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50426

registered interest
date	08/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment Public Health England has made of whether the current number of consultants in dental public health is sufficient; and when they expect to make a decision on whether the current 12-month fixed-term contracts will be extended.
tabling member printed	Lord Colwyn
uin	HL7006
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Public Health England (PHE) has commenced a review of the number of dental public health consultants required to meet its statutory and non–statutory functions and this will report in the autumn 2014. A decision will be made on the fixed term contracts as part of the review.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50427

registered interest
date	08/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what proposals they have to increase the number of dental practices piloting the National Health Service's new contractual arrangements; and what is the timetable for those reforms to be completed.
tabling member printed	Lord Colwyn
uin	HL7007
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Decisions on the detailed shape of the next stage have not yet been taken. The forthcoming engagement exercise on the reforms with the dental community is intended to increase awareness of the process and allow an opportunity for the wider dental community to input.</p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50429

registered interest
date	08/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment NHS England has made of the effectiveness of Local Area Teams in commissioning NHS dental services since April 2013.
tabling member printed	Lord Colwyn
uin	HL7009
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>We are informed by NHS England that the Direct Commissioning Assurance Framework, which was published in November 2013, sets out the methodology for how NHS England can demonstrate effective use of public funds in commissioning safe, high quality and sustainable services within available resources</p><p> </p><p>The assurance process is evidence-based and draws on a wide range of information and indicators to assess how well services are being commissioned. The evidence used includes local insight from area teams and wider National Health Service functions. A finance and performance delivery dashboard is also used and dental data is an important component of this. Through this process, NHS England is able to ensure that the delivery of NHS dental services is monitored as an important component of the assurance process and that any concerns are addressed promptly.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3394 label Biography information for Lord Colwyn

50430

registered interest
date	08/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will define the challenges referred to in the Department of Health's April 2014 publication Living Well for Longer that they have laid before the drinks industry to reduce alcohol harm to health that is linked to premature avoidable deaths.
tabling member printed	Lord Brooke of Alverthorpe
uin	HL7010
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>In July 2013, the Government set a challenge to the alcohol industry to ask them to do more to reduce alcohol harm through the Public Health Responsibility Deal alcohol network. The challenge was formally set out in the 17 July 2013 Government's response document <em>Next steps following the consultation on delivering the Government's alcohol strategy</em>. It says:</p><p> </p><p>“The Government believes that the alcohol industry can go further to show that voluntary action can deliver the significant changes needed. It is now challenging industry to take action in other areas, increasing their level of ambition and ownership of the issues, to reduce alcohol-related crime and disorder and health harms, tackle the harmful effects of binge drinking and to support growth in local economies. This includes seeking rapid action in the following areas: supporting targeted local action; tackling the high strength or high volume products that can cause the most harm; promoting and displaying alcohol responsibly in shops; and improving education around drinking.”</p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

50223

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will place in the Library of the House all risk assessments into standardised tobacco packaging undertaken by HM Revenue and Customs.
tabling member printed	Lord Palmer
uin	HL6941
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>The Government continues carefully to consider all issues relevant to the introduction of standardised packaging of tobacco products.</p><p> </p><p>The Government will be holding a final, short consultation including draft regulations in which Ministers will ask, in particular, for views on anything new since the last full public consultation that is relevant to the development of this policy.</p><p> </p><p>A further, developed consultation stage Impact Assessment (IA) will be published alongside the upcoming public consultation. Her Majesty's Revenue and Customs has contributed to the revised IA.</p><p> </p><p>The Department of Health will continue to work with other government departments on the development of proposals for standardised packaging of tobacco products.</p><p> </p><p> </p> answering member printed Earl Howe grouped question UIN HL6913 HL6914 question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3192 label Biography information for Lord Palmer

50226

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking in response to the predicted increase in tick-transmitted diseases such as Lyme disease.
tabling member printed	Lord Condon
uin	HL6944
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Public Health England (PHE) and the National Health Service have public information on tick-borne diseases on their websites, and PHE works with patient groups to promote the recognition and prevention of Lyme disease. PHE also provides information for health professionals, and wrote to all general practitioners last spring to alert them to the risks. A new leaflet for the public will be released later this month and advertised through social media sites and the PHE website. National parks and other organisations also offer advice to visitors on avoiding tick bites and awareness of Lyme Disease, and PHE will work with these groups to enhance the information available over the summer season. PHE is also developing national guidance for the management of Lyme disease, and a research programme through the Health Protection Research Unit at Liverpool with NHS partners.</p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2171 label Biography information for Lord Condon

50229

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how often ministers of the Department of Health visit local communities across the country to verify that the figures in relation to health and social care on which policy is based equate with the facts that people experience on the ground.
tabling member printed	Lord Mawson
uin	HL6947
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Ministers in the Department frequently undertake visits to a wide range of health and social care settings across the country during which they meet a large numbers of staff, service users and patients.</p><p> </p><p>Since May 2010 Ministers in the Department have undertaken a total of 646 official visits.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	3830 label Biography information for Lord Mawson

50255

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government which official, with what job title, is responsible and accountable for departmental management information in the Department of Health.
tabling member printed	Lord Mendelsohn
uin	HL6973
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>Within the Department of Health the official who holds responsibility for Departmental management information is Richard Douglas, Director-General for Finance and the National Health Service.</p><p> </p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	4286 label Biography information for Lord Mendelsohn

50266

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, for each of the last three years for which figures are available, what was the total National Health Service expenditure on drugs and medicines produced by (1) AstraZeneca, (2) Pfizer, and (3) GlaxoSmithKline; and what percentage of the National Health Service's total expenditure on drugs and medicines each of those figures represents.
tabling member printed	Lord Oakeshott of Seagrove Bay
uin	HL6984
answer	answer is ministerial correction date of answer 13/05/2014 answer text <p>The following table sets out for 2011, 2012 and 2013, National Health Service spend on medicines and percentage of spend, for AstraZeneca, Pfizer and GlaxoSmithKline in primary care only.</p><p> </p><p>This does not include data on NHS use of medicines in hospitals, as comparable current data sources do not take account of the discounts available.</p><p> </p><table><tbody><tr><td colspan="7"><p>Net ingredient cost and proportion of all primary care spend by manufacturer, in England, for the years 2011, 2012 and 2013, based on prescription items dispensed in the community in England.<sup>1</sup></p></td></tr><tr><td><p> </p></td><td colspan="2"><p>2011</p></td><td colspan="2"><p>2012</p></td><td colspan="2"><p>2013</p></td></tr><tr><td><p>Manufacturer name</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td><td><p>Net Ingredient Cost (£000s)</p></td><td><p>Percentage of all Primary Care</p></td></tr><tr><td><p>AstraZeneca</p></td><td><p>451,931</p></td><td><p>5.5</p></td><td><p>366,037</p></td><td><p>4.7</p></td><td><p>353,981</p></td><td><p>4.5</p></td></tr><tr><td><p>Pfizer</p></td><td><p>771,631</p></td><td><p>9.5</p></td><td><p>521,610</p></td><td><p>6.7</p></td><td><p>408,643</p></td><td><p>5.2</p></td></tr><tr><td><p>GlaxoSmithKline</p></td><td><p>597,634</p></td><td><p>7.3</p></td><td><p>565,881</p></td><td><p>7.2</p></td><td><p>542,992</p></td><td><p>6.9</p></td></tr><tr><td><p>Total (all primary care expenditure on medicines in England <sup>2</sup>)</p></td><td><p>8,164,364</p></td><td><p>100.0</p></td><td><p>7,840,390</p></td><td><p>100.0</p></td><td><p>7,888,304</p></td><td><p>100.0</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> Prescription Cost Analysis provided by the Health and Social Care Information Centre</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>This may not include spend on those medicines made by the companies that are also available generically.</p><p><sup>2. </sup>This total relates to all medicines contained within British National Formulary (BNF) Chapters 1 to 19. The cost of dressings and appliances contained within BNF Chapters 20 to 23 has been excluded.</p><p> </p> answering member printed Earl Howe question first answered 13/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2536 label Biography information for Lord Oakeshott of Seagrove Bay

50267

registered interest
date	07/05/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to using the purchasing power of the National Health Service as a major customer of AstraZeneca and Pfizer to ensure that Pfizer honours any undertakings given in the event of a successful takeover of AstraZeneca.
tabling member printed	Lord Oakeshott of Seagrove Bay
uin	HL6985
answer	answer is ministerial correction date of answer 14/05/2014 answer text <p>Both companies supply the National Health Service with vital medicines that are used to treat millions of patients each year. It is for clinicians to make prescribing decisions based on their patient's individual clinical circumstances and our priority is to ensure that patients continue to get the medicines they need.</p> answering member printed Earl Howe question first answered 14/05/2014 12:00:00 answering member 2000 label Biography information for Earl Howe
tabling member	2536 label Biography information for Lord Oakeshott of Seagrove Bay