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419386

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Armed Forces
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 16 September (HL2100), whether they plan to remove the National Health Service ban on treating injured British military personnel who have undergone some private medical treatment, however small, for their injuries.
tabling member printed	Lord Blencathra
uin	HL2317
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>Any National Health Service patient is free to choose to fund privately a healthcare procedure, but as a result will generally be required to pay costs associated with that procedure. Whether the NHS provides on-going care is addressed on a case by case basis. Given the circumstances relating to a small number of very seriously injured veterans, NHS England is ensuring that they continue to receive on-going care. The NHS works closely with the Ministry of Defence to support injured service personnel through the transition process when they are discharged from the Armed Forces.</p><p> </p><p>We do not plan to exempt serving personnel or veterans from the principles of the NHS, but will ensure that all the circumstances of individual cases are taken into account when making decisions on the care of serving personnel and veterans.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:40:11 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	497 label Biography information for Lord Blencathra

419409

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the National Health Service Litigation Authority's Sign Up to Safety maternity-related projects include measures to improve the care of multiple pregnancies; and if so, when they expect to report the findings on those projects.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2340
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>Under the Sign up to Safety Scheme £8 Million has been awarded to 25 maternity units who submitted a successful bid to the National Health Service Litigation Authority incentivisation scheme. Most of the successful bids related to improvements in foetal monitoring (equipment and training) supervision, human factors and team working or a combination of these themes.</p><p> </p><p> </p><p> </p><p>All 51 bids (successful and unsuccessful) had to demonstrate a link to their claims. As such none of the bids made a specific reference to multiple births, the focus was on the causes within maternity that resulted in a particular injury outcome, for example resulting in brain damage</p><p> </p><p> </p><p> </p><p>A full evaluation of the impact of this scheme will be available next year.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:41:01 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

419410

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether NHS England’s Maternity Safety Thermometer will be updated to include a function to allow units to compare their data by (1) singleton, and (2) multiple, pregnancies; and if so, how they plan to use this information to drive improvements in care.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2341
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The Maternity Safety Thermometer includes a function to allow staff to record whether the pregnancy in question was a singleton or multiple pregnancy. National Health Service providers who use the Maternity Safety Thermometer are therefore able to collect and use this information to drive improvements in care.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 10:18:04 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

419411

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Care Quality Commission’s final report outlining the findings of their national maternity survey will include a specific summary setting out the experience of multiple birth mothers.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2342
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England. The CQC has advised that the responses to the national survey of National Health Service maternity services are currently being collated and analysed. Until all of this data has been analysed it is not possible for the CQC to comment on what will be included in the final report.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:39:39 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

419412

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what proportion of multiple pregnancies result in one or more babies with (1) Attention Deficit Hyperactivity Disorder, (2) Attention Deficit Disorder, (3) cerebral palsy, and (4) speech and language delays; and what estimate they have made of the additional costs to families and public services in addressing each of those needs.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2343
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>This information is not collected centrally.</p><p> </p><p> </p><p> </p><p>The majority of the conditions such as Attention Deficit Hyperactivity Disorder, Attention Deficit Disorder, cerebral palsy and speech and language delays identified in the question would only become apparent later in life. The Hospital Episode Statistics, which are collected by Health and Social Care Information Centre does not hold this data.</p><p> </p><p> </p><p> </p><p>There has been no assessment made of the cost to families or public services of the implications of these conditions in multiple pregnancies.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:43:28 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

419413

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what account they are taking of the submission by the Nuffield Trust on National Health Service funding in the 2015 Comprehensive Spending Review.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2344
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The Government has been clear that it wants to engage and harness a wider range of expertise as part of the 2015 Spending Review process and accordingly welcomes the submission of the Nuffield Trust.</p><p> </p><p> </p><p> </p><p>Rising demands and continued fiscal constraint means that the National Health Service faces challenges in ensuring that it remains financially sustainable in the future. The Government believes that the answer to these challenges lies in changing the way services are delivered and keeping people well and independent for longer.</p><p> </p><p> </p><p> </p><p>This is why the Government has committed to fully meeting the additional funding requirement – £8 billion per year over and above inflation by 2020-21 – identified by the NHS Five Year Forward View.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 13:12:32 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

419414

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Managers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what estimate they have made of the most recent annual figure for the turnover of chief executives of National Health Service organisations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2345
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>This information is not held centrally.</p><p> </p><p> </p><p> </p><p>However, leadership experience and stability are an important factor in running successful National Health Service organisations. This is precisely why one of the new functions of NHS Improvement, working with other organisations such as Health Education England, will be to create and support the new generation of NHS leaders.</p><p> </p><p> </p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:41:43 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

419415

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Managers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the average length of tenure of chief executives in the National Health Service.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2346
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>This information is not collected or held centrally.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 09:41:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

419416

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Managers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many National Health Service organisations currently have vacancies for chief executive posts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2347
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>This information is not held centrally by the Department.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 10:32:43 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

419417

registered interest
date	17/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Bowel Cancer: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why people who have reached the age of 75 are not automatically invited for a bowel screening to identify symptoms of bowel cancer.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2348
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The UK National Screening Committee (UK NSC) advises Ministers and the National Health Service in all four countries about all aspects of screening policy and supports implementation based on the best available evidence.</p><p> </p><p><br> Bowel cancer screening by Faecal Occult Blood testing for men and women aged 50-74 was recommended by the UK NSC in July 2003. Following this recommendation, the NHS Bowel Cancer Screening Programme in England initially invited men and women aged 60-69 years old as the programme was rolled out across the country. This has now been extended to men and women aged up to 74, as recommended in the Cancer Reform Strategy (2007). The programme offers screening up to the age of 74 based on the original English<sup>1</sup> and Danish<sup>2</sup> trials along with evidence published in 2010 (Cairns et al, 2010) which recommended that surveillance seizes at the age of 75.</p><p> </p><p><br> No assessment has been made regarding automatically inviting those over 75 years for bowel screening. Men and women aged above the eligible age limit have been able to self-refer for screening every two years since the programme began, and so far over 150,000 have done so.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><sup>1</sup>Hardcastle JD, Chamberlain JO, Robinson MH, Moss SM, Amar SS, Balfour TW, James PD, Mangham CM. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer.</p><p> </p><p>Lancet. 1996:348(9040);1472-7</p><p> </p><p>2 Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O. Randomised study of screening for colorectal cancer with faecal-occult-blood test.</p><p> </p><p><strong> </strong></p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 13:09:43 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath