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100939

	registered interest
	date	24/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health and Social Care Act 2012
	house id	2
	legislature	25277 pref label House of Lords
	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.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL2407
	answer	answer is ministerial correction date of answer 05/11/2014 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> answering member printed Earl Howe question first answered 05/11/2014 12:08:50 answering member 2000 label Biography information for Earl Howe
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1023621

	registered interest
	date	11/12/2018
	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	Mental Health Services: Schools
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to their report Mental Health of Children and Young People in England 2017, published on 22 November, what assessment they have made of the roll out of Designated Senior Leads and mental health support teams; and what timetable has been set for the roll out of those initiatives to all schools in England.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL12179
	answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>We remain committed to rolling out our new approach as set out in the Green Paper on children and young people’s mental health, including creating Designated Senior Leads in schools and new mental health support teams, to at least a fifth to a quarter of the country by the end of 2022/23. The first wave of trainees who will staff the mental health support teams start training in January 2019. The first wave of mental health support teams will be fully operational by the end of 2019.</p><p>We will test and pilot the implementation of the Green Paper plans to ensure we learn as we go. Data about the prevalence of mental health conditions in Mental Health of Children and Young People in England 2017 will be used as part of the evidence base to inform all planning and activity around children and young people’s mental health, including the roll-out of the Green Paper plans. The precise roll-out will also be informed by the evaluation of the initial trailblazers.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:38:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055109

	registered interest
	date	05/02/2019
	answering body	Department for Digital, Culture, Media and Sport
	answering dept id	10
	answering dept short name	Digital, Culture, Media and Sport
	answering dept sort name	Digital, Culture, Media and Sport
	hansard heading	Food: Advertising
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they estimate the consultation conducted by Ofcom on the proposal for a watershed on advertising foods with high fat, salt and sugar content will be (1) completed, and (2) published.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13438
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>In the second chapter of the Government's Childhood Obesity Plan, the Government committed to consult on introducing a 9pm watershed on TV advertising of HFSS products and similar protection for children viewing adverts online - with the aim of reducing children’s exposure to HFSS advertising, and incentivising sugar and calorie reduction. We will be publishing the consultation at the earliest opportunity.</p><p> </p><p>As far as we are aware, Ofcom has no current plans for any equivalent consultation.</p> answering member printed Lord Ashton of Hyde question first answered 19/02/2019 12:11:25 answering member 4247 label Biography information for Lord Ashton of Hyde
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055110

	registered interest
	date	05/02/2019
	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	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they are preparing a third chapter of the Child Obesity Strategy; and if so, when that chapter will be published.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13439
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>We are committed to reviewing the measures set out in both chapters of our childhood obesity plan and will continue to monitor progress and emerging evidence carefully. Where progress is not being delivered, we will consider what further action can be taken.</p><p>Both chapters of our plan demonstrate an overarching campaign to tackle obesity. In addition, Public Health England encourages the population to follow a healthy balanced diet through the 5 A Day campaign, Change4Life and OneYou social marketing campaigns.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13440 question first answered 18/02/2019 14:21:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055112

	registered interest
	date	05/02/2019
	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	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they will introduce a overarching national campaign against obesity as part of their Child Obesity Strategy.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13440
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>We are committed to reviewing the measures set out in both chapters of our childhood obesity plan and will continue to monitor progress and emerging evidence carefully. Where progress is not being delivered, we will consider what further action can be taken.</p><p>Both chapters of our plan demonstrate an overarching campaign to tackle obesity. In addition, Public Health England encourages the population to follow a healthy balanced diet through the 5 A Day campaign, Change4Life and OneYou social marketing campaigns.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13439 question first answered 18/02/2019 14:21:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055114

	registered interest
	date	05/02/2019
	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	Obesity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when, under the NHS Long Term Plan, they will offer support and access to weight management services in primary care for people with a diagnosis of Type 2 diabetes or hypertension with a body mass index of 30 and above; what will be the nature of any such services; and who will provide those services.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13441
	answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The NHS Long Term Plan builds on the success of the NHS Diabetes Prevention Programme and diabetes treatment services and will provide a targeted support offer to patients with both obesity and type 2 diabetes, or with obesity and hypertension. The services will be provided in local communities and an implementation plan is currently under development.</p><p>NHS England plans to increase access to services in secondary care for those with severe obesity. This will include the testing of very low calorie diets.</p><p>NHS England, with its partners working in public health and diabetes, will help to ensure nutrition has a greater place in professional education. This will ensure that clinical staff have the skills and confidence to support patients in achieving and maintaining a healthy weight.</p> answering member printed Baroness Blackwood of North Oxford question first answered 18/02/2019 14:21:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1055116

	registered interest
	date	05/02/2019
	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	Obesity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what support and assistance they plan to offer obese people with a body mass index of 30 and above who have not been diagnosed with Type 2 diabetes or hypertension.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL13442
	answer	answer is ministerial correction date of answer 19/02/2019 answer text <p>Public Health England (PHE) has a responsibility to support the local delivery of evidence-based, effective and sustainable weight management services, as recommended by the National Institute for Health and Care Excellence (NICE), which support adults who are obese (that is, with a body mass index over 30 kg/m2, or lower for those from black and minority ethnic groups) or with other risk factors.</p><p>PHE provides practitioners, commissioners and providers of tier 2 weight management services with a range of resources to support the commissioning and delivery of these services. This includes:</p><p>- Guidance on how services should include diet, physical activity, and behaviour change components; and</p><p>- A tool to support the implementation of evidence-based behaviour change techniques.</p><p>A copy of this tool, <em>Changing Behaviour: Techniques for Tier 2 Adult Weight Management Services</em>, is attached.</p><p>NICE has also produced a guideline, <em>Weight management: lifestyle services for overweight or obese adults, </em>aimed at commissioners, health professionals, providers of lifestyle weight management programmes, adults who are overweight or obese, their families and other members of the public. This guideline covers lifestyle weight management services including programmes, courses, clubs or groups provided by the public, private and voluntary sector. The aim is to help people lose weight and become more physically active to reduce the risk of diseases associated with obesity. A copy of NICE’s guideline is attached.</p> answering member printed Baroness Blackwood of North Oxford attachment 1 file name changing behaviour techniques for tier 2 adult weight management services.pdf title HL13442 attached document 2 file name weight-management-lifestyle-services-for-overweight-or-obese-adults-pdf-1996416726469.pdf title HL13442 attached document question first answered 19/02/2019 14:09:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1078277

	registered interest
	date	26/02/2019
	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	Methadone: Prescriptions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what the annual cost of prescribing methadone in England was for each of the last five years.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL14049
	answer	answer is ministerial correction date of answer 11/03/2019 answer text <p>NHS Digital does not hold the prescription level data requested.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/03/2019 17:15:36 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089512

	registered interest
	date	15/03/2019
	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	Methadone: Prescriptions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), whether any public body other than NHS Digital holds the necessary prescription level data to provide the annual cost of prescribing methadone in England for each of the last five years; and if not, why not.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL14593
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14594 HL14595 HL14596 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1089513

