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753272

registered interest
date	18/07/2017
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	Her Majesty's Government, further to the Written Answers by Lord O’Shaughnessy on 23 January (HL4387) and on 3 February (HL4841), whether the new data collection on extended access to general practice includes data on the number of days that general practices were continuously closed over the Christmas and New Year holidays 2016-17; if so, why the Written Answer on 23 January stated that the Department of Health does not hold that information; and if not, whether they intend to extend that data collection to such information.
tabling member printed	Lord Birt
uin	HL960
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The extended access data collection does not collect this information. There are no plans to extend the data collection to cover specific arrangements such as holiday cover. The data collection was agreed following negotiations between the General Practitioner Committee and NHS England, and any change or amendment to it would require further negotiation.</p> answering member printed Baroness Chisholm of Owlpen question first answered 20/07/2017 14:47:45 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	2533 label Biography information for Lord Birt

752441

registered interest
date	17/07/2017
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	Her Majesty's Government which organisation is responsible for ensuring that a paediatric audiology service that has not met the standards for Improving Quality in Physiological Services (IQIPS) accreditation addresses the problems found during the accreditation visit.
tabling member printed	Lord Hunt of Kings Heath
uin	HL887
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL889 HL890 HL891 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752446

registered interest
date	17/07/2017
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	Her Majesty's Government when NHS England plans to produce a commissioning specification for Specialist Audiology Services used by children and commissioned directly by NHS England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL892
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>NHS England has produced the following service specifications for audiology services that it commissions, which apply to all ages and sit in the Trauma Programme of Care (Specialised Ear and Ophthalmology Services):</p><p> </p><p>- Specialised Ear Surgery: Cochlear Implants (All Ages); and</p><p>- Implantable Hearing Aids for Microtia, Bone Anchored Hearing Aids and Middle Ear Implants (All Ages).</p><p> </p><p>Copies of these service specifications are attached.</p><p> </p><p>NHS England has no plans to publish further service specifications for specialist audiology services used by children.</p><p> </p><p>NHS England has also published commissioning policies for the following services that are available for children:</p><p> </p><p>- Auditory brainstem implant with congential abnomalities of the auditory nerves of cochleae;</p><p>- Bone Anchored Hearing Aids; and</p><p>- Bone conducting hearing implants for hearing loss (all ages).</p> answering member printed Baroness Chisholm of Owlpen attachment 1 file name d09-ear-surg-coch-0414.pdf title Specialised Ear Surgery service specification 2 file name d09-implan-hear-aids.pdf title Implantable Hearing Aids service specification question first answered 20/07/2017 14:41:47 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

752468

registered interest
date	17/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Parkinson's Disease: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government how much the NHS pays for a one year supply of Apomorphine for a patient with Parkinson's Disease; how much they estimate it costs to manufacture a year's supply of that drug; what assessment they have made of the difficulties of manufacturing Apomorphine to clinical standards; and whether they intend to take any steps to reduce the cost of that drug to the NHS.
tabling member printed	Lord Lucas
uin	HL914
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The drug cost to the National Health Service for a one year supply of Apomorphine for a patient with Parkinson's Disease is estimated to be in the region of £5,300 and £9,000, based on the usual daily dose of 3 – 30mg. However, the maximum daily is 100mg, so the annual cost for some patient’s treatment may be higher.</p><p>We have no estimate of the cost of manufacture. We are not aware of any particular issues relating to the manufacture of this drug. Pharmaceutical companies participate in either the voluntary pharmaceutical price regulation scheme (PPRS) or the statutory medicines price regulation scheme, both of which regulate the cost of medicines to the NHS. Products covered by the statutory scheme are subject to a 15% cut to their list price. Companies in the PPRS pay a percentage of sales to the Government when growth in NHS spending on medicines exceeds an agreed level. NHS purchasers may also negotiate discounts with pharmaceutical companies in addition to national price regulation.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:12:09 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1879 label Biography information for Lord Lucas

