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1149713

	registered interest
	date	14/10/2019
	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	Fertility: Medical Treatments
	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 the judgment in R (TT) v the Registrar General for England and Wales & Ors [2019] EWHC 2384 (Fam) on members of the trans community who wish to access fertility treatment at a licensed clinic.
	tabling member printed	Baroness Barker
	uin	HL6
	answer	answer is ministerial correction date of answer 25/10/2019 answer text <p>The Court found that the scheme of birth registration for the children of trans men is lawful and proportionate. The Government welcomes the Court’s decision.</p><p>The Government’s view is that the judgment has no effect on the availability of regulated fertility treatment and will now consider whether there should be further guidance to clarify this position. The Government considers that regulated fertility treatment is currently, and will remain, equally available to all (trans) women and (trans) men under the Human Fertilisation and Embryology Acts.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL5 question first answered 25/10/2019 11:54:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2501 label Biography information for Baroness Barker

1148307

	registered interest
	date	03/10/2019
	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	Eggs: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to ensure that high public health standards are maintained in relation to the consumption of eggs and egg products after Brexit.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL18027
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:29:34 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1148085

	registered interest
	date	02/10/2019
	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	Hospitals: Construction
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the estimated total cost of the 40 hospital building projects announced on 29 September.
	tabling member printed	Lord Roberts of Llandudno
	uin	HL18013
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On Sunday 29 September, the Secretary of State for Health and Social Care formally announced the next stage in our strategic investment in the National Health Service, with the Health Infrastructure Plan (HIP) to ensure that our health infrastructure is fit-for-purpose for decades to come. On Wednesday 2 October, the Prime Minister then set out his plan that “in the next ten years we will build 40 new hospitals in the biggest investment in hospital infrastructure for a generation.” As a step towards this, we have committed funding for six new hospitals as well as seed funding to support the initial stage of a further 34 building projects.</p><p>The package of funding includes:</p><p>- £2.7 billion for six new hospital projects to be delivered in our first phase of major hospital rebuilds (HIP1);</p><p>- £100 million to support for 21 major projects (£5 million each) comprising 34 hospital sites go to the next stage of developing their plans to be delivered in the second phase of major hospital rebuilds, subject to business case development and future spending reviews. Other projects will be able to bid into this and other future waves too. (HIP2); and</p><p>- £200 million investment for state-of-the-art MRI, CT and breast cancer screening machines, to update or replace our most out of date diagnostic equipment, across over 80 trusts.</p><p>The Health Infrastructure Plan also outlines our plans for a new system for ensuring funding reaches the frontline when and where it is needed, with national infrastructure to support this, and clear accountability for how it is spent. These plans include proposals for assisting trusts, including allowing some access to early funding and streamlining the business case process.</p><p>As part of our rolling investment programme, we have confirmed that there will be future phases of the Health Infrastructure Plan, with opportunities for the NHS to put forward further new hospital projects for the next phases of the programme. We also recognise that there may some more schemes suitable for investments that are not currently part of HIP1 and HIP2. These should continue developing their plans and priorities for local NHS infrastructure, and where exceptionally strong schemes come to light before HIP3, we will consider these in the context of available funding.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:45:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3691 label Biography information for Lord Roberts of Llandudno

1148066

	registered interest
	date	02/10/2019
	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	Hearing Impairment: Special Educational Needs
	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 research published by the National Deaf Children’s Society which found that 51 per cent of local authorities subject to an Ofsted and Care Quality Commission special educational needs and disabilities inspection in 2017 had to produce a written statement of action.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17994
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>As at 3 October 2019, 100 local areas have been inspected and their reports published under the Ofsted and Care Quality Commission Special Educational Needs and Disability (SEND) inspection framework. Of these, 51 local areas have been asked to produce a Written Statements of Action.</p><p>The inspection process (including revisits) is intended to identify in each local area where they are doing well in respect of their SEND responsibilities and where there are areas for development.</p><p>We are confident that the inspections, along with our joint working with partners to provide support and challenge to local areas, including through the new SEND Leadership Board, are helping local areas to improve their services.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:40:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1148065

	registered interest
	date	02/10/2019
	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	Dental Health: Children
	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 report by the Royal College of Surgeons' Faculty of Dental Surgery The state of children's oral health in England, published in August.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17993
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:29:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1148064

	registered interest
	date	02/10/2019
	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	Nurses: Northamptonshire
	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 on NHS services in Northamptonshire of recent changes in the numbers of student nurses in Northamptonshire.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17992
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>Student nurses in training are supernumerary to the workforce and as such do not provide any Service. It takes three years to train a nurse and we have over 52,000 students in training. The University and College Admissions Service reports show that nationally, the number of applicants to nursing courses is up 4% compared to the same point last year.</p><p>In Northamptonshire the local clinical commissioning groups report that the number of students who started in September is stable, with further work on-going locally to increase numbers for the March 2020 intake. The Department has put in place a financial package for students that means a typical student has 25% more money to live on while studying than under the bursary system.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:39:34 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1147653

	registered interest
	date	01/10/2019
	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	Farms and Slaughterhouses: Inspections and Veterinary Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what progress they have made in ensuring that there will be sufficient numbers of fully-qualified (1) official veterinarians, and (2) meat hygiene inspectors, employed (a) in abattoirs, and (b) on farms, in the UK after Brexit.
	tabling member printed	Lord Rogan
	uin	HL17979
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Food Standards Agency (FSA) is continuing to monitor the situation by surveying staff and is in regular discussion with the delivery partner who provides the majority of official veterinarians and meat hygiene inspectors who undertake official controls in abattoirs. Whilst the recruitment landscape remains challenging, the FSA has contingency plans to ensure the effective delivery of official controls in abattoirs continues once the United Kingdom has left the European Union so that food businesses’ operations in abattoirs are supported and that food is safe.</p><p>The FSA is responsible for delivery of official controls in relation to primary production of milk and will continue to discharge its responsibilities by increasing capacity and capability in this area. The FSA is not responsible for the delivery of other official controls at farm level, this is being carried out by staff from the Animal and Plant Health Agency and local authorities.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:44:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2478 label Biography information for Lord Rogan

1147652

	registered interest
	date	01/10/2019
	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	Cancer: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what consideration they have given to using (1) smartphone bookings, (2) text reminders, (3) evening appointments, and (4) accessible locations, for cancer screening appointments; and what assessment, if any, they have made of whether such measures would increase (a) the uptake of such screenings, and (b) early diagnosis.
	tabling member printed	Baroness Redfern
	uin	HL17978
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>NHS England recognises the importance of delivering public health services, including screening, which people find easy to access. This is why the NHS Long Term Plan and detailed improvement actions are about ensuring services are easy and convenient for people to use in order to deliver the Long Term Plan ambition on cancer to see 55,000 more people surviving cancer for five years in England each year from 2028.</p><p>The actions plans include real-world case studies which have demonstrated improvements in local areas. These case studies sit alongside widely published evidence which has been proven to deliver improvements in uptake. We expect these actions to have a positive impact on the uptake of screening.</p><p>Sir Mike Richards’ Review of Screening report is due to be published shortly which will identify additional opportunities to improve the uptake of breast, bowel, and cervical screening. In addition, NHSX is looking at possible improvements to screening IT systems, which should support the delivery of cancer screening programmes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:41:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4551 label Biography information for Baroness Redfern

1147651

	registered interest
	date	01/10/2019
	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	Cancer: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to increase the uptake of checks for breast, bowel, and cervical diseases; and whether they intend to publish guidance to NHS trusts in England about ways in which such trusts can increase the uptake of such checks.
	tabling member printed	Baroness Redfern
	uin	HL17977
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>NHS England is committed to improving the uptake of national cancer screening programmes, for breast, bowel, and cervical cancer.</p><p>In January, NHS England published its Long Term Plan, which outlined its ambition to deliver improvements in the uptake of national cancer screening programmes. To support this process, NHS England has developed improving uptake action plans, which can be used by providers and the wider health system, to improve the performance of screening programmes.</p><p>The uptake action plans include proposals for reviewing and extending appointment hours (for example for breast cancer screening) and using data to inform strategies for improving uptake in those populations of greatest need. These plans are already available to commissioning teams and will be updated and reissued throughout the year.</p><p>National Health Service regions are currently developing implementation plans to deliver on these commitments. To provide robust oversight and assurance of delivery, NHS England has established national programme boards for each cancer screening programme area.</p><p>In addition, we expect the Sir Mike Richards’ Review of Screening report, due to be published soon, to identify additional opportunities to improve the uptake of breast, bowel, and cervical screening.</p><p>Further, Public Health England has been running ‘Be Clear on Cancer’ campaigns since 2011. These are designed to raise the public’s awareness of specific cancer symptoms; encourage people with those symptoms to go to the doctor; and diagnose cancer at an earlier stage, and therefore make it more treatable, and thereby improve cancer survival rates.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:40:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4551 label Biography information for Baroness Redfern

1147649

	registered interest
	date	01/10/2019
	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	Babies: Screening
	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 report by Genetic Alliance UK Fixing the Present, Building for the Future: Newborn screening for rare conditions, published in July, in particular its finding that the UK tests for fewer conditions in new-borns in its new-born bloodspot screening programme than similar high income countries; and what plans they have to increase the number of serious conditions they test for.
	tabling member printed	Baroness Redfern
	uin	HL17975
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>In the United Kingdom, screening is an end to end service from test to treatment. This is not necessarily the case in other countries such as the United States of America. Therefore, comparisons with other health systems can be misleading.</p><p>In April 2014, the UK National Screening Committee (UK NSC) recommended extending the newborn bloodspot screening programme to include four additional conditions: maple syrup urine disease; homocystinuria; glutaric acidaemia type 1; and isovaleric acidaemia. The newborn blood spot screening is currently offered to all babies to identify nine conditions, as recommended by the UK NSC.</p><p>The UK NSC welcomes any new topic proposals through its annual call for topics. Using research evidence, pilot programmes and economic evaluation, the UK NSC assesses the evidence for programmes against a set of internationally recognised criteria. To ensure that screening is offered where the balance of benefit outweighs the harms.</p><p>In August 2019, the UK NSC published <em>Generation genome and the opportunities for screening programmes</em>. The report reflects the specific opportunities identified by each of the 11 population screening programmes, including the antenatal and newborn screening programmes. The report concluded that the advances in genomic technologies present exciting and potentially effective developments for screening programmes. Current and developing research and technology will be used to determine how, in future, genetics can best be used in screening. A copy of the report is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:39:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Generation_genome_and_opportunities_for_screening_programmes.pdf title Generation_genome
	tabling member	4551 label Biography information for Baroness Redfern

1147636

	registered interest
	date	01/10/2019
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to commission a study outlining the support required by parents of children with foetal alcohol spectrum disorder.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17962
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17959 HL17960 HL17961 question first answered 08/10/2019 16:29:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1147635

	registered interest
	date	01/10/2019
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to commission a study on life outcomes for children with foetal alcohol spectrum disorder, including behavioural and language issues.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17961
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17959 HL17960 HL17962 question first answered 08/10/2019 16:29:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1147634

	registered interest
	date	01/10/2019
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to publish a strategy embracing (1) prevention of, (2) early recognition of, and (3) support for children with, foetal alcohol spectrum disorder.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17960
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17959 HL17961 HL17962 question first answered 08/10/2019 16:29:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1147633

	registered interest
	date	01/10/2019
	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	Foetal Alcohol Spectrum Disorder
	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 prevalence of foetal alcohol spectrum disorder.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17959
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17960 HL17961 HL17962 question first answered 08/10/2019 16:29:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1147626

	registered interest
	date	01/10/2019
	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	North Manchester Hospital
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much capital money will be allocated for the (1) rebuilding, and (2) refurbishment, of North Manchester General Hospital in each of the next five years.
	tabling member printed	Lord Bradley
	uin	HL17952
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>On Sunday 29 September, the Secretary of State for Health and Social Care announced the next stage in our strategic investment in the National Health Service, with the Health Infrastructure Plan (HIP) to ensure that our health infrastructure is fit-for-purpose for decades to come. The Prime Minister set out on Wednesday 2 October his plan that “in the next ten years we will build 40 new hospitals in the biggest investment in hospital infrastructure for a generation.” As a step towards this, we have committed funding for six new hospitals as well as seed funding to support the initial stage of a further 34 building projects.</p><p>North Manchester General Hospital scheme is one of the projects that are green-lighted to proceed to the next level of their development plan. A total pot of £100 million of seed money is being made available to help kick start the next stage of developing these plans. All schemes however will need to present a clear investment case to move onto the next stage, and funding will be subject to future spending reviews. Other projects will be able to bid into this and other future waves too.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:45:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1147625

	registered interest
	date	01/10/2019
	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	Genito-urinary Medicine
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what cross-departmental discussions have taken place about drawing up a comprehensive sexual health strategy to tackle the rise in sexually transmitted infections.
	tabling member printed	Lord Black of Brentwood
	uin	HL17951
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The development of a national sexual health strategy is a key recommendation in the Health and Social Care Committee’s report on sexual health, which was published on 2 June 2019. The Government is currently considering the report’s recommendations and will publish a formal response shortly.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:44:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4171 label Biography information for Lord Black of Brentwood

1146964

	registered interest
	date	30/09/2019
	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	Social Services: Reform
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to publish a plan listing their proposed reforms for adult social care and timings for legislation to implement any such reforms; and if so, when.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17938
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>As the Prime Minister said on the steps of Downing Street, the Government will set out its plans to fix the crisis in social care once and for all, to give everyone the dignity and security that they deserve.</p><p>We want to ensure that no one will have to sell their home to pay for care.</p><p>We will set out our proposals in due course.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:39:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1146963

	registered interest
	date	30/09/2019
	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	Vaccination: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have (1) to increase the uptake of childhood vaccination, and (2) make childhood vaccination mandatory.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17937
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department is working with Public Health England, NHS England and NHS Improvement and other stakeholders to deliver a comprehensive vaccine and immunisation strategy this autumn. The strategy will set out a clear vision for maintaining and developing England’s world-leading immunisation programme over the next 10 years and beyond.</p><p>Actions planned or underway to increase the uptake of childhood vaccination include:</p><p>- Strengthening the role of local immunisation coordinators – healthcare professionals that promote vaccine uptake, particularly in under-served groups, by supporting areas with low uptake and tailoring specific local interventions to under-vaccinated communities;</p><p>- Holding a summit with social media companies to agree actions they can take to tackle the proliferation of anti-vaccine messaging on their sites;</p><p>- Updating the National Health Service website to ensure availability of NHS-approved, evidence-based and trusted advice on vaccines; and</p><p>- A review of general practice vaccinations and immunisation standards, funding, and procurement to incentivise improved immunisation coverage.</p><p>Vaccine uptake remains high, but rates must improve to fully protect the public. Childhood vaccinations are not currently mandatory but, as part of the new vaccine strategy, we are exploring bold action to ensure every child is properly protected, including possible approaches to mandation.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:32:05 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1146937

	registered interest
	date	30/09/2019
	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	Junior Doctors: Recruitment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether junior doctors who are on training programmes abroad and have been invited to interview by the NHS can submit their portfolios electronically and conduct interviews by Skype.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17911
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Enhancing Junior Doctors’ Working Lives programme was established by Health Education England in March 2016, to improve the quality of life of doctors in training. This programme includes a specific workstream to make the recruitment process and subsequent deployment to training programmes more flexible for trainees applying from the United Kingdom and abroad.</p><p>Specialty courses who use the Multi-Specialty Recruitment Assessment (MSRA) as part of their selection process allow the test to be taken overseas, reducing the need to travel to the UK. For general practice and core psychiatry, applicants who reach the bypass score in the MSRA will progress directly to the offers stage, without the need to attend a selection centre.</p><p>HEE is in the process of re-developing its digital Oriel recruitment system for the 2021 recruitment round, which will go live in June 2020 and an electronic interface with e-portfolios has been proposed. Royal Colleges are each responsible for their own portfolio.</p><p>At present, HEE does not support Skype interviews of doctors in training as part of national selection due to a number of difficulties it would give recruiters and assessors, including verification of identity, replication of national processes and invigilation. Skype interviews are available for applicants with specific health requirements who are unable to travel.</p><p>Individual trusts are responsible for setting the application and recruitment processes to positions within that trust.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17910 question first answered 08/10/2019 14:33:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1146936

	registered interest
	date	30/09/2019
	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	Junior Doctors: Recruitment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to encourage NHS employers to introduce flexibility in recruitment procedures for doctors so that junior doctors on training programmes abroad, including the diploma in tropical medicine, do not have to fly back for interviews during their period abroad.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17910
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Enhancing Junior Doctors’ Working Lives programme was established by Health Education England in March 2016, to improve the quality of life of doctors in training. This programme includes a specific workstream to make the recruitment process and subsequent deployment to training programmes more flexible for trainees applying from the United Kingdom and abroad.</p><p>Specialty courses who use the Multi-Specialty Recruitment Assessment (MSRA) as part of their selection process allow the test to be taken overseas, reducing the need to travel to the UK. For general practice and core psychiatry, applicants who reach the bypass score in the MSRA will progress directly to the offers stage, without the need to attend a selection centre.</p><p>HEE is in the process of re-developing its digital Oriel recruitment system for the 2021 recruitment round, which will go live in June 2020 and an electronic interface with e-portfolios has been proposed. Royal Colleges are each responsible for their own portfolio.</p><p>At present, HEE does not support Skype interviews of doctors in training as part of national selection due to a number of difficulties it would give recruiters and assessors, including verification of identity, replication of national processes and invigilation. Skype interviews are available for applicants with specific health requirements who are unable to travel.</p><p>Individual trusts are responsible for setting the application and recruitment processes to positions within that trust.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17911 question first answered 08/10/2019 14:33:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1146933

	registered interest
	date	30/09/2019
	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 Services: EU Nationals
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether, in the event of a no-deal Brexit, EU frontier workers working and paying tax and National Insurance in the UK will be entitled to NHS treatment.
	tabling member printed	Baroness Hollins
	uin	HL17907
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>In a ‘no deal’ European Union exit, EU citizens living in another state but travelling regularly to and from the United Kingdom as a frontier worker on or before exit day will continue to be entitled for National Health Service treatment without charge.</p><p>The Government is aiming to agree with the EU or with individual Member States continuing the existing reciprocal healthcare arrangements after exit day until at least 31 December 2020. Where such agreement is reached, an EU citizen who becomes a frontier worker after exit day would be eligible for NHS treatment without charge, under the terms of that arrangement. Where no agreement is reached, a frontier worker from that country may be charged for their care unless an exemption applies or the service that they are accessing is one which is free for everyone.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 15:44:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4190 label Biography information for Baroness Hollins

1146921

	registered interest
	date	30/09/2019
	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	HIV Infection: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had, and intend to have, with local authorities about ensuring PrEP is routinely commissioned as part of HIV prevention services.
	tabling member printed	Lord Black of Brentwood
	uin	HL17895
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:24:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4171 label Biography information for Lord Black of Brentwood

