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167898

registered interest
date	04/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by Earl Howe on 3 December 2013 (WA 36) and 3 December 2014 (HL3158), which were the relevant experts or international authorities with whom the Chief Medical Officer "had a lot of discussions"; which international authorities agreed with the Chief Medical Officer’s own assessment that no-one "has come up with a better definition"; how the new definition is being accordingly incorporated into the syllabus for biology students; and what are their views on the ontological propriety of the proposed redefinition of genetic modification on the basis that it "is not that that is what it is".
tabling member printed	Lord Alton of Liverpool
uin	HL3422
answer	answer is ministerial correction date of answer 18/12/2014 answer text <p>As stated in my Written Answer of 3 December 2014 (<em>Official Report</em>, Column WA270), the development of a working definition for genetic modification in humans was undertaken in order to bring clarity to the discussion around mitochondrial donation and is solely intended to be used in this context. There is no universally agreed definition of genetic modification in humans and the working definition devised for the debate on mitochondrial donation did not aim to establish one. The Chief Medical Officer was clear in her evidence to the House of Commons Science and Technology Select Committee on 22 October 2014 that the definition’s purpose is to clarify discussion of this issue.</p><p> </p><p>With regard to the discussions that took place in developing the working definition, in developing its position the Department, in consultation with the Department for Business, Innovation and Skills, also had discussions with the Wellcome Trust and the Nuffield Council on Bioethics.</p><p> </p> answering member printed Earl Howe question first answered 18/12/2014 15:55:41 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167620

registered interest
date	03/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what discussions they have had with the Northern Ireland Executive on United Kingdom-wide strategies for tackling diabetes, obesity, and heart and rare diseases.
tabling member printed	Lord Browne of Belmont
uin	HL3394
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>Research and evidence of best practice in health is shared widely across the United Kingdom. However, as health is a devolved matter Ministers do not routinely discuss health issues with their counterparts.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:57:42 answering member 2000 label Biography information for Earl Howe
tabling member	3801 label Biography information for Lord Browne of Belmont

167621

registered interest
date	03/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Diabetes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government which organisations are primarily responsible for raising diabetes awareness; and who is responsible for raising awareness of diabetes at (1) a national level, and (2) a regional level.
tabling member printed	Lord Browne of Belmont
uin	HL3395
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Public Health England (PHE), NHS England and the National Institute for Health and Care Excellence play a key role in raising awareness of diabetes at national level, while locally this is shared between public health, clinical commissioning groups and individual practitioners. Strategic Clinical Networks (SCNs) also have an important role to play in ensuring appropriate clinical advice to local commissioners and disseminating evidence about effectiveness.</p><p> </p><p>Organisations such as Diabetes UK, Silver Star Diabetes, Juvenile Diabetes Research Foundation and the Association of British Clinical Diabetologists, also play a valuable and important part in raising the awareness of diabetes.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 15:12:30 answering member 2000 label Biography information for Earl Howe
tabling member	3801 label Biography information for Lord Browne of Belmont

167625

registered interest
date	03/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what action they are taking to ensure (1) that the particular needs of older people with autism are met by the final statutory guidance implementing the adult autism strategy, (2) the appropriate and timely diagnosis of adult autism, and (3) the provision of care and support services for adults with autism.
tabling member printed	Baroness Browning
uin	HL3399
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>Think Autism, the April 2014 update to the Adult Autism Strategy has over 30 actions for Government departments and other organisations and is overseen by the Autism Programme Board. A summary of progress will be published in August 2015.</p><p> </p><p> </p><p> </p><p>Work is underway to look at how staff in the Department of Health and arm’s length bodies have access to autism training, such as the Hidden Impairment Toolkit developed by the Department for Work and Pensions and the National Hidden Impairment National Group. The needs of older people with autism, the appropriate and timely diagnosis of adult autism, and the provision of care and support services for adults with autism are also identified in Think Autism and are part of the consultation on the revised statutory guidance for local authorities and the National Health Service which runs until 19 December.</p><p> </p><p> </p><p> </p><p>Local authority areas will also report back on progress they are making on implementing these and other issues in Public Health England’s forthcoming national autism self-assessment exercise on implementing the Adult Autism Strategy. 42 Autism Innovation Fund projects totalling £1 million to help support people with autism and share learning for wider replication in other areas were also recently announced.</p><p> </p> answering member printed Earl Howe grouped question UIN HL3400 HL3401 question first answered 15/12/2014 12:59:08 answering member 2000 label Biography information for Earl Howe
tabling member	236 label Biography information for Baroness Browning

167626

registered interest
date	03/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether all staff in the Department of Health have access to autism training, as laid out in their adult autism strategy <i>Think Autism</i>.
tabling member printed	Baroness Browning
uin	HL3400
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>Think Autism, the April 2014 update to the Adult Autism Strategy has over 30 actions for Government departments and other organisations and is overseen by the Autism Programme Board. A summary of progress will be published in August 2015.</p><p> </p><p> </p><p> </p><p>Work is underway to look at how staff in the Department of Health and arm’s length bodies have access to autism training, such as the Hidden Impairment Toolkit developed by the Department for Work and Pensions and the National Hidden Impairment National Group. The needs of older people with autism, the appropriate and timely diagnosis of adult autism, and the provision of care and support services for adults with autism are also identified in Think Autism and are part of the consultation on the revised statutory guidance for local authorities and the National Health Service which runs until 19 December.</p><p> </p><p> </p><p> </p><p>Local authority areas will also report back on progress they are making on implementing these and other issues in Public Health England’s forthcoming national autism self-assessment exercise on implementing the Adult Autism Strategy. 42 Autism Innovation Fund projects totalling £1 million to help support people with autism and share learning for wider replication in other areas were also recently announced.</p><p> </p> answering member printed Earl Howe grouped question UIN HL3399 HL3401 question first answered 15/12/2014 12:59:08 answering member 2000 label Biography information for Earl Howe
tabling member	236 label Biography information for Baroness Browning

167627

registered interest
date	03/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Autism
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what progress has been made to ensure that staff in arm's-length bodies who work with the Department of Health have access to training on autism, as laid out in their refreshed adult autism strategy <i>Think Autism</i>.
tabling member printed	Baroness Browning
uin	HL3401
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>Think Autism, the April 2014 update to the Adult Autism Strategy has over 30 actions for Government departments and other organisations and is overseen by the Autism Programme Board. A summary of progress will be published in August 2015.</p><p> </p><p> </p><p> </p><p>Work is underway to look at how staff in the Department of Health and arm’s length bodies have access to autism training, such as the Hidden Impairment Toolkit developed by the Department for Work and Pensions and the National Hidden Impairment National Group. The needs of older people with autism, the appropriate and timely diagnosis of adult autism, and the provision of care and support services for adults with autism are also identified in Think Autism and are part of the consultation on the revised statutory guidance for local authorities and the National Health Service which runs until 19 December.</p><p> </p><p> </p><p> </p><p>Local authority areas will also report back on progress they are making on implementing these and other issues in Public Health England’s forthcoming national autism self-assessment exercise on implementing the Adult Autism Strategy. 42 Autism Innovation Fund projects totalling £1 million to help support people with autism and share learning for wider replication in other areas were also recently announced.</p><p> </p> answering member printed Earl Howe grouped question UIN HL3399 HL3400 question first answered 15/12/2014 12:59:08 answering member 2000 label Biography information for Earl Howe
tabling member	236 label Biography information for Baroness Browning

167200

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Wallace of Saltaire on 1 December (HL3088), what was the overall incidence of stillbirths from in vitro fertilisation pregnancies for the past decade following foetal reduction in either the first trimester or early in the second trimester that affected (1) the remaining twin from the same twin pregnancy, (2) one of the remaining triplets from the same pregnancy, and (3) both of the remaining triplets from the same pregnancy, according to data held by the Human Fertilisation and Embryology Authority.
tabling member printed	Lord Alton of Liverpool
uin	HL3301
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that in the decade preceding 31 December 2012, the HFEA register records one incidence of a still birth following an embryo reduction at week 13 in a twin pregnancy, and one incidence of a still birth following a double embryo reduction at 12 weeks in a triplet pregnancy. Within this time period there are no other records of incidences of still births following foetal reductions in multiple pregnancies taking place within the first 16 weeks of pregnancy.</p><p> </p><p> </p><p> </p><p>The first trimester has been taken as weeks 0-13 and ‘early in the second trimester’ as weeks 14-16.</p><p> </p><p> </p><p> </p><p>The HFEA has also advised that any records held on its register after 31 December 2012 are not yet verified.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:14:38 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167201

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by Earl Howe on 17 November (HL2642) and on 2 December (HL2905), whether they consider that mutations affecting DNA Polymerase Gamma might in turn ever be potentially responsible for disease-associated mitochondrial DNA mutations such as those listed in Annex D of the "Mitochondrial Donation" consultation document; and if not, why not.
tabling member printed	Lord Alton of Liverpool
uin	HL3302
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>We have been advised that there is no evidence to suggest that mutations affecting DNA polymerase gamma result in high levels of the mitochondrial DNA mutations responsible for the mitochondrial diseases listed in Annex D of the mitochondrial donation consultation document. As stated in my previous answer of 17 November 2014 (<em>Official Report</em>, col WA59), mitochondrial donation techniques would only be used for patients that have an inherited mitochondrial DNA mutation and could not be used for those diseases in which faulty mitochondria arise from a nuclear gene mutation.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:29:26 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167202

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 2 December (HL2905), what was the empirical evidence upon which the Human Fertilisation and Embryology Authority based its recommendation regarding multi-foetal pregnancy reduction.
tabling member printed	Lord Alton of Liverpool
uin	HL3303
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that as stated in my Written Answer of 17 November 2014 (<em>Official Report</em>, Columns WA 60-61), when developing its policy on multiple births, the HFEA commissioned an Expert Group on Multiple Births after IVF (in vitro fertilisation), which concluded that the prevention of multiple pregnancies through single embryo transfer should be preferred to multifetal pregnancy reduction.</p><p> </p><p> </p><p> </p><p>The evidence this recommendation was based on is outlined in the Expert Group’s report, available on the HFEA’s website at:</p><p> </p><p> </p><p> </p><p><a href="http://www.hfea.gov.uk/docs/MBSET_report.pdf" target="_blank">http://www.hfea.gov.uk/docs/MBSET_report.pdf</a></p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:15:26 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167209

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how much money they have redirected from acute services to community services in England, for example through community provision for people with severe learning difficulties; and how much money is flowing in the opposite direction.
tabling member printed	Lord Mawson
uin	HL3310
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Local National Health Service clinical commissioning groups (CCGs) are responsible for funding the majority of acute and community services. NHS England sets CCG funding allocations but does not direct CCGs in how those funds should be applied between different services. The in-year reporting of CCG expenditure does not provide the fine detail on movements in expenditure between acute services and community services. However, the NHS does produce programme budgeting data on historical expenditure which provides information on expenditure by major health condition as well as, for last three years, a breakdown by care-setting. The data on expenditure by care-settings is relatively new and is not yet considered robust enough to make comparisons of expenditure by care-setting. The 2013-14 data will be available in 2015, under a revised format.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 16:28:02 answering member 2000 label Biography information for Earl Howe
tabling member	3830 label Biography information for Lord Mawson