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1123962

registered interest
date	30/04/2019
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	Health Services and Social Services: Vacancies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the number of workforce vacancies in the health and social care sectors.
tabling member constituency	Sheffield, Heeley
tabling member printed	Louise Haigh
uin	249334
answer	answer is ministerial correction date of answer 07/05/2019 answer text <p>Posts may be vacant, for a variety of reasons including maternity and career breaks. Trusts make decisions based on local needs about how they fill these posts, including looking at short-term options for cover, including bank and agency staff.</p><p>Since April 2017, NHS Improvement collect vacancy rates of National Health Service staff from individual NHS trusts and publish them as part of their ‘Quarterly performance of the NHS provider sector’ report found at the following link:</p><p><a href="https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf" target="_blank">https://improvement.nhs.uk/documents/4942/Performance_of_the_NHS_provider_sector_for_the_quarter_ended_31_Dec_2018.pdf</a></p><p>As at 31 December there were 100,521 full time equivalent vacancies in NHS trusts, this is an 8.4% vacancy rate. Of these, approximately 80% and 85% of the nursing and medical vacancies are being filled by bank and agency staff.</p><p>Skills for Care estimate that there are approximately 110,000 jobs that are vacant in adult social care, this is an 8% vacancy rate.</p><p>The NHS People Plan sets out the next step in our mission to make the NHS a world class employer and deliver the workforce which the NHS needs.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 07/05/2019 16:08:14 answering member 1585 label Biography information for Stephen Hammond
tabling member	4473 label Biography information for Louise Haigh

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

750529

registered interest
date	11/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Surrogacy
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, in the light of the conclusion of the report by the Surrogacy UK Working Group on Surrogacy Law, Surrogacy in the UK: Myth bashing and reform, published in November 2015, whether they continue to support the inclusion of a review of the law on surrogacy in the Law Commission's 13th programme of law reform; and whether they will commit to their own review of the law on surrogacy if the Law Commission does not take this forward.
tabling member printed	Baroness Barker
uin	HL661
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>It is the Government’s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.</p><p> </p><p>The Government supports the inclusion of a review of surrogacy legislation in the Law Commission’s 13<sup>th</sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL660 question first answered 19/07/2017 13:51:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2501 label Biography information for Baroness Barker

749952

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Kingston Hospital
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government who were the experts the National Institute for Health and Clinical Excellence consulted in their recent review of Clinical Guideline CG 53 for chronic fatigue syndrome and myalgic encephalomyelitis: diagnosis and management.
tabling member printed	The Countess of Mar
uin	HL637
answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The National Institute for Health and Care Excellence (NICE) routinely consults a range of topic experts as part of its surveillance review process. NICE is currently consulting on a review proposal for its clinical guideline on the diagnosis and management of chronic fatigue syndrome and myalgic encephalomyelitis. NICE does not routinely publish the names of topic experts as they are not part of the decision making process for the surveillance review.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 11:03:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	1861 label Biography information for The Countess of Mar