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418783

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes
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 appropriateness of the use of the terms "love" and "darling" in a care home; and whether they have given advice to the Care Quality Commission and local authorities on such matters.
tabling member printed	Lord Greaves
uin	HL2218
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>The Department has made no such assessment.</p><p> </p><p> </p><p> </p><p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care. All providers of regulated activities must register with CQC and comply with Regulations and a set of fundamental standards of safety and quality.</p><p> </p><p> </p><p> </p><p>One of these fundamental standards relates to treating users of services with dignity and respect. The CQC issues guidance to providers on how they should meet the fundamental standards. The guidance on the standard governing dignity and respect includes the following:</p><p> </p><p> </p><p> </p><p>- when people receive care and treatment, all staff must treat them with dignity and respect at all times. This includes staff treating them in a caring and compassionate way; and</p><p> </p><p>- all communication with people using services must be respectful. This includes using or facilitating the most suitable means of communication and respecting a person's right to engage or not to engage in communication; and</p><p> </p><p>- people using the service should be addressed in the way they prefer, and local colloquial terms may fit such guidelines perfectly well.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 17/09/2015 16:28:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2569 label Biography information for Lord Greaves

418798

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their current policy on hepatitis vaccinations in the United Kingdom, in particular the implementation of a universal hepatitis B vaccination as part of the UK childhood immunisation schedule.
tabling member printed	Baroness Suttie
uin	HL2233
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>The hepatitis B vaccination is currently recommended for individuals considered to be at increased risk of complications from the disease or exposure to the virus such as injecting drug users, patients with chronic liver disease and families adopting children from countries with a high or intermediate prevalence of hepatitis B.</p><p> </p><p> </p><p> </p><p>The Joint Committee on Vaccination and Immunisation, the independent expert committee that advises the government on all immunisation matters, has recommended that a universal infant hepatitis B vaccination should be introduced subject to procurement of a hexavalent (6 in 1) vaccine at a cost effective price. The outcome of the competitive tender exercise that is currently underway is expected to be known mid 2016.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 21/09/2015 15:15:07 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4298 label Biography information for Baroness Suttie

418802

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when they will introduce National Health Service numbers that differentiate between those who are entitled to the full facilities of the National Health Service without charge and those for whom such services are available on payment.
tabling member printed	Lord Marlesford
uin	HL2237
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>National Health Services numbers are a patient safety measure, and do not indicate either entitlement to free NHS care or chargeable status. Changes to the NHS record are being made to enable the NHS to supplement that record with information that will support a decision about whether a patient is chargeable or not when they present for NHS care.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 10:20:22 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1854 label Biography information for Lord Marlesford

418803

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	National Insurance and NHS Numbers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many (1) National Health Service numbers, and (2) National Insurance numbers, are currently live; and whether the General Register Office reports deaths to the Department of Health and the Department for Work and Pensions.
tabling member printed	Lord Marlesford
uin	HL2238
answer	answer is ministerial correction date of answer 22/09/2015 answer text <p>The total number of live National Health Service numbers is approximately 72 million (England and Wales). The latest available figures (August 2015) show that there are approximately 67.6 Million National Insurance records on the Department for Work and Pensions (DWP) Customer Information System.</p><p> </p><p> </p><p> </p><p>The Health &amp; Social Care Information Centre (HSCIC), on behalf of the Department of Health, receives a weekly feed of death notifications from the General Register Office (GRO). These are applied to the Personal Demographics Service on the Spine, with any non-automatic matches dealt with by the PDS National Back Office within HSCIC.</p><p> </p><p><strong> </strong></p><p> </p><p>Upon the death of an individual DWP receives automatic updates from the three GROs. These are sent for England, Wales and Scotland on a daily basis, and for Northern Ireland on a weekly basis.</p><p> </p><p><strong> </strong></p><p> </p> answering member printed Lord Prior of Brampton question first answered 22/09/2015 10:20:41 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1854 label Biography information for Lord Marlesford

418933

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescription Drugs: Internet
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to (a) reduce and (b) monitor the sale of prescription drugs on the internet.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10263
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>In the United Kingdom, all categories of medicines may be traded online legally but in the case of prescription only medicines (POM) and pharmacy (P) medicines, these may only be sold or supplied to the public through registered pharmacy premises (by or under the supervision of a pharmacist). Additionally, POMs may only be supplied in response to a prescription from an authorised healthcare professional.</p><p> </p><p> </p><p> </p><p>A UK registered pharmacy may have a presence on the internet; however the requirements of legislation apply equally to both UK internet pharmacies and bricks-and-mortar premises.</p><p> </p><p> </p><p> </p><p>The Medicines and Healthcare products Regulatory Agency (MHRA) monitors the internet for websites operating outside legal requirements and, in collaboration with Internet Service Providers, takes steps to close down sites both in the UK and abroad. The MHRA has closed down 1,973 websites (including those based overseas) during 2015 alone and brought into compliance many others.</p><p> </p><p> </p><p> </p><p>The illegal sale and supply of medicines via Internet poses considerable risks to UK patients but this is in essence a global problem and the MHRA is working with other regulators, law enforcement authorities and Government Departments within the UK, European Union and elsewhere to address the complex issues involved.</p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:47:22 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418934

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Paroxetine
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the effect of the consumption of the paxil and seroxat forms of the drug paroxetine on the incidence of depression among pregnant women.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10265
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no recent discussions with the Royal Colleges on the effects of taking the paxil and seroxat forms of paroxetine on the incidence of depression among pregnant women.</p><p> </p><p> </p><p> </p><p>The Mandate from the Government to NHS England includes an objective for NHS England to work with partner organisations to reduce the incidence and impact of postnatal depression through earlier diagnosis, and better intervention and support.</p><p> </p><p>The Government will provide an additional £75 million over the next five years for services to support women with mental ill health in the perinatal period.</p><p> </p><p> </p><p> </p><p>The British National Formulary advises that medication should be prescribed only when it is necessary, and in all cases the benefit of administering the medicine should be considered in relation to the risk involved. This is particularly important during pregnancy, when the risk to both mother and fetus must be considered.</p><p> </p><p> </p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 16:03:29 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon

418935

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Breast Cancer: Drugs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent discussions he has had with the Royal Colleges on the development and use of progesterone and tamoxifen to treat breast cancer.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10266
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>There have been no such discussions.</p><p> </p><p> </p><p> </p><p>Research into the use of progesterone in combination with tamoxifen for the treatment of breast cancer is still at an early stage and has not yet been trialled in humans.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/09/2015 14:41:04 answering member 4020 label Biography information for George Freeman
tabling member	4131 label Biography information for Jim Shannon

418936

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Royal College of Physicians on a link between type 2 diabetes and dementia; and what steps he is taking to treat dementia caused in that way.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10243
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>NHS England is implementing the NHS Diabetes Prevention Programme, and it is possible that prevention of Type 2 diabetes may in the longer term reduce dementia risk, although at this point this is speculative rather than being based on evidence.</p><p> </p><p> </p><p> </p><p>The treatment of dementia associated with Type 2 diabetes is as for any dementia, although it is important to also address the Type 2 diabetes and vascular risk. People with dementia who also have diabetes need support to manage their condition.</p><p> </p><p> </p><p> </p><p>Improving the treatment and care of people with dementia, reducing the incidence of dementia and improving dementia research, is a key priority for the Government. That is why in February 2015, the Prime Minister launched his Challenge on Dementia 2020 as a successor to the Prime Minister’s Challenge on Dementia 2012-2015.</p><p> </p><p><strong> </strong></p><p> </p><p>My Rt. hon. Friend the Secretary of State has had and continues to have discussions on these matters with a range of organisations including the Royal College of Physicians.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 15:01:16 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

418937

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dementia: Vitamin D
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the Royal College of Physicians on using vitamin D as a treatment for delaying or preventing dementia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10244
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Current evidence is not supportive of using vitamin D as a treatment for delaying or preventing dementia.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 21/09/2015 15:04:47 answering member 3918 label Biography information for Jane Ellison
tabling member	4131 label Biography information for Jim Shannon

418938

registered interest
date	15/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prescriptions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department takes to monitor the level of prescriptions issued by GPs; and if he will make a statement.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	10256
answer	answer is ministerial correction date of answer 21/09/2015 answer text <p>Clinicians are responsible for their own treatment decisions taking any relevant guidance into account. They should always satisfy themselves that the drugs or other substances they consider appropriate for their patients can be safely prescribed, that patients are adequately monitored and that, where necessary, additional support or supervision is available.</p><p> </p><p><strong> </strong></p><p> </p><p>Within the General Medical Services (GMS) and Personal Medical Services Regulations and Alternative Provider Medical Services Directions there are clauses in relation to prescribing and dispensing. The GMS Contracts Regulations Schedule 6 Part 3 paragraph 46 says:</p><p> </p><p> </p><p> </p><p>“Excessive prescribing</p><p> </p><p>46 - (1) The contractor shall not prescribe drugs, medicines or appliances whose cost or quantity, in relation to any patient is, by reason of the character of the drug, medicine or appliance in question in excess of that</p><p> </p><p>which was reasonably necessary for the proper treatment of that patient.</p><p> </p><p> </p><p> </p><p>(2) In considering whether a contractor has breached its obligations under sub-paragraph (1) NHS England must seek the views of the Local Medical Committee (if any) for the area in which the contractor provides services under the contract.”</p><p> </p><p> </p><p> </p><p>Practitioners are encouraged to prescribe rationally and to make the best possible use of National Health Service resources.</p><p> </p><p> </p><p> </p><p>Professional bodies issue standards and/or guidance for their members on prescribing. An example of this is the General Medical <em>Council’s “Good practice in prescribing and managing medicines and devices”</em>. It provides more detailed advice on how to comply with these principles when prescribing and managing medicines and medical devices, including appliances. If clinicians act outside of this guidance they can be held to account and potentially lose their professional registration, meaning they are unable to practice.</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 21/09/2015 15:37:56 answering member 1201 label Biography information for Alistair Burt
tabling member	4131 label Biography information for Jim Shannon