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1017370

registered interest
date	29/11/2018
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	Perinatal Mortality
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 England's estimate that 600 stillbirths could be prevented annually as a result of implementation of the Saving Babies' Lives Care Bundle; and whether any such assessment has taken account of the failure to include within the Saving Babies' Lives Care Bundle a specific element on twin and multiple births and the higher rates of mortality that occur in twin and multiple births.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11930
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The Department welcomes the independent Saving Babies’ Lives Project Impact and Results Evaluation (SPiRE), published earlier this year and commissioned by NHS England.</p><p>The report found that maternity staff have helped save more than 160 babies’ lives across 19 maternity units where the Saving Babies Lives Care Bundle had been implemented. The best practice guidance is now being introduced across the country and has the potential if these findings were replicated, to prevent an estimated 600 stillbirths.</p><p>In 2017, the Department funded the Twins and Multiple Births Association’s Maternity Engagement Project. The results from the interim report suggest that increased adherence to National Institute for Health and Care Excellence (NICE) guidance gave better outcomes for multiple births. This further reinforces the Department’s expectation that all health professionals working with multiple pregnancies adhere to the relevant NICE guidance.</p><p> </p><p>We look forward to reviewing the final project report, which we understand is due for publication in mid-2019.</p> answering member printed Lord O'Shaughnessy question first answered 10/12/2018 14:47:37 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012115

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many amputee sockets the NHS fitted in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and in each year, what was the cost of casting and fitting these.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11642
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11643 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012116

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the average (1) time, and (2) number of appointments between the casting process in the NHS to create an amputee test socket and the final fit of the sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11643
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012117

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what types of casting processes the NHS currently use to create amputee test sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11644
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012118

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many sockets did not fit amputees following the NHS casting process and needed to be discarded in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and how much this cost the NHS in each of those years.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11645
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012119

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when the last review by the NHS of the provision of amputee sockets, including (1) the cost, and (2) methods of fitting, was carried out.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11646
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012120

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many complaints the NHS received about the casting, fitting and provision of amputee sockets in (1) 2013, (2) 2014, (3) 2015, (4) 2016, (5) 2017; and of those, how many were upheld.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11647
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11646 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990146

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to update the guidance by NHS England Saving Babies’ Lives Care Bundle to include advice on how to reduce poor outcomes in multiple pregnancies; and if not, why not.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10768
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Saving Babies’ Lives Care Bundle is undergoing review by an oversight group consisting of nationally recognised experts, including representatives of the Royal College of Obstetricians and Gynaecologists and the British Maternal and Fetal Medicine Society. Upon completion of the review, and subject to necessary approvals, NHS England aims to publish an updated version of the Care Bundle.</p><p>There are no plans to include a new, specific element relating to multiple pregnancies in the updated version of the Care Bundle. Guidance relating to the management of multiple pregnancies is currently available from the National Institute for Health and Care Excellence (NICE). The Twins and Multiple Births Association has promoted the widespread adoption of this guidance. The oversight group concluded that inclusion of an additional element specifically focusing on multiple pregnancies would and add little benefit beyond compliance with NICE guidance.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:53:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990147

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to support a randomised control trial of the different growth charts used across England to monitor twin pregnancies in order to understand better how effective they are in preventing poor outcomes.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10769
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Department is aware of the Twins and Multiple Births Association’s launch in July last year of growth charts specifically designed to monitor twin pregnancies.</p><p>The Department’s National Institute for Health Research welcomes funding applications for research into any aspect of human health, including pregnancy. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made on the basis of the importance of the topic to patients and health and care services, value for money and scientific quality.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:55:46 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990148

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Avoiding Term Admissions Into Neonatal units programme has been successful in reducing neonatal admissions in twin pregnancies.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10770
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>NHS England collects neonatal unit admission data. However, this data cannot be disaggregated to identify admissions of twins.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:56:04 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger