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1140451

	registered interest
	date	18/07/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	High Speed 2 Line: Broadband
	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 Sugg on 18 July 2018 (HL9238), what steps they are taking to ensure that towns, villages and hamlets affected by the HS2 railway line can access the optical fibre network being installed along the HS2 line of route.
	tabling member printed	Baroness Byford
	uin	HL17284
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>HS2 Ltd is planning to install a trackside optical fibre network along the Phase One HS2 line to provide digital connectivity for its passengers. As part of work to design this network, HS2 Ltd is working with the Department for Transport and the Department for Digital, Culture, Media and Sport to consider options for offering capacity to third parties, in order to share the benefit of HS2’s investment in optical fibre with local communities.</p><p> </p><p>Separately from HS2, the Prime Minister has recently set out ambitions for accelerating the roll-out of gigabit capable broadband across the UK.</p><p> </p> answering member printed Baroness Vere of Norbiton question first answered 07/08/2019 11:36:53 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	3343 label Biography information for Baroness Byford

1141924

	registered interest
	date	24/07/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Official Cars: New Palace Yard
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what is the policy of the Government Car Service in relation to running their engines when stationary in New Palace Yard.
	tabling member printed	Baroness Jones of Moulsecoomb
	uin	HL17468
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Government Car Service (GCS) drivers are given clear instruction not to keep their engines running while parked. Regular reminders are sent out on this subject.</p><p> </p><p>GCS is moving towards low and zero emission vehicles to reduce carbon and nitrogen oxide emissions and the Department is working with them to speed this up.</p><p> </p><p>Cars operated by the Metropolitan Police Service also park in New Palace Yard but I am unable to comment on the operational instructions given to their drivers.</p><p> </p> answering member printed Baroness Vere of Norbiton question first answered 07/08/2019 11:37:12 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	4297 label Biography information for Baroness Jones of Moulsecoomb

1141925

	registered interest
	date	24/07/2019
	answering body	Department for Transport
	answering dept id	27
	answering dept short name	Transport
	answering dept sort name	Transport
	hansard heading	Official Cars: New Palace Yard
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which Ministers have given permission or asked drivers of Government Car Service cars to leave their engines running in New Palace Yard while the vehicle is stationary and waiting.
	tabling member printed	Baroness Jones of Moulsecoomb
	uin	HL17469
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>The Government Car Service (GCS) is not aware of any Ministers requesting or instructing GCS drivers to leave their engines running while parked in New Palace Yard.</p><p> </p><p>GCS is moving towards low and zero emission vehicles to reduce carbon and nitrogen oxide emissions and the Department is working with them to speed this up.</p><p> </p><p>Cars operated by the Metropolitan Police Service also park in New Palace Yard but I am unable to comment on the operational instructions given to their drivers.</p><p> </p> answering member printed Baroness Vere of Norbiton question first answered 07/08/2019 11:37:26 answering member 4580 label Biography information for Baroness Vere of Norbiton
	tabling member	4297 label Biography information for Baroness Jones of Moulsecoomb

1141905

	registered interest
	date	24/07/2019
	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 what were the 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	HL17449
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Data is not available in the format requested.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:37:37 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1141914

	registered interest
	date	24/07/2019
	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 Records: Data Protection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, published on 15 July, what is meant by "fair terms" for (1) NHS organisations, and (2) the NHS as a whole.
	tabling member printed	Lord Freyberg
	uin	HL17458
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17459 HL17460 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141915

	registered interest
	date	24/07/2019
	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 Records: Data Protection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, which organisation or body will hold to account the boards of NHS organisations in ensuring that "any arrangements entered into by their organisation are fair, including recognising and safeguarding the value of the data that is shared and the resources which are generated as a result of the arrangement”.
	tabling member printed	Lord Freyberg
	uin	HL17459
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17458 HL17460 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141916

	registered interest
	date	24/07/2019
	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 Records: Data Protection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in respect of its guidance Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation, whether, in referring to NHS organisations, national NHS organisations, pertinent departments and arms-length bodies are required not to enter into “exclusive arrangements for raw data held by them”.
	tabling member printed	Lord Freyberg
	uin	HL17460
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>As set out in the recently published guidance <em>Creating the right framework to realise the benefits for patients and the NHS where data underpins innovation,</em> the Centre of Expertise will offer support to those National Health Service organisations seeking to understand whether proposed data arrangements meet the requirements set out in the five guiding principles. The Centre of Expertise will sit in NHSX. The requirement that terms are agreed which are fair to both an NHS organisation and the wider NHS, is included to ensure, for example, that local NHS trusts consider arrangements which can provide benefits to the whole NHS, not just to an individual trust. This may include a NHS trust providing access to anonymised healthcare data for development of a healthcare product in return for access at a reduced cost to that product for the whole NHS, not just that particular trust. Fair terms should ensure that benefits returned to NHS organisations and the NHS as a whole are commensurate with the outputs that are generated by the data partner. The principles are intended to apply to all NHS organisations at the primary, secondary and tertiary care levels, including national NHS organisations. However, we will consider the inclusion of arm’s length bodies as part of the next phase of work in developing a full policy framework.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17458 HL17459 question first answered 07/08/2019 11:38:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2593 label Biography information for Lord Freyberg

1141956

	registered interest
	date	24/07/2019
	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 Illness: 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 reports that referrals to child mental health units from primary schools for pupils aged 11 and under have risen by almost 50 per cent in the last three years.
	tabling member printed	Lord Watson of Invergowrie
	uin	HL17500
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>No formal assessment has been made as comparable data is not available at a national level.</p><p>Referral data for children and young people’s mental health services is published by NHS Digital in the Mental Health Services Dataset since 2017. This shows that in 2017/18 there were 259,615 new referrals to children and young people’s mental health services for people aged 0-18 and 381,528 new referrals for the same in 2018/19.</p><p>The number of providers supplying data has increased in 2018/19 and so a direct comparison between the two years is not possible.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:38:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1241 label Biography information for Lord Watson of Invergowrie

1141959

	registered interest
	date	24/07/2019
	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	Breast Cancer: Clinical Trials
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which clinical trials are currently recruiting patients with HER2+ breast cancer.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL17503
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>The Department’s National Institute for Health Research (NIHR) is currently recruiting to 15 clinical trials for people with HER2+ breast cancer via its Clinical Research Network. The majority of these are commercially funded. To date, a total of 7,986 participants have been recruited to these 15 trials.</p><p>Of the 15 clinical trials, 12 are commercially sensitive, with appropriate cost recovery from the companies. The data for these commercial trials has been provided from the relevant companies as ‘commercial in confidence’ hence we are unable to provide details about these trials such as their titles.</p><p>However, the three clinical trials which are not commercially sensitive are:</p><p>- Cancer Research UK; NIHR Evaluation, Trials and Studies Co-ordinating Centre (NETSCC). Title: The UK plasma based Molecular profiling of Advanced breast cancer to inform Therapeutic Choices (plasmaMATCH);</p><p>- Cancer Research UK. Title: Response to Optimal Selection of neo-adjuvant Chemotherapy in Operable breast cancer; and</p><p>- Medical Research Council. Title: A mechanistic non-invasive imaging study of HER2 expression in breast cancer using [18F]GE-226 positron emission tomography.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:43:14 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1142430

	registered interest
	date	25/07/2019
	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	General Practitioners: Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of pension provision for GP practice nurses and, in particular, the impact of their exclusion from the NHS pension scheme until 1997.
	tabling member printed	Baroness Altmann
	uin	HL17504
	answer	answer is ministerial correction date of answer 07/08/2019 answer text <p>Membership of the NHS Pension Scheme was extended to general practitioner (GP) practice nurses from September 1997, following an agreement reached with organisations representing nurses and GPs. Prior to this date, GP practice nurses were excluded because eligibility was originally limited to those directly employed by a National Health Service body. GP practice nurses are employed directly by self-employed GPs, rather than the NHS.</p><p>The pressure on NHS Pension Scheme costs, which are met mutually across all members and their employers, meant that practice nurses could not be offered retrospective membership for employment before 1997. This was accepted by staff representatives at the time of the agreement, and remains the current position.</p><p>However, GP practice nurses and their employers can make voluntary extra contributions to purchase units of ‘Additional Pension’ and so boost their NHS retirement pensions.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/08/2019 11:43:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4533 label Biography information for Baroness Altmann