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647941

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 3 December 2014 (HL2977), whether the Human Fertilisation and Embryology Authority collects information about drugs administered to women or any interventions in the laboratory other than in vitro fertilisation, intracytoplasmic sperm injection and preimplantation genetic screening; and whether assisted hatching was used.
tabling member printed	Lord Alton of Liverpool
uin	HL3638
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>As stated in the Written Answer by Earl Howe on 3 December 2014 (HL2977), the Human Fertilisation and Embryology Authority (HFEA) does not regulate the administration of drugs and, therefore, does not collect such data. However, the HFEA does collect information on whether stimulation was used in in-vitro fertilisation, intracytoplasmic sperm injection and donor insemination treatment cycles. The HFEA currently collects information on whether assisted hatching was used.</p><p> </p><p>The HFEA has advised that as it does not regulate the administration of drugs, surgical procedures or laboratory equipment, it does not collect data on the interventions listed in the noble Lord’s question.</p><p> </p><p>The HFEA has also advised that it has sufficient powers to collect the data necessary to perform its regulatory functions, as set out in the Human Fertilisation and Embryology Act 1990.</p><p> </p><p>The HFEA’s Scientific and Clinical Advances Advisory Committee regularly reviews the evidence of effectiveness and safety of a number of interventions, commonly described as treatment add-ons.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL3639 question first answered 13/12/2016 16:49:30 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	738 label Biography information for Lord Alton of Liverpool

647942

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 3 December 2014 (HL2977), (1) what records are maintained by the Human Fertilisation and Embryology Authority (HFEA) regarding (a) any drugs given during the follicular and implantation phases or early pregnancy, (b) the use of EmbryoScope or other forms of time-lapse video microscopy, (c) the use of EmbryoGlue, (d) the use of calcium activation, and (e) the use of intracytoplasmic morphologically selected sperm injection; (2) whether additional powers are required to enable the HFEA to collect the data necessary to protect patients and embryos and, if so, what steps they plan to take to remedy this; and (3) how the HFEA ensures that additional interventions do not lead to epigenetic errors and future health risks.
tabling member printed	Lord Alton of Liverpool
uin	HL3639
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>As stated in the Written Answer by Earl Howe on 3 December 2014 (HL2977), the Human Fertilisation and Embryology Authority (HFEA) does not regulate the administration of drugs and, therefore, does not collect such data. However, the HFEA does collect information on whether stimulation was used in in-vitro fertilisation, intracytoplasmic sperm injection and donor insemination treatment cycles. The HFEA currently collects information on whether assisted hatching was used.</p><p> </p><p>The HFEA has advised that as it does not regulate the administration of drugs, surgical procedures or laboratory equipment, it does not collect data on the interventions listed in the noble Lord’s question.</p><p> </p><p>The HFEA has also advised that it has sufficient powers to collect the data necessary to perform its regulatory functions, as set out in the Human Fertilisation and Embryology Act 1990.</p><p> </p><p>The HFEA’s Scientific and Clinical Advances Advisory Committee regularly reviews the evidence of effectiveness and safety of a number of interventions, commonly described as treatment add-ons.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL3638 question first answered 13/12/2016 16:49:30 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	738 label Biography information for Lord Alton of Liverpool

647963

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what percentage of child and adolescent mental health services in England imposed restrictions and thresholds on children and young people accessing their services in 2015–16; and what those restrictions and thresholds were.
tabling member printed	Baroness Fall
uin	HL3659
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>This information is not collected centrally.</p> answering member printed Baroness Chisholm of Owlpen question first answered 13/12/2016 16:48:39 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4561 label Biography information for Baroness Fall

647966

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what percentage of health areas have Tier 3.5 assertive outreach teams.
tabling member printed	Baroness Fall
uin	HL3662
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The information is not collected.</p> answering member printed Baroness Chisholm of Owlpen question first answered 13/12/2016 16:48:21 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4561 label Biography information for Baroness Fall

647981

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government why the decision to approve non-invasive prenatal testing was revealed in an article in the <i>Guardian</i> on 29 October, including a comment from the Health Minister, before that decision was formally published on the government website on 2 November.
tabling member printed	Lord Shinkwin
uin	HL3677
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The decision to accept the UK National Screening Committee’s (UK NSC) recommendation of the non-invasive prenatal testing was formally communicated as a matter of public record via the Guardian and Press Association, and subsequently reported by several media organisations, this is usual practice.</p><p>Following subsequent conversations with the Nuffield Council on Bioethics, an agreement was made to amend statements made to reflect their preferred wording. The Department did not contact the Guardian to amend this article.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL3678 question first answered 13/12/2016 16:48:09 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4557 label Biography information for Lord Shinkwin

647982

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Screening
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of a statement on the <i>Guardian</i> website on 31 October that an article on the approval of non-invasive prenatal testing (NIPT) had to be amended to correct a statement that the Nuffield Council on Bioethics had confirmed in July that no new ethical issues were raised by NIPT, what statements the Department of Health made to the <i>Guardian</i> or its reporters which led the <i>Guardian</i> to that understanding; whether the Department of Health understood this to be the case at the time of those statements; and if so, why.
tabling member printed	Lord Shinkwin
uin	HL3678
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The decision to accept the UK National Screening Committee’s (UK NSC) recommendation of the non-invasive prenatal testing was formally communicated as a matter of public record via the Guardian and Press Association, and subsequently reported by several media organisations, this is usual practice.</p><p>Following subsequent conversations with the Nuffield Council on Bioethics, an agreement was made to amend statements made to reflect their preferred wording. The Department did not contact the Guardian to amend this article.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL3677 question first answered 13/12/2016 16:48:09 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4557 label Biography information for Lord Shinkwin

647983

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have reviewed the compatibility of section 1(1)(d) of the Abortion Act 1967 with Article 5 of the UN Convention on the Rights of Persons with Disabilities.
tabling member printed	Lord Shinkwin
uin	HL3679
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>The Department has reviewed and is satisfied that section 1(1)(d) of the Abortion Act is compatible with Article 5 of the United Nations Convention on the Rights of Persons with Disabilities.</p> answering member printed Baroness Chisholm of Owlpen question first answered 13/12/2016 16:47:27 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4557 label Biography information for Lord Shinkwin

647985

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the report by the Department of Health <i>Matching Department of Health abortion notifications and data from the National Down’s Syndrome Cytogenetic Register</i>, published in May 2014, and of the report by Eurocat <i>Misinterpretation of TOPFA data on website tables</i>, published in 2013, (1) what steps they have taken to end the under-reporting of abortions on the grounds of disability; (2) what evidence they have that under-reporting no longer happens; and (3) what sanctions they have developed to ensure that under-reporting does not recur.
tabling member printed	Lord Shinkwin
uin	HL3681
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>We continue to carefully monitor reporting of abortions for fetal abnormality. Actions being taken include working directly with hospital staff to understand their specific challenges and help them find solutions to improve reporting of abortions. The Department, the Royal College of Obstetricians and Gynaecologists and the British Maternal and Fetal Health Medicine Society, will shortly be jointly writing to all clinicians in fetal medicine units, antenatal screening midwives, and associated administrative staff to remind all doctors involved in abortion care of their legal responsibility under the Abortion Act 1967 and Abortion Regulations 1991, to submit form HSA4 within 14 days of the termination. The letter also provides practical examples from hospitals the Department has worked with to improve their reporting processes.</p><p> </p><p>In April 2015, Public Health England (PHE) established a new national congenital anomaly and rare disease registration service. We are working with PHE to compare reporting of abortions notified to the Chief Medical Officer and those reported through the register. Overall, between 2013 and 2015, there was an 18% increase in the number of reported abortions for fetal abnormality. While this increase may not solely be the result of increased reporting of these abortions, we do know that this is the case with some of the hospitals we have been working directly with.</p> answering member printed Baroness Chisholm of Owlpen question first answered 13/12/2016 16:46:59 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4557 label Biography information for Lord Shinkwin

647994

registered interest
date	29/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 2 November (HL2508), whether they have plans to review the progress in Implementing the Five Year Forward View for Mental Health with (1) service users, (2) the Local Government Association, and (3) the voluntary and third sector.
tabling member printed	Lord Porter of Spalding
uin	HL3690
answer	answer is ministerial correction date of answer 13/12/2016 answer text <p>Progress in implementing the <em>Five Year Forward View for Mental Health</em> is monitored and supported by NHS England’s Advisory and Oversight Group that is chaired by Paul Farmer, Chief Executive of MIND, and former chair of the Mental Health Taskforce, and the group membership comprises a range of external stakeholders, including service users and a number of voluntary sector organisations.</p><p> </p><p>As local areas develop and implement their own plans to deliver the <em>Five Year Forward View for Mental Health</em>, it will be important that common principles are followed. These should include:</p><p> </p><p>- co-production with people with lived experience of services, their families and carers;</p><p>- working in partnership with local public, private and voluntary sector organisations, recognising the contributions of each to improving mental health and wellbeing;</p><p>- identifying needs and intervening at the earliest appropriate opportunity to reduce the likelihood of escalation and distress and support recovery;</p><p>- designing and delivering person-centred care, underpinned by evidence, which supports people to lead fuller, happier lives; and,</p><p>- underpinning the commitments through outcome-focused, intelligent and data-driven commissioning.</p><p> </p><p>In relation to monitoring performance, in October 2016, NHS England published a <em>Mental Health Five Year Forward View Dashboard</em>. The Dashboard, which is an online only resource, includes metrics for monitoring key performance and outcomes data and will be updated quarterly.</p> answering member printed Baroness Chisholm of Owlpen question first answered 13/12/2016 16:45:45 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4555 label Biography information for Lord Porter of Spalding