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1202646

registered interest
date	10/06/2020
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	Dementia: Coronavirus
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of data from the Office for National Statistics which shows that there has been a 52.2 per cent increase in excess deaths of people dying of dementia during the COVID-19 pandemic.
tabling member printed	Lord Taylor of Warwick
uin	HL5562
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>Keeping people safe throughout this period is the Government’s top priority. We have been working closely with the sector and public health experts to put in place guidance and support for adult social care and we will continue to ensure they have everything they need to respond.</p><p>We are monitoring the impact of COVID-19 on people with dementia. Informed by the Office for National Statistics’ 15 May publication ‘Deaths involving COVID-19 in England and Wales: deaths occurring in April 2020’ and the 5 June publication ‘Analysis of death registrations not involving coronavirus (COVID-19), England and Wales: 28 December 2019 to 1 May 2020’, we are working with our partners to understand what additional mitigating actions may be required to ensure the safety of people with dementia.</p><p> </p> answering member printed Lord Bethell question first answered 22/06/2020 10:36:44 answering member 4708 label Biography information for Lord Bethell
tabling member	1796 label Biography information for Lord Taylor of Warwick

1202654

registered interest
date	10/06/2020
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	Coronavirus: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the comments by the Chief Executive of NHS Providers on 6 June about the Government’s introduction of new measures to counter the COVID-19 pandemic, and in particular that NHS Trust leaders (1) felt “completely in the dark” about "significant and complex" changes; (2) are asked to make operational changes with little notice; (3) are concerned that there is insufficient strategy and planning; and (4) felt that last-minute decisions are overly influenced by politics. [T]
tabling member printed	Lord Birt
uin	HL5503
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>We are committed to working closely with the National Health Service on the introduction of new measures to counter the COVID-19 pandemic and give as much advance notice as possible. However, this is a fast-moving situation and at times it has been necessary to introduce measures at short notice.</p> answering member printed Lord Bethell question first answered 22/06/2020 10:59:26 answering member 4708 label Biography information for Lord Bethell
tabling member	2533 label Biography information for Lord Birt

1202661

registered interest
date	10/06/2020
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	Coronavirus: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government how many antibodies have been identified which have had a neutralising effect on the COVID-19 virus.
tabling member printed	Lord Kennedy of Southwark
uin	HL5523
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>Characterisation of neutralising antibodies is still in its infancy. The role of neutralising antibodies in providing treatment or as a marker for protection against reinfection is not yet fully understood. Scientists at Public Health England and elsewhere are working in this area, and conclusions will be reported in scientific journals as new evidence emerges.</p> answering member printed Lord Bethell question first answered 22/06/2020 10:50:04 answering member 4708 label Biography information for Lord Bethell
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1202662

registered interest
date	10/06/2020
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	Coronavirus: Radiation
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the effect of low dose radiation in the treatment of COVID-19.
tabling member printed	Lord Kennedy of Southwark
uin	HL5524
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>Chest X-rays or chest computed tomography scans are frequently performed for radiological lung assessments during which patients may be exposed to low doses of ionising radiation. Public Health England has not undertaken any specific assessment of the value of this diagnostic approach in the management of COVID-19. Medical exposure to ionising radiation is justified by the clinical team providing care on the basis that the benefit outweighs any potential risks to health.</p><p>There have been suggestions in the scientific literature that low dose radiation exposure of the lungs may be an effective treatment for COVID-19 related pneumonia, but this has yet to be proven.</p> answering member printed Lord Bethell question first answered 22/06/2020 10:50:25 answering member 4708 label Biography information for Lord Bethell
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1202059

registered interest
date	09/06/2020
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	Coronavirus: Niclosamide
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the antihelmintic drug, Niclosamide, as a potential treatment for mild to moderate cases of COVID-19; and what assessment they have made of trials undertaken in South Korea on the use of Niclosamide to treat COVID-19.
tabling member printed	Lord Alton of Liverpool
uin	HL5448
answer	answer is ministerial correction date of answer 17/06/2020 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has not received any applications for the use of niclosamide as a treatment for COVID-19 and has not undertaken any assessment of the trials in South Korea.</p><p>Currently, there are no ongoing clinical trials in the United Kingdom involving niclosamide for the treatment of COVID-19. However, there are three worldwide trials regarding this treatment listed on the United States National Library of Medicine, in the United States, France and Egypt, though none of these are recruiting currently.</p><p>The MHRA is working closely with the Department and the office of the Chief Medical Officer to prioritise potential treatments for COVID-19. The MHRA will consider any application made by a sponsor or potential marketing authorisation holder to run a clinical trial.</p> answering member printed Lord Bethell question first answered 17/06/2020 15:23:28 answering member 4708 label Biography information for Lord Bethell
tabling member	738 label Biography information for Lord Alton of Liverpool

