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1537281

registered interest
date	31/10/2022
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 Embryo Experiments
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Lord Markham on 28 October (HL2572), whether the Scientific and Clinical Advances Advisory Committee of the Human Fertilisation and Embryology Authority intends to consult the general public regarding (1) additional techniques that aim to replace mitochondria in embryos, (2) embryonic genome-editing techniques that are not currently considered to be ready for clinical use, or (3) extending the 14-day limit for embryo research; and, if so, what steps they have taken to inform the public of any such consultations.
tabling member printed	Lord Alton of Liverpool
uin	HL3033
answer	answer is ministerial correction date of answer 10/11/2022 answer text <p>The Scientific and Clinical Advances Advisory Committee is an advisory committee of the Human Fertilisation and Embryology Authority and therefore has no plans to consult the general public on these issues.</p> answering member printed Lord Markham question first answered 10/11/2022 16:25:15 answering member 4948 label Biography information for Lord Markham
tabling member	738 label Biography information for Lord Alton of Liverpool

1537301

registered interest
date	31/10/2022
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: Negligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Written Answer by Baroness Bloomfield of Hinton Waldrist on 26 September (HL2123), how many of the 30 clinical negligence claims taken to trial in 2021/22 went to (1) the High Court, or (2) the County Courts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3056
answer	answer is ministerial correction date of answer 09/11/2022 answer text <p>Following our previous response, NHS Resolution has reviewed the 30 cases taken to trial. It has subsequently identified that one claim was incorrectly classified as having been taken to trial. NHS Resolution has confirmed that of the 29 clinical negligence claims taken to trial in 2021/22, nine were heard in the higher courts, including the High Court and 20 in the county courts.</p> answering member printed Lord Markham question first answered 09/11/2022 12:04:12 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1537302

registered interest
date	31/10/2022
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	Infectious Diseases: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the Cochrane Review Physical interventions to interrupt or reduce the spread of respiratory viruses, published on 20 November 2020, which found that mask use in the community was unlikely to be effective in containing the transmission of any respiratory infection, including COVID-19, whether they will review their guidance on face coverings.
tabling member printed	The Earl of Leicester
uin	HL3057
answer	answer is ministerial correction date of answer 05/12/2022 answer text <p>In November 2021, the UK Health Security Agency published <em>The effectiveness of face coverings to reduce transmission of COVID-19 in community settings: A rapid review (update 2) </em>to identify and examine the latest available evidence on the effectiveness of face coverings to reduce transmission of COVID-19 in the community. The review includes 25 studies, two randomised controlled trials and 23 observational studies undertaken to 14 September 2021. The evidence suggests that face coverings reduce the spread of COVID-19 in the community through source control, wearer protection, and universal masking. A copy of the review is attached.</p><p> </p><p>As and when any new evidence on the effectiveness of face coverings emerges, we will consider whether any guidance should be amended.</p> answering member printed Lord Markham question first answered 05/12/2022 13:03:44 answering member 4948 label Biography information for Lord Markham attachment 1 file name The effectiveness of face coverings to reduce transmission of COVID-19 in community settings - update 2.pdf title UKHSA face coverings review
tabling member	4919 label Biography information for The Earl of Leicester

1537303

registered interest
date	31/10/2022
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	Coronavirus: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that healthcare providers administering COVID-19 vaccines have access to the full portfolio of vaccines purchased by the Government and available in the UK.
tabling member printed	Baroness Masham of Ilton
uin	HL3058
answer	answer is ministerial correction date of answer 10/11/2022 answer text <p>In the United Kingdom, the COVID-19 vaccines currently in use have been authorised by the independent regulator, the Medicines and Healthcare products Regulatory Authority. The majority of people will be offered a vaccine manufactured by Pfizer/BioNTech or Moderna. However, for those clinically intolerant to these MRNA vaccines, the Nuvaxovid COVID-19 vaccine manufactured by Novavax is also available. All vaccination centres order supplies according to anticipated requirements. NHS England has asked regional teams to nominate sites in England to administer the Nuvaxovid vaccine.</p> answering member printed Lord Markham question first answered 10/11/2022 16:37:12 answering member 4948 label Biography information for Lord Markham
tabling member	1850 label Biography information for Baroness Masham of Ilton

