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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

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

583902

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	HIV Infection
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how much was spent on specialist HIV treatment and care in England for each year from 2010–11 to 2014–15.
tabling member printed	Lord Black of Brentwood
uin	HL1951
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p>Data provided by NHS England shows the estimated expenditure in relation to HIV treatment and care services from 2010 – 2013/14 which are the latest figures available.</p><p> </p><p>Data for financial years 2011/12 and 2012/13 are from National Health Service programme budgeting estimates. Data for financial year 2013/14 are a combination of programme budgeting estimates and NHS England expenditure data on specialised services. Data between these years are not comparable, as responsibility for the commissioning of some services relating to HIV and AIDS and related public health services transferred from primary care trusts to local authorities on 1 April 2013, and are therefore excluded from NHS figures from this date forward.</p><p> </p><p>2010-11 - £571 million</p><p>2011-12 - £642 million</p><p>2012-13 - £630 million</p><p>2013-14 - £570 million</p> answering member printed Baroness Chisholm of Owlpen question first answered 28/09/2016 14:40:04 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4171 label Biography information for Lord Black of Brentwood

583930

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of the relationship between those NHS Trusts in the greatest level of deficit and those with the highest proportion of private finance initiative income.
tabling member printed	Baroness Redfern
uin	HL1978
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p>In 2012, the Department identified a small cohort of major acute trusts where the private finance initiative schemes were one of the factors affecting financial sustainability. These trusts have been given access to a £1.5 billion support fund over a period of 25 years which has been available since 2013/14.</p><p> </p><p>It is the role now of NHS Improvement to ensure that National Health Service trusts and NHS foundation trusts assess the impact of different expenditure items at NHS trusts to ensure that NHS trusts and NHS foundation trusts have arrangements in place to secure financial health. NHS Improvement’s focus is then on supporting that individual provider to fix its financial problems, for example through interim financial support or longer term solutions in that health economy.</p> answering member printed Baroness Chisholm of Owlpen question first answered 28/09/2016 14:40:45 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4551 label Biography information for Baroness Redfern

583931

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Clinical Commissioning Groups
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have plans to revise the boundaries of Clinical Commissioning Groups in the light of regional devolution deals.
tabling member printed	Baroness Redfern
uin	HL1979
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p>NHS England has no plans to revise the boundaries of clinical commissioning groups in light of regional devolution deals.</p> answering member printed Baroness Chisholm of Owlpen question first answered 28/09/2016 14:44:26 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4551 label Biography information for Baroness Redfern

583932

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Waiting Lists
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government which five clinical procedures have the highest average waiting time in England.
tabling member printed	Baroness Redfern
uin	HL1980
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p>Patients have a legal right, set out in the NHS Constitution, to start consultant-led treatment within a maximum of 18 weeks from referral for non-urgent conditions. The NHS Constitution for England is attached, as is the Handbook to the Constitution, which provides a further level of detail regarding the rights and pledges. Performance is measured against an operational standard that 92% of patients who have not yet started treatment should have been waiting less than 18 weeks from referral at the end of each month. These referral to treatment waiting times are collected for 18 treatment functions (e.g. trauma and orthopaedics), but not for individual conditions or procedures. They are different from the data derived from hospital episode statistics, which show only the waiting time from decision to admit to admission, and not the waiting time from referral to start of treatment.</p><p> </p><p>Table: The five treatment functions that had the highest average waiting time from referral to treatment in July 2016, in England</p><p> </p><table><tbody><tr><td><p>Treatment Function</p></td><td><p>Average (median) waiting time (in weeks)</p></td></tr><tr><td><p>Neurosurgery</p></td><td><p>8.4</p></td></tr><tr><td><p>Oral Surgery</p></td><td><p>7.3</p></td></tr><tr><td><p>Neurology</p></td><td><p>7.0</p></td></tr><tr><td><p>Trauma and Orthopaedics</p></td><td><p>7.0</p></td></tr><tr><td><p>Cardiothoracic Surgery</p></td><td><p>7.0</p></td></tr></tbody></table><p><em>Source:</em> Consultant-led referral to treatment waiting times, NHS England</p> answering member printed Baroness Chisholm of Owlpen attachment 1 file name The NHS Constitution for England.pdf title NHS CONSTITUTION 2 file name NHS_Constitution_Handbook_v2.pdf title NHS CONSTITUTION HANDBOOK question first answered 28/09/2016 14:43:49 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4551 label Biography information for Baroness Redfern

583934

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many cancer referrals in England were not made within the two week waiting time target for each of the last three years.
tabling member printed	Baroness Redfern
uin	HL1981
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p><em>The Handbook to the NHS Constitution</em>, which is attached, sets out the right for patients to be seen by a cancer specialist within a maximum of two weeks from general practitioner (GP) referral for urgent referrals where cancer is suspected. The operational standard is that 93% of patients should wait less than two weeks from GP urgent referral to first consultant appointment. This standard has been met in each of the last three years.</p><p> </p><p>The information for how many patients waited more than two weeks from GP urgent referral to first consultant appointment is shown in the table below.</p><p> </p><p>Table: Two week wait from GP urgent referral to first consultant appointment, in England, 2013/14 to 2015/16</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of patients that waited less than two weeks to be seen</p></td><td><p>Number of patients that waited more than two weeks to be seen</p></td><td><p>Total number of patients referred</p></td><td><p>Performance against the standard</p></td></tr><tr><td><p>2013/14</p></td><td><p>1,297,849</p></td><td><p>63,496</p></td><td><p>1,361,345</p></td><td><p>95.3%</p></td></tr><tr><td><p>2014/15</p></td><td><p>1,459,084</p></td><td><p>90,610</p></td><td><p>1,549,694</p></td><td><p>94.2%</p></td></tr><tr><td><p>2015/16</p></td><td><p>1,624,981</p></td><td><p>101,140</p></td><td><p>1,726,121</p></td><td><p>94.1%</p></td></tr></tbody></table><p>Source: Cancer waiting times quarterly time series, NHS England</p><p><strong> </strong></p> answering member printed Baroness Chisholm of Owlpen question first answered 28/09/2016 14:45:34 answering member 4330 label Biography information for Baroness Chisholm of Owlpen attachment 1 file name NHS_Constitution_Handbook_v2.pdf title NHS CONSTITUTION HANDBOOK
tabling member	4551 label Biography information for Baroness Redfern

583935

registered interest
date	15/09/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Obesity: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what alternatives to a sugar tax they have considered to reduce levels of childhood obesity.
tabling member printed	Baroness Redfern
uin	HL1982
answer	answer is ministerial correction date of answer 28/09/2016 answer text <p>In developing <em>Childhood Obesity: A Plan for Action</em> we looked at everything that contributes to a child becoming overweight and obese. The policies in the plan focus on the ones that are likely to have the biggest impact on childhood obesity. In addition to the soft drinks industry levy, this includes the sugar reduction programme, helping all children to enjoy an hour of physical activity every day and a healthy rating scheme for primary schools.</p><p> </p><p>The plan is informed by the latest research and evidence, including from the Scientific Advisory Committee on Nutrition report <em>Carbohydrates and Health</em>, Public Health England’s evidence package <em>Sugar reduction: the evidence for action</em>, other government departments, debates in this House and various reports from key stakeholders including the Health Select Committee.</p><p> </p><p>We are confident that the measures we have announced will make a real difference and estimate could reduce childhood obesity rates by about a fifth (330,000) over the next ten years. Though we are clear in our goals and firm in the action we will take, the launch of this plan represents the start of a conversation, rather than the final word.</p><p> </p><p>Copies of <em>Childhood Obesity: A Plan for Action, Carbohydrates and Health</em> and<em> Sugar reduction: the evidence for action</em> are attached.</p> answering member printed Baroness Chisholm of Owlpen attachment 1 file name SACN Carbohydrates and Health.pdf title SACN Carbohydrates & Health 2 file name PHE Sugar reduction The evidence for action.pdf title PHE Sugar Reduction 3 file name Childhood Obesity Plan.pdf title Childhood Obesity Plan question first answered 28/09/2016 14:51:46 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
tabling member	4551 label Biography information for Baroness Redfern