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1064177

	registered interest
	date	19/02/2019
	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: Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the numbers of GPs who have left the NHS pension scheme aged between (1) 50 and 55, and (2) 55 and 59, years old in (a) 2015, (b) 2016, (c) 2017, and (d) 2018.
	tabling member printed	Baroness Altmann
	uin	HL13824
	answer	answer is ministerial correction date of answer 05/03/2019 answer text <p>The information is not collected in the format requested and to obtain it would incur disproportionate cost. The NHS Pension Scheme is administered by the NHS Business Services Authority, who do not collect data on the number of retirements in the specific age groups requested.</p><p> </p><p>General practitioners (GPs) may leave the scheme for various reasons, such as claiming a pension on normal age grounds at or beyond normal pension age, claiming a pension early on ill-health grounds, claiming a pension on voluntary early retirement grounds, or opting out of the scheme. Information is not currently available on the number of GPs who have opted out of the scheme disaggregated from broader scheme membership.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/03/2019 14:38:21 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1064576

	registered interest
	date	20/02/2019
	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	NHS: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of senior NHS medical staff who have received tax demands for exceeding their Annual Allowance in tax years (1) 2015–16, (2) 2016–17 and (3) 2017–18; and what estimate they have made of the number of such staff who may receive such demands in the 2018–19 tax year.
	tabling member printed	Baroness Altmann
	uin	HL13895
	answer	answer is ministerial correction date of answer 06/03/2019 answer text <p>The Department does not hold data on the number of senior medical staff who have received an annual allowance charge. For this reason, no estimate has been made of charges for members in 2018-19. The annual allowance takes into account all of an individual’s pension savings, excluding the State Pension, and NHS Pension Scheme members may have pension savings independent of the NHS Pension Scheme.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/03/2019 16:02:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

1135681

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of applications received for NHS Continuing Healthcare Funding in England in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16774
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16775 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135682

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16775
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16776 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135683

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of rejected applications for NHS Continuing Healthcare funding in England were then granted on (1) first, and (2) second, appeal in each of the last three years.
	tabling member printed	Baroness Altmann
	uin	HL16776
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16777 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1135684

	registered interest
	date	01/07/2019
	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	Continuing Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of applications for NHS Continuing Healthcare funding in England were accepted (1) within less than one month, (2) within less than three months, (3) within three to six months, (4) within six to 12 months, and (5) after 12 months, of the date of application.
	tabling member printed	Baroness Altmann
	uin	HL16777
	answer	answer is ministerial correction date of answer 15/07/2019 answer text <p>The following table provides the total number of referrals received for NHS Continuing Healthcare (CHC) for both Standard and Fast Track NHS CHC, for the years 2016/17 to 2018/19.</p><table><tbody><tr><td colspan="3"><p>Number of Referrals Received</p></td></tr><tr><td><p>Period</p></td><td><p>Standard NHS CHC</p></td><td><p>Fast Track</p></td><td><p>Total NHS CHC</p></td></tr><tr><td><p>2016/17</p></td><td><p>76,945</p></td><td><p>88,420</p></td><td><p>165,365</p></td></tr><tr><td><p>2017/18</p></td><td><p>75,322</p></td><td><p>94,175</p></td><td><p>169,497</p></td></tr><tr><td><p>2018/19</p></td><td><p>73,475</p></td><td><p>97,273</p></td><td><p>170,748</p></td></tr></tbody></table><p> </p><p>NHS England collects and publishes data regarding the number of referrals completed, and of those, how many were assessed as eligible (as a percentage). A table showing these figures is attached due to the size of the data. The percentage of referrals agreed as eligible is based on the number of referrals ‘completed’ (rather than ‘referrals received’). Pre 2017/18 data did not use this counting methodology and therefore is not comparable. 2016/17 figures have therefore not been included.</p><p>The NHS CHC appeals process consists of clinical commissioning group local resolution and NHS England Independent Review. It is not possible to provide data on cases found eligible at local review or Independent Review as a percentage of applications initially assessed as not eligible.</p><p>We do not hold information on the percentage of NHS CHC referrals which were assessed as eligible within the requested time periods. NHS England does, however, hold information on the percentage of referrals completed within 28 days, and the latest annual information on this is included in the following table. This relates to Standard NHS CHC and not Fast Track NHS CHC.</p><p> </p><table><tbody><tr><td colspan="3"><p>% referrals within 28 days</p></td></tr><tr><td><p>Period</p></td><td colspan="3"><p>Standard NHS CHC</p></td></tr><tr><td><p> </p></td><td><p>Referrals completed</p></td><td><p>Referrals completed in 28 days</p></td><td><p>% completed in 28 days</p></td></tr><tr><td><p>2018/19</p></td><td><p>76,803</p></td><td><p>53,504</p></td><td><p>70%</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16774 HL16775 HL16776 question first answered 15/07/2019 10:21:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name HL16774 data table formatted.docx title NHS CHC Referrals completed
	tabling member	4533 label Biography information for Baroness Altmann

1142432

	registered interest
	date	25/07/2019
	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	NHS: Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to compensate senior NHS staff who have inadvertently exceeded the tapered annual pensions allowance.
	tabling member printed	Baroness Altmann
	uin	HL17506
	answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>For the majority of people, their pension contributions are tax-free. This makes pensions tax relief one of the most expensive reliefs in the personal tax system. The reforms to the lifetime and annual allowance made in the previous two parliaments are expected to save over £6 billion per year and are necessary to deliver a fair system and protect public finances. Less than 1% of pension savers will have to reduce their saving or face an annual allowance charge as a result of the tapered annual allowance.</p><p>While there are no plans to compensate senior National Health Service staff who exceed their tax-free pension savings allowances, the Scheme Pays facility is there to assist NHS Pension Scheme members who breach the annual allowance, and allows them to settle their lifetime and annual allowance charges without making an upfront payment. The Scheme Pays facility was recently extended to cover tax charges of any amount and those arising from the tapered annual allowance.</p><p>The Government has launched a full public consultation setting out proposals to make the NHS Pension Scheme more flexible for clinicians, to give them more control over their pension growth and tax liabilities.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:06:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann

677369

	registered interest
	date	23/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Fees and Charges
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they have considered introducing specific savings incentives to help people prepare for social care costs in later life; if so, why they have not been introduced; and if not, why not.
	tabling member printed	Baroness Altmann
	uin	HL4835
	answer	answer is ministerial correction date of answer 03/02/2017 answer text <p>The Government recognises that there needs to be reform in the medium and long term to reduce variation and ensure high quality care across the whole country. It is interested in considering the full range of options to do this, including savings incentives as a possible longer-term solution.</p> answering member printed Lord O'Shaughnessy question first answered 03/02/2017 14:21:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4533 label Biography information for Baroness Altmann

677370

	registered interest
	date	23/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Fees and Charges
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what discussions they have had with the savings industry about (1) new insurance products to help provide for later life care needs, and (2) new savings products to help people provide for later life care needs; when any such discussions took place; and whether they were productive.
	tabling member printed	Baroness Altmann
	uin	HL4836
	answer	answer is ministerial correction date of answer 01/02/2017 answer text <p>Officials have met regularly with representatives of the insurance industry for productive discussions on a range of issues, including the availability of insurance and savings products to cover the costs of care.</p> answering member printed Lord O'Shaughnessy question first answered 01/02/2017 17:52:41 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4533 label Biography information for Baroness Altmann

874354

	registered interest
	date	28/03/2018
	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	Human Papillomavirus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they expect to receive the final report from the Joint Committee on Vaccinations and Immunisation relating to the extension of HPV vaccination to adolescent boys.
	tabling member printed	Baroness Altmann
	uin	HL6740
	answer	answer is ministerial correction date of answer 09/04/2018 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) is currently reviewing evidence on the impact and cost-effectiveness of extending the human papillomavirus vaccination programme to adolescent boys. This includes mathematical modelling being undertaken by Public Health England.</p><p>In February 2018 JCVI agreed that it needed to see the results of the independent peer review of the modelling work, and the additional analyses being undertaken, before concluding its advice. The JCVI further agreed that legal advice should be obtained in response to stakeholder correspondence.</p><p>Once JCVI has reached a decision, the Committee’s advice will be published most likely in the form of a statement alongside the minutes of the relevant meeting. The JCVI will not be in a position to conclude its advice until the required modelling, peer review and legal advice has been considered. This work will continue through 2018 and timeframes for JCVI concluding its advice are dependent on completion of the analyses requested.</p> answering member printed Lord O'Shaughnessy question first answered 09/04/2018 14:45:14 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4533 label Biography information for Baroness Altmann