This Library Note looks at the government’s strategy on diabetes services and care, and at the implementation of the strategy. In particular, it summarises the National Service Framework on Diabetes and reviews of the operation of the Framework, before presenting statistical evidence on the implementation of adult diabetes services in England.

This Library Note looks at the government’s strategy on diabetes services and care, and at the implementation of the strategy. In particular, it summarises the National Service Framework on Diabetes and reviews of the operation of the Framework, before presenting statistical evidence on the implementation of adult diabetes services in...

To ask Her Majesty’s Government whether they will publish the detailed costings associated with the mandate from the Government to the NHS Commissioning Board.[HL3452]

To ask Her Majesty’s Government whether they will publish the detailed costings associated with the mandate from the Government to the NHS Commissioning Board.[HL3452]

My Lords, may I briefly speak in support of the amendment? I suggest that the duty to provide services to those suffering from addiction and withdrawal should also be a duty to ensure prevention of inappropriate prescription, which I think was implicit in what the noble Earl was saying. There...

My Lords, may I briefly speak in support of the amendment? I suggest that the duty to provide services to those suffering from addiction and withdrawal should also be a duty to ensure prevention of inappropriate prescription, which I think was implicit in what the noble Earl was saying. There...

I do not disagree with any of these principles, but I am not sure whether the noble Baroness understood what I said earlier: there have to be arrangements for securing transparency about the decisions of CCGs, and governing bodies have to ensure that CCGs adhere to relevant principles of good...

I do not disagree with any of these principles, but I am not sure whether the noble Baroness understood what I said earlier: there have to be arrangements for securing transparency about the decisions of CCGs, and governing bodies have to ensure that CCGs adhere to relevant principles of good...

I totally and utterly disagree. There is bags of accountability in the form of accountability to patients in the local area, accountability to the health and well-being board, and to the NHS Commissioning Board which we have debated at length. I do not understand why the noble Lord should doubt...

I totally and utterly disagree. There is bags of accountability in the form of accountability to patients in the local area, accountability to the health and well-being board, and to the NHS Commissioning Board which we have debated at length. I do not understand why the noble Lord should doubt...

My Lords, I cannot let that pass. Of course, but that was within the context of a statutory framework that was a delegation from primary care trusts. The problem with the new system is that there is no accountability for what GPs do. There is simply no accountability whatever for...

My Lords, I cannot let that pass. Of course, but that was within the context of a statutory framework that was a delegation from primary care trusts. The problem with the new system is that there is no accountability for what GPs do. There is simply no accountability whatever for...

203: Clause 23, page 38, line 2, at end insert— ““14Y1 Duty as to addiction to prescribed drugs (1) Each clinical commissioning group shall have a duty to provide services to those suffering from addiction and withdrawal from prescribed drugs. (2) In fulfilling this duty, clinical commissioning groups must co-operate...

203: Clause 23, page 38, line 2, at end insert— ““14Y1 Duty as to addiction to prescribed drugs (1) Each clinical commissioning group shall have a duty to provide services to those suffering from addiction and withdrawal from prescribed drugs. (2) In fulfilling this duty, clinical commissioning groups must co-operate...

I thank the Minister for his detailed and helpful response to Amendment 185 and to the amendments tabled by other noble Lords in this group. With regard to the question of securing the information and proceeding with some certainty on being able to understand that there will be an appropriate...

I thank the Minister for his detailed and helpful response to Amendment 185 and to the amendments tabled by other noble Lords in this group. With regard to the question of securing the information and proceeding with some certainty on being able to understand that there will be an appropriate...

My Lords, in responding to these amendments, I begin by highlighting one basic point. Our intention is that the relationship between the NHS Commissioning Board and CCGs should be mutually supportive. Of course, the board will have responsibility for overseeing the system of CCGs, authorising them and making any subsequent...

My Lords, in responding to these amendments, I begin by highlighting one basic point. Our intention is that the relationship between the NHS Commissioning Board and CCGs should be mutually supportive. Of course, the board will have responsibility for overseeing the system of CCGs, authorising them and making any subsequent...