1202085

registered interest
date	09/06/2020
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	Contact Tracing: Software
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the (1) development of the NHS COVID-19 contact tracing application, and (2) trial of that application on the Isle of Wight.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL5475
answer	answer is ministerial correction date of answer 17/06/2020 answer text <p>The purpose of the Isle of Wight phase is to improve the user experience of the National Health Service COVID-19 contact tracing application and to understand the effectiveness of the Test and Trace programme. Uptake and correct usage of the app is important and we have engaged with residents on the Isle of Wight about how the app operates, why people choose not to have it, and their attitudes towards it and the wider Test and Trace programme. Alongside these, we are measuring quantitative measures such as usage and download rates. Just like any high-quality app, we will continually improve it over the coming weeks for optimal functionality as data continues to come in.</p> answering member printed Lord Bethell question first answered 17/06/2020 15:23:11 answering member 4708 label Biography information for Lord Bethell
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1202086

registered interest
date	09/06/2020
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	Public Sector: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the (1) effectiveness, and (2) value for money, of Government contracts with private companies to provide public services in response to the COVID-19 pandemic.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL5476
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>Guidance on how contracting authorities should respond to COVID-19 was published on 18 March. Authorities are allowed to procure goods, services and works with extreme urgency in exceptional circumstances using regulation 32(2)(c) under the Public Contract Regulations 2015. Various options are available which include:</p><p> </p><p>- direct award due to extreme urgency;</p><p>- direct award due to absence of competition or protection of exclusive rights;</p><p>- call off from an existing framework agreement or dynamic purchasing system;</p><p>- call for competition using a standard procedure with accelerated timescales; and</p><p>- extending or modifying a contract during its term.</p><p>We have also made it clear that authorities must continue to achieve value for money for taxpayers, use good commercial judgement and publish the details of any awards made, in line with Government transparency guidelines.</p> answering member printed Lord Bethell grouped question UIN HL5477 question first answered 22/06/2020 10:53:03 answering member 4708 label Biography information for Lord Bethell
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1202087

registered interest
date	09/06/2020
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	Coronavirus: Procurement
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what steps they have taken to remove any potential conflicts of interest when awarding Government contracts relating to their response to the COVID-19 pandemic.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL5477
answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>Guidance on how contracting authorities should respond to COVID-19 was published on 18 March. Authorities are allowed to procure goods, services and works with extreme urgency in exceptional circumstances using regulation 32(2)(c) under the Public Contract Regulations 2015. Various options are available which include:</p><p> </p><p>- direct award due to extreme urgency;</p><p>- direct award due to absence of competition or protection of exclusive rights;</p><p>- call off from an existing framework agreement or dynamic purchasing system;</p><p>- call for competition using a standard procedure with accelerated timescales; and</p><p>- extending or modifying a contract during its term.</p><p>We have also made it clear that authorities must continue to achieve value for money for taxpayers, use good commercial judgement and publish the details of any awards made, in line with Government transparency guidelines.</p> answering member printed Lord Bethell grouped question UIN HL5476 question first answered 22/06/2020 10:53:03 answering member 4708 label Biography information for Lord Bethell
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1202107

registered interest
date	09/06/2020
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	Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answers by Lord Agnew of Oulton on 13 May (HL3564) and Lord True on 1 June (HL4540), whether there is a record of total government spending on preparations to counter the risk of a pandemic.
tabling member printed	Lord West of Spithead
uin	HL5498
answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>The United Kingdom’s influenza pandemic preparedness is based on a ‘defence in depth’ strategy to minimise spread of infection and treat individual cases. In addition to plans to surge National Health Service provision, including critical care, the strategy involves measures to reduce the demand on those NHS services by reducing the risk of transmission and minimising serious illness, including through the stockpiling of personal protective equipment and antivirals.</p><p> </p><p>As this strategy is multi-faceted and it involves many organisations and departments, including the NHS, it is not possible to identify a single source of expenditure that accurately represents our pandemic preparedness. Since 2016-17, NHS England’s funding has increased every year in real terms. NHS England’s mandate is £129.7 billion this year, reaching £137.5 billion in 2023-24.</p><p> </p> answering member printed Lord Bethell question first answered 18/06/2020 11:04:47 answering member 4708 label Biography information for Lord Bethell
tabling member	3834 label Biography information for Lord West of Spithead

1201000

registered interest
date	08/06/2020
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	Social Services: Coronavirus
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the analysis published by the Local Government Association on 4 June that adult social care providers may face £6.6 billion in extra costs by the end of September as a result of COVID-19; and how they expect those costs to be met.
tabling member printed	Lord Alton of Liverpool
uin	HL5343
answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>We recognise that COVID-19 is imposing significant pressures on the social care sector. We have now made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care.</p><p> </p><p>On 15 May we published details of an additional £600 million Infection Control Fund for Adult Social Care. This funding is to support adult social care providers in England reduce the rate of transmission in and between care homes and to support workforce resilience.</p><p> </p><p>This funding is part of the Government’s commitment to ensure the health and social care system have all the resources they need during the COVID-19 outbreak. The Government will continue to monitor pressures in the National Health Service and local government and will keep future funding under review.</p> answering member printed Lord Bethell question first answered 18/06/2020 11:18:34 answering member 4708 label Biography information for Lord Bethell
tabling member	738 label Biography information for Lord Alton of Liverpool