The National Institute for Health and Care Excellence (NICE) concluded a comprehensive review of the methods and processes it uses for health technology assessment with the publication of its updated health technology evaluation manual on 31 January 2022. The review was carried out through extensive engagement with interested parties. As part of the review, NICE considered the circumstances in which it was appropriate to apply a non-reference case discount rate.<\/p>
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The updated manual states that NICE\u2019s committee can consider using a non-reference case discount rate of 1.5% per year for both costs and health effects if the technology is for people who would otherwise die or have a very severely impaired life, if it is likely to restore them to full or near-full health, if the benefits are likely to be sustained over a very long period, and if the committee is confident that there is a highly plausible case for the maintenance of benefits over time and is satisfied that any irrecoverable costs associated with the technology have been appropriately captured or mitigated. The decision on whether a non-reference case discount rate is applied is taken by NICE\u2019s health technology evaluation committees. There are no plans to seek any further clarification from NICE.<\/p>
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The non-reference case discount rate has been considered in several technology appraisals and highly specialised technologies evaluations, when considered appropriate by the committee. This includes both advanced therapeutic medicinal products (ATMPs), for example the evaluations of onasemnogene abeparvovec for spinal muscular atrophy and Strimvelis for adenosine deaminasedeficient severe combined immunodeficiency, and non-ATMPs, for example the evaluation of dinutuximab beta for neuroblastoma.<\/p>
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The full list of products that have or have not been considered to treat a life threatening or severely limiting disease, to restore patients to full or near full health, and that are likely to sustain their benefits over a very long period of time, could only be provided at disproportionate cost.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4948", "label" : {"_value" : "Biography information for Lord Markham"} } , "answeringMemberPrinted" : {"_value" : "Lord Markham"} , "dateOfAnswer" : {"_value" : "2023-03-22", "_datatype" : "dateTime"} , "groupedQuestionUIN" : {"_value" : "HL6217"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2023-03-22T13:10:34.46Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2023-03-07", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Advanced Therapy Medicinal Products"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask His Majesty's Government whether they plan to seek clarification from the National Institute for Health and Care Excellence (NICE) on how the non-reference case discount rate should be used in its assessments of Advanced Therapy Medicinal Products (ATMPs).", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4130", "label" : {"_value" : "Biography information for Baroness Ritchie of Downpatrick"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Ritchie of Downpatrick"} ], "uin" : "HL6216"} , {"_about" : "http://data.parliament.uk/resources/1433452", "AnsweringBody" : [{"_value" : "Department for Environment, Food and Rural Affairs"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1433452/answer", "answerText" : {"_value" : "
We take our trade and international obligations for human health and the environment seriously and continue to monitor action in other countries and learn from their experiences.<\/p>
The export of paraquat from Great Britain (GB) is regulated under the GB Prior Informed Consent (PIC) regulatory regime for the export and import of certain hazardous chemicals. Companies intending to export any of these chemicals from the GB must notify the importing country via the exporter\u2019s Designated National Authority. For GB, the Designated National Authority is The Health and Safety Executive (HSE).<\/p>
Paraquat additionally requires the explicit consent of the importing country before export can take place. The exchange of information that PIC provides allows the importing countries to make informed decisions on the import of those chemicals and on how to handle and use them safely. This process is kept under review.<\/p>
We believe it is essential that the use of actives that are known to be hazardous to human health or the environment should be subject to scientific risk assessment, mitigation and regulatory protections. That is why we support notification of the export of Paraquat under GB PIC and support its listing under the Rotterdam convention. \u200b<\/p>
Additionally, the UK is committed to working internationally including through the Organisation for Economic Co-operation and Development, the Strategic Approach to International Chemicals Management (SAICM) and United Nations Environment Assembly to support other nations to safely manage pesticides. We also believe in evidence-based international policy-making through the use of scientific committees, such as the Chemical Review Committee, and strengthening of the international \u2018science - policy interface\u2019 for chemicals and pesticides to support global decision-making.<\/p>
We are progressing projects assessing the impacts of pesticides, including Paraquat, on human health and the environment in developing countries. We will continue to support developing countries to use pest management techniques which are most beneficial for them based on evidence and the expressed desires of the countries.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/1547", "label" : {"_value" : "Biography information for Lord Benyon"} } , "answeringMemberPrinted" : {"_value" : "Lord Benyon"} , "dateOfAnswer" : {"_value" : "2022-03-07", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2022-03-07T16:09:57.8Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "13"} , "answeringDeptShortName" : {"_value" : "Environment, Food and Rural Affairs"} , "answeringDeptSortName" : {"_value" : "Environment, Food and Rural Affairs"} , "date" : {"_value" : "2022-02-21", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Paraquat: Exports"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty's Government what assessment they have made of the global number of (1) deaths, and (2) injuries, caused by UK exports of the banned herbicide paraquat to countries where its use remains legal; what assessment they made of the environmental impact of such exports; and what consideration they have given to restricting exports of pesticides that are banned in the UK.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4719", "label" : {"_value" : "Biography information for Baroness Bennett of Manor Castle"} } , "tablingMemberPrinted" : [{"_value" : "Baroness Bennett of Manor Castle"} ], "uin" : "HL6216"} , {"_about" : "http://data.parliament.uk/resources/1218522", "AnsweringBody" : [{"_value" : "Foreign and Commonwealth Office"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/1218522/answer", "answerText" : {"_value" : "
The Foreign and Commonwealth Office, National Police Chief's Council, and Chief Coroner's Office for England and Wales are in the final stages of reviewing the 2012 Memorandum of Understanding on Murder, Manslaughter, and Infanticide Abroad. An updated MoU text will be published on Gov.UK once this process is complete.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4210", "label" : {"_value" : "Biography information for Lord Ahmad of Wimbledon"} } , "answeringMemberPrinted" : {"_value" : "Lord Ahmad of Wimbledon"} , "dateOfAnswer" : {"_value" : "2020-07-10", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2020-07-10T11:41:40.04Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "16"} , "answeringDeptShortName" : {"_value" : "Foreign and Commonwealth Office"} , "answeringDeptSortName" : {"_value" : "Foreign and Commonwealth Office"} , "date" : {"_value" : "2020-06-29", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "British Nationals Abroad: Homicide"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty's Government when they will publish the Memorandum of Understanding concerning the Murder of British Nationals overseas.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/2758", "label" : {"_value" : "Biography information for Lord Falconer of Thoroton"} } , "tablingMemberPrinted" : [{"_value" : "Lord Falconer of Thoroton"} ], "uin" : "HL6216"} , {"_about" : "http://data.parliament.uk/resources/857907", "AnsweringBody" : [{"_value" : "Department for Education"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/857907/answer", "answerText" : {"_value" : "
The public sector pay cap is no longer in place and we are now adopting a more flexible approach. Research suggests that pay is not the main driver of teachers leaving the profession, and teachers tend not to leave for better paid jobs.<\/p>
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The average salary of classroom teachers aged between 21-30 is £27,000 compared to an average salary of £25,000 for all 21-30 year old graduates. The employer contribution to the Teachers\u2019 Pension Scheme on behalf of the teaching staff average 16.4%, a significant benefit that should be taken into account when considering the overall remuneration available to teachers.<\/p>
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The remit letter to the School Teachers\u2019 Review Body (STRB), stated that the STRB should utilise this flexibility to target the next pay award to promote recruitment and retention.<\/p>
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The fundamental changes to teachers\u2019 pay that have been introduced over the last four years, following the STRB\u2019s recommendations, have given greater autonomy to schools to decide how to reward their staff. This increased flexibility helps schools to attract and retain the best teachers.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4689", "label" : {"_value" : "Biography information for Lord Agnew of Oulton"} } , "answeringMemberPrinted" : {"_value" : "Lord Agnew of Oulton"} , "dateOfAnswer" : {"_value" : "2018-03-27", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-03-27T13:00:37.927Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "60"} , "answeringDeptShortName" : {"_value" : "Education"} , "answeringDeptSortName" : {"_value" : "Education"} , "date" : {"_value" : "2018-03-08", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Schools: Labour Turnover"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty's Government what assessment they have made of the effect of the public sector pay cap on the recruitment and retention of staff in schools.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/1241", "label" : {"_value" : "Biography information for Lord Watson of Invergowrie"} } , "tablingMemberPrinted" : [{"_value" : "Lord Watson of Invergowrie"} ], "uin" : "HL6216"} , {"_about" : "http://data.parliament.uk/resources/713096", "AnsweringBody" : [{"_value" : "Department for Education"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/713096/answer", "answerText" : {"_value" : "
