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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
	type	WrittenParliamentaryQuestion
	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

100056

	registered interest
	date	21/10/2014
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to provide further advice to schools on how to tackle childhood obesity.
	tabling member printed	Lord Taylor of Warwick
	type	WrittenParliamentaryQuestion
	uin	HL2262
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>This Government recognises that through physical education, competitive school sport and encouraging healthy eating, schools can help address the problem of childhood obesity. The PE and sports premium is part of a package of measures to tackle obesity in primary schools. Our research found 96% of schools said that their pupils are now living healthier lives as a result of the funding. In addition, the introduction of universal infant free school meals will ensure that all infants receive a nutritious school lunch.</p><p> </p> answering member printed Lord Nash question first answered 24/10/2014 12:35:00 answering member 4270 label Biography information for Lord Nash
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100058

	registered interest
	date	21/10/2014
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Children: Poverty
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the light of the recent report by the Social Mobility and Child Poverty Commission, which suggests child poverty reduction targets will not be met, what steps they will take to ensure that those targets are met.
	tabling member printed	Lord Taylor of Warwick
	type	WrittenParliamentaryQuestion
	uin	HL2264
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>We remain committed to our goal of ending child poverty by 2020.</p><p>The ‘2014-17 Child Poverty Strategy’, published in June this year, outlines our plans to tackle the root causes of poverty, by:</p><ol><li>Raising the incomes of poor children’s families by helping them get into work and making work pay.</li><li>Supporting the living standards of low-income families.</li><li>Raising educational outcomes of poor children.</li></ol><p>Work remains the best route out of poverty. That is why the Government is introducing Universal Credit which will lift around 300,000 children out of poverty due to increased entitlements. This Government is also focused on breaking the cycle of poor children going on to become poor adults. That is why the Government has introduced policies - such as the pupil premium, worth £2.5 billion in 2014-15, to support poor children to reach their full potential and close the attainment gap between them and their more advantaged peers.</p><p>The Government will publish a response to the Social Mobility and Child Poverty Commission Report in due course.</p> answering member printed Lord Nash question first answered 27/10/2014 17:32:36 answering member 4270 label Biography information for Lord Nash
	tabling member	1796 label Biography information for Lord Taylor of Warwick

100188

	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: Temporary Employment
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how much was spent by each NHS Trust and NHS foundation trust on contract and agency staff in each of the last five years.
	tabling member constituency	Birkenhead
	tabling member printed	Mr Frank Field
	type	WrittenParliamentaryQuestion
	uin	211294
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Following the Francis report many trusts increased their spend on temporary staffing to meet safe staffing levels.</p><p> </p><p> </p><p> </p><p>The Department expects trusts to have a strong grip on their finances, and manage their agency and temporary staffing spend responsibly through effective and efficient workforce planning and management.</p><p> </p><p> </p><p> </p><p>Spend by each National Health Service foundation trust on contract and agency staff[1] in each of the last five years is attached.</p><p> </p><p> </p><p> </p><p>The amount spent by each NHS trust on contract and agency staff in 2013-14 is attached. Amounts for 2009-10 to 2012-13 were not separately identified from other non permanent staff[2].</p><p> </p><p> </p><p> </p><p> </p><p>1. The definition of Contract / Agency staff is: “Agency” employee payments for the employment of staff where the staff remain employees of the agency and “Contract staff” where the NHS trust has control over numbers and qualifications of staff (in contrast to a service obtained under contract) .</p><p> </p><p>[2] non-permanent staff are defined as “others engaged on the objectives of the organisation including staff on inward secondment or loan from other organisations, bank/agency/temporary staff and contract staff.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name NHS Trusts Contract and Agency Spend- 5 Years.xlsx title NHS trusts contract and agency spend- 5 years 2 file name NHS Trusts Contract and Agency Spend 2013-14.xlsx title NHS trusts contract and agency spend- 2013-14 question first answered 24/10/2014 12:25:09 answering member 3918 label Biography information for Jane Ellison
	tabling member	478 label Biography information for Lord Field of Birkenhead

100195

	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
	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 simplify the provision and commissioning of secondary care; and if he will make a statement.
	tabling member constituency	Mid Derbyshire
	tabling member printed	Pauline Latham
	type	WrittenParliamentaryQuestion
	uin	211309
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>In considering the commissioning and provision of secondary care, it is for commissioners and clinicians locally to design and deliver the models of care that are going to provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England has published a Five Year Forward View which describes the vision for the future of the NHS, including increasing the involvement of General Practitioners in the provision of services traditionally placed in secondary care through ‘Multispecialty Community Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View is attached.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 17:11:44 answering member 3918 label Biography information for Jane Ellison attachment 1 file name NHS England- Five Year Forward View.pdf title NHS England- Five Year Forward View
	tabling member	4025 label Biography information for Mrs Pauline Latham

