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174860

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when the Joint Committee on Vaccination and Immunisation pneumococcal sub-committee plans to complete its review of pneumococcal disease immunisation.
tabling member printed	Baroness Greengross
uin	HL4287
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Joint Committee on Vaccination and Immunisation concluded a review of the adult pneumococcal vaccination programme in 2012. The Committee started a new review at its meeting on 28 January, taking into account the latest information on the epidemiology, cost-effectiveness and impact of adult pneumococcal vaccination. It is anticipated that the review will take six months to complete, subject to the availability of the necessary evidence.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:52:35 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174861

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether, following completion of the Joint Committee on Vaccination and Immunisation (JCVI) pneumococcal sub-committee's review of pneumococcal disease and the main JCVI meeting of June 2015, they will implement any recommendations made by the JCVI on the pneumococcal disease immunisation programme from winter 2015–16.
tabling member printed	Baroness Greengross
uin	HL4288
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Secretary of State has not requested a recommendation about immunisation against pneumococcal disease from the Joint Committee on Vaccination and Immunisation (JCVI) under the terms of the Health Protection (Vaccination) Regulations 2009.</p><p> </p><p> </p><p> </p><p>We will consider carefully any advice received from the JCVI about immunisation against pneumococcal disease in due course.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:53:01 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174862

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government which recommendations made by the Joint Committee on Vaccination and Immunisation (JCVI) have been implemented by the Secretary of State for Health since May 2010; and in each case, on what date the recommendation was made and on what date it was implemented.
tabling member printed	Baroness Greengross
uin	HL4289
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The information requested is shown in the following table.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Recommendation from the Joint Committee on Vaccination and Immunisation</p></td><td><p>Date of recommendation</p></td><td><p>Date of implementation</p></td></tr><tr><td><p>The use of rotavirus vaccine in the routine infant immunisation programme, if vaccine prices were much less than those at which they are currently being offered, so that such an immunisation programme is cost-effective.</p></td><td><p>February 2009</p></td><td><p>July 2013</p></td></tr><tr><td><p>The use of herpes zoster (shingles) vaccine vaccination programme for adults aged 70 years up to and including 79 years provided that a vaccine is available at a cost effective price.</p></td><td><p>March 2010 (full statement)</p></td><td><p>September 2013<sup>1</sup></p></td></tr><tr><td><p>The use of the Respiratory Syncytial Virus (RSV) prophylactic medicine Palivizumab to prevent serious RSV disease in at risk pre-term infants.</p></td><td><p>October 2010</p></td><td><p>October 2010<sup>2</sup></p></td></tr><tr><td><p>The annual influenza vaccination programme be extended to include children aged 2 to under 17 years of age.</p></td><td><p>July 2012</p></td><td><p>September 2013<sup>3</sup></p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>Notes</p><p> </p><ol start="1" type="1"><li>This programme is being phased in with 71-79 year-olds being offered shingles vaccines on a “catch-up” basis alongside the routine cohort of 70 year-olds. In 2013, vaccine was offered to 70 and 79 year-olds.</li></ol><p> </p><p> </p><p> </p><ol start="2" type="1"><li>This programme is to protect at-risk pre-term infants for whom RSV infection is likely to cause serious illness or death. It is not managed centrally but commissioned through specialised commissioning. Guidance was provided to the National Health Service in “Immunisation against Infectious Disease” following this recommendation in 2010.</li></ol><p> </p><p> </p><p> </p><ol start="3" type="1"><li>The extension programme for children will be phased in over a number of years. This extension began in 2013-14 with all two and three year-olds being offered vaccination through general practitioner surgeries, and 5-11 year old children in seven areas being offered vaccination through pilot programmes.</li></ol><p> </p> answering member printed Earl Howe question first answered 03/02/2015 15:24:48 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

174863

registered interest
date	20/01/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pneumococcal Disease: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what referrals concerning pneumococcal disease the Secretary of State for Health has made to the Joint Committee on Vaccination and Immunisation in the last five years; and on what dates those were made.
tabling member printed	Baroness Greengross
uin	HL4290
answer	answer is ministerial correction date of answer 03/02/2015 answer text <p>The Secretary of State has not requested a recommendation about immunisation against pneumococcal disease from the Joint Committee on Vaccination and Immunisation (JCVI) under the terms of the Health Protection (Vaccination) Regulations 2009 in the last five years.</p><p> </p><p> </p><p> </p><p>Departmental officials requested advice from the JCVI in early 2014 about the use of pneumococcal conjugate vaccine (PCV). At its meeting on 4 June 2014, the minutes of which are available on GOV.UK, the JCVI concluded that PCV13 should remain the pneumococcal conjugate vaccine of choice for infants in the United Kingdom at this time. We have accepted this advice.</p><p> </p> answering member printed Earl Howe question first answered 03/02/2015 13:53:22 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

167276

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mortality Rates
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the indicators measuring under-75 mortality rates in (1) the NHS Outcomes Framework, and (2) the Clinical Commissioning Groups Outcomes Indicator Set, are compatible with the obligations against age discrimination under the Equality Act 2010.
tabling member printed	Baroness Greengross
uin	HL3377
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>One of the underpinning principles of the NHS Outcomes Framework is to ensure that it encourages the promotion of equality in line with the Equality Act 2010.</p><p> </p><p> </p><p> </p><p>The Domain 1 premature mortality indicators in the NHS Outcomes Framework and Clinical Commissioning Groups Outcomes Indicator Set are capped at age 75 because the attribution of the cause of death is more vexed for older people, who often have co-morbidities. Therefore, including those aged 75 and above could lead these indicators to become misleading.</p><p> </p><p> </p><p> </p><p>However, to ensure all age groups are covered equally, ‘Life Expectancy at 75’ is an overarching indicator in Domain 1 of the NHS Outcomes Framework. This indicator captures ages 75 and over and all conditions.</p><p> </p><p> </p><p> </p><p>The above information is contained in the NHS Outcomes Framework 2011-12 Equalities Impact Assessment and the NHS Outcomes Framework 2011-12, both of which have already been placed in the Library.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 15:28:36 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

164501

registered interest
date	24/11/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Community Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have any plans to increase the extent of community healthcare coverage to conditions, such as frontotemporal dementia, which to date they have considered highly socially complex, rather than medically complex, and not deemed a primary health care need.
tabling member printed	Baroness Greengross
uin	HL3094
answer	answer is ministerial correction date of answer 03/12/2014 answer text <p>Health and Wellbeing Boards in each upper-tier Local Authority are responsible for the development of Joint Strategic Needs Assessments to identify the current and future health and wellbeing needs of the local population and a Joint Health and Wellbeing Strategy that sets the strategic direction for local commissioning decisions. This may include assessment of the prevalence and impact of dementia, and appropriate actions for prevention, diagnosis and care.</p><p> </p><p> </p><p> </p><p>The healthcare provided is inclusive of all types of dementia including frontotemporal dementia.</p><p> </p> answering member printed Earl Howe question first answered 03/12/2014 15:39:33 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

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
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

156480

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 assessment they have made of the financial impact on the National Health Service of poor health caused by cold homes.
tabling member printed	Baroness Greengross
uin	HL2922
answer	answer is ministerial correction date of answer 02/12/2014 answer text <p>The annual cost to the National Health Service in England of cold housing is reported to be between £850 million<sup>1</sup> and £1.36 billion<sup>2</sup>.This does not include additional spending by social services, or economic losses through absences from work. Total costs to the NHS and the country are unknown<sup>3</sup>.</p><p> </p><p><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><sup>3 </sup>is a framework intended to protect the population from harm to health from cold weather, including vulnerable older people. It aims to prevent the major avoidable effects on health during periods of cold weather in England by alerting people to the negative health effects of cold weather, and enabling them to prepare and respond appropriately.</p><p> </p><p>Help is available through Cold Weather Payments which provide more targeted support for vulnerable low-income groups. The Government has permanently increased Cold Weather Payments from £8.50 to £25 for the duration of this Parliament for each qualifying period of cold weather.</p><p> </p><p>This winter over 2 million low income households, including over 1.4 million poorer pensioners, will receive a discount of £140 off their electricity bill through the Warm Home Discount scheme.</p><p> </p><p>Winter Fuel Payments also provide assurance to older people, who may suffer the worst impacts of a progressive condition, so that they can keep warm during the winter months. In addition, around 482,000 low income and vulnerable homes have received energy efficiency measures under Energy Companies Obligation.</p><p> </p><p> </p><p> </p><p>The Department of Energy and Climate Change have commissioned work that will allow them to model the potential cost-savings to health and social care services from energy efficiency measures and other interventions.</p><p> </p><p> </p><p> </p><p><em>Notes: </em></p><p> </p><p>1. Department of Health (2010) ‘Winter kills’, in 2009 <a href="http://tinyurl.com/2009CMOReport" target="_blank">Annual Report of the Chief Medical Officer</a></p><p> </p><p> </p><p> </p><p>2. <a href="http://www.ageuk.org.uk/Documents/EN-GB/Campaigns/The_cost_of_cold_2012.pdf?dtrk=true" target="_blank">The Cost of Cold: Why we need to protect the health of older people in winter</a></p><p> </p><p> </p><p> </p><p>3. Public Health England (2014) <a href="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/365269/CWP_Making_the_Case_2014_FINAL.pdf" target="_blank">The Cold Weather Plan for England. Making the case: why long-term strategic planning for cold weather is essential to health and wellbeing</a></p><p> </p> answering member printed Earl Howe question first answered 02/12/2014 14:14:59 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

79785

registered interest
date	30/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps have been taken to explore the feasibility of replicating the Liverpool STARS programme for people at the end of life elsewhere in England.
tabling member printed	Baroness Greengross
uin	HL1674
answer	answer is ministerial correction date of answer 18/08/2014 answer text <p>There are currently no plans to explore the feasibility of replicating the Liverpool STARS programme for people at the end of life elsewhere in England. This is a local initiative and it is for commissioners in other localities to determine how best to improve the provision of end of life care services in their areas, based on the needs of their populations.</p><p> </p><p>NHS England is responsible for improving end of life care services nationally and has established, and is supporting, palliative care networks across England. Through these networks and the work of NHS Improving Quality, NHS England is continuing to support improvements in palliative care services and sharing of good practice. The Transforming End of Life Care in Acute Hospitals programme is also helping to drive improvements for people in hospitals.</p> answering member printed Earl Howe question first answered 18/08/2014 10:07:05 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross

79786

registered interest
date	30/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Ministerial Statement by the Secretary of State for Health, Jeremy Hunt MP on 22 July (HC Deb, col 119WS), at what point the Department of Health decided on a "commitment to stability" for the NHS Mandate 2015–16 and whether this commitment will prevent changes to the Mandate ahead of its publication.
tabling member printed	Baroness Greengross
uin	HL1675
answer	answer is ministerial correction date of answer 18/08/2014 answer text <p>The Secretary of State for Health, Jeremy Hunt MP, announced the Government’s intention to maintain a stable Mandate for 2015-16 at the same time as publishing the first Annual Assessment of NHS England. The Annual Assessment, and NHS England’s first Annual Report, describe an organisation that has established itself and made progress, but has more to do to deliver all of its objectives. The decision to propose a stable Mandate for 2015-16 was taken in view of the importance of continuity of purpose for NHS England in the final year of the current spending review cycle. The priorities for the National Health Service remain those described in the current Mandate for 2014-15, and the Government wants NHS England to make further progress still on the ambitious agenda already set.</p><p> </p><p>As set out in my Written Ministerial Statement on 22 July (HL Deb, column WS124-5), the Department is engaging with key stakeholders on its proposed approach over the summer. The Government will consider views expressed before finalising the Mandate for publication in the autumn.</p> answering member printed Earl Howe question first answered 18/08/2014 10:06:43 answering member 2000 label Biography information for Earl Howe
tabling member	2518 label Biography information for Baroness Greengross