Tag: Stephen O’Brien

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Secretary of State for Health, pursuant to the Answer of 24 March 2014, Official Report, column 120W, on haemolytic uraemic syndrome, for what reasons it was felt that further advice was needed on the overall cost implications, benefits and affordability of eculizumab; when it was first concluded that such further advice was needed; for what reasons the seeking of that advice was delayed until the National Institute for Health and Care Excellence took on responsibility for assessing highly specialised technologies; and if he will make a statement.

Norman Lamb

Ministers concluded that further advice was needed on the overall cost implications, benefits and affordability of eculizumab as, while Advisory Group for National Specialised Services (AGNSS) members were convinced of the clinical effectiveness of the drug, they noted the very high costs of the drug and the increasing cost profile for the National Health Service.

AGNSS was informed of this decision on 17 January 2013. On 7 February 2013, the Department conveyed its decision to the National Institute for Health and Care Excellence (NICE) so that NICE could begin preparatory work in advance of taking on formal responsibility for evaluating highly specialised technologies on 1 April 2013.

While NICE carries out its evaluation, the current interim commissioning arrangements by NHS England in line with the ‘Clinical Commissioning Policy Statement: Eculizumab for atypical haemolytic uraemic syndrome’ will remain in place. The policy statement is available at:

www.england.nhs.uk/wp-content/uploads/2013/09/e03-hss-a.pdf

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-25.

To ask the Secretary of State for Transport, in which circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Mr Robert Goodwill

The Green Book and associated supplementary guidance is publicly available on the Treasury web site. It sets out a range of approaches and methods that may be appropriate in a number of different appraisal circumstances.

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Secretary of State for the Home Department, in what circumstances she uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools she uses to quantify the benefit of a policy intervention; and if she will make a statement.

Karen Bradley

The Green Book and associated supplementary guidance is publicly available on
the Treasury web site. It sets out a range of approaches and methods that may
be appropriate in a number of different appraisal circumstances.

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-25.

To ask the Secretary of State for Work and Pensions, in which circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Esther McVey

The Green Book and associated supplementary guidance is publicly available on the Treasury web site. It sets out a range of approaches and methods that may be appropriate in a number of different appraisal circumstances.

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Secretary of State for Justice, in what circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Mr Shailesh Vara

The Ministry of Justice does not use calculations of (a) the value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention.

The Ministry of Justice uses a range of analytical approaches to assess and evaluate policies, including quantifying the benefits, in line with guidance provided by HM Treasury:

• “The Green Book: appraisal and evaluation in central government”
• “The Magenta Book” on designing an evaluation.

These are published on the HM Treasury website:

https://www.gov.uk/government/publications/the-green-book-appraisal-and-evaluation-in-central-governent

https://www.gov.uk/government/publications/the-magenta-book

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The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Secretary of State for Business, Innovation and Skills, in what circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Jenny Willott

The Green Book and associated supplementary guidance is publicly available on the Treasury web site. It sets out a range of approaches and methods that may be appropriate in a number of different appraisal circumstances.

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Secretary of State for Transport, what estimate he has made of increases in passenger numbers (a) nationally and (b) on the West Coast Main Line over the next 10 years.

Stephen Hammond

The total train passenger numbers is forecast to grow from an estimated 1,530 million in 2013-14 to 1,842 million by 2023-24.

The Department has made no forecast of increases in passenger numbers on the West Coast Main Line over the next 10 years. Chapter 4 of Network Rail’s West Coast Main Line Route Utilisation Strategy sets out anticipated changes in demand to 2024/25 and is available here:

http://www.networkrail.co.uk/browse documents/rus documents/route utilisation strategies/west coast main line/westcoastmainlinerus.pdf

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The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask the Minister for the Cabinet Office, in what circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Mr Nick Hurd

These things are not easy to quantify. Approaches to quantifying benefits of a policy intervention are used in accordance with principles outlined in HM Treasury’s guidance on conducting appraisal and evaluation in central government (known as the “Green Book”). The Green Book recognises that using these approaches to quantify the benefits of an intervention is challenging, and that the approaches should be used appropriately.

The below Parliamentary question was asked by Stephen O’Brien on 2014-04-10.

To ask Mr Chancellor of the Exchequer, in what circumstances he uses a calculation of the (a) value of preventing a fatality, (b) willingness to pay and (c) cost-per-quality adjusted life year approach to quantify the value of a policy intervention; what other tools he uses to quantify the benefit of a policy intervention; and if he will make a statement.

Danny Alexander

The Green Book and associated supplementary guidance is publicly available on the Treasury web site. It sets out a range of approaches and methods that may be appropriate in a number of different appraisal circumstances. The valuation of preventing fatalities makes a contribution to the calculation of risk reduction in many situations and is used extensively by the Department for Transport among others. Department of Health policies are likely to impact on health and longevity. For the majority of these policies, the impacts will be quantified in terms of quality adjusted life years. The cost of producing a quality adjusted life year is used as part of the appraisal and evaluation of alternative health investments.