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1176607

registered interest
date	05/02/2020
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	Liothyronine
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 operation of data protection legislation in respect of Clinical Commissioning Groups asking to see patients' personal health data when reviewing the use of liothyronine for the purposes of cost cutting.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1359
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>Clinical commissioning groups (CCGs) are legally responsible, as data controllers in their own right, to abide by data protection legislation when processing any data. The Department does not assess their operation of data protection legislation.</p><p>CCGs are the responsible commissioner for the prescription of liothyronine and it is for CCGs to have regard to guidance set out by the National Institute for Health and Care Excellence (NICE) and NHS England and NHS Improvement.</p> answering member printed Baroness Blackwood of North Oxford question first answered 12/02/2020 17:41:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176201

registered interest
date	04/02/2020
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	Vaccination
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 causes of the decline in uptake of vaccinations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1321
answer	answer is ministerial correction date of answer 13/02/2020 answer text <p>To assess the causes of the decline in uptake of vaccinations, Public Health England (PHE) undertakes annual surveys of parents and adolescents to understand how knowledge, beliefs and attitudes towards immunisation, vaccine safety and disease severity influence vaccine uptake decision-making.</p><p>PHE believes that the causes of the decline in vaccine include access to services and inconsistencies in reminder communications from healthcare professionals. More information on the survey can be found in the attached National Audit Office report, <em>Investigation into pre-school vaccinations</em>.</p><p>The Government is committed to improving the uptake of vaccinations which is why we will shortly be publishing a vaccine strategy.</p> answering member printed Baroness Blackwood of North Oxford question first answered 13/02/2020 15:36:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name NAO-vaccinations-report-2019-10-25 (002).pdf title NAO-vaccinations-report-2019
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176202

registered interest
date	04/02/2020
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	Vaccination: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what evidence they have collected to show the effectiveness of actions, taken since 2016, to improve the uptake of vaccinations of children.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1322
answer	answer is ministerial correction date of answer 13/02/2020 answer text <p>The NHS Long Term Plan set out a clear commitment to improve uptake of vaccinations and a range of action has been taken. This has included expanding key childhood vaccination programmes. All primary school children are now eligible for their seasonal flu vaccination through the National Health Service school vaccination programme after it was extended to include year 6 this season. NHS Digital is due to publish the annual vaccine uptake data, collected by Public Health England, for 2019/20 in September 2020, which will give some indication of whether these interventions have started to be effective.</p><p>General practice plays an invaluable role in the delivery of vaccination services, especially for children. During 2019, NHS England and NHS Improvement undertook the most significant review of vaccination and immunisation payment mechanisms since 1990. The findings of this extensive review identified a range of effective interventions. The recent update to the general practitioner (GP) contract confirmed the interventions will see the biggest reforms to the payment and incentive system in 30 years to support GP practices improve vaccination coverage.</p> answering member printed Baroness Blackwood of North Oxford question first answered 13/02/2020 15:37:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176203

registered interest
date	04/02/2020
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	MMR Vaccine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what estimate they have made of the number of children aged five who have not had both doses of the MMR vaccination.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1323
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>Public Health England reports childhood vaccination coverage statistics for England. In 2018/19 there were 94,342 children aged five years who did not have a record of receiving both doses of the Measles Mumps Rubella (MMR) vaccine. Of these, 55,916 children had received dose one of MMR and 38,426 had no record of receiving MMR.</p> answering member printed Baroness Blackwood of North Oxford question first answered 12/02/2020 17:41:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176204

registered interest
date	04/02/2020
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	Asthma: Medical Equipment
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 study from the University of Cambridge The costs of switching to low global-warming potential inhalers. An economic and carbon footprint analysis of NHS prescription data in England, published on 30 October 2019, which found that switching to more environmentally friendly asthma inhalers could achieve large cabon saving and reduce drug costs.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1324
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>NHS England and NHS Improvement are aware of and have considered the study referenced. The findings are being taken into account alongside other evidence in understanding the impact on patient care, the environmental impact and the costs involved in a change in the mix of inhalers to lower carbon alternatives.</p><p>As set out in the NHS Long Term Plan, the National Health Service restated its commitment to the carbon targets in the UK Government Climate Change Act 2008, reducing carbon emissions, on a 1990 baseline, by:</p><p>- 34% by 2020; and</p><p>- 51% by 2025</p><p>In particular, the NHS Long Term Plan commits that a substantial reduction in the carbon impact of inhalers and anaesthetics over 10 years, will contribute to the overall NHS carbon reduction targets. The propellants used in pressurised inhalers are potent greenhouse gases.</p> answering member printed Baroness Blackwood of North Oxford question first answered 12/02/2020 17:40:47 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176205

registered interest
date	04/02/2020
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	Kingston Hospital: Parking
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they are satisfied that the Kingston NHS Foundation Trust is able to maintain permanently a minimum number of 797 car parking spaces for patients, visitors and staff, in line with planning obligations, as a result of the sale of a plot of hospital land to residential developers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1325
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>The appropriateness of parking is the responsibility of the local National Health Service trust.</p><p>NHS organisations have autonomy to make decisions that best suit their local circumstances.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1326 question first answered 12/02/2020 17:21:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176206

registered interest
date	04/02/2020
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	Kingston Hospital: Parking
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action the Kingston NHS Foundation Trust is taking to ensure the re-provision of 75 permanent, as opposed to temporary, parking spaces for the benefit of patients, visitors and staff to replace those lost as a result of the sale of a plot of hospital land.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1326
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>The appropriateness of parking is the responsibility of the local National Health Service trust.</p><p>NHS organisations have autonomy to make decisions that best suit their local circumstances.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1325 question first answered 12/02/2020 17:21:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175493

registered interest
date	03/02/2020
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	Vaccination: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to ensure that the performance standard for the uptake of nearly all routine pre-school vaccinations is met.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1265
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>As announced in the Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em> published in July 2019, the Government is committed to publishing a national Vaccine Strategy which will be available shortly. As part of this strategy, we are considering a wide array of options, including rolling out text reminder services to families, to increase our vaccination uptake rates and ensure they reach the 95% standard set for the majority of vaccine programmes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:57:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175494

registered interest
date	03/02/2020
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	Vaccination: 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 impact of anti-vaccination messages on the uptake of all routine pre-school vaccinations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1266
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>England’s national vaccination programme is well-regarded globally, with uptake levels for most of our pre-school vaccinations above 90%. Parental attitudinal surveys conducted by Public Health England demonstrate that there is high confidence in our vaccine programmes and that 94% of parents rate the National Health Service as the most trusted source of information on immunisation.</p><p>However, despite a recent uptick in vaccination uptake rates, the Department remains concerned about the slow and steady decline in vaccine uptake rates since 2013. Whilst the impact of anti-vaccination messaging on uptake is hard to quantify, we take the issue of misinformation about vaccines extremely seriously. We are working across Government and with social media companies on innovative ways to tackle the proliferation of anti-vaccine messaging on their sites and ensuring that reputable sources are the most prominent.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:58:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175495

registered interest
date	03/02/2020
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	Vaccination: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what action they are taking to improve consistency by healthcare professionals in reminding parents to vaccinate their children.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1267
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The Department is aware that effective reminder systems are likely to be a key factor in improving vaccine uptake. This was highlighted in the January 2019 Royal Society for Public Health report <em>Moving the Needle</em>, which noted that such services are desired by 80% of United Kingdom adults surveyed. As such, the Department is considering options for improved, and more consistent, methods for reminding parents of vaccination appointments, including rolling out a text reminder service, as announced by the Secretary of State for Health and Social Care in November 2019.</p><p>More widely, the Government is committed to publishing a national Vaccine Strategy as announced in July 2019 as part of the Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em>. The strategy, which will be published shortly, carefully considers an array of options to improve our vaccine uptake rates.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:54:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath