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100036

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

99968

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what effect spending pre-emptions by NHS England have had on the ability of NHS England to ensure parity of esteem as required by the Health and Social Care Act 2012, the NHS Mandate for 2013 to 2015 and the Refreshed Mandate for 2014 to 2015.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2183
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Funding for mental health has increased by £120 million in 2014-15, a rise of 1.4% in cash terms. Total mental health spending will rise from £8.5 billion in 2013-14 to £8.62 billion in 2014-15.</p><p> </p><p> </p><p> </p><p>The Government has committed an additional £40 million funding boost for mental health services in 2014-15. A further £80 million in 2015-16 will be freed by NHS England from existing budgets.</p><p> </p><p> </p><p> </p><p>The Department and NHS England continue to work together to ensure that there are consistent messages to commissioners and providers about the importance of delivering parity of esteem for people with mental health needs.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England are responsible for setting the national tariff arrangements and are working together to develop a national payment system for mental health which promotes early intervention, access to effective evidence-based care, improved outcomes and recovery.</p><p> </p><p>The national tariff arrangements for 2015-16 will include examples of new and innovative payment models which local commissioners and providers may choose to adopt next year.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:24:43 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99969

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the procurement process operated by NHS England in relation to general practitioner practices allows for the track record of the bidders sufficiently to be taken into account in the procurement decision.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2184
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2185 question first answered 27/10/2014 12:39:20 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99970

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why the procurement process operated by NHS England in relation to general practitioner practices allows for references in respect of the bidders to be taken up rather than allowing for a review of their track record.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2185
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2184 question first answered 27/10/2014 12:39:21 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

93734

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Transatlantic Trade and Investment Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their assessment of the implications for the National Health Service of a successful outcome to the ongoing Transatlantic Trade and Investment Partnership negotiations between the European Union and the United States.
tabling member printed	Lord Empey
uin	HL2158
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Transatlantic Trade and Investment Partnership (TTIP) will not affect the way the United Kingdom Government runs the National Health Service. It has been made clear by negotiators from both the United States and the European Union that it is up to the UK alone to decide how the NHS is run and any assertion that TTIP will undermine the Government’s control of the NHS is a red herring.</p><p> </p><p> </p><p> </p><p>The TTIP could offer great benefits to British business and for British jobs. Greater consistency in existing and new regulatory requirements would make it easier for companies - especially small and medium enterprises - to access markets and, for patients, potentially help to increase access to new medicines and medical devices.</p><p> </p> answering member printed Earl Howe question first answered 21/10/2014 11:09:44 answering member 2000 label Biography information for Earl Howe
tabling member	4216 label Biography information for Lord Empey

93738

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they will take to make the National Health Service more efficient and to reduce mistakes in practice.
tabling member printed	Lord Taylor of Warwick
uin	HL2162
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. The NHS is on track to make up to £20 billion efficiency savings this parliament to reinvest into frontline care. We are confident that it will continue to make the efficiency improvements necessary to meet rising demand and protect the quality of the services delivered.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In a recent report commissioned by the Department, Frontier Economics has estimated that poor care could be costing the NHS up to £2.5 billion every year. In order to focus attention on the harms contributing to these costs and the savings that could be reinvested, a poster and leaflet will go out to all NHS hospitals to display this vital information to their staff.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>We have introduced a wide range of measures, including the Sign Up to Safety Campaign, Patient Safety Collaboratives, a new tougher inspection regime for providers and a reformed National Patient Safety Alert System to reduce mistakes in practice. In order to promote a culture of openness and transparency, that will enable organisations to learn from their mistakes, there will be the duty of candour in the event of serious harm. We are also publishing information on hospital performance, including staffing levels, as part of the new MyNHS website.</p><p> </p> answering member printed Earl Howe question first answered 21/10/2014 11:10:41 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

93679

registered interest
date	15/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many general practitioner practices in England have closed since June 2010; and how many have opened since January 2013.
tabling member printed	Lord Browne of Belmont
uin	HL2108
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The data requested is shown in the following table. It is not possible to show this by calendar month.</p><p> </p><p> </p><p> </p><p>It is important to note that these figures also include practice mergers and takeovers and do not provide an accurate representation of activity or service provision. For example, the merger of three practices would show as three practices closing and one opening.</p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Closed: England</p></td><td><p>Opened: England</p></td></tr><tr><td><p>2010</p></td><td><p>79</p><p> </p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2011</p></td><td><p>111</p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2012</p></td><td><p>124</p><p> </p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2013</p></td><td><p>126</p><p> </p><p> </p></td><td><p>13</p></td></tr><tr><td><p>2014 (to 31 August)</p></td><td><p>78</p></td><td><p>9</p></td></tr></tbody></table><p> </p><p>Source: HSCIC</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>Notes:</p><p> </p><p> </p><p> </p><p>Details for opened practices in 2010 to 2012 have not been provided, but are available.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:23:02 answering member 2000 label Biography information for Earl Howe
tabling member	3801 label Biography information for Lord Browne of Belmont

93696

registered interest
date	15/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicine: Education
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 3 June 2013 (HL210), whether they have altered their decision to reduce by two per cent the number of students entering medical schools in 2014; what were the findings of the 2014 review by Health Education England on the question; and whether they plan to expand the numbers significantly from 2015 and in later years.
tabling member printed	Lord Laird
uin	HL2125
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Government has not altered its decision to reduce, by 2%, the number of students entering medical school in 2014.</p><p> </p><p> </p><p> </p><p>Health Education England (HEE) has not, to date, undertaken a comprehensive review of medical student intake numbers since that undertaken by the Health and Education National Strategic Exchange review published in December 2012.</p><p> </p><p> </p><p> </p><p>The requirement for graduate doctors (and the medical student intakes that create this supply) will form an integral part of the 2015 annual workforce planning process undertaken by HEE.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:27:22 answering member 2000 label Biography information for Earl Howe
tabling member	2479 label Biography information for Lord Laird

93697

registered interest
date	15/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Doctors: Registration
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many doctors were registered to practise medicine by the General Medical Council (GMC) in the last five years; and how many of the first registrations with the GMC in each year were from doctors who gained their primary medical qualification in the European Economic Area, United Kingdom or rest of the world respectively.
tabling member printed	Lord Laird
uin	HL2126
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Department does not hold the information. This information is held by the General Medical Council and they have provided the information below for the purposes of answering this question.</p><p> </p><p> </p><p> </p><p>The following table shows the number of doctors joining the register for the first time, from 2009 to 2013, by the region of their primary medical qualification and first registration year.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>No. of Doctors</p></td></tr><tr><td> </td><td><p>2009</p></td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013</p></td></tr><tr><td><p>EEA</p></td><td><p>2,368</p></td><td><p>2,973</p></td><td><p>2,726</p></td><td><p>2,899</p></td><td><p>3,062</p></td></tr><tr><td><p>Non-EEA</p></td><td><p>2,579</p></td><td><p>2,959</p></td><td><p>2,437</p></td><td><p>2,222</p></td><td><p>2,379</p></td></tr><tr><td><p>UK</p></td><td><p>6,876</p></td><td><p>7,010</p></td><td><p>7,112</p></td><td><p>7,083</p></td><td><p>7,451</p></td></tr><tr><td><p>Grand Total</p></td><td><p>11,823</p></td><td><p>12,942</p></td><td><p>12,275</p></td><td><p>12,204</p></td><td><p>12,892</p></td></tr></tbody></table><p> </p><p><em>Source: General Medical Council</em></p><p> </p><p><em> </em></p><p> </p><p> </p><p> </p><p>The following table shows the number of doctors on the register at the end of each year by the region of their primary medical qualification. The number of registered doctors who hold a licence at the end of each year is also provided. A licence in necessary to work as a doctor in the UK, but holding one does not guarantee that a doctor is working.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>EEA</p></td><td colspan="2"><p>Non-EEA</p></td><td colspan="2"><p>UK</p></td></tr><tr><td><p>Year</p></td><td><p>No. of Doctors Registered</p></td><td><p>No. of Doctors Licensed</p></td><td><p>No. of Doctors Registered</p></td><td><p>No. of Doctors Licensed</p></td><td><p>No. of Doctors Registered</p></td><td><p>No. of Doctors Licensed</p></td></tr><tr><td><p>2009</p></td><td><p>21,177</p></td><td><p>19,495</p></td><td><p>64,685</p></td><td><p>59,857</p></td><td><p>145,498</p></td><td><p>139,161</p></td></tr><tr><td><p>2010</p></td><td><p>22,757</p></td><td><p>21,174</p></td><td><p>66,001</p></td><td><p>61,422</p></td><td><p>150,465</p></td><td><p>144,042</p></td></tr><tr><td><p>2011</p></td><td><p>24,032</p></td><td><p>22,398</p></td><td><p>66,574</p></td><td><p>61,892</p></td><td><p>155,258</p></td><td><p>148,442</p></td></tr><tr><td><p>2012</p></td><td><p>25,529</p></td><td><p>23,305</p></td><td><p>67,092</p></td><td><p>61,297</p></td><td><p>159,890</p></td><td><p>151,597</p></td></tr><tr><td><p>2013</p></td><td><p>27,114</p></td><td><p>23,931</p></td><td><p>67,821</p></td><td><p>59,893</p></td><td><p>164,688</p></td><td><p>154,397</p></td></tr></tbody></table><p> </p><p><em>Source: General Medical Council</em></p><p> </p><p><em> </em></p><p> </p><p><em> </em></p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p> </p><p> </p><p>1. Doctors will leave and re-join the register over the course of a year so the difference between each year end total will never be equal to the number of first time registrants in a year.</p><p> </p><p> </p><p> </p><p>2. These tables exclude doctors who were registered with a status of “Temporary full registration for special purpose registrations”, which allows doctors to be registered for a temporary period in order to treat non-UK nationals within the UK. For example, we had a significant number of doctors who were registered temporarily in 2012 to accompany their national team to the Olympic or Paralympic games. The tables also exclude “Temporary full registration for visiting eminent specialists”. These registrations are for doctors visiting the UK for a temporary period to provide specialist knowledge and skills in a particular branch of medicine and cannot exceed 26 weeks in a 5 year period.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:35:59 answering member 2000 label Biography information for Earl Howe
tabling member	2479 label Biography information for Lord Laird

93707

registered interest
date	15/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what percentage of patients who attempt to access talking therapies are offered the full choice of National Institute for Health and Care Excellence approved treatments.
tabling member printed	Baroness Royall of Blaisdon
uin	HL2136
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>National data is not available on the percentage of patients accessing talking therapies who are offered a choice of National Institute for Health and Care Excellence (NICE) approved psychological therapies.</p><p> </p><p> </p><p> </p><p>NICE has recommended a range of psychological therapeutic interventions in its clinical guidelines, including Cognitive Behavioural Therapy, Interpersonal therapy, brief dynamic interpersonal therapy, couple therapy for depression and counselling for depression.</p><p> </p><p> </p><p> </p><p>Not all psychological therapeutic interventions therapies are appropriate for all patients. The decision on the most appropriate therapy for each patient should be made between a patient and their clinician.</p><p> </p><p> </p><p> </p><p>In 2012, the Department agreed significant additional investment of £22 million in Improving Access to Psychological Therapies (IAPT) over three years up to 2015. The additional funding will be used to extend the range and availability of evidence-based therapies and is in addition to the investment made in 2010 of £400 million in the IAPT programme up to 2015.</p><p> </p> answering member printed Earl Howe question first answered 28/10/2014 15:16:25 answering member 2000 label Biography information for Earl Howe
tabling member	3703 label Biography information for Baroness Royall of Blaisdon