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100037

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Dismissal
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many general practitioners have been dismissed by primary care trusts, or by the Care Quality Commission, in each year since 2005.
tabling member printed	Baroness McDonagh
uin	HL2243
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The information requested is not centrally collected. Departmental officials are aware that the General Medical Council does collect some demographic data about doctors and this is published in its annual report ‘The state of medical education and practice in the UK’.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC), the independent regulator of health and adult social care in England, has registered all general practitioner (GP) practices since April 2012. The CQC’s role is to inspect and regulate GP practices, including those practices run by single-handed GPs. The CQC regulates at a provider level and may remove a practice’s registration where care is not meeting the required standard. Actions taken against an individual GP would be the responsibility of NHS England for contractual issues and the General Medical Council for professional issues.</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:18:49 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

100044

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco: Packaging
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why they notified the European Commission of the draft regulations for possible standardised packaging for tobacco products without waiting for the results of the recent consultation that closed on 7 August.
tabling member printed	Lord Palmer
uin	HL2250
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The consultation on introducing regulations for standardised packaging of tobacco ran between 26 June and 7 August 2014. All substantive responses were then considered before the regulations were notified in draft to the European Commission as technical standards under the procedures of Directive 98/34/EC. They were notified to the Commission on 29 August 2014.</p><p> </p><p><strong> </strong></p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:54:12 answering member 2000 label Biography information for Earl Howe
tabling member	3192 label Biography information for Lord Palmer

100045

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco: Packaging
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when they will publish a revised impact assessment on standardised packaging of tobacco products following the comments of the Regulatory Policy Committee.
tabling member printed	Lord Palmer
uin	HL2251
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>The consultation-stage impact assessment on standardised packaging of tobacco products is being updated following the public consultation, which ran between 26 June and 7 August 2014. The updated Impact Assessment takes into account previous comments from the Regulatory Policy Committee (RPC) and will be re-submitted to the RPC for their consideration before it is published.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:55:04 answering member 2000 label Biography information for Earl Howe
tabling member	3192 label Biography information for Lord Palmer

100057

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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 response they have given to the Care Quality Commission’s annual State of Care report.
tabling member printed	Lord Taylor of Warwick
uin	HL2263
answer	answer is ministerial correction date of answer 30/10/2014 answer text <p>The Secretary of State for Health has said “The Care Quality Commission’s (CQC) State of Health and Adult Social Care in England 2013-14 report highlights examples of excellent care but it also exposes unacceptable levels of variation. It also confirms that the NHS has seen a period of “hard realities and rapid change” following the scandal at Mid Staffordshire NHS Foundation Trust. We need to keep building on this to ensure greater cultural change, continuing transparency and a focus on safety to drive up standards of care across the country.”</p><p> </p> answering member printed Earl Howe question first answered 30/10/2014 16:20:34 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

100060

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Misuse
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to address Britain’s drinking culture, which Public Health England recently identified as causing a rise in liver disease deaths.
tabling member printed	Lord Taylor of Warwick
uin	HL2266
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>The Government’s Alcohol Strategy, set out ambitions whereby ‘we will radically reshape the approach to alcohol and reduce the number of people drinking to excess’. The ambitions include:</p><p> </p><p> </p><p> </p><p>- a change in behaviour so that people think it is not acceptable to drink in ways that could cause harm to themselves and others;</p><p> </p><p>- a reduction in the amount of alcohol-fuelled violent crime;</p><p> </p><p>- a reduction in the number of adults drinking above the National Health Service guidelines;</p><p> </p><p>- a reduction in the number of people ‘binge drinking’;</p><p> </p><p>- a reduction in the number of alcohol-related deaths; and</p><p> </p><p>- a sustained reduction in both the numbers of 11-15 year olds drinking alcohol and the amounts consumed.</p><p> </p><p> </p><p> </p><p>In November 2012, the Home Office launched a consultation on five key areas with the aim of reducing alcohol-fuelled crime, anti-social behaviour and alcohol-related health harm.</p><p> </p><p> </p><p> </p><p>The Government response, published in July 2013, provided an analysis of the responses and set out the next steps that the Government will take:</p><p> </p><p> </p><p> </p><p>- targeted national action, ending sales of the cheapest alcohol by introducing a ban on selling alcohol below the price of duty and VAT, and strengthening the ban on irresponsible promotions in pubs and clubs;</p><p> </p><p> </p><p> </p><p>- a challenge to industry to increase its efforts, building on what has already been achieved through the Public Health Responsibility Deal. This includes tackling high strength products; promoting alcohol responsibly in shops; improving education around drinking; and supporting targeted local action; and</p><p> </p><p> </p><p> </p><p>- support local action on alcohol-related harm, identifying a number of high harm local alcohol action areas and take action with them to strengthen local partnerships; improve enforcement; and share good practice based on what works locally. The Minister for Crime Prevention announced the twenty successful areas on 13 February 2014.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:35:46 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

100180

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many meetings the Parliamentary Under-Secretary of State for Public Health has had with James Palmer, Clinical Director for Specialised Commissioning at NHS England since 1 April 2014.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	211213
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>I have had no meetings with James Palmer, Clinical Director for Specialised Commissioning at NHS England since 1 April 2014.</p><p> </p><p><strong> </strong></p><p> </p><p>There is regular contact between Departmental officials and Clinical Directors at NHS England, including the Clinical Director for Specialised Commissioning.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 17:45:28 answering member 3918 label Biography information for Jane Ellison
tabling member	4089 label Biography information for Tessa Munt

100181

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS England
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many meetings he has had with Simon Stevens, Chief Executive of NHS England since 1 April 2014.
tabling member constituency	Wells
tabling member printed	Tessa Munt
uin	211214
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>My Rt. hon. Friend, the Secretary of State, meets with Mr Stevens on a weekly basis with additional meetings arranged as and when required, which often include other members of the Ministerial team.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 15:31:37 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	4089 label Biography information for Tessa Munt

100182

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Children
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps the Government is taking to support paediatric cardiac surgery services across England and Wales.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211215
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>NHS England is currently reviewing congenital heart services for adults and children, including paediatric cardiac surgical services. The review aims to:</p><p> </p><p> </p><p> </p><p>- secure the best outcomes for all patients;</p><p> </p><p>- tackle variation; and</p><p> </p><p>- improve patient experience.</p><p> </p><p> </p><p> </p><p>The review has developed a set of draft standards and service specifications which are currently out to public consultation. The consultation runs until 8 December. Further details can be found at:</p><p> </p><p> </p><p> </p><p>https://www.engage.england.nhs.uk/consultation/congenital-heart-disease-standards</p><p> </p><p> </p><p> </p><p>There are no centres in Wales providing paediatric congenital cardiac surgery and so patients typically travel to England for surgery. NHS England is working with colleagues in Wales to ensure Welsh residents are aware of the review and able to respond to the consultation.</p><p> </p><p> </p><p> </p><p>NHS England will work with providers to help ensure that services meet the required standards.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:42:14 answering member 3918 label Biography information for Jane Ellison
tabling member	1597 label Biography information for David Simpson

100183

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GP practices have (a) closed and (b) opened in (i) England, (ii) Greater London and (iii) Wales in each of the last five years.
tabling member constituency	Upper Bann
tabling member printed	David Simpson
uin	211216
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Figures for NHS England and the NHS London area are shown in the following table. Figures for Wales are not collected centrally.</p><p> </p><p> </p><p> </p><p>It is important to note that these figures also include practice mergers and takeovers and do not provide an accurate representation of activity or service provision. For example, the merger of three practices would show as three practices closing and one opening. In many cases, practices listed in these figures as having closed will have in fact merged, and will continue to see patients.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p> </p></td><td colspan="2"><p>NHS England</p></td><td colspan="2"><p>NHS London area</p></td></tr><tr><td><p>Year</p></td><td><p>Closed</p></td><td><p>Opened</p></td><td><p>Closed</p></td><td><p>Opened</p></td></tr><tr><td><p>2009</p></td><td><p>88</p></td><td><p>194</p></td><td><p>12</p></td><td><p>23</p></td></tr><tr><td><p>2010</p></td><td><p>79</p></td><td><p>55</p></td><td><p>12</p></td><td><p>21</p></td></tr><tr><td><p>2011</p></td><td><p>111</p></td><td><p>19</p></td><td><p>21</p></td><td><p>6</p></td></tr><tr><td><p>2012</p></td><td><p>124</p></td><td><p>14</p></td><td><p>31</p></td><td><p>4</p></td></tr><tr><td><p>2013</p></td><td><p>126</p></td><td><p>13</p></td><td><p>39</p></td><td><p>5</p></td></tr><tr><td><p>2014 (to 30 September)</p></td><td><p>92</p></td><td><p>11</p></td><td><p>18</p></td><td><p>5</p></td></tr></tbody></table><p> </p><p> </p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 28/10/2014 17:47:07 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1597 label Biography information for David Simpson

100184

registered interest
date	21/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Chickenpox: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the breadth of the uptake of the chicken pox vaccine to reduce the risk of stroke in children and young adults; and if he will make a statement.
tabling member constituency	Hartlepool
tabling member printed	Mr Iain Wright
uin	211242
answer	answer is ministerial correction date of answer 28/10/2014 answer text <p>Public Health England has not made an assessment of the impact of uptake of varicella vaccination on the risk of stroke in children and young adults.</p><p> </p><p> </p><p> </p><p>The Joint Committee on Vaccination and Immunisation, which provides the Government with expert advice on immunisation matters, has not recommended a universal varicella (chickenpox) immunisation programme for children or young adults.</p><p> </p><p> </p><p> </p><p>Varicella immunisation is recommended to protect those people who are at most risk of serious illness. This is done by immunising specific individuals who are in regular or close contact with those at risk, including non-immune healthcare workers and close household contacts of immunocompromised individuals, such as siblings of a child with leukaemia or a child whose parent is undergoing chemotherapy.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 28/10/2014 15:27:20 answering member 3918 label Biography information for Jane Ellison
tabling member	1478 label Biography information for Mr Iain Wright