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450608

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
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 Prior of Brampton on 27 January (HL5039), what specific recommendations the Human Fertilisation and Embryology Authority has made in order to resolve any conflict between the demands of research and the best interests of patients, in particular regarding (1) a demand for sufficient numbers of human embryos at the single-celled zygote stage in order successfully to perform genome editing by means of CRISPR-Cas9, and (2) the usual practice of transferring embryos to the uterus after assessing their potential to develop further after either two to three days or five to six days.
tabling member printed	Lord Alton of Liverpool
uin	HL5909
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>The Human Fertilisation and Embryology Authority has advised that it requires, through its Code of Practice, that embryo donors will be recruited in a manner compliant with standard licence conditions. These conditions prevent conflict between the demands of research and the best interests of patients.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 08:28:20 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

450609

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
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 Prior of Brampton on 27 January (HL5039), whether the recently approved application by the Human Fertilisation and Embryology Authority to perform genome editing in human embryos by means of CRISPR-Cas9 will be performed on embryos specifically created for research or only on those considered to be surplus to infertility treatments; whether that research application included any application for the creation of embryos; and if not, why the person responsible requested that reference to surplus embryos should be removed from the research project title.
tabling member printed	Lord Alton of Liverpool
uin	HL5910
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Human Fertilisation and Embryology Authority has advised that this research project will make use of donated embryos that were originally created for treatment purposes. An application was not made to create embryos for the purposes of this research project.</p><p> </p><p>The removal of ‘surplus’ from the title does not reflect a change in the way embryos will be donated to the research.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:07:15 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

450610

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Human Embryo Experiments
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 Prior of Brampton on 27 January (HL5039), what evidence the Human Fertilisation and Embryology Authority has received that a major cause of miscarriage is the failure of embryos to develop to the blastocyst stage; what records they hold regarding miscarriages occurring after human embryos that were known to be unable to develop further in vitro had been deliberately transferred to the uterus of a patient; and what sanctions are imposed on clinics in which such implantations take place.
tabling member printed	Lord Alton of Liverpool
uin	HL5911
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has not received any such evidence. With regards the role of the HFEA in granting a research licence, its role is to ensure that any project fulfils one of the purposed set out below:</p><p> </p><p>- Increasing knowledge about serious disease or other serious conditions.</p><p>- Developing treatments for serious diseases or other serious medical conditions.</p><p>- Increasing knowledge about the causes of congenital diseases.</p><p>- Promoting the advances in the treatment of infertility.</p><p>- Increasing knowledge about the causes of miscarriages.</p><p>- Developing more efficient techniques of contraception.</p><p>- Developing methods for detecting gene, chromosome or mitochondrion abnormalities in embryos before implantation.</p><p>- Increasing knowledge about the development of embryos.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 13:23:38 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

450624

registered interest
date	04/02/2016
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 planned future HPV vaccine programme will also cover elimination of genital warts.
tabling member printed	Baroness Gould of Potternewton
uin	HL5925
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Department and Public Health England are currently undertaking a procurement exercise to secure vaccine to support the human papillomavirus (HPV) vaccination programme for girls and as this is a competitive tender, it would not be appropriate to pre-judge the outcome of that exercise. The procurement will take account of the costs and benefits of all vaccines offered to establish which provides best value for money for the National Health Service.</p><p> </p><p>The Department is considering the advice from the Joint Committee on Vaccination and Immunisation regarding HPV vaccination for men who have sex with men. Consideration will be given to the procurement of vaccine.</p><p><strong> </strong></p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:09:17 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3573 label Biography information for Baroness Gould of Potternewton

450635

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Game: Lead
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what recommendations they have made about what is a safe level of consumption of lead-shot game for children.
tabling member printed	Lord Krebs
uin	HL5936
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Food Standards Agency (FSA) has identified the particular risk to children who frequently consume lead shot game. The FSA has advised since 2012 that those consuming high levels of such game should reduce their intake, and that this is especially important for vulnerable consumers such as children and pregnant women.</p><p> </p><p>This advice was widely reported in the media and on special interest group websites when it was published. The FSA reissued this advice last year. This advice is part of wider food safety advice on NHS Choices. The FSA is considering what further action is required to raise awareness of their advice, particularly with vulnerable groups such as parents and carers of young children.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:01:11 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3736 label Biography information for Lord Krebs

450639

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Cancer Drugs Fund
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of whether the new revised list of treatments available via the Cancer Drugs Fund will ensure increased access for patients to effective treatment.
tabling member printed	Baroness Masham of Ilton
uin	HL5940
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>NHS England has advised that the Cancer Drugs Fund (CDF) is reprioritised on a regular basis so that the resources available are focussed on the drugs providing the greatest benefit to patients. All decisions on drugs to be maintained in the CDF are based on the best available evidence, the cost of the treatment and the advice of clinicians.</p><p>The Government remains committed to the CDF and in 2015/16 £340 million has been invested in the Fund. NHS England and the National Institute for Health and Care Excellence are currently consulting on draft proposals on the future direction of the CDF. The consultation is open until 11 February 2016.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:36 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450640

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what discussions the Department of Health has had with NHS England about agreeing a long-term arrangement to control the cost of medical indemnity cover for out-of-hours GPs.
tabling member printed	Baroness Masham of Ilton
uin	HL5941
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 15:08:47 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450641

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Accident and Emergency Departments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to develop the model of co-location of urgent and emergency primary care service with accident and emergency departments.
tabling member printed	Baroness Masham of Ilton
uin	HL5942
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>In August 2015, NHS England published <em>Safer, faster, better: good practice in delivering urgent and emergency care. </em>A copy is attached. This provides guidance to help frontline providers and commissioners re-design urgent and emergency care services, including considering locating urgent care centres in emergency departments.</p><p><em>Safer, faster, better</em> notes that urgent care centres co-located with emergency departments provide an opportunity to stream patients with less serious illnesses and injuries to a service that is resourced to meet their needs, while reducing crowding in emergency departments. It also sets out that to preserve flow, urgent care centre staff and cubicles must wherever possible be entirely separated from the majors/admission stream and that where urgent care centres are co-located with emergency departments, there must be appropriate integration, with shared governance arrangements and clearly defined protocols for the two-way transfer of patients.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:53:09 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name trans-uec - HL5942.pdf title Safer, Faster, Better
tabling member	1850 label Biography information for Baroness Masham of Ilton

450642

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Working Hours
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to encourage GPs to undertake out-of-hours shifts in primary care.
tabling member printed	Baroness Masham of Ilton
uin	HL5943
answer	answer is ministerial correction date of answer 12/02/2016 answer text <p>The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.</p><p> </p><p>Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.</p><p> </p><p>The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.</p><p> </p><p>On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.</p><p> </p><p>Discussions are ongoing between the Department and NHS England on a long-term solution.</p> answering member printed Lord Prior of Brampton question first answered 12/02/2016 08:36:58 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	1850 label Biography information for Baroness Masham of Ilton

450643

registered interest
date	04/02/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Social Enterprises
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 role of social enterprises in delivering high-quality healthcare services.
tabling member printed	Baroness Masham of Ilton
uin	HL5944
answer	answer is ministerial correction date of answer 11/02/2016 answer text <p>It is a statutory obligation that decisions on healthcare provision should be taken independently by local commissioners. Clinical commissioning groups (CCGs) must decide how to use their resources in a way which is evidence based, clinically-led and cost-effective in order to provide high-quality healthcare for people in their area. CCGs must also balance both short-term need and long-term transformation in line with the NHS Five Year Forward View’s (5YFV) objectives.</p><p><strong> </strong></p><p>However, the Government firmly believes that providers from all sectors, including social enterprises, play an important role in providing high quality, safe and efficient care to patients, as well as helping to realise the ambitions set out in the NHS 5YFV.</p><p> </p><p>The NHS 5YFV partners have recently published an updated national support package for the vanguards, ‘<em>The Forward View into action: New Care Models support for the vanguards’</em>, which emphasises the importance of drawing on the expertise and resources of the voluntary and social enterprise sector. A copy of the updated support package document is attached.</p> answering member printed Lord Prior of Brampton question first answered 11/02/2016 12:55:19 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name HL 5944 acc-uec-support-package.pdf title The Forward View into Action
tabling member	1850 label Biography information for Baroness Masham of Ilton