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92769

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Capacity
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to assist local authorities to address the consequences of the Supreme Court’s judgments in <i>P v Cheshire West and Chester Council</i> and <i>P and Q v Surrey County Council</i> on deprivation of liberty of mentally incapacitated persons, in the light of the likely costs of compliance with those judgments.
tabling member printed	Lord Beecham
uin	HL2005
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>So that we might better understand the consequences of the 19 March 2014 Supreme Court judgment in the case of Cheshire West, we have asked the Health and Social Care Information Centre to perform additional data collections as to the number of Deprivation of Liberty Safeguard (DoLS) applications made and the number authorised. The first data set was published in early October 2014. The next will be published in early November 2014.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In the meantime, to assist local authorities, the Government has commissioned the Association of Directors of Adult Social Services to review and redesign the standard forms that support the DoLS process. This will reduce bureaucracy on local authorities whilst maintaining robust safeguards for the service user.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In addition, the Government has commissioned the Law Society to produce guidance to assist local authority DoLS practitioners (including social workers) to understand what constitutes a deprivation of liberty following the Supreme Court judgment.</p><p> </p> answering member printed Earl Howe question first answered 21/10/2014 11:08:49 answering member 2000 label Biography information for Earl Howe
tabling member	4181 label Biography information for Lord Beecham

92779

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the (1) average, and (2) median, earnings of a salaried general practitioner in England and Wales.
tabling member printed	Lord Lipsey
uin	HL2015
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The information in relation to salaried general practitioners (GP) (HL2015) is recorded in the following table:</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="7"><p>Salaried GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£64,700</p></td><td><p>£8,100</p></td><td><p>£56,600</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,700</p></td></tr><tr><td><p>Wales</p></td><td><p>£65,200</p></td><td><p>£11,100</p></td><td><p>£54,100</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,300</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>The information relating to partner general practitioners (HL2016) is recorded in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p>Contractor GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£289,300</p></td><td><p>£184,200</p></td><td><p>£105,100</p></td><td colspan="2"><p>Data not held</p></td><td><p>£102,100</p></td></tr><tr><td><p>Wales</p></td><td><p>£233,800</p></td><td><p>£142,800</p></td><td><p>£91,000</p></td><td colspan="2"><p>Data not held</p></td><td><p>£90,700</p></td></tr></tbody></table><p> </p><p>Copyright © 2014 Health and Social Care Information Centre</p><p> </p><p>Source: GP Earnings and Expenses Enquiries</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><table><tbody><tr><td><p>The tables are presented in cash terms of income before tax for contractor GPs (partners) and salaried GPs under a General Medical Services (GMS) or Personal Medical Services (PMS) contract and exclude expenses. This is taxable income before pension contributions are deducted, made up of gross earnings less total expenses, also known as net income.</p></td></tr><tr><td><p>The data covers income from both NHS and private sources where a GP has at least some NHS income. Figures are rounded to the nearest £100.</p><p> </p><p>The median earnings gross income and expenses data is not held, only the income before tax.</p></td></tr></tbody></table><p> </p><p>Data is for GPs under a GMS or PMS contract only</p><p> </p> answering member printed Earl Howe grouped question UIN HL2016 question first answered 24/10/2014 11:34:32 answering member 2000 label Biography information for Earl Howe
tabling member	2492 label Biography information for Lord Lipsey

92780

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what are the (1) average and (2) median, earnings of a partner general practitioner in England and Wales.
tabling member printed	Lord Lipsey
uin	HL2016
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The information in relation to salaried general practitioners (GP) (HL2015) is recorded in the following table:</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td colspan="7"><p>Salaried GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£64,700</p></td><td><p>£8,100</p></td><td><p>£56,600</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,700</p></td></tr><tr><td><p>Wales</p></td><td><p>£65,200</p></td><td><p>£11,100</p></td><td><p>£54,100</p></td><td colspan="2"><p>Data not held</p><p> </p></td><td><p>£53,300</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>The information relating to partner general practitioners (HL2016) is recorded in the following table:</p><p> </p><p> </p><p> </p><table><tbody><tr><td colspan="7"><p>Contractor GPs – Income before tax in Cash terms – England and Wales 2012-13</p></td></tr><tr><td rowspan="2"><p> </p><p> </p></td><td colspan="3"><p>Mean Earnings</p></td><td colspan="3"><p>Median Earnings</p></td></tr><tr><td><p>Gross Income</p></td><td><p>Expenses</p></td><td><p>Income before Tax</p></td><td><p>Gross Income</p></td><td><p>Expense</p></td><td><p>Income before Tax</p></td></tr><tr><td><p>England</p></td><td><p>£289,300</p></td><td><p>£184,200</p></td><td><p>£105,100</p></td><td colspan="2"><p>Data not held</p></td><td><p>£102,100</p></td></tr><tr><td><p>Wales</p></td><td><p>£233,800</p></td><td><p>£142,800</p></td><td><p>£91,000</p></td><td colspan="2"><p>Data not held</p></td><td><p>£90,700</p></td></tr></tbody></table><p> </p><p>Copyright © 2014 Health and Social Care Information Centre</p><p> </p><p>Source: GP Earnings and Expenses Enquiries</p><p> </p><p> </p><p> </p><p><strong> </strong></p><p> </p><p><em>Notes:</em></p><p> </p><table><tbody><tr><td><p>The tables are presented in cash terms of income before tax for contractor GPs (partners) and salaried GPs under a General Medical Services (GMS) or Personal Medical Services (PMS) contract and exclude expenses. This is taxable income before pension contributions are deducted, made up of gross earnings less total expenses, also known as net income.</p></td></tr><tr><td><p>The data covers income from both NHS and private sources where a GP has at least some NHS income. Figures are rounded to the nearest £100.</p><p> </p><p>The median earnings gross income and expenses data is not held, only the income before tax.</p></td></tr></tbody></table><p> </p><p>Data is for GPs under a GMS or PMS contract only</p><p> </p> answering member printed Earl Howe grouped question UIN HL2015 question first answered 24/10/2014 11:34:33 answering member 2000 label Biography information for Earl Howe
tabling member	2492 label Biography information for Lord Lipsey

92783

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why waiting times for children referred to Child and Adolescent Mental Health Services have increased; and what action they will take to reduce waiting times.
tabling member printed	Lord Ouseley
uin	HL2019
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Information on waiting times for Child and Adolescent Mental Health Services is not collected centrally. There is anecdotal evidence of increasing waiting times in some areas. We do not know whether or not this is due to an increase in referrals or the prevalence of mental health conditions but will be seeking further information by commissioning a survey into the prevalence of mental illness in children and young people.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p><p> </p><p> </p><p><em>Achieving Better Access to Mental Health Services by 2020</em> announced improvements that will be made to services for patients with emerging psychosis, including setting the first ever waiting time standard in mental health from April 2015. It also sets out a longer term ambition to extend waiting time standards across all mental health services by 2020.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:23:20 answering member 2000 label Biography information for Earl Howe
tabling member	2170 label Biography information for Lord Ouseley

92784

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Suicide: Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the causes of suicides among young people; and what action they propose to reduce such fatalities by providing more effective and quicker access to mental health services.
tabling member printed	Lord Ouseley
uin	HL2020
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The causes of suicides are not currently collected but the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness at the University of Manchester will be setting up a national investigation into suicides by young people under 25, which will be covering antecedents such as bullying, use of social media &amp; contact with services. This investigation will be funded by National Health Service England and is due to begin in April 2015.</p><p> </p><p> </p><p> </p><p>NHS England and the Department have set up a Taskforce to look into the complex system of provision and commissioning of children and young people’s mental health services. The Taskforce is considering ways to improve access and create services that are more responsive to children’s needs. Additional funding this year is being invested into improving specialised, in-patient mental health services for children and young people. This will help to fund additional bed capacity and case management will also be improved.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:24:00 answering member 2000 label Biography information for Earl Howe
tabling member	2170 label Biography information for Lord Ouseley

92813

registered interest
date	13/10/2014
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 what is their assessment of the impact of the provision of housing on treatment completion for vulnerable populations in the United Kingdom suffering from (1) hepatitis B, and (2) hepatitis C.
tabling member printed	Baroness Suttie
uin	HL2049
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Public Health England has not made any formal assessment of the impact of the provision of housing on treatment completion for vulnerable populations in the United Kingdom suffering from hepatitis B, and hepatitis C.</p><p> </p><p> </p><p> </p><p>Our estimates of the prevalence of chronic hepatitis B and C infection in the UK population are 180,000<sup>1</sup> and 214,000[2] respectively.</p><p> </p><p> </p><p> </p><p>Studies of hepatitis B and C in the UK homeless population are limited but a recent survey of people who inject drugs found that those who had ever been homeless were more likely to have antibodies against hepatitis C (42%) than those that were in stable accommodation (34%)<sup>3</sup>.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>[1]Department of Health. (2002a) Getting ahead of the curve: a strategy for combating infectious diseases (including other aspects of health protection). A report by the Chief Medical Officer.London</p><p> </p><p> </p><p> </p><p>2Hepatitis C in the UK, Annual Report 2014 Public Health England.</p><p> </p><p>https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/337115/HCV_in_the_UK_2014_24_July.pdf</p><p> </p><p> </p><p> </p><p>3Health Protection Agency, Health Protection Scotland, National Public Health Service for Wales, CDSC Northern Ireland, CRDHB. Shooting Up: Infections among injecting drug users in the United Kingdom 2008. London: Health Protection Agency, October 2009.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:27:52 answering member 2000 label Biography information for Earl Howe
tabling member	4298 label Biography information for Baroness Suttie

92814

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to implement a national outreach service for diseases such as tuberculosis, HIV and diabetes for areas with high health inequalities.
tabling member printed	Baroness Suttie
uin	HL2050
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Department through NHS England has a legal duty to have regard to reducing health inequalities and this will be reflected in any assessment for the potential development of national services.</p><p> </p><p> </p><p> </p><p>Diagnosing, treating and preventing transmission of TB among under-served groups will prevent transmission of infection to the wider population and reduce health and social inequalities. Public Health England and NHS England will launch the Collaborative TB Strategy for England 2015-2020 this year. The strategy sets out the improvements that need to be achieved across 10 key evidence based areas of action to reduce TB in England, and the mechanisms by which these should be delivered. One of the key evidence based areas of action is to reduce incidence of TB in under-served populations by providing specific and targeted outreach interventions (informed by proven models such as “Find &amp; Treat” in London). These include specific services for active case finding for TB of the lungs among homeless people and those attending substance misuse services, use of mobile X-ray units (MXUs) with incentives for people to have chest X-rays, enhanced case management and return to service interventions to prevent loss to follow up.</p><p> </p><p><strong> </strong></p><p> </p><p>There are a number of actions being taken to improve access to HIV testing and reduce late diagnosis, especially in areas with high inequalities. These include the Terrence Higgins Trust to manage a national HIV Prevention Contract which the Department funds; information PHE publishes on rates of late HIV diagnoses by LA, socio-demography, and risk group; and joint PHE and DH approaches to increase HIV testing through funding a national home-sampling service that resulted in a large number of the most at-risk getting tested for HIV.</p><p> </p><p> </p><p> </p><p>Clinical commissioning groups are responsible for commissioning diabetes services, so they would decide, depending on local needs and circumstances, whether an outreach service was appropriate. The NHS Health Check plays an important role in reducing the risk of diabetes and identifying people earlier who have the disease and plays a key role in tackling health inequalities.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:35:23 answering member 2000 label Biography information for Earl Howe
tabling member	4298 label Biography information for Baroness Suttie

92828

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Innovation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 16 July 2014 to Question 204839, whether NHS England will publish the Innovation Health and Wealth refresh review before (a) 31 December 2014 and (b) 31 March 2015.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	210132
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>National Health Service England has advised that the publication of this review has been superseded by a five-year forward view of innovation, led by the national clinical director for innovation, which will be published shortly.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 20/10/2014 16:32:52 answering member 4020 label Biography information for George Freeman
tabling member	1604 label Biography information for Mr Virendra Sharma

92829

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medical Equipment
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with NHS England on assessment of dispensing appliance contractor licences on a national basis.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	210128
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>The Department sets the legislative framework for the inclusion of dispensing appliance contractors on National Health Service England pharmaceutical lists. It is up to NHS England to administer the Regulations and to monitor these contractors. It is for NHS England to approach the Department if they wish to discuss changes to the legislative arrangements. No such approach has been made.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 20/10/2014 16:34:38 answering member 4020 label Biography information for George Freeman
tabling member	1604 label Biography information for Mr Virendra Sharma

92830

registered interest
date	13/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Intellectual Property
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many items of intellectual property have been protected against exploitation; and what assessment he has made of the (a) financial and (b) other effects of the exploitation of intellectual property generated by National Institute of Health Research funding.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	210133
answer	answer is ministerial correction date of answer 20/10/2014 answer text <p>The Department’s National Institute for Health Research (NIHR) recognises the key role of Intellectual Property (IP) assets in driving innovation, and the importance of a range of associated activities such as fostering a culture of invention through to collaborating with industry. The NIHR standard research contract is worded to ensure appropriate exploitation of IP.</p><p> </p><p> </p><p> </p><p>For 2013-14, NIHR biomedical research centres and units reported a total of 98 patent applications granted, 106 licensing deals agreed, and 6 spin-off companies established.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 20/10/2014 16:50:17 answering member 4020 label Biography information for George Freeman
tabling member	1604 label Biography information for Mr Virendra Sharma