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1668521

	registered interest
	date	08/11/2023
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what accountability mechanisms are included in the NHS England Learn from Patient Safety Events system to hold (a) commissioners and (b) providers to account on patient safety (i) records and (ii) incidences.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	805
	answer	answer is ministerial correction date of answer 15/11/2023 answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This would include incidents caused by surgical fires or burns.</p><p>Providers are encouraged to foster a positive safety culture among their staff, and ensure an appropriate local focus on incident recognition, recording, and response.</p><p>Recording onto LFPSE is a voluntary process, except where reporting to NHS England fulfils duties for other statutory mandatory requirements, such as reporting notifiable incidents to the Care Quality Commission (CQC). NHS England shares all such data with the CQC. Notifiable incidents include events resulting in “serious harm” or the death of a service user, and therefore the most serious surgical fires or burns are subject to mandatory reporting. However, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p>Published National Safety Standards for Invasive Procedures include a requirement for a risk assessment and management plan to minimise the risk of surgical fires in the perioperative environment. They require that multidisciplinary team training should involve rehearsal and analysis of typical and emergency scenarios, such as a surgical fire, and that prior to surgery, any fire risk and the management plan are discussed and confirmed.</p><p>LFPSE is not designed for performance management. However, it supports certain oversight functions within providers, including the ability to review all records submitted by staff, and to mark them as either meeting certain other requirements, such as notification to the CQC, or not. This supports good governance within the provider, encouraging scrutiny of recorded events, and the fulfilment of other statutory or national policy reporting requirements. LFPSE data is being made available to integrated care boards and regional teams to facilitate their roles in safety oversight and provider improvement support.</p><p>NHS England does not hold or collect information on the number of surgical fires which occur. Although incidents where serious harm and death are captured within LFPSE, and trusts may choose to record lower levels of harm, there is no category for surgical fires within the existing reporting system with which they could be counted and therefore any count would not be definitive.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 804 806 807 808 question first answered 15/11/2023 17:25:08 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4131 label Biography information for Jim Shannon

1352440

	registered interest
	date	03/09/2021
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, who is responsible for monitoring the implementation of the (a) national patient safety recommendations and (b) maternity safety recommendations made by the Healthcare Safety Investigation Branch.
	tabling member constituency	South West Surrey
	tabling member printed	Jeremy Hunt
	uin	41766
	answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41767 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19499 answering member constituency Mid Bedfordshire answering member printed Ms Nadine Dorries answering member 1481
	tabling member	1572 label Biography information for Jeremy Hunt

1352441

	registered interest
	date	03/09/2021
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many of the 39 national patient safety recommendations made by the Healthcare Safety Investigation Branch in 2020-21 his Department has assessed as having been implemented in full.
	tabling member constituency	South West Surrey
	tabling member printed	Jeremy Hunt
	uin	41767
	answer	answer is ministerial correction date of answer 16/11/2021 answer text <p>Responsibility for monitoring the implementation of the Healthcare Safety Investigation Branch’s (HSIB) national patient safety recommendations rest with the recipient organisations. The National Patient Safety Committee, coordinated by NHS England and NHS Improvement, has established a pilot to examine how the implementation of all the HSIB’s national recommendations could be monitored, the potential resources required and information that may aid future evaluation. The National Patient Safety Committee’s draft report on the pilot is currently undergoing review and is expected to be finalised this year.</p><p>Responsibility for monitoring the implementation of the maternity safety recommendations made by the HSIB rests with individual National Health Service trusts. The HSIB works closely with trusts on addressing emerging themes from the investigations and has quarterly review meetings where trusts provide feedback on the actions being taken to implement the recommendations. The HSIB will raise any immediate concerns to the Department and NHS England and NHS Improvement via governance and assurance meetings.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 41766 41768 question first answered 16/11/2021 12:36:30 answering member 4492 label Biography information for Maria Caulfield previous answer version 19481 answering member constituency Bury St Edmunds answering member printed Jo Churchill answering member 4380
	tabling member	1572 label Biography information for Jeremy Hunt

1663502

	registered interest
	date	13/10/2023
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the level of public awareness of the National Reporting and Learning System; and whether he is taking steps to raise awareness of the system.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	201356
	answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>The National Reporting and Learning System (NRLS) has been in operation since 2003 and supports NHS England to fulfil statutory duties relating to the collation of and learning from patient safety incident reports.</p><p> </p><p>NRLS is principally a secondary use service and collects patient safety incident records that are recorded on healthcare providers’ Local Risk Management Systems (LRMS). The primary use of patient safety incident records is by the provider organisation that collects the data on its own LRMS and uses the information to support local safety improvement efforts. NRLS was created to support the national collation of patient safety incident records from LRMS and some of the existing LRMS predate the introduction of the NRLS.</p><p> </p><p>Given its age, NRLS is being replaced with the new Learn From Patient Safety Events (LFPSE) service. More information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/" target="_blank">https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/</a></p><p> </p><p>NRLS, and its replacement LFPSE, support the collation of patient safety incident records from members of the public as well as from LRMS. NRLS does this through the Patient and Public eForm, which is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public" target="_blank">https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public</a></p><p> </p><p>As part of the development of the LFPSE service, work is underway to determine how best to support the future collection of patient safety incidents information from patients and the public. A report on the first stage of this work, published in October 2023, is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/" target="_blank">https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/</a></p><p> </p><p>Information on how patient safety incident records are collated and used by NHS England is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/" target="_blank">https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/</a></p><p> </p><p>No data is held on patient safety incident recording prior to the introduction of the NRLS in 2003. Data on the number of patient safety incidents collected by NRLS is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/</a></p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 201357 201358 question first answered 23/10/2023 11:52:59 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4491 label Biography information for Vicky Foxcroft

1663503

	registered interest
	date	13/10/2023
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how the National Reporting and Learning System works alongside independent reports to individual (a) clinics, (b) hospitals, (c) Patient Advice and Liaison Services and (d) Clinical Commissioning Groups which are dealt with in-house.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	201357
	answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>The National Reporting and Learning System (NRLS) has been in operation since 2003 and supports NHS England to fulfil statutory duties relating to the collation of and learning from patient safety incident reports.</p><p> </p><p>NRLS is principally a secondary use service and collects patient safety incident records that are recorded on healthcare providers’ Local Risk Management Systems (LRMS). The primary use of patient safety incident records is by the provider organisation that collects the data on its own LRMS and uses the information to support local safety improvement efforts. NRLS was created to support the national collation of patient safety incident records from LRMS and some of the existing LRMS predate the introduction of the NRLS.</p><p> </p><p>Given its age, NRLS is being replaced with the new Learn From Patient Safety Events (LFPSE) service. More information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/" target="_blank">https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/</a></p><p> </p><p>NRLS, and its replacement LFPSE, support the collation of patient safety incident records from members of the public as well as from LRMS. NRLS does this through the Patient and Public eForm, which is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public" target="_blank">https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public</a></p><p> </p><p>As part of the development of the LFPSE service, work is underway to determine how best to support the future collection of patient safety incidents information from patients and the public. A report on the first stage of this work, published in October 2023, is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/" target="_blank">https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/</a></p><p> </p><p>Information on how patient safety incident records are collated and used by NHS England is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/" target="_blank">https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/</a></p><p> </p><p>No data is held on patient safety incident recording prior to the introduction of the NRLS in 2003. Data on the number of patient safety incidents collected by NRLS is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/</a></p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 201356 201358 question first answered 23/10/2023 11:52:59 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4491 label Biography information for Vicky Foxcroft

1663504

	registered interest
	date	13/10/2023
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how patient safety incidents were reported before the introduction of the National Reporting and Learning System (NRLS); and what data he holds on the number of such incidents recorded in (a) each of the five years (i) before and (ii) after the introduction of the NRLS and (b) in each of the last five years.
	tabling member constituency	Lewisham, Deptford
	tabling member printed	Vicky Foxcroft
	uin	201358
	answer	answer is ministerial correction date of answer 23/10/2023 answer text <p>The National Reporting and Learning System (NRLS) has been in operation since 2003 and supports NHS England to fulfil statutory duties relating to the collation of and learning from patient safety incident reports.</p><p> </p><p>NRLS is principally a secondary use service and collects patient safety incident records that are recorded on healthcare providers’ Local Risk Management Systems (LRMS). The primary use of patient safety incident records is by the provider organisation that collects the data on its own LRMS and uses the information to support local safety improvement efforts. NRLS was created to support the national collation of patient safety incident records from LRMS and some of the existing LRMS predate the introduction of the NRLS.</p><p> </p><p>Given its age, NRLS is being replaced with the new Learn From Patient Safety Events (LFPSE) service. More information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/" target="_blank">https://www.england.nhs.uk/patient-safety/learn-from-patient-safety-events-service/</a></p><p> </p><p>NRLS, and its replacement LFPSE, support the collation of patient safety incident records from members of the public as well as from LRMS. NRLS does this through the Patient and Public eForm, which is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public" target="_blank">https://www.england.nhs.uk/patient-safety/report-patient-safety-incident/#public</a></p><p> </p><p>As part of the development of the LFPSE service, work is underway to determine how best to support the future collection of patient safety incidents information from patients and the public. A report on the first stage of this work, published in October 2023, is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/" target="_blank">https://www.england.nhs.uk/publication/the-learn-from-patient-safety-events-lfpse-service-patient-and-family-discovery-report/</a></p><p> </p><p>Information on how patient safety incident records are collated and used by NHS England is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/" target="_blank">https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/</a></p><p> </p><p>No data is held on patient safety incident recording prior to the introduction of the NRLS in 2003. Data on the number of patient safety incidents collected by NRLS is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/" target="_blank">https://www.england.nhs.uk/patient-safety/national-patient-safety-incident-reports/</a></p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 201356 201357 question first answered 23/10/2023 11:52:59 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4491 label Biography information for Vicky Foxcroft

1657271

	registered interest
	date	01/09/2023
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether there are protocols in place for mandatory external reviews after internal concerns on patient safety are raised within the NHS.
	tabling member constituency	Solihull
	tabling member printed	Julian Knight
	uin	196906
	answer	answer is ministerial correction date of answer 14/09/2023 answer text <p>From 2015, the National Health Service has followed the Serious Incident Framework to guide its response to serious incidents in the NHS. Details of this framework are available at the following link:</p><p><a href="https://www.england.nhs.uk/patient-safety/serious-incident-framework/" target="_blank">https://www.england.nhs.uk/patient-safety/serious-incident-framework/</a></p><p> </p><p>In response to evidence that this framework was not leading to sufficient patient safety improvement, the new Patient Safety Incident Response Framework (PSIRF) was developed, tested, and is now being implemented across the NHS. All NHS organisations contracted under the NHS standard contract are expected to transition to PSIRF in autumn 2023. More information is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/patient-safety/incident-response-framework/" target="_blank">https://www.england.nhs.uk/patient-safety/incident-response-framework/</a></p><p> </p><p>PSIRF has guidance for oversight bodies, including integrated care boards and NHS England regional teams, describing when it may be appropriate for those bodies to consider commissioning an independent patient safety incident investigation. The guidance is available at the following link:</p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-4.-Oversight-roles-and-responsibilities-specification-v1-FINAL.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2022/08/B1465-4.-Oversight-roles-and-responsibilities-specification-v1-FINAL.pdf</a></p><p> </p><p>Providers can also commission invited reviews from Royal Colleges, including in response to patient safety concerns. These provide independent and objective advice to provider boards. The reviews support but do not replace the processes of healthcare regulatory bodies, including the Care Quality Commission and the General Medical Council, or the provider’s own procedures for addressing and managing patient safety.</p><p> </p><p>NHS England will refresh ‘Maintaining High Professional Standards in the Modern NHS’, in line with current best practice and learning from incidents and reviews.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 196902 question first answered 14/09/2023 14:44:23 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4410 label Biography information for Julian Knight

1692731

	registered interest
	date	29/02/2024
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how her Department records instances of near misses for (a) surgical fires and (b) other patient safety incidences.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	16354
	answer	answer is ministerial correction date of answer 08/03/2024 answer text <p>Any unexpected or unintended incident which could have or did lead to harm to one or more patients can be recorded on the Learn from Patient Safety Events (LFPSE) service, to support local and national learning. This can include surgical fires or burns. We are informed that NHS England does not define the severity of harm related to surgical fires or burns specifically. Grading the severity of harm related to a patient safety incident that is recorded on LFPSE, should be done using NHS England’s guidance on recording patient safety events and levels of harm, which asks that near miss events be graded as no harm. The guidance is available at the following link:</p><p> </p><p><a href="https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/" target="_blank">https://www.england.nhs.uk/long-read/policy-guidance-on-recording-patient-safety-events-and-levels-of-harm/</a></p><p> </p><p>If a surgical fire or burn is assessed locally and constitutes a patient safety event, it would fall under the scope of the Care Quality Commission’s (CQC) Regulations 16 or 18, and must be reported to the CQC. This means that the most serious surgical fires or burns which result in serious harm or the death of a service user, are subject to mandatory reporting. NHS trusts can comply with this requirement by recording patient safety events using the LFPSE service, and NHS England shares all such data with the CQC, who are responsible for regulating compliance with CQC regulations. CQC Regulations 16 and 18 are available respectively, at the following links:</p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations/regulation-16-notification-death-service-user</a></p><p> </p><p><a href="https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents" target="_blank">https://www.cqc.org.uk/guidance-providers/regulations-enforcement/regulation-18-notification-other-incidents</a></p><p> </p><p>Although the recording of wider patient safety events onto LFPSE is a voluntary process, providers are encouraged to record all patient safety incidents, irrespective of the level of harm, to support local and national learning.</p><p> </p><p>The LFPSE service and its predecessor, the National Reporting and Learning System, do not have specific categories for surgical fires or burns. Determining how many patient safety events related to surgical fires or burns were recorded by National Health Service providers in each of the last five years would require a search of the free text of recorded patient safety events, using key words, and a subsequent expert clinical review of all potential records to determine relevance to the question. This could only be provided at disproportionate cost.</p> answering member constituency Lewes answering member printed Maria Caulfield grouped question UIN 16353 16355 question first answered 08/03/2024 14:06:43 answering member 4492 label Biography information for Maria Caulfield
	tabling member	4131 label Biography information for Jim Shannon

1131259

	registered interest
	date	11/06/2019
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to support global patient safety.
	tabling member constituency	North Antrim
	tabling member printed	Ian Paisley
	uin	263152
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>Patient safety in the National Health Service is a key priority for the Government. We also remain committed to building on the momentum we have established to address patient safety challenges globally.</p><p>The United Kingdom-led World Health Assembly Resolution, ‘Global Action on Patient Safety’, was adopted on 28 May 2019. It urges all countries to prioritise safety in the delivery of universal health coverage and establishes an annual World Patient Safety Day on 17 September.</p><p>The Government is committed to maintaining its leadership role on global patient safety.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 19/06/2019 16:18:53 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4129 label Biography information for Ian Paisley

1132763

	registered interest
	date	18/06/2019
	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	Patients: Safety
	house id	1
	legislature	25259 pref label House of Commons
	question text	What steps he is taking to ensure NHS patient safety.
	tabling member constituency	Stafford
	tabling member printed	Jeremy Lefroy
	uin	911420
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>Patient safety remains a key priority for the National Health Service. NHS Improvement and NHS England are developing a new National Patient Safety Strategy that will sit alongside the NHS Long Term Plan.</p><p>The strategy will be published this summer and will build on existing work to provide a coherent framework that the whole NHS can recognise and support</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 18/06/2019 15:03:47 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	4109 label Biography information for Jeremy Lefroy