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77266

	registered interest
	date	10/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what evidence existed to show that the Health Protection Agency’s Lyme Borreliosis Unit (LBU) conformed with European Union and United Kingdom legislation for the use of the Trinity Biotech kit for <i>in vitro</i> testing when used with cerebrospinal fluid; and what testing was carried out by the LBU to verify that the use of that test kit was suitable, and sufficiently sensitive, for the detection of European and United Kingdom species of Borrelia infections in cerebrospinal fluid.
	tabling member printed	The Countess of Mar
	uin	HL1000
	answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit adhered to legislation related to diagnostic testing. The Trinity Biotech Lyme Western Blot technique was widely used in Europe at that time for serum and samples. Controls were run with each batch of the test to verify the tests accuracy and sensitivity. Quality assurance samples were run to ensure independent validation of the results.</p> answering member printed Earl Howe question first answered 24/07/2014 14:21:30 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

77267

	registered interest
	date	10/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the Health Protection Agency’s Lyme Borreliosis Unit adhered to the Health Protection Agency's published guidelines on <i>Commercial and In-House Diagnostic Tests: Evaluations and Validations</i> in carrying out testing of cerebrospinal fluid of patients suspected of having Lyme disease using the Trinity Biotech kit.
	tabling member printed	The Countess of Mar
	uin	HL1001
	answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's (HPA) Lyme Borreliosis Unit adhered to the HPA’s published guidelines on Commercial and In-House Diagnostic Tests.</p> answering member printed Earl Howe question first answered 24/07/2014 13:24:08 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

77268

	registered interest
	date	10/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the Health Protection Agency's Lyme Borreliosis Unit informed clinicians and patients of test results on cerebrospinal fluid in accordance with Medicines and Healthcare Products Regulatory Agency guidance in carrying out testing of cerebrospinal fluid of patients suspected of having Lyme disease using the Trinity Biotech kit.
	tabling member printed	The Countess of Mar
	uin	HL1002
	answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit (HPA LBU) informed requesting clinicians but not patients of the results on cerebrospinal fluid (CSF) and also provided a clinical interpretive service to the requesting clinician. Referring laboratories and clinicians managing patients with Lyme disease were aware of the limitations of diagnostic tests for serum and CSF through publications and educational meetings. It is the role of the requesting clinician to be guided by the interpretation of the laboratory result and to use these results in the light of the clinical presentation to make a diagnosis and a management plan for individual patients. It is also important to note that the former HPA’s LBU performed diagnostic tests on samples referred by other laboratories</p> answering member printed Earl Howe question first answered 24/07/2014 13:33:24 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

77269

	registered interest
	date	10/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether the Health Protection Agency's Lyme Borreliosis Unit informed clinicians and patients of test results on cerebrospinal fluid in accordance with Medicines and Healthcare Products Regulatory Agency guidance on devices used off-label.
	tabling member printed	The Countess of Mar
	uin	HL1003
	answer	answer is ministerial correction date of answer 24/07/2014 answer text <p>The former Health Protection Agency's Lyme Borreliosis Unit informed requesting clinicians but not patients of the results on cerebrospinal fluid (CSF) and also provided a clinical interpretive service to the requesting clinician. There was no approved ‘on-label’ test for CSF at that time, which is why the use of this test was carefully controlled and its quality assured in each test run. It is the role of the requesting clinician to be guided by the interpretation of the laboratory result and to use these results in the light of the clinical presentation to make a diagnosis and a management plan for individual patients. In addition to the controls for the test, the CSF sample was run with the patient’s serum. If the patient had Lyme disease, serology would have demonstrated this and the patient treated appropriately for their clinical presentation whether the CSF was positive or negative.</p> answering member printed Earl Howe question first answered 24/07/2014 14:20:46 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

78303

	registered interest
	date	16/07/2014
	answering body	Department for Business, Innovation and Skills
	answering dept id	26
	answering dept short name	Business, Innovation and Skills
	answering dept sort name	Business, Innovation and Skills
	hansard heading	Aspartame
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many kilograms of aspartame were imported into the United Kingdom in each year from 2000 to 2013 inclusive.
	tabling member printed	The Countess of Mar
	uin	HL1193
	answer	answer is ministerial correction date of answer 22/07/2014 answer text <table><tbody><tr><td colspan="5"><p>Data showing the volume (kilograms) of UK imports of aspartame during 2000-2013 is given in Table 1 below. The figures are sourced from HMRC’s Overseas Trade Statistics database.</p><p><strong>Table 1: UK imports of aspartame (HS code 21069092)</strong></p></td><td> </td></tr><tr><td><strong> </strong></td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>Year</td><td>Net mass (kgs)</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2013</td><td>76,393,895</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2012</td><td>85,600,024</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2011</td><td>63,298,987</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2010</td><td>54,483,436</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2009</td><td>51,466,542</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2008</td><td>58,734,046</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2007</td><td>50,538,317</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2006</td><td>59,274,993</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2005</td><td>56,112,033</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2004</td><td>63,320,625</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2003</td><td>61,259,916</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2002</td><td>43,939,777</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2001</td><td>40,554,490</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td>2000</td><td>29,438,869</td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td colspan="4">Source: HMRC Overseas Trade Statistics database</td><td> </td><td> </td></tr><tr><td colspan="6">Note: HS 21069092 = Food preparations, n.e.s., not containing milkfats,</td></tr><tr><td colspan="6">sucrose, isoglucose starch or glucose or containing, by weight, &lt; 1,5% milkfat,</td></tr><tr><td colspan="5">&lt; 5% sucrose or isoglucose, &lt; 5% glucose or &lt; 5% starch&quot; only.</td><td> </td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td> </td></tr></tbody></table> answering member printed Lord Livingston of Parkhead question first answered 22/07/2014 16:58:32 answering member 4278 label Biography information for Lord Livingston of Parkhead
	tabling member	1861 label Biography information for The Countess of Mar

78304

	registered interest
	date	16/07/2014
	answering body	Cabinet Office
	answering dept id	53
	answering dept short name	Cabinet Office
	answering dept sort name	Cabinet Office
	hansard heading	Alzheimer's Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many deaths in the United Kingdom were attributed to Alzheimer’s disease in 1970, 1982 and 2013.
	tabling member printed	The Countess of Mar
	uin	HL1194
	answer	answer is ministerial correction date of answer 21/07/2014 answer text <p>The information requested falls within the responsibility of the UK Statistics Authority. I have asked the Authority to reply.</p><p> </p> answering member printed Lord Wallace of Saltaire question first answered 21/07/2014 14:28:33 answering member 1816 label Biography information for Lord Wallace of Saltaire attachment 1 file name PQ HL1194 ONS 323.pdf title ONS Letter to PEER
	tabling member	1861 label Biography information for The Countess of Mar

79197

	registered interest
	date	21/07/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Lyme Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 25 June 2012 (WA 21–2), whether they consider that the use of the CE-marked Trinity Biotech EU Lyme western blot test, when used with cerebrospinal fluid, would constitute "use of an in-house test" as defined by the Medical and Healthcare Products Regulatory Agency guidance.
	tabling member printed	The Countess of Mar
	uin	HL1358
	answer	answer is ministerial correction date of answer 29/07/2014 answer text <p>Use of a sample type not indicated by the manufacturer would be considered to be off label use of the device. This off label use is not regulated by the Medicines and Healthcare products Regulatory Agency and would be the responsibility of the laboratory.</p> answering member printed Earl Howe question first answered 29/07/2014 13:16:10 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

93427

	registered interest
	date	14/10/2014
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Immigration: West Africa
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps are being taken to reduce the immigration restrictions on doctors from West Africa who currently work in the United Kingdom and who volunteer to return to West Africa temporarily to provide medical support for those suffering from ebola.
	tabling member printed	The Countess of Mar
	uin	HL2093
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Immigration Rules already provide for doctors here under the Tier 2 skilled work route and working for the UK health system to return to their home countries for short periods to provide support. The Tier 2 rules allow for periods of unpaid leave of up to one month in every 12 month period. There is also nothing in the Immigration Rules to prevent someone on a Tier 2 visa using their annual leave to volunteer in Africa.</p><p> </p> answering member printed Lord Bates question first answered 21/10/2014 16:30:37 answering member 1091 label Biography information for Lord Bates
	tabling member	1861 label Biography information for The Countess of Mar

93428

	registered interest
	date	14/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Aspartame
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government when they intend to publish the results of the Hull trial on aspartame on the Food Standards Agency website.
	tabling member printed	The Countess of Mar
	uin	HL2094
	answer	answer is ministerial correction date of answer 24/10/2014 answer text <p>The Food Standards Agency (FSA) advise that the paper is still in the peer-review process. Publication in a scientific journal is expected and is the preferable route as it makes the data more readily available to the scientific community. Once this happens the FSA will publish the final report on foodbase, the FSA’s open access repository.</p><p> </p> answering member printed Earl Howe question first answered 24/10/2014 11:26:46 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar

61494

	registered interest
	date	11/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Antibiotics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what has been the total antibiotic use for (1) human medicine in general practice, (2) human medicine in hospitals, and (3) veterinary medicine, for each year since 2004.
	tabling member printed	The Countess of Mar
	uin	HL272
	answer	answer is ministerial correction date of answer 19/06/2014 answer text <p>The following table provides information on the number of dispensed prescription items for human antibiotic medicines, in the community, for the period 2004 to 2013.</p><p> </p><table><tbody><tr><td colspan="2"><p>Number of prescription items for antibiotic medicines written in the United Kingdom and dispensed, in the community, in England <sup>1, 2</sup></p></td></tr><tr><td><p>Year</p></td><td><p>Items (000s)</p></td></tr><tr><td><p>2004</p></td><td><p>33,119.0</p></td></tr><tr><td><p>2005</p></td><td><p>33,825.7</p></td></tr><tr><td><p>2006</p></td><td><p>33,627.5</p></td></tr><tr><td><p>2007</p></td><td><p>35,429.1</p></td></tr><tr><td><p>2008</p></td><td><p>34,801.3</p></td></tr><tr><td><p>2009</p></td><td><p>34,182.9</p></td></tr><tr><td><p>2010</p></td><td><p>35,302.0</p></td></tr><tr><td><p>2011</p></td><td><p>35,333.7</p></td></tr><tr><td><p>2012</p></td><td><p>37,307.0</p></td></tr><tr><td><p>2013</p></td><td><p>35,429.1</p></td></tr></tbody></table><p><em>Sources</em>:</p><p>Prescription Cost Analysis (PCA) system. The Health &amp; Social Care Information Centre, Prescribing and Primary Care Services.</p><p><em> </em></p><p><em>Notes</em>:</p><p><sup>1. </sup>As classified within British National Formulary (BNF) paragraphs 5.1.1 <em>Penicillins</em>, 5.1.2 <em>Cephalosporins, carbapenems, and other beta-lactams</em>, 5.1.3 <em>Tetracyclines</em>, 5.1.4 <em>Aminoglycoside</em>s, 5.1.5 <em>Macrolides</em>, 5.1.6 <em>Clindamycin,</em>5.1.7 <em>Some other antibacterials</em>, 5.1.11 <em>Metronidazole and tinidazole, </em>5.1.12 <em>Quinolones</em>.</p><p><sup>2. </sup>Prescriptions include those written by general practitioners, nurses, pharmacists and other non-medical prescribers.</p><p> </p><p>In terms of human antibiotic medicines used in hospitals in England, it is not possible to provide reliable information. Within hospital data, information is reported as ‘packs', a measure which is not consistent over time or for aggregation, as one pack could refer to a single vial or to a box of 10 vials, or a bottle of capsules. Therefore to sum all the packs for a range of medicines is inappropriate and any resulting figures will be misleading.</p><p> </p><p>The following table provides information on the volume of antimicrobial sales from Market Authorisation Holders for veterinary medicine.</p><p> </p><table><tbody><tr><td colspan="2"><p>Sales of animal antibiotics within the United Kingdom <sup>1, 2, 3</sup></p></td></tr><tr><td><p>Year</p></td><td><p>Tonnes of active ingredient</p></td></tr><tr><td><p>2004</p></td><td><p>453</p></td></tr><tr><td><p>2005</p></td><td><p>446</p></td></tr><tr><td><p>2006</p></td><td><p>405</p></td></tr><tr><td><p>2007</p></td><td><p>387</p></td></tr><tr><td><p>2008</p></td><td><p>384</p></td></tr><tr><td><p>2009</p></td><td><p>402</p></td></tr><tr><td><p>2010</p></td><td><p>447</p></td></tr><tr><td><p>2011</p></td><td><p>346</p></td></tr><tr><td><p>2012</p></td><td><p>409</p></td></tr></tbody></table><p><em>Sources</em>:</p><p>The Veterinary Medicines Directorate, Department for Environment, Food and Rural Affairs</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>It is not currently possible to separate the sales data by country and hence the data provided is for the UK.</p><p><sup>2. </sup>Sales data was provided voluntarily by veterinary pharmaceutical companies from 1998-2004. Data from 2005 onwards has been collected as a statutory requirement, as set out in the Veterinary Medicines Regulations.</p><p><sup>3. </sup>2013 data will be published later in the year.</p><p> </p> answering member printed Earl Howe question first answered 19/06/2014 11:52:16 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar