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1002209

	registered interest
	date	05/11/2018
	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	Homelessness: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what (1) guidance, (2) instructions, and (3) resources they provide to local authorities for Safeguarding Adult Reviews in relation to the deaths of homeless people; how many homeless people they estimate died in the last year for which figures are available; in how many of those cases Safeguarding Adult Reviews were carried out; and what steps they are taking to ensure that such reviews are carried out more often.
	tabling member printed	Lord Bird
	uin	HL11230
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11231 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4564 label Biography information for Lord Bird

1002210

	registered interest
	date	05/11/2018
	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	Homelessness: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to (1) collate Safeguarding Adult Reviews in relation to the deaths of homeless people, and (2) conduct a review to identify patterns and amend policy accordingly.
	tabling member printed	Lord Bird
	uin	HL11231
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11230 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4564 label Biography information for Lord Bird

1002213

	registered interest
	date	05/11/2018
	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	Nutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to publish recommended dietary advice, similar to that for fruit and vegetables, for meat and fish.
	tabling member printed	Baroness Byford
	uin	HL11234
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Government recommends eating some meat, fish, eggs, beans and other non-dairy sources of protein as part of a healthy balanced diet. Government advice is that we should eat on average no more than 70 grams of red meat a day due to the increased risk of bowel cancer. It also recommends eating two portions of fish a week, one of which should be oily, as oily fish provide long chain omega-3 fatty acids, which may help to prevent heart disease.</p><p>Dietary recommendations for meat and fish consumption are published in the national food model, the <em>Eatwell Guide</em> and its supporting messages. The <em>Eatwell Guide</em> provides visual representation on national guidance of how a balanced diet looks. A copy of the <em>Eatwell Guide</em> is attached.</p><p>Supporting documentation includes the <em>Government Dietary Recommendations: Government recommendations for energy and nutrients for males and females aged 1-18 years and 19+ years</em>, which outlines the breakdown of calorie, vitamin and mineral intake for different age groups. A copy of the <em>Government Dietary Recommendations</em> is attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Eatwell_guide_colour.pdf title Eatwell Guide 2 file name government_dietary_recommendations.pdf title Government Dietary Recommendations question first answered 15/11/2018 16:25:57 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3343 label Biography information for Baroness Byford

1002241

	registered interest
	date	05/11/2018
	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	Disability: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to analyse (1) those elements of health and social care which need to be strengthened, and (2) those aspects of entitlements for disabled children and their families and carers which need to be clarified; and what consequent action they are taking.
	tabling member printed	Lord Judd
	uin	HL11262
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The commissioning of health and social care services for children with disabilities is the responsibility of clinical commissioning groups and local authorities respectively. Local commissioners are best placed to assess the needs of the local population and which areas may need strengthening. Clinical commissioning groups must ensure that they secure health services to meet the needs of disabled children to a reasonable extent.</p><p>Children’s social care is the responsibility of the Department for Education. All disabled children are regarded as children ‘in need’ under the Children Act 1989 and may receive social care from the local authority. The Children and Families Act 2014 placed a duty on local authorities to assess whether a parent carer in their area has needs for support.</p> answering member printed Lord O'Shaughnessy question first answered 15/11/2018 16:20:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1660 label Biography information for Lord Judd

1002243

	registered interest
	date	05/11/2018
	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	Mental Health Services: Standards
	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 mental health services provided by companies and charities are delivered to at least an adequate and safe standard.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL11264
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Care Quality Commission (CQC) registers, inspects, and rates providers of independent mental health services, following an expansion of the scope of performance assessments of providers regulated by the CQC. This includes private ‘companies’ and charities that provide regulated activities.</p><p>As part of the CQC’s strategy, one of its priorities is to encourage improvement where it finds care that is not good. A copy of the strategy, <em>Shaping the future: CQC’s strategy for 2016 to 2021,</em> is attached.</p><p>Using its independent voice, the CQC publishes examples of good practice and innovative care to encourage improvement. Additionally, where necessary, it can take enforcement action against registered providers who breach conditions of registration or relevant sections of the Health and Social Care Act 2008, the Care Quality Commission (Registration) Regulations 2009, the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and other legislation that is relevant to achieving registration requirements.</p> answering member printed Lord O'Shaughnessy question first answered 15/11/2018 16:23:19 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 20160523_strategy_16-21_strategy_final_web_01.pdf title Shaping the future
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1005631

	registered interest
	date	12/11/2018
	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	Haematological Cancer
	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 level of spending on treatment for and research into blood cancer in other countries compared to the UK.
	tabling member printed	Lord Mendelsohn
	uin	HL11402
	answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>NHS England does not hold information on the level of spending on blood cancer treatment in other countries.</p> answering member printed Lord O'Shaughnessy question first answered 26/11/2018 13:00:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4286 label Biography information for Lord Mendelsohn

