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923137

registered interest
date	13/06/2018
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	Human Papillomavirus
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the strain of human papilloma virus (HPV) is tested for when an HPV infection is found in women who were offered HPV vaccination; and if so, what were the rates of the different strains found in women who were (1) 13–18 years old, and (2) older than 18.
tabling member printed	The Countess of Mar
uin	HL8601
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Human papillomavirus (HPV) testing is performed on specimens collected from some women attending for cervical screening as part of the NHS Cervical Screening Programme (women with borderline or low grade abnormalities, and women in areas piloting HPV primary testing). This test identifies if a high-risk HPV infection is present, but does not identify all the specific HPV types which are present.</p><p>Public Health England has also been monitoring the prevalence of type-specific genital HPV infections through surveys that use specimens from 16-24-year-old sexually active women in England who would have been eligible to receive the HPV vaccine. The latest data, including specimens collected to the end of 2016, has shown a clear reduction in the two high-risk HPV types included in the vaccine and in some other closely related HPV types not included in the vaccine among women aged 16-18 years old. Declines were also seen in women aged 19-21 years old. The prevalence of other high-risk HPV types has not changed.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:14:31 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

923138

registered interest
date	13/06/2018
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	Human Papillomavirus
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether colposcopy clinics test all human papilloma virus (HPV) infections for strain types in cohorts of women who were offered HPV vaccination; and if not, why not.
tabling member printed	The Countess of Mar
uin	HL8602
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Human papillomavirus (HPV) triage testing is performed in the screening programme on specimens collected from women attending for cervical screening which show borderline or low grade abnormalities. If this test identifies a high-risk HPV infection then the woman will be referred to colposcopy. No further HPV testing is conducted in colposcopy on these specimens to identity the specific HPV types. It is not the role of colposcopy to test HPV infections.</p><p>However, Public Health England does carry out surveillance which has demonstrated a reduction in the HPV types included in the vaccines since the introduction of the national vaccination programme.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:12:15 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

923139

registered interest
date	13/06/2018
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	Human Papillomavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the rate of ectropions in the cohorts who received human papilloma virus vaccinations.
tabling member printed	The Countess of Mar
uin	HL8603
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Data are not collected on the rate of ectropions in the cohorts who received human papillomavirus vaccinations.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:12:23 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

923140

registered interest
date	13/06/2018
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	Human Papillomavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the efficacy of the human papilloma virus (HPV) vaccination programme in women and girls who may already have had exposure to HPV infection, either naturally or as the result of sexual abuse, prior to receiving that vaccine.
tabling member printed	The Countess of Mar
uin	HL8604
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>The human papillomavirus (HPV) vaccines have demonstrated very high vaccine efficacy against the vaccine types and related disease in clinical trials when administered to HPV-naïve women (i.e. women with no current or previous vaccine-type HPV infection). However, results from these trials also demonstrated that HPV vaccination of women with a current vaccine-type HPV infection had little or no effect on clearance of the existing infection. There is also some evidence of a slightly reduced vaccine efficacy against pre-cancerous abnormalities among young women currently not infected with HPV but with serological evidence of a previous exposure.</p><p> </p><p>Public Health England has conducted surveillance to monitor the prevalence of type-specific genital HPV infections in 16-24 year old sexually active women in England who would have been eligible to receive the HPV vaccine. The latest data, including specimens collected to the end of 2016, demonstrated a vaccine effectiveness of 82.0% against infections with HPV16/18 among women vaccinated at age 15 years or younger. The vaccine effectiveness in women who would have been vaccinated at age 16 to 18 years old was 48.7%. This suggests that the vaccine works best when given to young girls before they are exposed to HPV. However it also shows that older girls still benefit from vaccination.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 16:37:27 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

923141

registered interest
date	13/06/2018
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	Human Papillomavirus: Vaccination
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 the cohort of women who have received human papilloma virus vaccinations are aware that they should still attend cervical smear test appointments.
tabling member printed	The Countess of Mar
uin	HL8605
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>The human papillomavirus (HPV) vaccination programme states in patient communications that cervical screening (smear tests) will continue to be important whether women have had the HPV vaccine or not. Women aged 25 to 64 who are registered with a general practitioner are automatically invited for cervical screening. This includes women who have had the HPV vaccination as the vaccine does not guarantee completed protection of against all high risk strains of HPV. The importance of cervical screening is also reiterated online on NHS Choices.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:12:00 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar

923154

registered interest
date	13/06/2018
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	Health Services: Expenditure
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they can provide a breakdown of health service spending by gender since 2008.
tabling member printed	Lord Pearson of Rannoch
uin	HL8618
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>The information is not available in the format requested.</p><p>The majority of National Health Service funding is allocated to NHS England, primarily for the commissioning of healthcare services from a range of primary and secondary care providers. NHS England allocates funding to clinical commissioning groups (CCGs). The model for CCG allocations is made up of three separate formulas – CCG core allocations, primary care and specialised services. Each formula is made up of a number of segments (for example, services covered by CCG core allocations include the segments maternity, mental health, prescribing, general and acute and supply needs). Each segment may be affected by the local population’s attributes, for example sex, age, morbidity, rates of disability, excess deaths and deprivation, plus wider factors associated with health needs including housing status and unemployment.</p><p>The statistical allocations formula is built up from data, which the NHS holds on individuals and their use of hospital services. This person-based approach helps ensure accuracy and takes account of local variation in health needs. Data for patients in general practitioner (GP) practices are linked to their treatment records, to calculate overall cost of care. The costs of health services for millions of real patients over a number of years are reviewed. Statistical analysis identifies factors, which can be used to predict future spending, for a given sex-age group in any GP practice in England (all data used is non-identifiable). Allocations reflect and build on information about spending patterns, but they do not report past spending patterns and therefore it is not possible to calculate costs per patient and so therefore not possible to calculate costs by gender over a given time period.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:13:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3153 label Biography information for Lord Pearson of Rannoch

923166

registered interest
date	13/06/2018
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 Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government by what mechanism units of dental activity are distributed to dental practitioners.
tabling member printed	Lord Storey
uin	HL8630
answer	answer is ministerial correction date of answer 27/06/2018 answer text <p>Dental contracts and agreements are agreed with dental contract holders by NHS England. Contracts are held by the part of NHS England (the area team) responsible for that region. Each contract has a set value and agreed level of dental activity to be delivered for that value per year. Activity is measured in metrics known as units of dental activity.</p><p> </p><p>Contracts are let by tender under public procurement regulations. The current system was established in 2006. Where a contract existed prior to 2006, it was transferred into the new system and values set under a national formula used to transfer all then existing contracts from the pre-2006 system to the current system.</p> answering member printed Lord O'Shaughnessy question first answered 27/06/2018 14:13:38 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4238 label Biography information for Lord Storey

923259

registered interest
date	13/06/2018
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	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will ensure that the forthcoming Green Paper on Social Care will include greater (a) support for carers and (b) funding and other support for the social care system to meet increasing demand in terms of complexity of care requirements and overall demand.
tabling member constituency	Blackburn
tabling member printed	Kate Hollern
uin	153301
answer	answer is ministerial correction date of answer 20/06/2018 answer text <p>Carers are vital partners in the health and social care system, and they need to be at the heart of discussions on a sustainable settlement for social care. The Green Paper will include a focus on carers and how society supports them.</p><p> </p><p>Social care continues to be a key priority for this Government. In addition to the £2 billion announced at Spring Budget 2017, we have announced a further £150 million for 2018/19, giving councils access to up to £9.4 billion more dedicated funding for adult social care in total over three years.</p><p> </p><p>An ageing society means that we need to reach a longer-term sustainable settlement for social care. That is why the Government has committed to publishing a Green Paper by autumn 2018 setting out our proposals for reform.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 20/06/2018 11:15:30 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	4363 label Biography information for Kate Hollern

923263

registered interest
date	13/06/2018
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	Breast Cancer: Screening
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, pursuant to his Oral Statement of 2 May 2018 on Breast Cancer Screening, Official Report, column 361, whether there is a record of the number of women who came forward to say they had not received an invitation to breast screening before May 2018.
tabling member constituency	Carshalton and Wallington
tabling member printed	Tom Brake
uin	153162
answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>There is no record held of the total number of women coming forward who have not received an invitation to breast screening before May 2018.</p><p> </p><p>Public Health England contacted 195,565 women registered with a general practitioner in England in May 2018. In addition, all the affected women known to have moved to Scotland, Wales or Northern Ireland were also written to by 1 June.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 21/06/2018 16:08:25 answering member 4067 label Biography information for Steve Brine
tabling member	151 label Biography information for Tom Brake

923270

registered interest
date	13/06/2018
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	Health Professions: West Midlands
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect on the quality of patient care of gaps in rotas for higher speciality trainees in hospitals in the West Midlands.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	153179
answer	answer is ministerial correction date of answer 18/06/2018 answer text <p>Responsibility for staffing levels, including the specialty staff, rests with individual National Health Service trusts and their boards who are best placed to decide how many staff they need to provide a given service.</p><p> </p><p>Rotas and any gaps are managed and quality assured by trusts, supported by NHS Improvement and assessed by the Care Quality Commission.</p><p> </p><p>Training programme fill rates vary from specialty to specialty.</p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 18/06/2018 16:34:14 answering member 4095 label Biography information for Steve Barclay
tabling member	298 label Biography information for Steve McCabe