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885940

	registered interest
	date	17/04/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government (1) how many, and (2) what percentage of, GPs in England opt out of providing contraceptive services to their registered patients.
	tabling member printed	Baroness Tonge
	uin	HL7025
	answer	answer is ministerial correction date of answer 01/05/2018 answer text <p>As at 31 March 2018, there were three practices (0.04%) that had opted out of providing contraceptive services.</p><p> </p><p>The current general practitioner contract allows practices to opt out of providing contraceptive services to their registered patients. Where they do so, NHS England has responsibility for ensuring patients of those practices have access to such services.</p> answering member printed Lord O'Shaughnessy question first answered 01/05/2018 11:45:49 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

897115

	registered interest
	date	02/05/2018
	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	Family Planning
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many GP practices have a doctor or nurse trained in family planning methods or techniques provided by the Faculty of Sexual and Reproductive Healthcare.
	tabling member printed	Baroness Tonge
	uin	HL7539
	answer	answer is ministerial correction date of answer 16/05/2018 answer text <p>The Department does not hold information in the format requested on the number of general practitioner practices that have a doctor or nurse trained in family planning methods or techniques as provided by the Faculty of Sexual and Reproductive Healthcare.</p> answering member printed Lord O'Shaughnessy question first answered 16/05/2018 11:25:29 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

852485

	registered interest
	date	28/02/2018
	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	Midwives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many midwives there were on (1) the Nursing and Midwifery register, and (2) practising in the NHS, in each of the past five years.
	tabling member printed	Baroness Tonge
	uin	HL5968
	answer	answer is ministerial correction date of answer 13/03/2018 answer text <p>The information requested about the number of midwives registered to practise in the United Kingdom is not collected by the Department.</p><p>The Nursing and Midwifery Council (NMC) is the independent regulator of nurses and midwives in the United Kingdom and is responsible for nurse and midwifery registration. Information provided by the NMC on the number of midwives registered to practise in each of the past five years is provided in the following table. According to the NMC’s figures the number of midwives registered to practise in the UK increased by 2,445, between the end of September 2013 and the end of September 2017.</p><table><tbody><tr><td><p>Year</p></td><td><p>Number of midwives registered to practise</p></td></tr><tr><td><p>End September 2013</p></td><td><p>41,050</p></td></tr><tr><td><p>End September 2014</p></td><td><p>41,639</p></td></tr><tr><td><p>End September 2015</p></td><td><p>42,232</p></td></tr><tr><td><p>End September 2016</p></td><td><p>42,799</p></td></tr><tr><td><p>End September 2017</p></td><td><p>43,495</p></td></tr></tbody></table><p><em>Source: </em>Nursing and Midwifery Council</p><p>NHS Digital publishes workforce statistics and the following table shows the number of full time equivalent (FTE) Hospital and Community Health Service (HCHS) midwives in each of the past five years in England.</p><p>National Health Service HCHS: Practising Midwives, as at 31 October each specified year (FTE), 2013-17</p><table><tbody><tr><td><p>Year</p></td><td><p>Total Midwives (FTE)</p></td></tr><tr><td><p>October 2013</p></td><td><p>20,914</p></td></tr><tr><td><p>October 2014</p></td><td><p>21,268</p></td></tr><tr><td><p>October 2015</p></td><td><p>21,450</p></td></tr><tr><td><p>October 2016</p></td><td><p>21,621</p></td></tr><tr><td><p>October 2017</p></td><td><p>21,890</p></td></tr></tbody></table><p><em>Source: </em>NHS Digital, Provisional NHS HCHS monthly workforce statistics</p><p>The total number of midwives employed in the NHS trusts and clinical commissioning groups in England increased by 976, from 20,914 in October 2013, to 21,890 in October 2017.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL5967 question first answered 13/03/2018 15:52:23 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

864527

	registered interest
	date	15/03/2018
	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	Flour: Folic Acid
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their estimate of the number of abortions resulting from foetal abnormalities that would be averted if folic acid were added to flour; what is that number as a percentage of all abortions resulting from foetal abnormalities; whether they intend to require that folic acid be added to flour; and if not, why not.
	tabling member printed	Baroness Tonge
	uin	HL6428
	answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>In 2016, 13% of abortions under Ground E (foetal abnormalities) have a primary diagnosis of anencephaly, encephalocele or spina bifida. It is not possible to conclude how many abortions would be averted if folic acid were added to flour as information on the dietary habits and folate status of the women concerned is not known. Ministers are considering the call to fortify bread and flour with folic acid and will make a decision in due course.</p> answering member printed Lord O'Shaughnessy question first answered 29/03/2018 11:21:20 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

864528

	registered interest
	date	15/03/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is their estimate of the percentage of (1) girls under 18, and (2) women, who obtain contraception in England, who do so for free.
	tabling member printed	Baroness Tonge
	uin	HL6429
	answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>All prescribed contraception is free of charge for the user. Therefore, 100% of girls under 18 and women who are prescribed contraception in England will receive this for free.</p><p>Data published by NHS Digital show that during 2016/17, 871,000 females contacted sexual and reproductive health services on one or more occasions for contraception. A further 8.62 million prescriptions for contraception where issued in the community, the vast majority from general practice.</p> answering member printed Lord O'Shaughnessy question first answered 29/03/2018 11:23:00 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

