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1012109
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Ovarian Hyperstimulation Syndrome more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to ovarian hyperstimulation syndrome (OHSS) were reported to the Human Fertilisation and Embryology Authority in the last five years for which figures are available; what evidence supports their view that some OHSS-related admissions may have been incorrectly coded in the Hospital Episode Statistics; how many such admissions they estimate have been incorrectly coded in the last five years for which figures are available; and what steps they are taking to ensure that OHSS-related admissions are correctly recorded. more like this
tabling member printed
Lord Alton of Liverpool more like this
uin HL11636 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-12-03more like thismore than 2018-12-03
answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL11637 more like this
question first answered
less than 2018-12-03T15:12:37.91Zmore like thismore than 2018-12-03T15:12:37.91Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
attachment
1
file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc more like this
title OHSS Authority paper more like this
tabling member
738
label Biography information for Lord Alton of Liverpool more like this
1012110
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Ovarian Hyperstimulation Syndrome more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to Ovarian Hyperstimulation Syndrome were investigated by the Human Fertilisation and Embryology Authority in the last five years for which figures are available; whether any such investigations resulted in published reports; and if so, where such reports are available. more like this
tabling member printed
Lord Alton of Liverpool more like this
uin HL11637 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-12-03more like thismore than 2018-12-03
answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN HL11636 more like this
question first answered
less than 2018-12-03T15:12:37.973Zmore like thismore than 2018-12-03T15:12:37.973Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
attachment
1
file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc more like this
title OHSS Authority paper more like this
tabling member
738
label Biography information for Lord Alton of Liverpool more like this
1012115
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how many amputee sockets the NHS fitted in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and in each year, what was the cost of casting and fitting these. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11642 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11643 more like this
HL11644 more like this
HL11645 more like this
HL11646 more like this
HL11647 more like this
question first answered
less than 2018-11-29T17:13:01.187Zmore like thismore than 2018-11-29T17:13:01.187Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012116
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what is the average (1) time, and (2) number of appointments between the casting process in the NHS to create an amputee test socket and the final fit of the sockets. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11643 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11642 more like this
HL11644 more like this
HL11645 more like this
HL11646 more like this
HL11647 more like this
question first answered
less than 2018-11-29T17:13:01.23Zmore like thismore than 2018-11-29T17:13:01.23Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012117
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what types of casting processes the NHS currently use to create amputee test sockets. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11644 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11642 more like this
HL11643 more like this
HL11645 more like this
HL11646 more like this
HL11647 more like this
question first answered
less than 2018-11-29T17:13:01.277Zmore like thismore than 2018-11-29T17:13:01.277Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012118
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how many sockets did not fit amputees following the NHS casting process and needed to be discarded in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and how much this cost the NHS in each of those years. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11645 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11642 more like this
HL11643 more like this
HL11644 more like this
HL11646 more like this
HL11647 more like this
question first answered
less than 2018-11-29T17:13:01.323Zmore like thismore than 2018-11-29T17:13:01.323Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012119
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government when the last review by the NHS of the provision of amputee sockets, including (1) the cost, and (2) methods of fitting, was carried out. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11646 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11642 more like this
HL11643 more like this
HL11644 more like this
HL11645 more like this
HL11647 more like this
question first answered
less than 2018-11-29T17:13:01.37Zmore like thismore than 2018-11-29T17:13:01.37Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012120
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading Prosthetics more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government how many complaints the NHS received about the casting, fitting and provision of amputee sockets in (1) 2013, (2) 2014, (3) 2015, (4) 2016, (5) 2017; and of those, how many were upheld. more like this
tabling member printed
Baroness Hodgson of Abinger more like this
uin HL11647 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-11-29more like thismore than 2018-11-29
answer text <p>This information is not collected centrally.</p> more like this
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11642 more like this
HL11643 more like this
HL11644 more like this
HL11645 more like this
HL11646 more like this
question first answered
less than 2018-11-29T17:13:01.45Zmore like thismore than 2018-11-29T17:13:01.45Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
4301
label Biography information for Baroness Hodgson of Abinger more like this
1012155
registered interest false more like this
date less than 2018-11-21more like thismore than 2018-11-21
answering body
Department of Health and Social Care more like this
answering dept id 17 more like this
answering dept short name Health and Social Care more like this
answering dept sort name Health and Social Care more like this
hansard heading NHS: Drugs more like this
house id 2 more like this
legislature
25277
pref label House of Lords more like this
question text To ask Her Majesty's Government what arrangements they have put in place so far to ensure that NHS patients have access to a supply of (1) medicines, (2) vaccines, and (3) medical devices that their healthcare requires after 29 March 2019 if no Brexit withdrawal deal is agreed. more like this
tabling member printed
Lord Warner more like this
uin HL11682 more like this
answer
answer
is ministerial correction false more like this
date of answer less than 2018-12-05more like thismore than 2018-12-05
answer text <p>As the Government has now agreed, in principle, the Withdrawal Agreement with the European Commission, the Department has assessed that market access to medicines and medical equipment under the terms of that agreement will remain unchanged for industry and</p><p>the National Health Service during the implementation period, which will run from March 2019 until December 2020.</p><p>As a responsible Government, however, we continue to prepare proportionately for all scenarios, including the unlikely outcome that we leave the European Union without any deal in March 2019.</p><p>The Department has held confidential discussions with logistics companies and trade associations representing the vast majority of the medical suppliers in developing its plans.</p><p>On 23 August 2018, the Department wrote to pharmaceutical companies that supply the United Kingdom with selected pharmacy or prescription-only medicines, including non-national programme vaccines, from, or via, the EU/European Economic Area, asking them to ensure they have a minimum of six weeks’ additional supply in the UK, over and above their business as usual operational buffer stocks, by 29 March 2019 in the event of a no deal EU exit. On the same date, the Government published two technical notices on the batch testing and regulation of human medicines in the event of a no deal, together with a further technical notice on the submission of regulatory information on medical products.</p><p>Officials in Public Health England are leading a programme to ensure the continuity of supply for all centrally procured vaccines which are distributed to the NHS for the UK National Immunisation Programme.</p><p>On 23 August, the Department also announced contingency measures to increase stock holding at a national level for medical devices and clinical consumables. To this end, we are working with suppliers that routinely import products from EU countries to determine what measures they need to take so that they can continue to provide products in the unlikely event of a no deal EU exit.</p><p>Since these initiatives were announced, the Department has received very good engagement from industry who share our aims of ensuring continuity of medical supplies for patients is maintained and able to cope with any potential delays at the border that may arise in the short term in the event of a no-deal EU exit.</p><p>On 23 August, the Department also wrote to all NHS trusts, pharmacies, healthcare providers and general practices to inform them of our contingency plans for ensuring continuity of supply of medical supplies. The NHS was asked not to stockpile medicines and clinicians were advised to tell patients that the Government has plans in place to ensure a continued supply and they will not need to and should not seek to store extra supply at home.</p>
answering member printed Lord O'Shaughnessy more like this
grouped question UIN
HL11683 more like this
HL11684 more like this
HL11685 more like this
HL11686 more like this
HL11687 more like this
question first answered
less than 2018-12-05T12:26:19.143Zmore like thismore than 2018-12-05T12:26:19.143Z
answering member
4545
label Biography information for Lord O'Shaughnessy more like this
tabling member
1732
label Biography information for Lord Warner more like this