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1046308

	registered interest
	date	22/01/2019
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to reduce the variation across Clinical Commissioning Groups in England in the ratio between GPs and their patients.
	tabling member printed	Lord Birt
	uin	HL13017
	answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>Each general practice is required to provide services to meet the reasonable needs of their registered population. There is no recommendation for how many patients a general practitioner (GP) should have, as the demand each patient places on their GP is different and can be affected by various factors, including rurality and patient demographics. The workforce required for each practice to meet patient needs also includes a range of health professionals in addition to GPs themselves, and the best skill mix is for practices to determine.</p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce in England. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p>Last year, Health Education England recruited the highest number of GP trainees ever and the Targeted Enhanced Recruitment Scheme (TERs) is attracting GP trainees to parts of the country where there have been consistent shortages of GP trainees. Over 500 trainees entered the TERs scheme in 2016-2018 and a further 276 are available in 2019.</p><p>NHS England has committed to further expanding community based multi-disciplinary teams and will provide funding for around 20,000 other staff in primary care networks by 2023/24. This builds on the extra 3,700 non-GP clinical staff already working in general practice, compared to 2015 and will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs.</p><p>The recently published NHS Long Term Plan made a clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion more in real terms a year by 2023/24 – meaning their funding will grow faster than the rising National Health Service budget. Since the launch of the Long Term Plan, NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP (General Medical Services) contract framework from 2019/20. The new contract framework will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2019 12:46:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2533 label Biography information for Lord Birt

1046317

	registered interest
	date	22/01/2019
	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	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have commissioned advice from any company, organisation or individual about the proposed changes to tobacco product packaging in the event of a no-deal Brexit; if so, which company, organisation or individual they commissioned such advice from; what was the cost of any such advice; and whether they will place a copy of any such advice in the Library of the House.
	tabling member printed	Lord Palmer
	uin	HL13025
	answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>Over the last year, and at no cost, the Department has consulted with a range of experts in tobacco control, none of whom have any connections with the tobacco industry. The Department has also consulted with the Health Ministries of other countries that have world leading tobacco control programmes.</p><p>The external advice provided to the Department has been part of the formulation of Government policy and therefore, we have no plans to publish the advice at this current time.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2019 12:42:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3192 label Biography information for Lord Palmer

1047590

	registered interest
	date	23/01/2019
	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	Postnatal Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the NHS provides post-natal examinations of mothers and babies.
	tabling member printed	Baroness Tonge
	uin	HL13083
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks). National Institute for Health and Care Excellence guidelines on postnatal care stipulate that a documented, individualised postnatal care plan should be developed with the woman ideally in the antenatal period or as soon as possible after birth.</p><p>All parents are also offered a thorough physical examination for their baby within 72 hours of giving birth. This examination includes screening tests to find out if a baby has any problems with their eyes, heart, hips and, in boys, the testicles (testes). Parents are offered another physical examination for their baby at the end of the postnatal period, as some of the conditions the NHS screens for can take time to develop. This second examination is usually done at a general practitioner’s (GP) surgery.</p><p>GPs may combine the two checks, for parent and baby, at the same appointment.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1047591

	registered interest
	date	23/01/2019
	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	Postnatal Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government who is responsible for enabling that women have post-natal examinations to detect any birth injury which may have gone unnoticed at delivery.
	tabling member printed	Baroness Tonge
	uin	HL13084
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks).</p><p>Relevant National Institute for Health and Care Excellence guidelines stipulate that postnatal care for women needs to address any deviation from expected recovery after birth and any symptoms reported by the woman or identified through clinical observations should be assessed. Women should be advised of the signs and symptoms of potentially life-threatening conditions, including those that may arise as a result of birth injury, and to contact their healthcare professional immediately or call for emergency help if any signs and symptoms occur. Signs and symptoms of infection, inadequate repair, wound breakdown or non-healing should be evaluated and urgent action taken. Additionally, women may be offered an examination to see if their stitches have healed if they had an episiotomy or caesarean section.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1047595

	registered interest
	date	23/01/2019
	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	Inflammatory Bowel Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to (1) review, and (2) update, the NICE guidelines for the management of (a) Crohn’s disease, and (b) ulcerative colitis.
	tabling member printed	Baroness Young of Old Scone
	uin	HL13088
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for reviewing and updating its guidelines as new evidence becomes available.</p><p>NICE’s clinical guidelines for the management of Crohn’s disease and ulcerative colitis were both reviewed in 2017 and are both in the process of being updated.</p><p>The Crohn’s disease guideline update focuses on postsurgical maintenance of remission, whilst the ulcerative colitis guideline update focuses on medicines used to induce remission in people with mild-to-moderate ulcerative colitis and treating acute severe ulcerative colitis.</p><p>NICE expects to publish its updated guidelines for both conditions in May 2019.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 15:51:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1755 label Biography information for Baroness Young of Old Scone

1047597

	registered interest
	date	23/01/2019
	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	Gastrointestinal System: Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when initial findings are anticipated from the gastroenterology Getting It Right First Time workstream; and whether that workstream will make recommendations about inflammatory bowel disease services.
	tabling member printed	Baroness Young of Old Scone
	uin	HL13090
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Getting It Right First Time (GIRFT) gastroenterology pilot visits will begin in April 2019, to test the data packs. Once cleared, these data packs will be sent to all English trusts and visits to these trusts will commence in June 2019. While initial findings will start to become clear in autumn 2019, GIRFT does not release its recommendations until the publication of the National report, which, after feedback from key stakeholders including the British Society of Gastroenterology, is scheduled to be released in summer 2020.</p><p>GIRFT will be looking at all areas of gastroenterology, including areas relevant to patients with inflammatory bowel disease. However, it is too early to say what specific recommendations will be made in each area.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:33:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1755 label Biography information for Baroness Young of Old Scone

1047813

	registered interest
	date	24/01/2019
	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: Crimes of Violence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many assaults by mental health patients on NHS staff were reported in each of the last five years for which records are available.
	tabling member printed	Lord Alton of Liverpool
	uin	HL13091
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The number of assaults by mental health patients on National Health Service staff reported in each of the last five years is not available in the format requested. However, the following table shows the number of physical assaults where the perpetrator did not know what they were doing, or did not know what they were doing was wrong due to medical illness, mental ill health, severe learning disabilities or treatment administration from 2011/12 to 2015/16.</p><p> </p><table><tbody><tr><td><p>2015/16</p></td><td><p>52,704</p></td></tr><tr><td><p>2014/15</p></td><td><p>51,372</p></td></tr><tr><td><p>2013/14</p></td><td><p>53,484</p></td></tr><tr><td><p>2012/13</p></td><td><p>48,469</p></td></tr><tr><td><p>2011/12</p></td><td><p>46,265</p></td></tr></tbody></table><p> </p><p>Physical assaults data has not been collected centrally since 2015/16. On 31 October 2018, the Secretary of State for Health and Social Care announced a new NHS National Violence Reduction strategy which will include a new central physical assaults data collection. These data will help NHS organisations benchmark their progress in protecting their staff against physical assaults and support the spread of good practice.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 17:36:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	738 label Biography information for Lord Alton of Liverpool

1047826

	registered interest
	date	24/01/2019
	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: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what advice they are providing to (1) UK residents, and (2) medical organisations about how to access medicines from the EU in the UK.
	tabling member printed	Lord Hunt of Chesterton
	uin	HL13104
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>It is a priority of the Department to ensure patients continue to have access to medicines as we leave the European Union, in all exit scenarios.</p><p>While a Withdrawal Agreement has been agreed between Government and the European Commission, as a responsible Government, we continue to prepare proportionately for all scenarios, including the outcome that we leave the European Union without a deal in March 2019.</p><p>The Department has issued guidance on 7 December 2018 to all National Health Service trusts, pharmacies and general practices informing them of our plans for ensuring continuity of supply of medicines and advising them that they can expect to be able to continue accessing medicines through their existing supply routes in the event of a ‘no deal’ EU exit on 29 March 2019. This guidance explained how hospitals, general practitioners and community pharmacies throughout the UK do not need to take any steps to stockpile additional medicines, beyond their business as usual stock levels. There is also no need for clinicians to write longer NHS prescriptions. A copy of the Department’s letter of 7 December to the NHS in England is attached.</p><p>NHS England and the devolved administrations have also communicated similar messages to the front line and patients have also been advised not to stockpile medicines. Unnecessary local stockpiling would increase pressure on the medicines supply chain and could lead to avoidable shortages and subsequent risks to patients.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:44:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name government_preparations_update_for_march_2019.pdf title 7 December letter to the NHS
	tabling member	2543 label Biography information for Lord Hunt of Chesterton

1047847

	registered interest
	date	24/01/2019
	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	Obesity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they are considering taking steps to reduce differences in levels of obesity between more and less deprived areas; and if so, what steps.
	tabling member printed	Baroness Redfern
	uin	HL13125
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>In <em>Childhood obesity: a plan for action, chapter 2</em>, published in June 2018, we have set a bold ambition to halve childhood obesity by 2030 and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030. We want to achieve this by ensuring that we are supporting parents, particularly in the most deprived families, to help their children have the best start in life. We have reiterated this ambition in our vision document <em>Prevention is better than cure</em>, published on 5 November 2018, and in the <em>NHS Long Term Plan</em> published on 8 January 2019.</p><p> </p><p>The childhood obesity plan delivers school based interventions including revenue from the soft drinks industry levy being invested in programmes targeted at disadvantaged children including up to £26 million to fund a breakfast club programme between 2017-18 and 2019-20 and £22 million in an Essential Life Skills programme in 12 Opportunity Areas to enable disadvantaged children aged 5-18 to participate in regular extra-curricular activities, including sporting activities, to develop essential life skills.</p><p> </p><p>Through the Healthy Food Schemes, the Government provides a nutritional safety net to those who need it the most. The three schemes that make up this programme, Healthy Start, Nursery Milk and School Fruit and Vegetables, help to support children, babies and women through pregnancy, when they are at home, in childcare and in early years at school.</p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:47:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4551 label Biography information for Baroness Redfern

1047854

	registered interest
	date	24/01/2019
	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	HIV Infection: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to extend access to the Pre-Exposure Prophylaxis pill.
	tabling member printed	Lord Storey
	uin	HL13132
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>On 30 January, the Secretary of State for Health and Social Care announced that the Pre-exposure Prophylaxis (PrEP) Impact trial would be expanded to 26,000 people. Work is underway with partners to take this forward. The PrEP Oversight Board has requested information on local capacity to make the additional places available, and will review this later in February.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 15:52:20 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4238 label Biography information for Lord Storey

1047856

	registered interest
	date	24/01/2019
	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: Migrant Workers
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what estimate they have made of the number of new workers required to replace workers from other EU countries who may leave the health and social care sector following the UK's withdrawal from the EU; and what measures they are putting in place to ensure that sufficient numbers are recruited and trained.
	tabling member printed	Lord Stunell
	uin	HL13134
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The Department’s priority is to ensure that the 167,000 European Union staff currently working in the health and social care sectors are not only able to stay, but feel welcomed and encouraged to stay in the United Kingdom.</p><p>As part of this work, the public testing phase of the EU Settlement Scheme opened on 21 January 2019. Following the Prime Minister’s announcement on 21 January 2019, from 30 March 2019 onwards, EU nationals will not have to pay a charge to make an application. Any application made before that date, including those that have already been made, will be reimbursed.</p><p>We have also introduced a range of measures to support increased recruitment and retention across the health and care system, including national recruitment campaigns that illustrate the diverse and fulfilling career opportunities available in the National Health Service and social care.</p><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:46:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	445 label Biography information for Lord Stunell

1047861

	registered interest
	date	24/01/2019
	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	Postnatal Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether contraception advice is provided in postnatal care; and if so, what consideration they give as to when to provide such advice.
	tabling member printed	Baroness Tonge
	uin	HL13139
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The National Health Service advises women of the importance of using some form of contraception during sex after giving birth, including the first time, if they do not wish to become pregnant. Women will usually have had a chance to discuss contraception before leaving hospital after birth, and again at their postnatal check at six-eight weeks. They can also talk about contraception with their general practitioner or health visitor, or go to a family planning or local contraception clinic, at any time, including whilst still pregnant.</p><p>National Institute for Health and Care Excellence guidance for postnatal care specifically recommends that methods and timing of resumption of contraception should be discussed within the first week of the birth. The coordinating healthcare professional should provide proactive assistance to women who may have difficulty accessing contraceptive care. This includes providing contact details for expert contraceptive advice.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:02:44 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1049566

	registered interest
	date	28/01/2019
	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	Pregnancy: Mental Illness
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of whether perinatal mental illnesses are being adequately identified and treated; whether they have made any assessment of the links between (1) perinatal mental illness and emotional and behavioural problems in children, and (2) perinatal mental illness and intergenerational cycles of poverty; whether, as a result of any such assessment, they intend to take steps to tackle any under-identification of perinatal mental illness; and if so, what steps.
	tabling member printed	Lord Bird
	uin	HL13154
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Perinatal mental illness covers a wide range of conditions. Although the Government has made no formal assessment of the links between perinatal mental health and intergenerational poverty, we stated in the Five Year Forward View for Mental Health that if left untreated, it can have significant and long-lasting effects not only on the woman but also on the emotional, social and cognitive development of children.</p><p>The Government is committed to improving both the detection and treatment of perinatal mental illness. General practitioners and primary care teams have a crucial role in supporting the identification and treatment of perinatal mental illness, including post-natal depression, and are part of an integrated pathway of services. Support includes monitoring early onset conditions, providing pre-conception counselling and referring women to specialist mental health services, including Improving Access to Psychological Therapies services and specialist perinatal community teams, if necessary.</p><p>To date, NHS England and Health Education England has also funded training for over 3,000 staff and professionals in mental health, maternity services and primary care to better identify and support women with perinatal mental health needs.</p><p>We are investing £365 million from 2015/16 to 2020/21 in perinatal mental health services to ensure that by 2020/21 at least 30,000 more women each year are able to access evidence-based specialist mental health care during the perinatal period. This investment is designed to improve access to specialist perinatal mental health services across England, resulting in better outcomes for women and their families.</p><p>In addition, the NHS Long Term Plan, includes a commitment for a further 24,000 women to be able to access specialist perinatal mental health care by 2023/24, building on the additional 30,000 women who will access these services each year by 2020/21 under pre-existing plans. Specialist care will also be available from preconception to 24 months after birth, which will provide an extra year of support.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:47:54 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4564 label Biography information for Lord Bird

1049571

	registered interest
	date	28/01/2019
	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	Surgery: Allergies
	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 number of independent healthcare providers who have provided data to the Royal College of Anaesthetists’ national audit project on life-threatening allergic reaction during surgery; and what steps, if any, they intend to take to encourage such providers to provide such data.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL13158
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>We have made no assessment of the number of independent healthcare providers who have provided data to the Royal College of Anaesthetists. We encourage transparency and data sharing in the interest of improving care.</p><p>Private providers providing National Health Service funded services should meet all of the requirements in respect of information governance that we place on NHS organisations and the quality of services would be monitored through the commissioning contract.</p><p>The Paterson Inquiry, which is due to report its conclusions and recommendations in summer 2019, will consider how and when information is shared between the NHS and the independent sector.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 17:39:49 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1049572

