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1123746

	registered interest
	date	29/04/2019
	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	Antibiotics: Drug Resistance
	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 effectiveness of their 2013–18 antimicrobial resistance strategy at addressing the problem of multi-resistant E. coli-like bacteria; what assessment they have made of recent trends in the number of multi-resistant E. coli-like bacteria in the UK; and what factors inform their view of the balance between efforts to reduce transmission and efforts to reduce the use of antibiotics.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL15384
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>While we can count many successes from our 2013-18 Antimicrobial Resistance (AMR) Strategy, resistance has continued to increase. In the United Kingdom we have seen a 35% increase in resistant blood stream infections in humans from 2013-17.</p><p>The number of bloodstream infections (BSIs) is increasing each year. Although the proportion of antibiotic resistant BSIs remain stable year to year, the burden on resistance increases. This is mostly due to increasing prevalence of E.coli bloodstream infections.</p><p>Estimates of the multi-resistant cases can be made, however not all the bacteria are tested against the same antibiotics, so a definitive number of cases cannot be given. The Public Health England Fingertips tool also has an indicator showing the rolling quarterly average proportion of E. coli blood specimens non-susceptible to at least three of the key antimicrobials (gentamicin, ciprofloxacin, piperacillin/tazobactam, 3rd-generation cephalosporins or carbapenems). For England this is 5.5% with little fluctuation over time.</p><p>This is exactly why the UK’s five-year national action plan for AMR, published alongside the UK 20-year vision for AMR on 24 January 2019, includes a strengthened focus on infection prevention and control, renewing our commitment to halve levels of healthcare associated Gram-negative blood stream infections (mostly E.coli) by 2023-24. The plan also sets a world-first target to reduce the actual numbers of resistant infections, with the aim to reduce them by 10% by 2025.</p><p>We are working with the devolved health administrations to develop consistent methodologies for reporting the incidence and mortality of key antibiotic resistant infections and antimicrobial use to allow us to report progress on the ambitions of the AMR national action plan.</p><p>As reductions in inappropriate prescribing also reduces the risk of promoting the growth of antibiotic-resistant bacteria, interventions to reduce antibiotic prescribing or transmission of the bacteria are complementary.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 14/05/2019 16:29:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

932348

	registered interest
	date	28/06/2018
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many patients with foetal alcohol spectrum disorders are receiving treatment on the NHS.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL9060
	answer	answer is ministerial correction date of answer 11/07/2018 answer text <p>Information on numbers of patients with foetal alcohol spectrum disorders (FASD) receiving treatment on the National Health Service is not collected centrally.</p><p>The United Kingdom Chief Medical Officers’ low risk drinking guidelines advise women who are pregnant or think they could become pregnant that the safest approach is not to drink alcohol at all, to reduce risks to the baby to a minimum.</p><p>As part of the Maternity Transformation Programme, Public Health England (PHE) is leading work to provide prevention-focused leadership to support a reduction in the proportion of women drinking alcohol during pregnancy. Midwives and health visitors also have a role in providing clear, consistent advice and early identification and support. Additionally PHE’s Start4Life programme also provides online information on the impact of drinking alcohol during pregnancy, including the risk of FASD.</p><p>The Department for Education through the Adoption Support Fund has made funding available to local authorities to support adopted children with a range of specialist assessments and therapy to treat a variety of conditions. This includes FASD.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL9061 HL9062 question first answered 11/07/2018 11:10:35 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

932349

	registered interest
	date	28/06/2018
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what information is provided to women to try to prevent foetal alcohol spectrum disorders.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL9061
	answer	answer is ministerial correction date of answer 11/07/2018 answer text <p>Information on numbers of patients with foetal alcohol spectrum disorders (FASD) receiving treatment on the National Health Service is not collected centrally.</p><p>The United Kingdom Chief Medical Officers’ low risk drinking guidelines advise women who are pregnant or think they could become pregnant that the safest approach is not to drink alcohol at all, to reduce risks to the baby to a minimum.</p><p>As part of the Maternity Transformation Programme, Public Health England (PHE) is leading work to provide prevention-focused leadership to support a reduction in the proportion of women drinking alcohol during pregnancy. Midwives and health visitors also have a role in providing clear, consistent advice and early identification and support. Additionally PHE’s Start4Life programme also provides online information on the impact of drinking alcohol during pregnancy, including the risk of FASD.</p><p>The Department for Education through the Adoption Support Fund has made funding available to local authorities to support adopted children with a range of specialist assessments and therapy to treat a variety of conditions. This includes FASD.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL9060 HL9062 question first answered 11/07/2018 11:10:35 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

932350

	registered interest
	date	28/06/2018
	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	Foetal Alcohol Spectrum Disorder
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what support is available to parents or adopters of children with foetal alcohol spectrum disorders.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL9062
	answer	answer is ministerial correction date of answer 11/07/2018 answer text <p>Information on numbers of patients with foetal alcohol spectrum disorders (FASD) receiving treatment on the National Health Service is not collected centrally.</p><p>The United Kingdom Chief Medical Officers’ low risk drinking guidelines advise women who are pregnant or think they could become pregnant that the safest approach is not to drink alcohol at all, to reduce risks to the baby to a minimum.</p><p>As part of the Maternity Transformation Programme, Public Health England (PHE) is leading work to provide prevention-focused leadership to support a reduction in the proportion of women drinking alcohol during pregnancy. Midwives and health visitors also have a role in providing clear, consistent advice and early identification and support. Additionally PHE’s Start4Life programme also provides online information on the impact of drinking alcohol during pregnancy, including the risk of FASD.</p><p>The Department for Education through the Adoption Support Fund has made funding available to local authorities to support adopted children with a range of specialist assessments and therapy to treat a variety of conditions. This includes FASD.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL9060 HL9061 question first answered 11/07/2018 11:10:35 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

947561

	registered interest
	date	24/07/2018
	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	Home Care Services: Pay
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what guidance they provide to local authorities regarding the payment for travel time to carers travelling between clients; and whether local authorities are required to check if any external contractors they use to provide caring services are paying those costs.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL9845
	answer	answer is ministerial correction date of answer 26/07/2018 answer text <p>The Government provides online guidance on the steps employers and others must take to comply with the National Minimum Wage, which states that the hours of work that count for minimum wage purposes include any time when a worker is travelling from one work assignment to another.</p><p>The Government is clear that local authorities should have regard to the cost of care when setting prices. This is set out in the statutory guidance to the Care Act 2014.</p><p> </p><p>In 2016 the Department worked with local government, the care sector and the Chartered Institute of Public Finance and Accountancy to produce a guide to understanding providers’ costs and fair fees – this was published in January 2017. A copy of <em>Working with care providers to understand costs</em><em>: </em><em>A guide for adult social care commissioners</em> is attached.</p> answering member printed Lord O'Shaughnessy question first answered 26/07/2018 12:44:46 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL9845 - Cost_of_Care_Report.pdf title Working with care providers to understand costs
	tabling member	3596 label Biography information for Baroness Gardner of Parkes