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577010

	registered interest
	date	06/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Zika Virus: USA
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what warnings they are giving to prospective UK visitors to the USA about the dangers of contracting Zika virus, and whether they will highlight the most dangerous areas in the USA.
	tabling member printed	Lord Blencathra
	uin	HL1607
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>Public Health England (PHE) and the National Travel Health Network and Centre (NaTHNaC) introduced a risk-based approach for countries reporting Zika infection ahead of cases reported from Florida in the United States of America. PHE and NaTHNaC issued travel guidance about Florida as soon as cases were announced. A copy of this guidance is attached. The first locally acquired cases of Zika were reported from Florida on 29 July 2016. The guidance advised pregnant women to consider postponing non-essential travel to Florida. Links to NaTHNaC’s detailed, site-specific advice allowed clinicians to have in-depth discussions of the transmission risks in Florida with potential travellers.</p><p>A high risk alert was issued as more information became available stating: “The risk in Miami-Dade county is considered high and pregnant women are advised to postpone non-essential travel to Miami-Dade county until after their pregnancy.” Advice on reducing the risk of sexual transmission of Zika infection was also issued, which is included within the attached guidance.</p><p>The situation is constantly under review and assessment, and travel and sexual transmission guidance is updated regularly as new information emerges from Florida.</p> answering member printed Lord Prior of Brampton question first answered 16/09/2016 11:05:48 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name PQ Zika Virus advice on NaTHNaC website HL1607.pdf title Zika advice
	tabling member	497 label Biography information for Lord Blencathra

582531

	registered interest
	date	13/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	WHO Framework Convention on Tobacco Control
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, pursuant to the Answers of 7 July 2016 to Questions 41448 and 41439, what his Department's priorities are for the 7th Conference of the Parties to the World Health Organisation Framework Convention on Tobacco Control to be held in November 2016.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	46141
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Department is still giving consideration to the United Kingdom's priorities for the upcoming Conference of the Parties to the World Health Organization Framework Convention on Tobacco Control. The composition of the UK’s delegation is also still under consideration.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46210 question first answered 16/09/2016 14:45:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1565 label Biography information for Sir Philip Davies

582536

	registered interest
	date	13/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	WHO Framework Convention on Tobacco Control
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, who will represent his Department at the World Health Organisaiton Framework Convention on Tobacco Control in India in November 2016.
	tabling member constituency	Shipley
	tabling member printed	Philip Davies
	uin	46210
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Department is still giving consideration to the United Kingdom's priorities for the upcoming Conference of the Parties to the World Health Organization Framework Convention on Tobacco Control. The composition of the UK’s delegation is also still under consideration.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood grouped question UIN 46141 question first answered 16/09/2016 14:45:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1565 label Biography information for Sir Philip Davies

581697

	registered interest
	date	12/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Tobacco: Developing Countries
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what action they are taking to share the UK's experience in implementing tobacco control policies with low- and middle-income countries.
	tabling member printed	Baroness Northover
	uin	HL1829
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The United Kingdom regularly supports other countries to develop tobacco control policies, sharing our expertise and experience. Most recently, the UK has provided support to other countries looking to implement standardised packaging.</p><p> </p><p>In addition, the UK Government is funding a project to strengthen the implementation of the World Health Organization’s Framework Convention on Tobacco Control, using official development assistance funds. Through this project, we will share the UK’s experience in tobacco control, thereby supporting low- and middle-income countries to save lives by putting effective measures in place to stop people using tobacco.</p> answering member printed Lord Prior of Brampton question first answered 16/09/2016 11:33:56 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2539 label Biography information for Baroness Northover

582671

	registered interest
	date	13/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Smoking: Developing Countries
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what assessment they have made of smoking rates in low- and middle-income countries and how those rates are predicted to evolve over the next century; and how they take such rates into account in awarding development funding.
	tabling member printed	Baroness Northover
	uin	HL1854
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Government recognises the significant impact of tobacco use in low-and middle-income countries (LMICs).</p><p> </p><p>Tobacco use is the world’s single most preventable cause of disease and the number of tobacco users is increasing in LMICs. If current patterns of use persist, tobacco will kill about 1 billion people in the 21st Century. Evidence indicates that by 2030, over 80% of the world’s tobacco-related mortality will be in LMICs.</p><p> </p><p>Tobacco use is also a major barrier to sustainable development. A major driver of social inequities, tobacco use imposes significant social, economic and environmental harm on individuals, families and national economies.</p><p> </p><p>Given the recognised impact of tobacco on international development, the United Kingdom Government is funding a project to strengthen the implementation of the World Health Organization’s Framework Convention on Tobacco Control, using official development assistance funds. Through this project, we will share the UK’s experience in tobacco control to support LMICs to save lives by putting effective measures in place to stop people using tobacco.</p> answering member printed Lord Prior of Brampton question first answered 16/09/2016 12:01:46 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	2539 label Biography information for Baroness Northover

578697

	registered interest
	date	08/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sickle Cell Diseases: Research
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the adequacy of research into sickle cell disease in meeting the needs of people with that disease.
	tabling member constituency	Birmingham, Ladywood
	tabling member printed	Shabana Mahmood
	uin	45639
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Department has made no specific assessment of this.</p><p> </p><p>The National Institute for Health Research (NIHR) is investing £15.1 million in four Blood and Transplant Research Units (BTRUs) that support the future needs of donors, patients and NHS Blood and Transplant (NHSBT). Each BTRU is a partnership between a university and NHSBT. One BTRU is based at the University of Bristol and is carrying out research to aid the development of new blood products for treatment of patients with rare blood types and those needing regular transfusions including patients with sickle cell disease (SCD).</p><p> </p><p>The NIHR has also recently funded a £0.3 million study on improvement of pain and quality of life in patients with SCD with nocturnal oxygen therapy or auto-adjusting continuous positive airways pressure. A current £0.5 million NIHR study is examining young adult patients’ experiences of transitions from paediatric to adult services for SCD, and the NIHR is currently seeking to commission research on whether haematopoietic stem cell transplantation in adults with severe SCD is cost effective and improves quality of life.</p><p> </p><p>The Department’s NIHR welcomes funding applications for research into any aspect of human health, including SCD. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/09/2016 12:45:23 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3914 label Biography information for Shabana Mahmood

578699

	registered interest
	date	08/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Sickle Cell Diseases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people have sickle cell disease in the UK; and what assessment he has made of the adequacy of provision to improve the quality of life and life expectancy of people with that disease.
	tabling member constituency	Birmingham, Ladywood
	tabling member printed	Shabana Mahmood
	uin	45638
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The Sickle Cell and Thalassaemia screening programme is a linked antenatal and newborn screening programme which is offered to all pregnant women and their babies. It is also offered to fathers to be, where antenatal screening shows that the mother is a genetic carrier.</p><p>Table 1 shows the number of screen positive babies detected in England since the establishment of Public Health England (PHE) in 2013.</p><table><tbody><tr><td colspan="5"><p>Table 1. Sickle cell disease (SCD) screen positive babies: England</p></td></tr><tr><td><p>Year</p></td><td><p>Screen Positive Babies</p></td><td><p>Total Screened</p></td><td><p>Rate per 1000</p></td><td><p>1 in x</p></td></tr><tr><td><p>2013/14</p></td><td><p>319</p></td><td><p>668,117</p></td><td><p>0.48</p></td><td><p>2,094</p></td></tr><tr><td><p>2014/15</p></td><td><p>278</p></td><td><p>661,432</p></td><td><p>0.42</p></td><td><p>2,379</p></td></tr><tr><td><p>Total for whole period</p></td><td><p>3,003</p></td><td><p>6,056,663</p></td><td><p>0.50</p></td><td><p>2,017</p></td></tr></tbody></table><p>Data source: PHE Screening</p><p>Although NHS England does not routinely collect the information requested on the provision to improve quality of life and life expectancy of people with the disease, it is is working to ensure excellent services for people identified with Sickle Cell disease.</p><p>NHS England has included treatment services for haemoglobinopathies within the prescribed specialised services commissioned centrally by NHS England and set up a Clinical Reference Group of sickle cell and thalassaemia experts and patient representatives specifically to advise NHS England on commissioning services for haemoglobinopathies.</p><p>NHS England is also developing a commissioning policy for the management of iron overload in sickle cell and thalassaemia patients. It is also about to under-take a national review of haemoglobinopathy services, commencing in 2016-17.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/09/2016 12:52:52 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3914 label Biography information for Shabana Mahmood

582520

	registered interest
	date	13/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Pregnancy: Alcoholic Drinks
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to discourage pregnant mothers from consuming alcohol during pregnancy.
	tabling member constituency	Glasgow Central
	tabling member printed	Alison Thewliss
	uin	46202
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>We want women to make decisions about their health based on the best possible information.</p><p> </p><p>The new United Kingdom Chief Medical Officers' low risk drinking guidelines provide clear advice for women across the UK that for those who are pregnant, or could become pregnant, the safest approach is not to drink alcohol at all. This is to keep any risk to the baby to a minimum.</p><p> </p><p>Public Health England is working with relevant professional organisations in England to help midwives and health visitors educate and inform women about avoiding alcohol while pregnant.</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood question first answered 16/09/2016 14:39:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4430 label Biography information for Alison Thewliss

576249

	registered interest
	date	05/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Palliative Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they plan to provide guidance to Clinical Commissioning Groups on working with charities to provide comprehensive palliative care services for patients of all ages; and if so, when.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL1489
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>In April 2016, NHS England updated its guidance <em>Commissioning Person Centred End of Life Care: A Toolkit for Health and Social Care</em>. This document highlighted that fundamental to any commissioning plan for end of life care is a local strategy, jointly developed with local people and key partners, clearly setting out a vision for end of life and palliative care. Included in this are examples of how working with third sector organisations can benefit service provision for palliative care services, as well as links to guidance from these organisations. A copy of the toolkit is attached.</p><p>In addition, <em>Our Commitment to you for end of life care</em> published on 5 July 2016, highlighted that the Department will work with the National Partnership for Palliative and End of Life Care and the End of Life Care Coalition of charities to promote the implementation of the Ambitions for Palliative and End of Life Care Framework in local areas. A copy of the report is attached.</p> answering member printed Lord Prior of Brampton attachment 1 file name nhsiq-comms-eolc-tlkit-.pdf title Toolkit 2 file name choice-response.pdf title Government Response question first answered 16/09/2016 11:04:21 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

579512

	registered interest
	date	09/09/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Obesity: Children
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to the Government's recently-published childhood obesity action plan, how he plans to work with the public health community to ensure that approaches to reduce child obesity are evidence-based.
	tabling member constituency	East Kilbride, Strathaven and Lesmahagow
	tabling member printed	Dr Lisa Cameron
	uin	45796
	answer	answer is ministerial correction date of answer 16/09/2016 answer text <p>The policies in the plan are informed by the latest research and evidence, including from the Scientific Advisory Committee on Nutrition report Carbohydrates and Health, Public Health England’s evidence package Sugar reduction: the evidence for action, other government departments, debates in this House and various reports from key stakeholders including the Health Select Committee.</p><p> </p><p>In delivering the plan, we will continue to work with the public health community and other partners to ensure implementation is aligned to our proposals.</p><p> </p><p>Copies of Carbohydrates and Health and Sugar reduction: the evidence for action are attached and are available at:</p><p>www.gov.uk/government/uploads/system/uploads/attachment_data/file/445503/SACN_Carbohydrates_and_Health.pdf</p><p>www.gov.uk/government/uploads/system/uploads/attachment_data/file/470179/Sugar_reduction_The_evidence_for_action.pdf</p> answering member constituency Oxford West and Abingdon answering member printed Nicola Blackwood attachment 1 file name SACN Carbohydrates and Health.pdf title SACN Carbohydrates and Health 2 file name PHE Sugar reduction The evidence for action.pdf title PHE Sugar reduction The evidence for action question first answered 16/09/2016 15:02:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4412 label Biography information for Dr Lisa Cameron