892442

	registered interest
	date	26/04/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether GPs in England and Wales can charge for prescribing certain oral contraceptive pills; and if so, which.
	tabling member printed	Baroness Tonge
	uin	HL7349
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>General practitioners (GPs), whose contracts include the provision of contraceptive services, can prescribe to all registered patients upon request, a variety of contraceptive substances and appliances. These include combined pill, contraceptive cap, contraceptive injection, contraceptive patch, diaphragms, progestogen-only pill (mini-pill) and vaginal ring, excluding the fitting and implanting of intrauterine devices and implants. Contraceptives are provided free of charge.</p><p>GPs in England cannot charge patients for contraception services rendered to them. All prescribed oral contraceptive pills should be provided free of charge.</p><p>It is for GPs to determine whether a repeat prescription for specific oral contraceptive pills is appropriate and whether to prescribe oral contraceptive pills for one month at a time. The Faculty of Sexual and Reproductive Health developed the UK Medical Eligibility Criteria for Contraceptive Use which helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care.</p><p>Primary care in Wales is a devolved matter.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL7347 HL7348 HL7350 question first answered 10/05/2018 15:15:07 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

892441

	registered interest
	date	26/04/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether GPs in England and Wales can refuse repeat prescriptions for specific oral contraceptive pills to women and girls.
	tabling member printed	Baroness Tonge
	uin	HL7348
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>General practitioners (GPs), whose contracts include the provision of contraceptive services, can prescribe to all registered patients upon request, a variety of contraceptive substances and appliances. These include combined pill, contraceptive cap, contraceptive injection, contraceptive patch, diaphragms, progestogen-only pill (mini-pill) and vaginal ring, excluding the fitting and implanting of intrauterine devices and implants. Contraceptives are provided free of charge.</p><p>GPs in England cannot charge patients for contraception services rendered to them. All prescribed oral contraceptive pills should be provided free of charge.</p><p>It is for GPs to determine whether a repeat prescription for specific oral contraceptive pills is appropriate and whether to prescribe oral contraceptive pills for one month at a time. The Faculty of Sexual and Reproductive Health developed the UK Medical Eligibility Criteria for Contraceptive Use which helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care.</p><p>Primary care in Wales is a devolved matter.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL7347 HL7349 HL7350 question first answered 10/05/2018 15:15:07 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

895075

	registered interest
	date	30/04/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether GPs in England and Wales obtain any advantage by prescribing oral contraceptive pills one month at a time.
	tabling member printed	Baroness Tonge
	uin	HL7440
	answer	answer is ministerial correction date of answer 15/05/2018 answer text <p>It is the responsibility of general practitioners (GPs) to determine whether a repeat prescription for specific oral contraceptive pills is appropriate and whether to prescribe oral contraceptive pills (OCP) for one month at a time. GPs gain no advantage from prescribing for one month. GPs prescribe OCP for one month if the patient making the demand, usually through the telephone, does not have a recent record of their blood pressure with the practice.</p><p>The Faculty of Sexual and Reproductive Health developed the United Kingdom Medical Eligibility Criteria for Contraceptive Use, which helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care.</p><p>Primary care in Wales is a devolved matter.</p> answering member printed Lord O'Shaughnessy question first answered 15/05/2018 16:00:59 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

892440

	registered interest
	date	26/04/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether GPs in England and Wales offer a variety of contraception free of charge to women and girls; and if so, which contraceptives are offered.
	tabling member printed	Baroness Tonge
	uin	HL7347
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>General practitioners (GPs), whose contracts include the provision of contraceptive services, can prescribe to all registered patients upon request, a variety of contraceptive substances and appliances. These include combined pill, contraceptive cap, contraceptive injection, contraceptive patch, diaphragms, progestogen-only pill (mini-pill) and vaginal ring, excluding the fitting and implanting of intrauterine devices and implants. Contraceptives are provided free of charge.</p><p>GPs in England cannot charge patients for contraception services rendered to them. All prescribed oral contraceptive pills should be provided free of charge.</p><p>It is for GPs to determine whether a repeat prescription for specific oral contraceptive pills is appropriate and whether to prescribe oral contraceptive pills for one month at a time. The Faculty of Sexual and Reproductive Health developed the UK Medical Eligibility Criteria for Contraceptive Use which helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care.</p><p>Primary care in Wales is a devolved matter.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL7348 HL7349 HL7350 question first answered 10/05/2018 15:15:07 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge

864525

	registered interest
	date	15/03/2018
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether all (1) GPs, and (2) sexual health clinics, in England distribute free contraception; and if not, why not.
	tabling member printed	Baroness Tonge
	uin	HL6426
	answer	answer is ministerial correction date of answer 29/03/2018 answer text <p>The current general practitioner (GP) contract allows practices to opt out of providing contraceptive services to their registered patients. Where they do so, NHS England has responsibility for ensuring patients of those practices have access to such services.</p><p>All prescribed contraception in England is provided free of charge to the user. Therefore, 100% of girls under 18 and women who are prescribed contraception in England will receive this for free. Those GP practices who have not opted out of providing contraceptive services and sexual health clinics may also distribute free contraception.</p><p>Information on the frequency with which the oral contraceptive pill is prescribed, and whether GP appointments are required is not collected centrally. Such decisions are a clinical decision of the GP concerned taking into account the individual circumstances of each patient.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL6425 HL6427 question first answered 29/03/2018 11:24:03 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	200 label Biography information for Baroness Tonge