1146920

	registered interest
	date	30/09/2019
	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	Genito-urinary Medicine: Finance
	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 the one per cent increase in the local authority Public Health Grant, announced in the Spending Round 2019, published on 4 September, on sexual health services.
	tabling member printed	Lord Black of Brentwood
	uin	HL17894
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>Local authority public health grant allocations for 2020/21 will be published in due course. It will be for local authorities themselves to determine how best to use these resources based on their assessment of local need and with regard to their statutory duties.</p><p>Local authorities are required by regulations to provide comprehensive open access sexual health services, including provision for sexually transmitted infection testing and treatment and contraception.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:40:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4171 label Biography information for Lord Black of Brentwood

1146912

	registered interest
	date	30/09/2019
	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: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assurance, if any, they have received that medication brought from new sources other than the EU will meet the same standards as present.
	tabling member printed	Baroness Afshar
	uin	HL17886
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>All human medicines marketed in the United Kingdom must meet stringent requirements for quality, safety and efficacy set out in UK medicines legislation and supporting guidelines. These apply regardless of the source of the medicine.</p><p>The Medicines and Healthcare products Regulatory Agency (MHRA), the Government body responsible for the safety and licensing of medicines in the UK, regularly inspect pharmaceutical manufacturing plants in the UK and in third countries.</p><p>Regardless of the location of the site of manufacture, the manufacturer must demonstrate to the MHRA that the product is manufactured according to the registered UK licence (marketing authorisation) and to at least the minimum standard detailed in the European Union Guide to Good Manufacturing Practice.</p><p>In addition, each batch of medicine manufactured in a third country is tested within the UK on import and the manufacturing document reviewed by the license holders Qualified Person before being certified for release to the market.</p><p>All these measures will remain in place if the UK leaves the EU.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:37:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3847 label Biography information for Baroness Afshar

1146347

	registered interest
	date	25/09/2019
	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	Mental Health Services: Private Sector
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans, if any, they have to conduct an inquiry into standards of care in private mental health units.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17842
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>We have no such plans at present. Everybody has the right to receive safe, high-quality care. If care has fallen short of this, the Care Quality Commission (CQC) can use its powers to take action against those responsible.</p><p>The CQC has a key responsibility in the overall assurance of safety and quality of health and adult social care services in England and has commissioned two independent reviews to look at what it could have done differently or better in terms of its regulation and inspection of Whorlton Hall and other services of this kind.</p><p>We are working with the CQC to look at ways in which we can improve the way we hold large independent sector mental health providers with complex structures to account for quality and safety.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:34:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1146345

	registered interest
	date	25/09/2019
	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	Catering: Hygiene
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many food establishments there are in England; and of those, how many have not been inspected by the relevant local authority on the latest date for which figures are available.
	tabling member printed	Lord Rooker
	uin	HL17840
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>At 31 March 2019 the number of registered or approved food establishments reported in England was 511,297 and the number of those not yet rated was 24,897.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:46:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	302 label Biography information for Lord Rooker

1146343

	registered interest
	date	25/09/2019
	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	Catering: Hygiene
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have any plans to require food establishments in England to display the Food Hygiene Rating Scheme information that they are supplied with by local authorities.
	tabling member printed	Lord Rooker
	uin	HL17838
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Food Hygiene Rating Scheme is operated by the Food Standards Agency (FSA) in partnership with local authorities across England, Wales and Northern Ireland.</p><p> </p><p>Food businesses covered by the scheme are provided with stickers showing their rating. Those in Wales and Northern Ireland are already required by law to display the stickers at their premises, while those in England are encouraged to do so.</p><p> </p><p>The FSA considers that mandatory display should extend to England and is finalising an evidence-based case for a statutory scheme which will be submitted for ministerial consideration and ultimately cross-Government approval.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:45:34 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	302 label Biography information for Lord Rooker

1146341

	registered interest
	date	25/09/2019
	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 how many submissions were received to the Proposal to add folic acid to flour consultation document by the closing date; and when they expect to publish a response.
	tabling member printed	Lord Rooker
	uin	HL17836
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The folic acid fortification consultation closed on 9 September 2019 and we received 1,442 responses. A post-consultation update is also available on the consultation webpage online only.</p><p>We are currently in the process of analysing the consultation responses and will respond in due course.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 16:40:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	302 label Biography information for Lord Rooker

1146310

	registered interest
	date	25/09/2019
	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	Nurses: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they will publish figures for student nurse intakes in Northamptonshire for every year since 2010.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17805
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department does not hold this data.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:38:47 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1146294

	registered interest
	date	25/09/2019
	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	Diabetes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to guarantee a continuous supply of insulin for those with type 1 diabetes in the event of a no-deal Brexit.
	tabling member printed	Lord Bassam of Brighton
	uin	HL17789
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products, including insulin, once we have left the EU.</p><p>The Department, as part of our EU exit preparations, is implementing a multi-layered approach to mitigate potential disruption to supply, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages.</p><p>As an example of the preparations being taken by industry to prepare for EU exit, all three suppliers of insulin have publicly stated that they have significantly increased their United Kingdom stockpiles, and have met the Government’s request that they hold at least six weeks’ worth of extra stock in addition to their usual operational stocks.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 15:45:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3504 label Biography information for Lord Bassam of Brighton

1146293

	registered interest
	date	25/09/2019
	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	Heart Diseases: Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what alternative bio-aortic root replacement supply lines have been developed in the event of a no-deal Brexit interrupting imports from Italy.
	tabling member printed	Lord Bassam of Brighton
	uin	HL17788
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products once we have left the EU. This includes the supply of bio-aortic root replacement devices.</p><p>The Department, as part of our EU exit preparations, is implementing a multi-layered approach to mitigate potential disruption to supply, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17787 question first answered 08/10/2019 15:43:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3504 label Biography information for Lord Bassam of Brighton

1146292

	registered interest
	date	25/09/2019
	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	Heart Diseases: Surgery
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many heart operations they estimate will be cancelled by the NHS in the event of a no-deal Brexit due to a lack of availability of bio-aortic root replacement imports from Italy.
	tabling member printed	Lord Bassam of Brighton
	uin	HL17787
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>The Department is doing everything appropriate to prepare for leaving the European Union. We want to reassure patients that our plans should ensure the uninterrupted supply of medicines and medical products once we have left the EU. This includes the supply of bio-aortic root replacement devices.</p><p>The Department, as part of our EU exit preparations, is implementing a multi-layered approach to mitigate potential disruption to supply, which consists of stockpiling where possible, securing freight capacity, changing or clarifying regulatory requirements, procuring additional warehousing, working closely with industry to improve trader readiness and putting in place the National Supply Disruption Response to manage potential shortages.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17788 question first answered 08/10/2019 15:43:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3504 label Biography information for Lord Bassam of Brighton

1145245

	registered interest
	date	05/09/2019
	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	Doctors: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps the NHS is taking to increase the number of trainee doctors recruited each year.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17772
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has committed to an extra 1,500 undergraduate medical school places - a 25% increase taking the total number of medical school training places in England to 7,500. The first 630 places were taken up in September 2018 with a further 690 places available in September 2019. The remaining additional 180 places will have been made available by universities by 2020/21. By 2020, five new medical schools will have opened in England to help deliver the expansion.</p><p>Following graduation from medical school, eligible applicants are allocated a place on the United Kingdom Foundation Programme.</p><p>The number of medical specialty training places that are available each year is set by Health Education England and based on their assessment of service gaps and predicted workforce needs.</p><p>The NHS Long Term Plan set out the need to ensure a sustainable overall balance between supply and demand across all staff groups. For doctors, it also focussed on reducing geographical and specialty imbalances. Subsequently, the interim NHS People Plan set out the action we will take now and over the long term to meet the challenges of supply, reform, culture and leadership, and changes in demand for health care. Actions include reviewing what further expansion in undergraduate medical places will be needed, in light of future plans made locally by sustainability and transformation partnerships and integrated care systems; and the establishment of a national programme board to address geographic and specialty shortages in doctors.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1145243

	registered interest
	date	05/09/2019
	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: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to introduce a snack tax to help reduce obesity.
	tabling member printed	Lord Taylor of Warwick
	uin	HL17770
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The Department has no plans to introduce a snack tax.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:36 question first ministerially corrected 30/09/2019 11:21:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135702 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1145229

	registered interest
	date	05/09/2019
	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	Antimicrobials: Research
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they intend to start the pilot scheme to test a subscription model to fund the development of new antimicrobials, announced on 9 July.
	tabling member printed	Baroness Masham of Ilton
	uin	HL17756
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The United Kingdom national action plan for antimicrobial resistance (AMR), published on 24 January, includes the commitment to lead the way in testing innovative models that pay companies for antibiotics based primarily on a health technology assessment of their value to the National Health Service, as opposed to the volumes used.</p><p>This project was formally launched by the National Institute for Health and Care Excellence and NHS England and NHS Improvement on 9 July.</p><p>A period of targeted engagement to secure stakeholder input into the development of key areas of the project, including the proposed approach for topic selection, the approach to evaluation, and the outline commercial model was launched on 9 July and concluded on 6 September 2019.</p><p>The next stages will involve the development of an evaluation framework and commercial model, selection of products to be included in the test and undertaking a value assessment for the selected products.</p><p>It is anticipated that payments will be implemented to companies from spring 2021 following commercial negotiation with companies.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:56:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1145226

	registered interest
	date	05/09/2019
	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	Medical Treatments: Greater London
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they took to ensure that board members of the Clinical Commissioning Groups in South East London read the South East London Treatment Access Policy Document 2019/20 in full before agreeing to it.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17753
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:08 question first ministerially corrected 30/09/2019 11:14:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135699 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1145225

	registered interest
	date	05/09/2019
	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	Department of Health and Social Care: Databases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many reports have been commissioned in the last three years on the value or curation of data controlled or generated by (1) the National Health Service, (2) the Department of Health and Social Care, and (3) arms-length bodies of that department; which departments commissioned those reports; when those reports were completed or are due to be completed; which organisations produced those reports; what was the cost of each of those reports; what are the titles of those reports; and whether those reports are in the public domain.
	tabling member printed	Lord Freyberg
	uin	HL17752
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information is not held centrally and could only be obtained at disproportionate cost.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1145218

	registered interest
	date	05/09/2019
	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	Accident and Emergency Departments: Greater Manchester
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 7 August (HL17449), in what format the data are available for average annual waiting times for each accident and emergency department in Greater Manchester in each of the last five years.
	tabling member printed	Lord Bradley
	uin	HL17745
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member. </del></p><p> </p><p><ins class="ministerial">Data is not available in the format of average waiting times at individual accident and emergency (A&amp;E) units. Data is available at a National Health Service trust provider level as some NHS trusts have more than one A&amp;E unit. The data for providers in Greater Manchester, 2013-14 to 2018-19 (provisional) is attached, due to the size of the data. 2018-19 data is provisional and subject to change.</ins></p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:04 question first ministerially corrected 30/09/2019 11:22:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Table for HL17745 formatted.docx title Greater Manchester A&E waiting times previous answer version 135698 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1145217

	registered interest
	date	05/09/2019
	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 Services: Reciprocal Arrangements
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether UK citizens will continue to benefit from the European Health Insurance Card in the event of the UK leaving the EU without a deal on 31 October; if so, by what mechanism; and if not, what alternative provision, if any, they intend to make.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL17744
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has proposed to all European Union Member States that when we leave, we should maintain the existing healthcare arrangements including the European Healthcare Insurance Card (EHIC) Scheme until 31 December 2020, with the aim of minimising disruption to healthcare provision for United Kingdom nationals and EU citizens. This is subject to agreement by individual EU Member States.</p><p>In a ‘no deal’ scenario, the continuation of the EHIC scheme will be dependent on the UK agreeing its continuation with individual Member States through bilateral reciprocal healthcare agreements. It is not possible for the UK Government to guarantee access unilaterally to healthcare abroad, as this depends on decisions by Member States.</p><p>The UK Government has already committed to fund healthcare for UK-insured people who have applied for, or are undergoing, treatments in the EU prior to and on exit day, for up to one year, to protect the most vulnerable.</p><p>The Government always advises UK nationals to take out comprehensive travel insurance when going overseas, both to EU and non-EU destinations. The EHIC is not an alternative to travel insurance and we have always advised that individuals should have both when travelling abroad.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:55:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1144885

	registered interest
	date	04/09/2019
	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	Clinical Commissioning Groups: Greater London
	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 board members of the Clinical Commissioning Groups in South East London.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17719
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:58:23 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144884

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to instruct the Clinical Commissioning Groups in South East London to publish the evidence it relied on in developing its policy of not providing fertility treatment to single women.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17718
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:58:20 question first ministerially corrected 30/09/2019 11:18:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135708 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144883

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	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 statement contained in page 34 of the South East London Treatment Access Policy Document 2019/20 that "because of the known disadvantage that providing assisted conception to a single woman would cause both the child and the mother, funding of assisted conception for single women is not available".
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17717
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:57 question first ministerially corrected 30/09/2019 11:19:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135706 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144882

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to direct the Clinical Commissioning Groups in South East London to withdraw their prohibition on single women receiving fertility treatment on the NHS as laid out in the South East London Treatment Access Policy Document 2019/20.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17716
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:40 question first ministerially corrected 30/09/2019 11:20:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135703 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144154

	registered interest
	date	03/09/2019
	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	Palliative Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they intend to have with NHS England to ensure that any contracts between the NHS and the providers of hospice and palliative care services will be for a minimum three year period to provide certainty of funding.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17642
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:04 question first ministerially corrected 30/09/2019 11:00:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135717 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144153

	registered interest
	date	03/09/2019
	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	Palliative Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the additional £25 million announced for hospice and palliative services by the Prime Minister on 20 August will be (1) an annually recurring figure, and (2) in addition to current grants from, and contracts with, the NHS.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17641
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:00 question first ministerially corrected 30/09/2019 11:01:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135714 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144152

