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1168585

registered interest
date	19/12/2019
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: Amazon
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government why several sections of the contract to share NHS data with Amazon were redacted when placed in the public domain.
tabling member printed	Lord Hunt of Kings Heath
uin	HL43
answer	answer is ministerial correction date of answer 07/01/2020 answer text <p>The agreement between the Department and Amazon is about using content from the National Health Service website to provide reliable and informative answers to basic health questions asked to Amazon’s virtual assistant voice service, Alexa. This content is already freely available on the NHS website. Patients already use Alexa and other devices to search for information on a range of health issues. This agreement ensures that the information they receive from Alexa is medically verified by the NHS instead of from a range of other sources, such as <ins class="ministerial">non-United Kingdom</ins><del class="ministerial">American</del> websites.</p><p>This agreement is not exclusive. There are over 2,000 other organisations that are accessing and using information from the NHS website in a similar way.</p><p>A limited number of clauses have been redacted due to being exempt under Section 43(2) of the Freedom Of Information Agreement, which exempts information where the release would, or would be likely to, prejudice the commercial interests of any entity, including the public authority holding the information.</p><p>In this case, we consider that the release of the redacted clauses would be likely to prejudice the commercial interests of Amazon on the basis that it would make public the non-standard terms that Amazon has been willing to enter into in respect of this agreement. Disclosure of the redacted clauses has potential to prejudice existing agreements between Amazon and other parties, which could result in other parties challenging Amazon over the terms and conditions of their agreements.</p><p>In addition, certain personal information has been redacted in the agreement. This information is exempt from disclosure under Section 40(2) of Freedom Of Information Agreement as disclosure of this personal information would breach the data protection principles. In particular, we consider that the disclosure of this personal information would be unfair and breach the first data principle.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/01/2020 17:54:33 question first ministerially corrected 09/01/2020 11:53:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 313 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1151539

registered interest
date	22/10/2019
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 and Social Services: Agency Workers
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the cost to the (a) NHS and (b) social care system of (i) fees, (ii) markups and (ii) commissions to supply agencies for (A) clinical and (B) other staff.
tabling member constituency	East Hampshire
tabling member printed	Mr Damian Hinds
uin	3731
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>In 2018/19, National Health Service trusts spent £2.40 billion on agency staff, including clinical and non-clinical staff. Between March 2018 and March 2019, £938 million was spent on agency medical staff, £950 million on agency nursing staff and £513 million on other staff.<sup>1 </sup></p><p>NHS Improvement’s agency rules include a cap which sets a ceiling for agency fees. Full details of the NHS Improvement price caps are attached.</p><p> </p><p>The Department does not hold data that shows the breakdown of fees, markups and commissions.</p><p> </p><p>The Department does not hold this data for social care. The Skills for Care programme estimates that in 2018/19 agency social care staff represented 7% of the 1.52 million people strong adult social care workforce.<sup>2 </sup></p><p> </p><p>Notes:</p><p>[1]<a href="https://improvement.nhs.uk/documents/5404/Performance_of_the_NHS_provider_sector_for_the_quarter_4_1819.pdf" target="_blank">https://improvement.nhs.uk/documents/5404/Performance_of_the_NHS_provider_sector_for_the_quarter_4_1819.pdf</a></p><p><sup>2</sup><a href="https://www.skillsforcare.org.uk/adult-social-care-workforce-data/Workforce-intelligence/documents/State-of-the-adult-social-care-sector/State-of-Report-2019.pdf" target="_blank">https://www.skillsforcare.org.uk/adult-social-care-workforce-data/Workforce-intelligence/documents/State-of-the-adult-social-care-sector/State-of-Report-2019.pdf</a></p><p> </p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 30/10/2019 11:41:46 question first ministerially corrected 30/10/2019 17:01:43 answering member 4362 label Biography information for Edward Argar attachment 1 file name Price_card_2019-20_v2.0.xlsx title PQ3731 previous answer version 2658 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	3969 label Biography information for Damian Hinds

1149393

registered interest
date	15/10/2019
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	Health Services: North East
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what funding his Department plans to make available to (a) healthcare in the North East of England, (b) healthcare in Sunderland and (c) the South Tyneside and Sunderland Hospital Trust in the next five years.
tabling member constituency	Sunderland Central
tabling member printed	Julie Elliott
uin	607
answer	answer is ministerial correction date of answer 21/10/2019 answer text <p>CCG allocations for North East of England are shown in the attached table. The North East of England is expected to receive more than the England average per head per year in every year from 2019/20 to 2023/24.</p><p>In addition to the loans listed for Sunderland, the following trusts in the North East of England have secured capital loans:</p><p>- Gateshead Health NHS Foundation Trust: £1million</p><p>- North East Ambulance Service NHS Foundation Trust: £835,000</p><p>- Northumberland, Tyne and Wear NHS Foundation Trust: £210,000 and £112,000</p><p>- Northumbria Healthcare NHS Foundation Trust: £468,000</p><p>- The Newcastle Upon Tyne Hospitals NHS Foundation Trust: £500,000</p><p>On 5 August, the Government announced a further £1.8 billion increase to National Health Service capital spending. £1 billion of this funding will free up the NHS to take forward and expand their existing plans for investment in infrastructure and unlocking delivery of commitments already made; whilst £850 million of this increase allows 20 new hospital upgrades to start as soon as possible, including £41.6 million to Newcastle upon Tyne Hospitals NHS Foundation Trust for the transfer of Paediatric Cardiac Services from Freeman Hospital to Royal Victoria Infirmary.</p><p>In addition, as the Secretary of State recently set out, a new Health Infrastructure Plan will be brought forward to deliver a strategic major hospital rebuilding programme, providing the necessary health infrastructure across the country.</p><p>NHS Sunderland CCG’s allocations are shown in the attached table. By 2023-24, it will receive £1883.97 per head per year - £380.04 per head per year above the England average.</p><p>As part of the tranche 4 STP funding Northumberland, Tyne and Wear NHS Foundation Trust will receive £54.2 million for a single integrated secure service centre of excellence and the re-provision of Newcastle and Gateshead adult acute inpatient services.</p><p>In 2019/20 South Tyneside and Sunderland NHS Foundation Trust was allocated £2million Public Dividend Capital for GDE Fast Follower scheme.</p><p>The trust’s predecessor, City Hospitals Sunderland NHS Foundation Trust also secured a £887,000 Public Dividend Capital award as part of a national programme for Energy Efficient LED Lighting.</p><p>The Department are also aware of a likely award of Public Dividend Capital relating to Urgent and Emergency Care Services provision which is in the process of being allocated and there are a number of on-going capital funding programmes which the trust may be considering applications for.</p> answering member constituency Charnwood answering member printed Edward Argar question first answered 21/10/2019 13:13:38 question first ministerially corrected 21/10/2019 16:08:01 answering member 4362 label Biography information for Edward Argar attachment 1 file name 191017 - PQ607 CCG allocations.xlsx title PQ607 CCG allocations previous answer version 322 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	4127 label Biography information for Julie Elliott

1147175

registered interest
date	30/09/2019
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	Accident and Emergency Departments: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the number of patients that waited longer than four hours in A&E in (a) 2009-10 and (b) 2018-19.
tabling member constituency	Vale of Clwyd
tabling member printed	Chris Ruane
uin	292123
answer	answer is ministerial correction date of answer 03/10/2019 answer text <p>In 2009-10 there were 20,511,908 attendances of which 353,617 patients waited longer than four hours in accident and emergency.</p><p>In 2018-19 there were 24,826,981 attendances of which 2,976,112 people waited more than four hours but in the face of rising demand, <del class="ministerial">over 4,315,000</del> <ins class="ministerial">1,692,578 </ins>more patients were seen within four hours compared to 2009-10.</p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 03/10/2019 15:09:59 question first ministerially corrected 08/10/2019 10:47:13 answering member 4362 label Biography information for Edward Argar previous answer version 137002 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	534 label Biography information for Chris Ruane

1146145

registered interest
date	25/09/2019
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	Health Services: Per Capita Costs
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what allocation per capita was made by his Department in respect of clinical commissioning group (CCG) services in (a) each CCG in York and North Yorkshire, (b) each region of England and (c) England in each year since 2015 (i) in cash terms and (ii) at constant prices.
tabling member constituency	York Central
tabling member printed	Rachael Maskell
uin	290952
answer	answer is ministerial correction date of answer 04/10/2019 answer text <p>In respect of clinical commissioning group (CCG) services, per capita Yorkshire and the Humber CCGs’ allocations for 2015/16 onwards are shown in the attached table. CCG allocation announcements for 2015 onwards, including the breakdown by region of England and total for England in real terms can be found at the following link:</p><p><a href="https://www.england.nhs.uk/allocations/" target="_blank">https://www.england.nhs.uk/allocations/</a></p><p> </p><p> </p><p> </p> answering member constituency Charnwood answering member printed Edward Argar question first answered 04/10/2019 12:41:19 question first ministerially corrected 07/10/2019 20:32:20 answering member 4362 label Biography information for Edward Argar attachment 1 file name 20190930 PQ290952 - Yorkshire and the Humber per Capita Allocations Table - V2.xlsx title PQ290952 table previous answer version 137321 answering member constituency Charnwood answering member printed Edward Argar answering member 4362 label Biography information for Edward Argar
tabling member	4471 label Biography information for Rachael Maskell

1145218

registered interest
date	05/09/2019
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	Accident and Emergency Departments: Greater Manchester
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 7 August (HL17449), in what format the data are available for average annual waiting times for each accident and emergency department in Greater Manchester in each of the last five years.
tabling member printed	Lord Bradley
uin	HL17745
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member. </del></p><p> </p><p><ins class="ministerial">Data is not available in the format of average waiting times at individual accident and emergency (A&amp;E) units. Data is available at a National Health Service trust provider level as some NHS trusts have more than one A&amp;E unit. The data for providers in Greater Manchester, 2013-14 to 2018-19 (provisional) is attached, due to the size of the data. 2018-19 data is provisional and subject to change.</ins></p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:04 question first ministerially corrected 30/09/2019 11:22:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Table for HL17745 formatted.docx title Greater Manchester A&E waiting times previous answer version 135698 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	452 label Biography information for Lord Bradley

1145226

registered interest
date	05/09/2019
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	Medical Treatments: Greater London
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they took to ensure that board members of the Clinical Commissioning Groups in South East London read the South East London Treatment Access Policy Document 2019/20 in full before agreeing to it.
tabling member printed	Lord Hunt of Kings Heath
uin	HL17753
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:08 question first ministerially corrected 30/09/2019 11:14:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135699 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1145243

registered interest
date	05/09/2019
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	Food: Taxation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to introduce a snack tax to help reduce obesity.
tabling member printed	Lord Taylor of Warwick
uin	HL17770
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The Department has no plans to introduce a snack tax.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:36 question first ministerially corrected 30/09/2019 11:21:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135702 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1796 label Biography information for Lord Taylor of Warwick

1144882

registered interest
date	04/09/2019
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 to direct the Clinical Commissioning Groups in South East London to withdraw their prohibition on single women receiving fertility treatment on the NHS as laid out in the South East London Treatment Access Policy Document 2019/20.
tabling member printed	Lord Hunt of Kings Heath
uin	HL17716
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:40 question first ministerially corrected 30/09/2019 11:20:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135703 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144883

registered interest
date	04/09/2019
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 assessment they have made of the statement contained in page 34 of the South East London Treatment Access Policy Document 2019/20 that "because of the known disadvantage that providing assisted conception to a single woman would cause both the child and the mother, funding of assisted conception for single women is not available".
tabling member printed	Lord Hunt of Kings Heath
uin	HL17717
answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:57 question first ministerially corrected 30/09/2019 11:19:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135706 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath