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967441

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what measures they are taking to ensure patient safety and wellbeing in the light of the expected reduction in funding for district nurse training in England from September 2019.
	tabling member printed	Baroness Cox
	uin	HL9938
	answer	answer is ministerial correction date of answer 18/09/2018 answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9937 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

967440

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the number of district nurses in England in community service organisations, such as NHS Community Healthcare Trusts, has reduced since 2010; and, if so, what measures they are taking to address any problems caused by such a reduction.
	tabling member printed	Baroness Cox
	uin	HL9937
	answer	answer is ministerial correction date of answer 18/09/2018 answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9938 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

1130226

	registered interest
	date	05/06/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Sudan: Politics and Government
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have made representations to the military leadership in Sudan for the release of Yasir Arman; and whether they have sought information on the number of peaceful protestors who have been detained in that country.
	tabling member printed	Baroness Cox
	uin	HL16087
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The British Government condemns the arrest and detention of Yasir Arman by the Sudanese security forces. We call for his immediate release and for the legitimate demands of Sudanese people to be respected. Violence must not be used, including against opponents. We consistently made clear to the former Government of Sudan our expectation that all detainees should be treated in accordance with international standards; we continue to call upon the Sudanese authorities to do so. Our Ambassador in Khartoum made clear to the Deputy Head of the Transitional Military Committee, on 15 April, the steps that needed to be taken to improve the situation in Sudan, including the release of all political detainees. We also engage regularly with civil society groups on the issue of detainee treatment</p> answering member printed Lord Ahmad of Wimbledon question first answered 17/06/2019 14:34:06 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1129513

	registered interest
	date	04/06/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Syria: Islamic State
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether it is part of the purpose of the Global Coalition Against Daesh to uphold United States sanctions on Syria.
	tabling member printed	Baroness Cox
	uin	HL15998
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>The purpose of the Global Coalition is to degrade and defeat Daesh. As part of this work, the Global Coalition is engaged in a comprehensive campaign to disrupt and prevent Daesh from raising, moving and using funds. Enforcing bilateral sanctions on Syria is not part of the Coalition's mandate.</p> answering member printed Lord Ahmad of Wimbledon question first answered 17/06/2019 14:15:12 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1129512

	registered interest
	date	04/06/2019
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	hansard heading	Syria: Islamic State
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of reports that the Global Coalition Against Daesh carried out airstrikes on ferries owned by the government of Syria transporting oil near al-Shuhail; why any such attack was carried out; and whether any such attack is part of the strategic aims of that Coalition.
	tabling member printed	Baroness Cox
	uin	HL15997
	answer	answer is ministerial correction date of answer 13/06/2019 answer text <p>We have seen no evidence that the Coalition has conducted any airstrikes on ferries owned by the government of Syria transporting oil near al-Shuhail.</p> answering member printed Earl Howe question first answered 13/06/2019 13:28:49 answering member 2000 label Biography information for Earl Howe
	tabling member	3364 label Biography information for Baroness Cox

1129511

	registered interest
	date	04/06/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Syria: Chemical Weapons
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of (1) the authenticity of the report from the Organisation for the Prohibition of Chemical Weapons (OPCW) Engineering Assessment of Two Cylinders at the Douma Incident, dated 27 February, and (2) any differences of that report with the final report of the OPCW regarding the incident of alleged use of toxic chemicals as a weapon in Douma on 7 April 2018, which found that there was evidence consistent with the hypothesis that chlorine cannisters had been dropped from aircraft.
	tabling member printed	Baroness Cox
	uin	HL15996
	answer	answer is ministerial correction date of answer 17/06/2019 answer text <p>​We welcomed the Fact Finding Mission’s (FFM) final report of March which drew a clear conclusion of reasonable grounds to believe a toxic chemical, likely molecular chlorine, was used as a weapon. On 28 May the Organisation for the Prohibition of Chemical Weapon Director General confirmed all evidence and views were considered in preparing the FFM report. The Technical Secretariat stands by the findings and we continue to have confidence in both our own and the FFM’s conclusions about this attack.</p> answering member printed Lord Ahmad of Wimbledon question first answered 17/06/2019 14:12:32 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1126304

	registered interest
	date	13/05/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Nigeria: Boko Haram
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what representations they have made to the government of Nigeria about reports of recent attacks by Boko Haram in Molai, Borno State.
	tabling member printed	Baroness Cox
	uin	HL15664
	answer	answer is ministerial correction date of answer 24/05/2019 answer text <p>We are concerned about reports of continuing attacks by insurgents in Borno State. We continue to urge the Nigerian Government to develop a clear strategy to tackle the conflict. The Foreign Secretary met the Nigerian Vice President during his visit in April to discuss long-term solutions to improve security, increase livelihoods and provide opportunities in the region. We will continue to look at how best to support the Nigerian Government in tackling the threat of terrorism, along with options for how the UK could further support dialogue and peacebuilding efforts.</p> answering member printed Lord Ahmad of Wimbledon question first answered 24/05/2019 11:42:37 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1124859

	registered interest
	date	07/05/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Burundi: Sanctions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to continue financial sanctions on named individuals in Burundi after the UK has exited the EU.
	tabling member printed	Baroness Cox
	uin	HL15534
	answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>​It is our intention to continue to deliver the same policy effect as existing EU sanctions after the UK has left the EU, including asset freezes imposed on named individuals under the current EU Burundi sanctions regime.</p> answering member printed Lord Ahmad of Wimbledon question first answered 15/05/2019 13:50:20 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1124858

	registered interest
	date	07/05/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Burundi: Sanctions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what recent discussions they have had with other EU member states on the (1) imposition, and (2) maintenance of, sanctions against named individuals in Burundi.
	tabling member printed	Baroness Cox
	uin	HL15533
	answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>The EU Heads of Mission last met in Brussels in November 2018 to discuss the EU's approach to Burundi. However, EU Burundi sanctions will be formally reviewed later this year.</p> answering member printed Lord Ahmad of Wimbledon question first answered 15/05/2019 13:49:56 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1124857

	registered interest
	date	07/05/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Burundi: Sanctions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of the impact of financial sanctions relating to Burundi.
	tabling member printed	Baroness Cox
	uin	HL15532
	answer	answer is ministerial correction date of answer 15/05/2019 answer text <p>The EU adopted restrictive measures, including the use of sanctions, against Burundi on 1 October 2015 following violence during the Presidential elections in 2015. These measures are a means of holding the perpetrators of human rights violations to account and encouraging both positive change in relation to political freedoms and inclusive political dialogue ahead of elections in 2020. Working with our international partners, the UK designs sanctions regimes, provides evidence for designations, and encourages cooperation to ensure that sanctions are used to achieve shared political goals, and that sanctions are properly implemented and enforced to secure maximum impact. The Office for Financial Sanctions implementation works to ensure that financial sanctions are properly understood, implemented and enforced in the UK.</p> answering member printed Lord Ahmad of Wimbledon question first answered 15/05/2019 13:42:57 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox