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50426

registered interest
date	08/05/2014
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 what assessment Public Health England has made of whether the current number of consultants in dental public health is sufficient; and when they expect to make a decision on whether the current 12-month fixed-term contracts will be extended.
tabling member printed	Lord Colwyn
uin	HL7006
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Public Health England (PHE) has commenced a review of the number of dental public health consultants required to meet its statutory and non–statutory functions and this will report in the autumn 2014. A decision will be made on the fixed term contracts as part of the review.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50427

registered interest
date	08/05/2014
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 what proposals they have to increase the number of dental practices piloting the National Health Service's new contractual arrangements; and what is the timetable for those reforms to be completed.
tabling member printed	Lord Colwyn
uin	HL7007
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Decisions on the detailed shape of the next stage have not yet been taken. The forthcoming engagement exercise on the reforms with the dental community is intended to increase awareness of the process and allow an opportunity for the wider dental community to input.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50429

registered interest
date	08/05/2014
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 what assessment NHS England has made of the effectiveness of Local Area Teams in commissioning NHS dental services since April 2013.
tabling member printed	Lord Colwyn
uin	HL7009
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>We are informed by NHS England that the Direct Commissioning Assurance Framework, which was published in November 2013, sets out the methodology for how NHS England can demonstrate effective use of public funds in commissioning safe, high quality and sustainable services within available resources</p><p> </p><p>The assurance process is evidence-based and draws on a wide range of information and indicators to assess how well services are being commissioned. The evidence used includes local insight from area teams and wider National Health Service functions. A finance and performance delivery dashboard is also used and dental data is an important component of this. Through this process, NHS England is able to ensure that the delivery of NHS dental services is monitored as an important component of the assurance process and that any concerns are addressed promptly.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50229

registered interest
date	07/05/2014
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 often ministers of the Department of Health visit local communities across the country to verify that the figures in relation to health and social care on which policy is based equate with the facts that people experience on the ground.
tabling member printed	Lord Mawson
uin	HL6947
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Ministers in the Department frequently undertake visits to a wide range of health and social care settings across the country during which they meet a large numbers of staff, service users and patients.</p><p> </p><p>Since May 2010 Ministers in the Department have undertaken a total of 646 official visits.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3830 label Biography information for Lord Mawson

50255

registered interest
date	07/05/2014
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 which official, with what job title, is responsible and accountable for departmental management information in the Department of Health.
tabling member printed	Lord Mendelsohn
uin	HL6973
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Within the Department of Health the official who holds responsibility for Departmental management information is Richard Douglas, Director-General for Finance and the National Health Service.</p><p> </p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	4286 label Biography information for Lord Mendelsohn

50266

registered interest
date	07/05/2014
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, for each of the last three years for which figures are available, what was the total National Health Service expenditure on drugs and medicines produced by (1) AstraZeneca, (2) Pfizer, and (3) GlaxoSmithKline; and what percentage of the National Health Service's total expenditure on drugs and medicines each of those figures represents.
tabling member printed	Lord Oakeshott of Seagrove Bay
uin	HL6984
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The following table sets out for 2011, 2012 and 2013, National Health Service spend on medicines and percentage of spend, for AstraZeneca, Pfizer and GlaxoSmithKline in primary care only.</p><p> </p><p>This does not include data on NHS use of medicines in hospitals, as comparable current data sources do not take account of the discounts available.</p><p> </p><table><tbody><tr><td colspan="7"><p>Net ingredient cost and proportion of all primary care spend by manufacturer, in England, for the years 2011, 2012 and 2013, based on prescription items dispensed in the community in England.<sup>1</sup></p></td></tr><tr><td><p> </p></td><td colspan="2"><p>2011</p></td><td colspan="2"><p>2012</p></td><td colspan="2"><p>2013</p></td></tr><tr><td><p>Manufacturer name</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td></tr><tr><td><p>AstraZeneca</p></td><td><p>451,931</p></td><td><p>5.5</p></td><td><p>366,037</p></td><td><p>4.7</p></td><td><p>353,981</p></td><td><p>4.5</p></td></tr><tr><td><p>Pfizer</p></td><td><p>771,631</p></td><td><p>9.5</p></td><td><p>521,610</p></td><td><p>6.7</p></td><td><p>408,643</p></td><td><p>5.2</p></td></tr><tr><td><p>GlaxoSmithKline</p></td><td><p>597,634</p></td><td><p>7.3</p></td><td><p>565,881</p></td><td><p>7.2</p></td><td><p>542,992</p></td><td><p>6.9</p></td></tr><tr><td><p>Total (all primary care expenditure on medicines in England <sup>2</sup>)</p></td><td><p>8,164,364</p></td><td><p>100.0</p></td><td><p>7,840,390</p></td><td><p>100.0</p></td><td><p>7,888,304</p></td><td><p>100.0</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> Prescription Cost Analysis provided by the Health and Social Care Information Centre</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>This may not include spend on those medicines made by the companies that are also available generically.</p><p><sup>2. </sup>This total relates to all medicines contained within British National Formulary (BNF) Chapters 1 to 19. The cost of dressings and appliances contained within BNF Chapters 20 to 23 has been excluded.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2536 label Biography information for Lord Oakeshott of Seagrove Bay

50285

registered interest
date	07/05/2014
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, further to the Written Answer by the Parliamentary Under-Secretary of State for Health, Dr Daniel Poulter MP, on 18 March (HC Deb, 574W), how many of the 145 serious data breaches reported for acute trusts were the result of theft; how many individuals were involved; how many trusts were implicated; and how many trusts were involved in more than one such breach.
tabling member printed	Baroness Byford
uin	HL7003
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>In the period from 1 June 2013 to 14 March 2014 where details of serious incidents have been reported through the Health and Social Care Information Centre (HSCIC) Incident Reporting tool there have been 21 breaches reported by acute trusts under the categories of either ‘lost or stolen' hardware or paperwork. Seven of these are verified as theft and 14 are possible thefts but this has not been proven. 19 trusts each reported a single incident and one reported two.</p><p> </p><p>The numbers of individuals affected are indicated in the volume column of following table.</p><table><tbody><tr><td><p>ID</p><p>(IG Incident log look up number)</p></td><td><p>Lost or Stolen?</p></td><td><p>Volume (estimate in some cases)</p></td></tr><tr><td><p>IGI/1581</p></td><td><p>Lost/Stolen</p></td><td><p>29</p></td></tr><tr><td><p>IGI/1558</p></td><td><p>Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/1564</p></td><td><p>Lost/Stolen</p></td><td><p>132</p></td></tr><tr><td><p>IGI/1746</p></td><td><p>Lost/Stolen</p></td><td><p>20</p></td></tr><tr><td><p>IGI/1497</p></td><td><p>Lost/Stolen</p></td><td><p>38</p></td></tr><tr><td><p>IGI/1421</p></td><td><p>Stolen</p></td><td><p>46</p></td></tr><tr><td><p>IGI/1599</p></td><td><p>Lost/stolen</p></td><td><p>7</p></td></tr><tr><td><p>IGI/1316</p></td><td><p>Stolen</p></td><td><p>416</p></td></tr><tr><td><p>IGI/1255</p></td><td><p>Lost/Stolen</p></td><td><p>23</p></td></tr><tr><td><p>IGI/1256</p></td><td><p>Stolen</p></td><td><p>2</p></td></tr><tr><td><p>IGI/1251</p></td><td><p>Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/1206</p></td><td><p>Lost/stolen</p></td><td><p>13</p></td></tr><tr><td><p>IGI/1015</p></td><td><p>Lost/stolen</p></td><td><p>27</p></td></tr><tr><td><p>IGI/1160</p></td><td><p>Lost/stolen</p></td><td><p>1</p></td></tr><tr><td><p>IGI/947</p></td><td><p>Lost/Stolen</p></td><td><p>7</p></td></tr><tr><td><p>IGI/879</p></td><td><p>Lost/Stolen</p></td><td><p>15</p></td></tr><tr><td><p>IGI/730</p></td><td><p>Lost/Stolen</p></td><td><p>17</p></td></tr><tr><td><p>IGI/1385</p></td><td><p>Lost/Stolen</p></td><td><p>4</p></td></tr><tr><td><p>IGI/663</p></td><td><p>Stolen</p></td><td><p>100</p></td></tr><tr><td><p>IGI/493</p></td><td><p>Stolen</p></td><td><p>115</p></td></tr><tr><td><p>IGI/533</p></td><td><p>Lost/Stolen</p></td><td><p>5,000</p></td></tr></tbody></table><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3343 label Biography information for Baroness Byford

50287

registered interest
date	07/05/2014
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 whether they have considered strengthening National Health Service data confidentiality by removing the final digit of the postcode from each anonymised patient record uploaded from hospitals, general practitioner practices and other NHS bodies.
tabling member printed	Baroness Byford
uin	HL7005
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Anonymised records cannot include the last three digits of a postcode and would generally not include postcodes at all. A postcode is sometimes needed for analytical purposes, for example to calculate distances from a specific point such as a hazard but where this is the case, the data cannot be classed as anonymised and so there must be a clear legal basis for its use.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3343 label Biography information for Baroness Byford

49803

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 (1) non-cancer and (2) cancer-based lymphoedema and lipoedema patients were identified by the National Health Service in each of the last three years; how many such patients were treated by the National Health Service in each of the last three years; and what was the cost of those treatments.
tabling member printed	Baroness Greengross
uin	HL6823
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Hospital Episode Statistics (HES) data does not separately identify those cases of lymphoedema that are associated with cancer from those that are not, and is unable to identify cases of lipoedema as there is no coding available for this condition, based on the tenth revision of the International Classification of Diseases (ICD).</p><p>Further to this, HES data is not linked to costing information and therefore this information cannot be provided.</p><p> </p><p>In the following table we have provided the number of finished admission episodes (FAEs) for patients with a primary diagnosis of lymphoedema from 2010-11 to 2012-13.</p><table><tbody><tr><td><p>Year</p></td><td><p>FAE</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,887</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,026</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,099</p></td></tr></tbody></table><p> </p><p><em>Note:</em></p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission</p> answering member printed Earl Howe grouped question UIN HL6824 HL6825 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

49804

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 what research they support into the number of patients identified by the National Health Service as having lymphoedema or lipoedema.
tabling member printed	Baroness Greengross
uin	HL6824
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Hospital Episode Statistics (HES) data does not separately identify those cases of lymphoedema that are associated with cancer from those that are not, and is unable to identify cases of lipoedema as there is no coding available for this condition, based on the tenth revision of the International Classification of Diseases (ICD).</p><p>Further to this, HES data is not linked to costing information and therefore this information cannot be provided.</p><p> </p><p>In the following table we have provided the number of finished admission episodes (FAEs) for patients with a primary diagnosis of lymphoedema from 2010-11 to 2012-13.</p><table><tbody><tr><td><p>Year</p></td><td><p>FAE</p></td></tr><tr><td><p>2010-11</p></td><td><p>1,887</p></td></tr><tr><td><p>2011-12</p></td><td><p>2,026</p></td></tr><tr><td><p>2012-13</p></td><td><p>2,099</p></td></tr></tbody></table><p> </p><p><em>Note:</em></p><p>An FAE is the first period of admitted patient care under one consultant within one healthcare provider. FAEs are counted against the year or month in which the admission</p> answering member printed Earl Howe grouped question UIN HL6823 HL6825 question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross