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1697658

	registered interest
	date	20/03/2024
	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	Mental Health Services: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to improve mental health services and reduce waiting times for those seeking treatment.
	tabling member printed	Lord Hay of Ballyore
	uin	HL3450
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>We are providing record levels of investment and increasing the mental health workforce to expand and transform National Health Service mental health services, to expand access and reduce waiting times. Between 2018/19 and 2023/24, NHS spending on mental health has increased by £4.6 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. The plan committed to grow the mental health workforce by an additional 27,000 staff between 2019/20 and 2023/24. We are making positive progress, delivering two-thirds of this, approximately 17,000, by September 2023, with further significant growth expected by the end of this financial year.</p><p>The NHS is also working towards implementing five new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, for both adults, and children and young people. This includes working towards improving the quality of data that we have on waiting times for people requiring mental healthcare in both accident and emergency and in the community. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.</p> answering member printed Lord Markham question first answered 25/03/2024 16:06:26 answering member 4948 label Biography information for Lord Markham
	tabling member	4352 label Biography information for Lord Hay of Ballyore

1696559

	registered interest
	date	18/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, in view of the expected growth in the supply of physician associates (PAs) to 10,000 by 2036–37 under the NHS Long Term Workforce Plan, how many PAs are expected to work in each setting.
	tabling member printed	The Lord Bishop of Chelmsford
	uin	HL3316
	answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>Physician Associates (PAs) currently work in over 40 specialties across primary, secondary, and community care, each determined by local needs and decisions. The largest proportion of the PA workforce works with doctors and other colleagues in primary care, followed by emergency and acute medicine. Other specialties include geriatrics, stroke, community, dermatology, and ear, nose, and throat. We have not made a central assessment of where we expect PAs to work in 2036/37. PAs' work must be undertaken within local clinical governance rules, and under the supervision or oversight of a senior doctor.</p> answering member printed Lord Markham question first answered 25/03/2024 12:53:28 answering member 4948 label Biography information for Lord Markham
	tabling member	4922 label Biography information for The Lord Bishop of Chelmsford

1696329

	registered interest
	date	14/03/2024
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	National Insurance: British Nationals Abroad
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what is their current target time for processing (1) online, and (2) postal, applications for certificates confirming payment of UK National Insurance when working temporarily abroad ("A1 Forms"), and when they expect to achieve these target times.
	tabling member printed	The Earl of Clancarty
	uin	HL3275
	answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>HMRC’s Service Level Standards (SLA) for responding to A1 certificate applications are 15 working days, where received through the online application forms, and 40 working days, where received by post.</p><p>HMRC has implemented measures to bring processing back within the SLA by the end of April 2024.</p> answering member printed Baroness Vere of Norbiton question first answered 21/03/2024 12:34:21 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	3391 label Biography information for The Earl of Clancarty

1696338

	registered interest
	date	14/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the status of the guidance issued by the British Medical Association in its report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL3284
	answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3285 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696339

	registered interest
	date	14/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they will issue guidance to the NHS on whether the Government endorses the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) in relation to Physician and Anaesthesia Associates.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL3285
	answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3286 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696340

	registered interest
	date	14/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they will discuss the implications for Physician and Anaesthesia Associates of the British Medical Association report Safe Scope of Practice for Medical Associate Professionals (MAPs) with the United Medical Associate Professionals.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL3286
	answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3287 HL3288 question first answered 20/03/2024 16:50:03 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696341

	registered interest
	date	14/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would restrict the role of Physician Associates.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL3287
	answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3288 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696342

	registered interest
	date	14/03/2024
	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	Physician Associates
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of whether the adoption of the British Medical Association’s report Safe Scope of Practice for Medical Associate Professionals (MAPs) would undermine established governance and frameworks.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL3288
	answer	answer is ministerial correction date of answer 20/03/2024 answer text <p>The Government considers scope of practice guidance for Anaesthesia Associates (AAs) and Physician Associates (PAs) to be a matter for the Royal College of Anaesthetists (RCoA) and the Royal College of Physicians (RCP) respectively, in conjunction with key stakeholders including other medical royal colleges, the Faculty of Physician Associates (FPA), and the Association of Anaesthesia Associates.</p><p> </p><p>The current scope of practice guidance for AAs, which is applicable across the United Kingdom, is published on the RCoA website. The FPA, which is hosted by the RCP, has also published guidance documents relating to the PA curriculum, code of conduct, and supervision. We understand that both the RCoA and the RCP are currently developing further guidance in collaboration with stakeholders, in relation to supervision and scope of practice.</p><p> </p><p>Once regulation begins, the General Medical Council’s published learning outcomes for AAs and PAs will also apply. This sets out a pre-qualification education framework and the outcomes expected of newly qualified AAs and PAs, including professional behaviours and capabilities and minimum expectations for the knowledge and skills required. In addition, employers of AAs and PAs are responsible for ensuring that appropriate governance and supervision are in place, and that individuals within their employment are practicing within their competence.</p> answering member printed Lord Markham grouped question UIN HL3284 HL3285 HL3286 HL3287 question first answered 20/03/2024 16:50:04 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1696344

	registered interest
	date	14/03/2024
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Revenue and Customs: Telephone Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what is the (1) median, and (2) upper decile, wait time for His Majesty's Revenue and Customs to answer telephone calls.
	tabling member printed	Lord Lipsey
	uin	HL3290
	answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>HMRC does not report on the median or upper decile wait times for telephone calls. However, HMRC publishes data on the average speed of answer for customer calls and the percentage of calls where the customer waited more than 10 minutes.</p><p><br>This information can be found at the following link:</p><p><a href="https://www.gov.uk/government/collections/hmrc-monthly-performance-reports#reporting-year-2023-to-2024" target="_blank">https://www.gov.uk/government/collections/hmrc-monthly-performance-reports#reporting-year-2023-to-2024</a></p> answering member printed Baroness Vere of Norbiton question first answered 21/03/2024 12:34:09 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	2492 label Biography information for Lord Lipsey

1696345

	registered interest
	date	14/03/2024
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Shipping: Arctic
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they are taking to monitor the safety of British ships crossing the Arctic Ocean as new shipping lanes become accessible as a result of climate change.
	tabling member printed	Baroness McIntosh of Pickering
	uin	HL3291
	answer	answer is ministerial correction date of answer 21/03/2024 answer text <p>His Majesty’s Government does not directly monitor the safety of British ships crossing the Arctic Ocean. However, ships transiting these waters will be monitored by those States that have Search and Rescue (SAR) responsibilities in the region.</p><p> </p><p>With regards the safety of British ships in Arctic waters, the International Maritime Organization’s (IMO) International Code for Ships Operating in Polar Waters (Polar Code) came into force 1 January 2017 and requires ships operating in the Polar regions to meet enhanced safety standards which reflect the additional risks associated with those regions. The UK applies these standards through a survey and certification regime to ensure that safety standards are met and that ships operating in polar regions apply the additional safety considerations that are considered necessary.</p> answering member printed Lord Davies of Gower question first answered 21/03/2024 15:38:19 answering member 4499 label Biography information for Lord Davies of Gower
	tabling member	384 label Biography information for Baroness McIntosh of Pickering