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49912

	registered interest
	date	06/05/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many contracts for National Health Service services were awarded between (1) October 2012 and March 2013, (2) April 2013 and September 2013, and (3) October 2013 and March 2014, to (a) National Health Service bodies, (b) third sector organisations, and (c) any other organisations; what was the value of each of those contracts; and what they estimate will be the number and value of such contracts in the same six-month periods in 2020.
	tabling member printed	Lord Owen
	type	WrittenParliamentaryQuestion
	uin	HL6887
	answer	answer is ministerial correction date of answer 12/05/2014 answer text <p>The information requested on contract awards is not held centrally.</p><p> </p><p>Individual commissioners (clinical commissioning groups and NHS England) are responsible for taking fair and transparent decisions on the award of contracts to the providers most capable of meeting the needs of their populations and providing value for money.</p><p> </p><p>It is therefore not possible to provide an estimate centrally on the number and value of contracts that will be awarded to different types of provider in 2020.</p><p> </p> answering member printed Earl Howe question first answered 12/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
	tabling member	992 label Biography information for Lord Owen

381744

	registered interest
	date	17/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Expenditure
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what they expect will be the total expenditure on the National Health Service for each of the years 2014–15 and 2015–16.
	tabling member printed	Lord Tebbit
	type	WrittenParliamentaryQuestion
	uin	HL597
	answer	answer is ministerial correction date of answer 23/06/2015 answer text <p>The Department expects to spend £113.3 billion in 2014-15 and £116.6 billion in 2015-16 on health and social care, of which £98.1 billion and £101.1 billion respectively was allocated to NHS England to commission health services.</p><p> </p><p> </p><p> </p><p>These figures represent total Departmental Expenditure Limit spending and include National Health Service commissioners, NHS providers, the Department of Health itself and its arm’s length bodies, including Public Health England and Health Education England.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/06/2015 16:18:45 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	952 label Biography information for Lord Tebbit

381745

	registered interest
	date	17/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Expenditure
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what part of the total expenditure on the National Health Service during 2014–15 was incurred (1) by general practice, (2) by individual hospitals, and (3) in respect of administration of the National Health Service (a) at Government level, and (b) by NHS management above the level of individual hospitals.
	tabling member printed	Lord Tebbit
	type	WrittenParliamentaryQuestion
	uin	HL598
	answer	answer is ministerial correction date of answer 23/06/2015 answer text <p>The 2014-15 data is not available as the accounts are still being audited.</p> answering member printed Lord Prior of Brampton question first answered 23/06/2015 16:18:59 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	952 label Biography information for Lord Tebbit

101009

	registered interest
	date	27/10/2014
	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, further to the announcement by NHS England that general practitioners are to be paid an additional £55 for diagnosing dementia in patients, what other complaints or illnesses diagnosed by general practitioners are already rewarded by payments additional to their salaries; and whether they will review the system of additional payments of this sort.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL2465
	answer	answer is ministerial correction date of answer 05/11/2014 answer text <p>General Practitioner (GP) income is made up of global sum payments for carrying out essential and additional services under the contract. Practices may also receive further payments for specific services including:</p><p> </p><p> </p><p> </p><p>- enhanced services – those that require an enhanced level of service provision above what is required under the core contract. The additional payment for diagnosing dementia falls within this category; and</p><p> </p><p> </p><p> </p><p>- the quality and outcomes framework (QOF) - a voluntary incentive scheme that provides payment to GP practices for how well they care for patients based on performance against a number of agreed indicators.</p><p> </p><p> </p><p> </p><p>Specifically on diagnosis, a number of QOF indicators are concerned with the establishment of disease registers. In order to receive payment GPs are required to ensure diagnosis levels consistent with those expected for their population for the following conditions:</p><p> </p><p> </p><p> </p><p>- atrial fibrillation;</p><p> </p><p>- coronary heart disease;</p><p> </p><p>- heart failure;</p><p> </p><p>- hypertension;</p><p> </p><p>- peripheral arterial disease;</p><p> </p><p>- stroke and trans-ischaemic attack;</p><p> </p><p>- diabetes mellitus;</p><p> </p><p>- hypothyroidism;</p><p> </p><p>- asthma;</p><p> </p><p>- chronic obstructive pulmonary disease;</p><p> </p><p>- dementia;</p><p> </p><p>- depression;</p><p> </p><p>- schizophrenia, bipolar affective disorder and other psychoses and other patients on lithium therapy;</p><p> </p><p>- cancer;</p><p> </p><p>- chronic kidney disease;</p><p> </p><p>- epilepsy;</p><p> </p><p>- osteoporosis;</p><p> </p><p>- rheumatoid arthritis; and</p><p> </p><p>- obesity.</p><p> </p><p><strong> </strong></p><p> </p><p> </p><p> </p><p>Each year NHS Employers, on behalf of NHS England, negotiates the new GP contract with the General Practitioners Council of the British Medical Association. This includes discussion of changes to the Enhanced Services and QOF.</p><p> </p> answering member printed Earl Howe question first answered 05/11/2014 12:10:48 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon

164535

	registered interest
	date	24/11/2014
	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, further to the Written Answer by Earl Howe on 5 November (HL2465), what is the amount of the enhanced payment for each of the 20 medical conditions listed.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL3128
	answer	answer is ministerial correction date of answer 04/12/2014 answer text <p>The 20 medical conditions listed in the answer of 5 November (HL2465) relate to indicators in the Quality and Outcomes Framework (QOF). QOF is a voluntary incentive scheme that provides additional reward to general practitioner practices for how well they care for patients based on performance against a number of agreed indicators.</p><p> </p><p> </p><p> </p><p>Each indicator is assigned a number of QOF points, further detail is set out on the NHS Employers website:</p><p> </p><p> </p><p> </p><p>http://www.nhsemployers.org/your-workforce/primary-care-contacts/general-medical-services/quality-and-outcomes-framework</p><p> </p><p> </p><p> </p><p>QOF points are awarded according to level of achievement. In 2014-15 there is a possible total of 559 points. The value of each QOF point is set out in the Statement of Financial Entitlements and is currently £156.92. The final payment is weighted to take account of the practice population.</p><p> </p> answering member printed Earl Howe question first answered 04/12/2014 13:41:49 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon

166109

	registered interest
	date	25/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS: Pay
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they place a limit on the daily payment of doctors, nurses and other professionally qualified staff hired by the National Health Service from the private sector.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL3167
	answer	answer is ministerial correction date of answer 05/12/2014 answer text <p>It is not for the Department to place a limit on the daily payment of doctors, nurses and other professionally qualified staff hired by the National Health Service from the private sector.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their contract and agency staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>Trusts have access to these staff at appropriate prices through frameworks managed by the Crown Commercial Service and the 4 NHS procurement hubs and we are working with, for example, Monitor and the NHS Trust Development Authority, to encourage trusts to use these frameworks.</p><p> </p><p> </p><p> </p><p>Following the Francis report many trusts have increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>Where appropriate, we shall also be using the newly published section 42 guidance, for trusts requiring financial support, to expect those trusts to reduce their spending on agency staffing over the course of the next financial year.</p><p> </p> answering member printed Earl Howe question first answered 05/12/2014 14:20:55 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon

177005

	registered interest
	date	02/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity
	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 21 January (HL4010) concerning the purchase of new ambulances to convey patients who are grossly obese, whether they will promote the policy that the cure for obesity is to "eat less" rather than providing treatments including surgery free of charge on the National Health Service.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL4635
	answer	answer is ministerial correction date of answer 13/02/2015 answer text <p>The prevention and treatment of overweight and obesity through diet and exercise remain our priority. We have a well-developed and wide-ranging programme of actions to reduce levels of obesity and promote a strong healthy eating message. These include working with a wide range of partners including Public Health England, NHS England, other Government departments; including the Department for Education and Department for Transport, and through voluntary partnership with industry. Key initiatives include Change4Life, the National Child Measurement Programme, NHS Health Checks, Change4Life Sports Clubs, school sports funding and the School Food Plan.</p><p> </p> answering member printed Earl Howe question first answered 13/02/2015 15:27:35 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon

178635

	registered interest
	date	09/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Doctors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many (1) male, and (2) female, medical doctors including general practitioners are employed by the National Health Service.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL4785
	answer	answer is ministerial correction date of answer 23/02/2015 answer text <p>As at 30 September 2013 there were more than 5,600 (headcount) more doctors working and training in the hospital and community health services (HCHS) and general practice than in September 2010.</p><p> </p><p> </p><p> </p><p>The Health and Social Care Information Centre annual workforce census provides data on the number of HCHS medical and dental staff and the number of general practitioners working and training in the National Health Service in England. The latest information is for 30 September 2013 and shows there were 148,968 doctors, including registrars and retainers. 79,593 of these were male and 69,375 were female. The next census will be published on 25 March 2015 and will show the position at 30 September 2014.</p><p> </p><p> </p><p> </p><p>The attached table shows the number of doctors by gender from 2003-2013.</p><p> </p> answering member printed Earl Howe question first answered 23/02/2015 13:35:33 answering member 2000 label Biography information for Earl Howe attachment 1 file name HL4785 drs gender formatted.xlsx title Doctors by Gender 2003-2013
	tabling member	950 label Biography information for Lord Stoddart of Swindon

179219

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco
	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 10 February (HL4473) concerning meetings with Action on Smoking and Health, whether they have had meetings with the Freedom Organisation for the Right to Enjoy Smoking Tobacco; and whether they continue to uphold an embargo on closed meetings with the tobacco industry.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL4956
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>Ministers and officials meet a range of organisations on a regular basis to discuss tobacco control. Details of Ministerial meetings with external stakeholders are published quarterly in arrears on the Gov.UK website:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings" target="_blank">https://www.gov.uk/government/collections/ministerial-gifts-hospitality-overseas-travel-and-meetings</a><br> <br></p><p> </p><p>No meetings were held by the Department over the period 1 January 2012 and 27 January 2015 with the Freedom Organisation for the Right to Enjoy Smoking Tobacco.<br> <br></p><p> </p><p>The Department does not have an embargo on meeting any business or organisation.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 11:44:25 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon

179220

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Smoking
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they take into account the volume of smuggled cigarettes and other tobacco products when calculating the percentage of the United Kingdom's population who smoke.
	tabling member printed	Lord Stoddart of Swindon
	type	WrittenParliamentaryQuestion
	uin	HL4957
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>The Government’s national ambition to reduce smoking prevalence among adults in England is measured using data from the Office for National Statistics “Integrated Household Survey”.</p><p> </p><p> </p><p> </p><p>This survey asks the following two questions relating to smoking: “Have you ever smoked a cigarette, a cigar, or a pipe?” and “Do you smoke cigarettes at all nowadays?”</p><p> </p><p> </p><p> </p><p>Background, methodology and other information relevant to this survey is available online at:</p><p> </p><p> </p><p> </p><p>http://www.ons.gov.uk/ons/guide-method/method-quality/specific/social-and-welfare-methodology/integrated-household-survey/index.html</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:05:36 answering member 2000 label Biography information for Earl Howe
	tabling member	950 label Biography information for Lord Stoddart of Swindon