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1123746

registered interest
date	29/04/2019
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	Antibiotics: Drug Resistance
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 effectiveness of their 2013–18 antimicrobial resistance strategy at addressing the problem of multi-resistant E. coli-like bacteria; what assessment they have made of recent trends in the number of multi-resistant E. coli-like bacteria in the UK; and what factors inform their view of the balance between efforts to reduce transmission and efforts to reduce the use of antibiotics.
tabling member printed	Baroness Gardner of Parkes
uin	HL15384
answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>While we can count many successes from our 2013-18 Antimicrobial Resistance (AMR) Strategy, resistance has continued to increase. In the United Kingdom we have seen a 35% increase in resistant blood stream infections in humans from 2013-17.</p><p>The number of bloodstream infections (BSIs) is increasing each year. Although the proportion of antibiotic resistant BSIs remain stable year to year, the burden on resistance increases. This is mostly due to increasing prevalence of E.coli bloodstream infections.</p><p>Estimates of the multi-resistant cases can be made, however not all the bacteria are tested against the same antibiotics, so a definitive number of cases cannot be given. The Public Health England Fingertips tool also has an indicator showing the rolling quarterly average proportion of E. coli blood specimens non-susceptible to at least three of the key antimicrobials (gentamicin, ciprofloxacin, piperacillin/tazobactam, 3rd-generation cephalosporins or carbapenems). For England this is 5.5% with little fluctuation over time.</p><p>This is exactly why the UK’s five-year national action plan for AMR, published alongside the UK 20-year vision for AMR on 24 January 2019, includes a strengthened focus on infection prevention and control, renewing our commitment to halve levels of healthcare associated Gram-negative blood stream infections (mostly E.coli) by 2023-24. The plan also sets a world-first target to reduce the actual numbers of resistant infections, with the aim to reduce them by 10% by 2025.</p><p>We are working with the devolved health administrations to develop consistent methodologies for reporting the incidence and mortality of key antibiotic resistant infections and antimicrobial use to allow us to report progress on the ambitions of the AMR national action plan.</p><p>As reductions in inappropriate prescribing also reduces the risk of promoting the growth of antibiotic-resistant bacteria, interventions to reduce antibiotic prescribing or transmission of the bacteria are complementary.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 14/05/2019 16:29:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1123304

registered interest
date	25/04/2019
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	NHS
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 Manzoor on 29 January (HL12939), when they expect the NHS to publish its "clear implementation framework" of the NHS Long Term Plan which would "set out how the commitments should be delivered by local systems and ensure transparency for patients and the public".
tabling member printed	The Lord Bishop of St Albans
uin	HL15360
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>The Government has asked the National Health Service to develop a clear implementation framework, to set out how the commitments should be delivered by local systems and ensure transparency for patients and the public. This will be published at the earliest opportunity.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/05/2019 13:01:21 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4308 label Biography information for The Lord Bishop of St Albans

1122909

registered interest
date	24/04/2019
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	British Nationals Abroad: EU Countries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what guarantees, if any, they have made of the healthcare benefits available to British citizens residing in EU countries post-Brexit.
tabling member printed	Lord Roberts of Llandudno
uin	HL15300
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>Subject to Parliament ratifying the Withdrawal Agreement, in a deal scenario current reciprocal healthcare rights will continue during the implementation period until 31 December 2020. The Withdrawal Agreement and European Free Trade Area (EFTA) Agreements also give longer-term reciprocal healthcare rights to those who are living in or previously worked in the other country on exit day.</p><p>Further to this, on 19 March 2019 I laid a written statement (HLWS1396) outlining the Department’s plans for the continuity of reciprocal healthcare arrangements in the event we exit the European Union without a deal. This statement includes specific guidance for United Kingdom nationals residing in EU countries post-exit.</p><p>The UK has proposed to EU Member States and EFTA states that we should maintain the existing healthcare arrangements, in the event of the UK leaving the EU without a deal up until 31 December 2020.</p><p>As well as seeking an extension of the current arrangements, we have made a guarantee to EU member states that we will reimburse Member States for treatments that were ongoing on exit day, for up to one year where this is necessary.</p><p>This guarantee requires reciprocity from the EU or individual Member States and cannot be implemented unilaterally. The UK Government is seeking agreements with Member States, so that no individual, including UK nationals living in other EU Member States, will face sudden changes to their healthcare cover. These discussions are ongoing.</p><p>The Government has brought forward legislation to enable us to implement new reciprocal healthcare arrangements. The Healthcare (European Economic Area and Switzerland Arrangements) Act received Royal Assent on 26 March 2019 and will provide us with the power to fund and implement comprehensive reciprocal healthcare arrangements after we leave the EU. We have also laid three Statutory Instruments which will give us the specific legal basis to implement our proposal.</p><p>General information is available online on the GOV.UK website and country-specific advice can be found under the relevant sections of NHS.UK.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/05/2019 13:10:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3691 label Biography information for Lord Roberts of Llandudno

1122911

registered interest
date	24/04/2019
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	Hospitals: Private Sector
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether private hospitals in England are required to provide safety records to the Care Quality Commission to protect patients as provided by the NHS.
tabling member printed	Baroness Masham of Ilton
uin	HL15302
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>Private hospital providers are required by law to notify the Care Quality Commission (CQC) about the following occurrences:</p><p>- A serious injury to a person using the service;</p><p>- The death of a person using the service;</p><p>- An incident relating to the service that is reported to or investigated by the police;</p><p>- Something that stops or may stop the service running safely (such as problems with infrastructure, equipment or premises);</p><p>- Safeguarding issue such as abuse or allegations of abuse concerning a person using the service if any of the following applies:</p><ol><li>the person is affected by abuse or alleged abuse</li><li>the person is an abuser or an alleged abuser; and</li></ol><p>- Any application and its outcome or withdrawal to deprive a person of their liberty.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/05/2019 14:53:35 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1850 label Biography information for Baroness Masham of Ilton

1122925

registered interest
date	24/04/2019
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	Genito-urinary Medicine: Finance
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 8 April (HL14988), what proportion, if any, of the £3 billion ring-fenced public health funding local authorities must spend on sexual health services.
tabling member printed	Baroness Tonge
uin	HL15316
answer	answer is ministerial correction date of answer 09/05/2019 answer text <p>Regulation 6 of The Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) Regulations 2013 requires local authorities to provide or make arrangements to secure the provision of open access sexual health services in their area. The precise level of spending on sexual health services is a matter for individual local authorities, reflecting local need.</p> answering member printed Baroness Blackwood of North Oxford question first answered 09/05/2019 13:06:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	200 label Biography information for Baroness Tonge

1122940

registered interest
date	24/04/2019
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	Medical Records: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the minimum age at which children have the legal right to access their own medical records and to allow or prevent access by others, including their parents; and at what age parents can no longer access their child’s medical records without that child’s written consent.
tabling member printed	The Marquess of Lothian
uin	HL15330
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>There is no defined minimum age for the ability to access, and prevent others accessing, medical records. Young people, provided they have capacity, have the legal right to access their own health records and can allow or prevent access by others, including their parents. In England, Wales and Northern Ireland anyone aged 16, and in Scotland those aged 12 or over, are legally presumed to already have such capacity. Those under that age must demonstrate they have sufficient understanding of what is proposed. A child may achieve capacity earlier or later. In any event children should be able to access their own health records but they should not be given access to information that would cause them serious harm.</p><p>Parents should be allowed access to their child’s medical records if the child or young person consents, or lacks capacity, and it does not go against the child’s best interests. If the records contain information given by the child or young person in confidence, this information should not normally be disclosed without their consent.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 07/05/2019 15:01:25 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	259 label Biography information for The Marquess of Lothian

1121574

registered interest
date	11/04/2019
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	Skin Cancer: Health Education
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to raise awareness of the risks of skin cancer and methods of prevention
tabling member printed	Lord Clark of Windermere
uin	HL15225
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Advice for adults and children on sunscreen and sun safety in the United Kingdom and abroad, to reduce the risk of developing skin cancer is available online at the NHS website. Advice includes: spend time in the shade when the sun is strongest, between 11am and 3pm; make sure you never burn; cover up with suitable clothing and sunglasses; take extra care with children; and use at least factor 15 sunscreen.</p><p>Public Health England (PHE) is refreshing its guidance to actual and prospective users of sunbeds on how to minimise exposure to ultraviolet radiation, which can cause skin cancer. PHE’s online guidance will be updated in spring 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15226 question first answered 25/04/2019 12:39:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	525 label Biography information for Lord Clark of Windermere

1121575

registered interest
date	11/04/2019
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	Skin Cancer: Health Education
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to include skin cancers in the Be Clear on Cancer campaign resources.
tabling member printed	Lord Clark of Windermere
uin	HL15226
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>Advice for adults and children on sunscreen and sun safety in the United Kingdom and abroad, to reduce the risk of developing skin cancer is available online at the NHS website. Advice includes: spend time in the shade when the sun is strongest, between 11am and 3pm; make sure you never burn; cover up with suitable clothing and sunglasses; take extra care with children; and use at least factor 15 sunscreen.</p><p>Public Health England (PHE) is refreshing its guidance to actual and prospective users of sunbeds on how to minimise exposure to ultraviolet radiation, which can cause skin cancer. PHE’s online guidance will be updated in spring 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL15225 question first answered 25/04/2019 12:39:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	525 label Biography information for Lord Clark of Windermere

1121576

registered interest
date	11/04/2019
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	Sunbeds
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to review sunbed regulations.
tabling member printed	Lord Clark of Windermere
uin	HL15227
answer	answer is ministerial correction date of answer 25/04/2019 answer text <p>The Sunbeds Regulation Act 2010 was implemented to prohibit under-18s from using sunbeds based on the recommendations by the Committee on Medical Aspects of Radiation in the Environment.</p><p>The Department, with expert advisers, is considering whether the current legislation and associated guidance, produced by the Department, the Health and Safety Executive and Public Health England to support the enforcement of the regulations by local authorities and the safe use of sunbeds, are effective for protecting sunbed users.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/04/2019 12:40:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	525 label Biography information for Lord Clark of Windermere

1121592

registered interest
date	11/04/2019
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	General Practitioners: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress they have made in preventing victims of domestic abuse from being charged by GPs for letters needed to access legal and other professional services.
tabling member printed	Lord Kennedy of Southwark
uin	HL15243
answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>We recognise the importance of tackling domestic abuse. General practitioners (GPs) can have an important role in supporting victims, including by providing evidence to enable them to access services. As providing evidence for victims of domestic abuse is not a contractual obligation for GPs they are able to charge, though not all will. GP provision of evidence was discussed as part of the 2019/20 GP contract negotiations and work is ongoing to improve the process.</p><p>Charges for provision of evidence of domestic abuse are not a specific requirement of the contractual relationship between GPs and the National Health Service. The Ministry of Justice and the General Practitioners Council are currently working together to clarify and improve the process for GPs and applicants in relation to evidence of domestic violence for legal aid applications.</p><p>The Government is absolutely clear that victims of domestic violence must have access to the help that they need, including access to legal aid. In January 2018 we made changes to legislation which introduced new forms of evidence, expanded the scope of existing evidence and completely removed the time limit from all forms of evidence for domestic violence. These changes aimed to make it easier for victims, or those at risk, of domestic violence to obtain and provide the evidence required to access legal aid, and reduce the risk of genuine victims not being able to obtain the required evidence.</p><p>These changes included broadening the categories of health professionals that can provide evidence to reduce the reliance on letters from GPs. Medical practitioners are able to confirm injuries or conditions consistent with domestic violence without suggesting that abuse is solely physical.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/04/2019 14:49:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4153 label Biography information for Lord Kennedy of Southwark