-11-04T12:33:24.8595687Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
2488
unstar this property label Biography information for Lord Harrison more like this
100595
star this property registered interest false more like this
star this property date less than 2014-10-22more like thismore than 2014-10-22
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Ebola more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what assessment they have made of the research report by the Keenan Research Centre at St Michael's Hospital in Toronto which estimates that three ebola carriers fly out of the most affected countries each month and that their preferred destination is London; and whether they have any plans to further increase ebola testing at airports. more like this
star this property tabling member printed
Lord Blencathra more like this
star this property uin HL2332 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-05more like thismore than 2014-11-05
star this property answer text <p>The report makes a number of assumptions, including that exit screening procedures were not in place in the major affected countries. Since the report was published in August exit screening in the three most affected countries is now in place.</p><p> </p><p> </p><p> </p><p>Screening is now in operation in Heathrow, Gatwick, Birmingham and Manchester airports and at St Pancras (Eurostar). The purpose of screening is to identify, and give advice to, passengers coming from high risk areas who will be spending time in the United Kingdom. This is to provide them with relevant advice on the nature of the virus, what to be aware of, and what action to take should they begin to display any symptoms.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-05T15:52:37.8651805Zmore like thismore than 2014-11-05T15:52:37.8651805Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
497
unstar this property label Biography information for Lord Blencathra more like this
100925
star this property registered interest false more like this
star this property date less than 2014-10-24more like thismore than 2014-10-24
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Accident and Emergency Departments more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government whether they have any plans to locate health visitors in accident and emergency departments. more like this
star this property tabling member printed
Baroness Manzoor more like this
star this property uin HL2393 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-05more like thismore than 2014-11-05
star this property answer text <p>The Department knows that some parts of the National Health Service are under pressure at the moment. Health Visitors and other health professionals have the potential to play a strong role in reducing the burden on emergency departments. We welcome proposals on innovative ways to achieve this.</p><p> </p><p> </p><p> </p><p>NHS England has advised that while health visiting services are currently provided in many community locations including children’s centres, community clinics and local general practitioner surgeries, NHS England is carrying out work to look at how health visitors, in response to local need, can support other frontline services and provide more support and advice to parents on caring for their children.</p><p> </p><p> </p><p> </p><p>For example, London and Midland and East Regions are looking at opportunities which will simultaneously enhance the health visiting service provision and support a reduction in accident and emergency attendance and waiting times over the winter period.</p><p> </p><p> </p><p> </p><p>In both regions the services offered will fall within the professional scope of Health Visitors and are designed to support families receive the most appropriate care. In addition, health visitors in accident and emergency departments can support delivery of the high impact areas: particularly managing minor illness, preventing accidents and also support maternal mental health, early attachment, and transition to parenthood and breastfeeding.</p><p> </p><p> </p><p> </p><p>These ideas have been shared with the other regions.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-05T12:09:46.6018262Zmore like thismore than 2014-11-05T12:09:46.6018262Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
4289
unstar this property label Biography information for Baroness Manzoor more like this
100939
star this property registered interest false more like this
star this property date less than 2014-10-24more like thismore than 2014-10-24
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading Health and Social Care Act 2012 more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government, further to the answer by Earl Howe on 22 October (HL Deb, col 631), what has been the cost of the reforms introduced under the Health and Social Care Act 2012 in (1) 2012, and (2) 2013; and what are the anticipated costs in (3) 2014, and (4) 2015. more like this
star this property tabling member printed
Lord Brooke of Alverthorpe more like this
star this property uin HL2407 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-05more like thismore than 2014-11-05
star this property answer text <p>The cost of the reforms have been recorded by financial year as follows:</p><p> </p><p> </p><p> </p><p>2010-11 £199 million</p><p> </p><p>2011-12 £264 million</p><p> </p><p>2012-13 £633 million</p><p> </p><p>2013-14 £220 million</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>We anticipate the future costs will be below £180 million and within the £1.5 billion as announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136. The majority of the remaining anticipated costs are expected to be incurred in 2014-15.</p><p> </p><p><strong> </strong></p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> more like this
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-05T12:08:50.1256825Zmore like thismore than 2014-11-05T12:08:50.1256825Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
3335
unstar this property label Biography information for Lord Brooke of Alverthorpe more like this
100977
star this property registered interest false more like this
star this property date less than 2014-10-27more like thismore than 2014-10-27
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading NHS: Drugs more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government what safeguards exist to ensure that the pricing of "specials" drugs prescribed within the National Health Service is consistent and non-discriminatory, including when prescribed by general practitioners. more like this
star this property tabling member printed
Lord Lester of Herne Hill more like this
star this property uin HL2433 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-10more like thismore than 2014-11-10
star this property answer text <p>The Drug Tariff sets out what National Health Service dispensing contractors will be paid for the products supplied as part of providing pharmaceutical services and the fees for providing those services in primary care.</p><p> </p><p> </p><p> </p><p>The current arrangements in the Drug Tariff for paying for specials were introduced in 2011. The Drug Tariff sets the price that the NHS pays to dispensing contractors for dispensing some of the most popular specials. Setting a reimbursement price encourages dispensing contractors to obtain best value for the NHS while also ensuring patients received the medicines they need, when they need them. The products listed and their reimbursement prices are agreed with the Pharmaceutical Services Negotiating Committee and reviewed regularly. However, due to the number of specials that can potentially be prescribed, it is not possible to list a reimbursement price for all available specials.</p><p> </p><p> </p><p> </p><p>Where the reimbursement price of a product has not been set, dispensing contractors are paid according to how the product is sourced. Where a dispensing contractor buys the product from a specials manufacturer or an importer, they must claim the invoice price of the pack size used to dispense the product minus any discounts or rebates received.</p><p> </p><p> </p><p> </p><p>NHS England is responsible for commissioning pharmaceutical services in primary care and it is for NHS England to consider whether dispensing contractors have acted appropriately. In addition, the General Pharmaceutical Council is responsible for regulating the pharmacy professions should there be any concerns of professional misconduct.</p><p> </p><p> </p><p> </p><p>Many hospital pharmacies manufacture their own specials on the premises. Any procurement of unlicensed medicines via framework agreements for the use of NHS secondary care establishments in England is undertaken through tenders governed by the Public Contracts Regulations (2006), as amended, which require the procurement to be conducted in a transparent and equitable manner.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-10T14:29:40.6106923Zmore like thismore than 2014-11-10T14:29:40.6106923Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
2037
unstar this property label Biography information for Lord Lester of Herne Hill more like this
101009
star this property registered interest false more like this
star this property date less than 2014-10-27more like thismore than 2014-10-27
star this property answering body
Department of Health remove filter
unstar this property answering dept id 17 more like this
star this property answering dept short name Health more like this
star this property answering dept sort name Health more like this
star this property hansard heading General Practitioners: Pay more like this
star this property house id 2 more like this
star this property legislature
25277
star this property pref label House of Lords more like this
star this property question text To ask Her Majesty’s Government, further to the announcement by NHS England that general practitioners are to be paid an additional £55 for diagnosing dementia in patients, what other complaints or illnesses diagnosed by general practitioners are already rewarded by payments additional to their salaries; and whether they will review the system of additional payments of this sort. more like this
star this property tabling member printed
Lord Stoddart of Swindon more like this
star this property uin HL2465 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
unstar this property date of answer less than 2014-11-05more like thismore than 2014-11-05
star this property answer text <p>General Practitioner (GP) income is made up of global sum payments for carrying out essential and additional services under the contract. Practices may also receive further payments for specific services including:</p><p> </p><p> </p><p> </p><p>- enhanced services – those that require an enhanced level of service provision above what is required under the core contract. The additional payment for diagnosing dementia falls within this category; and</p><p> </p><p> </p><p> </p><p>- the quality and outcomes framework (QOF) - a voluntary incentive scheme that provides payment to GP practices for how well they care for patients based on performance against a number of agreed indicators.</p><p> </p><p> </p><p> </p><p>Specifically on diagnosis, a number of QOF indicators are concerned with the establishment of disease registers. In order to receive payment GPs are required to ensure diagnosis levels consistent with those expected for their population for the following conditions:</p><p> </p><p> </p><p> </p><p>- atrial fibrillation;</p><p> </p><p>- coronary heart disease;</p><p> </p><p>- heart failure;</p><p> </p><p>- hypertension;</p><p> </p><p>- peripheral arterial disease;</p><p> </p><p>- stroke and trans-ischaemic attack;</p><p> </p><p>- diabetes mellitus;</p><p> </p><p>- hypothyroidism;</p><p> </p><p>- asthma;</p><p> </p><p>- chronic obstructive pulmonary disease;</p><p> </p><p>- dementia;</p><p> </p><p>- depression;</p><p> </p><p>- schizophrenia, bipolar affective disorder and other psychoses and other patients on lithium therapy;</p><p> </p><p>- cancer;</p><p> </p><p>- chronic kidney disease;</p><p> </p><p>- epilepsy;</p><p> </p><p>- osteoporosis;</p><p> </p><p>- rheumatoid arthritis; and</p><p> </p><p>- obesity.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p>Each year NHS Employers, on behalf of NHS England, negotiates the new GP contract with the General Practitioners Council of the British Medical Association. This includes discussion of changes to the Enhanced Services and QOF.</p><p> </p>
star this property answering member printed Earl Howe more like this
star this property question first answered
less than 2014-11-05T12:10:48.5057659Zmore like thismore than 2014-11-05T12:10:48.5057659Z
star this property answering member
2000
star this property label Biography information for Earl Howe more like this
star this property tabling member
950
unstar this property label Biography information for Lord Stoddart of Swindon more like this