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156520

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Campylobacter
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they will consider further action to encourage supermarkets to provide more information to customers about the campylobacter contamination rates of chickens sold.
tabling member printed	Lord Condon
uin	HL2943
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>Supermarkets do not provide this information to customers. The Food Standards Agency (FSA) is publishing quarterly results from its year-long retail survey of campylobacter on whole fresh chickens in order to further drive the implementation of poultry production methods that reduce campylobacter throughout the supply chain. The prime objective is to lower the levels of campylobacter on chickens so that there is minimal risk to consumers.</p><p> </p><p> </p><p> </p><p>In addition, through Food Safety Week 2014, the FSA has successfully focused on the message about safe handling of raw poultry which has had widespread coverage in the media. The FSA intends to periodically reinforce the messages to consumers to minimise the risk from cross-contamination by handling raw chicken carefully and to avoid washing it. The FSA has also worked closely with retailers so that the ‘Do not wash’ message is now being rolled out across all poultry packaging at retail.</p><p> </p> answering member printed Earl Howe question first answered 03/12/2014 15:46:58 answering member 2000 label Biography information for Earl Howe
tabling member	2171 label Biography information for Lord Condon

156521

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes
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 future wellbeing of severely disabled adults living in care homes that are due to be closed.
tabling member printed	Lord Lexden
uin	HL2944
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The Government has made no such assessment. Local authorities are responsible for assessing the social care needs of their populations and for arranging or providing care to meet their eligible needs.</p><p> </p><p> </p><p> </p><p>Should care homes have to close, it is for the relevant local authorities to assess the care needs of residents and ensure that suitable alternative provision is arranged for them if they are not able to do so for themselves.</p><p> </p><p><strong> </strong></p><p> </p><p>The Government is committed to improving outcomes for disabled people and supporting them to live independent lives. <em>Fulfilling Potential</em>, the Government’s Disability Strategy sets out to achieve our ambition of enabling disabled people – of all backgrounds and ages - to fulfil their potential and play a full role in society.</p><p> </p> answering member printed Earl Howe question first answered 27/11/2014 12:46:30 answering member 2000 label Biography information for Earl Howe
tabling member	4202 label Biography information for Lord Lexden

156530

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pharmaceutical Price Regulation Scheme
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 17 November (HL2576), whether small companies were represented in the negotiations over the new Pharmaceutical Price Regulation Scheme at the final stages when the number of negotiators were reduced to two; and if small company representatives were removed from the final negotiations, how the interests of such companies were maintained.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2953
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>The Association of the British Pharmaceutical Industry represented the interests of the whole United Kingdom pharmaceutical industry, including smaller companies, for the purposes of negotiating the 2014 Pharmaceutical Price Regulation Scheme (PPRS).</p><p> </p><p> </p><p> </p><p>The 2014 PPRS includes a number of provisions relating to smaller businesses. For example, companies with sales of health service medicines of less than £5 million a year (not counting global sales) are exempt from making any payments under the 2014 PPRS.</p><p> </p> answering member printed Earl Howe question first answered 03/12/2014 16:00:34 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156531

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they are taking to reduce amputation rates amongst the diabetic population.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2954
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>NHS England and clinical commissioning groups (CCGs) have responsibility for determining the overall approach to improving clinical outcomes from healthcare services for people with diabetes. There are various actions at a national level to help ensure that all patients with diabetes receive good quality care, including foot care.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care (NICE) Excellence has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. CCGs should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p> </p><p> </p><p> </p><p>As part of the Quality and Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p> </p><p> </p><p>The new National Diabetes Foot Care Audit, a module of the NDA, aims to establish the extent to which national guidelines on the management of diabetic foot disease are being met. The audit will provide local teams with the evidence needed to tackle any identified differences in practice which will lead in turn to an overall improvement in management and outcomes for patients. Local and national level results will be available March 2016.</p><p> </p><p> </p><p> </p><p>Diabetic foot disease is also a focus of the cardiovascular Strategic Clinical Networks across England, with an emphasis on rolling out best practice.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2957 question first answered 03/12/2014 15:51:47 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156532

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Podiatry
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what level of commissioned podiatry places are proposed by Health Education England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2955
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>Health Education England has commissioned higher education institutions to provide 365 new places for pre-registration podiatrists in the 2014-15 academic year.</p><p> </p> answering member printed Earl Howe question first answered 26/11/2014 12:48:11 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156533

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Podiatry
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 relationship between podiatry and better health outcomes, including for those with diabetes; and on what evidence that assessment is based.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2956
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>The Government recognises that podiatry is important for people’s physical and mental wellbeing. Regular foot care allows people to remain active and independent. It also offers alerts to early signs of other more serious health issues such as poor circulation and ulcers which is especially important for people who have diabetes.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care Excellence (NICE) recommends that people with diabetes have regular examinations to assess individual risk, and those at increased risk are referred to a member of a foot protection team for long-term surveillance. In addition NICE recommends that all people with diabetes have their foot risk assessed on admission to hospital for any reason; and any person with diabetes who has newly occurring foot disease be referred for urgent assessment by a member of a specialist multidisciplinary team.</p><p> </p><p><em> </em></p><p> </p><p>The National Audit Office report<em> The management of adult diabetes services in the NHS</em> published in May 2012, confirms that foot care examination is one of the basic care processes for people with diabetes, to be delivered annually to provide early recognition and management of risk factors that can prevent or delay the development of ulcers which can lead to amputations.</p><p> </p> answering member printed Earl Howe question first answered 26/11/2014 13:03:37 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156534

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Orthopaedics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what initiatives they have (1) considered, and (2) taken, to reduce the number of preventable amputations occurring within the National Health Service.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2957
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>NHS England and clinical commissioning groups (CCGs) have responsibility for determining the overall approach to improving clinical outcomes from healthcare services for people with diabetes. There are various actions at a national level to help ensure that all patients with diabetes receive good quality care, including foot care.</p><p> </p><p> </p><p> </p><p>The National Institute for Health and Care (NICE) Excellence has published clinical guidance and quality standards on the treatment of diabetes and its complications. The NICE Diabetes Quality Standard is clear that people with diabetes who are at risk of foot ulceration should receive regular reviews by a foot protection team in accordance with its clinical guidance. The Health and Social Care Act (2012) places a duty on NHS England to have regard to the NICE Quality Standards. CCGs should also have regard to them in planning and delivering services, as part of a general duty to secure a continuous improvement in quality.</p><p> </p><p> </p><p> </p><p>As part of the Quality and Outcomes Framework (QOF), general practitioners are remunerated for assessing nerve damage and poor blood supply to the feet in people with diabetes on an annual basis. Information is collected annually both through QOF returns and through the National Diabetes Audit (NDA).</p><p> </p><p> </p><p> </p><p>The new National Diabetes Foot Care Audit, a module of the NDA, aims to establish the extent to which national guidelines on the management of diabetic foot disease are being met. The audit will provide local teams with the evidence needed to tackle any identified differences in practice which will lead in turn to an overall improvement in management and outcomes for patients. Local and national level results will be available March 2016.</p><p> </p><p> </p><p> </p><p>Diabetic foot disease is also a focus of the cardiovascular Strategic Clinical Networks across England, with an emphasis on rolling out best practice.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2954 question first answered 03/12/2014 15:51:47 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156535

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Podiatry
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their estimate of the cost to the National Health Service of poor foot care management.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2958
answer	answer is ministerial correction date of answer 26/11/2014 answer text <p>The National Audit Office report <em>The management of adult diabetes services in the NHS</em> published in 2012, estimated that a reduction of late referrals to specialist foot teams by up to 50%, could save the National Health Service at least £34 million a year by decreasing the number of major amputations among people with diabetes.</p><p> </p><p> </p><p> </p><p>The College of Podiatry has recently produced a briefing paper entitled <em>The importance of podiatry to better health outcomes. </em>They estimate that the cost to the NHS of poor foot care management is in excess of £1 billion.</p><p> </p><p> </p><p> </p><p>The latest published National Diabetes Audit report shows that over 85% of all those with diabetes in England and Wales received a foot examination in 2011-12, as recommended by National Institute for Health and Care Excellence Guidelines for Diabetes in adults.</p><p> </p><p> </p><p> </p><p>Within NHS England the National Clinical Director for Rehabilitation and Recovering in the Community and the Chief Allied Health Professions Officer are leading work to improve adult rehabilitation services including collection and dissemination of best practice. Good rehabilitation services will enable the delivery of new local models of care that improve outcomes, such as improving/maintaining foot health, by putting the patient at the centre of their care, and a focus on their goals.</p><p> </p> answering member printed Earl Howe question first answered 26/11/2014 12:47:54 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

156539

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Illness
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what new initiatives have been launched to promote increased funding for research into mental health.
tabling member printed	Lord Bradley
uin	HL2962
answer	answer is ministerial correction date of answer 27/11/2014 answer text <p>The National Institute for Health Research (NIHR) is the largest United Kingdom funder of mental health research. The NIHR has already increased its investment in this field from £40.3 million in 2009-10 to £71.7 million in 2013-14.</p><p> </p><p> </p><p> </p><p>NIHR funding for experimental medicine infrastructure is contractually committed for five years to March 2017. This includes £48.9 million for the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and the King’s College London Institute of Psychiatry.</p><p> </p><p> </p><p> </p><p>Five NIHR research programmes are currently open to researcher-led funding applications within their respective remits, including applications in mental health:</p><p> </p><p>- Efficacy and Mechanism Evaluation;</p><p> </p><p>- Health Services and Delivery Research;</p><p> </p><p>- Health Technology Assessment (HTA);</p><p> </p><p>- Public Health Research; and</p><p> </p><p>- Research for Patient Benefit.</p><p> </p><p> </p><p> </p><p>In addition, the HTA programme has issued current calls for research proposals on the following topics:</p><p> </p><p>- improving the mental health of children and young people with long term conditions; and</p><p> </p><p>- lithium or an antipsychotic as adjunctive therapy to an antidepressant for patients with treatment resistant depression.</p><p> </p> answering member printed Earl Howe question first answered 27/11/2014 12:47:39 answering member 2000 label Biography information for Earl Howe
tabling member	452 label Biography information for Lord Bradley

156545

registered interest
date	19/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when the planned clinical audit of sexual health and HIV services is planned to be commissioned; and how long it is expected to take.
tabling member printed	Baroness Gould of Potternewton
uin	HL2968
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>Following a tendering exercise that concluded in August 2014, the Healthcare Quality Improvement Partnership (HQIP) appointed a contractor to carry out a one year feasibility study for this work. It is anticipated that the contract will commence in December with a report being provided at the end of the one-year contract, for evaluation by HQIP, NHS England, the Welsh Government and their advisors.</p><p> </p> answering member printed Earl Howe question first answered 03/12/2014 15:45:49 answering member 2000 label Biography information for Earl Howe
tabling member	3573 label Biography information for Baroness Gould of Potternewton