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100035

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	NHS: Reorganisation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
tabling member printed	Baroness McDonagh
uin	HL2241
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

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

100037

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	General Practitioners: Dismissal
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many general practitioners have been dismissed by primary care trusts, or by the Care Quality Commission, in each year since 2005.
tabling member printed	Baroness McDonagh
uin	HL2243
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The information requested is not centrally collected. Departmental officials are aware that the General Medical Council does collect some demographic data about doctors and this is published in its annual report ‘The state of medical education and practice in the UK’.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC), the independent regulator of health and adult social care in England, has registered all general practitioner (GP) practices since April 2012. The CQC’s role is to inspect and regulate GP practices, including those practices run by single-handed GPs. The CQC regulates at a provider level and may remove a practice’s registration where care is not meeting the required standard. Actions taken against an individual GP would be the responsibility of NHS England for contractual issues and the General Medical Council for professional issues.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:18:49 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

1012138

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Carillion: Insolvency
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, what "key information’ would have "smoothed the management of liquidation" following the collapse of Carillion.
tabling member printed	Baroness McDonagh
uin	HL11665
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The Government maintained the continuity of key public services after Carillion announced its decision to initiate insolvency proceedings in January 2018. The Official Receiver was appointed by the court as liquidator, along with PwC as Special Managers.</p><p>The Government took immediate action to minimise the impact on employees and employers by providing reassurance that those working on public sector contracts would continue to be paid and providing the necessary funding required to maintain public services while Carillion’s public sector contracts were transferred to alternative providers.</p><p>In future we will require, all providers of critical services to provide sufficient management information, for example, corporate structure, intra-group trading arrangements and dependencies (including details of shared services), key subcontractor and workforce information.</p> answering member printed Lord Young of Cookham question first answered 04/12/2018 14:50:29 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012139

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, what are the Key Performance Indicators for critical government contracts; which contracts the Key Performance Indicators will apply to; and whether there will be a statutory duty on suppliers to publish Key Performance Indicators.
tabling member printed	Baroness McDonagh
uin	HL11666
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>We will be publishing performance data on our most important contracts in the coming months and are currently working with departments and industry to finalise the details of publication. The published performance data will be contract specific and depend on the service provision.</p> answering member printed Lord Young of Cookham grouped question UIN HL11667 question first answered 04/12/2018 14:49:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012140

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, how the Key Performance Indicators for critical government contracts were selected; which stakeholders were consulted; and whether the Key Performance Indicators will be reviewed.
tabling member printed	Baroness McDonagh
uin	HL11667
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>We will be publishing performance data on our most important contracts in the coming months and are currently working with departments and industry to finalise the details of publication. The published performance data will be contract specific and depend on the service provision.</p> answering member printed Lord Young of Cookham grouped question UIN HL11666 question first answered 04/12/2018 14:49:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012141

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, what criteria determined the selection of Serco, Capita, Sopra Steria, Engie and Interserve in producing the first set of "living wills".
tabling member printed	Baroness McDonagh
uin	HL11668
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Serco, Capita, Sopra Steria, Engie and Interserve all volunteered to pilot the use of “living wills”. We will reflect the results of this pilot as we deploy “living wills” across all suppliers providing critical services.</p> answering member printed Lord Young of Cookham question first answered 04/12/2018 14:49:37 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012142

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, for how long the Cabinet Office anticipates that pilots of new outsourced services will last.
tabling member printed	Baroness McDonagh
uin	HL11669
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The nature of the pilots for new outsourced services will depend on the specific service provision. Individual departments will consider the most appropriate route and timeframe for piloting new outsourced services as part of the Business Case approval process which will include the appropriate governance and approval process in departments and central approvals through HM Treasury and Cabinet Office.</p> answering member printed Lord Young of Cookham question first answered 04/12/2018 14:34:01 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012143

registered interest
date	21/11/2018
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: Private Finance Initiative
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Chancellor of the Exchequer's Budget announcement that a new Private Finance Initiative unit will be established within the Department of Health and Social Care, how many staff will work in that unit; whether additional resources are being made available for that unit; and how many contracts that unit will be responsible for monitoring.
tabling member printed	Baroness McDonagh
uin	HL11670
answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Chancellor announced in the 2018 Budget that the Department would be establishing a Centre of Best Practice to improve the management of existing Private Finance Initiative contracts in the National Health Service. The Department and Her Majesty’s Treasury are currently discussing the configuration and resourcing of the Centre of Best Practice.</p> answering member printed Lord O'Shaughnessy question first answered 05/12/2018 17:35:17 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3701 label Biography information for Baroness McDonagh

1012528

registered interest
date	22/11/2018
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Insolvency
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the announcement that HMRC will become a preferred creditor in UK insolvencies, what (1) calculations were used, and (2) issues were considered when they concluded that the policy would create an additional £605 million in tax revenue between 2019–20 and 2023–24.
tabling member printed	Baroness McDonagh
uin	HL11720
answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>The tax base for this measure consists of company insolvencies with gains resulting from tax avoidance, evasion and phoenixism, in addition to the amount HMRC currently writes off every year due to insolvencies.</p><p>This is estimated from HMRC operational and administrative data and is grown in line with the Budget 2018 OBR determinant for Gross Domestic Product (GDP) at market prices deflator.</p><p> </p><p>The costing is the tax recovered from insolvencies that HMRC would not otherwise have collected before the policy was implemented. Adjustments are made for tax and payment timing.</p><p>The costing accounts for a behavioural response whereby the measure has a deterrent effect on future insolvency as some taxpayers become compliant.</p><p> </p><p><strong>At Budget 2018, the Government published a full assessment of the exchequer impacts which is attached.</strong></p><p> </p><p> </p><p> </p> answering member printed Lord Bates question first answered 06/12/2018 17:53:24 answering member 1091 label Biography information for Lord Bates attachment 1 file name Budget_2018_policy_costings_PDF.pdf title Budget2018 policy costings
tabling member	3701 label Biography information for Baroness McDonagh