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1131897

	registered interest
	date	12/06/2019
	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	Food Standards Agency: Public Appointments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they intend to approve the appointment of a Chief Executive for the Food Standards Agency; and what has been the cause of the delay.
	tabling member printed	The Countess of Mar
	uin	HL16315
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The appointment is subject to the approval process which governs the Civil Service Commission Recruitment Principles. An announcement will be made once that process has concluded.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/06/2019 12:11:36 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1861 label Biography information for The Countess of Mar

1132185

	registered interest
	date	13/06/2019
	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	Obesity: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to ensure that Clinical Commissioning Groups have access to clear, comprehensive and coherent child obesity treatment services which extend from simple local community interventions through to more specialist treatments.
	tabling member printed	Lord Brooke of Alverthorpe
	uin	HL16346
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>The Government will provide the National Health Service with an extra £33.9 billion a year by 2023/24 to help support the NHS Long Term Plan and ensure clinical commissioning groups can commission child obesity treatment services across the country.</p><p>The Long Term Plan sets out a number of actions to reduce obesity including investment in tier 3 weight management services for children and adults and plans are in development for its expansion. This will result in, for example, a further 1,000 children a year being treated by 2022/23 for severe complications related to obesity.</p><p>The Long Term Plan also commits to work with the professional bodies and universities to ensure nutrition has a greater place in professional education training, making sure staff on the frontline who are in contact with thousands of patients a year feel equipped to talk to them about nutrition and achieving a healthy weight in an informed and sensitive way.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/06/2019 12:12:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3335 label Biography information for Lord Brooke of Alverthorpe

1132643

	registered interest
	date	17/06/2019
	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	Drugs: Misuse
	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 European Monitoring Centre for Drugs and Drug Addiction's European Drug Report 2019: Trends and Developments, published in June 2019, and in particular the findings that the UK has the highest rate of cocaine use among young adults in Europe with almost five per cent of 15–34 year-olds having used cocaine in the last 12 months and three per cent of schoolchildren aged 15–16 having tried the drug; and what action they plan to take as a result of these findings in order to reduce drug use amongst young people, including any plans to establish effective prevention strategies and drug recovery services.
	tabling member printed	The Marquess of Lothian
	uin	HL16421
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>We are concerned by the findings of the European Monitoring Centre for Drugs and Drug Addiction’s <em>European Drug Report 2019</em> on the prevalence of cocaine use in the United Kingdom, especially among younger people. The Home Secretary has appointed Professor Dame Carol Black to lead a major review which will build on existing Government strategies to combat drugs and will examine the harms that drugs cause and the best ways to prevent drug-taking. The report will also examine the drivers behind recent trends such as the increased recreational use of Class A drugs by young adults. The plan is for Dame Carol to present the Home Secretary with a report detailing her key findings and proposals by the end of the summer. The outcome of this meeting will shape phase 2 of the review. The Government will respond to recommendations made in the report once it is finalised and published.</p> answering member printed Baroness Blackwood of North Oxford question first answered 27/06/2019 13:34:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	259 label Biography information for The Marquess of Lothian

1132648

	registered interest
	date	17/06/2019
	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	Health Professions: Regulation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 13 June 2018 (HL8293) and Baroness Manzoor on 29 January (HL12896), whether they have published a response to the consultation Promoting professionalism, reforming regulation.
	tabling member printed	Lord Macpherson of Earl's Court
	uin	HL16426
	answer	answer is ministerial correction date of answer 01/07/2019 answer text <p>The United Kingdom Government, along with the Governments of Scotland, Wales and Northern Ireland, consulted on high-level proposals to reform professional regulation of healthcare professions in the UK. <em>Promoting professionalism, reforming regulation </em>ran from 31 October 2017 to 23 January 2018.</p><p>A response will be published shortly.</p> answering member printed Baroness Blackwood of North Oxford question first answered 01/07/2019 13:20:10 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4586 label Biography information for Lord Macpherson of Earl's Court

1132659

	registered interest
	date	17/06/2019
	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: Learning Disability
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had with care providers following the abuse of patients with learning disabilities at Whorlton Hall hospital filmed by the BBC's Panorama programme, aired on 22 May.
	tabling member printed	Baroness Thomas of Winchester
	uin	HL16437
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Government has had no discussions on this matter with care providers directly. The Care Quality Commission, the independent inspectorate of hospitals and adult care homes, has commissioned an independent review of its inspection and regulatory approach to Whorlton Hall, which should inform work to ensure the appropriate oversight of care provided to people with a learning disability.</p><p>On 21 May 2019, I laid a written statement (HLWS1533) in which it was announced that the National Health Service would be strengthening its existing oversight arrangements. Where someone with a learning disability and/or autism is an inpatient out of area they will be visited every six weeks if they are a child and every eight weeks if they are an adult, on site. The host clinical commissioning group will also be given new responsibilities to oversee and monitor the quality of care for hospitals in their local areas.</p> answering member printed Baroness Blackwood of North Oxford question first answered 27/06/2019 13:35:36 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3785 label Biography information for Baroness Thomas of Winchester

