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521033

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Entry Clearances: Nepal
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what the process is for ensuring that quick decisions are made about the treatment of critically ill infants suffering from hypophosphatasia in cases where effective drug treatment is available.
tabling member printed	Lord Hunt of Kings Heath
uin	HL282
answer	answer is ministerial correction date of answer 08/06/2016 answer text <p>National Health Service commissioners are legally required to fund drugs and treatments recommended in National Institute of Health and Care Excellence (NICE) Highly Specialised Technologies evaluations. If the drug is not recommended, and until NICE’s final guidance is issued, it would be for NHS England to decide whether to make it available to patients.</p><p> </p><p>NICE is currently evaluating asfotase alfa (brand name Strensiq) for the treatment of paediatric-onset hypophosphatasia under its Highly Specialised Technologies programme, which looks at drugs for very small patient populations.</p><p> </p><p>The Evaluation Committee’s preliminary recommendation, published in December 2015 for consultation, was not to recommended asfotase alfa, within its marketing authorisation, for long-term enzyme replacement therapy in paediatric-onset hypophosphatasia to treat the bone manifestations of the disease.</p><p> </p><p>NICE makes its recommendations based on the available evidence and in consultation with stakeholders, including manufacturers and patient groups.</p><p> </p><p>This is not NICE’s final guidance and its recommendations may change after consultation. NICE currently expects to publish its final guidance to the NHS in October 2016.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 08/06/2016 13:19:11 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

521039

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	World Heritage Sites
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their estimate of the shortfall in resources available to enable elderly and disabled patients to be discharged from hospitals with adequate provision in place for their appropriate care at home or elsewhere.
tabling member printed	Lord Ouseley
uin	HL288
answer	answer is ministerial correction date of answer 07/06/2016 answer text <p>No-one should stay in hospital any longer than they need to and this Government is determined to ensure that health and social care are properly funded. As well as funding the National Health Service’s own plan for the future with £10 billion, we are giving local authorities access to up to £3.5 billion extra for adult social care by 2019/2020 through the new Social Care Precept and additional social care funding in the Better Care Fund.</p> answering member printed Lord Prior of Brampton question first answered 07/06/2016 11:27:00 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2170 label Biography information for Lord Ouseley

521040

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fire Prevention
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether elderly and disabled patents are being discharged from hospitals without adequate on-going care arrangements in place in order to free up beds for other hospital admissions.
tabling member printed	Lord Ouseley
uin	HL289
answer	answer is ministerial correction date of answer 07/06/2016 answer text <p>No patient with on-going care and support needs should be discharged from hospital without appropriate arrangements for meeting those needs being put in place. We expect the National Health Service and local authorities to work together to ensure that patient safety and social care needs are taken into account when decisions are made to discharge patients from hospital.</p> answering member printed Lord Prior of Brampton question first answered 07/06/2016 11:27:41 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2170 label Biography information for Lord Ouseley

521219

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Lumacaftor/ivacaftor: Clinical Trials
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, if he will make it his policy to continue supplying Orkambi to cystic fibrosis patients currently receiving that drug as part of a clinical trial in the event of that drug not being approved for NHS use by the NICE.
tabling member constituency	Dudley North
tabling member printed	Ian Austin
uin	38410
answer	answer is ministerial correction date of answer 06/06/2016 answer text <p>The National Institute for Health and Care Excellence is currently appraising Orkambi (lumacaftor-ivacaftor) for the treatment of cystic fibrosis homozygous for the F508del mutation.</p><p>NHS England has advised that it has published policies that cover the different circumstances where a patient is on a clinical trial and where the drug is not subsequently approved for National Health Service use. In the circumstances of a commercially funded trial it is normally the responsibility of the manufacturer or the hospital to consider whether they wish to continue making it available to individual patients.</p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 06/06/2016 08:47:03 answering member 4020 label Biography information for George Freeman
tabling member	1511 label Biography information for Lord Austin of Dudley

521220

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Endometriosis: Diagnosis
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, with reference to the Answer of 9 May 2016 to Question 36175, what steps his Department is taking to reduce the length of time from the onset of symptoms to the diagnosis of endometriosis.
tabling member constituency	Wealden
tabling member printed	Nusrat Ghani
uin	38341
answer	answer is ministerial correction date of answer 02/06/2016 answer text <p>The Department has asked the National Institute of Health for Health and Care Excellence to develop a guideline on the diagnosis and management of endometriosis. This will include: symptoms and signs of endometriosis; and use of diagnostic tests including imaging, biomarkers and surgical diagnosis. The guideline is due to be published in September 2017.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/06/2016 15:37:55 answering member 3918 label Biography information for Jane Ellison
tabling member	4460 label Biography information for Ms Nusrat Ghani

521221

registered interest
date	24/05/2016
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	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to advance the development of a cure for HIV; what assessment he has made of the development by the US government of HIV antibodies which bind to the target site and stop the virus from infecting the cell; and what international research partnerships his Department currently has for developing a cure for HIV.
tabling member constituency	Romford
tabling member printed	Andrew Rosindell
uin	38379
answer	answer is ministerial correction date of answer 02/06/2016 answer text <p>The United Kingdom Government provides funding to the International AIDS Vaccine Initiative (IAVI). IAVI has been instrumental in working with partners, including the United States National Institutes of Health who have undertaken the work to identify broadly neutralising antibodies from asymptomatic people infected with HIV. IAVI and its partners are still at an early stage of working with these broadly neutralising antibodies, to investigate how they might be used to prevent and treat HIV infection.</p><p> </p><p>Funding from the UK Government has allowed IAVI to bring together expertise from academia and the pharmaceutical sector, and from across regions, including the UK and Eastern and Southern Africa, to collaboratively design and evaluate novel vaccine candidates, to demonstrate, in the longer-term, that at least one can be fully developed into an effective vaccine to help prevent HIV infection or AIDS.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 02/06/2016 15:33:06 answering member 3918 label Biography information for Jane Ellison
tabling member	1447 label Biography information for Andrew Rosindell

521222

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to ensure (a) outsourcing of the preparation and cooking of hospital food and (b) the use of cook-chill systems by contractors meet the nutritional standards set within NHS outsourced food contracts.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	38383
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has worked with NHS England to ensure that food standards are written into the NHS Standard Contract 2016/17, the key document governing the purchase and provision of National Health Services. Irrespective of the food service type, all National Health Service providers are obliged, under the terms of their legally-binding contracts with commissioners, to adhere to the hospital food standards for the National Health Service as recommended by the Hospital Food Standards Panel in August 2014. The recommendations are published at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals" target="_blank">https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals</a></p><p> </p><p>It is for local NHS providers to determine which food service type they use.</p><p> </p><p>Whilst the Department has not conducted specific research, the Patient-led Assessments of the Care Environment does include questions relating to:</p><p>- Compliance with the following food standards relevant to patient nutrition and hydration:</p><p>― The 10 Key Characteristics of Good Nutritional Care, (NHS England)</p><p>― Nutrition and Hydration Digest, (British Dietetic Association)</p><p>― Malnutrition Universal Screening Tool or equivalent, (British Association for Parenteral and Enteral Nutrition)</p><p>― Government Buying Standards for Food and Catering Services, (Defra)</p><p>― Food quality including taste, texture and temperature</p><p>- the menu as being approved by a registered dietitian as being capable of providing an appropriate balanced diet for all patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 38196 38212 question first answered 27/05/2016 11:34:55 answering member 4020 label Biography information for George Freeman
tabling member	4396 label Biography information for Rebecca Long Bailey

521223

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Blood: Contamination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether (a) he and (b) ministers of his Department have had discussions with the new Welsh Government on support arrangements for people infected with contaminated blood.
tabling member constituency	Cardiff South and Penarth
tabling member printed	Stephen Doughty
uin	38232
answer	answer is ministerial correction date of answer 06/06/2016 answer text <p>There have been no discussions at ministerial level with the new Welsh Government on this issue. Departmental officials continue to discuss the operation of the current schemes and the on-going analysis of the responses to the recent consultation on the reform of the infected blood payment scheme with their opposite numbers.</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/06/2016 16:11:08 answering member 3918 label Biography information for Jane Ellison
tabling member	4264 label Biography information for Stephen Doughty

521224

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Kidneys: Transplant Surgery
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many people received a kidney transplant in Teesside in each year since 2010; and how many of those people were from BAME backgrounds.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	38250
answer	answer is ministerial correction date of answer 06/06/2016 answer text <p>English Parliamentary Constituency Statistics for organ donation and blood donation are published by NHS Blood and Transplant (NHSBT) and updated annually online at:</p><p> </p><p><a href="http://www.nhsbt.nhs.uk/partnering-with-nhsbt/council-statistics/" target="_blank">http://www.nhsbt.nhs.uk/partnering-with-nhsbt/council-statistics/</a></p><p> </p><p>Teesside residents who received deceased donor kidney transplants between 1 April 2010 to 31 March 2016</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>White</p></td><td><p>Black, Asian and Minority Ethnic (BAME)</p></td></tr><tr><td><p>2010/11</p></td><td><p>15</p></td><td><p>less than 5</p></td></tr><tr><td><p>2011/12</p></td><td><p>12</p></td><td><p>less than 5</p></td></tr><tr><td><p>2012/13</p></td><td><p>11</p></td><td><p>0</p></td></tr><tr><td><p>2013/14</p></td><td><p>15</p></td><td><p>less than 5</p></td></tr><tr><td><p>2014/15</p></td><td><p>8</p></td><td><p>less than 5</p></td></tr><tr><td><p>2015/16</p></td><td><p>15</p></td><td><p>0</p></td></tr></tbody></table><p>Source: NHS Blood and Transplant</p><p><em> </em></p><p>Teesside residents who received living donor kidney transplants between 1 April 2010 to 31 March 2016</p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>White</p></td><td><p>Black, Asian and Minorty Ethnic (BAME)</p></td></tr><tr><td><p>2010/11</p></td><td><p>7</p></td><td><p>0</p></td></tr><tr><td><p>2011/12</p></td><td><p>12</p></td><td><p>0</p></td></tr><tr><td><p>2012/13</p></td><td><p>11</p></td><td><p>less than 5</p></td></tr><tr><td><p>2013/14</p></td><td><p>7</p></td><td><p>less than 5</p></td></tr><tr><td><p>2014/15</p></td><td><p>10</p></td><td><p>0</p></td></tr><tr><td><p>2015/16</p></td><td><p>15</p></td><td><p>0</p></td></tr></tbody></table><p>Source: NHS Blood and Transplant</p><p> </p><p>Notes:</p><p>1. Teesside defined as the four unitary authorities of Middlesbrough, Hartlepool, Stockton-on-Tees and Redcar and Cleveland.</p><p>2. To protect patient confidentiality, NHSBT cannot provide figures less than 5 for each year.</p><p> </p><p>People from a BAME background are more likely to need an organ transplant than people from white communities, as they are more susceptible to illnesses such as hypertension, diabetes and certain forms of hepatitis. As only a small percentage of deceased donors are from BAME backgrounds, this can delay a suitable kidney match being found and BAME people will often wait a year longer for a kidney transplant than people from white backgrounds.</p><p> </p><p>In July 2012 the Department officially launched the National BAME Transplant Alliance (NBTA). This group was established to coordinate the work of BAME organisations working within these communities. The goal of the NBTA is to increase the number of people from a BAME background on the bone marrow and organ donation registers, increasing the individuals who consent to be donors and consequently increasing the number of bone marrow and organ transplants for people from a BAME background. The aim is also to address the persistent inequalities people from a BAME background face when trying to find a suitable bone marrow or organ donor</p> answering member constituency Battersea answering member printed Jane Ellison question first answered 06/06/2016 16:09:46 answering member 3918 label Biography information for Jane Ellison
tabling member	4449 label Biography information for Anna Turley

521225

registered interest
date	24/05/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hospitals: Food
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps his Department is taking to promote onsite preparation and cooking of fresh food in hospitals.
tabling member constituency	Salford and Eccles
tabling member printed	Rebecca Long Bailey
uin	38196
answer	answer is ministerial correction date of answer 27/05/2016 answer text <p>The Department has worked with NHS England to ensure that food standards are written into the NHS Standard Contract 2016/17, the key document governing the purchase and provision of National Health Services. Irrespective of the food service type, all National Health Service providers are obliged, under the terms of their legally-binding contracts with commissioners, to adhere to the hospital food standards for the National Health Service as recommended by the Hospital Food Standards Panel in August 2014. The recommendations are published at:</p><p> </p><p><a href="https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals" target="_blank">https://www.gov.uk/government/publications/establishing-food-standards-for-nhs-hospitals</a></p><p> </p><p>It is for local NHS providers to determine which food service type they use.</p><p> </p><p>Whilst the Department has not conducted specific research, the Patient-led Assessments of the Care Environment does include questions relating to:</p><p>- Compliance with the following food standards relevant to patient nutrition and hydration:</p><p>― The 10 Key Characteristics of Good Nutritional Care, (NHS England)</p><p>― Nutrition and Hydration Digest, (British Dietetic Association)</p><p>― Malnutrition Universal Screening Tool or equivalent, (British Association for Parenteral and Enteral Nutrition)</p><p>― Government Buying Standards for Food and Catering Services, (Defra)</p><p>― Food quality including taste, texture and temperature</p><p>- the menu as being approved by a registered dietitian as being capable of providing an appropriate balanced diet for all patients.</p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Mid Norfolk answering member printed George Freeman grouped question UIN 38212 38383 question first answered 27/05/2016 11:34:55 answering member 4020 label Biography information for George Freeman
tabling member	4396 label Biography information for Rebecca Long Bailey