	registered interest
	date	15/03/2019
	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	Methadone
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14049), what was the annual cost to the NHS of providing methadone in England in each of the last five years, broken down by (1) ordering, (2) storage, (3) transport, (4) security, (5) administration, (6) prescription, and (7) dispensing costs.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL14594
	answer	answer is ministerial correction date of answer 28/03/2019 answer text <p>The full data requested is not collected centrally or by NHS England. The data is partially held by either NHS Digital or the NHS Business Services Authority.</p><p> </p><p>As part of its formal framework agreement with the Department, NHS Digital collects, processes and publishes data from across the health and social care system in England, including data on prescribing and medicines. NHS Digital reports that it does not hold the prescription level data requested but does hold data on the net ingredient cost of Methadone Hydrochloride prescription items written in the United Kingdom and dispensed in the community in England, via an FP10 prescription form. This is provided in the following table. Data is not available broken down into the cost of ordering, storage, transport, security, administration and prescription costs<strong>.</strong></p><p> </p><p>Data on local methadone prescribing and supply may be held by individual National Health Service bodies, for example, clinical commissioning groups or NHS trusts.</p><p> </p><table><tbody><tr><td><p>British National Formulary (BNF) Chemical Name</p></td><td><p>BNF 3.9.1 Cough Suppressants</p></td><td><p>BNF 4.7.2 Opioid Analgesic</p></td><td><p>BNF 4.10.3 Opioid Dependence</p></td><td><p>Total Net Ingredient Cost</p></td></tr><tr><td><p>2013</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,025</p></td><td><p>£986,129</p></td><td><p>£20,139,545</p></td><td><p>£21,126,699</p></td></tr><tr><td><p>2014</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,692</p></td><td><p>£964,223</p></td><td><p>£18,852,099</p></td><td><p>£19,818,014</p></td></tr><tr><td><p>2015</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£1,586</p></td><td><p>£858,415</p></td><td><p>£18,456,074</p></td><td><p>£19,316,075</p></td></tr><tr><td><p>2016</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£362</p></td><td><p>£596,809</p></td><td><p>£17,054,254</p></td><td><p>£17,651,425</p></td></tr><tr><td><p>2017</p></td><td><p>Methadone Hydrochloride</p></td><td><p>£590</p></td><td><p>£517,711</p></td><td><p>£15,252,240</p></td><td><p>£15,770,541</p></td></tr></tbody></table><p><em>Source</em>: Prescription Cost Analysis, NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>Information is provided for the five calendar years from 2013 to 2017, which is the latest data currently available. Information for 2018 is due to be released later in March 2019.</li><li>Data is provided for Methadone Hydrochloride, which is listed in the BNF within sub-paragraphs BNF 3.9.1 cough suppressants, BNF 4.7.2 Opioid Analgesic and BNF 4.10.3 Opioid Dependence.</li><li>NHS Digital only has information about NHS prescription items dispensed to patients in the community in England using a FP10 prescription form. Accordingly, NHS Digital does not hold data on drugs dispensed in hospitals, on private prescriptions, on prescriptions written but not dispensed and about other supply routes such as directly through a Patient Group Direction.</li></ol><p> </p><p>The NHS Business Services Authority is a special health authority and arm’s length body of the Department and processes 1 billion prescription items for pharmacists who have dispensed prescriptions in England. The NHS Business Services Authority has provided data of remuneration costs from 2014 to 2018, for English pharmacies only, for the dispensing of methadone. This is provided in the following table.</p><p> </p><table><tbody><tr><td><p>Calendar Year</p></td><td><p>Remuneration for Methadone (£)</p></td></tr><tr><td><p>2014</p></td><td><p>41,556,608.82</p></td></tr><tr><td><p>2015</p></td><td><p>41,647,409.24</p></td></tr><tr><td><p>2016</p></td><td><p>41,720,280.70</p></td></tr><tr><td><p>2017</p></td><td><p>45,319,400.63</p></td></tr><tr><td><p>2018</p></td><td><p>45,932,852.74</p></td></tr></tbody></table><p><em>Source</em>: NHS Business Services Authority Information Services Data Warehouse</p><p> </p><p><em>Notes</em>:</p><ol><li>The data is based on items dispensed in the community in England.</li></ol><p> </p><ol start="2"><li>The data is based on dispensed prescription items that were processed by the NHS Business Services Authority, not including items not dispensed, disallowed and returned, also excluding items prescribed but not presented for dispensing or not submitted to NHS Prescription Services by the dispenser.</li></ol> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14593 HL14595 HL14596 HL14597 HL14598 question first answered 28/03/2019 16:40:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe