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1653025

	registered interest
	date	13/07/2023
	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	Brain: Tumours
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the Early Access to Medicines Scheme to ensure that brain tumour patients are able to access the most promising treatments.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL9326
	answer	answer is ministerial correction date of answer 19/07/2023 answer text <p><del class="ministerial">We do not currently have a national mechanism to capture and report incidents of violence and aggression in the National Health Service. Data is held at a local level.</del></p><p> </p><p><del class="ministerial">At a national level, data on self-reported violent incidents is gathered through the NHS Staff Survey. Results from the 2022 NHS Staff Survey indicated that 14.7% of NHS staff have self-reported that they have experienced at least one incident of physical violence from patients, service users, relatives or other members of the public in the last 12 months.</del></p><p> </p><p><del class="ministerial">27.8% of NHS staff who completed the NHS Staff Survey experienced at least one incident of harassment, bullying or abuse in the last 12 months from patients or service users, their relatives or members of the public. This figure is similar to previous years’ NHS Staff Survey data.</del></p><p> </p><p><del class="ministerial">NHS England has commissioned a number of data insight workstreams to better understand the current landscape of statistics, data reporting and associated challenges. This includes a national review of all available data and intelligence sources, an analysis of the costs of violence to the health care system in England and a review of the impact on the safety and wellbeing of NHS staff.</del></p><p> </p><p><del class="ministerial">The Ministry of Justice collects data on prosecution, conviction and sentences for the offence of assault on an emergency worker, although it does not identify the type of emergency worker. This data is available in the Criminal Justice Statistics Quarterly and the Outcomes of Offence Tool and Offence Group Classification: Criminal Justice System Statistics Quarterly: December 2022, a copy of which is attached.</del></p><p><ins class="ministerial">The early access to medicines scheme (EAMS) aims to give patients with life threatening or seriously debilitating conditions access to medicines that do not yet have a marketing authorisation when there is a clear unmet medical need.</ins></p><p><ins class="ministerial">Under the scheme, the Medicines and Healthcare products Regulatory Agency (MHRA) will give a scientific opinion on the benefit/risk balance of the medicine, based on the data available when the EAMS submission was made and the EAMS criteria. The MHRA will make an evaluation of products, including drugs such as for brain tumour treatments, once an application is received.</ins></p><p><ins class="ministerial">If we do receive an application, it is only made public where an EAMS Scientific Opinion (SO) is awarded. All EAMS SOs are published on the EAMS webpage. All drugs that have previously held an EAMS SO are also published on the EAMS webpage.</ins></p> answering member printed Lord Markham question first answered 19/07/2023 16:58:18 question first ministerially corrected 20/07/2023 11:30:24 answering member 4948 label Biography information for Lord Markham previous answer version 88876 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham attachment 1 file name criminal-justice-statistics-december-2022.pdf title Criminal Justice statistics
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1651487

	registered interest
	date	10/07/2023
	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	Pharmacy: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the level of support available under the Pharmacy Access Scheme; and whether the criteria includes the (1) quality, (2) opening hours, and (3) range of provision, of existing pharmacies.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL9200
	answer	answer is ministerial correction date of answer 19/07/2023 answer text <p><del class="ministerial">The early access to medicines scheme (EAMS) aims to give patients with life threatening or seriously debilitating conditions access to medicines that do not yet have a marketing authorisation when there is a clear unmet medical need.</del></p><p><del class="ministerial">Under the scheme, the Medicines and Healthcare products Regulatory Agency (MHRA) will give a scientific opinion on the benefit/risk balance of the medicine, based on the data available when the EAMS submission was made and the EAMS criteria. The MHRA will make an evaluation of products, including drugs such as for brain tumour treatments, once an application is received.</del></p><p><del class="ministerial">If we do receive an application, it is only made public where an EAMS Scientific Opinion (SO) is awarded. All EAMS SOs are published on the EAMS webpage. All drugs that have previously held an EAMS SO are also published on the EAMS webpage.</del></p><p><ins class="ministerial">The Pharmacy Access Scheme provides additional funding to pharmacies where the next nearest pharmacy is more than a 20-minute walk away. This is calculated as a 0.8-mile walking distance in areas of high deprivation and 1 mile in other areas. In 2021, we agreed updated eligibility criteria and an updated payment model with Community Pharmacy England. To be eligible for the payment, pharmacies must deliver the Community Pharmacist Consultation Service. Quality and opening hours are not included in the eligibility criteria.</ins></p><p> </p><p> </p> answering member printed Lord Markham question first answered 19/07/2023 15:05:50 question first ministerially corrected 20/07/2023 15:18:01 answering member 4948 label Biography information for Lord Markham previous answer version 88780 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1650137

	registered interest
	date	04/07/2023
	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	Processed Food
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what plans they have to carry out research into the impact of ultra-processed foods on public health outcomes.
	tabling member printed	Baroness Suttie
	uin	HL9041
	answer	answer is ministerial correction date of answer 10/07/2023 answer text <p><del class="ministerial">The Government has no plans.</del></p><p><ins class="ministerial">The Scientific Advisory Committee on Nutrition (SACN) is currently carrying out a scoping review of the evidence on processed foods and health and aims to publish its initial assessment in the summer of 2023. SACN’s scoping review will make a number of research recommendations in this area. This review will also include evaluating existing classifications of processed foods, including ultra-processed foods and the NOVA classification.</ins></p><p><ins class="ministerial">SACN is a committee of the Office for Health Improvement and Disparities (OHID) and provides independent scientific advice and risk assessments on nutrition and related health issues. Members of SACN are appointed as independent scientific experts in their field. We are not aware of any plans to agree a definition internationally.</ins></p><p><ins class="ministerial">The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health including ultra-processed foods. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics.</ins></p> answering member printed Lord Markham question first answered 10/07/2023 16:22:27 question first ministerially corrected 20/07/2023 15:18:27 answering member 4948 label Biography information for Lord Markham previous answer version 86577 answering member printed Lord Bethell answering member 4708
	tabling member	4298 label Biography information for Baroness Suttie

