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1199360

	registered interest
	date	02/06/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government (1) what assessment they have made of the number of COVID-19 related deaths in care homes in England and Wales between 10 April and 29 May as documented by the Office of National Statistics; (2) what assessment they have made of the statistics published by the Data Analysis Bureau and Person Centred Software that, since the start of the COVID-19 pandemic, 15 per cent of care home staff have been tested and 62 per cent of care homes have not had any staff receive tests; and (3) what plans they have to review their statement on 15 May that they would ensure the testing of residents and employees at all care homes in England by the beginning of June.
	tabling member printed	Lord Alton of Liverpool
	uin	HL4897
	answer	answer is ministerial correction date of answer 29/07/2020 answer text <p>To provide a more comprehensive response to a number of outstanding Written Questions, this has been answered by an information factsheet <em>Testing – note for House of Lords</em> which is attached, due to the size of the data. A copy has also been placed in the Library</p><p> </p> answering member printed Lord Bethell question first answered 29/07/2020 15:25:28 answering member 4708 label Biography information for Lord Bethell attachment 1 file name Testing - note for House of Lords.pdf title Testing information factsheet
	tabling member	738 label Biography information for Lord Alton of Liverpool

1199359

	registered interest
	date	02/06/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how much in total of the Infection Control Fund has been used by care homes to provide personal protective equipment for staff; what steps have been taken to ensure expeditious testing for care home staff and residents before 6 June; how many such staff and residents are yet to be tested; and why.
	tabling member printed	Lord Alton of Liverpool
	uin	HL4896
	answer	answer is ministerial correction date of answer 22/06/2020 answer text <p>We have now made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care.</p><p> </p><p>On 15 May we published details of an additional £600 million Infection Control Fund for Adult Social Care. This funding is to support adult social care providers in England reduce the rate of transmission in and between care homes and to support workforce resilience. As part of the grant conditions, local authorities have been asked to report later this month on the measures taken, such as steps taken to isolate residents within care homes and support staff who are self-isolating.</p> answering member printed Lord Bethell question first answered 22/06/2020 10:41:35 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1200317

	registered interest
	date	03/06/2020
	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	Autism and Learning Disability: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of reports by the Care Quality Commission that there were 386 deaths linked to learning disabilities and autism between 10 April and 15 May, representing a 134 per cent rise compared with the same period in 2019.
	tabling member printed	Lord Alton of Liverpool
	uin	HL5155
	answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>We have commissioned Public Health England to undertake a detailed analysis of the numbers of deaths of people with a learning disability. This will draw on data published by NHS England and by the Care Quality Commission to assess the impact of COVID-19 on this group of people.</p> answering member printed Lord Bethell question first answered 18/06/2020 11:14:32 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1201045

	registered interest
	date	08/06/2020
	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	Coronavirus: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of reports that people with COVID-19 have died alone and been left for up to two weeks before being discovered; and what steps they are taking to ensure that isolated people without family or other support systems can be better (1) safeguarded, and (2) supported, during the COVID-19 pandemic. [T]
	tabling member printed	Lord Alton of Liverpool
	uin	HL5348
	answer	answer is ministerial correction date of answer 06/07/2020 answer text <p>We recognise how difficult the past months have been for people who are socially isolated and any death is a tragedy.</p><p>Local safeguarding partnerships have been ensuring that people with care and support needs are being safeguarded throughout the COVID-19 outbreak, including working with the shielding population to ensure they are well-supported. We are also aware of good practice through community-led social work and support networks which have ensured people stay connected and any concerns or support needs are identified more quickly.</p> answering member printed Lord Bethell question first answered 06/07/2020 11:23:59 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1201000

	registered interest
	date	08/06/2020
	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: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the analysis published by the Local Government Association on 4 June that adult social care providers may face £6.6 billion in extra costs by the end of September as a result of COVID-19; and how they expect those costs to be met.
	tabling member printed	Lord Alton of Liverpool
	uin	HL5343
	answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>We recognise that COVID-19 is imposing significant pressures on the social care sector. We have now made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care.</p><p> </p><p>On 15 May we published details of an additional £600 million Infection Control Fund for Adult Social Care. This funding is to support adult social care providers in England reduce the rate of transmission in and between care homes and to support workforce resilience.</p><p> </p><p>This funding is part of the Government’s commitment to ensure the health and social care system have all the resources they need during the COVID-19 outbreak. The Government will continue to monitor pressures in the National Health Service and local government and will keep future funding under review.</p> answering member printed Lord Bethell question first answered 18/06/2020 11:18:34 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1202059

	registered interest
	date	09/06/2020
	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	Coronavirus: Niclosamide
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the antihelmintic drug, Niclosamide, as a potential treatment for mild to moderate cases of COVID-19; and what assessment they have made of trials undertaken in South Korea on the use of Niclosamide to treat COVID-19.
	tabling member printed	Lord Alton of Liverpool
	uin	HL5448
	answer	answer is ministerial correction date of answer 17/06/2020 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has not received any applications for the use of niclosamide as a treatment for COVID-19 and has not undertaken any assessment of the trials in South Korea.</p><p>Currently, there are no ongoing clinical trials in the United Kingdom involving niclosamide for the treatment of COVID-19. However, there are three worldwide trials regarding this treatment listed on the United States National Library of Medicine, in the United States, France and Egypt, though none of these are recruiting currently.</p><p>The MHRA is working closely with the Department and the office of the Chief Medical Officer to prioritise potential treatments for COVID-19. The MHRA will consider any application made by a sponsor or potential marketing authorisation holder to run a clinical trial.</p> answering member printed Lord Bethell question first answered 17/06/2020 15:23:28 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1201004

	registered interest
	date	08/06/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the letter sent to the Secretary of State for Health and Social Care by Cathy Gardner questioning the legality of discharging patients with COVID-19 into care homes, including the one in which her father died on 3 April, and calling for a retraction of the statement that a “protective ring had been thrown around care homes”; when they intend to respond; and what advice they have (1) sought, and (2) been given, by Government law officers in response to that correspondence.
	tabling member printed	Lord Alton of Liverpool
	uin	HL5347
	answer	answer is ministerial correction date of answer 18/06/2020 answer text <p>The Government does not comment on litigation matters.</p><p>Every death from this virus is a tragedy. It is our priority to ensure that everyone is discharged safely from hospital and to the most appropriate available place. Patients are discharged when it is clinically safe and they no longer need acute care.</p><p>We have provided extensive support and guidance to care homes throughout the COVID-19 pandemic. We have also provided local authorities with £3.2 billion to help them deal with the impacts of COVID-19, as well as £1.3 billion via the National Health Service to enhance the NHS discharge process. On 13 May, we announced an additional new £600 million Infection Control Fund for care homes to tackle the spread of COVID-19.</p> answering member printed Lord Bethell question first answered 18/06/2020 11:18:54 answering member 4708 label Biography information for Lord Bethell
	tabling member	738 label Biography information for Lord Alton of Liverpool

1200315

	registered interest
	date	03/06/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the remarks by Professor Neil Ferguson, Imperial College, London, that (1) he was “shocked about how badly European – or countries around the world – have protected care home populations” from COVID-19, (2) “infections in care homes and hospitals spill back into the community”, and (3) “the level of transmission and number of cases will remain relatively flat between now and September, short of very big policy changes or behaviour changes in the community”.
	tabling member printed	Lord Alton of Liverpool
	uin	HL5153
	answer	answer is ministerial correction date of answer 09/07/2020 answer text <p>Our number one priority for adult social care is for everyone who relies on care to get the care they need throughout the COVID-19 pandemic. The steps we have taken have been designed with care users in mind, to ensure that individuals are treated with dignity and respect and that their particular needs are addressed.</p><p>Since the start of this pandemic we have been working closely with the sector and public health experts to put in place guidance and support for adult social care to respond to the pandemic. This includes updated guidance for care homes published on 19 June. This guidance provides advice to care homes on infection control procedures to limit the spread of the virus in care homes, protective measures for staff and minimising workforce transmission. A copy of Admission and Care of Residents in a Care Home during COVID-19 is attached.</p><p>Our help to care homes, which includes financial support, infection control training and supplies of personal protective equipment, has meant that nearly 60% of England’s care homes have had no outbreak at all.</p><p>As the Chief Medical Office has made clear, the rate of transmission and the number of cases of COVID-19 that we will see in the coming weeks and months will depend of how well we all follow social distancing guidance. The work of NHS Test and Trace and public health teams across the country will allow us to keep on top of any local outbreaks and keep the number of cases of COVID-19 low.</p><p>We are continuing to seek further evidence as domestic and international experience accrues and is published, and we are working tirelessly with the care sector and public health experts to explore all measures possible to reduce transmission and save lives.</p> answering member printed Lord Bethell question first answered 09/07/2020 15:29:38 answering member 4708 label Biography information for Lord Bethell attachment 1 file name admission-and-care-of-residents-during-covid-19-incident-in-a-care-home.pdf title Admission and Care of Residents in a Care Home
	tabling member	738 label Biography information for Lord Alton of Liverpool

1204164

	registered interest
	date	16/06/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the remarks made by the Rt Hon Jeremy Hunt MP on 12 June that “whilst the impact of such discharges meant the NHS was never short of beds or ventilators, it seems extraordinary that no one appeared to consider the clinical risk to care homes despite widespread knowledge that the virus could be carried asymptomatically.”
	tabling member printed	Lord Alton of Liverpool
	uin	HL5739
	answer	answer is ministerial correction date of answer 07/07/2020 answer text <p>Throughout our coronavirus response we have kept our policies under continuous review based on the emerging international and domestic evidence and have worked tirelessly with the care sector and public health experts to reduce transmission and save lives.</p><p>On 15 April, we published COVID-19: Our Action Plan for Adult Social Care. This set out that all patients are required to be tested prior to discharge to a care home. A copy is attached.</p><p>Patients are discharged when it is clinically safe and they no longer need acute care. Wherever possible, people who are clinically ready should be supported to return to their place of residence, where assessment of longer-term needs will take place. This approach follows the ‘discharge to assess’ model, to support timely and appropriate discharge from hospital.</p><p>As our understanding of the virus has changes throughout the course of the pandemic, we have continued to develop our policy. Our current policy is that due to evidence of asymptomatic spread, during periods of sustained transmission we recommend that all residents being discharged from hospital or interim care facilities to the care home and new residents admitted from the community should be isolated for 14 days within their own room. For care home residents, around 70% of people living in care homes for the over 65s have dementia. It is important they return to their familiar environments when they are clinically ready, with the personalised support and daily activities in place that help them to live well with dementia. This can be better achieved in their care home, rather than the hospital.</p><p>We have made £1.3 billion funding available via the National Health Service to help patients who no longer need urgent treatment to get home from hospital safely and quickly. We have also made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care. On 13 May we announced an additional £600 million to support care home providers through a new Adult Social Care Infection Control Fund.</p> answering member printed Lord Bethell question first answered 07/07/2020 17:15:53 answering member 4708 label Biography information for Lord Bethell attachment 1 file name covid-19-adult-social-care-action-plan.pdf title Adult Social Care Action Plan
	tabling member	738 label Biography information for Lord Alton of Liverpool

1200264

	registered interest
	date	03/06/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the remarks of the President of the Association of Directors of Social Services, that the recently published minutes of the Scientific Advisory Group for Emergencies appear "to reinforce the impression that social care has been an afterthought – a secondary consideration after the NHS" and that "this cannot continue".
	tabling member printed	Lord Alton of Liverpool
	uin	HL5150
	answer	answer is ministerial correction date of answer 24/06/2020 answer text <p>Throughout this pandemic, we have been determined to give both the National Health Service and social care everything they need to respond to the COVID-19 pandemic.</p><p>In February 2020, the first guidance for the social care sector was published. In March, we announced £1.6 billion funding for local government and £1.3 billion to go to the NHS and social care for discharge support. In April, we announced a further £1.6 billion for local government and our COVID-19: Our Action Plan for Adult Social Care. A copy of the Action Plan is attached.</p><p>On 15 May, the Government published the Care Home Support package and an additional £600 million Adult Social Care Infection Control Fund. This represents the next phase of our response for care homes.</p><p>We continue to work tirelessly with the care sector and public health experts to explore all measures possible to reduce transmission and save lives.</p> answering member printed Lord Bethell question first answered 24/06/2020 10:28:12 answering member 4708 label Biography information for Lord Bethell attachment 1 file name covid-19-adult-social-care-action-plan.pdf title Adult Social Care Action Plan
	tabling member	738 label Biography information for Lord Alton of Liverpool