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1175248

	registered interest
	date	22/01/2020
	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	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many GPs have been in practice for each year since 2010.
	tabling member printed	Baroness Thornhill
	uin	HL726
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The number of full time equivalent (FTE) doctors working in general practice in each year since 2015 has been provided in the following table. Data is not included prior to 2015 as improvements were made to the methodology for recording all staff working in general practice in September 2015 and data prior to this is not comparable.</p><p> </p><table><tbody><tr><td><p>Number of all doctors in general practice</p></td><td><p>FTE</p></td></tr><tr><td><p>September 2015</p></td><td><p>34,429</p></td></tr><tr><td><p>September 2016</p></td><td><p>35,229</p></td></tr><tr><td><p>September 2017</p></td><td><p>34,653</p></td></tr><tr><td><p>September 2018</p></td><td><p>34,534</p></td></tr><tr><td><p>September 2019</p></td><td><p>34,862</p></td></tr></tbody></table><p><em>Source:</em> NHS Digital</p><p><em>Notes: </em></p><ol><li>Data as at 30 September 2019.</li><li>Figures shown do not include general practice staff working in prisons, army bases, educational establishments, specialist care centres including drug rehabilitation centres, walk-in centres and other alternative settings.</li><li>Figures contain estimates, for practices that did not provide fully valid General Medical Practice general practitioner (GP), nurse or direct patient care staff records.</li><li>The figures presented include GP registrars and GP locums.</li><li>Data collected and published prior to September 2015 is not comparable due to a change in data collection methodology.</li><li>Data must be compared from the same time point in the year, therefore September data is provided to allow comparison for the earliest available data.</li><li>FTE refers to the proportion of full-time contracted hours that the post holder is contracted to work. 1 would indicate they work a full set of hours (37.5), 0.5 that they worked half time. In Registrars' contracts 1 FTE = 40 hours. To ensure consistency, these FTEs have been converted to the standard wMDS measure of 1 FTE = 37.5 hours in the table.</li></ol><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2020 15:09:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4558 label Biography information for Baroness Thornhill

1175306

	registered interest
	date	27/01/2020
	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	Pregnancy: Carbon Monoxide
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many non-smoking pregnant women, who have their carbon monoxide levels routinely monitored, have been found to have raised levels of carbon monoxide.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL791
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>This information is not held centrally.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2020 16:19:54 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1176666

	registered interest
	date	23/01/2020
	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	Midwives: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many of the 3,000 additional training places announced in May 2018 for midwifery students have (1) been filled in the current academic year, and (2) been commissioned for each of the next three academic years.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL732
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Since the changes to the bursary system in 2017 midwifery places are no longer directly commissioned. The Department makes funding available for clinical placements, with places filled via the normal university application process. The Government has committed to expand midwifery training places by 3,650 over a four year period with an increase of 650 in September 2019 and 1,000 in each of the subsequent years.</p><p>Data from the Universities and Colleges Admissions Service (UCAS) in the following table shows acceptances to midwifery courses increased by 425 in the academic year 2019-20. The table also shows the number of acceptances in each of the three preceding academic years.</p><table><tbody><tr><td><p>Academic year</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td></tr><tr><td><p>Number of acceptances</p></td><td><p>2,395</p></td><td><p>2,600</p></td><td><p>2,680</p></td><td><p>3,105</p></td></tr></tbody></table><p><em>Source</em>: UCAS end of cycle data, 2019</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL733 question first answered 30/01/2020 15:56:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1176668

	registered interest
	date	23/01/2020
	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	Midwives: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many student midwives started their training in (1) the current academic year, and (2) each of the three preceding academic years.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL733
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Since the changes to the bursary system in 2017 midwifery places are no longer directly commissioned. The Department makes funding available for clinical placements, with places filled via the normal university application process. The Government has committed to expand midwifery training places by 3,650 over a four year period with an increase of 650 in September 2019 and 1,000 in each of the subsequent years.</p><p>Data from the Universities and Colleges Admissions Service (UCAS) in the following table shows acceptances to midwifery courses increased by 425 in the academic year 2019-20. The table also shows the number of acceptances in each of the three preceding academic years.</p><table><tbody><tr><td><p>Academic year</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td></tr><tr><td><p>Number of acceptances</p></td><td><p>2,395</p></td><td><p>2,600</p></td><td><p>2,680</p></td><td><p>3,105</p></td></tr></tbody></table><p><em>Source</em>: UCAS end of cycle data, 2019</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL732 question first answered 30/01/2020 15:56:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1175286

	registered interest
	date	23/01/2020
	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	Cancer: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how the NHS Long Term Plan intends to improve the quality of life for survivors of cancer.
	tabling member printed	Lord Wills
	uin	HL775
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>Following cancer treatment, patients will move to a Personalised Stratified Follow-Up pathway that suits their needs and ensures they can get rapid access to clinical support if they are worried that their cancer may have recurred. This stratified follow-up approach is expected to be established in all trusts for breast cancer in 2019, for prostate and colorectal cancers in 2020 and for other cancers where clinically appropriate by 2023.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2020 16:22:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	260 label Biography information for Lord Wills

1175174

	registered interest
	date	21/01/2020
	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	HIV Infection: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how they intend to ensure the routine commissioning of Pre-Exposure Prophylaxis.
	tabling member printed	Baroness Thornton
	uin	HL652
	answer	answer is ministerial correction date of answer 04/02/2020 answer text <p>The Department is continuing to work closely with NHS England and NHS Improvement, Public Health England and local authorities to plan for a seamless transition from the Pre-Exposure Prophylaxis (PrEP) Impact Trial to routine commissioning from April 2020. Further information will be available shortly. PrEP continues to be available through the trial.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL653 question first answered 04/02/2020 14:09:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1175236

	registered interest
	date	22/01/2020
	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	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what are the legal responsibilities of a named GP.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL684
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.</p><p>The Department has not made a formal assessment into the impact and role of named accountable GPs.</p><p>Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.</p><p>Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.</p><p>Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL685 HL686 HL687 HL688 HL689 question first answered 05/02/2020 15:43:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name GMS-Guidance.pdf title General Medical Services (GMS) contract
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1175309

	registered interest
	date	27/01/2020
	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	NHS: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of (1) the extent, and (2) the range, of drug shortages in the NHS.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL794
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The majority of medicines are dispensed in England every day without issue, with over two million prescription items dispensed each day. However, the production of medicines is complex and highly regulated, and materials and processes must meet rigorous safety and quality standards. Supply problems can affect a wide range of drugs and can arise for various reasons, such as manufacturing issues, problems with the raw ingredients and batch failures.</p><p>The Department has well established processes to manage and mitigate supply problems that may arise at any one time and works closely with the Medicines and Healthcare Regulatory Authority (MHRA), the pharmaceutical industry, NHS England and NHS Improvement and others operating in the supply chain, to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p><p>Where issues do arise, the Department will use a host of tools which might include working with the MHRA to expedite regulatory procedures, working with manufacturers to manage remaining supplies and expedite the delivery of further stock and commissioning clinical advice on alternative options from specialist clinicians.</p><p>Furthermore, the team routinely works with specialist importer companies to obtain unlicensed products from abroad to help to manage supply issues affecting the National Health Service.</p><p>Occasionally the team will work with wholesalers and suppliers to put demand management processes in place to ensure the equitable distribution of stock throughout the country as this ensures the NHS can continue to access the medicines it requires.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL795 HL796 HL797 question first answered 06/02/2020 17:22:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175270

	registered interest
	date	23/01/2020
	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	Breastfeeding
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of World Health Organisation guidance that breastfeeding a baby for two years has health benefits that last into adulthood.
	tabling member printed	Baroness Miller of Chilthorne Domer
	uin	HL754
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The Scientific Advisory Committee on Nutrition (SACN) is reviewing the scientific basis of current recommendations for feeding young children aged 12 to 60 months. Where evidence is available, this will cover the impact of continued breastfeeding up to two years of age or beyond as recommended by the World Health Organization on short and long-term health outcomes into adulthood.</p><p>In July 2018, the SACN published its report on <em>Feeding in the First Year of Life</em>, providing updated recommendations on infant feeding up to 12 months of age in the United Kingdom. Based on SACN’s advice, the UK Government recommends that women exclusively breastfeed for around the first six months of life and continue breastfeeding for at least the first year of life once solid foods have been introduced. A copy of <em>Feeding in the First Year of Life</em> is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2020 15:54:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name SACN_report_on_Feeding_in_the_First_Year_of_Life.pdf title Feeding in the First Year of Life
	tabling member	1934 label Biography information for Baroness Miller of Chilthorne Domer

1176686

	registered interest
	date	23/01/2020
	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: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of reports that passengers arriving in the UK on flights from Wuhan since the outbreak of the coronavirus in China have not been medically screened upon their arrival.
	tabling member printed	Lord Birt
	uin	HL734
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Enhanced monitoring measures are in place for all direct flights from Wuhan to the United Kingdom in response to the outbreak of Wuhan novel coronavirus (WN-CoV). We are rolling the enhanced monitoring for all direct flights from China. The focus of the measures is to identify those who may be at risk of having contracted WN-CoV, ensuring that they have information and support if they are concerned and can contact Public Health England staff at the airport.</p><p>These measures do not include the introduction of ‘medical screening’ such as temperature screening. Expert advice suggests ‘medical screening’ such as temperature screening would be of very limited effectiveness and detect only a small minority of cases. This is because symptoms do not usually appear until five to seven days, and sometimes up to 14 days.</p> answering member printed Baroness Blackwood of North Oxford question first answered 30/01/2020 15:55:05 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2533 label Biography information for Lord Birt