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818610

	registered interest
	date	08/01/2018
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Levonorgestrel: Prices
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to investigate the pricing of levonorgestrel by pharmacies.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL4487
	answer	answer is ministerial correction date of answer 18/01/2018 answer text <p>The Department does not control prices of medicines sold at pharmacies without a prescription. Emergency hormonal contraception is however available free of charge on the National Health Service.</p> answering member printed Lord O'Shaughnessy question first answered 18/01/2018 12:22:42 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3869 label Biography information for Lord Myners

806362

	registered interest
	date	13/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Four Seasons Health Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they are in discussions with Four Seasons care homes to ensure that residents of its homes are not jeopardised by a failure of the company; and who is responsible for contingency planning in such a scenario.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL4160
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>On 14 December Four Seasons and H/2 agreed a standstill agreement until 2 April 2018 to enable the restructuring negotiations to proceed.</p><p>The Department has received updates from the Four Seasons Healthcare Group on the commercial situation.</p><p>The Care Quality Commission (CQC) has been, and will continue to, monitor the situation with Four Seasons Healthcare Group through the Market Oversight scheme. Market Oversight is a statutory scheme, as set out in the Care Act 2014, through which the CQC assesses the financial sustainability of those care organisation that local authorities may find difficult to replace should they fail and become unable to carry on delivering services.</p><p>The Care Act 2014 places temporary duties on local authorities to intervene to protect individuals where a care provider is no longer able to carry on because of business failure and services cease.</p><p>In 2015, Local Government Implementation Unit, Local Government Association, Association Directors of Adult Social Services and the Department published guidance to local authorities on contingency planning for provider failure. The Government is continuing to work with local authorities to ensure they have effective and up-to-date contingency plans in place.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2017 13:39:03 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3869 label Biography information for Lord Myners

806363

	registered interest
	date	13/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Four Seasons Health Care
	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 hedge fund the H2 is a fit and proper owner of the largest care home public group in the UK.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL4161
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>The Care Quality Commission (CQC) has advised the Department that the CQC does not assess whether owners of health and care providers are fit and proper and therefore they do not have a view on the appropriateness of H2. However, the CQC is making changes to their Registration function that in future should improve transparency of such ownership arrangements for the public.</p> answering member printed Lord O'Shaughnessy question first answered 21/12/2017 15:42:52 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3869 label Biography information for Lord Myners

671903

	registered interest
	date	11/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Care Homes: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 15 December 2016 (HL3810), how many care home providers are currently subject to the Care Quality Commission’s (CQC) Market Oversight Scheme where the CQC is exercising enhanced oversight of the financial sustainability of the care provider.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL4572
	answer	answer is ministerial correction date of answer 25/01/2017 answer text <p>There are currently 49 providers in the Market Oversight scheme, of which 38 are care home providers.</p><p> </p><p>The Care Quality Commission (CQC) have no right of veto in ensuring that a care group is adequately capitalised as this falls outside of the CQC’s regulatory remit. However, financial viability is considered in relation to all providers when they apply for registration with the CQC. The CQC will refuse registration if providers cannot demonstrate that they have the financial resources needed to provide and continue to provide the services as described in their statement of purpose and to the required standards. This assessment is made in relation to the applicant who will be a Registered Provider, but will not necessarily be the owner, as set out in the question. The CQC’s powers of enforcement are limited to Registered Providers. In all circumstances where poor care is identified during an inspection, the CQC will act to protect service users, whatever the cause, and this could include financial stress.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4573 question first answered 25/01/2017 15:39:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3869 label Biography information for Lord Myners

671904

	registered interest
	date	11/01/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Social Services: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the Care Quality Commission (CQC) has taken any action to review whether the owners of any adult social care provider have intentionally weakened the ability of the care provider to fulfil its duties to patients and other stakeholders by not taking sufficient steps to ensure that the care provider is adequately capitalised; and whether the CQC has taken or prepared action to sanction or initiate legal action in connection with the same.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL4573
	answer	answer is ministerial correction date of answer 25/01/2017 answer text <p>There are currently 49 providers in the Market Oversight scheme, of which 38 are care home providers.</p><p> </p><p>The Care Quality Commission (CQC) have no right of veto in ensuring that a care group is adequately capitalised as this falls outside of the CQC’s regulatory remit. However, financial viability is considered in relation to all providers when they apply for registration with the CQC. The CQC will refuse registration if providers cannot demonstrate that they have the financial resources needed to provide and continue to provide the services as described in their statement of purpose and to the required standards. This assessment is made in relation to the applicant who will be a Registered Provider, but will not necessarily be the owner, as set out in the question. The CQC’s powers of enforcement are limited to Registered Providers. In all circumstances where poor care is identified during an inspection, the CQC will act to protect service users, whatever the cause, and this could include financial stress.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL4572 question first answered 25/01/2017 15:39:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3869 label Biography information for Lord Myners

651828

	registered interest
	date	05/12/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Four Seasons Health Care
	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 debt levels of Four Seasons Health Care; whether they have any plans to intervene to protect the interests of patients; and whether they are able to require the company's private equity owner to invest new equity.
	tabling member printed	Lord Myners
	type	WrittenParliamentaryQuestion
	uin	HL3810
	answer	answer is ministerial correction date of answer 15/12/2016 answer text <p>Adult social care is largely delivered through an independent sector of care provider organisations that operate in a competitive market. As with any market, some providers enter and exit, which is an important mechanism for driving up quality and effectiveness. Market exits are regular occurrences and are handled effectively by local government.</p><p> </p><p>It is of course vital that vulnerable people with care needs do not have their services interrupted if their care provider failed financially and services stop. The Care Act 2014 introduced new duties on local authorities and the Care Quality Commission (CQC) to protect and reassure people with care needs, their families and friends. The Act places a duty on all local authorities in England to temporarily step in and make sure all people in their area continue to have their needs met, regardless of who pays for their care. Recognising that local authorities might struggle if a significant provider were to fail, the CQC has a new function to oversee and monitor the financial sustainability of the largest and most difficult to replace providers. The oversight function provides an early warning to relevant local authorities in the event that one of these providers is likely to fail and their services cease.</p><p> </p><p>Four Seasons Health Care is one of the providers that because of their size, is part of the CQC’s Market Oversight Scheme. CQC continues to monitor the finances of all of the providers in the scheme. Government has no powers to require a private company that is acting lawfully to change its financial approach.</p><p> </p><p>The Care Act 2014 also places new duties on local authorities to promote their local market to ensure all service users have a choice of high quality services available.</p> answering member printed Lord Prior of Brampton question first answered 15/12/2016 12:52:11 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3869 label Biography information for Lord Myners