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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

823177

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	Clinical Trials: EU Law
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 consequences of failing to align with the forthcoming EU Clinical Trials Regulation on (1) the UK medical research sector, and (2) patient access to cross-border clinical trials.
tabling member printed	Baroness Hayter of Kentish Town
uin	HL4668
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support the United Kingdom medical research sector and patient access to cross-border clinical trials after we leave the EU.</p><p>In the United Kingdom, the Medicines and Healthcare products Regulatory Agency, Health Research Authority, ethics services, National Institute for Health Research and the National Health Service have been working towards implementation of the new European Clinical Trials Regulation (CTR) since it was agreed in 2014. The application date of the CTR across the EU is yet to be set by the European Commission, but is expected to be in 2019.</p><p>Whatever the outcome of the UK’s EU exit negotiations, the current regulatory approval legislation will stay in place until such time as any changes are needed, so there will be no interruption in UK clinical trials approval. The EU Withdrawal Bill will make the current UK clinical trials regulations (2004 2001/1031) that implement the clinical trials directive (2001/20/EC) operable on exit day and this is not contingent on any decision about whether the CTR will apply in the future.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4670 question first answered 24/01/2018 16:00:34 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

823179

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	Clinical Trials: EU Law
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend that the EU Clinical Trials Regulation 536/2014, which is not due to come into effect until after the UK has left the EU, will have direct effect in UK law.
tabling member printed	Baroness Hayter of Kentish Town
uin	HL4670
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Government values the strong collaborative partnerships that we have across the European Union in the areas of science, research and innovation, and as part of exit negotiations is working to ensure that we have the best possible environment in which to support the United Kingdom medical research sector and patient access to cross-border clinical trials after we leave the EU.</p><p>In the United Kingdom, the Medicines and Healthcare products Regulatory Agency, Health Research Authority, ethics services, National Institute for Health Research and the National Health Service have been working towards implementation of the new European Clinical Trials Regulation (CTR) since it was agreed in 2014. The application date of the CTR across the EU is yet to be set by the European Commission, but is expected to be in 2019.</p><p>Whatever the outcome of the UK’s EU exit negotiations, the current regulatory approval legislation will stay in place until such time as any changes are needed, so there will be no interruption in UK clinical trials approval. The EU Withdrawal Bill will make the current UK clinical trials regulations (2004 2001/1031) that implement the clinical trials directive (2001/20/EC) operable on exit day and this is not contingent on any decision about whether the CTR will apply in the future.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4668 question first answered 24/01/2018 16:00:34 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

823180

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	Yeovil District Hospital NHS Foundation Trust
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 Yeovil District Hospital NHS Foundation Trust has fully engaged with staff in accordance with the NHS constitution when considering major changes in the way services are provided.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4671
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Yeovil District Hospital NHS Foundation Trust have informed NHS Improvement they carried out informal staff engagement about the proposed changes during October 2017, in addition to a formal 30-day staff consultation during November 2017.</p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:06:19 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

823181

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: Reorganisation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what sanctions are available to deal with NHS organisations that do not fully engage with staff in accordance with the NHS constitution when considering major changes in the way services are provided.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4672
answer	answer is ministerial correction date of answer 29/01/2018 answer text <p>The NHS Constitution pledges to engage staff in decisions that affect them and the services they provide. All National Health Service organisations are expected to adhere to this expectation, but are not legally obliged to do so. A failure to engage with staff may lead to investigation and the imposition of mandated support or enforcement action. Foundation trusts have a council of governors, which includes staff representatives, which can hold the board to account.</p> answering member printed Baroness Chisholm of Owlpen question first answered 29/01/2018 16:53:42 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

823182

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	Yeovil District Hospital NHS Foundation Trust
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 Yeovil District Hospital NHS Foundation Trust fully consulted with partners in their local Sustainability and Transformation Partnerships over proposals to establish a wholly-owned company to run estates and other support services.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4673
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Yeovil District Hospital NHS Foundation Trust briefed all members of the Somerset Sustainability and Transformation Plan footprint (Somerset and Taunton Foundation Trust, Somerset Partnership Foundation Trust, Somerset Clinical Comissioning Group and Somerset County Council) about its plans to establish a wholly-owned company to run its estates and other support services. As required by the National NHS Standard Contract, the Trust sought and received permission from Somerset CCG, Dorset CCG and NHS England Specialist Commissioning for some of the estates services previously delivered by the Trust to be delivered by the new wholly-owned subsidiary.</p><p>NHS Improvement has advised that following legal advice sought by the Trust, informal staff consultation took place in October 2017 and that a further formal consultation took place in November 2017.</p><p>National Health Service organisations are responsible for deciding locally the most appropriate structures they need to deliver services to their patients within available resources.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4674 HL4675 question first answered 24/01/2018 16:04:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

823183

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	Yeovil District Hospital NHS Foundation Trust
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 Yeovil District Hospital NHS Foundation Trust fully consulted with staff over the full details of proposals to establish a wholly-owned company to run estates and other support services.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4674
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Yeovil District Hospital NHS Foundation Trust briefed all members of the Somerset Sustainability and Transformation Plan footprint (Somerset and Taunton Foundation Trust, Somerset Partnership Foundation Trust, Somerset Clinical Comissioning Group and Somerset County Council) about its plans to establish a wholly-owned company to run its estates and other support services. As required by the National NHS Standard Contract, the Trust sought and received permission from Somerset CCG, Dorset CCG and NHS England Specialist Commissioning for some of the estates services previously delivered by the Trust to be delivered by the new wholly-owned subsidiary.</p><p>NHS Improvement has advised that following legal advice sought by the Trust, informal staff consultation took place in October 2017 and that a further formal consultation took place in November 2017.</p><p>National Health Service organisations are responsible for deciding locally the most appropriate structures they need to deliver services to their patients within available resources.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4673 HL4675 question first answered 24/01/2018 16:04:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

