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1701971

registered interest
date	17/04/2024
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	Disadvantaged: Coastal Areas and North of England
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following research by the University of Manchester showing that local authorities with higher unemployment rates have more deaths from drugs, alcohol and suicide, how they intend to tackle the socioeconomic factors that underpin deaths of despair, particularly in northern and coastal regions of England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3886
answer	answer is ministerial correction date of answer 29/04/2024 answer text <p>Good physical and mental health are underpinned by many socioeconomic factors beyond the health service. That is why we are working across the Government to improve air quality, ensure decent homes, and support disabled people and those with health conditions to work. The Levelling Up the United Kingdom white paper sets out the Government’s ambition to improve living standards and wellbeing across the United Kingdom, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus the Government’s action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase Healthy Life Expectancy by five years by 2035. The Government also provides a range of support, specifically to benefit claimants with a drug or alcohol dependency, to overcome their addiction and move into work.</p> answering member printed Lord Markham question first answered 29/04/2024 14:24:06 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1701972

registered interest
date	17/04/2024
answering body	Department for Levelling Up, Housing and Communities
answering dept id	211
answering dept short name	Levelling Up, Housing and Communities
answering dept sort name	Levelling Up, Housing and Communities
hansard heading	Disadvantaged: North East
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how they plan to reduce the rates of deaths of despair in the North East, which has over double the rate of London; and what assessment they have made of using rates of deaths of despair to assess progress on levelling up.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3887
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Supplemental Substance Misuse Treatment and Recovery (SSMTR) Grant is the mechanism by which local authorities receive Drug Strategy funding to increase substance misuse treatment service capacity and the quality of interventions people receive. The SSMTR Grant is made available to local authorities on the condition of maintaining existing funding through the Public Health Grant.</p><p> </p><p>Details of the SSMTR Grant and the Inpatient Detox (IPD) Grant allocations for the North East are set out below.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p><strong>2022-23</strong></p></td><td><p><strong>2023-24</strong></p></td><td><p><strong>2024-25</strong></p></td><td><p><strong>2022-23 to 2024-25</strong></p></td></tr><tr><td><p>SSMTR</p></td><td><p>£7,051,992</p></td><td><p>£13,677,970</p></td><td><p>£24,787,253</p></td><td><p>£45,517,215</p></td></tr><tr><td><p>IPD</p></td><td><p>£727,295</p></td><td><p>£727,295</p></td><td><p>£727,295</p></td><td><p>£2,181,885</p></td></tr></tbody></table><p>DHSC is also providing £1,157,212 in funding to three local authorities in the North East (Middlesborough, Newcastle and Durham) to improve access to drug and alcohol treatment services for people who sleep rough or who are at risk of sleeping rough.</p><p> </p><p>On 11 September 2023, the Government published a Suicide Prevention Strategy for England, with over 130 actions that we believe will make progress towards our ambition to reduce the suicide rate within two and a half years. The Strategy includes an intention to write guidance for local areas to support them to align their own strategies with the national strategy.</p><p> </p><p>On 4 March 2024, we announced that 79 organisations up and down the country, including some in the North East, have been allocated funding from the £10 million Suicide Prevention VCSE Grant Fund. These organisations, from local, community-led through to national, are delivering a broad and diverse range of activity that will prevent suicides and save lives.</p><p> </p><p>The Levelling Up White Paper set out 12 missions, including the health mission, focused on improving Healthy Life Expectancy and narrowing the gap between local areas where it is highest and lowest.</p><p> </p><p>We are supporting people to live healthier lives, helping the NHS and social care to provide the best treatment and care for patients and tackling health disparities through national and system interventions such as the NHS’s Core20PLUS5 programme.</p><p> </p><p>We are monitoring progress on a range of behavioural risk factors and underlying drivers of health, which are likely to impact on the health mission. We continue to use metrics that are publicly available and routinely updated to measure the levelling up missions, chosen to show as comprehensive a picture across the UK as possible. We are committed to developing this data picture and improving understanding of health disparities at a local level.</p> answering member printed Baroness Swinburne question first answered 01/05/2024 13:23:43 answering member 4985 label Biography information for Baroness Swinburne
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700776

registered interest
date	15/04/2024
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	Drugs: Prices
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they will publish a timeline for the implementation of the proposed changes to Drug Tariff Part IX; provide the definition of "quality" that will be used as part of the enhanced assessment process included in those proposed changes; and publish in full the responses received to that consultation.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3748
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The consultation response on the proposed amendments to Part IX is expected to be released in May 2024, which will outline the Government’s response. Any amendments that are taken forward will happen gradually, with review points, and engagement with stakeholders, including industry, patient representatives, clinicians, and National Health Service organisations. The Department will share a timeline of the proposed changes taken forward in due course.</p><p>The Department believes that it is currently difficult to identify which devices are broadly comparable, and whether more expensive devices provide added value. The proposed amendments that were consulted on intend to increase meaningful choice, not to decrease choice for clinicians and patients. Comparison between products can increase awareness of different brands amongst prescribers, which can also support small and medium sized businesses in entering the market.</p><p>The Department is aware that there are some very good devices in use, relied upon by clinicians and patients. Part IX will remain a list of devices available to be prescribed in the community via the FP10 prescription route.</p> answering member printed Lord Markham grouped question UIN HL3749 question first answered 22/04/2024 15:14:34 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700777

registered interest
date	15/04/2024
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	Incontinence: Drugs
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to consult patients, clinicians and manufacturers on the categorisation of products available on Part IX of the Drug Tariff as proposed in the recent consultation paper; and what assessment they have made of the impact of the proposed changes to Drug Tariff Part IX on (1) patients with continence care needs, (2) continence care services, (3) the range of devices available to clinicians and patients, and (4) new product development and innovation in medical devices in the continence sector.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3749
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The consultation response on the proposed amendments to Part IX is expected to be released in May 2024, which will outline the Government’s response. Any amendments that are taken forward will happen gradually, with review points, and engagement with stakeholders, including industry, patient representatives, clinicians, and National Health Service organisations. The Department will share a timeline of the proposed changes taken forward in due course.</p><p>The Department believes that it is currently difficult to identify which devices are broadly comparable, and whether more expensive devices provide added value. The proposed amendments that were consulted on intend to increase meaningful choice, not to decrease choice for clinicians and patients. Comparison between products can increase awareness of different brands amongst prescribers, which can also support small and medium sized businesses in entering the market.</p><p>The Department is aware that there are some very good devices in use, relied upon by clinicians and patients. Part IX will remain a list of devices available to be prescribed in the community via the FP10 prescription route.</p> answering member printed Lord Markham grouped question UIN HL3748 question first answered 22/04/2024 15:14:34 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700778

registered interest
date	15/04/2024
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: Legal Representation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what was the annual spend by the health service on legal representation at inquests in the previous five years for which information is available.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3750
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>NHS Resolution manages clinical negligence and other claims against the National Health Service in England. The following table shows the amounts paid in accordance with the rules of the Clinical Negligence Scheme for Trusts (CNST), to support trusts at inquests and for associated costs to investigate entitlement to compensation, in the last five years:</p><table><tbody><tr><td><p>Payment Raised Year</p></td><td><p>Amount</p></td></tr><tr><td><p>2018/19</p></td><td><p>£2,968,153</p></td></tr><tr><td><p>2019/20</p></td><td><p>£2,223,095</p></td></tr><tr><td><p>2020/21</p></td><td><p>£1,614,820</p></td></tr><tr><td><p>2021/22</p></td><td><p>£1,545,135</p></td></tr><tr><td><p>2022/23</p></td><td><p>£1,623,211</p></td></tr><tr><td><p>Total</p></td><td><p>£9,974,414</p></td></tr></tbody></table><p>Source: NHS Resolution</p><p>The CNST handles all clinical negligence claims against member NHS bodies where the incident in question took place on or after 1 April 1995, or when the body joined the scheme if that is later. NHS Resolution is not involved in any arrangements that an individual trust might make outside of the scheme.</p><p>Information on the total spend by NHS trusts regarding coroner’s inquests is not collated or held centrally.</p> answering member printed Lord Markham question first answered 14/05/2024 11:49:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700779

registered interest
date	15/04/2024
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	Suicide: Coastal Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, with reference to research by Christine Camacho and Luke Munford at the University of Manchester showing that deaths from drugs, alcohol and suicide are higher in northern and coastal local authorities, what steps they are taking to address that regional inequality.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3751
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The <em>Levelling Up the United Kingdom</em> white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.</p><p>The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.</p><p>The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.</p><p>We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.</p> answering member printed Lord Markham grouped question UIN HL3752 question first answered 25/04/2024 14:15:17 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700780

registered interest
date	15/04/2024
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: Equality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, with reference to research by Christine Camacho and Luke Munford at the University of Manchester, what steps they are taking to reduce regional inequalities in what those researchers refer to as "Deaths of Despair".
tabling member printed	Lord Hunt of Kings Heath
uin	HL3752
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The <em>Levelling Up the United Kingdom</em> white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.</p><p>The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.</p><p>The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.</p><p>We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.</p> answering member printed Lord Markham grouped question UIN HL3751 question first answered 25/04/2024 14:15:17 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1699226

registered interest
date	26/03/2024
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: Procurement
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what recent assessment they have made regarding the potential for insourcing to tackle NHS waiting lists.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3616
answer	answer is ministerial correction date of answer 08/04/2024 answer text <p>Independent sector providers have a significant role to play in supporting the National Health Service as trusted partners, to recover elective services. The Elective Recovery Taskforce was launched in 2022 to consider how capacity across the system could be best utilised, including how insourcing could be used to meet the ambitions on long waits. The taskforce concluded its work by publishing an implementation plan in August 2023, which sets out a series of actions that have either been delivered, or will be delivered, over the coming months.</p><p>Local systems are best placed to consider how to utilise insourcing as part of their delivery plans, in a way which works for their areas. To support the system, NHS England produced <em>Guidance for trusts on the use of insourcing</em> and NHS Shared Business Services produced the <em>Insourcing of Clinical Services Framework Agreement</em>.</p> answering member printed Lord Markham grouped question UIN HL3587 HL3617 question first answered 08/04/2024 11:17:10 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1699227

registered interest
date	26/03/2024
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: Procurement
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they have taken to ensure that NHS trusts are made aware of (1) insourcing arrangements as a route to reducing local waiting lists, and (2) the benefits of insourcing for (a) patients, and (b) NHS trusts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3617
answer	answer is ministerial correction date of answer 08/04/2024 answer text <p>Independent sector providers have a significant role to play in supporting the National Health Service as trusted partners, to recover elective services. The Elective Recovery Taskforce was launched in 2022 to consider how capacity across the system could be best utilised, including how insourcing could be used to meet the ambitions on long waits. The taskforce concluded its work by publishing an implementation plan in August 2023, which sets out a series of actions that have either been delivered, or will be delivered, over the coming months.</p><p>Local systems are best placed to consider how to utilise insourcing as part of their delivery plans, in a way which works for their areas. To support the system, NHS England produced <em>Guidance for trusts on the use of insourcing</em> and NHS Shared Business Services produced the <em>Insourcing of Clinical Services Framework Agreement</em>.</p> answering member printed Lord Markham grouped question UIN HL3587 HL3616 question first answered 08/04/2024 11:17:10 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1699228

registered interest
date	26/03/2024
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	Cancer: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will establish targeted funding to prioritise and drive research investment into pancreatic cancer and the other less survivable cancers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3618
answer	answer is ministerial correction date of answer 08/04/2024 answer text <p>Research is crucial in the fight against cancer, which is why the Department invests £1 billion per year in health research through the National Institute for Health and Care Research (NIHR). NIHR research expenditure for all cancers was £121 million for 2022/23.</p><p>In terms of establishing targeted funding into pancreatic cancer, the NIHR funds research in response to proposals received from scientists rather than allocating funding to specific disease areas. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.</p><p>The Government, through the NIHR, is committed to improving research into pancreatic cancer and cancers with the poorest survival rates by funding high quality, timely research that leads to improved outcomes for patients and the public, and makes the health and social care system more efficient, effective, and safe. Research evidence is vital for improving treatments and outcomes for people, including those with pancreatic cancer and other less survivable cancers.</p><p>In 2023, the Government awarded £2 million to new interdisciplinary research teams tackling hard to treat cancers, via the Medical Research Council, which hosted a two-day cancer sandpit strategic funding opportunity, focused on technological innovation for understanding cancers with the poorest survival rates.</p><p>The NIHR has funded seven research projects for pancreatic cancer for the period 2019 to 2023, with a total committed spend of approximately £3.6 million. The NIHR also supports the delivery of pancreatic cancer research funded by those in the charity and public sectors. For example, since 2019, the NIHR Clinical Research Network has supported over 70 pancreatic cancer-related studies.</p><p>The NIHR continues to encourage and welcome applications for research into any aspect of human health, including pancreatic cancer. All applications are assessed for funding by peer review committees. The level of research spend in a particular area is driven by factors including the quality of the proposals and their scientific potential. All applications for research into pancreatic cancer and other less survivable cancers made through open competition have been funded.</p> answering member printed Lord Markham grouped question UIN HL3619 question first answered 08/04/2024 11:25:36 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath