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1086322

registered interest
date	11/03/2019
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	Sheffield Clinical Commissioning Group
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the review of the Sheffield Clinical Commissioning Group (CCG), what plans they have to (1) ensure the protection of whistleblowers, (2) take action to restore confidence in the operation of that CCG, and (3) refresh that CCG's decision-making structure.
tabling member printed	Lord Blunkett
uin	HL14364
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>NHS England commissioned an independent assessment of the Clinical Commissioning Group’s (CCG) leadership and culture as part of their role as the CCG’s regulator. The independent assessor did not uncover any issues on whistleblowing therefore the report does not make recommendations on their approach to whistleblowing. However, NHS England are always keen to learn and improve how we listen and respond to staff.</p><p>Sheffield CCG takes all concerns raised by staff very seriously and invites anyone who has concerns to raise them under its Freedom to Speak Up: Raising Concerns (Whistleblowing) Policy and/or Dignity at work (prevention of bullying and harassment) policy. The CCG encourages staff to speak up and is committed to dealing with them responsibly and professionally.</p><p>NHS England will be developing an improvement plan, with input from staff and partners, to systematically address all the issues in the report.</p><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:22:31 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	395 label Biography information for Lord Blunkett

1086349

registered interest
date	11/03/2019
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	Care Homes: Closures
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many care homes have closed in England since 2010.
tabling member printed	Lord Hain
uin	HL14386
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>This data is not held in the format requested.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:22:04 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	567 label Biography information for Lord Hain

1086350

registered interest
date	11/03/2019
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	Hernias: Surgical Mesh Implants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will expand the scope of the Independent Medicines and Medical Devices Safety Review to include matters relating to hernia mesh operations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14387
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>The Independent Medicines and Medical Devices Safety Review was set up to examine whether the processes pursued when safety concerns were raised by patients, their families, and others were sufficient in relation to primodos, sodium valproate and vaginal mesh.</p><p>The Review is independent of Government and its Terms of Reference and ongoing scope are a matter for Baroness Cumberlege as Chair of the Review. The Department expects that the conclusions of the Review will contain lessons for organisations across the health system.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:20:13 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086351

registered interest
date	11/03/2019
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	Hernias: Surgical Mesh Implants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will ask the National Institute for Health and Care Excellence to produce guidance on hernia mesh operations which covers all the types of hernia that are treated by surgeons.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14388
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>The Department has no current plans to ask the National Institute for Health and Care Excellence (NICE) to produce guidance on this topic. However, NHS England is now the lead commissioner of NICE clinical guidelines, and would be responsible for deciding whether this is a priority for NICE guidance.</p><p>NICE has published guidance on laparoscopic surgery for inguinal hernia repair, which makes reference to open mesh operations. NICE has also published a MedTech Innovation briefing on the PolySoft hernia patch used with the ONSTEP technique to treat inguinal hernias.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:19:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086352

registered interest
date	11/03/2019
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	Hernias: Surgical Mesh Implants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of NHS Digital statistics on the number of patients adversely affected by hernia mesh operations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14389
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>NHS Digital does not hold statistics on the number of patients adversely affected by hernia mesh operations.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 16:03:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086354

registered interest
date	11/03/2019
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	Hernias: Surgical Mesh Implants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will commission research on the number of patients who have been adversely affected by hernia mesh operations.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14390
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>In February 2018, the Government announced the establishment of the Independent Medicines and Medical Devices Safety (IMMDS) Review, led by Baroness Cumberlege. The Review is evaluating what happened in each of the cases of primodos, sodium valproate and surgical mesh, including whether the processes pursued to date have been sufficient and satisfactory. The Review will make recommendations for future change to the United Kingdom healthcare system which the Government will consider in full.</p><p>At this time, there is no specific intention to develop a separate national registry of patients who have received mesh hernia repair treatments. The Government remains committed to driving system and regulatory change where required in the interests of patient safety. Recent Parliamentary debates have considered the scope of the IMMDS Review and the wider issues of safety and innovation within medical devices regulation and their use.</p><p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including hernia repair; it is not usual practice to ring-fence funds for particular topics or conditions.</p><p>The Government is committed to making additional improvements to the system of medical device regulation including in response to the IMMDS Safety Review once it has reported.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14392 question first answered 25/03/2019 16:06:18 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086356

registered interest
date	11/03/2019
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	Hernias: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assurances they have received that surgeons in England continue to maintain their skills in non-mesh hernia repair treatments.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14391
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>Hernias are some of the most common operations carried out in the National Health Service. Consultant general surgeons are fully trained to perform these operations and are expected to follow National Institute for Health and Care Excellence guidance when discussing appropriate procedures for individual patients. Surgeons are expected to maintain their skills and to review the outcomes of their treatments to confirm their competence.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:14:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086357

registered interest
date	11/03/2019
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	Hernias: Surgical Mesh Implants
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what consideration they have given to establishing a national registry of patients who have received mesh hernia repair treatments.
tabling member printed	Lord Hunt of Kings Heath
uin	HL14392
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>In February 2018, the Government announced the establishment of the Independent Medicines and Medical Devices Safety (IMMDS) Review, led by Baroness Cumberlege. The Review is evaluating what happened in each of the cases of primodos, sodium valproate and surgical mesh, including whether the processes pursued to date have been sufficient and satisfactory. The Review will make recommendations for future change to the United Kingdom healthcare system which the Government will consider in full.</p><p>At this time, there is no specific intention to develop a separate national registry of patients who have received mesh hernia repair treatments. The Government remains committed to driving system and regulatory change where required in the interests of patient safety. Recent Parliamentary debates have considered the scope of the IMMDS Review and the wider issues of safety and innovation within medical devices regulation and their use.</p><p>The Department funds research through the National Institute for Health Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including hernia repair; it is not usual practice to ring-fence funds for particular topics or conditions.</p><p>The Government is committed to making additional improvements to the system of medical device regulation including in response to the IMMDS Safety Review once it has reported.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14390 question first answered 25/03/2019 16:06:18 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1086367

registered interest
date	11/03/2019
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	Gender Dysphoria: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 March (HL14006), for how long the Longitudinal Outcomes of Gender Identity in Children study will continue to accept new cases; whether the study has been funded to enable it to include all eligible children; if not, how many such children are expected to be (1) included, and (2) not included; and how the choice will be made.
tabling member printed	Lord Lucas
uin	HL14400
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>The study will start in June 2019 and aims to recruit all 638 eligible children and young people over 18 months. Should the study fail to meet recruitment targets, the possibility of extending this period beyond six months will be reviewed.</p><p>In order for children and young people to take part in the study they must be aged 3-13 years at the time of referral to the United Kingdom’s Gender Identity Development Service, have parental consent, have English language comprehension and live in the UK.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/03/2019 14:21:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1879 label Biography information for Lord Lucas

1086373

registered interest
date	11/03/2019
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	Dermatology: Recruitment
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to improve the recruitment of dermatologists in England.
tabling member printed	Baroness Masham of Ilton
uin	HL14405
answer	answer is ministerial correction date of answer 25/03/2019 answer text <p>The number of medical specialty training places that are available each year is set by Health Education England (HEE) and based on their assessment of service gaps and predicted workforce needs.</p><p>Dermatology is a highly competitive specialty training pathway and often oversubscribed. Nationally and locally there has been a 100% fill rate in dermatology training for the past four years.</p><p>It is the responsibility of individual National Health Service trusts to have staffing arrangements in place that deliver safe and effective care. This includes recruiting the staff needed to support these levels and meet local needs.</p><p>There has been a 22% increase in full time equivalent (FTE) dermatologists (doctors at the consultant grade) in post since September 2010, with 1,049 FTE dermatologists working in the NHS in November 2018. Harrogate and District NHS Foundation Trust is fully recruited for dermatology consultants. In addition, the Trust is currently recruiting for an extra dermatologist post to add extra treatment capacity.</p><p>In December 2018, performance for dermatology referral-to treatment waiting times at Harrogate and District NHS Foundation Trust, for patients on an incomplete pathway, was 97.9%. This is 10.1 percentage points higher than the national performance for dermatology, which was 87.8%.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14406 question first answered 25/03/2019 14:21:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1850 label Biography information for Baroness Masham of Ilton