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625800

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Managers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they have taken to remove the use of confidentiality agreements in relation to the dismissal of senior NHS executives.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2819
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>Settlement agreements, including confidentiality clauses, are not required where an employee is dismissed including, for example, dismissal for gross misconduct. Such agreements are used where the employer and employee mutually agree to bring the employment relationship to an end, typically following an employment dispute.</p><p> </p><p>Settlement agreements are a matter for individual employers and no agreement can prevent either party from making a disclosure in the public interest if they choose to do so.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:44:45 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

625801

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Southport and Ormskirk Hospital NHS Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they endorse the decision of the Southport and Ormskirk NHS Trust to withhold from the public domain the reasons for the dismissal of the Chief Executive of the Trust.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2820
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Southport &amp; Ormskirk Hospitals NHS Trust advises that, in line with its employment policies, the Chief Executive has the right of appeal against the decision of the disciplinary panel, and it would therefore be inappropriate and unfair to comment on the allegations.</p><p> </p><p>The Trust has said that no aspect of the disciplinary investigation related to issues of patient care or safety.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:43:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

625804

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Richmond upon Thames
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what was the total funding given to each hospital within the Borough of Richmond in each of the last three years for which figures are available; and how much of that funding was for new capital expenditure.
tabling member printed	Baroness Kramer
uin	HL2823
answer	answer is ministerial correction date of answer 09/11/2016 answer text <p>The information requested is not held centrally.</p><p> </p><p>Overall capital expenditure for each of the last three years for South West London and St George’s Mental Health NHS Trust, which is responsible for Richmond Royal Hospital and Barnes Hospital in the Borough of Richmond, is shown in the table below:</p><p> </p><table><tbody><tr><td><p>2013-14</p></td><td><p>£2,080,000</p></td></tr><tr><td><p>2014-15</p></td><td><p>£9,723,000</p></td></tr><tr><td><p>2015-16</p></td><td><p>£22,000</p></td></tr><tr><td><p>Total</p></td><td><p>£11,825,000</p></td></tr></tbody></table><p> </p><p>Overall capital expenditure for each of the last three years for Hounslow and Richmond Community Healthcare NHS Trust, which is responsible for Teddington Memorial Hospital in the Borough of Richmond, is shown in the table below:</p><p> </p><table><tbody><tr><td><p>2013-14</p></td><td><p>£482,000</p></td></tr><tr><td><p>2014-15</p></td><td><p>£1,885,000</p></td></tr><tr><td><p>2015-16</p></td><td><p>£2,768,000</p></td></tr><tr><td><p>Total</p></td><td><p>£5,135,000</p></td></tr></tbody></table> answering member printed Lord Prior of Brampton question first answered 09/11/2016 17:09:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1557 label Biography information for Baroness Kramer

625820

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Waiting Lists
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether Clinical Commissioning Groups (CCGs) are penalised for breaches of targets set out in the NHS Constitution and pledges on waiting times, and Acute Hospital Trusts (AHTs) are not penalised for the same breaches; and if so, whether this represents differing treatment of CCGs and AHTs by NHS England.
tabling member printed	Baroness Shephard of Northwold
uin	HL2839
answer	answer is ministerial correction date of answer 09/11/2016 answer text <p>National Health Service clinical commissioning groups (CCGs) are not directly penalised for each breach of NHS Constitution waiting time commitments, or the associated operational standards. However, access to Quality Premium scheme funding, which CCGs can earn in addition to their normal allocations for achieving specific improvements in care or outcomes, is partially dependent on each CCG’s performance against waiting times standards. More broadly, NHS England is supported by legislation in exercising formal powers of direction if it is satisfied that a CCG is failing or at risk of failing to discharge its functions. The NHS Standard Contract provides for financial sanctions against acute hospital trusts for breaching waiting time operational standards.</p><p> </p><p>NHS England issues planning guidance annually, the latest of which is<em> NHS Operational Planning and Contracting Guidance 2017-2019</em>. This sets out the waiting time standards, other operational standards and quality requirements that providers of NHS healthcare services are expected to meet in order to deliver the rights and pledges in the NHS Constitution. Copies of the Guidance and the NHS Constitution are attached.</p><p> </p><p>These requirements are set out in the NHS Standard Contract that must be used by CCGs for all contracts with hospital providers of NHS healthcare services. The Contract sets out the consequences of breaches of the waiting time standards and other requirements by hospital providers. For waiting time standards, this consequence is in the form of a financial sanction.</p><p> </p><p>However, from 2016-17, the operation of contractual sanctions for poor performance against waiting time standards has been suspended where a hospital provider is receiving funding from the Sustainability and Transformation Fund (STF), and meets certain other specified conditions, including the agreement of performance trajectories with NHS Improvement and NHS England. These arrangements are arranged at avoiding ‘double jeopardy’ for hospital providers within scope of the STF. If they fail to achieve their agreed performance trajectories, these hospital providers will face withdrawal of an element of their STF funding by NHS Improvement, but will not face application of the normal contractual sanctions by their commissioners.</p> answering member printed Lord Prior of Brampton attachment 1 file name The NHS Constitution for England.pdf title NHS Constitution 2 file name NHS-operational-planning-guidance-201617-201819.pdf title NHS Operational Planning Guidance question first answered 09/11/2016 17:10:39 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	132 label Biography information for Baroness Shephard of Northwold

625821

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why NHS England have told commissioners that they cannot utilise non-recurrent reserves held in their funding allocation to mitigate future potential risks; and what are the reasons for putting commissioners into financial turnaround processes when they have sufficient reserves available to them to maintain their financial duties.
tabling member printed	Baroness Shephard of Northwold
uin	HL2840
answer	answer is ministerial correction date of answer 09/11/2016 answer text <p>The National Health Service leadership bodies have set out their own plan for delivering financial sustainability for the NHS, in the Five Year Forward View (October 2014) and <em>Strengthening Financial Performance and Accountability in 2016/17</em> document (July 2016), a copy of which is attached.</p><p> </p><p>It is clear that there is a significant financial challenge across the NHS, due to the increasing demand for health services as a consequence of the ageing and growing population, new drugs and treatments and safer staffing requirements. This is why we are investing the additional £10 billion the NHS has said it needs to implement its own plan for the future.</p><p> </p><p>It is absolutely sensible for reserves to be created as part of this plan, to help deliver financial sustainability and insulate the global health economy from financial risk. Decisions must be made at a macro level on the best and most efficient use of resources, to maximise benefit to front-line healthcare services.</p><p> </p><p>All clinical commissioning groups (CCGs) must comply with a financial framework, devised to support the delivery of this plan. Any CCG not doing so, will be required to devise a financial recovery plan as part of measures to improve the financial performance of that organisation.</p> answering member printed Lord Prior of Brampton question first answered 09/11/2016 17:12:04 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Strengthening_financial_performance_and_accountability_in_2016-17_-_Final_2.pdf title Strengthening Financial Accountability
tabling member	132 label Biography information for Baroness Shephard of Northwold

625839

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government with regard to (1) oocytes frozen for a patient's own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman, for each year from 2008 to 2015 (a) how many oocytes were frozen and how many have been thawed for the purposes of treatment by in vitro fertilisation; (b) of those which were thawed, how many were successfully fertilised and appeared to develop normally; and (c) of those, how many were transferred to a uterus, and how many of those transfers resulted in (I) a pregnancy, (ii) miscarriage, or (iii) live birth.
tabling member printed	Lord Winston
uin	HL2858
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority has provided data which can be found in the attached document. Table 1 shows the numbers of oocytes that have been frozen. Table 2 shows where a patient’s own oocytes have been thawed for their own use. Table 3 shows where the patient has used thawed donated oocytes and the outcomes.</p><p> </p><p>Table 1 is below. Tables 2 and 3 can be found in the attached document.</p><p> </p><p>Table 1 - the numbers of oocytes that have been frozen.</p><p> </p><table><tbody><tr><td><p>Year of Treatment</p></td><td><p>Number of eggs frozen for patient’s own use</p></td><td><p>Number of eggs frozen for donation</p></td></tr><tr><td><p>2008</p></td><td><p>2367</p></td><td><p>117</p></td></tr><tr><td><p>2009</p></td><td><p>2697</p></td><td><p>156</p></td></tr><tr><td><p>2010</p></td><td><p>2856</p></td><td><p>80</p></td></tr><tr><td><p>2011</p></td><td><p>3846</p></td><td><p>244</p></td></tr><tr><td><p>2012</p></td><td><p>4583</p></td><td><p>456</p></td></tr><tr><td><p>2013</p></td><td><p>5945</p></td><td><p>1090</p></td></tr><tr><td><p>2014</p></td><td><p>7190</p></td><td><p>2497</p></td></tr><tr><td><p>2015 (Mid year for treatments)</p></td><td><p>4431</p></td><td><p>2265</p></td></tr></tbody></table><p> </p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:54:26 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 20161103 - HL2858 - Lord Winston - Tables 2 and 3.pdf title Tables 2 and 3
tabling member	1770 label Biography information for Lord Winston

625840

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government with regard to (1) oocytes frozen for a patients' own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman, in how many cases for each year from 2008 to 2015 more than one embryo was transferred simultaneously to the uterus and how many multiple pregnancies or multiple births have resulted.
tabling member printed	Lord Winston
uin	HL2859
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority has provided data in the following table.</p><p>Patients using their own eggs:</p><table><tbody><tr><td><p>Year of treatment</p></td><td><p>Multiple Embryo Transfer events</p></td><td><p>Incidences of Multiple births or pregnancies from multiple embryo transfer events</p></td></tr><tr><td><p>2008</p></td><td><p>10</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>23</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>34</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2011</p></td><td><p>25</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2012</p></td><td><p>44</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2013</p></td><td><p>46</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2014 (Mid year for births)</p></td><td><p>58</p></td><td><p>0</p></td></tr><tr><td><p>2015 (Mid year for births)</p></td><td><p>38</p></td><td><p>*</p></td></tr></tbody></table><p>Patients using donor eggs:</p><table><tbody><tr><td><p>Year of treatment</p></td><td><p>Multiple Embryo Transfer Events</p></td><td><p>Incidences of Multiple births or pregnancies from multiple embryo transfer events</p></td></tr><tr><td><p>2008</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>Less than 5</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>21</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2011</p></td><td><p>46</p></td><td><p>5</p></td></tr><tr><td><p>2012</p></td><td><p>44</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2013</p></td><td><p>46</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2014 (Mid year for births)</p></td><td><p>64</p></td><td><p>7</p></td></tr><tr><td><p>2015 (Mid year for treatments)</p></td><td><p>74</p></td><td><p>*</p></td></tr></tbody></table><p>* Part year data not available.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:37:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625841

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government in each year from 2008 to 2015 what is the incidence of foetal abnormalities in births which have resulted from treatments using (1) oocytes frozen for a patients' own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman.
tabling member printed	Lord Winston
uin	HL2860
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has provided data in the following table. The HFEA advises that it can only provide data for outcomes up to 30/06/2014.</p><p> </p><table><tbody><tr><td rowspan="2"><p>Year of Treatment</p></td><td colspan="2"><p>Outcomes where abnormalities, or possible abnormalities, were seen</p></td></tr><tr><td><p>Patients using their own Eggs</p></td><td><p>Patients using donor eggs</p></td></tr><tr><td><p>2008</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>Less than 5</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2011</p></td><td><p>0</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2012</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2014 (mid year for births)</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:41:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625842

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government in respect of (1) oocytes frozen for a patient's own use in the UK, and (2) frozen oocytes for the purpose of donation to another woman, how many patients had a live birth after they reached the age of 35.
tabling member printed	Lord Winston
uin	HL2861
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has provided data in the following table. These treatments took place prior to 30 June 2014, which is the last date for which the HFEA holds verified data.</p><p> </p><table><tbody><tr><td><p>Patients, aged 35 &amp; over, using their own eggs in a treatment that leads to a live birth</p></td><td><p>29</p></td></tr><tr><td><p>Patients, aged 35 &amp; over, using donated eggs in a treatment that leads to a live birth</p></td><td><p>72</p></td></tr></tbody></table><p> </p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:36:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625846

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Travellers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they intend to implement the recommendation made in the Inclusion Health Board report <i>Hidden Needs: Identifying Key Vulnerable Groups in Data Collection</i>s that Gypsies and Travellers should be designated as particularly vulnerable.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2865
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>We recognise the importance of addressing the needs of vulnerable groups such as Gypsies and Travellers as part of our wider work on tackling health inequalities. We share the concerns of the <em>Hidden Needs: Identifying Key Vulnerable Groups in Data Collection</em> (2014) report, which identified the poor health experiences of some Gypsy and Traveller groups making them particularly vulnerable in terms of much higher rates of mortality and morbidity than the general population.</p><p> </p><p>The National Inclusion Health Board championed more effective local action to address these concerns. This included encouraging better local planning and commissioning of services, and improving access to them.</p><p> </p><p>Earlier this year, we published the board’s report <em>Impact of insecure accommodation and the living environment on Gypsies’ and Travellers’ health</em> (2016).This report built on concerns in earlier reports about the vulnerability of this group and sets out suggested actions to improve the living conditions and health outcomes of Gypsies and Travellers. It calls for more joined up working by local authorities, the National Health Service and responsible health agencies, and local public health services, and emphasises the importance of building greater community cohesion to address some of the key obstacles to the development of a healthy and sustainable environment for Gypsy and Traveller families. A copy of the report is attached.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:23:07 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Impact of insecure accommodation Gypsies and Traveller health.pdf title Impact of insecure accommodation report
tabling member	4301 label Biography information for Baroness Hodgson of Abinger