As announced at the Spending Review, we will be removing the Education Services Grant general funding rate from 2017-18. We recognise that local authorities will need support with this change, which is why we have introduced a new transitional grant worth £125m in 2017-18. We have also amended regulations to allow local authorities to use other sources of funding to pay for education services for maintained schools once the ESG is removed from September 2017. Local authorities are allowed to retain some of their maintained schools\u2019 Dedicated Schools Grant so that they can continue to deliver the statutory duties they carry out on behalf of maintained schools previously funded through the Education Services Grant general funding rate.<\/p>
If local authorities cannot agree with their maintained schools on the level of funding to retain, local authorities have recourse to the Secretary of State.<\/p>
Funding delivered through the ESG retained duties rate, which funds duties that local authorities hold in respect of all schools, is not being removed. In 2017-18, this funding has been moved into the Dedicated Schools Grant and paid to local authorities on a per-pupil basis. From 2018-19, this funding will be allocated to local authorities through the central school services block.<\/p>
<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4270", "label" : {"_value" : "Biography information for Lord Nash"} } , "answeringMemberPrinted" : {"_value" : "Lord Nash"} , "dateOfAnswer" : {"_value" : "2017-03-28", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2017-03-28T16:15:13.267Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "60"} , "answeringDeptShortName" : {"_value" : "Education"} , "answeringDeptSortName" : {"_value" : "Education"} , "date" : {"_value" : "2017-03-21", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Schools: Finance"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government, in the light of the warning from the Local Government Association that reductions in the central government-provided education services grant may result in some local authorities potentially being unable to meet legal obligations to schools, such as checking staff for criminal records and ensuring that buildings are free of asbestos, what recourse is available to affected pupils, parents, school staff and other local residents if those legal obligations are not met.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/2170", "label" : {"_value" : "Biography information for Lord Ouseley"} } , "tablingMemberPrinted" : [{"_value" : "Lord Ouseley"} ], "uin" : "HL6216"} , {"_about" : "http://data.parliament.uk/resources/452315", "AnsweringBody" : [{"_value" : "Department for Communities and Local Government"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/452315/answer", "answerText" : {"_value" : "
I refer the noble Lady to my answer to her on 26 November 2015, PQ HL4002. The Social Housing Regulator is statutorily independent. The Secretary of State cannot, therefore, intervene in this matter. Details of the Social Housing Regulator's complaints procedure can be found (attached) at: https://www.gov.uk/government/publications/how-to-appeal-against-our-decisions<\/a>. As with all public bodies, if there are grounds the Regulator can be challenged through the courts.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4311", "label" : {"_value" : "Biography information for Baroness Williams of Trafford"} } , "answeringMemberPrinted" : {"_value" : "Baroness Williams of Trafford"} , "attachment" : {"_about" : "http://data.parliament.uk/resources/452315/answer/attachment/1", "fileName" : {"_value" : "160224 Social Housing Regulators complaints procedure HL6216.doc"} , "title" : "Social Housing Regulators's complaints procedure"} , "dateOfAnswer" : {"_value" : "2016-02-25", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2016-02-25T16:10:05.99Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "7"} , "answeringDeptShortName" : {"_value" : "Communities and Local Government"} , "answeringDeptSortName" : {"_value" : "Communities and Local Government"} , "date" : {"_value" : "2016-02-11", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Circle Housing"} , "houseId" : {"_value" : "2"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25277", "prefLabel" : {"_value" : "House of Lords"} } ], "questionText" : "To ask Her Majesty\u2019s Government, further to the Written Answer by Baroness Williams of Trafford on 1 February (HL5321), what statutory powers the Secretary of State has to intervene if the Homes and Communities Agency regulator is found to be failing in its responsibility to ensure that Circle Housing Group is properly managing its gas safety and repairs contractor.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/143", "label" : {"_value" : "Biography information for Baroness King of Bow"} } , "tablingMemberPrinted" : [{"_value" : "Baroness King of Bow"} ], "uin" : "HL6216"} ], "itemsPerPage" : 10, "page" : 0, "startIndex" : 1, "totalResults" : 6, "type" : ["http://purl.org/linked-data/api/vocab#ListEndpoint", "http://purl.org/linked-data/api/vocab#Page"]} }