1005632

	registered interest
	date	12/11/2018
	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	Medical Treatments: Expenditure
	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 O'Shaughnessy on 5 November (HL10893), what data they hold on on the amount spent by the NHS on (1) treatment, and (2) drugs for different health conditions.
	tabling member printed	Lord Mendelsohn
	uin	HL11403
	answer	answer is ministerial correction date of answer 26/11/2018 answer text <p>The information is not collected centrally in the format requested.</p><p>NHS Improvement collect and publish reference costs data which are the average unit cost to the National Health Service of providing defined services to NHS patients in England in a given financial year rather than the total amount spent on treatment.</p><p>As a subset of these reference costs, data is collected about high cost drugs only.</p> answering member printed Lord O'Shaughnessy question first answered 26/11/2018 13:01:30 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4286 label Biography information for Lord Mendelsohn

1006649

	registered interest
	date	13/11/2018
	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	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what consideration they are giving to the needs of people living with HIV as part of their development of a long-term plan for the NHS.
	tabling member printed	Lord Black of Brentwood
	uin	HL11429
	answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>Following the announcement in June 2018, the Prime Minister has asked the National Health Service to develop a long term plan for the service. The plan will set out how the NHS will develop over the coming years, underpinned by a five-year funding offer which will see the NHS budget grow by over £20.5 billion a year in real terms by 2023-24. It provides an excellent opportunity to look at how HIV and other services can be further improved over the next decade. The plan is currently in development and will be published later in the year.</p> answering member printed Lord O'Shaughnessy question first answered 27/11/2018 15:31:11 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4171 label Biography information for Lord Black of Brentwood

1006668

	registered interest
	date	13/11/2018
	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	Cancer: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which cancers have been recommended by NICE for molecular testing; and of those cancers, for which biomarkers in relation to (1) prognostic tests, and (2) theranostic or treatment predictive tests.
	tabling member printed	Lord Freyberg
	uin	HL11448
	answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) recommends molecular testing for the following cancers:</p><p>- Acute myeloid leukaemia;</p><p>- Bladder;</p><p>- Brain;</p><p>- Breast;</p><p>- Chronic lymphocytic leukaemia;</p><p>- Chronic myeloid leukaemia;</p><p>- Colorectal;</p><p>- Non-small-cell lung cancer;</p><p>- Melanoma;</p><p>- Oesophago-gastric;</p><p>- Ovarian, fallopian tube and peritoneal;</p><p>- Pancreatic;</p><p>- Prostate;</p><p>- Upper aerodigestive tract; and</p><p>- Unknown primary origin.</p><p>NICE refers to the following companion diagnostic biomarkers in its guidance:</p><p>- c-Kit (CD117);</p><p>- HER2;</p><p>- KRAS;</p><p>- EGFR-TK;</p><p>- Philadelphia chromosome;</p><p>- BRAF V600;</p><p>- ALK;</p><p>- BRCA;</p><p>- p53;</p><p>- PD-L1;</p><p>- RAS;</p><p>- BCR-ABL1;</p><p>- FLT3;</p><p>- ROS1;</p><p>- BRCA1 (germline); and</p><p>- Somatostatin receptor-positive.</p><p> </p><p>Tests that are primarily used for diagnosis, monitoring or screening often provide prognostic information. Consequently, there are a large number of biomarkers, many of which are used in standard testing practice and so are not specifically referred to in NICE guidance. Multiple and combinations of biomarkers are often used to provide prognostic information and companies developing tests often create their own combinations.</p><p>As many tests look for multiple biomarkers for a single purpose and many tests in standard practice provide prognostic information, NICE is unable to provide categorical information on prognostic tests.</p> answering member printed Lord O'Shaughnessy question first answered 27/11/2018 15:29:48 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2593 label Biography information for Lord Freyberg

1006669

	registered interest
	date	13/11/2018
	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	Cancer: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government which NHS England trusts currently carry out cancer tests in compliance with NICE guidelines; and in relation to which cancers.
	tabling member printed	Lord Freyberg
	uin	HL11449
	answer	answer is ministerial correction date of answer 27/11/2018 answer text <p>NHS England does not hold this information.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11450 HL11451 question first answered 27/11/2018 15:48:20 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2593 label Biography information for Lord Freyberg