	registered interest
	date	28/01/2019
	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 what steps they will take to ensure that patients treated in independent healthcare providers’ hospitals will receive a uniform standard of care; and what steps they will take to ensure that any recommendations on patient care from medical royal colleges are adopted by such providers.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL13159
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care in England, and is responsible for ensuring that all health and social care services provide people with safe, effective, compassionate, high quality care; and encouraging services to improve. The CQC uses the same assessment framework of key lines of enquiry and ratings characteristics for its inspections and ratings across all healthcare service types, including both National Health Service and independent sector providers.</p><p>Key standards and recommendations on patient care made by medical Royal Colleges are reflected in the CQC’s inspection frameworks and guidance for specific healthcare services, and the CQC reports on where providers are following that guidance.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:54:54 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1049579

	registered interest
	date	28/01/2019
	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	Liothyronine
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had, or intend to have, with NHS England on ensuring Liothyronine (T3) is prescribed in accordance with NICE guidelines.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL13166
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Department has had no such discussions with NHS England on ensuring liothyronine is prescribed in accordance with the National Institute for Health and Care Excellence guidelines, nor does the Department intend to conduct such an assessment.</p><p>The Regional Medicines Optimising Committee published its latest guidance on the prescribing of liothyronine in November and we can confirm NHS England is working closely with clinical commissioning groups (CCGs) on the prescribing of liothyronine to support them with the implementation of guidance for CCGs on items which should not be routinely prescribed in primary care.</p><p>CCGs are expected to have regard to national guidance, and are responsible for developing their own local approaches to its implementation taking into account local priorities and needs.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13167 question first answered 11/02/2019 17:39:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1049580

	registered interest
	date	28/01/2019
	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	Liothyronine
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to conduct an assessment of the impact of the withdrawal of Liothyronine (T3) on patients as a result of Clinical Commissioning Groups misinterpreting or failing to follow NHS England's guidance on the prescription of that drug.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL13167
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Department has had no such discussions with NHS England on ensuring liothyronine is prescribed in accordance with the National Institute for Health and Care Excellence guidelines, nor does the Department intend to conduct such an assessment.</p><p>The Regional Medicines Optimising Committee published its latest guidance on the prescribing of liothyronine in November and we can confirm NHS England is working closely with clinical commissioning groups (CCGs) on the prescribing of liothyronine to support them with the implementation of guidance for CCGs on items which should not be routinely prescribed in primary care.</p><p>CCGs are expected to have regard to national guidance, and are responsible for developing their own local approaches to its implementation taking into account local priorities and needs.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13166 question first answered 11/02/2019 17:39:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1049581

	registered interest
	date	28/01/2019
	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	Liothyronine
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to ensure that Liothyronine (T3) is purchased at a cost in line with other EU countries.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL13168
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>All United Kingdom marketing authorisation holders of liothyronine are obliged to ensure that the product complies with the minimum standard as specified in the updated British Pharmacopoeia monograph for liothyronine tablets. Liothyronine on the market in other European Union Member States may not comply with the updated British Pharmacopoeia monograph and therefore would not be considered therapeutically equivalent.</p><p>Liothyronine is an unbranded generic medicine. The Department encourages competition between suppliers of unbranded generic medicines to keep prices down. This generally works well and has led to some of the lowest prices in Europe. Concerns about anti-competitive behaviour are a matter for the Competition and Markets Authority (CMA) to investigate.</p><p>Liothyronine, marketed by Advanz Pharma (formerly Concordia), is currently the subject of an investigation by the CMA. The CMA has provisionally found that the company abused its dominant position to overcharge the National Health Service by millions of pounds for liothyronine tablets. A provisional decision does not necessarily lead to an infringement decision. Where companies have breached competition law, the Department will seek damages and invest that money back into the NHS.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:48:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1049587

	registered interest
	date	28/01/2019
	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	Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they expect to publish their Green Paper on social care.
	tabling member printed	Lord Lipsey
	uin	HL13173
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Social Care Green Paper remains a priority for this Government and the Department. We will be publishing the Green Paper at the earliest opportunity.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:53:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2492 label Biography information for Lord Lipsey

1049589

	registered interest
	date	28/01/2019
	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	Genetics
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government who authorised NHS England's scheme to allow people to pay to have their genes sequenced on the condition that they share their data.
	tabling member printed	Lord Scriven
	uin	HL13175
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The second Life Sciences Sector Deal, published by the Government in December 2018, announced that Genomics England will undertake development work on a new service to enable volunteers to pay for a personalised report on their unique genetic makeup.</p><p>Genomics England are in the early stages of developing the scheme, working with patient groups and the public as well as key partners, including the National Health Service.</p><p>It will be developed in line with the founding principles of the NHS and established to the highest ethical standards.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13176 question first answered 11/02/2019 17:38:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4333 label Biography information for Lord Scriven

1049591

	registered interest
	date	28/01/2019
	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	Genetics
	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 ethics implications of NHS England's scheme to allow people to pay to have their genes sequenced on the condition that they share their data.
	tabling member printed	Lord Scriven
	uin	HL13176
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The second Life Sciences Sector Deal, published by the Government in December 2018, announced that Genomics England will undertake development work on a new service to enable volunteers to pay for a personalised report on their unique genetic makeup.</p><p>Genomics England are in the early stages of developing the scheme, working with patient groups and the public as well as key partners, including the National Health Service.</p><p>It will be developed in line with the founding principles of the NHS and established to the highest ethical standards.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13175 question first answered 11/02/2019 17:38:57 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4333 label Biography information for Lord Scriven

1049596

	registered interest
	date	28/01/2019
	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	Contraceptives
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to monitor and record contraceptive use in the UK once the NHS goes paperless in 2020; and if so, whether they will record types of contraceptives being used according to age group.
	tabling member printed	Baroness Tonge
	uin	HL13181
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Contraception supplied in sexual and reproductive health services in England is monitored and recorded nationally through the Sexual and Reproductive Health Activity Data Set, which includes data on age, consultation medium and contraception main method. The data is collected from all sexual and reproductive health services, including some general practitioner (GP) services, and will continue after the National Health Service goes paperless. Data by age is not collected where contraception is supplied by general practice under the GP Contract.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:40:30 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1049597

	registered interest
	date	28/01/2019
	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	Childbirth: Incontinence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many cases of urinary or faecal incontinence as a result of childbirth were recorded in each of the last ten years.
	tabling member printed	Baroness Tonge
	uin	HL13182
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The data requested are not held centrally.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2019 13:48:05 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1049604

	registered interest
	date	28/01/2019
	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	Palliative Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how much the NHS in England has spent in real terms on palliative care in each of the last ten years for which information is available.
	tabling member printed	Lord Warner
	uin	HL13188
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care is not available. Furthermore, the commissioning and configuration of National Health Service palliative care services are a local matter and the Department holds no data on the number of beds available either in hospitals or in hospices.</p><p>NHS services include the provision of NHS palliative care. England’s NHS Constitution states all patients have the right to be involved in planning and making decisions about their health including end of life care and to be given information and support to enable them to do this.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13189 HL13191 question first answered 11/02/2019 13:54:31 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1732 label Biography information for Lord Warner

1049605

	registered interest
	date	28/01/2019
	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	Palliative Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the NHS Constitution entitles people in England to receive palliative care under the NHS; and who is responsible for ensuring information is available to patients receiving palliative care.
	tabling member printed	Lord Warner
	uin	HL13189
	answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>Much of the palliative care patients receive will be provided either in outpatient or community settings, by nurses, community teams or general practitioners as part of general NHS services provision, rather than as an identified palliative care service. In such services, data are either not available or do not identify palliative treatment. In addition, social and voluntary sector organisations can provide additional support to patients at the end of life. Therefore, figures for the total cost of palliative care is not available. Furthermore, the commissioning and configuration of National Health Service palliative care services are a local matter and the Department holds no data on the number of beds available either in hospitals or in hospices.</p><p>NHS services include the provision of NHS palliative care. England’s NHS Constitution states all patients have the right to be involved in planning and making decisions about their health including end of life care and to be given information and support to enable them to do this.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL13188 HL13191 question first answered 11/02/2019 13:54:31 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1732 label Biography information for Lord Warner