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755129

	registered interest
	date	20/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Blood: Contamination
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether the findings of the 2009 independent report by Lord Archer of Sandwell on NHS supplied contaminated blood and blood products will be taken into account by the contaminated blood inquiry announced on 11 July.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL1137
	answer	answer is ministerial correction date of answer 31/07/2017 answer text <p>The focus of the inquiry will be on establishing the truth of what happened.</p><p> </p><p>Over the summer, the Government is consulting with those affected and key stakeholder groups to discuss the scope of the inquiry.</p> answering member printed Lord O'Shaughnessy question first answered 31/07/2017 13:25:47 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3573 label Biography information for Baroness Gould of Potternewton

788291

	registered interest
	date	13/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Female Genital Mutilation: Plastic Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to issue guidance for all healthcare providers clarifying the circumstances under which procedures marketed as "female genital cosmetic surgery" may be necessary for a woman’s physical or mental health and therefore not banned under the Female Genital Mutilation Act 2003.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL3083
	answer	answer is ministerial correction date of answer 27/11/2017 answer text <p>The Female Genital Mutilation Act 2003, which makes female genital mutilation (FGM) a criminal offence, clearly sets out the medical circumstances in which it is not an offence to carry out a surgical operation on the labia majora, labia minora or clitoris: these circumstances are where the operation is carried out by an approved person (such as a medical professional) and is necessary for a woman or girl's physical or mental health or is for purposes connected with labour or birth. This surgery should not be undertaken within the National Health Service unless it is medically indicated.</p><p><strong> </strong></p><p>The Royal College of Obstetricians and Gynaecologists (RCOG) are clear in their guidelines, <em>Female Genital Mutilation and its Management</em>, published in July 2015, that <em>“</em>Female genital cosmetic surgery (FGCS) may be prohibited unless it is necessary for the patient’s physical or mental health. All surgeons who undertake FGCS must take appropriate measures to ensure compliance with the FGM Acts.” A copy of the guidelines is attached. The RCOG also published an ethical opinion paper in relation to female genital cosmetic surgery in 2013, which provides background briefing on FGM and explores the ethical considerations in relation to FGCS around consent, minors and clinical evidence. A copy of the opinion paper, <em>Ethical considerations in relation to female genital cosmetic surgery (FCGS)</em>, is attached.</p><p> </p> answering member printed Lord O'Shaughnessy attachment 1 file name HL3083 A.pdf title Female Genital Mutilation and its Management 2 file name HL3083 B.pdf title Ethical Opinion Paper question first answered 27/11/2017 12:52:20 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3573 label Biography information for Baroness Gould of Potternewton

767896

	registered interest
	date	10/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of concerns raised by Public Health England in their report, Sexual health, reproductive health and HIV, published in August, what steps they are taking to develop clear national guidance on cross-charging between local authorities for contraceptive services.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL1815
	answer	answer is ministerial correction date of answer 23/10/2017 answer text <p>NHS Digital publishes annual data on activity in sexual and reproductive health services in England. The most recent data shows that:</p><p> </p><p>- during 2016/17, 871,000 women contacted sexual and reproductive health services on one or more occasions for reasons of contraception. This number had been rising up until 2014/15, but has since fallen for two consecutive years;</p><p>- the percentage of women using long-acting reversible contraceptives has remained stable in recent years, increasing from 37% in 2014/15 to 39% in 2016/17.</p><p> </p><p>In 2017/18, Public Health England (PHE) will produce a State of the Nation Report for Reproductive Health, which will highlight delivery of contraception, including long-acting reversible contraception, in England using currently routinely collected data as well as large nationally-representative surveys.</p><p> </p><p>Ensuring people have access to the full range of contraception and can obtain their chosen method quickly and easily is a key principle of effective contraception services.</p><p> </p><p>PHE published an action plan in August 2017 to address concerns identified in their report <em>Sexual Health, Reproductive Health and HIV: A Review of Commissioning</em>, which includes issues affecting the provision of contraception. As part of the action plan, PHE will take forward a range of activities aimed at strengthening commissioning, including providing evidence and data to commissioners to support commissioning and the monitoring of outcomes and building capacity and capability in sexual and reproductive health commissioning.</p><p> </p><p>The full action plan is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1813 HL1814 HL1816 question first answered 23/10/2017 14:25:42 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Sexual_health_reproductive_health_and_HIV_a_survey_of_commissioning.pdf title Sexual health action plan
	tabling member	3573 label Biography information for Baroness Gould of Potternewton

767895

	registered interest
	date	10/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of concerns raised by Public Health England in their report, Sexual health, reproductive health and HIV, published in August, what steps they are taking to ensure full and open access, regardless of user age or place of residence, to (1) all methods of contraception, and (2) very long-acting reversible contraceptives.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL1814
	answer	answer is ministerial correction date of answer 23/10/2017 answer text <p>NHS Digital publishes annual data on activity in sexual and reproductive health services in England. The most recent data shows that:</p><p> </p><p>- during 2016/17, 871,000 women contacted sexual and reproductive health services on one or more occasions for reasons of contraception. This number had been rising up until 2014/15, but has since fallen for two consecutive years;</p><p>- the percentage of women using long-acting reversible contraceptives has remained stable in recent years, increasing from 37% in 2014/15 to 39% in 2016/17.</p><p> </p><p>In 2017/18, Public Health England (PHE) will produce a State of the Nation Report for Reproductive Health, which will highlight delivery of contraception, including long-acting reversible contraception, in England using currently routinely collected data as well as large nationally-representative surveys.</p><p> </p><p>Ensuring people have access to the full range of contraception and can obtain their chosen method quickly and easily is a key principle of effective contraception services.</p><p> </p><p>PHE published an action plan in August 2017 to address concerns identified in their report <em>Sexual Health, Reproductive Health and HIV: A Review of Commissioning</em>, which includes issues affecting the provision of contraception. As part of the action plan, PHE will take forward a range of activities aimed at strengthening commissioning, including providing evidence and data to commissioners to support commissioning and the monitoring of outcomes and building capacity and capability in sexual and reproductive health commissioning.</p><p> </p><p>The full action plan is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1813 HL1815 HL1816 question first answered 23/10/2017 14:25:42 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Sexual_health_reproductive_health_and_HIV_a_survey_of_commissioning.pdf title Sexual health action plan
	tabling member	3573 label Biography information for Baroness Gould of Potternewton

767897

	registered interest
	date	10/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of concerns raised by Public Health England in their report, Sexual health, reproductive health and HIV, published in August, what steps they are taking to reduce vacancy levels of staff trained to fit very long-acting reversible contraceptives in (1) general practice, and (2) community sexual and reproductive health services.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL1816
	answer	answer is ministerial correction date of answer 23/10/2017 answer text <p>NHS Digital publishes annual data on activity in sexual and reproductive health services in England. The most recent data shows that:</p><p> </p><p>- during 2016/17, 871,000 women contacted sexual and reproductive health services on one or more occasions for reasons of contraception. This number had been rising up until 2014/15, but has since fallen for two consecutive years;</p><p>- the percentage of women using long-acting reversible contraceptives has remained stable in recent years, increasing from 37% in 2014/15 to 39% in 2016/17.</p><p> </p><p>In 2017/18, Public Health England (PHE) will produce a State of the Nation Report for Reproductive Health, which will highlight delivery of contraception, including long-acting reversible contraception, in England using currently routinely collected data as well as large nationally-representative surveys.</p><p> </p><p>Ensuring people have access to the full range of contraception and can obtain their chosen method quickly and easily is a key principle of effective contraception services.</p><p> </p><p>PHE published an action plan in August 2017 to address concerns identified in their report <em>Sexual Health, Reproductive Health and HIV: A Review of Commissioning</em>, which includes issues affecting the provision of contraception. As part of the action plan, PHE will take forward a range of activities aimed at strengthening commissioning, including providing evidence and data to commissioners to support commissioning and the monitoring of outcomes and building capacity and capability in sexual and reproductive health commissioning.</p><p> </p><p>The full action plan is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1813 HL1814 HL1815 question first answered 23/10/2017 14:25:42 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Sexual_health_reproductive_health_and_HIV_a_survey_of_commissioning.pdf title Sexual health action plan
	tabling member	3573 label Biography information for Baroness Gould of Potternewton

767894

	registered interest
	date	10/10/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of concerns raised by Public Health England in their report Sexual health, reproductive health and HIV, published in August, what assessment they have made of the impact of fragmented commissioning on the delivery of (1) all methods of contraception, and (2) very long-acting reversible contraceptives.
	tabling member printed	Baroness Gould of Potternewton
	uin	HL1813
	answer	answer is ministerial correction date of answer 23/10/2017 answer text <p>NHS Digital publishes annual data on activity in sexual and reproductive health services in England. The most recent data shows that:</p><p> </p><p>- during 2016/17, 871,000 women contacted sexual and reproductive health services on one or more occasions for reasons of contraception. This number had been rising up until 2014/15, but has since fallen for two consecutive years;</p><p>- the percentage of women using long-acting reversible contraceptives has remained stable in recent years, increasing from 37% in 2014/15 to 39% in 2016/17.</p><p> </p><p>In 2017/18, Public Health England (PHE) will produce a State of the Nation Report for Reproductive Health, which will highlight delivery of contraception, including long-acting reversible contraception, in England using currently routinely collected data as well as large nationally-representative surveys.</p><p> </p><p>Ensuring people have access to the full range of contraception and can obtain their chosen method quickly and easily is a key principle of effective contraception services.</p><p> </p><p>PHE published an action plan in August 2017 to address concerns identified in their report <em>Sexual Health, Reproductive Health and HIV: A Review of Commissioning</em>, which includes issues affecting the provision of contraception. As part of the action plan, PHE will take forward a range of activities aimed at strengthening commissioning, including providing evidence and data to commissioners to support commissioning and the monitoring of outcomes and building capacity and capability in sexual and reproductive health commissioning.</p><p> </p><p>The full action plan is attached.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL1814 HL1815 HL1816 question first answered 23/10/2017 14:25:42 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name Sexual_health_reproductive_health_and_HIV_a_survey_of_commissioning.pdf title Sexual health action plan
	tabling member	3573 label Biography information for Baroness Gould of Potternewton