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386101

registered interest
date	29/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Infectious Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what research is being supported by Public Health England and the Animal and Plant Health Agency into the global health and economic security threats posed by pandemics caused by emerging zoönoses and coronaviruses.
tabling member printed	Lord Jones of Cheltenham
uin	HL900
answer	answer is ministerial correction date of answer 13/07/2015 answer text <p>The United Kingdom has robust systems in place to detect, assess and respond to infectious disease threats of both natural and deliberate origin. This was tested during the assessment of the application of the Global Health Security Agenda Assessment Tool and was considered to be an exemplar of good practice. These systems are particularly strong across Public Health England (PHE) and the Animal and Plant Health Agency (APHA) for emerging zoonotic threats, and the UK has been seen as one of the world leaders in putting One Health into action. Zoonotic diseases are included within the Government’s National Risk Register as high risk and needing cross Government action to reduce the threat, mitigate the risk and respond to cases/outbreaks.</p><p> </p><p> </p><p> </p><p>PHE undertakes a varied programme of research into infectious agents and medical tools required to detect, diagnose, recognise, and respond to outbreaks of infectious disease. PHE collaborates with academia on modelling threats posed by emerging zoonoses and assess the roles of cross-immunity and seasonal influenza vaccination on the emergence of pandemic strains. During the recent Ebola virus outbreak in West Africa, PHE conducted research on the design and assessment of containment equipment for safe diagnostics in West Africa; improving diagnosis, understanding pathogenesis, and assessing treatment/prevention approaches for Ebola virus disease in animal models and human clinical trials. This capability is and can be applied to all pathogens, including those which are zoonotic.</p><p> </p><p> </p><p> </p><p>APHA is engaged in a number of research projects on the subject of zoonotic pathogens with pandemic potential. This includes: the rapid detection of coronaviruses, studies into the ability of H5N1 avian influenza viruses to infect, adapt and become transmissible in mammalian species and research into risks and pathways for the introduction of Chinese-origin H7N9 avian influenza virus into United Kingdom and European poultry. APHA is also engaged in various research projects with international and external collaborators, including European consortiums assessing new and emerging diseases.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 13/07/2015 14:27:46 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	248 label Biography information for Lord Jones of Cheltenham

386102

registered interest
date	29/06/2015
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	Motor Vehicles: Exhaust Emissions
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what measures they plan to introduce to encourage higher penetration of environmentally friendly vehicles into the car and lorry market in order to combat the threat to public health of increasing air pollution.
tabling member printed	Lord Jones of Cheltenham
uin	HL901
answer	answer is ministerial correction date of answer 08/07/2015 answer text <p>We are fully committed to tackling the challenges of air pollution. We have committed £2 billion since 2011 to increase the uptake of ultra-low emission vehicles and green transport initiatives and to support Local Authorities to take action. This has included investment in cycling schemes and low emission buses. We will publish revised air quality plans for nitrogen dioxide (NO<sub>2</sub>) by the end of this year. These will set out actions at all levels, including national and local, to achieve compliance with legal limits for NO<sub>2</sub> in the shortest possible time.</p><p> </p> answering member printed Lord Gardiner of Kimble question first answered 08/07/2015 11:36:31 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	248 label Biography information for Lord Jones of Cheltenham

386103

registered interest
date	29/06/2015
answering body	Department for International Development
answering dept id	20
answering dept short name	International Development
answering dept sort name	International Development
hansard heading	St Helena: Airports
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is the planned opening date of St Helena Airport.
tabling member printed	Lord Jones of Cheltenham
uin	HL902
answer	answer is ministerial correction date of answer 13/07/2015 answer text <p>The airport scheduled to open for commercial flights from the end of February 2016, subject to completion of the remaining works and to meeting all regulatory requirements. An official opening ceremony is planned for later that year.</p> answering member printed Baroness Verma question first answered 13/07/2015 16:34:12 answering member 3790 label Biography information for Baroness Verma
tabling member	248 label Biography information for Lord Jones of Cheltenham

381050

registered interest
date	15/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Care Quality Commission’s new maternity inspection framework and NHS England’s new maternity commissioning guidance will explicitly refer to the need to demonstrate how providers are actively working to reduce the much higher risks of still birth, neonatal death and clinical negligence claims among multiple pregnancies.
tabling member printed	Lord Jones of Cheltenham
uin	HL498
answer	answer is ministerial correction date of answer 25/06/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England and has supplied the following information:</p><p> </p><p> </p><p> </p><p>The current version of CQC’s core service framework does not refer explicitly to multiple births. CQC is currently reviewing the framework and they are working with organisations such as the Twins and Multiple Births Association to determine how best to ensure their new framework takes account of the risks associated with multiple births. As part of the existing inspection framework CQC expects maternity services to have due regard to existing advice and guidance, such as NICE Quality Standard 46 which refers specifically to multiple births and risk assessments. Going forward the CQC will expect trusts to provide evidence of their compliance with these recommendations.</p><p> </p><p> </p><p> </p><p>NHS England has informed us that its new maternity commissioning guidance will explicitly refer to the need to demonstrate how providers are actively working to reduce the much higher risks of still birth, neonatal death and clinical negligence claims among multiple pregnancies and how it will achieve this.</p><p> </p><p> </p><p> </p><p>The Department together with the parent’s support and campaigning organisation Stillbirth and Neonatal Death Charity (Sands) and a number of key organisations including NHS England, Public Health England, the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists are working on an on-going stillbirth prevention work programme. This work identifies key messages which can be used to raise awareness among both pregnant women and health professionals of the risk factors for stillbirths and the actions that can be taken to minimise these risks.</p><p> </p><p> </p><p> </p><p>The new maternity commissioning guidance will make reference to stillbirth prevention work and will focus on identifying the evidence based interventions which impact on reducing stillbirths and early neonatal death.</p><p> </p><p> </p><p> </p><p>NHS England has been working with many stakeholders on collating a package of interventions and best practice models to reduce stillbirths which will result in recommendations for clinical practice and are likely to be included in future commissioning specifications for maternity. The NHS England – led “Saving Babies’ Lives” Care Bundle brings together a number of elements likely to impact on still birth rates including:</p><p> </p><p> </p><p> </p><p>- reducing smoking in pregnancy by carrying out Carbon Monoxide test at antenatal booking appointment to identify smokers (or those exposed to tobacco smoke) and referring to stop smoking service/specialist as appropriate;</p><p> </p><p>- identification and surveillance of pregnancies with fetal growth restriction;</p><p> </p><p>- raising awareness amongst pregnant women of the importance of detecting and reporting reduced fetal movement; and</p><p> </p><p>- effective fetal monitoring during labour.</p><p> </p><p> </p><p> </p><p>The commissioning guidance will refer to sufficient provision of resource to support appropriate levels of these types of surveillance within the clinical practice environment.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 25/06/2015 13:26:22 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	248 label Biography information for Lord Jones of Cheltenham

381051

registered interest
date	15/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the National Health Service's Sign up to Safety Campaign will aim to reduce the higher-than-average proportion of multiple pregnancies that result in a still birth, neonatal death or clinical negligence claim.
tabling member printed	Lord Jones of Cheltenham
uin	HL499
answer	answer is ministerial correction date of answer 29/06/2015 answer text <p>The NHS Litigation Authority (NHS LA) has supported the campaign by managing incentive scheme bids to reduce harm and subsequent claims. Whilst there are no bids received specific to multiple pregnancies the NHS LA has awarded over £8 million across 25 successful maternity bids. This funding is aimed at supporting the reduction of claims relating to stillbirth and birth injury for all pregnancies and will include multiple births.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 29/06/2015 14:44:26 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	248 label Biography information for Lord Jones of Cheltenham

381052

registered interest
date	15/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
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 issue advice to commissioners, regulators and providers about tackling the disproportionately high rates of still birth and neonatal death in multiple pregnancies.
tabling member printed	Lord Jones of Cheltenham
uin	HL500
answer	answer is ministerial correction date of answer 29/06/2015 answer text <p>We have made reducing stillbirth an improvement area for the National Health Service in the NHS Outcomes Framework. The Department is working with key partners, including NHS England, Public Health England, The Royal College of Obstetricians and Gynaecologists, The Royal College of Midwives and the stillbirth and neonatal death charity Sands, to identify and drive forward the actions required to help reduce further the stillbirth and neonatal mortality rate in England.</p><p> </p><p> </p><p> </p><p>Evidence based advice on the care of women with multiple pregnancies is set out in the National Institute for Health and Care Excellence (NICE) Clinical Guidelines ‘Multiple Pregnancies – The management of twin and triplet pregnancies in the antenatal period’ which is attached. In line with these guidelines, we would expect clinical care for women with twin and triplet pregnancies to be provided by a nominated multidisciplinary team consisting of a core team, including named specialist obstetricians, who have experience and knowledge of managing twin and triplet pregnancies. The Department has not undertaken an assessment of the effectiveness of the implementation of the NICE guidelines. It is for local maternity care providers to determine how best to deliver services for women with multiple pregnancies in their area. In doing so we would expect them to give due regard to NICE guidance.</p><p> </p><p> </p><p> </p><p>NHS England is undertaking a major review of the commissioning of NHS maternity services, in line with commitments made in the NHS Five Year Forward View. The review will assess current maternity care provision and consider how services should be developed to meet the changing needs of women and babies. This review is expected to report by the end of the year.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 29/06/2015 14:48:58 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name NICE - Multiple pregnancy.pdf title NICE - Multiple Pregancies
tabling member	248 label Biography information for Lord Jones of Cheltenham

224949

registered interest
date	03/03/2015
answering body	Department for Culture Media and Sport
answering dept id	10
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	Broadband: Rural Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what plans they have to roll out superfast broadband to rural areas of the United Kingdom.
tabling member printed	Lord Jones of Cheltenham
uin	HL5393
answer	answer is ministerial correction date of answer 12/03/2015 answer text <p>On 9 February 2015 the Government announced that 2 million premises have been passed by its Superfast Broadband Programme, meaning that superfast broadband is now available to almost 80% of UK premises, up from 45% in 2010. The Government funding is supporting further investment by the private sector to ensure that the benefits of better broadband are extended as widely as possible.<br> <br> Through over 50 local projects the Government, Local Authorities and Devolved Administrations are investing over £1.7 billion in improving broadband. The Superfast Broadband Programme is being delivered in three phases:</p><p>· Phase 1 (formerly known as the Rural Broadband Programme) aims to provide superfast broadband coverage to 90% of UK homes and businesses by early 2016 and provide access to standard broadband (2Mbps) for all</p><p>· Phase 2 aims to provide superfast broadband coverage to 95% of the UK by 2017</p><p> </p><p>· Phase 3 is testing options to roll-out superfast broadband beyond 95%</p> answering member printed Lord Gardiner of Kimble question first answered 12/03/2015 12:32:16 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	248 label Biography information for Lord Jones of Cheltenham

224950

registered interest
date	03/03/2015
answering body	Department for Culture Media and Sport
answering dept id	10
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	Broadband: Rural Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they plan to fast-track those rural areas which have not received funding for superfast broadband.
tabling member printed	Lord Jones of Cheltenham
uin	HL5394
answer	answer is ministerial correction date of answer 12/03/2015 answer text <p>Superfast Broadband will be available to 95% of UK homes and businesses by 2017. The Government is undertaking a number of market testing pilot projects to explore options for extending coverage beyond the 95% level.</p> answering member printed Lord Gardiner of Kimble question first answered 12/03/2015 12:31:26 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	248 label Biography information for Lord Jones of Cheltenham

224951

registered interest
date	03/03/2015
answering body	Department for Culture Media and Sport
answering dept id	10
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	Broadband: Rural Areas
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 the lack of superfast broadband on businesses, farming communities, households and the elderly, particularly in rural areas.
tabling member printed	Lord Jones of Cheltenham
uin	HL5395
answer	answer is ministerial correction date of answer 12/03/2015 answer text <p>The benefits of superfast broadband are summarised in the UK Broadband Impact Study (<a href="https://www.gov.uk/government/publications/uk-broadband-impact-study--2" target="_blank">https://www.gov.uk/government/publications/uk-broadband-impact-study--2</a>). This looked at a wide range of benefits, including considerations around different business sectors, and rurality. Given the benefits identified the Government aims to provide 95 per cent superfast broadband coverage by 2017, and is exploring options for taking coverage beyond that level.</p> answering member printed Lord Gardiner of Kimble question first answered 12/03/2015 12:31:06 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	248 label Biography information for Lord Jones of Cheltenham

224952

registered interest
date	03/03/2015
answering body	Department for Culture Media and Sport
answering dept id	10
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	Broadband: Rural Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they will use Compton Bassett in Wiltshire as a pilot test case for installing superfast broadband in rural areas due to its special and unusual challenges.
tabling member printed	Lord Jones of Cheltenham
uin	HL5396
answer	answer is ministerial correction date of answer 12/03/2015 answer text <p>The Government remains committed to taking superfast broadband coverage further than the 95% level to be achieved by current programmes, but there are no current plans to undertake a pilot exercise in Compton Bassett.</p> answering member printed Lord Gardiner of Kimble question first answered 12/03/2015 12:30:48 answering member 4161 label Biography information for Lord Gardiner of Kimble
tabling member	248 label Biography information for Lord Jones of Cheltenham