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627579

registered interest
date	02/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Reciprocal Arrangements
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 4 April 2016 (HL7324), what are the updated figures for 2015–16 for the table showing the sums collected from and paid to EU governments for medical treatment of EU and UK citizens.
tabling member printed	Lord Marlesford
uin	HL2953
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Department, on behalf of the United Kingdom Government, reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.</p><p>Figures for 2015-16 are provided in the attached table.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:50:13 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Resource Outturn Totals.pdf title HL2953 table attachment
tabling member	1854 label Biography information for Lord Marlesford

626835

registered interest
date	01/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Pregnancy: Air Pollution
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to educate pregnant women about the detrimental effects of air pollution on foetuses.
tabling member printed	Baroness Jones of Whitchurch
uin	HL2913
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Government has produced resources to inform the public and professionals about the risks of carbon monoxide (CO) to the foetus. Elevated exposure to CO can occur indoors due to malfunctioning appliances. Sufficient “test your breath” postcards about the risks of CO have been made available for every pregnant woman for the past two years. An online training module has recently been launched, to support midwifery teams to effectively screen all pregnant women for CO. An algorithm for midwives, to help diagnose CO poisoning in pregnant women and offer advice, was also updated this year.</p><p> </p><p>More recently, a Foreword from the Chief Medical Officer for England introduced the report <em>Every breath we take: The lifelong impact of air pollution </em>which draws attention to the potential effects of indoor and outdoor air pollutants on the developing foetus, particularly the evidence for effects on premature birth and low birth weight. A copy of this report is attached.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:51:16 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Every breath we take_The lifelong impact of air pollution.pdf title Every breath we take report
tabling member	3792 label Biography information for Baroness Jones of Whitchurch

625800

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Managers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they have taken to remove the use of confidentiality agreements in relation to the dismissal of senior NHS executives.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2819
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>Settlement agreements, including confidentiality clauses, are not required where an employee is dismissed including, for example, dismissal for gross misconduct. Such agreements are used where the employer and employee mutually agree to bring the employment relationship to an end, typically following an employment dispute.</p><p> </p><p>Settlement agreements are a matter for individual employers and no agreement can prevent either party from making a disclosure in the public interest if they choose to do so.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:44:45 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

625801

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Southport and Ormskirk Hospital NHS Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they endorse the decision of the Southport and Ormskirk NHS Trust to withhold from the public domain the reasons for the dismissal of the Chief Executive of the Trust.
tabling member printed	Lord Hunt of Kings Heath
uin	HL2820
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Southport &amp; Ormskirk Hospitals NHS Trust advises that, in line with its employment policies, the Chief Executive has the right of appeal against the decision of the disciplinary panel, and it would therefore be inappropriate and unfair to comment on the allegations.</p><p> </p><p>The Trust has said that no aspect of the disciplinary investigation related to issues of patient care or safety.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:43:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

625839

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government with regard to (1) oocytes frozen for a patient's own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman, for each year from 2008 to 2015 (a) how many oocytes were frozen and how many have been thawed for the purposes of treatment by in vitro fertilisation; (b) of those which were thawed, how many were successfully fertilised and appeared to develop normally; and (c) of those, how many were transferred to a uterus, and how many of those transfers resulted in (I) a pregnancy, (ii) miscarriage, or (iii) live birth.
tabling member printed	Lord Winston
uin	HL2858
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority has provided data which can be found in the attached document. Table 1 shows the numbers of oocytes that have been frozen. Table 2 shows where a patient’s own oocytes have been thawed for their own use. Table 3 shows where the patient has used thawed donated oocytes and the outcomes.</p><p> </p><p>Table 1 is below. Tables 2 and 3 can be found in the attached document.</p><p> </p><p>Table 1 - the numbers of oocytes that have been frozen.</p><p> </p><table><tbody><tr><td><p>Year of Treatment</p></td><td><p>Number of eggs frozen for patient’s own use</p></td><td><p>Number of eggs frozen for donation</p></td></tr><tr><td><p>2008</p></td><td><p>2367</p></td><td><p>117</p></td></tr><tr><td><p>2009</p></td><td><p>2697</p></td><td><p>156</p></td></tr><tr><td><p>2010</p></td><td><p>2856</p></td><td><p>80</p></td></tr><tr><td><p>2011</p></td><td><p>3846</p></td><td><p>244</p></td></tr><tr><td><p>2012</p></td><td><p>4583</p></td><td><p>456</p></td></tr><tr><td><p>2013</p></td><td><p>5945</p></td><td><p>1090</p></td></tr><tr><td><p>2014</p></td><td><p>7190</p></td><td><p>2497</p></td></tr><tr><td><p>2015 (Mid year for treatments)</p></td><td><p>4431</p></td><td><p>2265</p></td></tr></tbody></table><p> </p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:54:26 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name 20161103 - HL2858 - Lord Winston - Tables 2 and 3.pdf title Tables 2 and 3
tabling member	1770 label Biography information for Lord Winston

625840

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government with regard to (1) oocytes frozen for a patients' own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman, in how many cases for each year from 2008 to 2015 more than one embryo was transferred simultaneously to the uterus and how many multiple pregnancies or multiple births have resulted.
tabling member printed	Lord Winston
uin	HL2859
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority has provided data in the following table.</p><p>Patients using their own eggs:</p><table><tbody><tr><td><p>Year of treatment</p></td><td><p>Multiple Embryo Transfer events</p></td><td><p>Incidences of Multiple births or pregnancies from multiple embryo transfer events</p></td></tr><tr><td><p>2008</p></td><td><p>10</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>23</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>34</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2011</p></td><td><p>25</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2012</p></td><td><p>44</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2013</p></td><td><p>46</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2014 (Mid year for births)</p></td><td><p>58</p></td><td><p>0</p></td></tr><tr><td><p>2015 (Mid year for births)</p></td><td><p>38</p></td><td><p>*</p></td></tr></tbody></table><p>Patients using donor eggs:</p><table><tbody><tr><td><p>Year of treatment</p></td><td><p>Multiple Embryo Transfer Events</p></td><td><p>Incidences of Multiple births or pregnancies from multiple embryo transfer events</p></td></tr><tr><td><p>2008</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>Less than 5</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>21</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2011</p></td><td><p>46</p></td><td><p>5</p></td></tr><tr><td><p>2012</p></td><td><p>44</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2013</p></td><td><p>46</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2014 (Mid year for births)</p></td><td><p>64</p></td><td><p>7</p></td></tr><tr><td><p>2015 (Mid year for treatments)</p></td><td><p>74</p></td><td><p>*</p></td></tr></tbody></table><p>* Part year data not available.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:37:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625841

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government in each year from 2008 to 2015 what is the incidence of foetal abnormalities in births which have resulted from treatments using (1) oocytes frozen for a patients' own use in the UK, and (2) frozen oocytes used for the purpose of donation to another woman.
tabling member printed	Lord Winston
uin	HL2860
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has provided data in the following table. The HFEA advises that it can only provide data for outcomes up to 30/06/2014.</p><p> </p><table><tbody><tr><td rowspan="2"><p>Year of Treatment</p></td><td colspan="2"><p>Outcomes where abnormalities, or possible abnormalities, were seen</p></td></tr><tr><td><p>Patients using their own Eggs</p></td><td><p>Patients using donor eggs</p></td></tr><tr><td><p>2008</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2009</p></td><td><p>Less than 5</p></td><td><p>0</p></td></tr><tr><td><p>2010</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2011</p></td><td><p>0</p></td><td><p>Less than 5</p></td></tr><tr><td><p>2012</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2013</p></td><td><p>0</p></td><td><p>0</p></td></tr><tr><td><p>2014 (mid year for births)</p></td><td><p>0</p></td><td><p>0</p></td></tr></tbody></table> answering member printed Lord Prior of Brampton question first answered 08/11/2016 17:41:42 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625842

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government in respect of (1) oocytes frozen for a patient's own use in the UK, and (2) frozen oocytes for the purpose of donation to another woman, how many patients had a live birth after they reached the age of 35.
tabling member printed	Lord Winston
uin	HL2861
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has provided data in the following table. These treatments took place prior to 30 June 2014, which is the last date for which the HFEA holds verified data.</p><p> </p><table><tbody><tr><td><p>Patients, aged 35 &amp; over, using their own eggs in a treatment that leads to a live birth</p></td><td><p>29</p></td></tr><tr><td><p>Patients, aged 35 &amp; over, using donated eggs in a treatment that leads to a live birth</p></td><td><p>72</p></td></tr></tbody></table><p> </p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:36:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1770 label Biography information for Lord Winston

625846

registered interest
date	31/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Travellers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they intend to implement the recommendation made in the Inclusion Health Board report <i>Hidden Needs: Identifying Key Vulnerable Groups in Data Collection</i>s that Gypsies and Travellers should be designated as particularly vulnerable.
tabling member printed	Baroness Hodgson of Abinger
uin	HL2865
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>We recognise the importance of addressing the needs of vulnerable groups such as Gypsies and Travellers as part of our wider work on tackling health inequalities. We share the concerns of the <em>Hidden Needs: Identifying Key Vulnerable Groups in Data Collection</em> (2014) report, which identified the poor health experiences of some Gypsy and Traveller groups making them particularly vulnerable in terms of much higher rates of mortality and morbidity than the general population.</p><p> </p><p>The National Inclusion Health Board championed more effective local action to address these concerns. This included encouraging better local planning and commissioning of services, and improving access to them.</p><p> </p><p>Earlier this year, we published the board’s report <em>Impact of insecure accommodation and the living environment on Gypsies’ and Travellers’ health</em> (2016).This report built on concerns in earlier reports about the vulnerability of this group and sets out suggested actions to improve the living conditions and health outcomes of Gypsies and Travellers. It calls for more joined up working by local authorities, the National Health Service and responsible health agencies, and local public health services, and emphasises the importance of building greater community cohesion to address some of the key obstacles to the development of a healthy and sustainable environment for Gypsy and Traveller families. A copy of the report is attached.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 16:23:07 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Impact of insecure accommodation Gypsies and Traveller health.pdf title Impact of insecure accommodation report
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

622479

registered interest
date	27/10/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the publication in July of <i>Implementing the Five Year Forward View for Mental Health</i>, whether they intend to publish a national Mental Health Strategy.
tabling member printed	Lord Porter of Spalding
uin	HL2800
answer	answer is ministerial correction date of answer 08/11/2016 answer text <p>I refer the noble Lord to the answer I gave on 3 November 2016 to Question <a href="http://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2016-10-20/HL2508/" target="_blank">HL2508</a>.</p><p> </p><p>The Government welcomed the independent taskforce’s recommendations for mental health and fully endorses the report. We continue to work across Government departments to progress taking the taskforce recommendations forward.</p> answering member printed Lord Prior of Brampton question first answered 08/11/2016 15:14:39 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	4555 label Biography information for Lord Porter of Spalding