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449684

	registered interest
	date	02/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Zika Virus: Pregnancy
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the Department of Health has begun to carry out a survey of pregnant women where either partner has been to Brazil or other neighbouring countries where there has been a significant outbreak of the Zika virus.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL5766
	answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>Public Health England (PHE) is actively exploring the feasibility of working with other parts of the United Kingdom to undertake the systematic collection of data on pregnant women presenting to National Health Service maternity services where they have travelled to a country with active Zika virus transmission during pregnancy or within four weeks of conception. The aim of such work would be to measure the impact of Zika virus on obstetric services and on pregnancy and pregnancy outcomes for women.</p><p> </p><p>PHE has been working with appropriate Royal Colleges to provide updated guidance for healthcare professionals, including midwives, on the management of any symptomatic patients (particularly pregnant women) returning from affected countries. A copy of this guidance is attached.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 08:29:51 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Guidance for healthcare professionals HL5766.pdf title Guidance for healthcare professionals Zika
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

449682

	registered interest
	date	02/02/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Zika Virus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how and when they intend to introduce and implement a comprehensive plan in relation to the Zika virus to (1) inform fully the British public about that virus, (2) advise on travel to Central and South America in the light of that virus' prevalence in that region, and (3) clarify all known means of transmission of that virus.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL5764
	answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>Public Health England (PHE) and the National Travel Health Network and Centre have issued travel advice to people who may be travelling to the affected countries, particularly pregnant women and provided information for the general public through the NHS Choices website.</p><p> </p><p>PHE has been working with appropriate professional groups to develop information and guidance on Zika for clinicians. They have worked in partnership with the Royal College of General Practitioners (RCGP) to develop specifically targeted at primary care which is available on the PHE website and has been cascaded by the RCGP. A copy of this guidance is attached.</p><p> </p><p>PHE have also issued a Central Alerting System update alert letter to clinicians, which includes specific information and guidance about Zika virus and pregnancy and general guidance on Zika virus and travel. A copy of this is attached.</p><p> </p><p>Although some evidence of sexual transmission exists and there is the possibility that blood transfusions may be able to transmit the virus this will be very rare. Transmission from mother to fetus via the placenta is also possible. If a person acquires Zika abroad and becomes ill on their return to the United Kingdom, mosquito-borne transmission will not occur as the mosquito is not present in the UK.</p><p> </p><p>Information on these issues is available on the PHE website. The Government continues to monitor this situation very closely and will continue to take action as appropriate.</p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Lord Prior of Brampton attachment 1 file name Zika_virus_guidance_for_primary_care_February_2016_FINAL.pdf title Guidance for clinicians 2 file name Final CAS alert letter Zika with updated annex (1).pdf title Central Alert System letter to clinicians question first answered 11/02/2016 17:45:04 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

764337

	registered interest
	date	02/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Counterfeit Manufacturing
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether there has been any assessment made of the health hazards from illicit tobacco products compared with those that are legally produced; and if so, what future impact such hazards are likely to have on the health of smokers under 25 years old.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL1674
	answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>There are no separate assessments made by the Government on the health hazards of illicit tobacco as all tobacco products are harmful. Considerable progress has been made in addressing tobacco smuggling and the reductions we have seen have been achieved through regulatory changes, new sanctions, detection technology and partnership working across government and internationally. The Tobacco Control Plan for England, published in July 2017, set out the continued government commitment to tackle illicit tobacco, including the United Kingdom international obligation to ratify the Framework Convention on Tobacco Control Protocol on Illicit Tobacco as soon as the required legislation has been approved by Parliament.</p> answering member printed Lord O'Shaughnessy question first answered 12/10/2017 14:30:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

598097

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery: Waiting Lists
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many patients per 1 million population were on the waiting list for (1) hip replacement, and (2) knee replacement, in (a) October 2012, (b) October 2014 and (c) October 2016 in the English regions of (i) London, (ii) the South, (iii) the Midlands and East, and (iv) the North.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2126
	answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The information is not available in the format requested. Referral to treatment data are collected by 18 treatment functions and are not condition or procedure specific. Hip and knee replacements are included in the trauma and orthopaedics treatment function. The following table sets out how many patients per one million of the population were on a waiting list in the trauma and orthopaedics treatment function at the end of October 2012 and 2014.</p><p> </p><p>Table: Number of trauma and orthopaedics<sup>1</sup> patients per one million of the population that were waiting on an incomplete pathway at the end of October 2012 and October 2014.<sup>2</sup></p><p> </p><table><tbody><tr><td><p>Region</p></td><td><p>October 2012</p></td><td><p>October 2014</p></td></tr><tr><td><p>London</p></td><td><p>5,701</p></td><td><p>5,486</p></td></tr><tr><td><p>South</p></td><td><p>7,506</p></td><td><p>8,493</p></td></tr><tr><td><p>Midlands and East</p></td><td><p>6,969</p></td><td><p>7,323</p></td></tr><tr><td><p>North</p></td><td><p>7,372</p></td><td><p>8,182</p></td></tr><tr><td><p>England</p></td><td><p>7,025</p></td><td><p>7,578</p></td></tr></tbody></table><p>Source: Consultant-led referral to treatment waiting times, NHS England</p><p> </p><p>Notes:</p><ol><li>Consultant-led referral to treatment waiting times data is available for 18 treatment functions. Hip and knee replacements are included in the trauma and orthopaedics treatment function.</li><li>October 2016 data will be published on 8<sup>th</sup> December 2016.</li></ol><p> </p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:27:34 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

598098

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what has been the average number of hip and knee replacement operations per one million population performed weekly (1) by the NHS, and (2) privately, during each quarter since October 2015 in the English regions of (a) London, (b) the South, (c) the Midlands and East, and (d) the North.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2127
	answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The information requested is in the table attached.</p><p> </p><p>The data is activity in National Health Service Hospitals in England and NHS funded activity in the independent sector. Information on privately funded activity in the independent sector is not available.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:34:02 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL2127 FORMATTED TABLE.pdf title HL2127 TABLE
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

764338

	registered interest
	date	02/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Smoking
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their assessment of any positive impact in the overall health of under 35 year old smokers arising from tax and packaging measures that they have imposed.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL1675
	answer	answer is ministerial correction date of answer 12/10/2017 answer text <p>Tobacco taxation is a proven and effective means to reduce smoking and a disincentive for young people to take up smoking in the first place. The Government consulted on the introduction of standardised packaging and published an impact assessment, which included benefits to public health. For the purposes of this impact assessment, the conservative assumption was made that no harm is incurred by smoking under the age of 35, due to the lack of precise data to quantify benefits from not smoking under this age. That said, the impact assessment notes that for every young person who no longer starts smoking for example, life expectancy improves by 2.1 years. The Standardised Packaging of Tobacco Products Regulations 2015 came into force on 20 May 2016; the Government has a commitment to review these regulations by 2020.</p> answering member printed Lord O'Shaughnessy question first answered 12/10/2017 14:33:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

516972

	registered interest
	date	03/05/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Olympic Games: Brazil
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answers by Lord Prior of Brampton on 11 and 12 February (HL5764 and HL5766) and by Baroness Neville-Rolfe on 11 February (HL5765), and in the light of current information about the increased extent of dangers from the Zika virus affecting up to 20 per cent of all births, whether they intend to issue further advice about, or to reconsider, in consultation with other European governments, the long-term implications of participating in or attending the 2016 Olympic Games in Brazil.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL8128
	answer	answer is ministerial correction date of answer 11/05/2016 answer text <p>The British Olympic Association (BOA) and British Paralympic Association (BPA) have prepared guidance to consider the health risks, including those posed by Zika, for British athletes and staff travelling to Brazil for the Olympics.</p><p> </p><p>The Department of Health has convened an Olympics health advisory group on behalf of the Department for Culture, Media and Sport to focus on Zika and to support the BOA and BPA to ensure that they can continue to provide the best possible information and advice.</p><p> </p><p>The group will be chaired by the Department’s Chief Scientific Advisor, Professor Chris Whitty, and will bring together experts from the BOA and BPA as well as the London School of Hygiene and Tropical Medicine, University of Liverpool, University of Nottingham, the Royal Free London, Public Health England and across Government.</p><p> </p><p>Revisions of existing guidance or specific further advice will be published if it is deemed necessary.</p><p> </p><p>In the meantime, Public Health England and the National Travel Health Network and Centre (NaTHNaC) have developed and issued more general travel advice online to health professionals that is suitable for people travelling to Zika-affected countries, including pregnant women. A copy of the online advice is attached.</p><p> </p><p>This includes a list of countries where Zika virus transmission is occurring, advice around bite avoidance measures and what and who to speak to if those travelling have concerns. PHE and NaTHNaC continue to monitor the situation very closely and update advice as needed.</p> answering member printed Lord Prior of Brampton question first answered 11/05/2016 16:20:48 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name zika-virus-update-and-advice-for-travellers-including-pregnant-women.pdf title Zika Virus travel advice
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

385202

	registered interest
	date	23/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Kidney Diseases: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government in how many cases of Membranoproliferative glomerulonephritis kidney disease the use of the drug Eculizumab has been identified as the only viable treatment; in how many cases its use has been refused; and what assessment they have made of the circumstances of the appeal by 15 year-old Lewis Brimble against such a refusal.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL753
	answer	answer is ministerial correction date of answer 02/07/2015 answer text <p>NHS England has advised that, to date, it has received three individual funding requests for eculizumab (Soliris) to treat membranoproliferative glomerulonephritis or dense deposit disease. All three requests were declined.</p><p> </p><p> </p><p> </p><p>Neither the Department nor NHS England can comment on individual cases.</p><p> </p><p><strong> </strong></p><p> </p><p>The National Institute for Health and Care Excellence published a rapid evidence summary on <em>prevention of recurrence of C3 glomerulopathy post-transplant: eculizumab</em> on 26 June 2015. This is available at the following link and a copy is attached:</p><p> </p><p> </p><p> </p><p><a href="http://www.nice.org.uk/advice/esuom44/chapter/Key-points-from-the-evidence" target="_blank">www.nice.org.uk/advice/esuom44/chapter/Key-points-from-the-evidence</a></p><p> </p> answering member printed Lord Prior of Brampton question first answered 02/07/2015 15:51:41 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Prevention of recurrence of C3 glomerulopathy.pdf title Prevention of recurrence of C3 glomerulopathy
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

419729

	registered interest
	date	05/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hospitals: Armed Forces
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what guidance, if any, they give to hospitals about whether patients may wear military uniforms in waiting and emergency rooms; what assessment they have made of the recent removal of a uniformed Royal Air Force sergeant from the waiting room of Queen Elizabeth The Queen Mother Hospital in Margate reportedly so as not to upset other patients from different cultures; and whether they plan to issue further guidance to hospitals about whether, in the light of that incident, patients who are members of the armed forces have the right to wear military uniforms in waiting and emergency rooms.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2432
	answer	answer is ministerial correction date of answer 14/10/2015 answer text <p>NHS England has reviewed the action taken at East Kent University Hospitals NHS Foundation Trust. Due to an altercation between a member of the public and a member of the armed forces in uniform that had taken place the previous day, the employee concerned was acting in good faith, but handled the situation wrongly.</p><p>The Trust is absolutely clear that members of Her Majesty’s armed forces, whether in uniform or not, should not be treated differently to others. They have reinforced this policy to all members of staff and offered an apology to the patient involved for any embarrassment caused.</p><p>Additionally, NHS England is currently reviewing the East Kent University Hospitals Trust’s Equality and Diversity and Access Policies and will agree amendments if necessary. There are no plans to issue further guidance.</p> answering member printed Lord Prior of Brampton question first answered 14/10/2015 14:28:37 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	648 label Biography information for Lord Maginnis of Drumglass

598096

	registered interest
	date	10/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Hip Replacements
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is the average waiting time (1) from GP referral to initial specialist surgeon appointment, and (2) from initial specialist surgeon appointment to operation, for a hip replacement in the English regions of (a) London, (b) the South, (c) the Midlands and East, and (d) the North.
	tabling member printed	Lord Maginnis of Drumglass
	uin	HL2125
	answer	answer is ministerial correction date of answer 24/10/2016 answer text <p>The information is not available in the format requested. The information which is available is from hospital episode statistics (HES), which give a detailed breakdown of individual episodes of care by procedure, including hip replacements. Within HES, it is not possible to link the outpatient and admitted patient datasets to determine if an outpatient appointment is linked to a subsequent hip replacement. It is therefore only possible to show time waited between decision to admit and admission to hospital. A table of this data is attached.</p> answering member printed Lord Prior of Brampton question first answered 24/10/2016 12:31:20 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name FORMATTED TABLE HL2125.pdf title Table of date HL2125
	tabling member	648 label Biography information for Lord Maginnis of Drumglass