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House
Session
Month
Department
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Member
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Primary member
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Answering member
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Legislative stage
Legislation
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Subject
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Publisher
Deposited by
Department for Business, Enterprise and Regulatory Reform
Type
Deposited papers
Author
Department for Business, Enterprise and Regulatory Reform
Committed on
30 December 2008
Originated on
1 December 2008
Received on
30 December 2008
Subjects
Coal; Biofuels; Energy; Energy supply; Electricity; Oil; Natural gas; Prices
Date
30 December 2008
Reference
DEP2008-3178
House
House of Lords; House of Commons
Deposited by
Ministry of Justice
Type
Deposited papers
Author
Ministry of Justice
Committed on
23 December 2008
Received on
23 December 2008
Subjects
Injuries; Staff; Young people; Restraint techniques; Secure training centres
Date
23 December 2008
Reference
DEP2008-3179
House
House of Lords; House of Commons
Deposited by
Department for Communities and Local Government
Type
Deposited papers
Author
Department for Communities and Local Government
Committed on
22 December 2008
Originated on
22 December 2008
Received on
14 January 2009
Subjects
Community relations; Religion
Date
22 December 2008
Reference
DEP2009-0118
House
House of Lords
Deposited by
Department for Communities and Local Government
Type
Deposited papers
Author
Department for Communities and Local Government
Committed on
22 December 2008
Originated on
22 December 2008
Received on
12 January 2009
Legislation
Local Authorities (England) (Charges for Property Searches) Regulations 2008
Subjects
Housing; Fees and charges; Home information packs; Local government; Regulation; HM Land Registry; Property searches
Date
22 December 2008
Reference
DEP2009-0049
House
House of Lords
Deposited by
Ministry of Justice
Type
Deposited papers
Author
Ministry of Justice
Committed on
19 December 2008
Originated on
19 December 2008
Received on
30 December 2008
Subjects
Criminal proceedings; Offenders; Mental illness; Protection; Prisoners; Sentencing
Date
19 December 2008
Reference
DEP2008-3177
House
House of Lords
Deposited by
Electoral Commission
Type
Deposited papers
Author
Electoral Commission
Committed on
19 December 2008
Originated on
19 December 2008
Received on
19 December 2008
Subjects
Donors; Political parties; Regulation
Date
19 December 2008
Reference
DEP2008-3174
House
House of Lords
Deposited by
Leader of the House of Lords
Type
Deposited papers
Author
Leader of the House of Lords
Committed on
19 December 2008
Originated on
19 December 2008
Received on
19 December 2008
Subjects
Administration; Bureaucracy; Finance; EU law; European Union; Measurement; Reform; European Commission; European Council
Date
19 December 2008
Reference
DEP2008-3167
House
House of Lords
My Lords, health inequalities exist for a number of reasons, and access to high-quality primary healthcare, and therefore the availability of doctors, is certainly one factor. However, it also includes other issues such as diet and lifestyle. International research by the academic Barbara Starfield has demonstrated that increasing the number of primary care clinicians in areas with the greatest health needs is one of the most effective ways of improving the population’s health—the noble Lord is indeed correct—so we are investing an additional £250 million annually in new primary healthcare services. We have asked every PCT to develop a new GP-led care plan, and are establishing 112 new GP practices in those areas of the country with the fewest GPs and the greatest health needs. I cannot comment on south Wales, because that is a devolved matter.
My Lords, health inequalities exist for a number of reasons, and access to high-quality primary healthcare, and therefore the availability of doctors, is certainly one factor. However, it also includes other issues such as diet and lifestyle. International research by the academic Barbara Starfield has demonstrated that increasing the number of primary care clinicians in areas with the greatest health needs is one of the most effective ways of improving the population’s health—the noble Lord is indeed correct—so we are investing an additional £250 million annually in new primary healthcare services. We have asked every PCT to develop a new GP-led care plan, and are establishing 112 new GP practices in those areas of the country with the fewest GPs and the greatest health needs. I cannot comment on south Wales, because that is a devolved matter.
Answered by
Baroness Thornton
(Labour)
Asked by
Lord Roberts of Llandudno
(Liberal Democrat)
Type
Oral answers to questions
My Lords, I thank the Minister for that Answer. She will be aware that out of 27 countries in the European league table, we are in the bottom four or five, as far as the ratio of doctors per patient goes. We have fewer than everybody else except, I think, Romania and Poland on the last count. Is the Minister aware of the difficulties these inequalities cause to the most vulnerable parts of our communities, such as parts of Wales and the north-east of England? If she is, what is she doing to remedy that?
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c903-4
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, the House will recognise that the burden increased significantly as the Government set about introducing the fiscal stimulus to the economy. The noble Lord, having slightly changed the basis of the Question, still shifts from the basis on which this debate normally occurs among economists and in politics, which is as a percentage of GDP. In those terms, we approached the recession with the second lowest debt in the Group of Eight countries. It is clear that our debt is about to increase significantly. That is also the case for other countries.
My Lords, the House will recognise that the burden increased significantly as the Government set about introducing the fiscal stimulus to the economy. The noble Lord, having slightly changed the basis of the Question, still shifts from the basis on which this debate normally occurs among economists and in politics, which is as a percentage of GDP. In those terms, we approached the recession with the second lowest debt in the Group of Eight countries. It is clear that our debt is about to increase significantly. That is also the case for other countries.
Answered by
Lord Davies of Oldham
(Labour)
Asked by
Lord James of Blackheath
(Conservative)
Type
Oral answers to questions
My Lords, I thank the Minister for that Answer, but perhaps we could turn the Question slightly for his benefit. The total number of taxpayers in the country—a more relevant assessment—is 31 million, each paying an average tax of £4,830 per year. The 60 million alone represents a burden on each taxpayer of £3,722. By how much has borrowing gone up in the past year as a future burden to be repaid from revenue? How do the Government intend that to be carried as a burden on taxpayers into future years?
Subjects
Central government; Borrowing; Public sector net cash requirement; Per capita costs
Date
18 December 2008
Reference
706 c906
Chamber / Committee
House of Lords chamber
House
House of Lords
To ask Her Majesty's Government on which sections of the Olympic route network between Heathrow airport and Stratford they expect to introduce special lanes for accredited Olympic Games vehicles; and what effect they will have on overall traffic flows.
To ask Her Majesty's Government on which sections of the Olympic route network between Heathrow airport and Stratford they expect to introduce special lanes for accredited Olympic Games vehicles; and what effect they will have on overall traffic flows.
Asked by
Lord Berkeley
(Labour)
Answered by
Lord Adonis
(Labour)
Type
Written questions
Status
Answered
Answered on
18 December 2008
No decisions have yet been taken on which sections of the Olympic route network will have Olympic lanes.
Subjects
Roads; Olympic Games 2012
Date
18 December 2008
Reference
343; 706 c74-5WA
House
House of Lords
To ask Her Majesty's Government how many beds have been available for victims of domestic violence and their dependents in refuges in each year since 2000.
To ask Her Majesty's Government how many beds have been available for victims of domestic violence and their dependents in refuges in each year since 2000.
Asked by
Baroness Miller of Chilthorne Domer
(Liberal Democrat)
Answered by
Baroness Andrews
(Labour)
Type
Written questions
Status
Answered
Answered on
18 December 2008
We do not hold this information centrally. Decisions on the provision of refuge spaces are a local matter. It is the responsibility of the individual local authority to identify any gaps in service provision and put in place appropriate solutions to address this. We would expect local authorities to build services based on the needs of their communities, taking account of locally available information. We would expect refuge places to be available to all ages.
My department provides a homelessness prevention grant (approximately £200 2008-11) to local authorities and the voluntary and community sector to encourage activity to prevent homelessness. The Supporting People programme provides a significant proportion of revenue funding for housing-related support for victims of domestic violence, often delivered in refuges. In 2006-07 spend was £61.6 million, compared to £59.3 million in 2005-06.
My department also funds UKRefugesonline (UKROL), a UK wide database of domestic violence services delivered in partnership by Women's Aid and Refuge which supports the national 24-hour free phone domestic violence helpline. It enables those working with victims of domestic violence to identify appropriate services and potential refuge vacancies around the country. UKROL produces the UK Gold Book, a guide to refuge and domestic abuse services, every two years.
Subjects
Domestic abuse; Victims; Refuges
Date
18 December 2008
Reference
422; 706 c68WA
House
House of Lords
To ask Her Majesty's Government how many beds have been available for victims of domestic violence under 18 in each year since 2000.
To ask Her Majesty's Government how many beds have been available for victims of domestic violence under 18 in each year since 2000.
Asked by
Baroness Miller of Chilthorne Domer
(Liberal Democrat)
Answered by
Baroness Andrews
(Labour)
Type
Written questions
Status
Answered
Answered on
18 December 2008
We do not hold this information centrally. Decisions on the provision of refuge spaces are a local matter. It is the responsibility of the individual local authority to identify any gaps in service provision and put in place appropriate solutions to address this. We would expect local authorities to build services based on the needs of their communities, taking account of locally available information. We would expect refuge places to be available to all ages.
My department provides a homelessness prevention grant (approximately £200 2008-11) to local authorities and the voluntary and community sector to encourage activity to prevent homelessness. The Supporting People programme provides a significant proportion of revenue funding for housing-related support for victims of domestic violence, often delivered in refuges. In 2006-07 spend was £61.6 million, compared to £59.3 million in 2005-06.
My department also funds UKRefugesonline (UKROL), a UK wide database of domestic violence services delivered in partnership by Women's Aid and Refuge which supports the national 24-hour free phone domestic violence helpline. It enables those working with victims of domestic violence to identify appropriate services and potential refuge vacancies around the country. UKROL produces the UK Gold Book, a guide to refuge and domestic abuse services, every two years.
Subjects
Domestic abuse; Victims; Refuges
Date
18 December 2008
Reference
423; 706 c68WA
House
House of Lords
My Lords, will the Minister concede that the problem over the past few years has been that workforce planning has been something of a mess? As my noble friend said, there is a shortage of consultants in key specialties, yet there is an oversupply of doctors who have competed their basic training but who cannot find a consultant’s job. What specific measures are the Government taking to address that?
My Lords, will the Minister concede that the problem over the past few years has been that workforce planning has been something of a mess? As my noble friend said, there is a shortage of consultants in key specialties, yet there is an oversupply of doctors who have competed their basic training but who cannot find a consultant’s job. What specific measures are the Government taking to address that?
Asked by
Earl Howe
(Conservative)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, the workforce planning cycle coming into force begins with primary care trusts and local councils commissioning services to meet the healthcare needs of their local populations. In other words, we are no longer setting national targets. We did that some time ago to boost the number of doctors, clinicians and professionals that we needed in the healthcare service. The restructuring and decentralisation should mean that increased recruitment of professionally qualified staff, including GPs, will have an impact on the training and the number of hospital doctors who will have a sufficient case-load volume to achieve the best outcomes.
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c905
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, we on these Benches accept the need for a fiscal stimulus but are rather bemused about why the VAT route has been chosen, given that, by the Government’s own estimate, half of that will go into savings rather than into boosting expenditure. Will the Minister explain why VAT was chosen as a way of introducing a fiscal stimulus rather than a more effective way of increasing spending on the high street?
My Lords, we on these Benches accept the need for a fiscal stimulus but are rather bemused about why the VAT route has been chosen, given that, by the Government’s own estimate, half of that will go into savings rather than into boosting expenditure. Will the Minister explain why VAT was chosen as a way of introducing a fiscal stimulus rather than a more effective way of increasing spending on the high street?
Asked by
Lord Newby
(Liberal Democrat)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, the stimulus from a VAT measure is immediate and benefits those with the highest propensity to consume, and we want to increase spending. The noble Lord appears to be saying that there are real doubts about whether the fiscal stimulus is working. In economic terms, these are ridiculously early days to judge how the economy will shift as a result of the Government’s measures. To make the most obvious point, the recapitalisation measures meant that the banks did not receive any resources until 1 December, so how can informed judgments be made on how well the stimulus is working at this ridiculously premature stage?
Subjects
Central government; Borrowing; Public sector net cash requirement; Per capita costs
Date
18 December 2008
Reference
706 c907-8
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, does my noble friend accept that the borrowing will, indeed, be very high—it would very likely be even higher without a fiscal stimulus, as the recession would probably last longer—and that it will have to be repaid once the recession is over? Has he read the article in the Times this week by Anatole Kaletsky, the only decent writer on that paper, particularly on economics, who agrees with the fiscal stimulus but suggests that one method of repaying it in due course might be through the fuel escalator, which we have suspended for the moment, set at 5 per cent above inflation every year? That would, indeed, be a reasonably sensible thing to do given that oil prices are now coming down substantially.
My Lords, does my noble friend accept that the borrowing will, indeed, be very high—it would very likely be even higher without a fiscal stimulus, as the recession would probably last longer—and that it will have to be repaid once the recession is over? Has he read the article in the Times this week by Anatole Kaletsky, the only decent writer on that paper, particularly on economics, who agrees with the fiscal stimulus but suggests that one method of repaying it in due course might be through the fuel escalator, which we have suspended for the moment, set at 5 per cent above inflation every year? That would, indeed, be a reasonably sensible thing to do given that oil prices are now coming down substantially.
Asked by
Lord Barnett
(Labour)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, oil prices are, of course, an important determinant. However, my noble friend will recognise that oil producers are addressing themselves to oil production, so the drop in price may not continue. On the more general point that he makes, of course the Treasury will examine every proposition with regard to the most effective way of repaying the very significant debt that will accrue so that we keep the depth of the recession as shallow as we possibly can.
Subjects
Central government; Borrowing; Public sector net cash requirement; Per capita costs
Date
18 December 2008
Reference
706 c907
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, on the basis that one size does not fit all, how will the Government cope with different needs in different areas?
My Lords, on the basis that one size does not fit all, how will the Government cope with different needs in different areas?
Asked by
Viscount Simon
(Labour)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, my noble friend is absolutely right. As proposed by my noble friend Lord Darzi in his report, we anticipate that successfully shifting services closer to home will result in services being more convenient for patients and service users. For example, with conditions like diabetes, which is increasing in the population, we anticipate that community-based services will play a more prominent role. Providing care closer to home can improve patient recovery, which ends repeated trips to hospital and gives more personalised service.
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c905
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, when I was appointed a consultant neurologist in 1958, there were 134 consultant neurologists in the UK, compared with 400 in Finland, with a population of 5 million. As the Minister has said—it is welcome—there has been in the last 10 years a major increase in all specialties of the consultant establishment. But, as reports from the royal colleges have demonstrated, would she accept that we are still far short of the ideal establishment of consultants in all medical specialties which would be required to give a full and satisfactory service to the UK community as a whole?
My Lords, when I was appointed a consultant neurologist in 1958, there were 134 consultant neurologists in the UK, compared with 400 in Finland, with a population of 5 million. As the Minister has said—it is welcome—there has been in the last 10 years a major increase in all specialties of the consultant establishment. But, as reports from the royal colleges have demonstrated, would she accept that we are still far short of the ideal establishment of consultants in all medical specialties which would be required to give a full and satisfactory service to the UK community as a whole?
Asked by
Lord Walton of Detchant
(Crossbench)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, the noble Lord has raised a very interesting point, because, as far as we can see, there is nowhere in the world where anybody says that there is an ideal number of doctors per head of the population. I specifically asked my officials to find that out for me. But we hope that, with the restructuring and decentralisation of NHS services, there will be an increased recruitment of professionally qualified staff, including GPs and consultants. We hope that the new system of recruitment and training will produce the outcomes we want.
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c904-5
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, if government borrowing is to rise to these very high levels, can the Minister help me by explaining how that will not result in the crowding out of the private sector? The high levels of public borrowing will make it harder for businesses to get the funds that they need, which is what the Government say they want to achieve.
My Lords, if government borrowing is to rise to these very high levels, can the Minister help me by explaining how that will not result in the crowding out of the private sector? The high levels of public borrowing will make it harder for businesses to get the funds that they need, which is what the Government say they want to achieve.
Asked by
Lord Forsyth of Drumlean
(Conservative)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, that question is more relevant to the past decade than to the situation in which we find ourselves. As I am sure the noble Lord will readily appreciate, small and medium-sized businesses, and business as a whole, cannot get investment funds at present because of the credit crunch and the position that our banks are in. That is why the Government have set about the recapitalisation of the banks in order to guarantee that the very problem that the noble Lord has identified is tackled.
Subjects
Central government; Borrowing; Public sector net cash requirement; Per capita costs
Date
18 December 2008
Reference
706 c906
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, it is clear from the supplementary question that the questioner used the word ““physicians”” to mean doctors in general, because that is the table he cited. I would like to turn to the specific point about physicians, and, in particular, consultant physicians. Is the Minister aware that, as a country, we are unfortunately reaching the point that when you go to see a consultant, you are looked at as a kidney, a toe or some individual organ? There is a great need for more general consultant physicians in the UK. Will she do whatever she can to encourage the training and education of more consultant physicians?
My Lords, it is clear from the supplementary question that the questioner used the word ““physicians”” to mean doctors in general, because that is the table he cited. I would like to turn to the specific point about physicians, and, in particular, consultant physicians. Is the Minister aware that, as a country, we are unfortunately reaching the point that when you go to see a consultant, you are looked at as a kidney, a toe or some individual organ? There is a great need for more general consultant physicians in the UK. Will she do whatever she can to encourage the training and education of more consultant physicians?
Asked by
Baroness Gardner of Parkes
(Conservative)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, the noble Baroness describes being a toe or a part of a body very well indeed. We are obviously very concerned to increase the number of doctors. At the moment we have 46,783 doctors in training, including doctors who will go on to become consultants. That is an increase from 30,313 in 1997. The noble Baroness is completely right: improved patient outcomes depend on having the right staff in the right place at the right time with the right skills.
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c904
Chamber / Committee
House of Lords chamber
House
House of Lords
My Lords, will my noble friend agree that not only does increasing the number of general practitioners in primary care improve the health of the population, but increasing the support of other health professions in relation to medicine, such as nurses, health visitors and counsellors, does? In my professional life, I have found that it is enormously more satisfactory to work in a team that includes such people.
My Lords, will my noble friend agree that not only does increasing the number of general practitioners in primary care improve the health of the population, but increasing the support of other health professions in relation to medicine, such as nurses, health visitors and counsellors, does? In my professional life, I have found that it is enormously more satisfactory to work in a team that includes such people.
Asked by
Lord Rea
(Labour)
Oral questions - Supplementary
Status
Answered
Answered on
18 December 2008
My Lords, my noble friend is correct. The OECD report referred to by the noble Lord recognises that in the UK we have a higher than average number of nurses, and that we have very good team working with good health outcomes.
Subjects
Doctors; Staff
Date
18 December 2008
Reference
706 c905
Chamber / Committee
House of Lords chamber
House
House of Lords