823184

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	Yeovil District Hospital NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what discussions, if any, they had with the Yeovil District Hospital NHS Foundation Trust about options for the Trust to make major savings, before the Trust proposed to establish a wholly-owned company to run estates and other support services; and what options were considered.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4675
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>Yeovil District Hospital NHS Foundation Trust briefed all members of the Somerset Sustainability and Transformation Plan footprint (Somerset and Taunton Foundation Trust, Somerset Partnership Foundation Trust, Somerset Clinical Comissioning Group and Somerset County Council) about its plans to establish a wholly-owned company to run its estates and other support services. As required by the National NHS Standard Contract, the Trust sought and received permission from Somerset CCG, Dorset CCG and NHS England Specialist Commissioning for some of the estates services previously delivered by the Trust to be delivered by the new wholly-owned subsidiary.</p><p>NHS Improvement has advised that following legal advice sought by the Trust, informal staff consultation took place in October 2017 and that a further formal consultation took place in November 2017.</p><p>National Health Service organisations are responsible for deciding locally the most appropriate structures they need to deliver services to their patients within available resources.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4673 HL4674 question first answered 24/01/2018 16:04:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

823193

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	Alzheimer's Disease and Parkinson's Disease
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to support research and drug development for Alzheimer’s and Parkinson’s disease; and what assessment they have made of Pfizer’s recent decision to end funding for research into both diseases.
tabling member printed	The Marquess of Lothian
uin	HL4684
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>The Government’s 2020 Dementia Challenge is galvanising dementia and neurodegeneration research including into Alzheimer’s and Parkinson’s disease. The National Institute for Health Research, which is funded through the Department, is playing a central role in ensuring the success of this strategy. The <em>Prime Minister’s Challenge on Dementia 2020 Implementation Plan</em>, sets out how funding partners, including from Government, the life sciences industry and charities, will make this the best country in the world for dementia and neurodegeneration research. A copy of the Implementation Plan is attached. Researchers need targets to develop drugs and treatments. Whilst it is inevitable that companies such as Pfizer will disinvest from unpromising approaches, research to better understand disease processes will lead to identification of new targets for the development of drugs and other treatments.</p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:05:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name PM_Dementia-main_acc (1).pdf title Prime Minister's Challenge on Dementia 2020
tabling member	259 label Biography information for The Marquess of Lothian

823215

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: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many actions for clinical negligence were filed against NHS England institutions in each of the last ten years; how many of those actions were (1) brought to trial, and (2) withdrawn; and what was the average length of time between filing and conclusion.
tabling member printed	Lord Sharkey
uin	HL4706
answer	answer is ministerial correction date of answer 24/01/2018 answer text <p>General practitioners’ (GPs) and dentists’ indemnity to cover clinical negligence payments is currently provided privately by Medical Defence Organisations. The Department does not have access to this information regarding primary care and dentistry.</p><p>NHS Resolution has provided the following information:</p><p>NHS Resolution has included all clinical negligence claims, excluding those against independent sector organisations.</p><p>NHS Resolution has advised that many of these claims have not been settled yet and so the number of claims that have been taken to trial and the number of claims that have closed with nil damages will increase over time. Likewise the time to resolution, i.e. notification to settlement of damages, is based on claims that have settled so far. This figure will change when further claims have been resolved, especially in the more recent years.</p><p> </p><p>The following table shows clinical negligence claims notified 2007/08 to 2016/17 as at 31/03/2017 excluding claims against independent sector organisations.</p><table><tbody><tr><td><p>Year of Notification</p></td><td><p>Number of Claims Received</p></td><td><p>Number of Claims Settled with Nil Damages</p></td><td><p>Number of Claims that have gone to Trial</p></td><td><p>Average Time from Notification to Settlement of Damages (years)</p></td></tr><tr><td><p>2007/08</p></td><td><p>5,468</p></td><td><p>1,933</p></td><td><p>24</p></td><td><p>1.47</p></td></tr><tr><td><p>2008/09</p></td><td><p>6,092</p></td><td><p>2,121</p></td><td><p>37</p></td><td><p>1.44</p></td></tr><tr><td><p>2009/10</p></td><td><p>6,656</p></td><td><p>1,897</p></td><td><p>39</p></td><td><p>1.30</p></td></tr><tr><td><p>2010/11</p></td><td><p>8,642</p></td><td><p>2,651</p></td><td><p>48</p></td><td><p>1.26</p></td></tr><tr><td><p>2011/12</p></td><td><p>9,132</p></td><td><p>2,840</p></td><td><p>83</p></td><td><p>1.32</p></td></tr><tr><td><p>2012/13</p></td><td><p>10,117</p></td><td><p>3,343</p></td><td><p>68</p></td><td><p>1.33</p></td></tr><tr><td><p>2013/14</p></td><td><p>11,908</p></td><td><p>3,968</p></td><td><p>52</p></td><td><p>1.25</p></td></tr><tr><td><p>2014/15</p></td><td><p>11,404</p></td><td><p>3,758</p></td><td><p>28</p></td><td><p>1.08</p></td></tr><tr><td><p>2015/16</p></td><td><p>10,841</p></td><td><p>3,231</p></td><td><p>1</p></td><td><p>0.80</p></td></tr><tr><td><p>2016/17</p></td><td><p>10,441</p></td><td><p>1,314</p></td><td><p>1</p></td><td><p>0.48</p></td></tr></tbody></table><p> </p> answering member printed Lord O'Shaughnessy question first answered 24/01/2018 16:02:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4196 label Biography information for Lord Sharkey