100196

	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	Radiotherapy
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, whether the signature authorising Individual Funding Requests made to NHS England for Gamma Knife treatment by University College Hospital London, Queen Square, is that of a senior clinician employed by University College Hospital London.
	tabling member constituency	Wells
	tabling member printed	Tessa Munt
	type	WrittenParliamentaryQuestion
	uin	211310
	answer	answer is ministerial correction date of answer 27/10/2014 answer text <p>We are advised by NHS England that the clinician who authorises Individual Funding Requests for Gamma Knife treatment to be undertaken at the Queens Square Radiology Centre Ltd (QSRC) is a surgeon at the National Hospital for Neurosurgery and Neurology (NHNN), part of University College London Hospitals NHS Foundation Trust (UCLH).</p><p> </p><p> </p><p> </p><p>Gamma Knife treatment is not undertaken by UCLH but by the private company QSRC, which is based at NHNN but has no formal relationship with UCLH.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 27/10/2014 16:54:23 answering member 3918 label Biography information for Jane Ellison
	tabling member	4089 label Biography information for Tessa Munt

100203

	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	Judicial Review
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many judicial review cases have been successfully brought against his Department in each year since 2010.
	tabling member constituency	Hammersmith
	tabling member printed	Mr Andy Slaughter
	type	WrittenParliamentaryQuestion
	uin	211303
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The following table shows the number of judicial review cases brought against the Department and Public Health England (PHE) since 2010. Until 2013, information was not held centrally on whether the decisions challenged in these applications were upheld.</p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>Department of Health</p></td><td><p>Public Health England (an executive agency of the Department)</p></td><td><p> </p></td></tr><tr><td><p> </p></td><td><p>Number of applications for judicial review made during year</p></td><td><p>Number of applications for judicial review made during year</p></td><td><p>Number of applications upheld during year</p></td></tr><tr><td><p>2010</p></td><td><p>35</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2011</p></td><td><p>26</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2012</p></td><td><p>27</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>2013</p></td><td><p>29</p></td><td><p>1*</p></td><td><p>2**</p></td></tr><tr><td><p>2014</p></td><td><p>11 to date</p></td><td><p>0 to date</p></td><td><p>0 to date</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>*This application was made prior to 31 March 2013, before the formation of PHE.</p><p> </p><p>** These were successful challenges against decisions of the Department of Health, the two applications were joined and dealt with together.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 12:25:27 answering member 3918 label Biography information for Jane Ellison
	tabling member	1516 label Biography information for Andy Slaughter

100207

	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	Foetal Alcohol Spectrum Disorder
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, further to the answer of 21 October 2014 to question 210443, how many clinical commissioning groups commission foetal alcohol spectrum disorder and foetal alcohol syndrome services.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	type	WrittenParliamentaryQuestion
	uin	211389
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>This information is not held centrally.</p><p> </p><p><strong> </strong></p><p> </p><p>Fetal Alcohol Spectrum Disorder (FASD) is an umbrella term used to describe a range of conditions associated with prenatal alcohol exposure.</p><p> </p><p> </p><p> </p><p>Early intervention services can help reduce some of the effects of Fetal Alcohol Syndrome and prevent some of the secondary disabilities that result.</p><p> </p><p> </p><p> </p><p>Responsibility for commissioning these services lies with clinical commissioning groups.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 11:14:26 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

100208

	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	Ebola
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions the Government has had with the private sector and voluntary sector health providers in relation to the Ebola crisis.
	tabling member constituency	Liverpool, Wavertree
	tabling member printed	Luciana Berger
	type	WrittenParliamentaryQuestion
	uin	211390
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>Since July 2014, Public Health England (PHE) has been issuing advice to health care providers about the Ebola outbreak in West Africa. The outbreak was declared an international public health emergency by the United Nations in August. The advice from PHE has been extensive, covering issues such as guidance on the management of patients and infection control and prevention for staff.</p><p> </p><p> </p><p> </p><p>The Chief Medical Officer has issued three Central Alerting System alerts on the Ebola outbreak in West Africa, on 2 July, 1 August and 7 October. The alert reminded healthcare providers to remain vigilant for cases imported to the United Kingdom, emphasising the importance of taking a full travel history when assessing relevant patients and information on identifying and managing possible cases of Ebola virus disease and actions for all clinicians to ensure preparedness for the possibility of an imported case in the UK.</p><p> </p><p> </p><p> </p><p>These alerts were cascaded to the entire NHS in England, as well as PHE, PHE Consultants in Communicable Disease Control, PHE Consultants in Health Protection,</p><p> </p><p>Trust Microbiologists, Virologists and Infectious Disease Clinicians, private hospitals across England and Clinical Commissioning Group Leads. The alert was also sent to the devolved administrations.</p><p> </p><p><strong> </strong></p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 24/10/2014 11:32:26 answering member 3918 label Biography information for Jane Ellison
	tabling member	4036 label Biography information for Luciana Berger

100225

	registered interest
	date	21/10/2014
	answering body	Ministry of Justice
	answering dept id	54
	answering dept short name	Justice
	answering dept sort name	Justice
	hansard heading	Judicial Review
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Justice, in how many judicial review cases his Department has unsuccessfully intervened since 2010.
	tabling member constituency	Hammersmith
	tabling member printed	Mr Andy Slaughter
	type	WrittenParliamentaryQuestion
	uin	211304
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The purpose of an intervention in a judicial review should be to help the court decide the case.</p><p>Details of interventions made by this department since 2010 are not held centrally.</p><p> </p> answering member constituency Bermondsey and Old Southwark answering member printed Simon Hughes question first answered 24/10/2014 13:43:52 answering member 194 label Biography information for Simon Hughes
	tabling member	1516 label Biography information for Andy Slaughter