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827857

registered interest
date	22/01/2018
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	Carillion: Insolvency
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to ensure the completion of Liverpool Hospital following the collapse of Carillion; and what is now the anticipated completion date.
tabling member printed	Lord Alton of Liverpool
uin	HL4907
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>Carillion is building the new Royal Liverpool Hospital under a Private Finance Initiative (PFI) contract. The PFI contract between the Royal Liverpool and Broadgreen University Hospitals NHS Trust and the PFI Project Company is still in place, which means that the Company is still contractually obliged to manage the project and find a construction firm or subcontractor who can continue the building work. This is important for the Trust and also an incentive for the PFI Project Company to minimise delay. Additionally, the Department and NHS Improvement have been supporting the Trust with contingency planning for this to ensure there is minimal disruption.</p><p>The Royal Liverpool Hospital scheme is very well advanced. The PFI Project Company is currently in discussions with PwC (on behalf of the official receiver), their lenders and with other service and construction companies to assess how best to continue delivering these contracts.</p> answering member printed Lord O'Shaughnessy question first answered 01/02/2018 15:25:28 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

827870

registered interest
date	22/01/2018
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	Health Services: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to extend the deadline of 31 January for the submission of evidence to the Department of Health's formal review of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017, having released a list of review questions on 22 December 2017, immediately before an extended holiday period and thus effectively reducing an already short consultation period.
tabling member printed	Baroness Hamwee
uin	HL4920
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>The review of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ is not a consultation.</p><p>However, the Department recognises the need to ensure that sufficient time is provided for both evidence collection and analysis. The end of January deadline was chosen so that the Department could seek to identify the main impacts on vulnerable groups of the amendment regulations as early in the review process as possible. This will allow more time to further explore these impacts with stakeholders, within the timeframe of the review that has been set out.</p><p>The Department has responded to questions from stakeholders about the deadline by saying ‘we recognise that the end of January deadline may not be possible for all organisations due to the issues you have raised. As we previously stated, we are therefore willing to be flexible on this deadline, so while we would appreciate organisations submitting their responses as soon as possible, we will of course still consider the information in responses that are submitted after that.’ The Department has made it clear that evidence submitted within a timeframe that allows it to be taken into account as part of the review will be considered.</p><p>The Department has also committed to continue to work with stakeholders to monitor the effects of the charging regulations on vulnerable groups after the review process has concluded. Therefore, if new evidence concerning the impact of the impact of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ is presented to the Department, after the time at which it can be considered as part of the review process, it will be considered in accordance with the Secretary of State’s ongoing duties. The Department does not see any reason to change the position, outlined above, which has already been communicated to stakeholders.</p> answering member printed Lord O'Shaughnessy question first answered 05/02/2018 12:30:49 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2652 label Biography information for Baroness Hamwee

827873

registered interest
date	22/01/2018
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	Benzodiazepines: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government why they do not collect data centrally on benzodiazepine dependence.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4923
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>Accurate data on benzodiazepine dependence is not currently available. The Department has commissioned Public Health England (PHE) to undertake an evidence review to better understand the scope of the problem of prescribed drug dependence. As part of this review PHE will attempt to estimate the number of people affected including through prescription data collected by NHS Business Services Authority.</p> answering member printed Lord O'Shaughnessy question first answered 05/02/2018 12:16:22 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827874

registered interest
date	22/01/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to mandate NHS England to commission services locally for patients who are suffering from the impact of long-term use of dependence forming medicines.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4924
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>Local authorities are supported by Public Health England to develop tailored responses to existing and emerging drug misuse in their area and, in conjunction with the National Health Service, to address specific concerns about addiction to prescribed and over the counter medicines.</p><p>The Department has commissioned Public Health England to undertake an evidence review to better understand the scope of the problem of prescribed drug dependence. The review will bring together the best available evidence on prevalence and prescribing; the nature and likely causes of dependence or withdrawal among some people who continue to take these medicines; and effective prevention and treatment responses for each indication.</p><p>The Government is currently developing its approach to the mandate to NHS England for 2018-19, in light of the extra £2.8 billion to 2019/20 provided through the Autumn Budget to support the NHS. Both NHS England and Healthwatch England are involved in its development as statutory consultees.</p> answering member printed Lord O'Shaughnessy question first answered 05/02/2018 12:17:45 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827875

registered interest
date	22/01/2018
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	Strokes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when they expect to publish the National Stroke Plan.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4925
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>There has been progress in stroke prevention, care and treatment as a result of the 10 year stroke strategy, which was published in 2007.</p><p>Building on that success, NHS England has established an expert working group with partners representing patients, carers and stroke professionals and the wider health and social care system. This group is co-chaired by the Stroke Association, and includes the Neurological Alliance, NHS Improvement, the British Association of Stroke Physicians, Public Health England, the National Institute for Health and Care Excellence, and Health Education England. The group’s aim is to ensure that this progress is not only maintained but enhanced.</p><p>Part of this approach has involved bringing together national programmes of work such as NHS RightCare that have a focus on stroke, in order to set ambitions for future improvement summarised into a coherent plan. This is currently under discussion and further engagement with health, social care and voluntary sector partners is underway. The timeline for delivery of any plan will be agreed with the help of the expert working group as the links with related work such as the cardiovascular disease prevention programme become more established.</p> answering member printed Lord O'Shaughnessy question first answered 05/02/2018 12:19:05 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827876

registered interest
date	22/01/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to raise awareness amongst GPs of the problems arising for patients suffering from the impact of long-term use of dependence forming medicines.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4926
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>The Department has commissioned Public Health England to undertake an evidence review to understand better the scope of the problem of prescribed drug dependence. The review will consider existing evidence and engage with a variety of stakeholders, with a view to capturing levels of awareness amongst both healthcare professionals and patients of the issues associated with prescription drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4927 HL4928 question first answered 05/02/2018 12:14:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827877

registered interest
date	22/01/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of whether the training of GPs sufficiently covers the need to avoid prescribing dependence forming medicines for longer than the safe period.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4927
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>The Department has commissioned Public Health England to undertake an evidence review to understand better the scope of the problem of prescribed drug dependence. The review will consider existing evidence and engage with a variety of stakeholders, with a view to capturing levels of awareness amongst both healthcare professionals and patients of the issues associated with prescription drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4926 HL4928 question first answered 05/02/2018 12:14:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827878

registered interest
date	22/01/2018
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	Prescription Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of whether the training of doctors sufficiently covers the need to avoid withdrawing dependence forming medicines too quickly, given the adverse impacts on patients that can occur.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4928
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>The Department has commissioned Public Health England to undertake an evidence review to understand better the scope of the problem of prescribed drug dependence. The review will consider existing evidence and engage with a variety of stakeholders, with a view to capturing levels of awareness amongst both healthcare professionals and patients of the issues associated with prescription drug dependence.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4926 HL4927 question first answered 05/02/2018 12:14:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

827888

registered interest
date	22/01/2018
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	Domestic Abuse: Injuries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to designating facial injuries resulting from domestic violence as a notifiable condition.
tabling member printed	Lord McColl of Dulwich
uin	HL4938
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>The National Health Service provides care and support to victims of domestic violence and abuse through a range of healthcare and support services relating to physical and mental health needs.</p><p> </p><p>Routine enquiry for domestic violence is already in place in maternity and mental health services, to improve earlier disclosure and support people to get the care that they need.</p><p> </p><p>Notifiable conditions are often conditions such as contagious diseases and infections, hence facial injuries as a result of domestic violence would not be categorised as such</p><p> </p><p>NHS Digital has begun implementation of the Emergency Care Data Set (ECDS). This dataset is currently being rolled out to Type 1 (major) accident and emergency departments during spring 2018 with the aim of capturing improved data around clinical codes. The new variables in ECDS relating to injury are:</p><p> </p><p>- Place of injury (e.g. garden, street);</p><p>- Intent (e.g. accidental, self-inflicted);</p><p>- Activity status (e.g. working);</p><p>- Activity (e.g. gardening);</p><p>- Mechanism (e.g. knife); and</p><p>- Drug/Alcohol (details of specific drugs taken if known).</p><p> </p><p>One of the potential benefits of this would be better information for safeguarding vulnerable patients, including those who have been victims of physical facial injury as a result of domestic violence.</p> answering member printed Lord O'Shaughnessy question first answered 05/02/2018 12:28:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1892 label Biography information for Lord McColl of Dulwich

827890

registered interest
date	22/01/2018
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	Muscular Dystrophy
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of services to monitor and support patients with Duchenne Muscular Dystrophy who are experiencing respiratory decline.
tabling member printed	Baroness Masham of Ilton
uin	HL4940
answer	answer is ministerial correction date of answer 05/02/2018 answer text <p>No specific assessment has been made.</p><p> </p><p>NHS England commissions specialised neurological services from 24 centres at a national level, including some services for patients with neuromuscular disorder such as Duchenne muscular dystrophy. Two service specifications, one for adults and one for children, have been developed by NHS England to set out what these providers must have in place to deliver high quality neurological and neuromuscular care. A requirement for neuromuscular services is that patient clinics ensure they identify those at risk of respiratory problems and refer them for specialist respiratory assessment and monitoring. The specifications set out the breadth of these services and the objectives for their delivery, including clinical assessment and monitoring in respiratory care and respiratory failure. Copies of <em>2013/14 NHS Standard Contract for Neurosciences: Specialised Neurology (Adult) </em>and <em>2013/14 NHS Standard Contract for Paediatric Neurosciences: Neurology </em>are attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name d04-neurosci-spec-neuro.pdf title Adult Service Specification 2 file name e09-paedi-neurology.pdf title Paediatric Service Specification question first answered 05/02/2018 12:45:35 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1850 label Biography information for Baroness Masham of Ilton