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753291

	registered interest
	date	18/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether they intend to ensure that Clinical Commissioning Groups are notified when a paediatric audiology service does not meet the standards for Improving Quality in Physiological Services accreditation following an assessment visit.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL979
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL889 HL890 HL891 question first answered 20/07/2017 14:50:44 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752441

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government which organisation is responsible for ensuring that a paediatric audiology service that has not met the standards for Improving Quality in Physiological Services (IQIPS) accreditation addresses the problems found during the accreditation visit.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL887
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL889 HL890 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752443

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many NHS Trusts achieved Improving Quality in Physiological Services accreditation for their paediatric audiology service in each of the last five financial years.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL889
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL890 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752444

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many contracts for Specialist Audiology Services used by children, and commissioned directly by NHS England, were signed in the financial years (1) 2015-16, and (2) 2016-17.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL890
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL889 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752445

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many contracts for Specialist Audiology Services used by children, and commissioned directly by NHS England, are due to be renegotiated in the financial year 2017-18.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL891
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL889 HL890 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752446

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government when NHS England plans to produce a commissioning specification for Specialist Audiology Services used by children and commissioned directly by NHS England.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL892
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>NHS England has produced the following service specifications for audiology services that it commissions, which apply to all ages and sit in the Trauma Programme of Care (Specialised Ear and Ophthalmology Services):</p><p> </p><p>- Specialised Ear Surgery: Cochlear Implants (All Ages); and</p><p>- Implantable Hearing Aids for Microtia, Bone Anchored Hearing Aids and Middle Ear Implants (All Ages).</p><p> </p><p>Copies of these service specifications are attached.</p><p> </p><p>NHS England has no plans to publish further service specifications for specialist audiology services used by children.</p><p> </p><p>NHS England has also published commissioning policies for the following services that are available for children:</p><p> </p><p>- Auditory brainstem implant with congential abnomalities of the auditory nerves of cochleae;</p><p>- Bone Anchored Hearing Aids; and</p><p>- Bone conducting hearing implants for hearing loss (all ages).</p> answering member printed Baroness Chisholm of Owlpen attachment 1 file name d09-ear-surg-coch-0414.pdf title Specialised Ear Surgery service specification 2 file name d09-implan-hear-aids.pdf title Implantable Hearing Aids service specification question first answered 20/07/2017 14:41:47 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

749928

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Employment: Epilepsy
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the impact of the rise in indemnity costs, resulting from the change in the discount rate on personal injury payouts, on the incentives for doctors to practise in general practice.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL613
	answer	answer is ministerial correction date of answer 14/07/2017 answer text <p>The Department is aware that the rising cost of indemnity is an area of concern for general practitioners (GPs).</p><p> </p><p>In July 2016 NHS England published a GP Indemnity review which gathered evidence from GPs about the impact on rising costs of indemnity, which found that:</p><p> </p><p>- 95% of GPs surveyed have experienced a rise in their indemnity costs in the recent years;</p><p>- four fifths of GPs responded that they had been deterred in some way from taking certain types of clinical sessions due to the rise in their indemnity costs; and</p><p>- GPs told us that that if indemnity costs continue to rise at recent rates, this may act as a break on the willingness of GPs to join the profession, to remain in the profession, or to increase their workload.</p><p>In recognition of the rising costs of indemnity, NHS England put an extra £30 million in to the GP contract in March 2017 to cover indemnity-related inflation for GPs from 2016-17. A further sum of approximately £30 million will be made available for April 2018.</p><p> </p><p>The change in the personal injury discount rate announced by the former Lord Chancellor (Elizabeth Truss MP) in February 2017 has significantly increased the cost of claims. The Department is working closely with GPs and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of National Health Service care.</p> answering member printed Lord O'Shaughnessy question first answered 14/07/2017 13:03:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

749929

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prisoners' Transfers: Northern Ireland
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether they plan to provide financial support to general practitioners to meet the increase in indemnity costs as a result of the change to the discount rate on personal injury payouts.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL614
	answer	answer is ministerial correction date of answer 14/07/2017 answer text <p>The cost of indemnity to general practitioners (GPs) is already recognised as a business expense, and reflected in the sums received by GP practices via the GP contract. In recognition of the rising costs of indemnity, NHS England put an extra £30 million in to the GP contract in March 2017 to cover indemnity-related inflation for GP’s from 2016-17. A further sum of approximately £30 million will be made available for April 2018.</p><p> </p><p>The change in the personal injury discount rate announced by the former Lord Chancellor (Elizabeth Truss MP) in February 2017 has significantly increased the cost of claims. The Department is working closely with GPs and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of National Health Service care.</p> answering member printed Lord O'Shaughnessy question first answered 14/07/2017 13:03:11 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

707562

	registered interest
	date	02/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Electronic Cigarettes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the remarks by Lord Prior of Brampton on 4 July 2016 (HL Deb, col 1828) giving a commitment "to commissioning Public Health England to update its evidence report on e-cigarettes annually until the end of this Parliament", when the updated evidence report will be published.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL5785
	answer	answer is ministerial correction date of answer 13/03/2017 answer text <p>Public Health England’s (PHE) next updated evidence report on e-cigarettes is expected to be published before the end of the 2017.</p><p>In addition to the publication of an evidence review, PHE have partnered with Cancer Research UK and the UK Centre for Tobacco and Alcohol Studies to develop a forum that brings together policy makers, researchers, practitioners and the non-governmental organisation representatives to discuss the emerging evidence, identify research priorities and generate ideas for new research projects, thereby enhancing collaboration between forum participants.</p><p>The Medicines and Healthcare products Regulatory Authority will continue to undertake market surveillance of e-cigarettes as part of their role as the Competent Authority, feeding back any intelligence to the Department and PHE.</p> answering member printed Lord O'Shaughnessy question first answered 13/03/2017 12:15:53 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

707563

	registered interest
	date	02/03/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Electronic Cigarettes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the remarks by Lord Prior of Brampton on 14 September 2016 (HL Deb, col 1537) stating that the Government would continue to monitor and develop the evidence base for the regulation of e-cigarettes, what steps (1) Public Health England, and (2) the Medical and Healthcare products Regulatory Agency, are taking to encourage research on e-cigarettes.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL5786
	answer	answer is ministerial correction date of answer 13/03/2017 answer text <p>Public Health England’s (PHE) next updated evidence report on e-cigarettes is expected to be published before the end of the 2017.</p><p>In addition to the publication of an evidence review, PHE have partnered with Cancer Research UK and the UK Centre for Tobacco and Alcohol Studies to develop a forum that brings together policy makers, researchers, practitioners and the non-governmental organisation representatives to discuss the emerging evidence, identify research priorities and generate ideas for new research projects, thereby enhancing collaboration between forum participants.</p><p>The Medicines and Healthcare products Regulatory Authority will continue to undertake market surveillance of e-cigarettes as part of their role as the Competent Authority, feeding back any intelligence to the Department and PHE.</p> answering member printed Lord O'Shaughnessy question first answered 13/03/2017 13:15:09 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath