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385293

	registered interest
	date	24/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer Drugs Fund
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the total value of projected savings to be made by removing drugs and indications from the Cancer Drugs Fund in England over (1) Q1 of 2015–16, and (2) the whole of 2015–16.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL776
	answer	answer is ministerial correction date of answer 02/07/2015 answer text <p> </p><p /> <p>NHS England has advised that the projected value of savings from the Cancer Drugs Fund, as a result of removing drugs from the national list, is not yet available.</p><p /> <p> </p><p /> <p> </p><p /> <p> </p><p /> <p>Decisions to de-list drugs were made taking account of the need to ensure the limited resources of the Fund are used most effectively. Advances in medical science mean that new and exciting cancer medicines are emerging all the time and we want people to have access to these too.</p><p /> <p> </p><p /> <p> </p><p /> <p> </p><p /> <p>The Government established the Cancer Drugs Fund to ensure that cancer patients in England have better access to life-extending and improving drugs not routinely funded by the National Health Service.</p><p /> <p> </p><p /> <p> </p><p /> <p> </p><p /> <p>Between October 2010 and March 2015, the Fund has helped over 72,000 cancer patients.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 02/07/2015 15:54:13 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

432082

	registered interest
	date	24/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Atrial Fibrillation: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they are taking to promote opportunistic screening for atrial fibrillation.
	tabling member printed	Baroness Masham of Ilton
	type	WrittenParliamentaryQuestion
	uin	HL3855
	answer	answer is ministerial correction date of answer 08/12/2015 answer text <br /><p>NHS England is encouraging clinical commissioning groups to work with local practices to target people at risk of atrial fibrillation (AF). Innovative approaches such as pulse testing at flu clinics and by some dentists are being used to identify AF in older people. The NHS Health Check programme’s best practice guidance also recommends a pulse check is carried out as part of the process of taking a blood pressure reading. People found to have an irregular pulse rhythm should be referred to the general practitioner for further investigation.</p><br /><p>The National Institute for Health and Care Excellence (NICE) published an updated guideline on AF in June 2014. This offers evidence-based advice on the care and treatment of people with AF and includes recommendations on diagnosis. In July 2015 NICE also published a quality standard on AF.</p><br /><p>In addition to its clinical guideline on AF, NICE has published technology appraisal guidance on a number of new oral anticoagulants (NOACs), approving them for certain patients.</p><br /><p>There is a legal requirement on commissioners to provide funding for treatments and drugs recommended in NICE technology appraisal guidance within three months of the guidance being published.This is enshrined in the NHS Constitution as a right to NICE-approved drugs.</p><br /><p>A <a href="https://www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64" target="_blank">consensus statement</a> by the <a href="https://www.nice.org.uk/News/Article/new-collaborative-aims-to-increase-nice-guidance-uptake" target="_blank">NICE Implementation Collaborative</a> was published alongside NICE’s updated guideline in June 2014. This addresses some of the barriers to implementing NICE’s recommendations on prescribing NOACs.</p><br /><p>The need to reduce variation and strengthen compliance of the uptake of NICE technology appraisals was identified in <em>Innovation Health and Wealth</em>, published in December 2011. In response, NHS England and the Health and Social Care Information Centre now publishes on a quarterly basis an Innovation Scorecard to enable commissioners to benchmark their own position and increase transparency to patients and the public. This assists the NHS in the identification of variation and the adoption of treatments such as NOACs that are recommended in NICE technology appraisals. In addition, NHS England advises that it expects practitioners to consider anticoagulant treatments in line with NICE guidelines.</p><p>Some progress is being made. The uptake of NOACs across England has doubled in recent years from 45,708 per 100,000 of the resident population in 2013-14 to 126,845 in 2014-15.</p><br /><p><del class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</del></p><br /><p><del class="ministerial">Copies of the guidance referred to have been placed in the Library.</del></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">No assessment has been made of the number of strokes related to AF could be prevented each year through the roll-out of Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) in primary care. However, in 2014, an economic analysis estimated that if all eligible patients at high risk were managed according to the NICE AF guidelines, an additional 11,600 AF related strokes per year could be avoided.</ins></p><p><ins class="ministerial"></ins></p><p><ins class="ministerial">Copies of the guidance referred to, excluding GRASP-AF have been placed in the Library.</ins></p> answering member printed Lord Prior of Brampton question first answered 08/12/2015 12:43:31 question first ministerially corrected 09/12/2015 13:42:42 answering member 127 label Biography information for Lord Prior of Brampton previous answer version 34227 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1850 label Biography information for Baroness Masham of Ilton

422475

	registered interest
	date	20/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Ebola: Sierra Leone
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the answer by Baroness Verma on 19 October (HL Deb, col 438), whether they will publish a risk assessment on the threat to "the safety of the British public" which would be posed by the resumption of direct flights from the United Kingdom to Sierra Leone.
	tabling member printed	Baroness Hayman
	type	WrittenParliamentaryQuestion
	uin	HL2800
	answer	answer is ministerial correction date of answer 02/11/2015 answer text <br /><p>Public Health England’s latest published risk assessment to the United Kingdom population posed by the Ebola outbreak in West Africa was on 24 June 2015 and is attached. The Government continually assesses the risk and any proposals to resume direct flights will be considered by the Government in the context of these assessments.</p> answering member printed Lord Prior of Brampton question first answered 02/11/2015 17:04:18 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Hayman PHE RA.pdf title Ebola Risk Assesment
	tabling member	1649 label Biography information for Baroness Hayman

433383

	registered interest
	date	01/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Brighton and Sussex University Hospitals NHS Trust
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they are taking to ensure that the Brighton and Sussex University Hospitals NHS Trust deals effectively with the issues of racial discrimination and harassment identified by the Care Quality Commission.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL4101
	answer	answer is ministerial correction date of answer 09/12/2015 answer text <br /><p>The NHS Trust Development Authority (TDA) is monitoring and working closely with Brighton and Sussex University Hospitals NHS Trust to support the Trust to address these issues.</p><br /><p>We are advised by the TDA that the Trust’s Race Equality Workforce Engagement Strategy involves multiple work streams led by area specific engagement groups to address specific issues and challenges across all areas and levels of the Trust. It was launched at the joint Black and Minority Ethnic (BME) Network and Trust conference in October 2014.</p><br /><p>A programme board was established and the first meeting was in February 2015. Programme board meetings are co-chaired by the Chief Executive and the Chair of the BME Network in order to provide oversight, performance management and governance of the race equality action plans developed by the various engagement groups.</p><br /><p>We are assured by the TDA that the Trust followed procedures correctly in appointing the Chairman of the Trust to hear a right of appeal from nine BME members of staff against the decision of Henrietta Hill QC.</p> answering member printed Lord Prior of Brampton question first answered 09/12/2015 12:15:13 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

433384

	registered interest
	date	01/12/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Brighton and Sussex University Hospitals NHS 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 Brighton and Sussex University Hospitals NHS Trust followed its own procedures correctly in appointing the Chairman of the Trust to hear a right of appeal from nine BME members of staff against the decision of Henrietta Hill QC.
	tabling member printed	Lord Hunt of Kings Heath
	type	WrittenParliamentaryQuestion
	uin	HL4102
	answer	answer is ministerial correction date of answer 09/12/2015 answer text <br /><p>The NHS Trust Development Authority (TDA) is monitoring and working closely with Brighton and Sussex University Hospitals NHS Trust to support the Trust to address these issues.</p><br /><p>We are advised by the TDA that the Trust’s Race Equality Workforce Engagement Strategy involves multiple work streams led by area specific engagement groups to address specific issues and challenges across all areas and levels of the Trust. It was launched at the joint Black and Minority Ethnic (BME) Network and Trust conference in October 2014.</p><br /><p>A programme board was established and the first meeting was in February 2015. Programme board meetings are co-chaired by the Chief Executive and the Chair of the BME Network in order to provide oversight, performance management and governance of the race equality action plans developed by the various engagement groups.</p><br /><p>We are assured by the TDA that the Trust followed procedures correctly in appointing the Chairman of the Trust to hear a right of appeal from nine BME members of staff against the decision of Henrietta Hill QC.</p> answering member printed Lord Prior of Brampton question first answered 09/12/2015 12:17:10 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

427972

	registered interest
	date	11/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what information they hold on the occupancy levels of registered care homes in the last five years for which information is available.
	tabling member printed	Lord Warner
	type	WrittenParliamentaryQuestion
	uin	HL3562
	answer	answer is ministerial correction date of answer 19/11/2015 answer text <br /><p>The information requested is not collected centrally.</p> answering member printed Lord Prior of Brampton question first answered 19/11/2015 16:14:54 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1732 label Biography information for Lord Warner

422816

	registered interest
	date	21/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Patients
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many incidents requiring the attendance of the police occurred on mental health wards in the past 12 months; what were the ethnic, gender and age characteristics of the patients involved; and what was the ratio of staff to patients at the time of each incident.
	tabling member printed	Lord Ouseley
	type	WrittenParliamentaryQuestion
	uin	HL2863
	answer	answer is ministerial correction date of answer 02/11/2015 answer text <br /><p>This information is not collected centrally.</p> answering member printed Lord Prior of Brampton question first answered 02/11/2015 16:56:27 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2170 label Biography information for Lord Ouseley

391966

	registered interest
	date	21/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Atrial Fibrillation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is their estimate of the number of people with atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	type	WrittenParliamentaryQuestion
	uin	HL1729
	answer	answer is ministerial correction date of answer 27/07/2015 answer text <p> </p><p /> <p>Atrial fibrillation (AF) is often asymptomatic and not always detected. As a result many people have undiagnosed AF. Estimates have been produced to quantify the size of the undetected problem.</p><p /> <p> </p><p /> <p> </p><p /> <p> </p><p /> <p>According to the Quality and Outcomes Framework (QOF) the number of persons with atrial fibrillation in England is 883,938, or 1.6% of the population (2013/14 data). A copy of the QOF data is attached.</p><p /> <p> </p><p /> <p> </p><p /> <p> </p><p /> <p>Another estimate of AF is based on the study “Estimating the prevalence of atrial fibrillation in a general population using validated electronic health data”. According to these estimates, the number of persons with AF in England is 1,363,321, or 2.4% of the population (2013/14 data). This study implies that up to one third of AF cases are not reported. A copy of this study is attached.</p><p> </p><p> </p><p> </p> answering member printed Lord Prior of Brampton attachment 1 file name QOF AF prevalence (2).pdf title Quality & Outcomes Framework data 2 file name clep-5-475.pdf title Estimating the Prevalence of Atrial Fibrillation question first answered 27/07/2015 14:24:00 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	4171 label Biography information for Lord Black of Brentwood

167921

	registered interest
	date	04/12/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of indications that the introduction of plain packaging of tobacco products in other countries may have led to an increase in the consumption of cigarettes; and how they plan to take such findings into account before deciding whether to introduce such a policy in the United Kingdom.
	tabling member printed	Lord Palmer
	type	WrittenParliamentaryQuestion
	uin	HL3445
	answer	answer is ministerial correction date of answer 16/12/2014 answer text <p> </p><p /> <p>The Government continues to consider carefully all issues relevant to the introduction of standardised packaging of tobacco products, including emerging evidence from Australia. <br> <br> No final decision has been made on whether to introduce regulations to require standardised packaging of tobacco products.</p><p> </p><p> </p> answering member printed Earl Howe grouped question UIN HL3446 HL3447 HL3448 question first answered 16/12/2014 15:15:15 answering member 2000 label Biography information for Earl Howe
	tabling member	3192 label Biography information for Lord Palmer

156479

	registered interest
	date	18/11/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health: Weather
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what discussions have taken place internally within the Department of Health regarding the impact of cold homes on the health of older people.
	tabling member printed	Baroness Greengross
	type	WrittenParliamentaryQuestion
	uin	HL2921
	answer	answer is ministerial correction date of answer 02/12/2014 answer text <p> </p><p /> <p>The impact of cold homes on the health of older people has been discussed internally within the Department (DH) during the development of policy initiatives to prevent major avoidable effects on health during periods of cold weather. These initiatives include the <em><a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/365756/CWP_2014.pdf" target="_blank">The Cold Weather Plan for England</a></em>, <em><a href="https://www.gov.uk/government/publications/keep-warm-keep-well-leaflet-gives-advice-on-staying-healthy-in-cold-weather" target="_blank">Keep Warm Keep Well</a> </em>leaflet and the <em><a href="http://www.metoffice.gov.uk/learning/get-ready-for-winter" target="_blank">Get Ready For Winter</a></em> campaign hosted by the Met Office.</p><p /> <p> </p><p /> <p>Further discussions were held at the Annual Cold Weather Plan seminar<strong> – </strong>this stakeholder event brings together colleagues from the DH, Local Government Association, NHS England, Public Health England, academia and the voluntary and community sector to discuss issues around the cold weather plan and how to best support local action. In addition, discussions were held at the Health officials working group – this is a regular meeting attended by the Department of Energy and Climate Change, DH and Public Health England. The aim of this group is to share information on cold weather, fuel poverty and health impacts with a view to ensure the fuel poverty strategy is aligned with health policy.</p><p> </p> answering member printed Earl Howe question first answered 02/12/2014 14:11:48 answering member 2000 label Biography information for Earl Howe
	tabling member	2518 label Biography information for Baroness Greengross