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1176638

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	Health Services: Weather
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of NHS trusts' ability to manage increased patient risk this winter.
tabling member printed	Baroness Thornton
uin	HL1390
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1391 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1782 label Biography information for Baroness Thornton

1176639

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	Hospitals: Weather
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what support they have given to hospitals to help them manage any increases in activity and workforce shortages over the winter period.
tabling member printed	Baroness Thornton
uin	HL1391
answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1390 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1782 label Biography information for Baroness Thornton

1175465

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	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord O'Shaughnessy on 24 October 2017 (HL1882), whether the Human Fertilisation and Embryology Authority now holds information on methods of freezing; if not, why not; and if so, how many human embryos were (1) transferred to uteri to establish pregnancies, (2) destroyed, and (3) allocated for destruction but have not yet been destroyed, following (a) vitrification, and (b) slow freezing methods, in each of the last five years for which figures are available.
tabling member printed	Lord Alton of Liverpool
uin	HL1237
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it does not hold information on which methods of freezing are used.</p><p>The HFEA is required under the Human Fertilisation and Embryology Act 1990 to keep a register recording identifiable information on patients, the treatments they undergo and their outcomes. This information does not include the method used to freeze sperm, eggs or embryos.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 15:04:05 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1175474

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	Coronavirus
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 Blackwood of North Oxford on 30 January (HL734), why those arriving in the UK on commercial flights from Wuhan after the Government had received reports of coronavirus received no medical intervention when those evacuated on the flight from Wuhan organised by the Foreign and Commonwealth Office are to be quarantined for 14 days.
tabling member printed	Lord Birt
uin	HL1246
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The supported isolation model used following the flight from Wuhan organised by the Foreign and Commonwealth Office on 31 January and the subsequent flight on 2 February was undertaken as a highly precautionary measure. Direct flights from Wuhan ceased on 24 January. On 30 January the World Health Organization declared a Public Health Emergency of International Concern and the risk associated with return from the epicentre of the outbreak had increased.</p><p>We are asking anyone in the United Kingdom who has returned from Hubei Province in the last 14 days to self-isolate, to stay indoors and avoid contact with other people.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 15:00:06 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2533 label Biography information for Lord Birt

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

1175496

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 make it easier for parents to access vaccination services for their children.
tabling member printed	Lord Hunt of Kings Heath
uin	HL1268
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>As announced in the June 2019 Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em>, the Government is committed to publishing a Vaccine Strategy, which considers a range of actions to address access to vaccination services as an important factor in improving vaccine uptake.</p><p>In addition, the NHS Long Term Plan committed to a fundamental review of general practitioner (GP) vaccination and immunisation standards, funding and procurement, alongside a review of GP access. Interim findings of this work were published on 25 October and are being fed into the ongoing GP contract negotiations.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 15:03:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175359

registered interest
date	30/01/2020
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	Embryos
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Lord Prior of Brampton on 22 November 2016 (HL3075), how many human embryos were deliberately destroyed in each of the last 12 months for which figures are available; how many human embryos were transferred to uteri in order to establish pregnancies; and what are the cumulative figures for both circumstances since such procedures were made legal.
tabling member printed	Lord Alton of Liverpool
uin	HL1173
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The information requested is shown in the following tables. The following table provides the figures for each of the last 12 months, 1 January 2018 – 31 December 2018. The data is as shown on the Human Fertilisation and Embryology Authority’s (HFEA) register database on 5 February 2020. This is a live database so these figures reflect the data on this day.</p><table><tbody><tr><td><p>Year</p></td><td><p>Month</p></td><td><p>Total destroyed /discarded</p></td><td><p> </p></td><td><p>Total embryos transferred</p></td></tr><tr><td rowspan="13"><p>2018</p></td><td><p>January</p></td><td><p>13,283</p></td><td><p> </p></td><td><p>5,398</p></td></tr><tr><td><p>February</p></td><td><p>15,193</p></td><td><p> </p></td><td><p>7,352</p></td></tr><tr><td><p>March</p></td><td><p>16,257</p></td><td><p> </p></td><td><p>7,360</p></td></tr><tr><td><p>April</p></td><td><p>15,150</p></td><td><p> </p></td><td><p>6,728</p></td></tr><tr><td><p>May</p></td><td><p>15,300</p></td><td><p> </p></td><td><p>6,735</p></td></tr><tr><td><p>June</p></td><td><p>15,520</p></td><td><p> </p></td><td><p>6,263</p></td></tr><tr><td><p>July</p></td><td><p>15,236</p></td><td><p> </p></td><td><p>6,598</p></td></tr><tr><td><p>August</p></td><td><p>15,057</p></td><td><p> </p></td><td><p>6,779</p></td></tr><tr><td><p>September</p></td><td><p>13,485</p></td><td><p> </p></td><td><p>6,187</p></td></tr><tr><td><p>October</p></td><td><p>16,087</p></td><td><p> </p></td><td><p>7,002</p></td></tr><tr><td><p>November</p></td><td><p>16,029</p></td><td><p> </p></td><td><p>7,637</p></td></tr><tr><td><p>December</p></td><td><p>10,597</p></td><td><p> </p></td><td><p>4,734</p></td></tr><tr><td><p>Total</p></td><td><p>177,194</p></td><td><p> </p></td><td><p>78,773</p></td></tr></tbody></table><p>Source:</p><p><em>Source:</em> HFEA</p><p> </p><p>The following table provides the cumulative figures for both circumstances since 1 August 1991.</p><table><tbody><tr><td colspan="2"><p>1 August 1991 – 31 December 2018</p></td></tr><tr><td><p>Total number of embryos discarded/destroyed</p></td><td><p>2,931,824</p></td></tr><tr><td><p>Total number of embryos transferred</p></td><td><p>1,979,831</p></td></tr></tbody></table><p> </p><p><em>Source:</em> HFEA</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:53:26 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1175420

registered interest
date	30/01/2020
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	Health Professions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many (1) registered nurses, (2) registered nursing associates, and (3) registered midwives, are on the Nursing and Midwifery Council Register (a) in total, and (b) whose initial registration was in another European Union country.
tabling member printed	Lord Willis of Knaresborough
uin	HL1234
answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The following table shows the current number of registered nurses, registered nursing associates, and registered midwives on the Nursing and Midwifery Council (NMC) Register.</p><p><strong> </strong></p><table><tbody><tr><td><p>Midwife</p></td><td><p>36,916</p></td></tr><tr><td><p>Nurse</p></td><td><p>653,544</p></td></tr><tr><td><p>Nurse and midwife (dual registration)</p></td><td><p>7,288</p></td></tr><tr><td><p>Nursing associate</p></td><td><p>489</p></td></tr><tr><td><p>Total</p></td><td><p>698,237</p></td></tr></tbody></table><p><strong> </strong></p><p> </p><p>The following table shows the current number of registered nurses, registered nursing associates, and registered midwives currently on NMC Register whose initial registration was in other European Union countries.</p><p><strong> </strong></p><table><tbody><tr><td><p>Midwife</p></td><td><p>1,217</p></td></tr><tr><td><p>Nurse</p></td><td><p>31,379</p></td></tr><tr><td><p>Nurse and midwife (dual registration)</p></td><td><p>439</p></td></tr><tr><td><p>Nursing associate</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>33,035</p></td></tr></tbody></table><p> </p><p>All figures are as recorded on the NMC register on 4 February 2020.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:49:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4151 label Biography information for Lord Willis of Knaresborough