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1718600

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will bring forward an overarching national maternity strategy to aid the improvement of maternity services and prevent birth trauma.
tabling member printed	Baroness Northover
uin	HL4701
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>The Secretary of State for Health and Social Care and NHS England Chief Executive Officer Amanda Pritchard both support the overarching recommendation from the Birth Trauma All-party Parliamentary Group inquiry report, for a comprehensive national strategy to improve maternity services. We will update on next steps in due course.</p><p>We are already making good progress on many of the individual recommendations set out in the inquiry report. This includes new guidance for general practitioners on the postnatal check-up that women should be offered six to eight weeks after giving birth, which is solely focused on the mother. We are also rolling out new physical and mental health services for new mums and mums-to-be so that they are available in all areas of England.</p> answering member printed Lord Markham question first answered 23/05/2024 12:05:02 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1718601

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to (1) recruit, (2) train, and (3) retain, more midwives, obstetricians and anaesthetists to ensure safe levels of staffing in maternity services.
tabling member printed	Baroness Northover
uin	HL4702
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>The number of midwives has already increased by 21.5% since 2010 and by 5.8% in the past year. The Government is further increasing the number of midwives by funding an additional 160 new posts over three years to support the continued growth of the maternity and neonatal workforce.</p><p>The Government and the National Health Service are investing almost £35 million over three years to further improve maternity safety across England which will support specialist training for staff, additional numbers of midwives and support to ensure maternity services listen to and act on women’s experiences to improve care.</p><p>The NHS Long Term Workforce Plan sets an ambition to increase the number of nursing and midwifery training places to around 58,000 by 2031/32. We will work towards achieving this by increasing places to over 44,000 by 2028/29, with 20% of registered nurses qualifying through apprenticeship routes compared to the current 9% and 5% of midwives to train through an apprenticeship, compared to less than 1% currently.</p><p>The Plan also sets out the steps the NHS and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years. The Government is backing this Plan with over £2.4 billion over the next five years to fund additional education and training places. This forms part of our ambition to expand the number of midwifery training places from 3,778 in 2022, to 4,269 by 2028, providing a substantial uplift in the workforce pipeline to meet future demands.</p><p>The NHS England's nursing and midwifery retention programme aims to support organisations in assessing and implementing a set of interventions aligned with the People Promise. This initiative focuses on promoting flexible working arrangements, fostering a supportive, inclusive, and compassionate workplace environment. For 2023/24, an investment of £5.75 million is being made in neonatal nurse quality roles, funding at least 98 full-time equivalent posts to support staff retention and learning from incidents, ensuring every trust has funding for this role.</p> answering member printed Lord Markham question first answered 23/05/2024 12:11:06 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1718602

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Maternity Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they will bring back the six-week post-delivery check for all mothers with their GPs, including questions on the mother’s physical and mental health as well as on the baby.
tabling member printed	Baroness Northover
uin	HL4703
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>In December 2023, NHS England published new guidance on the six-to-eight-week postnatal check-up for all women who have given birth. As a result of this guidance, all new mothers in England will receive a more comprehensive mental and physical check-up from their general practitioner (GP) in the weeks after they give birth. The check-up will cover a range of topics such as mental health, physical recovery, breastfeeding, and support with family planning.</p><p>The routine check-up provides an important opportunity for GPs to listen to women in a discrete, supportive environment, and to assess and support women not just in their physical recovery post-birth but also their mental health, making sure any woman needing extra mental health support can be referred, if appropriate, to a specialist straight away.</p><p>The six-to-eight-week postnatal check-ups should be offered by GP surgeries, but mothers can also request an appointment for a check themselves, especially if they have any concerns.</p> answering member printed Lord Markham question first answered 23/05/2024 10:25:00 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1718603

registered interest
date	15/05/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Maternity Services: Digital Technology
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when all mothers' health records will be digitalised and shared between all healthcare professionals to improve communications between health workers and mothers.
tabling member printed	Baroness Northover
uin	HL4704
answer	answer is ministerial correction date of answer 23/05/2024 answer text <p>Currently all maternity services have the ability to create digital records, and the sharing of those records across all providers involved in the care of the individual is done by a platform called Connecting Care Records. Integrated care boards (ICBs) should share historical care records between National Health Service trusts and other providers of care within their system, such as general practices and local authorities.</p><p>By March 2025, many more Connecting Care Records platforms will be providing access to data held in other ICB shared systems, allowing authorised health and care professionals to have safe, secure access to patient data, where and when its needed, regardless of where the person resides or where the care is provided.</p> answering member printed Lord Markham question first answered 23/05/2024 12:29:01 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1685362

registered interest
date	26/01/2024
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Contraceptives: Taxation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to their policy paper 2024 voluntary scheme for branded medicines pricing, access and growth: summary of the heads of agreement, published on 20 November 2023, what assessment they have made of any potential detrimental impact on women's health if the tax on the contraceptive implant Nexplanon is increased to 35 per cent.
tabling member printed	Baroness Northover
uin	HL1963
answer	answer is ministerial correction date of answer 01/02/2024 answer text <p>The 2024 voluntary scheme for branded medicines pricing, access and growth (VPAG) introduces a new way of controlling the cost of older medicines that is explicitly pro-innovation and pro-competition. We do not anticipate this resulting in a detrimental impact on women's health or, given the available mitigations, on the supply of medicines.</p><p>Medicines for women’s health will be subject to the VPAG in the same way that all other medicines are. They will be subject to the top up payment percentage only when they have not seen a sufficient price decline since the active substance lost market exclusivity.</p><p>In exceptional circumstances, where a product would otherwise be uneconomic to supply, companies can apply to the Department for a price increase or for an adjustment to the top up payment percentage that applies.</p> answering member printed Lord Markham question first answered 01/02/2024 12:21:09 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1674527

registered interest
date	30/11/2023
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Genito-urinary Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, ahead of the 30-year review of the International Conference on Population and Development Programme of Action, what progress they have made since 1994 on sexual and reproductive health and rights in the UK.
tabling member printed	Baroness Northover
uin	HL772
answer	answer is ministerial correction date of answer 12/12/2023 answer text <p>We are proud of the United Kingdom’s progress regarding sexual and reproductive health and rights (SRHR) in the last thirty years and of our country’s leadership as the top performing country in SRHR policies according to the European Combined SRHR Ranking Atlas 2020-2023.</p><p>In Great Britain, women have access to safe, regulated National Health Service-funded termination of pregnancy services under the Abortion Act 1967. Abortion was decriminalised in Northern Ireland through the introduction of the Northern Ireland (Executive Formation etc.) Act 2019. Health is devolved in the UK, and progress on SRHR in England has included several areas of SRHR.</p><p>Contraception plays a vital role in preventing unintended pregnancy and a wide range of contraceptive choices are available free of charge in a range of primary and community care venues in England, including through the NHS Pharmacy Contraception Service since April 2023. The conception rate amongst women under 18 years old in England is now lower than it was twenty years ago and has more than halved between 2011 and 2021. The conception rate for those aged under 16 years old is approximately a third of what it was 10 years ago.</p><p>The 2022 Women’s Health Strategy for England sets out our plans for boosting the health and wellbeing of women and girls, and for improving how the health and care system engages and listens to all women. This includes investing £25 million in women’s health hubs to improve women’s access to essential services for menstrual problems, contraception, menopause care and more.</p><p>Local authorities in England are responsible for commissioning comprehensive open access to most sexual health services (SHSs) through the public health grant funded at £3.5 billion in 2023/24. Individual local authorities are well placed to make funding and commissioning decisions about the SHSs that best meet the needs of their local populations. This includes oral HIV pre-exposure prophylaxis, which has been routinely available in specialist SHSs since 2020.</p><p>The National Chlamydia Screening Programme focuses on reducing reproductive harm of untreated infection in young women aged 15 to 24 years old. The programme has the secondary aims of reducing re-infections and onward transmission of chlamydia and raising awareness of good sexual health.</p><p>Human papillomavirus (HPV) is a very common sexually transmitted infection, and some types can cause genital warts or cervical cancer. The national HPV vaccination programme was introduced for girls in September 2008 and extended to eligible boys in September 2019. In 2022, genital warts diagnoses among young women aged between 15 and 17 years old attending SHSs were 67.9% lower than in 2018.</p><p>The HIV Action Plan is the cornerstone of our approach in England to drive forward progress and achieve our goal to end new HIV transmissions, AIDS and HIV-related deaths within England by 2030 backed by almost £45m over 2020-2025. We continue to celebrate the progress made from 2019 when the Government first made its HIV commitments, with approximately 4,500 people living with undiagnosed HIV and extremely high levels of antiretroviral therapy coverage and viral suppression.</p> answering member printed Lord Markham question first answered 12/12/2023 13:41:52 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1537232

registered interest
date	28/10/2022
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dengue Fever
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 13 October (HL2369), what measures they have in place to monitor for an increase in dengue fever cases; how many cases would be sufficient to warrant further investigation; and what such investigations may involve.
tabling member printed	Baroness Northover
uin	HL3014
answer	answer is ministerial correction date of answer 16/11/2022 answer text <p>Dengue fever cases reported in the United Kingdom have been acquired as a result of travelling to endemic areas, such as South and South East Asia, South and Central America, Africa and the Caribbean. The UK Health Security Agency (UKHSA) advises health professionals to be alert to the possibility of dengue fever in returning travellers. Where a case is suspected, health professionals should contact the UKHSA’s Rare and Imported Pathogens Laboratory for advice and diagnosis.</p><p> </p><p>There is no pre-determined threshold for the number of cases which would warrant a response. Laboratory clinical and epidemiological teams monitor changes in the pattern of diagnosis and respond as appropriate, such as updating current advice for travellers and the National Health Service, increasing diagnostic testing and reporting in accordance with international health regulations. The UKHSA also works with local authorities, port health and the Animal and Plant Health Agency to monitor points of entry for the invasive mosquito species currently implicated in local cases of dengue in France.</p> answering member printed Lord Markham question first answered 16/11/2022 12:15:21 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1537233

registered interest
date	28/10/2022
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	European Centre for Disease Prevention and Control
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 13 October (HL2370), whether the UK Health Security Agency (UKHSA) will provide an update on the progress made in the areas of mutual interest for cooperation under its Memorandum of Understanding with the European Centre for Disease Prevention and Control (ECDC) on matters of communicable diseases prevention and control.
tabling member printed	Baroness Northover
uin	HL3015
answer	answer is ministerial correction date of answer 08/11/2022 answer text <p>These discussions are continuing. However, the United Kingdom has a nominated EpiPulse Focal Point to oversee and manage access as a non-European Union country within the European Centre for Disease Prevention and Control’s (ECDC) co-operation framework. EpiPulse was launched on 22 June 2021 and integrates several surveillance systems, provides new functionalities and access to data in a single platform. The platform facilitates interdisciplinary collaboration and connects users from different sectors through which the ECDC aims to strengthen the prevention and control of infectious diseases by enhancing early threat detection and assessment.</p> answering member printed Lord Markham question first answered 08/11/2022 13:39:54 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1537235

registered interest
date	28/10/2022
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dengue Fever
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 13 October (HL2369), how many dengue fever infections there were in the UK in (1) 2020, and (2) 2021, based on data held by the UK Health Security Agency (UKHSA) in (a) England, (b) Wales, and (c) Northern Ireland, comprised of laboratory reports from the UKHSA’s Rare and Imported Pathogens Laboratory at Porton Down.
tabling member printed	Baroness Northover
uin	HL3017
answer	answer is ministerial correction date of answer 09/12/2022 answer text <p>The following table shows the number of imported cases of dengue cases reported by the UK Health Security Agency’s Rare and Imported Pathogens Laboratory at Porton Down in England, Wales and Northern Ireland in 2020 and 2021.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2020</p></td><td><p>2021</p></td></tr><tr><td><p>England</p></td><td><p>101</p></td><td><p>93</p></td></tr><tr><td><p>Wales</p></td><td><p>1</p></td><td><p>1</p></td></tr><tr><td><p>Northern Ireland</p></td><td><p>0</p></td><td><p>1</p></td></tr></tbody></table><p> </p><p> </p> answering member printed Lord Markham question first answered 09/12/2022 12:13:35 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover

1518513

registered interest
date	26/09/2022
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Dengue Fever
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what data they hold on the (1) incidence, and (2) impact, of dengue fever on different demographic groups in the UK.
tabling member printed	Baroness Northover
uin	HL2369
answer	answer is ministerial correction date of answer 13/10/2022 answer text <p>Dengue case numbers in the United Kingdom were provided annually to the European Centre for Disease Prevention and Control until 2019, which is the most recent data available. This information showed there were 827 dengue cases in the UK in 2019.</p><p> </p><p>The UK Health Security Agency (UKHSA) holds data on dengue infections in England, Wales and Northern Ireland, comprised of laboratory reports from the UKHSA’s Rare and Imported Pathogens Laboratory at Porton Down. However, the UKHSA does not routinely receive information on outcomes and clinical details, including information on symptoms, deaths and risk groups for these cases. In the event of an apparent increase in dengue cases, the UKHSA would undertake additional investigations.</p> answering member printed Lord Markham question first answered 13/10/2022 12:22:11 answering member 4948 label Biography information for Lord Markham
tabling member	2539 label Biography information for Baroness Northover