1133034

	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	Measles
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to address any increase in the number of people infected with measles; and whether they have any plans to introduce compulsory measles vaccinations for children before they start school.
	tabling member printed	Baroness Brady
	uin	HL16452
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Vaccinations in the United Kingdom are undertaken through informed consent. Although there has been a small decline in coverage in England since 2013, measles, mumps and rubella (MMR) vaccine coverage through the routine programme (first dose given at one year and the second at three years and four months) remains high. Public Health England has said that the majority of recent measles cases are in those not eligible through this routine programme. A new MMR vaccine catch-up programme for 10- and 11-year olds that previously missed the MMR vaccine was introduced in April this year. In addition, the MMR vaccine can also be given on the National Health Service to children who missed routine vaccination and adults who may need it.</p><p>In January 2019, the UK Measles and Rubella elimination strategy was published. A multi-agency group has been established to take forward the actions in the strategy in England. Local teams are expected to work with local stakeholders to develop measles and rubella elimination action plans.</p><p>Public Health England monitors vaccine uptake and works with NHS England to increase uptake. This year, NHS England is undertaking a fundamental review of general practitioner vaccinations and immunisation standards, funding, and procurement. This will support the goal of improving immunisation coverage, using local coordinators to target variation and improve groups and areas with low vaccine uptake.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:50:18 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4339 label Biography information for Baroness Brady

1133035

	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	NHS: Crimes of Violence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many individuals are on the NHS's register of violent and abusive actions; and how many such individuals have been added in the past 12 months.
	tabling member printed	Lord Clark of Windermere
	uin	HL16453
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>There is no centrally maintained ‘register of violence and abusive actions’ for the National Health Service. NHS trusts, working with their local police service are likely to maintain such registers as part of their responsibilities to ensure appropriate sanctions can be taken against ‘violent and abusive’ patients while ensuring they get the care they need within an environment where all patients and staff are protected.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:11:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

1133041

	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	Yellow Card Scheme
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to (1) encourage pharmacists and clinicians to make full use of the Yellow Card Scheme to report adverse drug reaction to the Medicines and Healthcare products Regulatory Agency, and (2) improve direct patient access to the scheme and to seek patients views on it.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL16459
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has a strategy to improve engagement with the Yellow Card Scheme as well as to increase access through a wide variety or reporting mechanisms, for both healthcare professionals as well as for patients.</p><p>The MHRA has expanded the mechanisms through which reports of side effects can be made. Most recently a new mobile reporting application was delivered, which also includes helpful information about medicines. The MHRA is also continuing to integrate with clinical systems within primary and secondary care to make reporting faster and more accessible to healthcare professionals which has already driven reporting rates up and will continue to do so with the inclusion of more clinical systems.</p><p>The MHRA actively promote the Scheme through regular awareness campaigns (both locally and internationally), attendance at conferences and patient groups, satellite Yellow Card centres that promote locally and the MHRA also provides a range of educational materials to support understanding of the Scheme and the work that the MHRA does.</p><p>An important mechanism to maximise use of the Scheme by healthcare professionals and increase its impact is the National Medication Safety Network, which consists of approximately 450 Medication Safety Officers (MSOs), who raise awareness for reporting of side effects due to medication errors. MSOs are mostly pharmacists based within hospital trusts who encourage local and national learning as well as improve reporting.</p><p>The MHRA regularly communicates safety information through a monthly electronic newsletter called Drug Safety Update which informs healthcare professionals about the latest medicines safety issues and is always coupled with messages to report suspected adverse drug reactions to the Yellow Card Scheme.</p><p>To improve accessibility and transparency, the MHRA has publicly available online interactive Drug Analysis Profiles (iDAPs). The iDAPs are provided for all licensed drugs for which the MHRA have received reports of suspected adverse reactions through the Yellow Card Scheme.</p><p>The MHRA encourages online feedback from both healthcare professionals and patients and proactively engages with patients on a regular basis. Feedback from patients is used to make improvements to the Scheme and to the ways in which patients can report suspected side effects.</p> answering member printed Baroness Blackwood of North Oxford question first answered 27/06/2019 13:36:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1133042

	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	Flour: Folic Acid
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether their consultation on the proposal to add folic acid to flour will include evidence from health economists on the costs to society and the NHS of spina bifida.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL16460
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department is working closely with economists and analysts to estimate costs to society and the National Health Service of spina bifida and other neural tube defects. We are keen to gather further evidence through the consultation and we welcome responses from all interested parties.</p><p>The impact assessment will be revised in light of the consultation and published after the consultation closes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:12:57 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1133050

	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	Radiology
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many radiographers are required to fulfil the long-term objectives of the NHS.
	tabling member printed	Lord Luce
	uin	HL16468
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In the Cancer Workforce Plan for England which was published in December 2017, Health Education England (HEE) set out the need to target additional training support.</p><p>As part of the development of the NHS People Plan, HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications for further development of cancer services. This will include ensuring sustainable growth beyond 2021 in key professions (including radiography) through continued investment in training places, with a greater focus on attracting and retaining students and improving the numbers of qualified professionals who go on to work in the National Health Service. The number of radiographers required will be addressed in the final NHS People Plan and is dependent on the service model used by each NHS trust.</p><p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. 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.</p><p>As at February 2019, latest available data, there were over 14,000 full time equivalent diagnostic radiographers and over 2,000 therapeutic radiographers employed by the NHS trusts and CCGs, 2,990 and 726 more, respectively, since 2010.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16469 question first answered 02/07/2019 13:24:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	908 label Biography information for Lord Luce