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753958

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Radioisotopes: Imports
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government (1) what assessment they have made of the potential impact of not reaching agreement with the EU by April 2019 on the supply of the radioisotope molybdenum-99 used to produce technetium-99m which is required for over 80 per cent of diagnostic medicine procedures in the UK; (2) what assessment they have made of the potential impact of delays or disruption to the supply of diagnostic medicine procedures that may result; and (3) what contingency plans they have put in place to mitigate such delays or disruption to that supply after Brexit.
	tabling member printed	Lord Mendelsohn
	uin	HL1104
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>The Government is fully aware of the importance of molybdenum-99 and the reliance on this medical radioisotope for diagnostic procedures in the National Health Service. The United Kingdom’s ability to import medical isotopes from Europe and the rest of the world will not be affected by withdrawal from Euratom. It is in everyone’s interest to not disrupt the timely access of treatment to patients and to ensure that cross-border trade with the European Union and Euratom is as frictionless as possible.</p> answering member printed Lord O'Shaughnessy question first answered 31/07/2017 13:38:56 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4286 label Biography information for Lord Mendelsohn

752445

	registered interest
	date	17/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many contracts for Specialist Audiology Services used by children, and commissioned directly by NHS England, are due to be renegotiated in the financial year 2017-18.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL891
	answer	answer is ministerial correction date of answer 20/07/2017 answer text <p>The Improving Quality in Physiological Services (IQIPS) accreditation scheme is run by the United Kingdom Accreditation Service (UKAS). The process of accreditation provides an independent assessment that a service meets the accreditation standards.</p><p> </p><p>It is the responsibility of the service to ensure that they conform to the standard before application to UKAS for accreditation. There is a pre-registration process within the scheme that enables all services to be able to do an effective gap analysis so that they should be at a point of conforming to the standard on making an application to UKAS. If during an assessment mandatory findings are raised which show non-conformity to any part of the standard then the service agrees appropriate improvement actions with the UKAS team to rectify these and prevent re-occurrence.</p><p> </p><p>The UKAS team base their recommendation for accreditation on the findings raised relating to the conformity to the standard, risk and whether the agreed improvement actions are appropriate and can be achieved within a three month close-out period. Therefore any findings raised must be cleared by the organisation if a positive recommendation for accreditation is to be granted.</p><p> </p><p>In <em>Commissioning Services for People with Hearing Loss: A framework for clinical commissioning groups</em>, published in July 2016, NHS England strongly encourages clinical commissioning groups to expect providers to have completed the IQIPS self-assessment tool and applied for accreditation with UKAS, and achieve accreditation within the duration of their contract.</p><p> </p><p>UKAS are supporting the NHS England business objective to increase the use of accreditation, and information about those services which have achieved accreditation is not held by the Department or NHS England, but is publicly available on the UKAS website.</p><p> </p><p>Information on clinical contracts is not held centrally by NHS England.</p> answering member printed Baroness Chisholm of Owlpen grouped question UIN HL887 HL889 HL890 HL979 question first answered 20/07/2017 14:50:43 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

755111

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Secure Psychiatric Units: Ethnic Groups
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many patients from BME backgrounds spent a period of their care in locked wards in England during each of the last three years for which figures are available.
	tabling member printed	Lord Boateng
	uin	HL1119
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>Data on the number of BME patients being treated in locked rehabilitation wards in England is not collected centrally, though we would expect trusts to pay close attention to such data.</p><p> </p><p>The Government welcomes the findings of the Care Quality Commission’s (CQC’s) report and shares its concerns about inappropriate use of locked rehabilitation wards. The department will consider the implications in discussion with NHS England, NHS Improvement and the CQC.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1118 HL1120 question first answered 31/07/2017 13:25:20 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	147 label Biography information for Lord Boateng

753280

	registered interest
	date	18/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many times a hospital doctor has been required to be present during a patient transfer to another NHS Trust in the last 12 months; in each case, what was (1) the medical specialty of the doctor involved, and (2) the grade of the doctor involved; and in how many of those cases was a hospital department left without a consultant available within 30 minutes as a result of that transfer.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL968
	answer	answer is ministerial correction date of answer 21/07/2017 answer text <p>The data requested are not held centrally. Trusts are responsible for staffing arrangements including for ensuring appropriate arrangements and for procedures concerning the transfer of patients to other hospitals.</p> answering member printed Baroness Chisholm of Owlpen question first answered 21/07/2017 09:26:57 answering member 4330 label Biography information for Baroness Chisholm of Owlpen
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

755154

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Microplastics: Food
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the risk to humans of microbeads and other plastics entering the human food chain.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL1162
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>On the basis of current information, the Food Standards Agency (FSA) considers it is unlikely that the presence of the low levels of microplastic particles that have been reported to occur in certain types of seafood would cause harm to consumers. The FSA will continue to monitor and assess emerging information concerning microplastics in seafood.</p> answering member printed Lord O'Shaughnessy question first answered 31/07/2017 14:27:14 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

755112

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Secure Psychiatric Units: Ethnic Groups
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what conclusions they have drawn from the Care Quality Commission review The state of care in mental health services 2014 to 2017, published on 20 July, as to the numbers and experience of BME patients in locked wards across England.
	tabling member printed	Lord Boateng
	uin	HL1120
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>Data on the number of BME patients being treated in locked rehabilitation wards in England is not collected centrally, though we would expect trusts to pay close attention to such data.</p><p> </p><p>The Government welcomes the findings of the Care Quality Commission’s (CQC’s) report and shares its concerns about inappropriate use of locked rehabilitation wards. The department will consider the implications in discussion with NHS England, NHS Improvement and the CQC.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1118 HL1119 question first answered 31/07/2017 13:25:20 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	147 label Biography information for Lord Boateng

753942

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what discussions they have had with (1) the Royal College of Nursing, (2) the Royal College of Midwives, and (3) UNISON, as a consequence of the fall since 2016 reported by UCAS in the number of applications to universities to study for nursing degrees.
	tabling member printed	Lord MacKenzie of Culkein
	uin	HL1089
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>Ministers routinely meet nursing leaders and discuss a range of issues, including recruitment and retention of nurses and midwives.</p><p> </p><p>The Government remains committed to reforming nursing, midwifery and allied health pre-registration education and increasing the number of places available for students so that two in three nursing applicants are no longer turned down for a place; at the same time ensuring these students have more money available to them while they study.</p><p> </p><p>Health Education England is confident that the National Health Service will have the required number of students it needs starting courses this year and will continue to work with the education sector to deliver these reforms successfully for the longer term.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1090 question first answered 31/07/2017 14:34:31 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2507 label Biography information for Lord MacKenzie of Culkein

753910

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Cancer: Mortality Rates
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what is their assessment of the findings by Integrating the Healthcare Enterprise in its report, Comparator report on patient access to cancer medicines in Europe Revisited, that UK five-year survival outcomes for cancer lag behind the European average for nine out of ten cancers.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1056
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>Cancer survival rates are at a record high and around 7,000 more people are surviving cancer after successful treatment on the National Health Service compared to three years ago. However, there is more that we can do. NHS England is leading the implementation of the recommendations of the independent Cancer Taskforce to save a further 30,000 lives by 2020.</p> answering member printed Lord O'Shaughnessy question first answered 31/07/2017 13:27:52 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

753944

	registered interest
	date	19/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Nurses: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what progress has been made to date in implementing their plan to provide 10,000 additional nursing student places by 2020; and how much additional funding has been provided to universities as part of this plan.
	tabling member printed	Lord MacKenzie of Culkein
	uin	HL1090
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>Ministers routinely meet nursing leaders and discuss a range of issues, including recruitment and retention of nurses and midwives.</p><p> </p><p>The Government remains committed to reforming nursing, midwifery and allied health pre-registration education and increasing the number of places available for students so that two in three nursing applicants are no longer turned down for a place; at the same time ensuring these students have more money available to them while they study.</p><p> </p><p>Health Education England is confident that the National Health Service will have the required number of students it needs starting courses this year and will continue to work with the education sector to deliver these reforms successfully for the longer term.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1089 question first answered 31/07/2017 14:34:31 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2507 label Biography information for Lord MacKenzie of Culkein

755128

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Parkinson's Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what steps they are taking to improve access to timely and appropriate support for people with Parkinson's disease who are experiencing anxiety or depression.
	tabling member printed	Baroness Gale
	uin	HL1136
	answer	answer is ministerial correction date of answer 02/08/2017 answer text <p>As set out in <em>Implementing the Five Year Forward View for Mental Health</em> the expansion of Improving Access to Psychological Therapies services will focus on people with long term conditions, including neurological conditions such as Parkinson’s, and/or medically unexplained symptoms. New psychological therapy provision will see physical and mental health care provision co-located. Therapy will be integrated into existing medical pathways and services – either primary care, or secondary care services including neurology.</p><p>Although the majority of people with Parkinson’s can be cared for through routine access to primary and secondary care, NHS England commissions the specialised elements of Parkinson’s care that patients may receive from 24 specialised neurological treatment centres across England. Within these centres neurological multidisciplinary teams ensure patients can access a range of health professionals, including neurologists, neurosurgeons, clinical nurse specialists, psychologists, and that they can receive specialised treatment and support, according to their needs.</p><p>The Neurology Advisory Group will ensure that there is system alignment and a national approach when considering the recommendations, which will be of benefit to patients.</p><p>NHS England is also working with the Neurological Alliance, following the publication on 5 July 2017 of their report on mental health and neurological conditions, <em>Parity of esteem for people affected by neurological conditions: meeting the emotional, cognitive &amp; mental health needs of neurology patients</em>.</p><p>A copy of the report is attached.</p> answering member printed Lord O'Shaughnessy question first answered 02/08/2017 15:07:06 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL1136 Parity-of-esteem-for-people-affected-by-neuro-conditions-2017.pdf title Mental health and neurological conditions
	tabling member	2503 label Biography information for Baroness Gale