The point that I will raise with the Minister is far less important than the one just raised by the noble Baroness, Lady Finlay. I merely point to new Section 14Z19. Simply, I am puzzled about its heading, which refers to the ““Power to give directions””. My understanding was that...

The point that I will raise with the Minister is far less important than the one just raised by the noble Baroness, Lady Finlay. I merely point to new Section 14Z19. Simply, I am puzzled about its heading, which refers to the ““Power to give directions””. My understanding was that...

My Lords, I support my noble friend’s amendments. Addiction to over-the-counter drugs is an important issue. It can cause suicide. It ruins families. People cannot work. It needs all our support and I hope that the Minister will do something about this.

My Lords, I support my noble friend’s amendments. Addiction to over-the-counter drugs is an important issue. It can cause suicide. It ruins families. People cannot work. It needs all our support and I hope that the Minister will do something about this.

My Lords, the Minister already knows that, in moving the amendment, I use the example of the dangers of prescribed drugs and the urgent need to commission services for those suffering from addiction and withdrawal. This amendment follows the interesting amendment of the noble Lord, Lord Rooker, on Monday. I...

My Lords, the Minister already knows that, in moving the amendment, I use the example of the dangers of prescribed drugs and the urgent need to commission services for those suffering from addiction and withdrawal. This amendment follows the interesting amendment of the noble Lord, Lord Rooker, on Monday. I...

My Lords, I also support my noble friend Lord Sandwich on this terribly important topic. It links back to standards of primary care, which we have spoken about earlier this evening. I know that it is very late, but I hope that the Minister might take this away and consider...

My Lords, I also support my noble friend Lord Sandwich on this terribly important topic. It links back to standards of primary care, which we have spoken about earlier this evening. I know that it is very late, but I hope that the Minister might take this away and consider...

My Lords, I support the noble Earl. He initiated a debate on this question some time ago. As I said at the time, one has to be careful. There are many patients who benefit considerably from some of these medications, when they are given responsibly and monitored responsibly, but that...

My Lords, I support the noble Earl. He initiated a debate on this question some time ago. As I said at the time, one has to be careful. There are many patients who benefit considerably from some of these medications, when they are given responsibly and monitored responsibly, but that...

My Lords, I support my noble friend Lord Kakkar’s amendment on the performance of general practice and primary care physicians. I am a fellow of the Royal College of General Practitioners, although after I have said what I am going to say, maybe I will not be any more. I...

My Lords, I support my noble friend Lord Kakkar’s amendment on the performance of general practice and primary care physicians. I am a fellow of the Royal College of General Practitioners, although after I have said what I am going to say, maybe I will not be any more. I...

My Lords, Amendment 185, tabled in my name and that of my noble friend Lord Patel, proposes that each clinical commissioning group must monitor the performance of primary care practitioners within its area and report its findings to the NHS Commissioning Board. The purpose of this amendment is to try...

My Lords, Amendment 185, tabled in my name and that of my noble friend Lord Patel, proposes that each clinical commissioning group must monitor the performance of primary care practitioners within its area and report its findings to the NHS Commissioning Board. The purpose of this amendment is to try...

185: Clause 23, page 36, line 23, at end insert— ““( ) In particular, each clinical commissioning group must monitor the performance of primary care practitioners within its area and report its findings to the Board.””

185: Clause 23, page 36, line 23, at end insert— ““( ) In particular, each clinical commissioning group must monitor the performance of primary care practitioners within its area and report its findings to the Board.””

My Lords, I am grateful to the Minister for that very comprehensive response. There are just two points to make. First, I thought that the noble Baroness, Lady Finlay, raised a very interesting question about the test of reasonableness. I come back to the issue of PCTs delaying treatment but...

My Lords, I am grateful to the Minister for that very comprehensive response. There are just two points to make. First, I thought that the noble Baroness, Lady Finlay, raised a very interesting question about the test of reasonableness. I come back to the issue of PCTs delaying treatment but...