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The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government what action they propose to take to ensure that a proper distinction is made between the role of the contractor appointed by the local authority to enable local healthwatches to be established and run, and that of the local healthwatch organisation itself.

Lord Prior of Brampton

The Department currently has no plans to undertake an investigation in to the performance of local Healthwatch organisations. In March 2015 the Department published a report commissioned from the King’s Fund – Local Healthwatch: Progress and promise – which set out the progress that local Healthwatch have made since being established in 2013. Transparency about the performance of local Healthwatch organisations is provided through the annual reports which they are required to publish. Reports on how the local Healthwatch network as a whole is operating and the nature of the support needed to deliver their activities effectively are discussed at quarterly public meetings of the Healthwatch England Committee.

Arrangements for ensuring local Healthwatch statutory activities are delivered in each area are a matter for local authorities. The Local Government Association has published guidance to support local Healthwatch and local commissioners in putting in place good governance arrangements, which includes clarity about the roles of all parties involved.

Neither the Department nor Healthwatch England are aware of local Healthwatch contractors refusing to engage with the public in their area. Where Healthwatch England is made aware of concerns in relation to local Healthwatch around governance or local relationships with specific individuals or organisations, it seeks to provide support to resolve these where appropriate. Members of the public are able to raise concerns though the complaints process of the local Healthwatch or the commissioning local authority.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government whether they plan to undertake an investigation into the performance of local healthwatches.

Lord Prior of Brampton

The Department currently has no plans to undertake an investigation in to the performance of local Healthwatch organisations. In March 2015 the Department published a report commissioned from the King’s Fund – Local Healthwatch: Progress and promise – which set out the progress that local Healthwatch have made since being established in 2013. Transparency about the performance of local Healthwatch organisations is provided through the annual reports which they are required to publish. Reports on how the local Healthwatch network as a whole is operating and the nature of the support needed to deliver their activities effectively are discussed at quarterly public meetings of the Healthwatch England Committee.

Arrangements for ensuring local Healthwatch statutory activities are delivered in each area are a matter for local authorities. The Local Government Association has published guidance to support local Healthwatch and local commissioners in putting in place good governance arrangements, which includes clarity about the roles of all parties involved.

Neither the Department nor Healthwatch England are aware of local Healthwatch contractors refusing to engage with the public in their area. Where Healthwatch England is made aware of concerns in relation to local Healthwatch around governance or local relationships with specific individuals or organisations, it seeks to provide support to resolve these where appropriate. Members of the public are able to raise concerns though the complaints process of the local Healthwatch or the commissioning local authority.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government what recourse or right of appeal is available to a member of the public removed from, or prevented from working with, a local healthwatch by the contractors.

Lord Prior of Brampton

The Department currently has no plans to undertake an investigation in to the performance of local Healthwatch organisations. In March 2015 the Department published a report commissioned from the King’s Fund – Local Healthwatch: Progress and promise – which set out the progress that local Healthwatch have made since being established in 2013. Transparency about the performance of local Healthwatch organisations is provided through the annual reports which they are required to publish. Reports on how the local Healthwatch network as a whole is operating and the nature of the support needed to deliver their activities effectively are discussed at quarterly public meetings of the Healthwatch England Committee.

Arrangements for ensuring local Healthwatch statutory activities are delivered in each area are a matter for local authorities. The Local Government Association has published guidance to support local Healthwatch and local commissioners in putting in place good governance arrangements, which includes clarity about the roles of all parties involved.

Neither the Department nor Healthwatch England are aware of local Healthwatch contractors refusing to engage with the public in their area. Where Healthwatch England is made aware of concerns in relation to local Healthwatch around governance or local relationships with specific individuals or organisations, it seeks to provide support to resolve these where appropriate. Members of the public are able to raise concerns though the complaints process of the local Healthwatch or the commissioning local authority.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government what assessment they have made of whether local healthwatches are meeting Healthwatch England’s mission to be a consumer champion, in the light of reports that some contractors and local authorities refuse to engage with the public in their area.

Lord Prior of Brampton

The Department currently has no plans to undertake an investigation in to the performance of local Healthwatch organisations. In March 2015 the Department published a report commissioned from the King’s Fund – Local Healthwatch: Progress and promise – which set out the progress that local Healthwatch have made since being established in 2013. Transparency about the performance of local Healthwatch organisations is provided through the annual reports which they are required to publish. Reports on how the local Healthwatch network as a whole is operating and the nature of the support needed to deliver their activities effectively are discussed at quarterly public meetings of the Healthwatch England Committee.

Arrangements for ensuring local Healthwatch statutory activities are delivered in each area are a matter for local authorities. The Local Government Association has published guidance to support local Healthwatch and local commissioners in putting in place good governance arrangements, which includes clarity about the roles of all parties involved.

Neither the Department nor Healthwatch England are aware of local Healthwatch contractors refusing to engage with the public in their area. Where Healthwatch England is made aware of concerns in relation to local Healthwatch around governance or local relationships with specific individuals or organisations, it seeks to provide support to resolve these where appropriate. Members of the public are able to raise concerns though the complaints process of the local Healthwatch or the commissioning local authority.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government whether they intend to make regulations under section 85 of the Health and Social Care Act 2008 in relation to the change in fees proposed by the Care Quality Commission from April 2016.

Lord Prior of Brampton

The Care Quality Commission’s (CQC) fee raising power relates to the registration of providers and inspection against the registration requirements (section 85(1)(a) of the Health and Social Care Act 2008). The Department is proposing to consult shortly on regulations that will clarify that the CQC’s fees include all aspects of its comprehensive inspections. We propose to do this by bringing the CQC’s comprehensive inspections and any associated rating within the scope of its fee raising power.

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-11-24.

To ask Her Majesty’s Government what assessment they have made of whether the current emphasis by NHS Choices on starchy foods such as potatoes, cereals, pasta, rice and bread products for people with diabetes, or who are pre-diabetic, is based on sufficiently rigorous evidence.

Lord Prior of Brampton

The Government takes a whole population approach to healthy eating, and therefore does not provide specific dietary advice to individuals with medical needs. It is recommended for anyone with a medical condition in search of dietary advice to consult their local general practitioner or a dietician.

In July 2015, the Scientific Advisory Committee on Nutrition (SACN) published its report on Carbohydrates and Health, a review of the latest evidence on dietary carbohydrates and health. This included a review of the evidence on incidence of type 2 diabetes as well as a number of pre-diabetic markers and carbohydrate consumption. SACN continue to recommend that total carbohydrate, which includes starchy foods, should provide approximately 50% total dietary energy. They also advised reducing sugar consumption, increasing fibre consumption and minimising consumption of sugars-sweetened drinks. A copy of the report is attached.

Following publication, advice on what constitutes a healthy balanced diet for the general population, including those with diabetes, was updated on the NHS Choices website reflecting SACN’s recommendations.