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784671

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what advice or direction they have given to clinical commissioning groups in relation to the reconfiguration of local services, specifically (1) the removal and closure of walk-in centres opened under the reforms set out in the Darzi Review, and (2) the use of apps to replace local services with technology.
tabling member printed	Lord Blunkett
uin	HL2889
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>Local commissioners have been asked to review their current local urgent care facilities against the key Urgent Treatment Centres standards and make a decision for each facility; these decisions should be based on local patient need and take into consideration current and planned future provision of urgent and primary care services.</p><p> </p><p>NHS England is working with clinical commissioning groups to develop complementary online channels to operate alongside existing services, which offer patients choice and flexibility. This includes the deployment of NHS 111 Online to all areas in England, allowing people to connect with urgent health care services through either a web-based or app-based interface.</p><p> </p><p>NHS Improvement is leading the effort to standardise and enhance the service offer, make sure services are best positioned to reduce unnecessary attendances at accident and emergency departments, and help patients understand what services are available wherever they are in the country.</p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 15:55:28 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	395 label Biography information for Lord Blunkett

784674

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Computers
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 broken and unrepaired laptops in NHS hospitals and clinics; and whether they will take steps to ensure that NHS doctors and other clinicians have uninterrupted access to working laptops so far as is necessary for sound clinical practice.
tabling member printed	Lord Carlile of Berriew
uin	HL2892
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Department does not collect data on the number of broken and unrepaired laptops in National Health Service trusts and clinics. The provision and servicing of information technology equipment in NHS trusts is a matter for individual trusts.</p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 15:56:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1138 label Biography information for Lord Carlile of Berriew

784707

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rickets
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have any plans to designate a group of health care professionals to be accountable and responsible for the prevention of rickets and its complications.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2925
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Government has no plans to designate a group of healthcare professionals focused on the prevention of rickets.</p><p>Rickets can generally be prevented by ensuring that children have a healthy, balanced diet, spend some time outside in the sun and take appropriate supplements containing ten micrograms of vitamin D. There is already a range of resources available to increase awareness of the need for vitamin D supplements, including advice on the NHS Choices website on the importance of vitamin D for bone health, and supplements are readily available over the counter and through the Healthy Start vitamins scheme.</p><p>In August the National Institute for Health and Care Excellence (NICE) updated its public health guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, in the light of the 2016 Scientific Advisory Committee on Nutrition report on Vitamin D and health. A copy of <em>Vitamin D: supplement use in specific population groups </em>is attached. This guideline includes recommendations on how to: increase access to and availability of vitamin D supplements, including for at-risk groups such as the BAME community, ensure health professionals recommend vitamin D supplements, raise awareness of the importance of these supplements amongst the population, and monitor provision and uptake of vitamin D supplements. Local commissioners will wish to consider how best to take forward these recommendations in respect of local BAME populations.</p><p>The Government has made no formal assessment of the research referred to. Given the widespread availability of vitamin D supplements and clear guidance to health professionals and the public the Government does not believe there is a need for further strategies to prevent rickets.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:33:04 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name vitamin-d-supplement-use-in-specific-population-groups-pdf-1996421765317.pdf title Vitamin D supplement use
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

784708

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rickets: Ethnic Groups
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what analysis they have undertaken of the steps necessary to protect members of the BAME community from the risk of rickets and its complications.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2926
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Government has no plans to designate a group of healthcare professionals focused on the prevention of rickets.</p><p>Rickets can generally be prevented by ensuring that children have a healthy, balanced diet, spend some time outside in the sun and take appropriate supplements containing ten micrograms of vitamin D. There is already a range of resources available to increase awareness of the need for vitamin D supplements, including advice on the NHS Choices website on the importance of vitamin D for bone health, and supplements are readily available over the counter and through the Healthy Start vitamins scheme.</p><p>In August the National Institute for Health and Care Excellence (NICE) updated its public health guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, in the light of the 2016 Scientific Advisory Committee on Nutrition report on Vitamin D and health. A copy of <em>Vitamin D: supplement use in specific population groups </em>is attached. This guideline includes recommendations on how to: increase access to and availability of vitamin D supplements, including for at-risk groups such as the BAME community, ensure health professionals recommend vitamin D supplements, raise awareness of the importance of these supplements amongst the population, and monitor provision and uptake of vitamin D supplements. Local commissioners will wish to consider how best to take forward these recommendations in respect of local BAME populations.</p><p>The Government has made no formal assessment of the research referred to. Given the widespread availability of vitamin D supplements and clear guidance to health professionals and the public the Government does not believe there is a need for further strategies to prevent rickets.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:33:25 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name vitamin-d-supplement-use-in-specific-population-groups-pdf-1996421765317.pdf title Vitamin D supplement use
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

