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769231

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Papillomavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the action taken by the Medicines and Healthcare Products Regulatory Agency in 2012–13 to undertake enhanced pharmacovigilance alongside routine signal detection for the HPV vaccine was effective in preventing unfounded safety concerns; and if not, whether they will ask the Medicines and Healthcare Products Regulatory Agency to conduct further heightened pharmacovigilance at specific centres to assess those who suspect they have an adverse reaction to the HPV vaccination.
tabling member printed	The Countess of Mar
uin	HL1965
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) put in place an enhanced form of pharmacovigilance for the human papillomavirus (HPV) vaccine when the immunisation programme first commenced in 2008. This was because, at the time, the United Kingdom was the first country to implement a nationwide immunisation programme with the Cervarix brand of HPV vaccine. This enhanced form of pharmacovigilance was based primarily on the evaluation of general practice-derived electronic health record data, alongside Yellow Card reports. This has been effective in allowing the MHRA to determine that the reporting rate of particular suspected side effects, adjusted for under-reporting, is within the range of the expected natural incidence in the absence of HPV vaccination. As with all vaccines and medicines, the MHRA keeps the safety of HPV vaccine under continual review.</p><p>The Commission on Human Medicines has advised that available evidence does not support a link between HPV vaccination and the development of chronic illnesses, and reviews of HPV vaccine safety undertaken by international health authorities have reached similar conclusions. Most recently, in July 2017, the World Health Organization’s vaccine safety committee concluded that it has found no new adverse events of concern for HPV vaccine based on many very large, high quality studies.</p><p> </p><p>The clinical assessment of individual patients remains the responsibility of their doctors and other healthcare providers.</p><p><strong><br> </strong></p><p> </p> answering member printed Lord O'Shaughnessy question first answered 18/10/2017 15:41:55 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

769232

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Papillomavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether double-blind placebo-controlled clinical trials were used by marketing authorisation holders for the testing of HPV vaccines prior to approval by the Medicines and Healthcare Products Regulatory Agency.
tabling member printed	The Countess of Mar
uin	HL1966
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The Human Papilloma Virus (HPV) vaccines available in the European Union were authorised by the European Medicines Agency, and a detailed summary of its evaluation of the pre-licensing clinical trials for each vaccine is available in the European public assessment reports. These reports confirm that randomised, double-blind, placebo-controlled trials were considered in the evaluation of each HPV vaccine prior to approval.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 18/10/2017 15:42:28 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

769233

registered interest
date	12/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Drugs: Side Effects
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether it is possible to inform the Medicines and Healthcare Products Regulatory Agency of signs and symptoms that arise after a Yellow Card report has been submitted; and if so, how this should be done.
tabling member printed	The Countess of Mar
uin	HL1967
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>Additional information can be submitted directly by the original reporter or by the pharmaceutical company as new information becomes available following the submission of the original report. Furthermore, follow-up information is frequently requested by the Medicines Healthcare products Regulatory Agency (MHRA) in order to assess Adverse Drug Reaction (ADR) reports more effectively and to improve the quality of information on the database.</p><p> </p><p>Once a Yellow Card (YC) report is submitted and entered onto the database, an acknowledgment letter or email is sent to the reporter to confirm receipt and advise of the ADR reference number.</p><p> </p><p>Additional information can be provided to the MHRA at any time following the submission of a YC report. The ADR reference number is required together with any additional information to ensure that this is added to the correct report. However, every effort is made to identify the correct report in instances where the ADR reference number has not been provided.</p><p> </p><p> </p> answering member printed Lord O'Shaughnessy question first answered 18/10/2017 15:40:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

768561

registered interest
date	11/10/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Foreign Nationals
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 extent to which the changes brought in by National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 may exacerbate health inequalities; whether they have made any further estimate of the savings to be made since publishing their impact assessment; if so, what is the difference between those two estimates; and whether they plan to reconsider those changes.
tabling member printed	Lord Roberts of Llandudno
uin	HL1911
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>Following a detailed public consultation that ran from December 2015 to March 2016, the Government set out in its response to that consultation in February 2017 that it intended to amend the existing Charging Regulations. Over the course of the consultation and decision-making process, the Government carefully considered the impact the changes may have on public health, health inequalities and on vulnerable groups. The regulations providing for these changes were introduced on 19 July 2017 alongside a published impact assessment which estimated that the net income per annum as a result of the new regulations would be up to £40 million per year. While the Government monitors the implementation of the regulations and their effects, no further estimates on the net income have been made since the publication of the impact assessment.</p> answering member printed Lord O'Shaughnessy question first answered 18/10/2017 09:36:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3691 label Biography information for Lord Roberts of Llandudno

768572

registered interest
date	11/10/2017
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	Personal Independence Payment
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many meetings they have held with the Chief Executives of Atos and Capita about Personal Independence Payment assessments since the General Election.
tabling member printed	Baroness Thomas of Winchester
uin	HL1920
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>Her Majesty’s Government has had no meetings with the Chief Executives of either Independent Assessment Services (Atos) or Capita since the last General Election.</p> answering member printed Baroness Buscombe question first answered 18/10/2017 12:04:13 answering member 3349 label Biography information for Baroness Buscombe
tabling member	3785 label Biography information for Baroness Thomas of Winchester

767884

registered interest
date	10/10/2017
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Iraq: Overseas Aid
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the Christian, Yazidi and Shia minorities in Iraq are considered as vulnerable people in terms of UK humanitarian assistance; and if so, how this status is factored into UK aid programming both in Iraq and countries hosting refugees from these communities.
tabling member printed	Lord Alton of Liverpool
uin	HL1803
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The UK Government recognises the vulnerability of religious minorities in Iraq. DFID’s funding for Iraq and host countries of Iraqi refugees is based on humanitarian principles of neutrality and impartiality; and we aim to ensure that no one is excluded or discriminated against on the grounds of race, ethnicity, or religion, that the specific risks facing minorities are addressed and that our assistance reaches those who need it most, including vulnerable people from minority communities such as Yazidis, Shia and Christians. DFID regularly challenges our partners in Iraq and host countries of Iraqi refugees to demonstrate that they are doing all they can to meet the needs of the most vulnerable people, including those from religious minorities. We welcome information from all sources to help us to hold them to account.</p> answering member printed Lord Bates question first answered 18/10/2017 16:52:25 answering member 1091 label Biography information for Lord Bates
tabling member	738 label Biography information for Lord Alton of Liverpool

767885

registered interest
date	10/10/2017
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	Middle East: Refugees
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 UNHCR’s vulnerability criteria in relation to refugees from Iraq or Syria; and whether they consider that religious identity should be included as a factor in this assessment.
tabling member printed	Lord Alton of Liverpool
uin	HL1804
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>Our current assessment is that UNHCR’s guidelines are sufficient to identify risks to refugees from Iraq or Syria which arise from their religious identity. It is recognised that identification of faith can constitute vulnerability. We will continue to raise these issues on a regular basis with UNHCR.</p> answering member printed Lord Bates question first answered 18/10/2017 16:53:00 answering member 1091 label Biography information for Lord Bates
tabling member	738 label Biography information for Lord Alton of Liverpool

767917

registered interest
date	10/10/2017
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	National Parks
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, within their 25 year plan for the environment, the ways in which they will protect and enhance the special qualities of the National Parks will be spelt out, in particular their commitment to the principle that those special qualities should take precedence over other conflicting demands for economic development.
tabling member printed	Lord Judd
uin	HL1836
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>National parks cover nearly 10% of England’s land area and contain almost 30% of England’s internationally important wildlife sites. Plans to conserve and enhance the natural beauty, wildlife and cultural heritage in national parks will be an important component of the 25 year plan for the environment. The plan will ensure that we use the insights of natural capital thinking to develop an approach which will help guide us.</p><p> </p> answering member printed Lord Gardiner of Kimble question first answered 18/10/2017 14:14:51 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	1660 label Biography information for Lord Judd

767918

registered interest
date	10/10/2017
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	English Nature
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how they will support English Nature in fulfilling its statutory responsibilities for designated landscapes.
tabling member printed	Lord Judd
uin	HL1837
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>Natural England is the government’s advisory body for the natural environment in England, for which Defra is the sponsor department. Natural England’s responsibilities include helping to protect England’s nature and landscapes for people to enjoy and for the services they provide. Natural England is responsible for designating landscapes and protected areas in England. Defra works closely with Natural England to agree shared objectives on a strategic basis.</p><p> </p> answering member printed Lord Gardiner of Kimble question first answered 18/10/2017 14:37:19 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	1660 label Biography information for Lord Judd

767919

registered interest
date	10/10/2017
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Nature Conservation
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 all important areas for biodiversity and wildlife, including those within National Parks and Areas of Outstanding Natural Beauty, are protected and maintained when the UK leaves the EU.
tabling member printed	Lord Judd
uin	HL1838
answer	answer is ministerial correction date of answer 18/10/2017 answer text <p>The government remains committed to being the first generation to leave the environment in a better state than we inherited it. We will deliver this vision through an ambitious 25 year environment plan.</p><p> </p><p>The European Union (Withdrawal) Bill will make sure the whole body of existing EU environmental law continues to have effect in UK law. The Bill will preserve EU law where it stands at the moment before we leave the EU.</p><p> </p><p>We are committed not only to maintaining but to enhancing environmental standards as we leave the E.U.</p> answering member printed Lord Gardiner of Kimble question first answered 18/10/2017 14:16:14 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	1660 label Biography information for Lord Judd