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838321

registered interest
date	07/02/2018
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	Hospitals: South East
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many vacancies exist for (1) nurses, (2) junior doctors, and (3) consultants, in NHS Trust hospitals in (a) Sussex, (b) Surrey, and (c) Kent.
tabling member printed	Lord Bassam of Brighton
uin	HL5459
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>The information is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 14:47:12 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3504 label Biography information for Lord Bassam of Brighton

838331

registered interest
date	07/02/2018
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	Social Services: Learning Disability
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Statement by the first Secretary of State on 16 November 2017 (HCWS25), what progress they have made on the parallel programme of work for the care of younger adults, in particular those with learning disabilities.
tabling member printed	Baroness Bertin
uin	HL5465
answer	answer is ministerial correction date of answer 14/02/2018 answer text <p>The programme of work on adults of working age with care needs, which is led jointly by the Department of Health and Social Care and the Ministry of Housing, Communities and Local Government, has begun initial engagement with stakeholders. Later this month, the Minister of State for Care (Caroline Dinenage) and Parliamentary Under-Secretary of State for Local Government (Rishi Sunak) will jointly host a roundtable discussion to bring together views from across the sector on the issues facing adults of working age with care needs.</p><p>It is important that this work is informed by a range of perspectives and there will be further opportunities for interested stakeholders to feed in their views in due course.</p> answering member printed Lord O'Shaughnessy question first answered 14/02/2018 14:32:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4577 label Biography information for Baroness Bertin

838344

registered interest
date	07/02/2018
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	Drugs: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to convene an advisory panel to develop substance misuse guidance, focused specifically on older adults; and what lessons they have learned from the Welsh Government regarding the benefits of such a panel.
tabling member printed	Lord Chadlington
uin	HL5474
answer	answer is ministerial correction date of answer 21/02/2018 answer text <p>The Advisory Council on the Misuse of Drugs has a statutory duty to monitor drug misuse in the United Kingdom and provide advice to Government on measures to address this. The Government has no plans to convene a separate advisory panel to develop substance misuse guidance focused specifically on older adults. In 2017, Public Health England updated clinical guidelines for clinicians treating people with drug use problems, which contains a section addressing the importance of preventing and treating drug use problems in older people. The guidelines were developed by an expert group and are kept under regular review. A copy of <em>Drug misuse and dependence: UK guidelines on clinical management</em> is attached.</p><p>The Government has not held discussions with the Welsh Government specifically on the benefits of its advisory panel on substance misuse.</p> answering member printed Lord O'Shaughnessy question first answered 21/02/2018 17:42:24 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name clinical_guidelines_2017.pd.pdf title Drug misuse and dependence UK guidelines
tabling member	3318 label Biography information for Lord Chadlington

838372

registered interest
date	07/02/2018
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	Hospital Beds
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what was the total number of NHS hospital beds on 31 March in (1) 1992, (2) 1997, (3) 2002, (4) 2007, (5) 2012, and (6) 2017.
tabling member printed	Lord Naseby
uin	HL5493
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>Information is not available in the format requested. Data is not collected on the total number of beds. Since April 2010 NHS England collects quarterly data from all National Health Service organisations on available overnight and day only beds and the total number of occupied bed days by consultant led specialty, excluding critical care beds.</p><p>Prior to 2010-11 bed data was captured through an annual return collecting bed information by ward classification.</p><p>A table showing the numbers of these NHS hospital beds is attached owing to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 16:39:36 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL5493 - table - Lord Naseby total beds data formatted.docx title HL5493 table
tabling member	1251 label Biography information for Lord Naseby

838379

registered interest
date	07/02/2018
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: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they intend to take to address the reported practice of drugs manufacturers supplying unlicensed medicines or special orders to the NHS at an inflated cost.
tabling member printed	Lord Pendry
uin	HL5498
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>Our priority is to ensure that patients have access to safe and effective medicines.</p><p> </p><p>For unlicensed medicines known as ‘specials’, reimbursement arrangements are in place that provide value for money in the majority of instances.</p><p> </p><p>No company should exploit the National Health Service. That is why the Department will lay new regulations in the next few months that will require all specials manufacturers to provide information to the Department related to their sales. This will provide more transparency about the costs of specials and make our reimbursement arrangements more robust.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 14:47:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	457 label Biography information for Lord Pendry

838049

registered interest
date	06/02/2018
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	Pneumococcal Diseases: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will place in the Library of the House copies of estimates made by the Joint Committee on Immunisation and Vaccination of the number of cases of invasive pneumococcal disease that may result from a reduction in the number of doses in the infant pneumococcal vaccination programme.
tabling member printed	Baroness Greengross
uin	HL5403
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>Public Health England has undertaken modelling on the impact of a reduced dose pneumococcal conjugate vaccine (PCV) schedule in the United Kingdom. The Joint Committee on Vaccination and Immunisation (JCVI) reviewed the modelling in October 2017 and after considering all relevant evidence advised a revised schedule for PCV13 vaccine, with vaccination offered at three months and 12 months.</p><p>The JCVI is currently undertaking a consultation on their advice, therefore the estimates requested are not yet finalised. The modelling will be submitted for publication in a peer reviewed journal in spring 2018.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 17:35:40 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2518 label Biography information for Baroness Greengross