1650136

	registered interest
	date	04/07/2023
	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	Processed Food
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what discussions they are having with (1) UK medical professionals and scientists, and (2) international partners, about (a) developing, and (b) agreeing, internationally recognised definitions of ultra-processed food.
	tabling member printed	Baroness Suttie
	uin	HL9040
	answer	answer is ministerial correction date of answer 10/07/2023 answer text <p><del class="ministerial">The Government has no plans.</del></p><p><ins class="ministerial">The Scientific Advisory Committee on Nutrition (SACN) is currently carrying out a scoping review of the evidence on processed foods and health and aims to publish its initial assessment in the summer of 2023. SACN’s scoping review will make a number of research recommendations in this area. This review will also include evaluating existing classifications of processed foods, including ultra-processed foods and the NOVA classification.</ins></p><p><ins class="ministerial">SACN is a committee of the Office for Health Improvement and Disparities (OHID) and provides independent scientific advice and risk assessments on nutrition and related health issues. Members of SACN are appointed as independent scientific experts in their field. We are not aware of any plans to agree a definition internationally.</ins></p><p><ins class="ministerial">The Department funds research on health and social care through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health including ultra-processed foods. The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics.</ins></p> answering member printed Lord Markham question first answered 10/07/2023 16:22:27 question first ministerially corrected 13/07/2023 14:43:31 answering member 4948 label Biography information for Lord Markham previous answer version 86576 answering member printed Lord Bethell answering member 4708
	tabling member	4298 label Biography information for Baroness Suttie

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

1581410

	registered interest
	date	26/01/2023
	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	Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what the consultation process will be in the development of their Major Conditions Strategy.
	tabling member printed	The Lord Bishop of London
	uin	HL5142
	answer	answer is ministerial correction date of answer 01/02/2023 answer text <p><del class="ministerial">Through the Retained EU Law (Revocation and Reform) Bill, the Government is currently reviewing which retained European Union law should be repealed, reformed or preserved. The Government continues to work with a range of stakeholders to ensure that current standards in patient safety and public health are maintained.</del></p><p><ins class="ministerial">The Major Conditions Strategy will consider major conditions in the round, including disparities due to geography and other factors. Many stakeholders have already responded to government consultations on mental health, dementia, health disparities and cancer. We will draw on the insights and evidence provided through these processes and the Department will set out opportunities to contribute further in due course.</ins></p><p> </p> answering member printed Lord Markham question first answered 01/02/2023 15:09:21 question first ministerially corrected 08/02/2023 16:01:27 answering member 4948 label Biography information for Lord Markham previous answer version 52058 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
	tabling member	4696 label Biography information for The Lord Bishop of London

1672053

	registered interest
	date	21/11/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Radiotherapy
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of regional inequalities in access to molecular radiotherapy services; and what plans they have to reduce inequalities in access to those services.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL480
	answer	answer is ministerial correction date of answer 05/12/2023 answer text <p>Based on information provided by National Health Service trusts, there are 38 providers of this service in England, spread across each of the seven NHS regions.</p><p>As part of the implementation process of the new standalone service specification for <ins class="ministerial">molecular radiotherapy</ins><del class="ministerial">magnetic resonance therapy</del> (MRT), which is expected from April 2024, work will be undertaken to confirm the nature and type of MRT services being provided by trusts and allow for access considerations to be taken into account.</p> answering member printed Lord Markham question first answered 05/12/2023 17:59:17 question first ministerially corrected 19/12/2023 13:27:07 answering member 4948 label Biography information for Lord Markham previous answer version 5569 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1522684

	registered interest
	date	17/10/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Healthy Start Scheme
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how many recipients of Healthy Start vouchers are not in receipt of prepaid cards despite remaining eligible for the scheme.
	tabling member printed	The Lord Bishop of Gloucester
	uin	HL2636
	answer	answer is ministerial correction date of answer 07/11/2022 answer text <p>The NHS Business Services Authority estimates that as of 18 October 2022, there were 2,954 households previously were in receipt of paper vouchers which have not successfully applied to the NHS Healthy Start prepaid card scheme.</p> answering member printed Lord Markham question first answered 07/11/2022 13:13:57 question first ministerially corrected 28/09/2023 10:34:54 answering member 4948 label Biography information for Lord Markham previous answer version 31476 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
	tabling member	4540 label Biography information for The Lord Bishop of Gloucester

1522047

	registered interest
	date	13/10/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Public Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the UK’s public health standards as a result of the measures proposed in the Retained EU Law (Revocation and Reform) Bill 2022.
	tabling member printed	Baroness Harris of Richmond
	uin	HL2587
	answer	answer is ministerial correction date of answer 28/10/2022 answer text <p>Through the Retained EU Law (<ins class="ministerial">Revocation and </ins>Reform<del class="ministerial"> and Revocation</del>) Bill, the Government is currently reviewing which retained European Union law should be repealed, reformed or preserved. the Government continues to work with a range of stakeholders to ensure that any such reforms maintain and improve current standards in patient safety and public health.</p> answering member printed Lord Markham question first answered 28/10/2022 13:55:55 question first ministerially corrected 28/02/2023 11:49:43 answering member 4948 label Biography information for Lord Markham previous answer version 28714 answering member printed Lord Markham answering member 4948 label Biography information for Lord Markham
	tabling member	2505 label Biography information for Baroness Harris of Richmond