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1012512

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of trends in primary care dental antibiotic prescribing in England since 2013.
tabling member printed	Lord Colwyn
uin	HL11704
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance Report 2018</em> provides information on National Health Service dental prescribing in dental practices and consultations. From 2013 to 2017, the trend of antimicrobial prescriptions which includes antibiotics, continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. The decline was largely attributed to less amoxicillin being prescribed between 2013 and 2017. A copy of the report is attached.</p><p>Information on how many children have been prescribed antibiotics or more than one course of antibiotics for dental problems in England over the last five years is not available as this data is not collected.</p><p>No assessment has been made of the potential impact of prescribing antibiotics to children who are waiting for tooth extractions due to tooth decay on their immune system and the levels of antimicrobial resistance.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11707 HL11708 HL11709 question first answered 04/12/2018 14:27:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name ESPAUR_2018_report.pdf title Antimicrobial Utilisation and Resistance Report
tabling member	3394 label Biography information for Lord Colwyn

1012514

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many patients presented to Accident and Emergency departments in England with dental problems in each of the last five years; and, in each year, how many of them were prescribed antibiotics.
tabling member printed	Lord Colwyn
uin	HL11706
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The Department does not hold information on whether patients have been prescribed antibiotics following an attendance at an accident and emergency department.</p> answering member printed Lord O'Shaughnessy question first answered 04/12/2018 14:20:53 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3394 label Biography information for Lord Colwyn

1012515

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many children were prescribed antibiotics for dental problems in England in each of the last five years.
tabling member printed	Lord Colwyn
uin	HL11707
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance Report 2018</em> provides information on National Health Service dental prescribing in dental practices and consultations. From 2013 to 2017, the trend of antimicrobial prescriptions which includes antibiotics, continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. The decline was largely attributed to less amoxicillin being prescribed between 2013 and 2017. A copy of the report is attached.</p><p>Information on how many children have been prescribed antibiotics or more than one course of antibiotics for dental problems in England over the last five years is not available as this data is not collected.</p><p>No assessment has been made of the potential impact of prescribing antibiotics to children who are waiting for tooth extractions due to tooth decay on their immune system and the levels of antimicrobial resistance.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11704 HL11708 HL11709 question first answered 04/12/2018 14:27:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name ESPAUR_2018_report.pdf title Antimicrobial Utilisation and Resistance Report
tabling member	3394 label Biography information for Lord Colwyn

1012516

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many children were prescribed more than one course of antibiotics for dental problems in England in each of the last five years.
tabling member printed	Lord Colwyn
uin	HL11708
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance Report 2018</em> provides information on National Health Service dental prescribing in dental practices and consultations. From 2013 to 2017, the trend of antimicrobial prescriptions which includes antibiotics, continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. The decline was largely attributed to less amoxicillin being prescribed between 2013 and 2017. A copy of the report is attached.</p><p>Information on how many children have been prescribed antibiotics or more than one course of antibiotics for dental problems in England over the last five years is not available as this data is not collected.</p><p>No assessment has been made of the potential impact of prescribing antibiotics to children who are waiting for tooth extractions due to tooth decay on their immune system and the levels of antimicrobial resistance.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11704 HL11707 HL11709 question first answered 04/12/2018 14:27:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name ESPAUR_2018_report.pdf title Antimicrobial Utilisation and Resistance Report
tabling member	3394 label Biography information for Lord Colwyn

1012517

registered interest
date	22/11/2018
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	Dental Health: Antibiotics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they have made an assessment of the potential impact of prescribing antibiotics to children while they wait for hospital tooth extractions due to tooth decay on (1) their immune system, and (2) the levels of antimicrobial resistance more widely.
tabling member printed	Lord Colwyn
uin	HL11709
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>The <em>English Surveillance Programme for Antimicrobial Utilisation and Resistance Report 2018</em> provides information on National Health Service dental prescribing in dental practices and consultations. From 2013 to 2017, the trend of antimicrobial prescriptions which includes antibiotics, continued to decrease by 24.8%. The number of daily defined doses of antimicrobials per 1,000 inhabitants per day prescribed by dentists was 0.19 in 2013 and 0.16 in 2016; with an 8.3% decrease from 2016 to 2017. The decline was largely attributed to less amoxicillin being prescribed between 2013 and 2017. A copy of the report is attached.</p><p>Information on how many children have been prescribed antibiotics or more than one course of antibiotics for dental problems in England over the last five years is not available as this data is not collected.</p><p>No assessment has been made of the potential impact of prescribing antibiotics to children who are waiting for tooth extractions due to tooth decay on their immune system and the levels of antimicrobial resistance.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11704 HL11707 HL11708 question first answered 04/12/2018 14:27:43 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name ESPAUR_2018_report.pdf title Antimicrobial Utilisation and Resistance Report
tabling member	3394 label Biography information for Lord Colwyn

1012534

registered interest
date	22/11/2018
answering body	Attorney General
answering dept id	88
answering dept short name	Attorney General
answering dept sort name	Attorney General
hansard heading	Hate Crime: Prosecutions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the reply by Baroness Vere of Norbiton on 6 December 2017 (HL Deb, col 1051), whether Baroness Vere of Norbiton wrote to the Director of Public Prosecutions to ask whether she agrees that the definition of hate crime is broader than what is in statute and on what authority any broadening was based; and if so, what reply she received.
tabling member printed	Lord Pearson of Rannoch
uin	HL11726
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Baroness Vere of Norbiton wrote to the Director of Public Prosecutions (DPP) on 13 December 2017. The DPP provided her response on 9 January 2018.</p><p> </p><p>In her response, the then DPP confirmed that the flagging definition for hate crime was agreed between the CPS and the NPCC (ACPO as it was then) in 2007 and that it is wider than the definition set out in legislation to ensure all relevant cases are captured.</p><p> </p><p>The CPS adopted the recommended definition in the Macpherson report published in 1999 as a result of the inquiry into the murder of Stephen Lawrence. The Macpherson report also recommended that ‘this definition should be universally adopted by the Police, local Government and other relevant agencies’.</p><p> </p><p>The recommendations of the Macpherson report were welcomed by the Government at the time and the current Government remains in support of this position. The CPS has worked with police to implement the recommended definition across all strands of hate crime. The CPS takes tackling hate crime seriously and recognises the need to increase public confidence to report. The flagging definition is important in achieving this aim.</p><p> </p><p>In order for a crime to be charged and prosecuted as a hate crime, the CPS uses the legal definitions contained in the Crime and Disorder Act 1998 (CDA 1998) and the Criminal Justice Act 2003 (CJA 2003). This means that not every incident that the victim or another person has perceived to be a hate crime will actually be a hate crime in law.</p><p> </p><p>In her letter, the then DPP also confirmed that the CPS legal guidance recognises the potential impact of prosecutions on Article 10 of the European Convention on Human Rights (the right to freedom of expression). The CPS must balance the rights of an individual to freedom of speech against the duty of the state to act proportionately and to protect the rights of others.</p> answering member printed Lord Keen of Elie question first answered 04/12/2018 13:13:56 answering member 4538 label Biography information for Lord Keen of Elie
tabling member	3153 label Biography information for Lord Pearson of Rannoch

1012114

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Emergencies: Mobile Phones
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the reply by Lord Young of Cookham on 5 July (HL Deb, cols 766–70), what progress has been made in the introduction of mobile alert technology.
tabling member printed	Lord Harris of Haringey
uin	HL11641
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p><strong><em> </em></strong></p><p>Cabinet Office is working with the Home Office and the police to explore the types of emergency where a national mobile alerting system can add value, beyond the mobile alerting schemes already in place in the UK. In order to inform any technical solution, these emergency scenarios will be explored in depth to establish where and when in the evolution of an incident a mobile alerting scheme offers the best opportunity to reduce harm to citizens.</p><p>Once we have fully assessed the need for an alerting scheme further work would be undertaken including exploring how situational awareness might be obtained, thresholds for activation and how the content of alert messages stands the best chance of eliciting helpful behaviours from the recipients. This is not without complexity since in terrorist-related incidents the protagonists will also receive the same message.</p><p> </p><p>Additionally, a scheme used for major incidents stands the chance of being used infrequently. To ensure effectiveness, there will be a need for a carefully managed media campaigns.</p> answering member printed Lord Young of Cookham question first answered 04/12/2018 14:40:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	2671 label Biography information for Lord Harris of Haringey

1012136

registered interest
date	21/11/2018
answering body	Department for Exiting the European Union
answering dept id	203
answering dept short name	Exiting the European Union
answering dept sort name	Exiting the European Union
hansard heading	Brexit: Gibraltar
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to continue to include Gibraltar in (1) the Article 3 definition section, and (2) Article 184 of the future framework section, of the EU Withdrawal Agreement.
tabling member printed	Lord Luce
uin	HL11663
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>Article 3 of the Withdrawal Agreement published on 26 November clearly states that Gibraltar is covered to the extent that Union Law applied to it before. Article 184, which records the UK and the EU’s commitment to negotiate in good faith and conclude agreements envisaged by the Political Declaration on their future relationship within a certain time frame, imposes no obligations regarding the territorial scope of future agreements. This is the EU and the UK’s shared interpretation. The government has also been clear that the UK will negotiate future agreements on behalf of all territories for whose external relations it is responsible.</p><p> </p> answering member printed Lord Callanan question first answered 04/12/2018 13:57:53 answering member 4336 label Biography information for Lord Callanan
tabling member	908 label Biography information for Lord Luce

1012139

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, what are the Key Performance Indicators for critical government contracts; which contracts the Key Performance Indicators will apply to; and whether there will be a statutory duty on suppliers to publish Key Performance Indicators.
tabling member printed	Baroness McDonagh
uin	HL11666
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>We will be publishing performance data on our most important contracts in the coming months and are currently working with departments and industry to finalise the details of publication. The published performance data will be contract specific and depend on the service provision.</p> answering member printed Lord Young of Cookham grouped question UIN HL11667 question first answered 04/12/2018 14:49:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh

1012140

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Government Departments: Contracts
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the speech given by the Chancellor of the Duchy of Lancaster at the Business Services Association Annual Chairman’s Dinner on 19 November, how the Key Performance Indicators for critical government contracts were selected; which stakeholders were consulted; and whether the Key Performance Indicators will be reviewed.
tabling member printed	Baroness McDonagh
uin	HL11667
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p>We will be publishing performance data on our most important contracts in the coming months and are currently working with departments and industry to finalise the details of publication. The published performance data will be contract specific and depend on the service provision.</p> answering member printed Lord Young of Cookham grouped question UIN HL11666 question first answered 04/12/2018 14:49:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	3701 label Biography information for Baroness McDonagh