838051

registered interest
date	06/02/2018
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	Pneumococcal Diseases: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to conduct a public consultation on changing the pneumococcal vaccination programme, following advice from the Joint Committee on Vaccination and Immunisation to move to a "1 + 1" schedule for pneumococcal vaccine use in children.
tabling member printed	Baroness Greengross
uin	HL5404
answer	answer is ministerial correction date of answer 14/02/2018 answer text <p>The Joint Committee on Vaccination and Immunisation (JCVI) provides independent expert advice on the United Kingdom immunisation programme. It bases its recommendations on a comprehensive review of a wide range of scientific and other evidence, including from the published literature, and commissioned studies such as independent analyses of vaccine effectiveness and cost effectiveness. It can consult with stakeholders on its advice when it deems this necessary.</p><p>At its meeting in October 2017, the JCVI advised a change to the UK’s childhood pneumococcal conjugate vaccine (PCV) schedule. It recommended that infants should receive a single dose in infancy followed by a booster at one year of age (a “1+1” schedule). This advice was based on high vaccine uptake and effectiveness of the current PCV programme in the UK which has reduced vaccine-preventable pneumococcal disease.</p><p>The JCVI conducted a short focused consultation in January on its proposed advice about the PCV schedule. This concluded on 2 February. It is understood that some stakeholders have requested an extension to this consultation. The JCVI considered this request at its meeting on 7 February and their decision on this will be made public shortly. It is the JCVI rather than the Government that is best placed to carry out consultation about scheduling within the vaccine programme and who to target the consultation at.</p> answering member printed Lord O'Shaughnessy question first answered 14/02/2018 14:39:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2518 label Biography information for Baroness Greengross

838090

registered interest
date	06/02/2018
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	Schools: Counselling
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 effectiveness of in-school counselling to successfully deliver early interventions across children’s and young people’s mental health services in England.
tabling member printed	Lord Porter of Spalding
uin	HL5429
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>School-based counselling can play an important role as part of wider support for the mental health of children and young people. This includes reducing psychological distress that children and young people may experience as a result of facing a range of life difficulties, supporting young people who are having difficulties within relationships with family or friends, and supporting young people who are having difficulty managing their emotions, such as anger. Many pupils report improvements in their capacity to study and learn following counselling and frequently report that counselling helps them to concentrate, as well as increasing motivation for school and schoolwork.</p><p> </p><p>As part of its CYP-Improving Access to Psychological Therapies programme, NHS England supported Higher Education Institutions to deliver training to enhance the effectiveness of counsellors in delivering evidence-based early interventions for mental health. In 2016/17, 14 counselling therapists were trained to work in a variety of settings and this year a further 13 will be trained to treat anxiety and mild depression. This training is being delivered by two training providers.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 17:37:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4555 label Biography information for Lord Porter of Spalding

838115

registered interest
date	06/02/2018
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: Royal Commissions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have any plans to appoint a royal commission on the NHS; and, if not, why not.
tabling member printed	Lord Stoddart of Swindon
uin	HL5445
answer	answer is ministerial correction date of answer 20/02/2018 answer text <p>There is currently no plan to establish a Royal Commission. The Government has made clear that the long term sustainability of the National Health Service is a key priority and is backing the NHS’s Five Year Forward View plan with a £10 billion a year real terms increase in funding by 2020/21.</p><p>In the November Budget, the Government committed to backing the NHS in England further so that by 2019/20 it will have received an additional £2.8 billion of revenue funding for frontline services than previously planned over the period. This included £337 million this winter to help trusts to increase capacity.</p><p>It also committed £3.5 billion of new capital investment by 2022/23 to transform its estate and drive further efficiency savings.</p><p>In addition, for other core NHS services, such as mental health and primary care, the Department of is making a further £540 million available through the NHS England Mandate over the coming financial year.</p><p>We are actively working with NHS England and national partners to use the period covered by the Five Year Forward View to put in place the necessary steps for the future.</p> answering member printed Lord O'Shaughnessy question first answered 20/02/2018 14:46:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	950 label Biography information for Lord Stoddart of Swindon

838127

registered interest
date	06/02/2018
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	Midwives and Nurses: Degrees
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many (1) nurses, and (2) midwives, on the Nursing and Midwifery Council register hold a degree-level qualification in (a) nursing, and (b) midwifery.
tabling member printed	Lord Willis of Knaresborough
uin	HL5455
answer	answer is ministerial correction date of answer 14/02/2018 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom and is responsible for nurse and midwifery registration. In order to join its register, the NMC must be satisfied that an applicant is capable of practising safely and effectively. As part of its registration process the NMC assesses an applicant’s qualifications, training and experience against its registration standards.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5456 question first answered 14/02/2018 14:25:06 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4151 label Biography information for Lord Willis of Knaresborough