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423173

	registered interest
	date	22/10/2015
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Great Western Main Line
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what analysis they have conducted of the impact of having diesel and electric engines fitted to the new Hitachi Great Western Mainline trains on journey times (1) between Paddington and Cardiff, and (2) between Cardiff and Swansea.
	tabling member printed	Baroness Randerson
	uin	HL2923
	answer	answer is ministerial correction date of answer 04/11/2015 answer text <p>The Department for Transport is analysing the impact of Great Western electrification delays on the configuration of the Intercity Express Programme fleet. The analysis is looking at the timetable implications including journey times and capacity. The analysis will be informed by the recommendations made by Sir Peter Hendy. No final decisions have been made.</p> answering member printed Viscount Younger of Leckie question first answered 04/11/2015 11:35:32 answering member 4169 label Biography information for Viscount Younger of Leckie
	tabling member	4230 label Biography information for Baroness Randerson

386476

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Liver Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when Public Health England's programme of work on liver disease will be published.
	tabling member printed	Baroness Randerson
	uin	HL971
	answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>Public Health England’s liver disease framework will be published in autumn 2015.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/07/2015 12:59:16 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4230 label Biography information for Baroness Randerson

386477

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to ensure that NHS England provides patients with hepatitis C access to new drugs approved by the National Institute for Health and Care Excellence without delay, and to ensure that NHS England continues to assess new technologies based on cost-effectiveness rather than affordability.
	tabling member printed	Baroness Randerson
	uin	HL972
	answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>Commissioners are legally required to fund drugs and treatments recommended in National Institute for Health and Care Excellence (NICE) technology appraisal guidance.</p><p> </p><p> </p><p> </p><p>In the absence of guidance from NICE, it is for commissioners, including NHS England, to make funding decisions based on the available evidence.</p><p> </p><p> </p><p> </p><p>Commissioners are required to have in place clear and transparent arrangements for local decision making and for considering individual funding requests taking into account patients’ clinical circumstances.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/07/2015 12:59:51 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4230 label Biography information for Baroness Randerson

434110

	registered interest
	date	03/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prisoners: Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what incentives and performance targets exist to encourage HM Prison Service to improve rates of testing for hepatitis C among prisoners.
	tabling member printed	Baroness Randerson
	uin	HL4229
	answer	answer is ministerial correction date of answer 15/12/2015 answer text <p>Improving the proactive detection, surveillance and management of infectious diseases in prisons is a shared priority for the National Offender Management Service, NHS England and Public Health England, as described in the Second National Partnership Agreement published earlier this year. A copy is attached.</p><p>Included within this work programme is implementation of the blood-borne virus (BBV) opt-out testing programme for people in prisons, which includes testing for Hepatitis C virus infection as well as Hepatitis B virus and HIV.</p><p>The ambition is to have BBV opt-out testing in all adult prisons in England by end of the financial year 2016-17.</p><p>While there are currently no financial incentives or direct performance targets, performance in this activity is measured by NHS England through the collection of data via the Health &amp; Justice Indicators of Performance. The data are used by NHS England commissioners to performance manage healthcare providers in prisons.</p> answering member printed Lord Prior of Brampton question first answered 15/12/2015 15:52:38 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name national_partnership_agreement_commissioning-delivery-healthcare-prisons_2015.pdf title National Partnership Agreement
	tabling member	4230 label Biography information for Baroness Randerson

444872

	registered interest
	date	14/01/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis: Prisoners
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what advice and guidance has been provided by Public Health England in relation to the commissioning and performance management of prison healthcare service for prisoners diagnosed with Hepatitis C or identified as being at risk of developing Hepatitis C.
	tabling member printed	Baroness Randerson
	uin	HL5070
	answer	answer is ministerial correction date of answer 26/01/2016 answer text <p>Public Health England (PHE), NHS England and the National Offender Manager Service (NOMS) have worked together to improve the diagnosis of blood-borne viruses (BBVs) (including Hepatitis C) among people in prison and to provide access to treatment and care for those infected through collaborative implementation of the BBV opt-out testing programme, published in the National Partnership Agreement in 2015. A copy of the Agreement is attached.</p><p>PHE has published detailed expert advice to commissioners and prison healthcare services on all aspects of implementation of BBV opt-out testing, including testing and treatment algorithms. Further, PHE has supported dissemination of guidance through a programme of training and engagement events in partnership with the voluntary sector. PHE has co-developed with NHS England and NOMS a set of performance metrics called the Health &amp; Justice Indicators of Performance (HJIPs) to provide data on the number of people tested, the number requiring treatment and those referred for treatment which supports commissioners in performance management of prison healthcare services.</p> answering member printed Lord Prior of Brampton question first answered 26/01/2016 13:09:58 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Partnership Agreement (HL5070 attachment).pdf title Partnership Agreement
	tabling member	4230 label Biography information for Baroness Randerson

449712

	registered interest
	date	02/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the light of the report by NHS England <i>Improving Value for Patients from Specialised Care: Commissioning Intentions 2016/2017 for Prescribed Specialist Services</i>, what progress has been made to establish collaborative commissioning arrangements for hepatitis C services and how many Clinical Commissioning Groups have come forward with proposals for the collaborative commissioning of hepatitis C services.
	tabling member printed	Baroness Randerson
	uin	HL5794
	answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The report by NHS England <em>Improving Value for Patients from Specialised Care: Commissioning Intentions 2016/17</em> set out the probable areas for specialised services work planned for 2016/17. Hepatitis C is one pathway which was identified as providing an opportunity for collaborative commissioning.</p><p> </p><p>Operational Delivery Networks now provide a local focus for discussions between providers and commissioners on the hepatitis C pathways. Local specialised commissioning teams will work with other local stakeholders where opportunities for a collaborative approach are agreed as a local priority.</p><p> </p><p>No formal requests for proposals have been requested, nor have any proposals yet been received.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 13:14:32 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4230 label Biography information for Baroness Randerson

449713

	registered interest
	date	02/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hepatitis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether funding will be provided to NHS Trusts as part of the Operational Delivery Network model to fund hepatitis C treatment services through either (1) a block contract, or (2) a tariff.
	tabling member printed	Baroness Randerson
	uin	HL5795
	answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>Operational Delivery Networks (ODNs) provide expert specialist oversight of prescribing decisions on hepatitis C. Funding has been provided via Commissioning and Quality Innovation Payment (CQUIN) and it is NHS England’s intention to continue with CQUIN funding in 2016/17 and 2017/18.</p><p> </p><p>When a patient attends NHS services for treatment of hepatitis C, their attendance is included in the national tariff.</p><p> </p><p>Depending on the specific nature of their healthcare need, their care may be paid for by clinical commissioning groups (CCGs) or by NHS England’s specialised services hubs according to coding and whether the care they receive is defined as a prescribed specialised service.</p><p> </p><p>Some patients may have aspects of their hepatitis C treatment provided by other services (such as drugs and alcohol services) which are not funded by the NHS.</p><p> </p><p>NHS England is the responsible commissioner for hepatitis C drugs. These are high cost drugs and so are excluded from the national tariff.</p><p> </p><p>NHS England’s plan for future hepatitis C funding is being finalised at the moment. As NHS England are working with ODN clinical leads to plan to ensure that patients with unmet clinical need are treated via hepatitis C ODNs in a planned way over the coming years.</p><p><strong> </strong></p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 13:12:42 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4230 label Biography information for Baroness Randerson

424810

	registered interest
	date	29/10/2015
	answering body	Wales Office
	answering dept id	28
	answering dept short name	Wales
	answering dept sort name	Wales
	hansard heading	Legislation: Wales
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government on how many occasions since the National Assembly for Wales acquired full legislative powers (1) the Welsh Government has sought permission under Minister of the Crown functions for proposals within Welsh bills, and (2) such permission was refused.
	tabling member printed	Baroness Randerson
	uin	HL3153
	answer	answer is ministerial correction date of answer 12/11/2015 answer text <p>Secretary of State consent to amend Minister of the Crown functions has been sought in relation to seven of the Acts passed by the Assembly since 2011. The Government has refused such consent once, in relation to the Local Government Byelaws (Wales) Act 2012, having suggested an amendment to the drafting which would have enabled the UK Government to give consent but was rejected by the Welsh Government.</p> answering member printed Lord Bourne of Aberystwyth question first answered 12/11/2015 13:02:20 answering member 4282 label Biography information for Lord Bourne of Aberystwyth
	tabling member	4230 label Biography information for Baroness Randerson

386118

	registered interest
	date	29/06/2015
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	South Wales Main Line: Electrification
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is their current estimate of the timescale for completing the individual stages of the work electrifying the rail line to Swansea from London.
	tabling member printed	Baroness Randerson
	uin	HL917
	answer	answer is ministerial correction date of answer 13/07/2015 answer text <p>As the Prime Minister stated on 24<sup>th</sup> June 2015, this Government is committed to the electrification of Great Western line from Swansea to Cardiff and on to London.</p><p> </p><p> </p><p> </p><p>The Secretary of State for Transport announced on the 25<sup>th</sup> June 2015 that Great Western was his top priority for delivery.　The Secretary of State also described some of the challenges Network Rail is facing. That is why he has asked the new chair of Network Rail to put forward proposals for replanning the enhancement programme.　 The chair is due to report to the Secretary of State in the Autumn and it would be wrong to pre-empt the outcome of this report.</p><p> </p> answering member printed Lord Ahmad of Wimbledon question first answered 13/07/2015 12:59:54 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	4230 label Biography information for Baroness Randerson

386478

	registered interest
	date	30/06/2015
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Valley Lines
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether Network Rail has been given authority to undertake the next stage of work on the South Wales Valleys line electrification following the agreement with the Welsh Government on funding in November 2014.
	tabling member printed	Baroness Randerson
	uin	HL973
	answer	answer is ministerial correction date of answer 13/07/2015 answer text <p>The Secretary of State for Transport announced on 25 June 2015 that Great Western was a top priority for delivery.　We are committed to electrifying the Great Western Swansea to Cardiff main line and are contributing £125mn to the Welsh Government’s Valley Lines electrification scheme. The delivery of the Welsh Valley Line Electrification scheme is a matter for the Welsh Government.</p><p> </p> answering member printed Lord Ahmad of Wimbledon question first answered 13/07/2015 10:49:48 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	4230 label Biography information for Baroness Randerson