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1175267

	registered interest
	date	23/01/2020
	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	Breastfeeding
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what comparison they have made of the percentage of women breastfeeding their babies at six months (1) currently, (2) 10 years ago, and (3) 20 years ago.
	tabling member printed	Baroness Miller of Chilthorne Domer
	uin	HL751
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>Breastfeeding at six months has been measured through the Infant Feeding Survey United Kingdom, which last ran in 2010. The results were published in 2012 and reported the breastfeeding prevalence for the UK outlined in the following table.</p><p>Breastfeeding prevalence for babies aged six months in 2000, 2005 and 2010 in the UK:</p><table><tbody><tr><td><p> </p></td><td><p>2000</p></td><td><p>2005</p></td><td><p>2010</p></td></tr><tr><td><p>Exclusively breastfed</p></td><td><p>Less than 1%</p></td><td><p>Less than 1%</p></td><td><p>1%</p></td></tr><tr><td><p>At all breastfed</p></td><td><p>21%</p></td><td><p>25%</p></td><td><p>34%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Source: Infant Feeding Survey - UK, 2010. NHS Digital.</li><li>Prevalence of breastfeeding is based on all mothers who completed Stage 3 of the survey.</li></ol><p> </p><p>The UK has one of the lowest breastfeeding rates in the world. Data published in the Lancet shows that 0.5% of babies in the UK are being breastfed up to one year compared with 23% in Germany, 56% in Brazil and 99% in Senegal. A copy of the Lancet article, <em>Breastfeeding in the 21<sup>st</sup> Century: epidemiology, mechanisms, and lifelong effect</em>, is attached.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL755 question first answered 05/02/2020 15:53:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Lancet_Breastfeeding in the 21st century.pdf title Breastfeeding in the 21st century
	tabling member	1934 label Biography information for Baroness Miller of Chilthorne Domer

1175271

	registered interest
	date	23/01/2020
	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	Breastfeeding
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what comparison they have made of the difference in breastfeeding rates between the UK and other countries.
	tabling member printed	Baroness Miller of Chilthorne Domer
	uin	HL755
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>Breastfeeding at six months has been measured through the Infant Feeding Survey United Kingdom, which last ran in 2010. The results were published in 2012 and reported the breastfeeding prevalence for the UK outlined in the following table.</p><p>Breastfeeding prevalence for babies aged six months in 2000, 2005 and 2010 in the UK:</p><table><tbody><tr><td><p> </p></td><td><p>2000</p></td><td><p>2005</p></td><td><p>2010</p></td></tr><tr><td><p>Exclusively breastfed</p></td><td><p>Less than 1%</p></td><td><p>Less than 1%</p></td><td><p>1%</p></td></tr><tr><td><p>At all breastfed</p></td><td><p>21%</p></td><td><p>25%</p></td><td><p>34%</p></td></tr></tbody></table><p> </p><p>Notes:</p><ol><li>Source: Infant Feeding Survey - UK, 2010. NHS Digital.</li><li>Prevalence of breastfeeding is based on all mothers who completed Stage 3 of the survey.</li></ol><p> </p><p>The UK has one of the lowest breastfeeding rates in the world. Data published in the Lancet shows that 0.5% of babies in the UK are being breastfed up to one year compared with 23% in Germany, 56% in Brazil and 99% in Senegal. A copy of the Lancet article, <em>Breastfeeding in the 21<sup>st</sup> Century: epidemiology, mechanisms, and lifelong effect</em>, is attached.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL751 question first answered 05/02/2020 15:53:19 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name Lancet_Breastfeeding in the 21st century.pdf title Breastfeeding in the 21st century
	tabling member	1934 label Biography information for Baroness Miller of Chilthorne Domer

1176666

	registered interest
	date	23/01/2020
	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	Midwives: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many of the 3,000 additional training places announced in May 2018 for midwifery students have (1) been filled in the current academic year, and (2) been commissioned for each of the next three academic years.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL732
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Since the changes to the bursary system in 2017 midwifery places are no longer directly commissioned. The Department makes funding available for clinical placements, with places filled via the normal university application process. The Government has committed to expand midwifery training places by 3,650 over a four year period with an increase of 650 in September 2019 and 1,000 in each of the subsequent years.</p><p>Data from the Universities and Colleges Admissions Service (UCAS) in the following table shows acceptances to midwifery courses increased by 425 in the academic year 2019-20. The table also shows the number of acceptances in each of the three preceding academic years.</p><table><tbody><tr><td><p>Academic year</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td></tr><tr><td><p>Number of acceptances</p></td><td><p>2,395</p></td><td><p>2,600</p></td><td><p>2,680</p></td><td><p>3,105</p></td></tr></tbody></table><p><em>Source</em>: UCAS end of cycle data, 2019</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL733 question first answered 30/01/2020 15:56:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1176668

	registered interest
	date	23/01/2020
	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	Midwives: Training
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many student midwives started their training in (1) the current academic year, and (2) each of the three preceding academic years.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL733
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>Since the changes to the bursary system in 2017 midwifery places are no longer directly commissioned. The Department makes funding available for clinical placements, with places filled via the normal university application process. The Government has committed to expand midwifery training places by 3,650 over a four year period with an increase of 650 in September 2019 and 1,000 in each of the subsequent years.</p><p>Data from the Universities and Colleges Admissions Service (UCAS) in the following table shows acceptances to midwifery courses increased by 425 in the academic year 2019-20. The table also shows the number of acceptances in each of the three preceding academic years.</p><table><tbody><tr><td><p>Academic year</p></td><td><p>2016-17</p></td><td><p>2017-18</p></td><td><p>2018-19</p></td><td><p>2019-20</p></td></tr><tr><td><p>Number of acceptances</p></td><td><p>2,395</p></td><td><p>2,600</p></td><td><p>2,680</p></td><td><p>3,105</p></td></tr></tbody></table><p><em>Source</em>: UCAS end of cycle data, 2019</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL732 question first answered 30/01/2020 15:56:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1175242

	registered interest
	date	22/01/2020
	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	Pharmacy
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what plans they have to promote the role and value of community pharmacy services.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL695
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The Department has made no assessment of the comments made on ITV’s This Morning Programme.</p><p>Last July, the Government set out plans in a landmark five-year Community Pharmacy Contractual Framework deal. This will see community pharmacies fully integrated in the National Health Service providing more clinical services.</p><p>This deal full recognises the valuable contribution that community pharmacies, situated in the hearts of our communities, make to the NHS. Pharmacists are fully trained, over five years, as experts in medicines. That is why we have recently commissioned the NHS Community Pharmacist Consultation Service and are currently running a mass media campaign to promote their role in supporting people to deal with minor illnesses.</p><p>We also see a role for pharmacists in supporting people to stay healthy for longer by identifying and supporting people to address key risk factors for disease, for example high blood pressure or weight, and signposting those who want support to services locally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL696 question first answered 05/02/2020 15:42:06 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1175244

	registered interest
	date	22/01/2020
	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	Pharmacy
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the comments made on ITV's This Morning programme on 17 January about the role of pharmacists.
	tabling member printed	Lord Kennedy of Southwark
	uin	HL696
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The Department has made no assessment of the comments made on ITV’s This Morning Programme.</p><p>Last July, the Government set out plans in a landmark five-year Community Pharmacy Contractual Framework deal. This will see community pharmacies fully integrated in the National Health Service providing more clinical services.</p><p>This deal full recognises the valuable contribution that community pharmacies, situated in the hearts of our communities, make to the NHS. Pharmacists are fully trained, over five years, as experts in medicines. That is why we have recently commissioned the NHS Community Pharmacist Consultation Service and are currently running a mass media campaign to promote their role in supporting people to deal with minor illnesses.</p><p>We also see a role for pharmacists in supporting people to stay healthy for longer by identifying and supporting people to address key risk factors for disease, for example high blood pressure or weight, and signposting those who want support to services locally.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL695 question first answered 05/02/2020 15:42:06 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1175236

	registered interest
	date	22/01/2020
	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	Her Majesty's Government what are the legal responsibilities of a named GP.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL684
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.</p><p>The Department has not made a formal assessment into the impact and role of named accountable GPs.</p><p>Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.</p><p>Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.</p><p>Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL685 HL686 HL687 HL688 HL689 question first answered 05/02/2020 15:43:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name GMS-Guidance.pdf title General Medical Services (GMS) contract
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1175238

	registered interest
	date	22/01/2020
	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	Her Majesty's Government what assessment they have made of the (1) impact, and (2) role, of named GPs since 2015.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL685
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.</p><p>The Department has not made a formal assessment into the impact and role of named accountable GPs.</p><p>Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.</p><p>Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.</p><p>Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL684 HL686 HL687 HL688 HL689 question first answered 05/02/2020 15:43:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name GMS-Guidance.pdf title General Medical Services (GMS) contract
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1175239

	registered interest
	date	22/01/2020
	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	Her Majesty's Government what guidance is available to (1) GP practices, and (2) individuals, on how named GPs should interact with their patients.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL686
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.</p><p>The Department has not made a formal assessment into the impact and role of named accountable GPs.</p><p>Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.</p><p>Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.</p><p>Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL684 HL685 HL687 HL688 HL689 question first answered 05/02/2020 15:43:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name GMS-Guidance.pdf title General Medical Services (GMS) contract
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1175241

	registered interest
	date	22/01/2020
	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	Her Majesty's Government what rights authorised family members have to meet a dependent's named GP regarding care in protracted or complicated cases.
	tabling member printed	Baroness Hodgson of Abinger
	uin	HL688
	answer	answer is ministerial correction date of answer 05/02/2020 answer text <p>The legal responsibilities of the named accountable general practitioner (GP) are set out in the National Health Service (General Medical Services [GMS] Contracts) Regulations 2004 (as amended). The contract (and amendments) include a requirement for all patients to be assigned a named accountable GP who has overall responsibility for that patient’s care. This does not necessarily mean that patients will see their named accountable GP for every appointment. Patients can still request to see a particular GP, although they may have to wait longer for an appointment if they do so.</p><p>The Department has not made a formal assessment into the impact and role of named accountable GPs.</p><p>Under the terms of the GMS Regulations, the named accountable GP must take lead responsibility for the coordination of all services required under the contract and ensure they are delivered to each of their patients where required (based on the clinical judgment of the named accountable GP). The 2015/16 GMS Contract Guidance (published in March 2015) provides further information on named accountable GPs for all patients. A copy is attached. The guidance states: ‘Where the patient expresses a preference as to which GP they have been assigned, the practice must make reasonable efforts to accommodate this request’. This document provides guidance for commissioners, local medical committees and GP practices. This information is also of use to individuals because it explains how named accountable GPs should interact with their patients. The British Medical Association (BMA) has also provided guidance on how practices can fulfil the requirement to provide named accountable GPs for their patients.</p><p>Every patient can request to see a specific GP, including their named accountable GP. Under the terms of their contract (as set out in Schedule 3, Part 2 of the Regulations), the GP practice must endeavour to comply with all reasonable requests of patients to see a particular practitioner. Authorised family members have the same rights.</p><p>Data is not held centrally on the percentage of named accountable GPs in England who have seen the patients they are accountable for.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL684 HL685 HL686 HL687 HL689 question first answered 05/02/2020 15:43:04 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name GMS-Guidance.pdf title General Medical Services (GMS) contract
	tabling member	4301 label Biography information for Baroness Hodgson of Abinger