752559

registered interest
date	17/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Land
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate he has made of the number of homes that will be built as a result of the sale of NHS assets held by (a) Hull and East Yorkshire Hospitals NHS Trust and (b) Humber NHS Foundation Trust after the Naylor Review.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	5280
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>‘NHS Property and Estates: why the estate matters for patients’ (the Naylor Review) is an independent report prepared for the Department and published on 31 March 2017. The report is available on the Department’s website at:</p><p><a href="https://www.gov.uk/government/publications/nhs-property-and-estates-naylor-review." target="_blank">https://www.gov.uk/government/publications/nhs-property-and-estates-naylor-review.</a></p><p>The Government is giving careful consideration to the Review’s recommendations and will respond in due course.</p><p> </p><p>The Review did not identify specific surplus National Health Service land and buildings nor recommend the sale of particular sites. It is for local NHS land owners to determine whether land and buildings are no longer needed for patient care and available for disposal, as part of the development of local plans by sustainability and transformation partnerships. We are engaging with the NHS to enable them to identify opportunities to support delivery of the Department’s existing aims to release land no longer required by the NHS sufficient for 26,000 homes and to generate up to £2 billion of proceeds for reinvestment in healthcare facilities and services.</p><p> </p><p>NHS Digital undertakes an annual collection of data from individual NHS organisations on the land and property that they have deemed surplus to the delivery of healthcare. The latest data are available at:</p><p><a href="https://www.gov.uk/government/statistics/nhs-surplus-land-financial-year-2016-to-2017-england" target="_blank">https://www.gov.uk/government/statistics/nhs-surplus-land-financial-year-2016-to-2017-england</a></p><p> </p><p>The following table shows the land area in hectares (ha) and estimated number of housing units for each plot declared as surplus by Hull and East Yorkshire Hospitals NHS Trust and Humber NHS Foundation Trust as part of this data collection:</p><table><tbody><tr><td><p>Trust</p></td><td><p>Surplus Land Plot Area (ha)</p></td><td><p>Estimated Number of Housing Units</p></td></tr><tr><td><p>Hull and East Yorkshire NHS Trust</p></td><td><p>31.75</p></td><td><p>680</p></td></tr><tr><td><p>Humber NHS Foundation Trust</p></td><td><p>1.00</p></td><td><p>20</p></td></tr></tbody></table><p>No estimate of proceeds from the disposal of these sites has been made. The number of housing units built on each site is subject to local planning permission.</p><p> </p><p>The Department is committed to ensuring that the NHS has the capital resources it needs and capital receipts from the sale of surplus NHS land are a key part of this, supplementing the Department’s capital budget set by HM Treasury in the 2015 Spending Review. We recognised at the time of the Spending Review the potential need to transfer resources from this capital budget in order to help meet overall spending priorities; £1.2 billion was transferred from the Department’s capital budget to revenue in 2016-17. The Department is planning to reduce the level of transfer with the aim of eliminating it entirely by the end of the Spending Review period.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 5278 5279 question first answered 20/07/2017 13:56:54 answering member 1542 label Biography information for Philip Dunne
tabling member	1533 label Biography information for Dame Diana Johnson

752628

registered interest
date	17/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Food: EU Law
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 potential merits of updating UK law in line with EU food safety regulations in the period after the UK has left the EU.
tabling member constituency	Ceredigion
tabling member printed	Ben Lake
uin	5129
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The European Union (Notification of Withdrawal) Bill 2017 will ensure that the body of existing EU food safety law continues to have effect in United Kingdom law. This will provide businesses and stakeholders with maximum certainty as we leave the EU. We will then have the opportunity, over time, to ensure our legislative framework maintains food safety standards.</p><p> </p><p>The Food Standards Agency’s statutory objective is to protect public health and consumers’ other interests in relation to food while maintaining access to a range of goods that are trusted and safe.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/07/2017 14:41:42 answering member 4067 label Biography information for Steve Brine
tabling member	4630 label Biography information for Ben Lake

752652

registered interest
date	17/07/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been diagnosed with problems relating to alcohol consumption in each of the last three years.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5498
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>In 2015-16, there were 144,908 adults receiving specialist treatment for alcohol problems. Further data about the numbers of people in treatment for alcohol problems is contained in a series of annual reports from the National Drug Treatment Monitoring System, which is available online:</p><p><a href="http://www.nta.nhs.uk/statistics.aspx" target="_blank">http://www.nta.nhs.uk/statistics.aspx</a></p><p> </p><p>Data is not available on the number of new diagnoses of alcohol-related disease each year. The estimated number of hospital admissions where the main reason for admission was alcohol-related was 339,000 in 2015-16 and 330,000 in the previous two years.</p><p> </p><p>Further data on alcohol-related hospital admissions and incidence of alcohol-related cancer is available from:</p><p><a href="https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape" target="_blank">https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape</a></p><p><a href="https://fingertips.phe.org.uk/profile/local-alcohol-profiles" target="_blank">https://fingertips.phe.org.uk/profile/local-alcohol-profiles</a></p><p>There are a number of actions underway to tackle the harm caused by alcohol, including alcohol-related cancers. These actions include NHS England’s national Commissioning for Quality and Innovation programme to incentivise the delivery of alcohol identification and brief advice; Public Health England’s One You campaign to motivate people to take steps to improve their health, with a focus on alcohol use; and the NHS Health Check provides an opportunity for general practitioners to offer advice to reduce alcohol use if appropriate.</p><p> </p><p>The Government believes in informing and empowering citizens, and has a responsibility to provide the most up to date, clear information to enable people to make informed choices about their drinking. The 2016 United Kingdom Chief Medical Officers’ low risk drinking guidelines provide the public with the most up to date scientific information.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 5497 5499 question first answered 20/07/2017 14:39:46 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

752653

registered interest
date	17/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer: Alcoholic Drinks
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to reduce the number of cancer diagnoses related to alcohol consumption.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5499
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>In 2015-16, there were 144,908 adults receiving specialist treatment for alcohol problems. Further data about the numbers of people in treatment for alcohol problems is contained in a series of annual reports from the National Drug Treatment Monitoring System, which is available online:</p><p><a href="http://www.nta.nhs.uk/statistics.aspx" target="_blank">http://www.nta.nhs.uk/statistics.aspx</a></p><p> </p><p>Data is not available on the number of new diagnoses of alcohol-related disease each year. The estimated number of hospital admissions where the main reason for admission was alcohol-related was 339,000 in 2015-16 and 330,000 in the previous two years.</p><p> </p><p>Further data on alcohol-related hospital admissions and incidence of alcohol-related cancer is available from:</p><p><a href="https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape" target="_blank">https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape</a></p><p><a href="https://fingertips.phe.org.uk/profile/local-alcohol-profiles" target="_blank">https://fingertips.phe.org.uk/profile/local-alcohol-profiles</a></p><p>There are a number of actions underway to tackle the harm caused by alcohol, including alcohol-related cancers. These actions include NHS England’s national Commissioning for Quality and Innovation programme to incentivise the delivery of alcohol identification and brief advice; Public Health England’s One You campaign to motivate people to take steps to improve their health, with a focus on alcohol use; and the NHS Health Check provides an opportunity for general practitioners to offer advice to reduce alcohol use if appropriate.</p><p> </p><p>The Government believes in informing and empowering citizens, and has a responsibility to provide the most up to date, clear information to enable people to make informed choices about their drinking. The 2016 United Kingdom Chief Medical Officers’ low risk drinking guidelines provide the public with the most up to date scientific information.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 5497 5498 question first answered 20/07/2017 14:39:46 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

752654

registered interest
date	17/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholic Drinks: Gambling
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what his policy is on the potential link between alcohol and problem gambling; and what steps he is taking to tackle that link.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5496
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>Alcohol misuse and problem gambling can be regarded as significant public health problems with adverse consequences for the individuals concerned and to wider society.</p><p> </p><p>A range of Government initiatives have been taken at a national level to tackle alcohol misuse. An essential part of our strategy to tackle alcohol harms is the provision of high quality, evidence based treatment services. Local alcohol and drug treatment services are commissioned by local authorities on the basis of local needs assessment. They should be commissioned to have competent staff who are equipped to identify and respond appropriately to a broad range of patient needs, including problem gambling, and then refer them appropriately through established pathways.</p><p> </p><p>Additionally there are a range of services available to problem gamblers, details of which can be found on the NHS Choices website.</p><p> </p><p>The Responsible Gambling Trust (RGT) funds GamCare, an independent charity offering help and support, and a specialist National Health Service service for gambling disorders. The RGT collects donations from the gambling industry to fund them. Some NHS mental health services also treat gambling problems and self-help is available from Gamblers Anonymous.</p><p> </p><p>Public Health England has published a briefing for local authorities, with the Local Government Association, on problem gambling and what action local authorities could take.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/07/2017 14:29:06 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce

752655

registered interest
date	17/07/2017
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people have been treated for alcohol addiction in each of the last three years.
tabling member constituency	Congleton
tabling member printed	Fiona Bruce
uin	5497
answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>In 2015-16, there were 144,908 adults receiving specialist treatment for alcohol problems. Further data about the numbers of people in treatment for alcohol problems is contained in a series of annual reports from the National Drug Treatment Monitoring System, which is available online:</p><p><a href="http://www.nta.nhs.uk/statistics.aspx" target="_blank">http://www.nta.nhs.uk/statistics.aspx</a></p><p> </p><p>Data is not available on the number of new diagnoses of alcohol-related disease each year. The estimated number of hospital admissions where the main reason for admission was alcohol-related was 339,000 in 2015-16 and 330,000 in the previous two years.</p><p> </p><p>Further data on alcohol-related hospital admissions and incidence of alcohol-related cancer is available from:</p><p><a href="https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape" target="_blank">https://www.gov.uk/government/collections/local-alcohol-profiles-for-england-lape</a></p><p><a href="https://fingertips.phe.org.uk/profile/local-alcohol-profiles" target="_blank">https://fingertips.phe.org.uk/profile/local-alcohol-profiles</a></p><p>There are a number of actions underway to tackle the harm caused by alcohol, including alcohol-related cancers. These actions include NHS England’s national Commissioning for Quality and Innovation programme to incentivise the delivery of alcohol identification and brief advice; Public Health England’s One You campaign to motivate people to take steps to improve their health, with a focus on alcohol use; and the NHS Health Check provides an opportunity for general practitioners to offer advice to reduce alcohol use if appropriate.</p><p> </p><p>The Government believes in informing and empowering citizens, and has a responsibility to provide the most up to date, clear information to enable people to make informed choices about their drinking. The 2016 United Kingdom Chief Medical Officers’ low risk drinking guidelines provide the public with the most up to date scientific information.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 5498 5499 question first answered 20/07/2017 14:39:46 answering member 4067 label Biography information for Steve Brine
tabling member	3958 label Biography information for Fiona Bruce