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845363

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Social Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to close the projected £2.3 billion funding gap in adult social care by 2020 as forecast by the Local Government Association.
tabling member printed	Lord Bassam of Brighton
uin	HL5563
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>The Budget in March 2017 announced an additional £2 billion to be given to councils over the three years from 2017/18 for social care. More recently the local government finance settlement announced a further £150 million for social care.</p><p>This additional funding means that Government has given councils access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18. Overall, councils are able to increase spending on adult social care in real terms in each of the next three years.</p><p>The Government has set out plans to publish a green paper by summer 2018 presenting its proposals to reform care and support for older people.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5564 question first answered 05/03/2018 17:46:16 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3504 label Biography information for Lord Bassam of Brighton

845364

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Social Services: Finance
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 impact on adults receiving social care of the projected £2.3 billion shortfall in funding for adult social care by 2020 as forecast by the Local Government Association.
tabling member printed	Lord Bassam of Brighton
uin	HL5564
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>The Budget in March 2017 announced an additional £2 billion to be given to councils over the three years from 2017/18 for social care. More recently the local government finance settlement announced a further £150 million for social care.</p><p>This additional funding means that Government has given councils access to up to £9.4 billion more dedicated funding for social care over the three years from 2017/18. Overall, councils are able to increase spending on adult social care in real terms in each of the next three years.</p><p>The Government has set out plans to publish a green paper by summer 2018 presenting its proposals to reform care and support for older people.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5563 question first answered 05/03/2018 17:46:16 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3504 label Biography information for Lord Bassam of Brighton

845405

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Finance
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 Clinical Commissioning Groups are allocating the additional investment promised by Her Majesty's Government for mental health to mental health services.
tabling member printed	Lord Crisp
uin	HL5605
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>It is for clinical commissioning groups (CCGs) to determine the level of spend on specific services. CCGs are required to achieve the Mental Health Investment Standard (MHIS) - i.e. to increase their spend on mental health services in excess or equal to the growth in their programme allocation and to deliver on the operational targets laid out in the Five Year Forward View for Mental Health.</p><p>NHS England now publishes CCG mental health spend. Over 80% of CCGs met the MHIS in 2016/17 and are forecast to achieve the standard in 2017/18. Assurance processes are in place centrally and regionally to review and to validate reported spend. For 2018/19 all CCGs will be required to meet the MHIS and this will be subject to confirmation by their auditors.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5606 question first answered 05/03/2018 17:50:49 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3783 label Biography information for Lord Crisp

845406

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of reports that 50 per cent of Clinical Commissioning Groups in England are planning to reduce the proportion of their budgets spent on mental health support in 2017–18, compared to 2016–17.
tabling member printed	Lord Crisp
uin	HL5606
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>It is for clinical commissioning groups (CCGs) to determine the level of spend on specific services. CCGs are required to achieve the Mental Health Investment Standard (MHIS) - i.e. to increase their spend on mental health services in excess or equal to the growth in their programme allocation and to deliver on the operational targets laid out in the Five Year Forward View for Mental Health.</p><p>NHS England now publishes CCG mental health spend. Over 80% of CCGs met the MHIS in 2016/17 and are forecast to achieve the standard in 2017/18. Assurance processes are in place centrally and regionally to review and to validate reported spend. For 2018/19 all CCGs will be required to meet the MHIS and this will be subject to confirmation by their auditors.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5605 question first answered 05/03/2018 17:50:49 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3783 label Biography information for Lord Crisp

845407

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress has been made in ensuring that mental health has parity of esteem with physical health with regard to funding.
tabling member printed	Lord Crisp
uin	HL5607
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>The Government set parity of esteem in physical and mental health in law in the Health and Social Care Act 2012. The independent Mental Health Taskforce’s <em>Five Year Forward View for Mental Health </em>report in February 2016 and July 2016 <em>Implementing the Five Year Forward View for Mental Health</em> plan set out detailed recommendations for achieving parity of esteem between physical and mental healthcare. Copies of both reports are attached. The <em>Government’s response to the Five Year Forward View for Mental Health </em>report accepted all the report’s recommendations in January 2017 and created a detailed action plan for taking forward the recommendations, including how we will monitor progress and report transparently. A copy of the <em>Government’s response</em> is attached. The report set out a strategy for change in four key areas to drive forward improvements in mental health: promoting good mental health and helping people lead the lives they want to live, integrating care, creating a seven day National Health Service for mental health and hard wiring mental health across health and social care.</p><p>NHS England’s Mental Health Investment Standard also requires the local NHS to increase mental health investment by at least the same proportion as overall allocations. This is planned to be met across England as a whole in 2017/18 and 2018/19. For 2018/19 all clinical commissioning groups will be required to meet the Mental Health Investment Standard and this will be subject to confirmation by their auditors.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Mental-Health-Taskforce-FYFV-final.pdf title Mental Health Five Year Forward View 2 file name Implementing_the_FYFV_MH.pdf title Implementing the Five Year Forward View 3 file name FYFV_mental_health__government_response.pdf title Govt Response to Five Year Forward View question first answered 05/03/2018 17:44:57 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3783 label Biography information for Lord Crisp

845408

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Mental Health Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will consider ring-fencing existing levels of funding for mental health services in 2018–19.
tabling member printed	Lord Crisp
uin	HL5608
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>The Department does not generally ring-fence budgets within the National Health Service. The Health and Social Care Act 2012 gave clinical commissioning groups (CCGs) the autonomy to make decisions about the health services that best meet the health needs of their population.</p><p>They do this based on evidence of patient needs locally. However, NHS England’s Mental Health Investment Standard requires the local NHS to increase mental health investment by the same proportion as overall allocations. This is planned to be met across England as a whole in 2017/18 and 2018/19. For 2018/19 all CCGs will be required to meet the Mental Health Investment Standard and this will be subject to confirmation by their auditors.</p> answering member printed Lord O'Shaughnessy question first answered 05/03/2018 17:47:15 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3783 label Biography information for Lord Crisp

845422

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health Services and Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is their policy in relation to the integration of health and social care in England.
tabling member printed	Lord Greaves
uin	HL5622
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>Implemented since 2015/16, the Better Care Fund (BCF) is the first mandatory national programme for integrating health and social care. It requires local authorities and clinical commissioning groups to pool budgets for the purposes of integrated care. The BCF has helped to join up health and care services so people can manage their own health and wellbeing, and live independently in their communities for as long as possible.</p><p>Many local areas are developing more ambitious integrated health and care provision with a range of models including integrated provider models or devolved accountabilities as well as joint commissioning arrangements. They are doing this as part of the Sustainability and Transformation Partnerships (STPs). STPs bring National Health Service providers, commissioners, local authorities, and other health and care services together to propose how they, at local level, can improve the way that health and care is planned and delivered in a more person-centred and coordinated way.</p><p>The BCF and STP development have provided a foundation, but we want to do more to deliver joined up care and to encourage integrated approaches which are outlined in the integration and Better Care Fund Policy Framework 2017-19. For those STPs that are ready to go further and faster in delivering the transformation that we want to see, they can evolve to become an Integrated Care System (ICS). ICSs will provide joined up, better coordinated care that can keep people healthier for longer, and out of hospital. To enable this, NHS England and NHS Improvement will offer them far more control and freedom over the total operations of the health system in their area.</p> answering member printed Lord O'Shaughnessy question first answered 05/03/2018 17:45:48 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2569 label Biography information for Lord Greaves

845435

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Stem Cells: EU Law
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech by the Foreign Secretary on 14 February, which provisions in the current regulatory framework of the EU inhibit the development of new stem cell technology in the UK.
tabling member printed	Lord Kinnock
uin	HL5635
answer	answer is ministerial correction date of answer 06/03/2018 answer text <p>Provisions in the current regulatory framework of the European Union do not specifically inhibit our present requirements for the development of new stem cell technology.</p><p>The United Kingdom and the EU start from a position of close regulatory alignment. As part of exit negotiations, the UK Government will discuss with the EU and Member States on how best to continue cooperation in the field of research, including clinical trials, medicines and medical devices, and data sharing, to ensure patient safety and public health.</p><p>As my Rt. hon. Friend the Prime Minister stated in her speech on our future economic partnership with the European Union last Friday, the UK will need to make a strong commitment that its regulatory standards will remain as high as the EU’s. That commitment, in practice, will mean that UK and EU regulatory standards will remain substantially similar in the future. Our default is that UK law may not necessarily be identical to EU law, but it should achieve the same outcomes.</p><p>As my Rt. hon. Friends the Secretary of State for Health and Social Care and the Secretary of State for Business, Energy and Industrial Strategy have stated previously, we have three principles which will help us rise to the challenge of developing a new regulatory system post Brexit:</p><p>- patients should not be disadvantaged;</p><p>- innovators should be able to get their products into the UK market as quickly and simply as possible; and</p><p>- the UK continues to play a leading role promoting public health.</p> answering member printed Lord O'Shaughnessy question first answered 06/03/2018 15:15:51 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	693 label Biography information for Lord Kinnock