784709

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rickets
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of research published in Endocrine Connections finding (1) that the UK does not provide information to new parents before discharge on the necessity of infant vitamin D supplementation, and (2) that the vitamin D supplementation programme in infants is not monitored.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2927
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Government has no plans to designate a group of healthcare professionals focused on the prevention of rickets.</p><p>Rickets can generally be prevented by ensuring that children have a healthy, balanced diet, spend some time outside in the sun and take appropriate supplements containing ten micrograms of vitamin D. There is already a range of resources available to increase awareness of the need for vitamin D supplements, including advice on the NHS Choices website on the importance of vitamin D for bone health, and supplements are readily available over the counter and through the Healthy Start vitamins scheme.</p><p>In August the National Institute for Health and Care Excellence (NICE) updated its public health guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, in the light of the 2016 Scientific Advisory Committee on Nutrition report on Vitamin D and health. A copy of <em>Vitamin D: supplement use in specific population groups </em>is attached. This guideline includes recommendations on how to: increase access to and availability of vitamin D supplements, including for at-risk groups such as the BAME community, ensure health professionals recommend vitamin D supplements, raise awareness of the importance of these supplements amongst the population, and monitor provision and uptake of vitamin D supplements. Local commissioners will wish to consider how best to take forward these recommendations in respect of local BAME populations.</p><p>The Government has made no formal assessment of the research referred to. Given the widespread availability of vitamin D supplements and clear guidance to health professionals and the public the Government does not believe there is a need for further strategies to prevent rickets.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:33:44 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name vitamin-d-supplement-use-in-specific-population-groups-pdf-1996421765317.pdf title Vitamin D supplement use
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

784710

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Rickets
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to develop strategies to implement a rickets prevention policy alongside the existing infection prevention policy of vaccinations, in the light of evidence published in Endocrine Connections demonstrating that the UK has the worst adherence to infant vitamin D supplementation in Europe.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2928
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The Government has no plans to designate a group of healthcare professionals focused on the prevention of rickets.</p><p>Rickets can generally be prevented by ensuring that children have a healthy, balanced diet, spend some time outside in the sun and take appropriate supplements containing ten micrograms of vitamin D. There is already a range of resources available to increase awareness of the need for vitamin D supplements, including advice on the NHS Choices website on the importance of vitamin D for bone health, and supplements are readily available over the counter and through the Healthy Start vitamins scheme.</p><p>In August the National Institute for Health and Care Excellence (NICE) updated its public health guidance on increasing vitamin D supplement use among population groups at risk of vitamin D deficiency, in the light of the 2016 Scientific Advisory Committee on Nutrition report on Vitamin D and health. A copy of <em>Vitamin D: supplement use in specific population groups </em>is attached. This guideline includes recommendations on how to: increase access to and availability of vitamin D supplements, including for at-risk groups such as the BAME community, ensure health professionals recommend vitamin D supplements, raise awareness of the importance of these supplements amongst the population, and monitor provision and uptake of vitamin D supplements. Local commissioners will wish to consider how best to take forward these recommendations in respect of local BAME populations.</p><p>The Government has made no formal assessment of the research referred to. Given the widespread availability of vitamin D supplements and clear guidance to health professionals and the public the Government does not believe there is a need for further strategies to prevent rickets.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:33:59 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name vitamin-d-supplement-use-in-specific-population-groups-pdf-1996421765317.pdf title Vitamin D supplement use
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

784727

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chronic Fatigue Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in the light of the BMJ best practice guidance on chronic fatigue syndrome published in July, whether there are any National Health Service tests available for autoimmune and metabolic dysfunction.
tabling member printed	The Countess of Mar
uin	HL2945
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning many healthcare services to meet the needs and requirements of their local population, including those for people with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). In doing so, CCGs will commission services that reflect the needs of local people and that support improvements in health and healthcare outcomes.</p><p> </p><p>The current National Institute for Health and Care Excellence (NICE) guidance on ME/CFS does not recommend routine autoimmune or metabolic testing but advises that diagnosis should be made after all other possible diagnoses have been excluded. Shared decision making should take place during diagnosis and all phases of care between the person with ME/CFS and healthcare professionals.</p><p> </p><p>On 20 September 2017, NICE announced plans to undertake a full review of the guidance.</p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:15:54 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

784744

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to improve the detection of hepatitis B and hepatitis C.
tabling member printed	Baroness Randerson
uin	HL2962
answer	answer is ministerial correction date of answer 20/11/2017 answer text <p>The National Institute for Health and Clinical Excellence (NICE) guidelines are available to help raise awareness of, and testing for, hepatitis B and C infection in people at increased risk of infection. Screening for hepatitis B and C is recommended in groups who are at increased risk of infection so that diagnosed individuals can be referred for specialist care and management. NICE has also produced best practice guidance on hepatitis B antenatal screening and the new-born immunisation programme.</p><p> </p><p>NHS England commissions the infectious diseases in pregnancy screening programme, including the screening for hepatitis B, as of part of the maternity pathway. In addition and as part of health services commissioned for those in detained settings, NHS England is rolling out an ambitious Opt-Out Blood Borne Viruses (BBV) testing programme. The key aim is to improve uptake rates for hepatitis B and hepatitis C testing by the introduction of good practice for ‘meaningful offer’ of BBV testing across the adult prison estate by end of 2017-18.</p> answering member printed Lord O'Shaughnessy question first answered 20/11/2017 12:17:03 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4230 label Biography information for Baroness Randerson

784906

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, for what reasons the contract to administer training grants for GPs through Primary Care Services England was outsourced in September 2015.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	111696
answer	answer is ministerial correction date of answer 13/11/2017 answer text <p>The reimbursement of trainer’s grants is linked with the administration of general practitioner (GP) payments. This is a service which is managed, on behalf of NHS England, by Primary Care Support England (PCSE). Historically, primary care support services were highly varied, localised and delivered using unsustainable technology.</p><p> </p><p>NHS England were seeking, through this procurement, to create a consistent high quality service across England, that modernised the way services were accessed and provided, making use of newer technology wherever possible.</p><p> </p><p>GP registrars are employed, and therefore paid, either by a lead employer or directly by a training GP practice. In the case of those directly employed by a training GP practice, PCSE is only responsible for reimbursing the salary and trainer’s grant to the GP practice. PCSE is also responsible for reimbursing the trainer’s grant in some lead employer areas. PCSE do not pay the GP trainee. As a consequence there have been no occasions of GP trainees not being paid by Capita since September 2015.</p><p> </p><p>The former Parliamentary Under Secretary of State for Public Health and Innovation (Nicola Blackwood) had meetings with Capita on the dates listed below. These were discussions on Capita’s performance under the Primary Care Support Services contract.</p><p>- 18 October 2016</p><p>- 1 November 2016</p><p>- 22 November 2016</p><p>- 19 December 2016</p><p>- 21 February 2017</p><p>The Parliamentary Under Secretary of State for Health (Lord O’Shaughnessy) had meetings with Capita on 3 April 2017 to discuss migrant cost recovery. The former Parliamentary Under Secretary of State (Lord Prior) met with Capita on 15 October 2015.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 111697 111698 111699 question first answered 13/11/2017 17:37:29 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

784908

registered interest
date	06/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Department of Health: Capita
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many meetings he or Ministers of his Department have held with Capita in the last three years; and what was discussed at each such meeting.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	111698
answer	answer is ministerial correction date of answer 13/11/2017 answer text <p>The reimbursement of trainer’s grants is linked with the administration of general practitioner (GP) payments. This is a service which is managed, on behalf of NHS England, by Primary Care Support England (PCSE). Historically, primary care support services were highly varied, localised and delivered using unsustainable technology.</p><p> </p><p>NHS England were seeking, through this procurement, to create a consistent high quality service across England, that modernised the way services were accessed and provided, making use of newer technology wherever possible.</p><p> </p><p>GP registrars are employed, and therefore paid, either by a lead employer or directly by a training GP practice. In the case of those directly employed by a training GP practice, PCSE is only responsible for reimbursing the salary and trainer’s grant to the GP practice. PCSE is also responsible for reimbursing the trainer’s grant in some lead employer areas. PCSE do not pay the GP trainee. As a consequence there have been no occasions of GP trainees not being paid by Capita since September 2015.</p><p> </p><p>The former Parliamentary Under Secretary of State for Public Health and Innovation (Nicola Blackwood) had meetings with Capita on the dates listed below. These were discussions on Capita’s performance under the Primary Care Support Services contract.</p><p>- 18 October 2016</p><p>- 1 November 2016</p><p>- 22 November 2016</p><p>- 19 December 2016</p><p>- 21 February 2017</p><p>The Parliamentary Under Secretary of State for Health (Lord O’Shaughnessy) had meetings with Capita on 3 April 2017 to discuss migrant cost recovery. The former Parliamentary Under Secretary of State (Lord Prior) met with Capita on 15 October 2015.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 111696 111697 111699 question first answered 13/11/2017 17:37:29 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth