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1130243

	registered interest
	date	05/06/2019
	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	Rheumatology: Nurses
	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 report by the British Society for Rheumatology Specialist Nursing in Rheumatology: the State of Play, published on 30 April, in particular its findings on the number of unfilled vacancies within the rheumatology specialist nurse workforce; and what steps they are taking to assist NHS Trusts in England with recruitment to those posts.
	tabling member printed	Baroness Masham of Ilton
	uin	HL16104
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>We have noted the report published by the British Society of Rheumatology. The challenges they highlight are why part of the NHS Long Term Plan’s mission is to make the National Health Service a world class employer and deliver the workforce the NHS needs. To deliver on these commitments the NHS published a new interim People Plan on 3 June that set out a shared vision and plan of action to put NHS people at the heart of NHS policy and delivery. The interim People Plan sets out the action the NHS will take now and over the long term to meet the challenges of supply, reform, culture and leadership.</p><p>Individual NHS employers are responsible for training the right number of rheumatology specialist nurses, based on the needs of the population they serve. Health Education England works with NHS employers to support the development of registered nurses so they can fill these specialist roles.</p><p>A programme of work is underway at Health Education England to develop an Advanced Clinical Practice framework that will allow health professionals to develop their careers and learn specialist skills, such as in rheumatology. Organisations are being supported to understand this level of practice and how they can develop and support their workforce into Advanced Clinical Practice level roles.</p> answering member printed Baroness Barran question first answered 19/06/2019 12:38:53 answering member 4703 label Biography information for Baroness Barran
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1130244

	registered interest
	date	05/06/2019
	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	Rheumatology: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had with (1) Health Education England, (2) NHS Education for Scotland, (3) Health Education and Improvement Wales, and (4) Health and Social Care Northern Ireland, about promoting the study of rheumatology within (a) the undergraduate, (b) postgraduate, and (c) professional training, medical community.
	tabling member printed	Baroness Masham of Ilton
	uin	HL16105
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Government has not included any requirement in its Mandate to Health Education England (HEE) with regards to promoting rheumatology training.</p><p>Undergraduate medical students and foundation doctors receive career guidance throughout their training to help them in their choice of subsequent career speciality. This enables them to consider what they would be best suited to and what career opportunities exist within the National Health Service. This includes career fairs, which may be meetings or virtual, when colleges and societies are available to give more detail on the own specialties. For rheumatology this will include the British Association of Rheumatology.</p><p>HEE manages the recruitment process for postgraduate training programmes in medicine. In 2018, 100% of the 50 rheumatology specialty training posts available were filled. The number of training posts appointed to is agreed each year in balance with all the other training posts required. These include training posts in general practice, where most rheumatological conditions are managed primarily or jointly in primary care settings.</p><p>Healthcare education, training and recruitment in Wales, Northern Ireland and Scotland is a matter for the devolved administrations in each nation.</p> answering member printed Baroness Barran question first answered 19/06/2019 12:38:05 answering member 4703 label Biography information for Baroness Barran
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1130246

	registered interest
	date	05/06/2019
	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 Trusts: Recruitment
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what guidance they provide to individual NHS Trusts in England on succession planning for specialist posts.
	tabling member printed	Baroness Masham of Ilton
	uin	HL16107
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>Succession planning for individual specialist posts is the responsibility of National Health Service trusts.</p><p>Health Education England (HEE), the national body for NHS workforce planning, works closely with the NHS to support workforce planning at a local, regional and national level. HEE uses information from employers to plan how many specialists in each discipline are required nationally and then provides the training programmes to ensure that individual specialists have the right knowledge and skills to fill these vacancies.</p> answering member printed Baroness Barran question first answered 19/06/2019 12:39:22 answering member 4703 label Biography information for Baroness Barran
	tabling member	1850 label Biography information for Baroness Masham of Ilton

1130598

	registered interest
	date	06/06/2019
	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, further to the answer by Baroness Blackwood of North Oxford on 5 June (HL Deb, col 87), what statistics the Department of Health and Social care keep on the number of individuals who have been charged under the Assaults on Emergency Workers (Offences) Act 2018 for assaults against those employed by the NHS.
	tabling member printed	Lord Clark of Windermere
	uin	HL16142
	answer	answer is ministerial correction date of answer 19/06/2019 answer text <p>The Department does not keep statistics on the number of individuals who have been charged under the Assaults in Emergency (Offences) Act 2018 for assaults against those employed by the National Health Service.</p> answering member printed Baroness Barran question first answered 19/06/2019 12:35:25 answering member 4703 label Biography information for Baroness Barran
	tabling member	525 label Biography information for Lord Clark of Windermere

1130820

	registered interest
	date	10/06/2019
	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	Opioids: Prescriptions
	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 ensure that individuals prescribed opioid medication for chronic pain have their prescriptions reviewed on an annual basis.
	tabling member printed	The Lord Bishop of Carlisle
	uin	HL16187
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>The General Medical Council’s (GMC’s) ethical guidance <em>Good practice in prescribing and managing medicines and devices (2013)</em> sets out that with all prescriptions, it is expected that clinicians make sure that suitable arrangements are in place for monitoring, follow-up and review, taking account of the patients’ needs and any risks arising from the medicines.</p><p>A copy of the GMC guidance is attached.</p> answering member printed Baroness Barran question first answered 24/06/2019 15:16:33 answering member 4703 label Biography information for Baroness Barran attachment 1 file name prescribing-guidance_pdf-59055247.pdf title Prescribing_guidance
	tabling member	4307 label Biography information for The Lord Bishop of Carlisle

1130838

	registered interest
	date	10/06/2019
	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	Gender Dysphoria: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they intend to take to prevent the illegal supply of puberty-blocking drugs to British children and adolescents by Dr Helena Webberley, who was recently suspended from the Medical Register by the General Medical Council and who is advertising services from Spain.
	tabling member printed	Lord Moonie
	uin	HL16205
	answer	answer is ministerial correction date of answer 24/06/2019 answer text <p>It is unacceptable if patients are being put at risk by a service that deliberately places itself beyond the jurisdiction of United Kingdom regulators.</p><p>The Department is working closely with the Care Quality Commission and relevant professional regulators to explore how it can close the loopholes that allow a small number of online organisations to operate without the necessary oversight.</p> answering member printed Baroness Barran question first answered 24/06/2019 15:30:40 answering member 4703 label Biography information for Baroness Barran
	tabling member	621 label Biography information for Lord Moonie

1130872

	registered interest
	date	10/06/2019
	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	Mental Health Services: Contracts
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, for what reasons NHS England decided that only NHS organisations can be the lead on contracts for specialised mental health services.
	tabling member constituency	Bristol South
	tabling member printed	Karin Smyth
	uin	262408
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>NHS England has determined that provider collaboratives for specialised mental health, learning disability and autism services will be managed by a lead provider in their local area. The lead provider will be given delegated responsibility for managing the budget and patient pathway for specialised care for their local population.</p><p>They will be monitored and held to account via a contract with NHS England, which will retain ultimate accountability for the commissioning of these services. The lead provider will work in partnership with a collaborative of National Health Service and independent sector providers to deliver care locally to their population.</p><p>Although provider collaboratives will be led by an NHS organisation, independent providers can participate in provider collaboratives and enter into partnership agreements to support the effective and efficient delivery of NHS-funded care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:40:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4444 label Biography information for Karin Smyth

1130902

	registered interest
	date	10/06/2019
	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	Maternity Services: Medical Records
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to ensure that 100,000 women are able to access their maternity record digitally in 2019-20; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	262383
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>So far, 73,000 women have been offered access to digital maternity care records across 15 live pilot sites. The National Health Service is on track to meet the commitment of 100,000 women by the end of 2019-20.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:41:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4244 label Biography information for Jonathan Ashworth

1130903

	registered interest
	date	10/06/2019
	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	Diabetes: Health Services
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to develop and expand the Diabetes Prevention Programme to offer digital access; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	262384
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>As set out in the NHS Long Term Plan, an Implementation Framework will be published shortly which will set out the next steps the National Health Service will take to deliver the commitments and the national activity and support available to systems. The Implementation Framework will assist local health systems, who will build on the engagement already taking place across the country, in developing their strategic Long Term Plan implementation plan over the summer. NHS England and NHS Improvement will then publish a national implementation plan in the autumn.</p><p>The Long Term Plan committed to fund a doubling of the NHS Diabetes Prevention Programme over the next five years, including a new digital option to widen patient choice and target inequality.</p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 18/06/2019 16:26:50 answering member 4455 label Biography information for Seema Kennedy
	tabling member	4244 label Biography information for Jonathan Ashworth

1130904

	registered interest
	date	10/06/2019
	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: Databases
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the NHS Long Term Plan and NHS Planning Guidance commitments for 2019-20, what progress his Department has made against the commitment to begin work to roll out technology standards, as set out in The Future of Healthcare, to ensure data is interoperable and accessible; and if he will make a statement.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	262385
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <p>On 17 October 2018, NHS Digital published the National Health Service digital, data and technology standards framework setting out key expectations for the use of data, interoperability, security and design standards within the NHS at the following link:</p><p><a href="https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles" target="_blank">https://digital.nhs.uk/about-nhs-digital/our-work/nhs-digital-data-and-technology-standards/framework#principles</a></p><p>Specifically, it sets out that all NHS digital, data and technology services should support Fast Healthcare Interoperability Resources-based application programming interfaces to enable the delivery of seamless care across organisational boundaries.</p><p>The Department has also created NHSX - a new unit dedicated to improving the technology experience within the NHS. NHSX has committed to ensure that future IT systems procured or developed by the NHS will adhere to a range of standards covering the content and format of information as well as ensuring any sharing of information meets the highest standards of safety and privacy.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 16:38:59 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4244 label Biography information for Jonathan Ashworth