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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