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794201

registered interest
date	23/11/2017
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 what discussions they have had with NHS England on the projected levels of investment over the next five years on new technology to treat cancer.
tabling member printed	Lord Evans of Watford
uin	HL3519
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>The Government have already committed an additional £8 billion by 2020/21 to the National Health Service and now committed to backing the NHS in England further so that by 2019/20, it will have received an additional £2.8 billion for frontline services than previously planned over the period. This includes £335 million this winter to help trusts to increase capacity and £3.5 billion of new capital investment by 2022/23 to transform its estate and drive further efficiency savings.</p><p> </p><p>In October 2016, NHS England announced a £130 million fund to modernise radiotherapy across England. Over the next two years, older Linear Accelerators radiotherapy equipment being used by hospitals will be upgraded or replaced; ensuring cancer patients have access to the latest, leading-edge technology.</p> answering member printed Lord O'Shaughnessy question first answered 30/11/2017 17:58:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2766 label Biography information for Lord Evans of Watford

794214

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mefloquine
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 22 November (HL3229), what assessment they have made of the conclusions of the Pharmacovigilance Risk Assessment Committee of the European Medicines Agency in 2014 that: “There is enough evidence … supporting a causal relationship between mefloquine and the occurrence of long lasting and even persistent neuropsychiatric side effects” and a “strong suspicion” that mefloquine can cause “permanent brain damage”.
tabling member printed	The Countess of Mar
uin	HL3532
answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>At its meeting in February 2014, the Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency recommended that the product information for mefloquine be amended to state that neuropsychiatric adverse reactions may persist for months, or longer, even after discontinuation of the drug. The PRAC did not recommend that such reactions should be listed as permanent. The United Kingdom product information for mefloquine reflects the final PRAC recommendation.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 05/12/2017 13:55:03 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

794215

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Incinerators: Health Hazards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government why Public Health England (PHE) commissioned research into possible links between municipal waste incinerators and health outcomes; and why PHE stated that “it is important to stress that PHE's position that well run and regulated modern waste incinerators are not a significant risk to public health remains valid” prior to publication of that research.
tabling member printed	The Countess of Mar
uin	HL3533
answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>Public Health England (PHE) has commissioned a study to extend the evidence base further as to whether emissions from modern municipal waste incinerators affect human health.</p><p> </p><p>From the outset of this study, PHE highlighted that its current position, that well run and regulated modern waste incinerators are not a significant risk to public health, remains valid.</p><p>PHE will review its advice in light of new substantial research on the health effects of incinerators published in peer reviewed journals. To date, PHE is not aware of any evidence that requires a change in their position statement.</p> answering member printed Lord O'Shaughnessy question first answered 05/12/2017 13:49:35 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

794216

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in the last five years, what percentage of midwives have left the profession within (1) one, (2) two, and (3) three years of completing their training.
tabling member printed	Lord Mawson
uin	HL3534
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3535 HL3536 HL3537 question first answered 07/12/2017 16:18:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794217

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, of those midwives who completed their training in the last five years, what was the average length of time they stayed in the profession.
tabling member printed	Lord Mawson
uin	HL3535
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3534 HL3536 HL3537 question first answered 07/12/2017 16:18:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794218

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of why midwives are leaving the profession; and whether (1) salary levels, and (2) the culture of the NHS, are relevant factors.
tabling member printed	Lord Mawson
uin	HL3536
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3534 HL3535 HL3537 question first answered 07/12/2017 16:18:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794219

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Midwives: Labour Turnover
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what has been the cost to the NHS over the last five years of midwives leaving the profession; and what is their estimate of such future costs.
tabling member printed	Lord Mawson
uin	HL3537
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The information requested is not collected by the Department.</p><p> </p><p>To help secure a sustainable National Health Service workforce for the future, NHS Improvement recently launched a new Retention Programme to improve staff retention in trusts across England and bring down the leaver rates in the NHS by 2020.</p><p> </p><p>NHS Improvement has developed plans for a raft of measures, tools and support to help trusts understand why employees are leaving their organisation and how to keep them on. This includes launching new Direct Support Programmes to provide intensive targeted support to trusts with above average leaver rates.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL3534 HL3535 HL3536 question first answered 07/12/2017 16:18:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3830 label Biography information for Lord Mawson

794234

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of geographical differences in access to dental services across England; and whether differential rates of access account for differences in dental health.
tabling member printed	Baroness Redfern
uin	HL3552
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>National surveys of child and adult oral health identify a number of contributing factors to account for differences in oral health including deprivation, geography, ethnicity and social class.</p><p> </p><p>NHS England has a legal duty to commission primary care dental services to meet local needs and to work with local partners to address oral health needs identified in local health needs assessments. NHS England also undertake regular surveys of patient access to National Health Service dentistry, the latest was published in July 2017 and the results from the survey responses are presented at national (England), regional and Area Team level. A copy of <em>Summary of the Dental Results from the GP Patient Survey – January to March 2017</em> is attached.</p><p> </p><p>Access to primary care dental services continues to increase nationally. 22.2 million adults were seen by a dentist in the 24 month period ending 30 June 2017 and 6.8 million children were seen by a dentist in the 12 month period ending 30 June 2017, but we know NHS England has further to go in ensuring access needs are met in all areas.</p><p> </p><p>The NHS England Starting Well programme will also operate in 13 high needs areas to reach out to children most at risk of dental decay who are not currently under the care of a dentist.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 30/11/2017 18:01:32 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name GP-Patient-Survey-Dental-Results-Summary.pdf title GP Patient Survey results
tabling member	4551 label Biography information for Baroness Redfern

794235

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Cybersecurity
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what advice, if any, they have provided to NHS Trusts regarding the need to upgrade software and improve cyber-security.
tabling member printed	Baroness Redfern
uin	HL3553
answer	answer is ministerial correction date of answer 01/12/2017 answer text <p>The Department published <em>Your Data: Better Security, Better Choice, Better Care </em>in July 2017 in which the Government accepted the 10 Data Security Standards recommended by the National Data Guardian, Dame Fiona Caldicott. The document sets out the steps National Health Service trusts are expected to take to improve their cyber security resilience. Data Security Standard 8 specifically states that no unsupported operating systems, software or internet browsers are used within the IT estate.</p><p> </p><p>NHS Digital published in May 2017 <em>Unsupported Platforms – Good Practice Guide </em>giving trusts technical guidance on how to upgrade software and improve cyber security.</p><p> </p><p>In October 2017, the Department followed up by publishing the <em>2017/18 Data Security and Protection Requirements</em>. This document sets out the steps all health and care organisations will be expected to take in 2017/18 to demonstrate that they are implementing the 10 Data Security Standards, prior to a new assurance framework coming into place from April 2018.</p><p> </p><p>In 2015, NHS Digital established CareCERT to provide national cyber support to health and care organisations. This support includes cyber alerts with advice on software updates, direct support when cyber incidents occur, and also on-site support to assess local vulnerabilities to improve local resilience and mitigate the impact of future cyber incidents.</p><p> </p><p>The above mentioned reports are attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Managing_the_Risk_of_Unsupported_Platforms_-_Good_Practice_Guide_230517.pdf title Managing the Risk of Unsupported Platforms 2 file name 2017-18 Data Security and Protection Requirements.pdf title 2017-18 Data Security and Protection Requirements 3 file name Your Data Better Security Better Choice Better Care Government Response.pdf title Your Data Better Security Better Choice question first answered 01/12/2017 11:45:38 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4551 label Biography information for Baroness Redfern

794236

registered interest
date	23/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Health: Disadvantaged
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have any plans to introduce new initiatives to improve dental health in areas of deprivation.
tabling member printed	Baroness Redfern
uin	HL3554
answer	answer is ministerial correction date of answer 30/11/2017 answer text <p>Local authorities (LAs) are responsible for assessing the oral health needs of their local population, developing oral health strategies and commissioning oral health improvement programmes. Public Health England (PHE) helps to support LAs in these roles both nationally and locally with ongoing initiatives to improve dental health, particularly in areas of deprivation.</p><p> </p><p>PHE has established a Children’s Oral Health Improvement Programme Board with a substantial programme of work with organisational partners.</p><p> </p><p>NHS England has recently launched the Starting Well programme, which will work in 13 areas in England with the worst oral health to reach out to families with children under five who are most at risk of dental disease, who may not currently be visiting a dentist. Dental practices are currently in the process of applying to join the programme.</p> answering member printed Lord O'Shaughnessy question first answered 30/11/2017 17:43:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4551 label Biography information for Baroness Redfern