1537304

registered interest
date	31/10/2022
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	Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is the (1) process, and (2) timeline, for the Joint Committee on Vaccination and Immunisation to issue advice for use of newly MHRA-approved vaccines.
tabling member printed	Baroness Masham of Ilton
uin	HL3059
answer	answer is ministerial correction date of answer 10/11/2022 answer text <p>Following the authorisation of a vaccine by Medicines and Healthcare products Regulatory Agency, the Joint Committee on Vaccination and Immunisation (JCVI) can consider its use in an immunisation programme, following an official request from the Department or independently with an intent to review a possible improvement to public health.</p><p> </p><p>The timetable for such consideration is dependent on factors including the current burden of disease to the population, whether an effective vaccine is already available and the amount of evidence available at the time. In order to issue evidence-based advice on the use of a particular vaccine, data on disease epidemiology, vaccine safety and efficacy will be required. Additional analysis including modelling or cost-effectiveness may also be necessary. The vaccine will either be discussed in an forthcoming scheduled meeting or in the case of a public health emergency, an extraordinary meeting may be arranged. These meetings may result in new or updated advice being issued by the JCVI and provided to the Government to inform, develop and make policy.</p> answering member printed Lord Markham question first answered 10/11/2022 16:36:46 answering member 4948 label Biography information for Lord Markham
tabling member	1850 label Biography information for Baroness Masham of Ilton

1537305

registered interest
date	31/10/2022
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	Coronavirus: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the report by OpenSAFELY on behalf of NHS England, published on 13 October, which showed that 25 per cent of potentially eligible White patients received treatments through the Covid Medicines Delivery Unit (CMDU) versus 13 per cent of Black patients, what assessment they have made of the reasons for racial and socioeconomic disparity in access to Covid treatments.
tabling member printed	Lord Mendelsohn
uin	HL3060
answer	answer is ministerial correction date of answer 28/11/2022 answer text <p>NHS England is committed to minimising potential inequalities of access to COVID-19 treatments and has led on United Kingdom-wide clinical policy arrangements which support access to evidence-based treatments through consistent clinical criteria, regardless of geography. The OpenSAFELY analysis of patient records contributes to our understanding of access and enables the National Health Service to undertake targeted actions. NHS data indicates that access is highest in those of white British, white Irish and Asian backgrounds and lowest in those of black or black British backgrounds. Over 80% of potentially eligible patients in community settings can be identified digitally and therefore automatically referred for clinical assessment.</p><p>NHS England’s initial assessment indicates that individuals in black and black British groups are more likely to be uncontactable during the five to seven day treatment window and are also more likely to decline the treatments offered through the clinical assessment process. NHS England works with local health systems to ensure that information on differences in access and treatment can considered locally and action can be taken by front line clinical teams. NHS England also has regular engagement with charities, patient groups and other stakeholders to understand experiences of the COVID-19 testing and treatment pathway and to consider further action to mitigate any potential barriers to access.</p><p>As integrated care boards prepare for routine access arrangements for COVID-19 medicines recommended following the conclusion of the National Institute for Health and Care Excellence’s current multiple technology appraisal process, NHS England continues to support local systems to address any disparities. This includes developing a dedicated health inequalities dashboard to identify disparities and sharing learning and best practice from other programmes. NHS England encourages systems to use a population health management approach, as defined in NHS England’s CORE20PLUS approach for narrowing health inequalities, which enables integrated care systems to respond to the needs of its local population and ensure equity of access to treatments.</p> answering member printed Lord Markham question first answered 28/11/2022 14:18:54 answering member 4948 label Biography information for Lord Markham
tabling member	4286 label Biography information for Lord Mendelsohn

1537317

registered interest
date	31/10/2022
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	Ambulance Services: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what the Category 1 (most urgent) response time was for each ambulance trust in England in September 2022; and what were the comparable figures for September 2010 and September 2016.
tabling member printed	Lord Warner
uin	HL3072
answer	answer is ministerial correction date of answer 09/11/2022 answer text <p>This information is not held in the format requested. The following table shows the mean Category 1 response time in hours, minutes and seconds for each ambulance trust in England in September 2022. However, this is not comparable to September 2010 and September 2016 as the current standards for ambulance response times were introduced in 2017/18. The following table also shows the last monthly period in which each ambulance trust in England responded to Category 1 calls within an average of seven minutes.</p><p> </p><table><tbody><tr><td><p>Trust</p></td><td><p>Mean Category 1 ambulance response time in September 2022</p></td><td><p>Last period in which mean Category 1 response time was less than or equal to seven minutes</p></td><td><p> </p></td></tr><tr><td><p>East Midlands</p></td><td><p>00:09:07</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>East of England</p></td><td><p>00:10:49</p></td><td><p>April 2021</p></td><td><p> </p></td></tr><tr><td><p>Isle of Wight</p></td><td><p>00:10:40</p></td><td><p>Has not been achieved within the reporting time period</p></td><td><p> </p></td></tr><tr><td><p>London</p></td><td><p>00:07:14</p></td><td><p>May 2022</p></td><td><p> </p></td></tr><tr><td><p>North East</p></td><td><p>00:07:31</p></td><td><p>February 2022</p></td><td><p> </p></td></tr><tr><td><p>North West</p></td><td><p>00:08:43</p></td><td><p>June 2020</p></td><td><p> </p></td></tr><tr><td><p>South Central</p></td><td><p>00:09:42</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>South East Coast</p></td><td><p>00:09:28</p></td><td><p>May 2020</p></td><td><p> </p></td></tr><tr><td><p>South Western</p></td><td><p>00:11:10</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>West Midlands</p></td><td><p>00:08:20</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>Yorkshire</p></td><td><p>00:10:00</p></td><td><p>July 2020</p></td><td><p> </p></td></tr></tbody></table><p>Source: NHS Quality Indicators</p><p>The mean Category 1 (C1) response time standard of seven minutes was last met by the London Ambulance Service (LAS) in April and May 2022. Between September 2019 and February 2020, the response time standard was achieved in each month except December 2019. The standard was achieved in each month between May 2020 and August 2021 and January to February 2022. The 90<sup>th</sup> percentile response time standard of 15 minutes for C1 incidents has been met by the LAS in every month in the last three years except in March 2020.</p><p>The mean response time standard of 18 minutes for Category 2 (C2) incidents was last met by the LAS in February to April 2021 and between May and November 2020. The C2 90<sup>th</sup> percentile response time standard of 40 minutes was last met by the LAS in February to April 2021. It was met in each month between May and November 2020, September to October 2019 and January 2020.</p><p>The Category 3 90<sup>th</sup> percentile response time standard of 120 minutes was last met by the LAS in February and March 2021 and between April and November 2020. The Category 4 90<sup>th</sup> percentile response time standard of 180 minutes was last met by the LAS in February 2021 and in each month between April and November 2020 except September and also in October 2019 and January 2020.</p> answering member printed Lord Markham grouped question UIN HL3073 HL3074 question first answered 09/11/2022 11:54:24 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1537318

registered interest
date	31/10/2022
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	Ambulance Services: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when was the last monthly period in which each ambulance trust in England responded to Category 1 calls within an average of 7 minutes.
tabling member printed	Lord Warner
uin	HL3073
answer	answer is ministerial correction date of answer 09/11/2022 answer text <p>This information is not held in the format requested. The following table shows the mean Category 1 response time in hours, minutes and seconds for each ambulance trust in England in September 2022. However, this is not comparable to September 2010 and September 2016 as the current standards for ambulance response times were introduced in 2017/18. The following table also shows the last monthly period in which each ambulance trust in England responded to Category 1 calls within an average of seven minutes.</p><p> </p><table><tbody><tr><td><p>Trust</p></td><td><p>Mean Category 1 ambulance response time in September 2022</p></td><td><p>Last period in which mean Category 1 response time was less than or equal to seven minutes</p></td><td><p> </p></td></tr><tr><td><p>East Midlands</p></td><td><p>00:09:07</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>East of England</p></td><td><p>00:10:49</p></td><td><p>April 2021</p></td><td><p> </p></td></tr><tr><td><p>Isle of Wight</p></td><td><p>00:10:40</p></td><td><p>Has not been achieved within the reporting time period</p></td><td><p> </p></td></tr><tr><td><p>London</p></td><td><p>00:07:14</p></td><td><p>May 2022</p></td><td><p> </p></td></tr><tr><td><p>North East</p></td><td><p>00:07:31</p></td><td><p>February 2022</p></td><td><p> </p></td></tr><tr><td><p>North West</p></td><td><p>00:08:43</p></td><td><p>June 2020</p></td><td><p> </p></td></tr><tr><td><p>South Central</p></td><td><p>00:09:42</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>South East Coast</p></td><td><p>00:09:28</p></td><td><p>May 2020</p></td><td><p> </p></td></tr><tr><td><p>South Western</p></td><td><p>00:11:10</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>West Midlands</p></td><td><p>00:08:20</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>Yorkshire</p></td><td><p>00:10:00</p></td><td><p>July 2020</p></td><td><p> </p></td></tr></tbody></table><p>Source: NHS Quality Indicators</p><p>The mean Category 1 (C1) response time standard of seven minutes was last met by the London Ambulance Service (LAS) in April and May 2022. Between September 2019 and February 2020, the response time standard was achieved in each month except December 2019. The standard was achieved in each month between May 2020 and August 2021 and January to February 2022. The 90<sup>th</sup> percentile response time standard of 15 minutes for C1 incidents has been met by the LAS in every month in the last three years except in March 2020.</p><p>The mean response time standard of 18 minutes for Category 2 (C2) incidents was last met by the LAS in February to April 2021 and between May and November 2020. The C2 90<sup>th</sup> percentile response time standard of 40 minutes was last met by the LAS in February to April 2021. It was met in each month between May and November 2020, September to October 2019 and January 2020.</p><p>The Category 3 90<sup>th</sup> percentile response time standard of 120 minutes was last met by the LAS in February and March 2021 and between April and November 2020. The Category 4 90<sup>th</sup> percentile response time standard of 180 minutes was last met by the LAS in February 2021 and in each month between April and November 2020 except September and also in October 2019 and January 2020.</p> answering member printed Lord Markham grouped question UIN HL3072 HL3074 question first answered 09/11/2022 11:54:24 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1537319

registered interest
date	31/10/2022
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	London Ambulance Service NHS Trust: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether the London Ambulance Service has met any of the government pledges on waiting times, as set out in the handbook to NHS Constitutions, for responding to Category 1 to Category 4 calls in any monthly period over the past 3 years; and if so, what those periods were.
tabling member printed	Lord Warner
uin	HL3074
answer	answer is ministerial correction date of answer 09/11/2022 answer text <p>This information is not held in the format requested. The following table shows the mean Category 1 response time in hours, minutes and seconds for each ambulance trust in England in September 2022. However, this is not comparable to September 2010 and September 2016 as the current standards for ambulance response times were introduced in 2017/18. The following table also shows the last monthly period in which each ambulance trust in England responded to Category 1 calls within an average of seven minutes.</p><p> </p><table><tbody><tr><td><p>Trust</p></td><td><p>Mean Category 1 ambulance response time in September 2022</p></td><td><p>Last period in which mean Category 1 response time was less than or equal to seven minutes</p></td><td><p> </p></td></tr><tr><td><p>East Midlands</p></td><td><p>00:09:07</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>East of England</p></td><td><p>00:10:49</p></td><td><p>April 2021</p></td><td><p> </p></td></tr><tr><td><p>Isle of Wight</p></td><td><p>00:10:40</p></td><td><p>Has not been achieved within the reporting time period</p></td><td><p> </p></td></tr><tr><td><p>London</p></td><td><p>00:07:14</p></td><td><p>May 2022</p></td><td><p> </p></td></tr><tr><td><p>North East</p></td><td><p>00:07:31</p></td><td><p>February 2022</p></td><td><p> </p></td></tr><tr><td><p>North West</p></td><td><p>00:08:43</p></td><td><p>June 2020</p></td><td><p> </p></td></tr><tr><td><p>South Central</p></td><td><p>00:09:42</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>South East Coast</p></td><td><p>00:09:28</p></td><td><p>May 2020</p></td><td><p> </p></td></tr><tr><td><p>South Western</p></td><td><p>00:11:10</p></td><td><p>July 2020</p></td><td><p> </p></td></tr><tr><td><p>West Midlands</p></td><td><p>00:08:20</p></td><td><p>May 2021</p></td><td><p> </p></td></tr><tr><td><p>Yorkshire</p></td><td><p>00:10:00</p></td><td><p>July 2020</p></td><td><p> </p></td></tr></tbody></table><p>Source: NHS Quality Indicators</p><p>The mean Category 1 (C1) response time standard of seven minutes was last met by the London Ambulance Service (LAS) in April and May 2022. Between September 2019 and February 2020, the response time standard was achieved in each month except December 2019. The standard was achieved in each month between May 2020 and August 2021 and January to February 2022. The 90<sup>th</sup> percentile response time standard of 15 minutes for C1 incidents has been met by the LAS in every month in the last three years except in March 2020.</p><p>The mean response time standard of 18 minutes for Category 2 (C2) incidents was last met by the LAS in February to April 2021 and between May and November 2020. The C2 90<sup>th</sup> percentile response time standard of 40 minutes was last met by the LAS in February to April 2021. It was met in each month between May and November 2020, September to October 2019 and January 2020.</p><p>The Category 3 90<sup>th</sup> percentile response time standard of 120 minutes was last met by the LAS in February and March 2021 and between April and November 2020. The Category 4 90<sup>th</sup> percentile response time standard of 180 minutes was last met by the LAS in February 2021 and in each month between April and November 2020 except September and also in October 2019 and January 2020.</p> answering member printed Lord Markham grouped question UIN HL3072 HL3073 question first answered 09/11/2022 11:54:24 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1537320

registered interest
date	31/10/2022
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	Ambulance Services: Vacancies
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what the vacancy rate for ambulance staff was in the most recent period in 2022 for which such information was available; and what was the comparable figure for the same period in 2018.
tabling member printed	Lord Warner
uin	HL3075
answer	answer is ministerial correction date of answer 10/11/2022 answer text <p>This information is not collected in the format requested. However, in June 2022, the vacancy rate for all staff employed in National Health Service ambulance trusts in England was 6.1% and in June 2018, the equivalent vacancy rate was 6.5%.</p> answering member printed Lord Markham question first answered 10/11/2022 16:20:24 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner