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1110122

	registered interest
	date	08/04/2019
	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	Skin Diseases: Diagnosis
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to improve GPs' diagnostic skills for skin conditions.
	tabling member printed	Lord Clark of Windermere
	uin	HL15090
	answer	answer is ministerial correction date of answer 24/04/2019 answer text <p>The Royal College of General Practitioners’ curriculum includes a module on the care of people with skin problems. This sets out the knowledge and skills a general practitioner should have in the diagnosis and management of skin conditions relevant to their role as generalist, community-based doctors, including the diagnostic investigations, such as blood and immunological testing to needed to support a diagnosis.</p><p>Once fully qualified, clinicians are responsible for ensuring their own clinical knowledge remains up-to-date and for identifying learning needs as part of their continuing professional development. This activity should include taking account of new research and developments in guidance, such as that produced by the National Institute for Health and Care Excellence (NICE). NICE has published a clinical guideline on the diagnosis and treatment of number of common skin conditions, such as psoriasis and eczema. The guidance is routinely reviewed to ensure it reflects the latest available, including around diagnostic approaches.</p><p>The British Association of Dermatologists also continues to produce a range toolkits and guidance for health professionals.</p> answering member printed Baroness Blackwood of North Oxford question first answered 24/04/2019 11:35:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

1110123

	registered interest
	date	08/04/2019
	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	Dermatology: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had with Health Education England on increasing the number of training places for dermatology students.
	tabling member printed	Lord Clark of Windermere
	uin	HL15091
	answer	answer is ministerial correction date of answer 24/04/2019 answer text <p>The number of medical specialty training places that are available each year in England is set by Health Education England (HEE) and is based on their assessment of service gaps and predicted workforce needs.</p><p>There are programmes of work underway as part of the development of a workforce implementation plan, which the Secretary of State for Health and Social Care has commissioned Baroness Dido Harding, Chair of NHS Improvement, working closely with Sir David Behan, Chair of Health Education England, to oversee. These programmes will consider detailed proposals to grow the workforce, including consideration of additional staff in speciality fields, build a supportive working culture in the NHS and ensure first rate leadership for National Health Service staff. Baroness Harding will present initial recommendations to the Department in spring 2019.</p><p>The Department has not held specific discussions with HEE on increasing the number of training places for dermatology students. There has been a 100% fill rate in dermatology training in England for the past six years.</p><p>Dermatologist education and training and recruitment in Wales, Northern Ireland and Scotland is a matter for the devolved administrations.</p> answering member printed Baroness Blackwood of North Oxford question first answered 24/04/2019 11:34:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

1121574

	registered interest
	date	11/04/2019
	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	Skin Cancer: Health Education
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to raise awareness of the risks of skin cancer and methods of prevention
	tabling member printed	Lord Clark of Windermere
	uin	HL15225
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Advice for adults and children on sunscreen and sun safety in the United Kingdom and abroad, to reduce the risk of developing skin cancer is available online at the NHS website. Advice includes: spend time in the shade when the sun is strongest, between 11am and 3pm; make sure you never burn; cover up with suitable clothing and sunglasses; take extra care with children; and use at least factor 15 sunscreen.</p><p>Public Health England (PHE) is refreshing its guidance to actual and prospective users of sunbeds on how to minimise exposure to ultraviolet radiation, which can cause skin cancer. PHE’s online guidance will be updated in spring 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15226 question first answered 25/04/2019 12:39:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

1121575

	registered interest
	date	11/04/2019
	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	Skin Cancer: Health Education
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to include skin cancers in the Be Clear on Cancer campaign resources.
	tabling member printed	Lord Clark of Windermere
	uin	HL15226
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Advice for adults and children on sunscreen and sun safety in the United Kingdom and abroad, to reduce the risk of developing skin cancer is available online at the NHS website. Advice includes: spend time in the shade when the sun is strongest, between 11am and 3pm; make sure you never burn; cover up with suitable clothing and sunglasses; take extra care with children; and use at least factor 15 sunscreen.</p><p>Public Health England (PHE) is refreshing its guidance to actual and prospective users of sunbeds on how to minimise exposure to ultraviolet radiation, which can cause skin cancer. PHE’s online guidance will be updated in spring 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15225 question first answered 25/04/2019 12:39:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

823173

	registered interest
	date	15/01/2018
	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	NHS: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much additional funding, in real terms, they have committed to the NHS for the year 2017–18; and what are the comparable figures for each of the previous 20 years.
	tabling member printed	Lord Clark of Windermere
	uin	HL4664
	answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>The Government has committed an additional 2.1% funding in real terms to the National Health Service for the year 2017-18. This is the extra money being given through the NHS England Mandate to front-line services. The following table sets out the comparable figures back to 2013-14, when NHS England was created.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>NHS England Mandate (cash) £ billion</p></td><td><p>Real terms increase % (2017-18 prices)</p></td></tr><tr><td><p>2017-18</p></td><td><p>109.9</p></td><td><p>2.1</p></td></tr><tr><td><p>2016-17</p></td><td><p>106.0</p></td><td><p>3.2</p></td></tr><tr><td><p>2015-16</p></td><td><p>100.5</p></td><td><p>2.6</p></td></tr><tr><td><p>2014-15</p></td><td><p>97.3</p></td><td><p>1.3</p></td></tr><tr><td><p>2013-14</p></td><td><p>94.7</p></td></tr></tbody></table><p> </p><p>Prior to 2013-14, NHS funding was measured only through the Department’s departmental expenditure limit. A series of tables showing the Department’s total departmental expenditure limit from 1997-98 to 2013-14 is attached, due to the size of the data. During this period, the Government method of accounting changed from cash to a resource budgeting basis. The figures in different stages of the accounting change are not comparable.</p> answering member printed Baroness Chisholm of Owlpen question first answered 29/01/2018 17:02:58 answering member 4330 label Biography information for Baroness Chisholm of Owlpen attachment 1 file name HL4664 Total DEL 1997-2014.docx title Departmental Expenditure Limits 1997-2014
	tabling member	525 label Biography information for Lord Clark of Windermere

825266

	registered interest
	date	17/01/2018
	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	Agency Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the answer by Lord O'Shaughnessy on 10 January (HL Deb, col 182), how many of the 10,000 extra nurses on wards are agency nurses.
	tabling member printed	Lord Clark of Windermere
	uin	HL4799
	answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>NHS Digital publishes workforce statistics for substantive staff employed by the National Health Service trusts and clinical commissioning groups. Nurses on our wards are coded on the Electronic Staff Record as Acute, Elderly and General Nurses and are a subset of all nurses and health visitors. As at September, NHS Digital data shows there were 14,185 full time equivalent more nurses on our wards than in May 2010. All of these nurses are professionally qualified clinical nurses. As such, none are agency nurses.</p><p>Figures are provided as full time equivalent as this is the most accurate measure of service capacity.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL4800 question first answered 29/01/2018 17:47:11 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	525 label Biography information for Lord Clark of Windermere

825267

	registered interest
	date	17/01/2018
	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	Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the answer by Lord O'Shaughnessy on 10 January (HL Deb, col 182), how many of the 10,000 extra nurses on wards are qualified, registered nurses.
	tabling member printed	Lord Clark of Windermere
	uin	HL4800
	answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>NHS Digital publishes workforce statistics for substantive staff employed by the National Health Service trusts and clinical commissioning groups. Nurses on our wards are coded on the Electronic Staff Record as Acute, Elderly and General Nurses and are a subset of all nurses and health visitors. As at September, NHS Digital data shows there were 14,185 full time equivalent more nurses on our wards than in May 2010. All of these nurses are professionally qualified clinical nurses. As such, none are agency nurses.</p><p>Figures are provided as full time equivalent as this is the most accurate measure of service capacity.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL4799 question first answered 29/01/2018 17:47:11 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	525 label Biography information for Lord Clark of Windermere

1037592

	registered interest
	date	08/01/2019
	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	Hospitals: Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether there is a legal limit on the ratio of nurses to patients on wards in NHS hospitals in England; and if so, what are those limits.
	tabling member printed	Lord Clark of Windermere
	uin	HL12650
	answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>The National Health Service does not have a legal ratio of nurses to patients.</p><p>Appropriate staffing levels are the responsibility of commissioners and trusts. The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 include a requirement for the deployment of sufficient numbers of suitably qualified, competent, skilled and experienced persons at all times.</p> answering member printed Baroness Manzoor question first answered 22/01/2019 16:02:02 answering member 4289 label Biography information for Baroness Manzoor
	tabling member	525 label Biography information for Lord Clark of Windermere

820660

	registered interest
	date	11/01/2018
	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	NHS: Sick Leave
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the latest rate of absence through sickness of NHS staff; and what were the comparable figures for each of the last 20 years.
	tabling member printed	Lord Clark of Windermere
	uin	HL4630
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The latest rate of sickness of National Health Service staff is 4.16% (2016/17). Comparable figures from 2009/10, extracted from the Electronic Staff Record (ESR), are shown in the following table and is information collected from ESR by NHS Digital. Sickness absence data collected by the Department before 2009 used a different methodology and are not comparable. Sickness absence figures for 2017/18 will be published in July 2018.</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Sickness absence rate (%)</p></td></tr><tr><td><p>2009-10</p></td><td><p>4.40</p></td></tr><tr><td><p>2010-11</p></td><td><p>4.16</p></td></tr><tr><td><p>2011-12</p></td><td><p>4.12</p></td></tr><tr><td><p>2012-13</p></td><td><p>4.24</p></td></tr><tr><td><p>2013-14</p></td><td><p>4.06</p></td></tr><tr><td><p>2014-15</p></td><td><p>4.25</p></td></tr><tr><td><p>2015-16</p></td><td><p>4.15</p></td></tr><tr><td><p>2016-17</p></td><td><p>4.16</p></td></tr></tbody></table><p> </p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:07:15 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	525 label Biography information for Lord Clark of Windermere

820661

	registered interest
	date	11/01/2018
	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	NHS: Bullying
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the level of bullying reported in the latest NHS Staff Survey; and what were the comparable figures for each of the last 20 years.
	tabling member printed	Lord Clark of Windermere
	uin	HL4631
	answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Employers are responsible for tackling bullying and harassment of staff. The Department is not complacent and Ministers are committed to meeting their manifesto commitment in tackling rates of bullying and harassment which are far too high. To that end, the Department is working with employers and unions in partnership to prioritise actions including the importance of line manager training, continuing to raise the profile of the issue and using Care Quality Commission inspections to assess progress, as we enter the second year of the national Social Partnership Forum’s <em>Tackling Bullying in the NHS: A collective call to action</em> published in December 2016. A copy of <em>Tackling Bullying in the NHS</em> is attached.</p><p>NHS England has provided the information and statistics which are attached due to the size of the data. The NHS Staff Survey was first undertaken in 2003. Questions about harassment, bullying and abuse have been included each year since then although it is not always possible to compare results from different years due to amendments to questions or survey method. We have, therefore, put together figures from the Staff Survey in different groups i.e. figures for 2012 – 2016 are comparable but not with other groupings; similarly, those for 2010/11, 2004-9 and 2003. The results from 2012 to 2016 are comparable.</p> answering member printed Lord O'Shaughnessy attachment 1 file name HL4631 Staff Survey tables.docx title NHS Staff Survey tables 2 file name spf-tackling-bullying-final-v2-for-pubs-16217.pdf title Tackling Bullying in the NHS question first answered 24/01/2018 13:07:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	525 label Biography information for Lord Clark of Windermere