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1028318

registered interest
date	18/12/2018
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	Fertility: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have, if any, to require the Human Fertilisation and Embryology Authority to ensure that signatures on consent forms for fertility treatments are witnessed when one parent is not present, in order to prevent forgery.
tabling member printed	Lord Alton of Liverpool
uin	HL12392
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has strengthened its requirements for how clinics should take consent from patients and partners in 2016.</p><p>The new edition of the HFEA’s Code of Practice, to be published shortly, will provide further guidance on the processes clinics should have in place to ensure consent is informed, taken properly and given by the right person. The guidance states that consent should be given at the clinic, where possible, and where this is not possible, that there should be a documented process in place for ensuring consent has been given by the right person. In particular, clinics need to be satisfied about the patients’ legal relationships to each other and, where the partner of a patient has not visited the clinic or does not return for subsequent treatment, the clinic should take reasonable steps to find out if the partner still consents to treatment.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:09:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

1028352

registered interest
date	18/12/2018
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	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many people arrested in England and Wales have been diverted to mental health services after an assessment by Liaison and Diversion teams in each year since such teams were established.
tabling member printed	Lord Watts
uin	HL12426
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The information requested is not collected centrally.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:08:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	489 label Biography information for Lord Watts

1027156

registered interest
date	17/12/2018
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	Nurses: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS nurses in England earn less than £30,000 per year; and what proportion of all NHS nurses in England this represents.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL12338
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics for England. These include staff working in hospital trusts and clinical commissioning groups (CCGs), but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>Nurses’ earnings are made up of basic pay plus, where applicable, unsocial hours payments, on call payments and high cost area supplements.</p><p>The latest figures at June 2018 show that almost 60% of nurses receive unsocial hours payments in addition to their basic pay.</p><p>The following table shows nurses and health visitors whose total annual earnings is under £30,000, in National Health Service trusts, CCGs, support organisations and central bodies in England, between 31 July 2017 and 30 June 2018, headcount and percentage:</p><p><em> </em></p><table><tbody><tr><td><p>All nurses and health visitors</p></td><td><p>Nurses and health visitors whose total annual earnings are under £30,000</p></td><td><p>Proportion of nurses and health visitors whose total annual earnings are under £30,000</p></td></tr><tr><td><p>258,676</p></td><td><p>107,715</p></td><td><p>41.6%</p></td></tr></tbody></table><p> </p><p>These figures use the total annual earnings of staff which includes basic pay and non-basic pay elements. These total figures include staff working on a part time basis, who tend to have lower annual earnings than those on full time contracts.</p><p>Basic pay data has been extracted at a point in time, whereas total earnings include data from staff working throughout the period. This explains the discrepancies in the total number of nurses and health visitors.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:08:23 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1027157

registered interest
date	17/12/2018
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: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what estimate they have made of how many of those working in the social care sector in England earn less than £30,000 per year; and what proportion of all those working in that sector in England this represents.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL12339
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The data is not available in the format requested.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:06:14 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1027158

registered interest
date	17/12/2018
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	Nurses and Social Services: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what estimate they have made of the cost of uprating the salaries of (1) NHS nurses, and (2) those working in the social care sector in England to £30,000 or more.
tabling member printed	Baroness Armstrong of Hill Top
uin	HL12340
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The Department has made no estimate of the costs of uprating the salaries of National Health Service nurses and those working in the social care sector in England to £30,000 or more.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:08:45 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1025353

registered interest
date	14/12/2018
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	Liothyronine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to negotiate a reduction of the cost of liothyronine (T3) for use in primary care.
tabling member printed	Lord Hunt of Kings Heath
uin	HL12319
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>Liothyronine is an unbranded generic medicine. The Department encourages competition between suppliers of unbranded generic medicines to keep prices down. This generally works well and has led to some of the lowest prices in Europe.</p><p>Concerns about anti-competitive behaviour are a matter for the Competition and Markets Authority (CMA) to investigate. Liothyronine, marketed by Concordia, is currently the subject of an investigation by the CMA, which has provisionally found that Concordia abused its dominant position to overcharge the National Health Service by millions for liothyronine tablets. A provisional decision does not necessarily lead to an infringement decision. Where companies have breached competition law, the Department will seek damages and invest that money back into the NHS.</p><p>The Department also has its own powers to limit prices of unbranded generic medicines and will consult early in 2019 with the relevant industry bodies on implementation of those powers.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 15:44:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1025363

registered interest
date	14/12/2018
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	DeepMind
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 6 December (HL11728), what explanation they have received regarding Google’s plans for DeepMind Health; what assurances they have received that data transferred as part of the integration of DeepMind Health into Google cannot be used by any Google subsidiary; and whether the adequacy of these any arrangements in this regard will be independently verified.
tabling member printed	Lord Scriven
uin	HL12329
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>We have sought reassurance that none of the current contracts with National Health Service trusts will be transferred to Google, and any changes will require the agreement of the trusts. The patient data processed for Streams will remain controlled by the trusts, and will not be used for any purpose other than the provision of direct patient care, as specified in existing agreements.</p><p>We are working with DeepMind and Google as they consider how to provide assurance on the use of patient data as Streams grows into a global product. The Code of Conduct for Data Driven Technologies sets out the principles that we expect NHS trusts and industry partners to follow.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:05:39 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4333 label Biography information for Lord Scriven

1025364

registered interest
date	14/12/2018
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	NHS: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 13 December (HL12091), how much of their total spend on clinical negligence legal defence costs in (1) 2016–17, and (2) 2017–18, was used for (a) NHS Resolution services, and (b) external solicitors including disbursements.
tabling member printed	Lord Storey
uin	HL12330
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>NHS Resolution has advised that the figures provided for legal defence costs in my Written Answer of 13 December were for external solicitors including disbursements.</p><p>NHS Resolution has provided the following table which shows its own administration costs for dealing with clinical negligence claims in 2016/17 and 2017/18.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>Admin Costs £000s</p></td></tr><tr><td><p>2017/18</p></td><td><p>11,634</p></td></tr><tr><td><p>2016/17</p></td><td><p>9,982</p></td></tr></tbody></table> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:38:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey

1024246

registered interest
date	12/12/2018
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: Pay
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what guidance they provide to local authorities about the payment of sleep-in shifts; and whether any such guidance has been updated following the ruling by the Court of Appeal in Royal Mencap Society v Tomlinson-Blake and Shannon v Rampersad [2018] EWCA Civ 1641.
tabling member printed	Baroness Jolly
uin	HL12243
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>Updated Government guidance National Minimum Wage and National Living Wage: Calculating the minimum wage was published on 8 November setting out the implications for paying workers for sleep-in shifts following the ruling by the Court of Appeal in Royal Mencap Society v Tomlinson-Blake and Shannon v Rampersad. The Government sent advance notice of the publication to local government representatives. A copy of the guidance is attached.</p><p>The Government is sending a clear message that the judgment should not be used as an opportunity to make ad-hoc changes to the fees paid to providers. Commissioners and providers should be working together to determine a fair rate of pay for sleep-in shifts to fit their local labour market conditions.</p><p>The Government has given councils access to up to £3.6 billion more, dedicated for adult social care in 2018-19 and up to £3.9 billion for 2019-20. Overall, councils are able to increase spending on adult social care by 9% in real terms from 2015/16 to 2019/20. The Government encourages employers to pay more than the minimum wage wherever possible but recognises that employers’ ability to do so will depend on a range of factors.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL12244 question first answered 20/12/2018 12:32:51 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Calculating_the_minimum_wage_guidance_dec_2018.pdf title HL12243,HL12244 attached document
tabling member	4203 label Biography information for Baroness Jolly

1024259

registered interest
date	12/12/2018
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	Mental Health Services: Children and Young People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to ensure that speech and language therapists are included in the trailblazer areas anticipated in the Green Paper Transforming Children and Young People’s Mental Health Provision, published on 25 July.
tabling member printed	Lord Ramsbotham
uin	HL12254
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>We will seek to use the trailblazer programme as the opportunity to link mental health support teams within schools and colleges, with the range of professionals already working with young people, including speech and language therapists where appropriate. The design of the new mental health support teams should in particular enable better joint working between health and education services, as well as working with other services.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:33:20 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3744 label Biography information for Lord Ramsbotham