845449

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Opioids: Prescriptions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many people in England they estimate are currently addicted to prescription opioids, excluding cancer patients.
tabling member printed	Lord Luce
uin	HL5649
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>Information on the number of people in England currently addicted to prescription opioids is not collected centrally. The Government is concerned about the impact of long term use of prescription drugs. The Department has commissioned Public Health England (PHE) to undertake an evidence review to better understand the scope of the problem of prescribed drug dependence.</p><p>The review will bring together the best available evidence on prevalence and prescribing; the nature and likely causes of dependence or discontinuation syndrome among some people who continue to take these medicines; and effective prevention and treatment responses for each condition for which they are prescribed. There are no plans to extend the remit of the PHE evidence review to over the counter painkillers.</p><p>The National Institute for Health and Care Excellence (NICE) published the guideline <em>Controlled drugs: safe use and management</em> in April 2016 which covers systems and processes for using and managing controlled drugs safely in all NHS settings except care homes. The guideline includes recommendations to improve working practices to comply with legislation and aims to reduce the risks associated with controlled drugs, including dependency, overdose and diversion. The NICE guideline provides authoritative guidance that reflects the latest available evidence and will allow healthcare professionals, including general practitioners, to make informed decisions about the prescription and optimal use of medicines which have the potential to cause dependency. A copy of the NICE guideline is attached.</p><p>The recently-updated national clinical guidelines for drug misuse and dependence have specific guidance about pharmacological management of dependence on benzodiazepines and z-drugs, including prescribing regimens, detoxification, adjunctive therapies and monitoring. A copy of these guidelines, <em>Drugs misuse and dependence: UK guidelines on clinical management</em> is attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name 2016-NICE-Guidance-controlled-drugs-safe-use.pdf title Controlled drugs: safe use and management 2 file name 2017-Drug_Misuse-Clinical_Guidance.pdf title Drugs misuse and dependence: UK guidelines grouped question UIN HL5650 HL5652 question first answered 05/03/2018 15:42:46 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	908 label Biography information for Lord Luce

845450

registered interest
date	20/02/2018
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Analgesics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in view of the consumption of codeine for pain relief, whether they have any plans to extend the remit of the Public Health England inquiry into prescription drug addiction and dependence to include over the counter painkillers.
tabling member printed	Lord Luce
uin	HL5650
answer	answer is ministerial correction date of answer 05/03/2018 answer text <p>Information on the number of people in England currently addicted to prescription opioids is not collected centrally. The Government is concerned about the impact of long term use of prescription drugs. The Department has commissioned Public Health England (PHE) to undertake an evidence review to better understand the scope of the problem of prescribed drug dependence.</p><p>The review will bring together the best available evidence on prevalence and prescribing; the nature and likely causes of dependence or discontinuation syndrome among some people who continue to take these medicines; and effective prevention and treatment responses for each condition for which they are prescribed. There are no plans to extend the remit of the PHE evidence review to over the counter painkillers.</p><p>The National Institute for Health and Care Excellence (NICE) published the guideline <em>Controlled drugs: safe use and management</em> in April 2016 which covers systems and processes for using and managing controlled drugs safely in all NHS settings except care homes. The guideline includes recommendations to improve working practices to comply with legislation and aims to reduce the risks associated with controlled drugs, including dependency, overdose and diversion. The NICE guideline provides authoritative guidance that reflects the latest available evidence and will allow healthcare professionals, including general practitioners, to make informed decisions about the prescription and optimal use of medicines which have the potential to cause dependency. A copy of the NICE guideline is attached.</p><p>The recently-updated national clinical guidelines for drug misuse and dependence have specific guidance about pharmacological management of dependence on benzodiazepines and z-drugs, including prescribing regimens, detoxification, adjunctive therapies and monitoring. A copy of these guidelines, <em>Drugs misuse and dependence: UK guidelines on clinical management</em> is attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name 2016-NICE-Guidance-controlled-drugs-safe-use.pdf title Controlled drugs: safe use and management 2 file name 2017-Drug_Misuse-Clinical_Guidance.pdf title Drugs misuse and dependence: UK guidelines grouped question UIN HL5649 HL5652 question first answered 05/03/2018 15:42:46 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	908 label Biography information for Lord Luce