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Health: Shipman Inquiry

Lord Alton of Liverpool asked Her Majesty's Government:



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The Parliamentary Under-Secretary of State, Department of Health (Lord Darzi of Denham): The department published a consultation paper, Improving the Process of Death Certification, on 24 July 2007. The paper sought views on proposals to address the weaknesses identified by the Shipman inquiry in the process of death certification in England and Wales.

Key proposals are that:

all medical certificates of cause of death (MCCDs), with the exception of cases referred directly to the coroner by the certifying doctor, would be subject to scrutiny by an independent medical examiner appointed by a primary care trust (or an equivalent organisation in Wales) and with strong links to the National Health Service clinical governance teams;if the medical examiner was satisfied that all was in order, he/she would issue an authorisation enabling the family of the deceased to register the death and proceed to burial or cremation;where the medical examiner was not satisfied that the MCCD told the full story, or felt that there were other unusual circumstances, he/she would refer the case to the coroner for further investigation, along with his/her reasons for doing so;

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the medical examiner would have full access to medical records and would be empowered to discuss the circumstances of the death with the doctor signing the MCCD and with the family of the deceased; andNHS clinical governance teams would collate information from MCCDs and would use this to analyse trends and patterns, looking out for unusual features, such as those revealed by Shipman's pattern of deaths.

Clauses implementing these important reforms will be included in the coroners and death certification Bill announced as part of the Government's draft legislative programme for 2008-09. A summary of responses to the consultation on Improving the Process of Death Certification will be published by the department on 21 May 2008.

The Government believe these proposals represent a transparent, proportionate, consistent and affordable response to the weaknesses identified by the Shipman inquiry that will provide greater protection for the public and improve the quality and accuracy of death certification. The proposals will also improve public health surveillance and remove current inequalities in the way burials and cremations are dealt with.

Immigration: Language Capability

Lord Oakeshott of Seagrove Bay asked Her Majesty's Government:

The Parliamentary Under-Secretary of State, Home Office (Lord West of Spithead): There are no English-language requirements for entry to the UK in the investor category. Those who wish to apply for settlement as an investor will need to have spent a continuous period of at least five years in the United Kingdom before becoming eligible to apply. Adults aged 18 or over but under the age of 65 who apply for settlement need to demonstrate knowledge of the English language and of “Life in the UK”, unless they are applying under one of the categories which does not contain this requirement.

A person can demonstrate that they have sufficient knowledge of the English language and of life in the UK by passing either the “Life in the UK” test, or by obtaining an English for Speakers of Other Languages (ESOL) with citizenship certificate. This requirement was introduced from 2 April 2007.

The policy requirement to demonstrate knowledge of the English language and of “Life in the UK” will continue with the introduction of the points-based system, tier 1 (investors), later this summer.



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Justice

Lord Laird asked Her Majesty's Government:



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The Parliamentary Under-Secretary of State, Ministry of Justice (Lord Hunt of Kings Heath): In view of the number and breadth of the Questions posed by the noble Lord, I shall reply to him by means of a letter once I have collated the information relevant to his Questions; and I shall place a copy of that letter in the Library.

Pre-Budget Report: North Sea

Lord Barnett asked Her Majesty's Government:



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Lord Davies of Oldham: The North Sea revenues line in table B8 of the 2007 Pre-Budget Report includes all direct tax revenues accruing to the Government from profits made from oil and gas production. The breakdown of these revenues can be found in more detail in HM Revenue and Customs statistics at table 11.11, which is published on the HMRC website at www.hmrc.gov.uk/stats/corporate_tax/table11-11.pdf.

In addition the Government, through the Department for Business, Enterprise and Regulatory Reform, also collect licence fees from licence holders. In 2007-08 these amounted to £60 million.

Questions for Written Answer: Guidance to Civil Servants

Baroness Miller of Chilthorne Domer asked Her Majesty's Government:

The Minister of State, Department for Environment, Food and Rural Affairs (Lord Rooker): Cabinet Office guidance for civil servants on drafting Answers to Parliamentary Questions was published in February 2005. A copy of the guidance is in the Library of the House. It can also be found on the Cabinet Office website at www.cabinetoffice.gov.uk/propriety_and _ethics/civil_service/pq_quidance.aspx.


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