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1105665

registered interest
date	27/03/2019
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	Orthopaedics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many amputations were performed by the NHS in each year from 2014 to 2018.
tabling member printed	Baroness Hodgson of Abinger
uin	HL14854
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The following table shows a count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary procedures<sup>2</sup> of amputation for the years 2014/15 to 2017/18.</p><table><tbody><tr><td><p>Financial year</p></td><td><p>Total FCEs</p></td></tr><tr><td><p>2014-15</p></td><td><p>19,953</p></td></tr><tr><td><p>2015-16</p></td><td><p>20,356</p></td></tr><tr><td><p>2016-17</p></td><td><p>20,968</p></td></tr><tr><td><p>2017-18</p></td><td><p>21,330</p></td></tr></tbody></table><p><em>Source: </em>Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p><em>Notes</em>:</p><ol><li>A FCE is a continuous period of admitted patient care under one consultant within one healthcare provider. FCEs are counted against the year in which they end. Figures do not represent the number of different patients, as a person may have more than one episode of care within the same stay in hospital or in different stays in the same year.</li></ol><p> </p><ol start="2"><li>Number of episodes with a main or secondary procedure:</li></ol><p>The number of episodes where the procedure (or intervention) was recorded in any of the 24 (12 from 2002-03 to 2006-07 and four prior to 2002-03) procedure fields in a HES record. A record is only included once in each count, even if the procedure is recorded in more than one procedure field of the record. It should be noted that more procedures are carried out than episodes with a main or secondary procedure. For example, patients undergoing a ‘cataract operation’ would tend to have at least two procedures – removal of the faulty lens and the fitting of a new one – counted in a single episode.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 05/04/2019 10:41:27 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1105667

registered interest
date	27/03/2019
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	Thiomersal
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government which vaccines prescribed by the NHS contain thimerosal.
tabling member printed	Baroness Hodgson of Abinger
uin	HL14855
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>None of the vaccines currently recommended for use as part of the United Kingdom routine immunisation programme contains the preservative thiomersal.</p><p>The safety of thiomersal-containing vaccines has been extensively evaluated in studies which have found no evidence to suggest thiomersal is associated with any serious or long-term risks. Such studies have mostly been in young children. The most recent assessment in the <em>Weekly epidemiological record</em> was undertaken by the World Health Organization in 2012, which advised that the available evidence strongly supports the safety of the use of thiomersal in vaccines where required. A copy of the 2012 <em>Weekly epidemiological record</em> is attached.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL14856 question first answered 05/04/2019 10:32:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name WHO report.pdf title 2012 Weekly epidemiological record
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1017370

registered interest
date	29/11/2018
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	Perinatal Mortality
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 England's estimate that 600 stillbirths could be prevented annually as a result of implementation of the Saving Babies' Lives Care Bundle; and whether any such assessment has taken account of the failure to include within the Saving Babies' Lives Care Bundle a specific element on twin and multiple births and the higher rates of mortality that occur in twin and multiple births.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11930
answer	answer is ministerial correction date of answer 10/12/2018 answer text <p>The Department welcomes the independent Saving Babies’ Lives Project Impact and Results Evaluation (SPiRE), published earlier this year and commissioned by NHS England.</p><p>The report found that maternity staff have helped save more than 160 babies’ lives across 19 maternity units where the Saving Babies Lives Care Bundle had been implemented. The best practice guidance is now being introduced across the country and has the potential if these findings were replicated, to prevent an estimated 600 stillbirths.</p><p>In 2017, the Department funded the Twins and Multiple Births Association’s Maternity Engagement Project. The results from the interim report suggest that increased adherence to National Institute for Health and Care Excellence (NICE) guidance gave better outcomes for multiple births. This further reinforces the Department’s expectation that all health professionals working with multiple pregnancies adhere to the relevant NICE guidance.</p><p> </p><p>We look forward to reviewing the final project report, which we understand is due for publication in mid-2019.</p> answering member printed Lord O'Shaughnessy question first answered 10/12/2018 14:47:37 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012115

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many amputee sockets the NHS fitted in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and in each year, what was the cost of casting and fitting these.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11642
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11643 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012116

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the average (1) time, and (2) number of appointments between the casting process in the NHS to create an amputee test socket and the final fit of the sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11643
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012117

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what types of casting processes the NHS currently use to create amputee test sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11644
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012118

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many sockets did not fit amputees following the NHS casting process and needed to be discarded in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and how much this cost the NHS in each of those years.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11645
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012119

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when the last review by the NHS of the provision of amputee sockets, including (1) the cost, and (2) methods of fitting, was carried out.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11646
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012120

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many complaints the NHS received about the casting, fitting and provision of amputee sockets in (1) 2013, (2) 2014, (3) 2015, (4) 2016, (5) 2017; and of those, how many were upheld.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11647
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11646 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

990146

registered interest
date	17/10/2018
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	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they plan to update the guidance by NHS England Saving Babies’ Lives Care Bundle to include advice on how to reduce poor outcomes in multiple pregnancies; and if not, why not.
tabling member printed	Baroness Hodgson of Abinger
uin	HL10768
answer	answer is ministerial correction date of answer 29/10/2018 answer text <p>The Saving Babies’ Lives Care Bundle is undergoing review by an oversight group consisting of nationally recognised experts, including representatives of the Royal College of Obstetricians and Gynaecologists and the British Maternal and Fetal Medicine Society. Upon completion of the review, and subject to necessary approvals, NHS England aims to publish an updated version of the Care Bundle.</p><p>There are no plans to include a new, specific element relating to multiple pregnancies in the updated version of the Care Bundle. Guidance relating to the management of multiple pregnancies is currently available from the National Institute for Health and Care Excellence (NICE). The Twins and Multiple Births Association has promoted the widespread adoption of this guidance. The oversight group concluded that inclusion of an additional element specifically focusing on multiple pregnancies would and add little benefit beyond compliance with NICE guidance.</p> answering member printed Lord O'Shaughnessy question first answered 29/10/2018 14:53:33 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger