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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

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

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

874355

	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 whether they have taken legal advice relating to whether the failure to vaccinate all young boys against HPV virus constitutes discrimination under the Equality Act 2010 or other equality legislation.
	tabling member printed	Baroness Altmann
	uin	HL6741
	answer	answer is ministerial correction date of answer 09/04/2018 answer text <p>The Joint Committee on Vaccination and Immunisation is currently considering whether the human papillomavirus vaccination programme for girls, which was introduced in 2008 primarily to protect against cervical cancer, should be extended to include adolescent boys. The Department will consider its final advice once it has been received.</p><p>Any on-going legal discussions related to this issue are subject to legal professional privilege. The Government will ensure that any decision taken is fully compliant with relevant equality legislation.</p> answering member printed Lord O'Shaughnessy question first answered 09/04/2018 14:44:42 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4533 label Biography information for Baroness Altmann

924159

	registered interest
	date	14/06/2018
	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, following the recent meeting of the Joint Committee on Vaccinations and Immunisation (JCVI), whether they have received a recommendation from the JCVI regarding the extension of the human papillomavirus vaccination to all boys; and if so, when they will announce their decision in this regard.
	tabling member printed	Baroness Altmann
	uin	HL8638
	answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>The Department has not yet received the Joint Committee on Vaccination and Immunisation’s final advice on human papillomavirus vaccination for boys. The Department expects to receive this advice imminently and will consider this as a matter of priority. A decision will be made as soon as possible.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:13:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4533 label Biography information for Baroness Altmann

924160

	registered interest
	date	14/06/2018
	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 what is the Joint Committee on Vaccination and Immunisation's latest assessment of the proportion of cancers which are caused by vaccine-preventable types of human papillomavirus.
	tabling member printed	Baroness Altmann
	uin	HL8639
	answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) published an interim statement on extending the human papillomavirus (HPV) vaccination to adolescent boys in July 2017. The interim statement and the following table set out the proportion of cancers attributable to HPV infection by disease, as modelled by Public Health England (PHE). A copy of the JCVI Interim Statement on Extending HPV Vaccination to Adolescent Boys is attached.</p><p> </p><table><tbody><tr><td><p>Cancer site (females)</p></td><td><p>High-risk HPV type (attribution fraction)</p></td></tr><tr><td><p>Cervix</p></td><td><p>HPV16/18/31/33/45/52/58/other (35/39/51/56/59/68) (95.1%)</p></td></tr><tr><td><p>Vulva</p></td><td><p>HPV16/18/33 (12.7%)</p></td></tr><tr><td><p>Vagina</p></td><td><p>HPV16 (53.7%)</p></td></tr><tr><td><p>Anus</p></td><td><p>HPV16/18/33 (77.0%)</p></td></tr><tr><td><p>Oropharynx</p></td><td><p>HPV16 (24.7%)</p></td></tr><tr><td><p>Oral cavity</p></td><td><p>HPV16/18 (1.1%)</p></td></tr><tr><td><p>Larynx</p></td><td><p>HPV16/18 (1.9%)</p></td></tr></tbody></table><p> </p><table><tbody><tr><td><p>Cancer site (males)</p></td><td><p>High-risk HPV type (attribution fraction)</p></td></tr><tr><td><p>Anus</p></td><td><p>HPV16/18/33 (77.0%)</p></td></tr><tr><td><p>Penis</p></td><td><p>HPV16/18 (28.6%)</p></td></tr><tr><td><p>Oropharynx</p></td><td><p>HPV16 (12.8%)</p></td></tr><tr><td><p>Oral cavity</p></td><td><p>HPV16/18 (1.4%)</p></td></tr><tr><td><p>Larynx</p></td><td><p>HPV16/18 (0.6%)</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p>Attributable fraction for high risk HPV types associated with cancer as modelled by PHE and based on International Agency for Research on Cancer reviews.</p><p> </p><p>The JCVI most recently considered HPV vaccination on 6 June 2018, and the minutes of that meeting will be published on or before 18 July 2018.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:06:23 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Extending_HPV_Vaccination.pdf title Extending_HPV_Vaccination
	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