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100031

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	Liver Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to reverse the rise in liver deaths in England between 2001 and 2012 shown by Public Health England’s report <i>Liver Disease Profiles</i>.
tabling member printed	Lord Avebury
uin	HL2237
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) has a comprehensive range of action aimed at reducing the incidence and mortality from liver disease. It monitors the incidence, mortality and outcomes of treatment for liver disease and the risk factors: alcohol obesity and Hepatitis B and C. PHE has a wide range of action to tackle unhealthy alcohol consumption, obesity and viral hepatitis through strengthening local action, promoting healthy choices, and giving appropriate information to support healthier lives. <br> <br> In response to the All Party Parliamentary Hepatology Group report PHE has committed to producing a PHE Liver Disease Framework. This will focus on public health action to tackle risk factors for liver disease and inequalities in relation to liver disease. Work has already begun to bring together expertise within PHE on the major risk factors for liver disease (alcohol, hepatitis B and C and obesity), data on liver disease and its risk factors and on death and dying from liver disease. Many of the actions to tackle the major risk factors require a coordinated approach between PHE and NHS England.</p><p> </p><p><br> NHS England is responsible for delivering improvements in outcomes against the NHS Mandate and in line with the NHS Outcomes Framework. NHS England are adopting a broad strategy for delivering improvements in relation to premature mortality, working with commissioners and PHE to support clinical commissioning groups in understanding where local challenges lie and in identifying the evidence in relation to the priorities for reducing mortality at a national level.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:52:44 answering member 2000 label Biography information for Earl Howe
tabling member	1665 label Biography information for Lord Avebury

100035

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: Reorganisation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the cost to date of the reorganisation of the National Health Service as a result of the reforms in the Health and Social Care Act 2012.
tabling member printed	Baroness McDonagh
uin	HL2241
answer	answer is ministerial correction date of answer 04/11/2014 answer text <p>I announced in my Written Ministerial Statement of 23 July 2014, columns WS135-136, that the costs of implementing policies in the Health and Social Care Act incurred to 31 March 2014 were £1,316 million. This is the latest available figure.</p><p> </p><p> </p><p> </p><p>These costs have been more than covered by the savings arising from the Health and Social Care Act, which up to 31 March 2014, were approximately £4.9 billion.</p><p> </p> answering member printed Earl Howe question first answered 04/11/2014 12:33:57 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

100036

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	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the impact since 2009 of the closure of accident and emergency departments on neighbouring hospitals.
tabling member printed	Baroness McDonagh
uin	HL2242
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.</p><p> </p><p> </p><p> </p><p>It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.</p><p> </p><p> </p><p> </p><p>Any changes must be supported by the Government’s four tests for service change, namely:</p><p> </p><p> </p><p> </p><p>- support from general practitioner commissioners;</p><p> </p><p>- clarity on the clinical evidence base;</p><p> </p><p>- robust patient and public engagement; and</p><p> </p><p>- support for patient choice.</p><p> </p><p> </p><p> </p><p>Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.</p><p> </p><p> </p><p> </p><p>More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.</p><p> </p> answering member printed Earl Howe question first answered 27/10/2014 12:41:26 answering member 2000 label Biography information for Earl Howe
tabling member	3701 label Biography information for Baroness McDonagh

99968

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what effect spending pre-emptions by NHS England have had on the ability of NHS England to ensure parity of esteem as required by the Health and Social Care Act 2012, the NHS Mandate for 2013 to 2015 and the Refreshed Mandate for 2014 to 2015.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2183
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>Funding for mental health has increased by £120 million in 2014-15, a rise of 1.4% in cash terms. Total mental health spending will rise from £8.5 billion in 2013-14 to £8.62 billion in 2014-15.</p><p> </p><p> </p><p> </p><p>The Government has committed an additional £40 million funding boost for mental health services in 2014-15. A further £80 million in 2015-16 will be freed by NHS England from existing budgets.</p><p> </p><p> </p><p> </p><p>The Department and NHS England continue to work together to ensure that there are consistent messages to commissioners and providers about the importance of delivering parity of esteem for people with mental health needs.</p><p> </p><p> </p><p> </p><p>Monitor and NHS England are responsible for setting the national tariff arrangements and are working together to develop a national payment system for mental health which promotes early intervention, access to effective evidence-based care, improved outcomes and recovery.</p><p> </p><p>The national tariff arrangements for 2015-16 will include examples of new and innovative payment models which local commissioners and providers may choose to adopt next year.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:24:43 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99969

registered interest
date	20/10/2014
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the procurement process operated by NHS England in relation to general practitioner practices allows for the track record of the bidders sufficiently to be taken into account in the procurement decision.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2184
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2185 question first answered 27/10/2014 12:39:20 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99970

registered interest
date	20/10/2014
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why the procurement process operated by NHS England in relation to general practitioner practices allows for references in respect of the bidders to be taken up rather than allowing for a review of their track record.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2185
answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>NHS England is responsible for procurement in relation to general practitioner practices, as holders of the contract for General Practice. When procuring these services, NHS England must work within the Procurement, Patient Choice and Competition Regulations 2013, and make sure that they take fair and transparent decisions on the best provider to deliver those services for National Health Service patients.</p><p> </p><p> </p><p> </p><p>The factors used to evaluate bids, in each procurement process, including the consideration of references and track records, are determined on a case-by-case basis.</p><p> </p> answering member printed Earl Howe grouped question UIN HL2184 question first answered 27/10/2014 12:39:21 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

99976

registered interest
date	20/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Ebola
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, following the introduction of enhanced screening arrangements for ebola at the United Kingdom’s main ports of entry for people travelling from the affected regions, what advice they have received from the Chief Medical Inspector about arrangements at ports of entry for quarantining suspected ebola patients and for providing trained staff and equipment to move those patients to isolation units in hospitals.
tabling member printed	Lord Avebury
uin	HL2191
answer	answer is ministerial correction date of answer 03/11/2014 answer text <p>Public Health England (PHE) is leading on arrangements for enhanced screening for Ebola which is being rolled out at Heathrow, Gatwick and St Pancras (Eurostar), and Birmingham and Manchester airports thereafter. This screening will be for passengers that Border Force officers identify as having travelled from Sierra Leone, Guinea and Liberia or for those passengers who identify themselves to staff.</p><p> </p><p> </p><p> </p><p>Screening is being implemented by PHE staff, who follow official protocols. PHE has issued guidance to its staff and for professionals across other sectors, about how to deal with a suspected case of Ebola. There are established and tested procedures for transporting patients with highly infectious diseases to hospitals when required.</p><p> </p> answering member printed Earl Howe question first answered 03/11/2014 11:53:35 answering member 2000 label Biography information for Earl Howe
tabling member	1665 label Biography information for Lord Avebury

93738

registered interest
date	16/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they will take to make the National Health Service more efficient and to reduce mistakes in practice.
tabling member printed	Lord Taylor of Warwick
uin	HL2162
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>National Health Service funding has risen in each year of this parliament and is £12.7 billion higher in cash terms in 2014-15 than in 2010-11. The NHS is on track to make up to £20 billion efficiency savings this parliament to reinvest into frontline care. We are confident that it will continue to make the efficiency improvements necessary to meet rising demand and protect the quality of the services delivered.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>In a recent report commissioned by the Department, Frontier Economics has estimated that poor care could be costing the NHS up to £2.5 billion every year. In order to focus attention on the harms contributing to these costs and the savings that could be reinvested, a poster and leaflet will go out to all NHS hospitals to display this vital information to their staff.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p>We have introduced a wide range of measures, including the Sign Up to Safety Campaign, Patient Safety Collaboratives, a new tougher inspection regime for providers and a reformed National Patient Safety Alert System to reduce mistakes in practice. In order to promote a culture of openness and transparency, that will enable organisations to learn from their mistakes, there will be the duty of candour in the event of serious harm. We are also publishing information on hospital performance, including staffing levels, as part of the new MyNHS website.</p><p> </p> answering member printed Earl Howe question first answered 21/10/2014 11:10:41 answering member 2000 label Biography information for Earl Howe
tabling member	1796 label Biography information for Lord Taylor of Warwick

93679

registered interest
date	15/10/2014
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	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many general practitioner practices in England have closed since June 2010; and how many have opened since January 2013.
tabling member printed	Lord Browne of Belmont
uin	HL2108
answer	answer is ministerial correction date of answer 29/10/2014 answer text <p>The data requested is shown in the following table. It is not possible to show this by calendar month.</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.</p><p> </p><p> </p><p> </p><p> </p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Closed: England</p></td><td><p>Opened: England</p></td></tr><tr><td><p>2010</p></td><td><p>79</p><p> </p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2011</p></td><td><p>111</p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2012</p></td><td><p>124</p><p> </p><p> </p></td><td><p>x</p></td></tr><tr><td><p>2013</p></td><td><p>126</p><p> </p><p> </p></td><td><p>13</p></td></tr><tr><td><p>2014 (to 31 August)</p></td><td><p>78</p></td><td><p>9</p></td></tr></tbody></table><p> </p><p>Source: HSCIC</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>Notes:</p><p> </p><p> </p><p> </p><p>Details for opened practices in 2010 to 2012 have not been provided, but are available.</p><p> </p> answering member printed Earl Howe question first answered 29/10/2014 12:23:02 answering member 2000 label Biography information for Earl Howe
tabling member	3801 label Biography information for Lord Browne of Belmont

93696

registered interest
date	15/10/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Medicine: Education
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 3 June 2013 (HL210), whether they have altered their decision to reduce by two per cent the number of students entering medical schools in 2014; what were the findings of the 2014 review by Health Education England on the question; and whether they plan to expand the numbers significantly from 2015 and in later years.
tabling member printed	Lord Laird
uin	HL2125
answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Government has not altered its decision to reduce, by 2%, the number of students entering medical school in 2014.</p><p> </p><p> </p><p> </p><p>Health Education England (HEE) has not, to date, undertaken a comprehensive review of medical student intake numbers since that undertaken by the Health and Education National Strategic Exchange review published in December 2012.</p><p> </p><p> </p><p> </p><p>The requirement for graduate doctors (and the medical student intakes that create this supply) will form an integral part of the 2015 annual workforce planning process undertaken by HEE.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:27:22 answering member 2000 label Biography information for Earl Howe
tabling member	2479 label Biography information for Lord Laird