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658696

registered interest
date	14/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hepatitis
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 Bates on 6 December (HL3698), whether they are committed to eliminating hepatitis C as a public health threat in the UK by 2030; and if so, what strategy they have adopted to achieve this.
tabling member printed	Lord Black of Brentwood
uin	HL4114
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The Government is committed to eliminating hepatitis C as a major public health threat.</p><p>The United Kingdom has a comprehensive surveillance system in place combining laboratory diagnoses data, risk/behaviour data, outcome data, statistical modelling and service evaluation to monitor the cascade of care, detect outbreaks, and generate burden estimates. Prevention efforts in minimising harm in people who inject drugs is focused on access to opiate substitution therapies and needle syringe exchange programmes, and disinfection tablets in prisons. NHS England leads on treatment and continues to support National Health Service-led Operational Delivery Networks to provide National Institute for Health and Care Excellence approved treatments for hepatitis C.</p><p>Public Health England supports the Government’s efforts by publishing hepatitis C metrics which are available in the report <em>Hepatitis C in the UK 2016 report: Working towards its elimination as a major public health threat</em>. A copy of the report is attached.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 15:27:44 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Hepatitis_C_in_the_UK_2016_report.pdf title HEPATITIS C IN THE UK
tabling member	4171 label Biography information for Lord Black of Brentwood

658697

registered interest
date	14/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Child Tax Credit
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 reducing public health funding for contraception on the proposal to limit child tax credits to the first two children in a household.
tabling member printed	Baroness Gould of Potternewton
uin	HL4115
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>No assessment has been made. Local areas decide how to spend public health funding. Contraception is widely available from general practices, and sexual and reproductive health services and is free to all.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 15:27:01 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3573 label Biography information for Baroness Gould of Potternewton

658698

registered interest
date	14/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many patients resident in the devolved administrations accessed sexual health services in England in the last three years for which figures are available; and what was the estimated cost to NHS England of the provision of those services in each of those years.
tabling member printed	Baroness Gould of Potternewton
uin	HL4116
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>Data have been provided on the number of contacts with Sexual and Reproductive Health Services in England, from residents of Scotland, Wales and Northern Ireland for the last two years (2014-15 and 2015-16). Data are not available prior to this, as location of patient residence was not submitted by all providers.</p><p> </p><p>NHS England does not hold data on the costs associated with these contacts. Attendances at genito-urinary medicine (GUM) services is collected separately through the GUMCAD data set. Data are not published in the format requested.</p><p> </p><p>Contacts with Sexual and Reproductive Health Services in England, from residents of Scotland, Wales and Northern Ireland.<sup>1</sup></p><p><sup> </sup></p><p>2014-2015 and 2015-2016</p><table><tbody><tr><td><p><table><tbody><tr><td><p>Country of residence</p></td><td colspan="2"><p>Year</p></td></tr><tr><td><p> </p></td><td><p>2014-15</p></td><td><p>2015-16</p></td></tr><tr><td><p>Northern Ireland</p></td><td><p>3</p></td><td><p>43</p></td></tr><tr><td><p>Scotland</p></td><td><p>152</p></td><td><p>254</p></td></tr><tr><td><p>Wales</p></td><td><p>2,362</p></td><td><p>2,049</p></td></tr><tr><td><p>Total</p></td><td><p>2,517</p></td><td><p>2,346</p></td></tr></tbody></table></p></td></tr></tbody></table><p> </p><p>1. The quality of this data is dependent on the location of residence submitted by providers.</p><p>Source: Sexual and Reproductive Health Activity Dataset, NHS Digital.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 15:17:44 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3573 label Biography information for Baroness Gould of Potternewton

658724

registered interest
date	14/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many NHS hospital operations have been cancelled since August 2016 because of a shortage of (1) beds, or (2) staff.
tabling member printed	The Marquess of Lothian
uin	HL4142
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The information is not available in the format requested.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 17:09:06 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	259 label Biography information for The Marquess of Lothian

657746

registered interest
date	13/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
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 effectiveness of local authority cross-charging arrangements for sexual health services.
tabling member printed	Baroness Gould of Potternewton
uin	HL4065
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>There is no requirement on local authorities to have cross-charging arrangements in place; this is a matter for local determination.</p><p> </p><p>No estimate has been made of the number of local authorities that do not have cross-charging arrangements. Public Health England recently conducted a survey into the commissioning arrangements for sexual and reproductive health and HIV, including assessment of cross-charging arrangements.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4066 question first answered 20/12/2016 15:22:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3573 label Biography information for Baroness Gould of Potternewton

657747

registered interest
date	13/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Genito-urinary Medicine
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their estimate of the number of local authorities that have not developed cross-charging arrangements for the provision of sexual health services, as recommended in the report <i>Sexual Health Services: Key Principles for Cross Charging</i>, published in August 2013.
tabling member printed	Baroness Gould of Potternewton
uin	HL4066
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>There is no requirement on local authorities to have cross-charging arrangements in place; this is a matter for local determination.</p><p> </p><p>No estimate has been made of the number of local authorities that do not have cross-charging arrangements. Public Health England recently conducted a survey into the commissioning arrangements for sexual and reproductive health and HIV, including assessment of cross-charging arrangements.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4065 question first answered 20/12/2016 15:22:10 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3573 label Biography information for Baroness Gould of Potternewton

657380

registered interest
date	12/12/2016
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, further to the Written Answers by Lord Prior of Brampton on 17 October (HL2340) and 5 December (HL3452), whether any members of the expert panel convened by the Human Fertilisation and Embryology Authority (HFEA) shared private and confidential correspondence with members of the HFEA Executive that had not been submitted to the Authority as part of any formal calls for evidence; and if so, what were the particular circumstances that necessitated giving weight to any material not intended for publication.
tabling member printed	Lord Alton of Liverpool
uin	HL4014
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that the Expert Panel has met on four occasions over the past four years. On each occasion a formal call for evidence was issued. With regard to the most recent report, the Panel received confidential correspondence on particular issues. Panel members were able to share private correspondence with the Secretariat that supports the Panel, where relevant. Where any evidence has influenced the reports it has been cited.</p><p>The HFEA has also advised that it approached John Zhang, following the publication of the abstract from the October 2016 American Society for Reproductive Medicine meeting, entitled “First live birth using human oocytes reconstituted by spindle nuclear transfer for mitochondrial DNA mutation causing Leigh syndrome”. A copy of the abstract is attached. The Panel also interviewed Prof. Zhang to further understand the methods used. The Panel’s report references the Zhang work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4015 question first answered 20/12/2016 15:21:45 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Zhang abstract ASRM Oct 2016 (1).pdf title ZHANG ABSTRACT
tabling member	738 label Biography information for Lord Alton of Liverpool

657381

registered interest
date	12/12/2016
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, further to the Written Answers by Lord Prior of Brampton on 17 October (HL2340) and 5 December (HL3452), whether members of the Human Fertilisation and Embryology Authority (HFEA) expert panel approached John Zhang or were approached by him, and when any such contact was first made; and to what extent, if any, the recent recommendations of the HFEA expert panel were influenced by the John Zhang's unpublished data referred to in the journal <i>Nature</i> on 10 November.
tabling member printed	Lord Alton of Liverpool
uin	HL4015
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that the Expert Panel has met on four occasions over the past four years. On each occasion a formal call for evidence was issued. With regard to the most recent report, the Panel received confidential correspondence on particular issues. Panel members were able to share private correspondence with the Secretariat that supports the Panel, where relevant. Where any evidence has influenced the reports it has been cited.</p><p>The HFEA has also advised that it approached John Zhang, following the publication of the abstract from the October 2016 American Society for Reproductive Medicine meeting, entitled “First live birth using human oocytes reconstituted by spindle nuclear transfer for mitochondrial DNA mutation causing Leigh syndrome”. A copy of the abstract is attached. The Panel also interviewed Prof. Zhang to further understand the methods used. The Panel’s report references the Zhang work.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4014 question first answered 20/12/2016 15:21:45 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Zhang abstract ASRM Oct 2016 (1).pdf title ZHANG ABSTRACT
tabling member	738 label Biography information for Lord Alton of Liverpool

657408

registered interest
date	12/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Care Homes: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their policy regarding proprietors of nursing and residential care homes subsidising the care of publicly funded residents from payments by private payers; and what guidance they have issued on this to local authorities or care home proprietors.
tabling member printed	Lord Warner
uin	HL4041
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>Care and support is arranged on an open market where prices and fee rates are negotiated locally by commissioners for state-funded clients, whilst individuals and their families do so for those who self-fund. The Government has no say in these individual negotiations.</p><p> </p><p>There are many reasons why individuals who self-fund may pay more than local authorities, including premium accommodation and services, and discounts that may be available to authorities for bulk purchasing and lower transaction costs.</p><p> </p><p>The Care Act placed duties on councils to promote their overall local market of providers to ensure it remains sustainable as to deliver high-quality services for all local people. Prices and fee rates paid by commissioners to provider organisations must reflect these new duties.</p><p> </p><p>The Department published the Care and Support statutory guidance setting out how councils should meet these new duties when commissioning, including the consideration of the actual costs of care and support when negotiating fee levels. This guidance is an online-only resource, subject to updates.</p> answering member printed Lord Prior of Brampton question first answered 20/12/2016 12:50:05 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1732 label Biography information for Lord Warner

654720

registered interest
date	08/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Tobacco
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they will publish a full evidence base, including any supporting research, for each measure contained in their forthcoming tobacco control strategy.
tabling member printed	Lord Palmer
uin	HL3966
answer	answer is ministerial correction date of answer 20/12/2016 answer text <p>We have a long track record in this country of implementing tobacco control measures which are supported by a strong evidence base, and the new tobacco control plan will build on this approach. As part of our development of the tobacco control plan, stakeholders were invited to give views during the initial stages. This included representatives of the independent retail sector. We will continue to consult with our stakeholders before introducing any new tobacco control measures.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3967 question first answered 20/12/2016 15:23:59 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3192 label Biography information for Lord Palmer