	registered interest
	date	03/09/2019
	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	Hospitals: Statistics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) charities, (2) public bodies, (3) commercial companies, and (4) others, received Hospital Episode Statistics data from NHS Digital in August; and what percentage of each had (a) informed consent, (b) opt outs applied, and (c) neither.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17640
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>NHS Digital has advised that the numbers of organisations that have received Hospital Episode Statistics (HES) data and the percentage of each that had informed consent, opt outs applied and neither within the month of August is shown in the following table.</p><p> </p><table><tbody><tr><td colspan="5"><p>Organisations receiving HES data in August 2019, by Organisation Type</p></td></tr><tr><td><p>Organisation Type</p></td><td><p>Informed Consent</p></td><td><p>Opt outs applied</p></td><td><p>Neither</p></td><td><p>Total</p></td></tr><tr><td><p>Charities</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td></tr><tr><td><p>Public Body</p></td><td><p>1 (1%)</p></td><td><p>5 (4%)</p></td><td><p>117 (95%)</p></td><td><p>123 (100%)</p></td></tr><tr><td><p>Commercial</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>7 (100%)</p></td><td><p>7 (100%)</p></td></tr><tr><td><p>Other</p></td><td><p>0 (0%)</p></td><td><p>0 (0%)</p></td><td><p>2 (100%)</p></td><td><p>2 (100%)</p></td></tr><tr><td><p>Total</p></td><td><p>132</p></td></tr></tbody></table><p> </p><p>The HES data against the organisation type “charities” has not been released within August.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:47:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144144

	registered interest
	date	03/09/2019
	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	Dementia
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to improve dementia care research and support for carers of people with dementia across the UK.
	tabling member printed	Lord Hay of Ballyore
	uin	HL17632
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The Government’s Dementia 2020 Challenge aims to make England the best country in the world for dementia care, support, awareness and research. The Government is committed to supporting research into dementia to find a disease-modifying treatment by 2025, and to help people with dementia live well with the condition. People participating in research are central to this effort, as are the health and social care staff who support their participation.</ins></p><p><ins class="ministerial">We expect all people who are newly diagnosed with dementia, and their carers, to receive information on opportunities to take part in research into dementia. By 2020, we expect all relevant staff to have received appropriate dementia training. This should include training relevant staff to be able to signpost interested individuals towards research via the Join Dementia Research service. We are also currently exploring options for increasing take-up of the more advanced Tier 2 training to everyone who needs it.</ins></p><p><ins class="ministerial">We are committed to supporting carers to provide care in ways that protect and preserve their own health and wellbeing. In June 2018, we published the Carers Action Plan, a cross-Government programme of targeted work, including a £5 million Carers Innovation Fund to encourage innovative and creative ways of supporting carers. In addition, we are working with local government on a sector-led improvement programme of work focused on the implementation of the Care Act 2014 duties for carers.</ins></p><p><ins class="ministerial">The Department funds research through the National Institute for Health Research (NIHR). The usual practice of the NIHR is not to ring-fence funds for expenditure on particular topics such as dementia. Research proposals in all areas compete for the funding available. The NIHR welcomes funding applications for research into any aspect of human health including dementia. These applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality. In all disease areas, the amount of the NIHR’s funding depends on the volume and quality of scientific activity.</ins></p><p><ins class="ministerial">The NIHR funding for dementia research was £43.0 million in 2017/18, having increased from £27 million in 2013/14. Government spending overall on dementia research is running ahead of the Government’s 2020 Dementia Challenge commitment to maintain this at £300 million over five years. The total in 2017/18 was £82.5 million; £43 million via the NIHR, £36.3 million via the Medical Research Council and £3.2 million via the Economic and Social Research Council.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:58:38 question first ministerially corrected 30/09/2019 10:59:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135712 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4352 label Biography information for Lord Hay of Ballyore

1144097

	registered interest
	date	03/09/2019
	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	Fit and Proper Persons Requirement Review
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Interim NHS People Plan, published on 3 June, what steps they are taking to implement the recommendations of the Kark review of the fit and proper persons test, published on 6 February; and when they expect to complete their response to that review.
	tabling member printed	Lord Blunkett
	uin	HL17585
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The Government has accepted in principle recommendations 1 and 2 of the Review by Tom Kark QC into the Fit and Proper Persons test, namely:</p><p> </p><p>- to develop competency standards for all NHS directors; and</p><p>- to create a central database of NHS director employment and training data.</p><p>The Government has asked Baroness Harding of Winscombe, to take forward implementation of the two accepted recommendations and to engage on the remaining recommendations alongside work to develop the NHS People Plan.</p><p>A response is expected later this year.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:49:41 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	395 label Biography information for Lord Blunkett

1144078

	registered interest
	date	03/09/2019
	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: Directors
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the average daily rate earned by "turnaround directors" in the NHS.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17566
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17565 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top

1144077

	registered interest
	date	03/09/2019
	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: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what was the cost to the NHS of the Turnaround Programme in each of the last three years.
	tabling member printed	Baroness Armstrong of Hill Top
	uin	HL17565
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p>The information requested is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17566 question first answered 09/09/2019 16:52:46 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4150 label Biography information for Baroness Armstrong of Hill Top