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1648716

registered interest
date	28/06/2023
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	Screening: Age
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what are the age limits on each of the NHS screening programmes and the justification for each limit.
tabling member printed	Lord Hunt of Kings Heath
uin	HL8877
answer	answer is ministerial correction date of answer 12/07/2023 answer text <p>All National screening programmes are introduced based on recommendations made by the UK National Screening Committee (UK NSC). The UK NSC assesses and evaluates the evidence to offer screening when it will offer more good than harm. Screening age ranges are selected based on the range where the evidence supports that balance.</p><p>The National Health Service breast screening programme invites eligible women to be screened every three years from the age of 50 up to their 71st birthday.</p><p>The NHS bowel screening programme invited men and women every two years from ages 60 to 74 years old. The programme is expanding to make it available to everyone aged 50 to 59 years old. This is happening gradually over four years and started in April 2021.</p><p>The NHS cervical screening programme invites people with a cervix between the ages of 25 and 49 for screening every three years, whilst people aged 50 to 64 receive an invitation every five years.</p><p>The NHS abdominal aortic aneurysm screening programme offers men a screening the year they turn 65.</p><p>The NHS diabetic eye screening programme is offered to anyone with diabetes who is 12 years old or over. Those eligible are invited for an annual screening.</p><p>The NHS targeted lung cancer screening programme that has been recently announced will invite people aged 55 to 74 identified as being at high risk of lung cancer for screening.</p><p>For antenatal screening programmes, pregnant women are invited early for screening once the pregnancy has been confirmed. This includes the NHS foetal anomaly screening programme and NHS infectious diseases in pregnancy.</p><p><ins class="ministerial"> <p><ins class="ministerial">Screening for newborns is also offered early at a time when conditions can be detected and where early treatment can improve the baby’s health and prevent severe disability or even death. Newborn screening programmes include the NHS newborn blood spot screening programme, the NHS newborn hearing screening programme, the NHS newborn and infant physical examination screening programme and the NHS sickle cell and thalassaemia screening programme.</ins></p></ins></p> answering member printed Lord Markham question first answered 12/07/2023 13:22:33 question first ministerially corrected 20/07/2023 15:18:13 answering member 4948 label Biography information for Lord Markham previous answer version 87138 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1644491

registered interest
date	13/06/2023
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	Integrated Care boards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their policy justification for deciding not to define an integrated care board as a “relevant body” in regulation 2 of the National Health Service Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, with the effect that a range of patient rights formerly imposed on clinical commissioning groups are not now imposed on integrated care boards.
tabling member printed	Lord Hunt of Kings Heath
uin	HL8440
answer	answer is ministerial correction date of answer 27/06/2023 answer text <p><del class="ministerial">‘The National Health Service (Integrated Care Boards: Responsibilities) Regulations 2022’</del><ins class="ministerial"> The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 SI/634</ins> has made consequential amendments to regulation 2 of the NHS Commissioning Board and Clinical Commissioning Groups (Responsibilities and Standing Rules) Regulations 2012, replacing references to Clinical Commissioning Groups with integrated care boards (ICBs). ICBs are now the statutory bodies responsible for patient rights.</p> answering member printed Lord Markham question first answered 27/06/2023 16:18:31 question first ministerially corrected 26/07/2023 13:28:18 answering member 4948 label Biography information for Lord Markham previous answer version 84191 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1353663

registered interest
date	07/09/2021
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: Transgender People
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 processes that NHS trusts use (1) to arrange and specify facilities for transgender patients, and (2) to take into account the needs of other patients who may be sharing facilities with transgender patients.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2490
answer	answer is ministerial correction date of answer 29/09/2021 answer text <p>No assessment has been made of the process used by National Health Service trusts for arranging these facilities nor the provision of single sex wards.</p><p>We expect all NHS trusts to follow all aspects of NHS England and NHS Improvement’s guidance Delivering same-sex accommodation, which sets out the small number of clinical circumstances where mixed-sex accommodation can be justified and also allows, in Annex B, for people to be allocated to wards according to their presentation, such as their preferred dress and pronouns . A copy of the guidance is attached. NHS England and NHS Improvement are currently reviewing this guidance, including whether the Annex is consistent with the provision of single sex wards.</p> answering member printed Lord Kamall question first answered 29/09/2021 15:46:24 question first ministerially corrected 18/10/2021 13:25:12 answering member 4909 label Biography information for Lord Kamall attachment 1 file name Delivering_same_sex_accommodation_sep2019 (1) (1).pdf title Delivering same-sex accommodation previous answer version 24216 answering member printed Lord Kamall answering member 4909 label Biography information for Lord Kamall
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1353665

registered interest
date	07/09/2021
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	Hospital Wards: Gender
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made as to whether Annex B in NHS England's Delivering same sex accommodation guidance is consistent with the aim to provide of single sex wards by NHS Trusts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2492
answer	answer is ministerial correction date of answer 29/09/2021 answer text <p>No assessment has been made of the process used by National Health Service trusts for arranging these facilities nor the provision of single sex wards.</p><p>We expect all NHS trusts to follow all aspects of NHS England and NHS Improvement’s guidance Delivering same-sex accommodation, which sets out the small number of clinical circumstances where mixed-sex accommodation can be justified and also allows, in Annex B, for people to be allocated to wards according to their presentation, such as their preferred dress and pronouns . A copy of the guidance is attached. NHS England and NHS Improvement are currently reviewing this guidance, including whether the Annex is consistent with the provision of single sex wards.</p> answering member printed Lord Kamall question first answered 29/09/2021 15:46:25 question first ministerially corrected 18/10/2021 13:25:04 answering member 4909 label Biography information for Lord Kamall attachment 1 file name Delivering_same_sex_accommodation_sep2019 (1) (1).pdf title Delivering same-sex accommodation previous answer version 24218 answering member printed Lord Kamall answering member 4909 label Biography information for Lord Kamall
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1353666

registered interest
date	07/09/2021
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	Hospital Wards: Gender
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 commission a review of the provision of single sex accommodation by NHS Trusts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2493
answer	answer is ministerial correction date of answer 29/09/2021 answer text <p>No assessment has been made of the process used by National Health Service trusts for arranging these facilities nor the provision of single sex wards.</p><p>We expect all NHS trusts to follow all aspects of NHS England and NHS Improvement’s guidance Delivering same-sex accommodation, which sets out the small number of clinical circumstances where mixed-sex accommodation can be justified and also allows, in Annex B, for people to be allocated to wards according to their presentation, such as their preferred dress and pronouns . A copy of the guidance is attached. NHS England and NHS Improvement are currently reviewing this guidance, including whether the Annex is consistent with the provision of single sex wards.</p> answering member printed Lord Kamall question first answered 29/09/2021 15:46:25 question first ministerially corrected 18/10/2021 13:24:51 answering member 4909 label Biography information for Lord Kamall attachment 1 file name Delivering_same_sex_accommodation_sep2019 (1) (1).pdf title Delivering same-sex accommodation previous answer version 24219 answering member printed Lord Kamall answering member 4909 label Biography information for Lord Kamall
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1179891

registered interest
date	24/02/2020
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	NHS: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what changes will be required to the NHS Constitution for England as a result of the introduction of new operational targets for the NHS.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1750
answer	answer is ministerial correction date of answer 06/03/2020 answer text <p>No formal assessment has been made of the report by NHS Health Scotland on minimum unit pricing (MUP) of alcohol. The Scottish Government is taking forward a comprehensive evaluation of the impact of introducing MUP. The Scottish legislation also includes a sunset clause and the Scottish Government are required to present a report on the impact of MUP to their Parliament five years after implementation which will be published in 2023.</p><p>There are no plans for the introduction of MUP in England. The Government will continue to monitor the progress of MUP in Scotland and will consider available evidence of its impact, including the report by NHS Scotland.</p><p><ins class="ministerial"> <p><ins class="ministerial">This is the answer for HL1750.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The clinically-led review of National Health Service access standards is ongoing. The NHS is currently trialling how these might work and any recommended changes will be based on clinical evidence to ensure the best outcome for patients. NHS England and NHS Improvement’s final recommendations to the Government are due by the spring.</ins></p></ins></p> answering member printed Lord Bethell question first answered 06/03/2020 14:07:52 question first ministerially corrected 09/03/2020 16:40:54 answering member 4708 label Biography information for Lord Bethell previous answer version 10821 answering member printed Lord Bethell answering member 4708 label Biography information for Lord Bethell
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

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

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

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