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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

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

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

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

999743

	registered interest
	date	01/11/2018
	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	IVF: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to establish a central database to track the long-term health effects of drugs administered to women undergoing IVF treatment; and if so, when.
	tabling member printed	Lord Alton of Liverpool
	uin	HL11188
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>Ovarian Hyperstimulation Syndrome (OHSS) is a well-recognised side effect of the medicines used to stimulate a patient’s ovaries during in vitro fertilisation (IVF) treatment. The risks of OHSS are taken very seriously and information on this condition and the symptoms to look out for must be provided to all patients. Patients are warned to contact their clinic or seek other medical assistance as soon as possible if they are concerned they may be developing any of the symptoms associated with the condition.</p><p>The Human Fertilisation and Embryology Authority (HFEA) requires all licensed clinics to report cases of severe or critical OHSS that come to their attention. OHSS, in its most severe form, can be fatal but deaths, as a result of the condition, are extremely rare in the United Kingdom with no deaths recorded since 2006. Hospital Episode Statistics suggest there are more emergency and out-of-hours admissions than are reported to the HFEA but there is evidence to suggest that many of these admissions have been incorrectly coded for OHSS when another condition was the reason for the admission.</p><p>The Government has no plans to establish a central database to monitor the long-term health implications of the medicines administered to women during IVF. However, we do track all adverse drug reactions assiduously, for example, through the Medicines and Healthcare products Regulatory Agency’s pharmacovigilance work and the Yellow Card Scheme.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11187 question first answered 15/11/2018 16:19:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	738 label Biography information for Lord Alton of Liverpool