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1108820

registered interest
date	01/04/2019
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	Hospitals: Human Remains
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of data from the Human Tissue Authority that over the past three years there were 253 "serious incidents" in hospital morgues where corpses were accidentally damaged, bereaved relatives shown the wrong body, or the remains of unborn babies incinerated against the wishes of the family.
tabling member printed	Lord Alton of Liverpool
uin	HL14927
answer	answer is ministerial correction date of answer 05/04/2019 answer text <p>The Government assesses data from the Human Tissue Authority (HTA) on serious incidents at quarterly accountability meetings.</p><p>When these incidents occur they are upsetting for the families of those involved; although they are rare, when they do happen we are assured that the HTA work with establishments to ensure that a thorough investigation takes place, and that improvements are made to reduce the risk of similar incidents happening again.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/04/2019 10:42:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1087513

registered interest
date	12/03/2019
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: Agency Workers
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how much was spent on NHS agency staff in the last ten years for which records are available.
tabling member printed	Lord Alton of Liverpool
uin	HL14440
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Due to the way that agency expenditure was measured across legacy organisations prior to the creation of NHS Improvement, comparable figures are only available from 2012-13 onwards.</p><p>The following table shows that after a 40% increase in total agency expenditure between 2012-13 and 2015-16, new measures introduced to reduce agency spend across the National Health Service have been successful. Since their introduction, agency spend has fallen from a peak of £3.6 billion in 2015-16 to £2.4 billion in 2017-18 – a £1.2 billion reduction.</p><p>We recognise that there is still more to be done in this area, and we are committed to reducing trusts’ reliance on expensive agency workers, whilst ensuring they can meet their temporary staffing needs. One of the ways we are achieving this is by working with NHS Improvement to support trusts to develop tech-enabled, sustainable and effective in-house staff banks that cover all staff groups and therefore provide a viable alternative to agency.</p><p> </p><p>Year Total Agency Expenditure</p><p>2012-13 £2,113 million</p><p>2013-14 £2,589 million</p><p>2014-15 £3,190 million</p><p>2015-16 £3,635 million</p><p>2016-17 £2,935 million</p><p>2017-18 £2,407 million</p><p>2018-19 (year to date, month 10) £1,999 million</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/03/2019 14:03:38 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1087514

registered interest
date	12/03/2019
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: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many NHS staff were killed at work in each of the last ten years for which records are available; and what were the reasons for those deaths.
tabling member printed	Lord Alton of Liverpool
uin	HL14441
answer	answer is ministerial correction date of answer 26/03/2019 answer text <p>Individual trusts are responsible for maintaining such records at a local level.</p><p>The Health and Safety Executive is responsible for maintaining national records of people killed at work. However, these statistics do not separately identify whether individuals are National Health Service staff.</p> answering member printed Baroness Blackwood of North Oxford question first answered 26/03/2019 17:50:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1059181

registered interest
date	11/02/2019
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 Written Answer by Baroness Blackwood of North Oxford on 7 February (HL13091), how many of those assaults occurred in (1) accident and emergency departments , (2) general mental health wards, (3) forensic mental health wards, and (4) other departments or wards; and whether they have categorised such assaults by the seriousness of injuries sustained.
tabling member printed	Lord Alton of Liverpool
uin	HL13571
answer	answer is ministerial correction date of answer 25/02/2019 answer text <p>This information is not available centrally.</p><p>National figures for physical assaults did not include information on the wards or departments within organisations where the assaults occurred nor the seriousness of any injuries sustained.</p><p>There are plans as the New Violence Reduction Strategy is implemented, to introduce a new data collection for physical assaults which will be aimed at helping trusts benchmark their progress against their peers and learn from good practice.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/02/2019 13:48:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1055094

registered interest
date	05/02/2019
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	Embryology
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will place a copy of the contingency plans drawn up by the Human Fertilisation and Embryology Authority for the importation of gametes from EU member states following Brexit in the Library of the House.
tabling member printed	Lord Alton of Liverpool
uin	HL13429
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>The information on preparedness provided by the Human Fertilisation and Embryology Authority to the Department has been part of the formulation of Government policy and there are no plans to publish this information at this time.</p> answering member printed Baroness Blackwood of North Oxford question first answered 14/02/2019 13:32:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1047813

registered interest
date	24/01/2019
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 how many assaults by mental health patients on NHS staff were reported in each of the last five years for which records are available.
tabling member printed	Lord Alton of Liverpool
uin	HL13091
answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The number of assaults by mental health patients on National Health Service staff reported in each of the last five years is not available in the format requested. However, the following table shows the number of physical assaults where the perpetrator did not know what they were doing, or did not know what they were doing was wrong due to medical illness, mental ill health, severe learning disabilities or treatment administration from 2011/12 to 2015/16.</p><p> </p><table><tbody><tr><td><p>2015/16</p></td><td><p>52,704</p></td></tr><tr><td><p>2014/15</p></td><td><p>51,372</p></td></tr><tr><td><p>2013/14</p></td><td><p>53,484</p></td></tr><tr><td><p>2012/13</p></td><td><p>48,469</p></td></tr><tr><td><p>2011/12</p></td><td><p>46,265</p></td></tr></tbody></table><p> </p><p>Physical assaults data has not been collected centrally since 2015/16. On 31 October 2018, the Secretary of State for Health and Social Care announced a new NHS National Violence Reduction strategy which will include a new central physical assaults data collection. These data will help NHS organisations benchmark their progress in protecting their staff against physical assaults and support the spread of good practice.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 17:36:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	738 label Biography information for Lord Alton of Liverpool

1028318

registered interest
date	18/12/2018
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	Fertility: Medical Treatments
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 require the Human Fertilisation and Embryology Authority to ensure that signatures on consent forms for fertility treatments are witnessed when one parent is not present, in order to prevent forgery.
tabling member printed	Lord Alton of Liverpool
uin	HL12392
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has strengthened its requirements for how clinics should take consent from patients and partners in 2016.</p><p>The new edition of the HFEA’s Code of Practice, to be published shortly, will provide further guidance on the processes clinics should have in place to ensure consent is informed, taken properly and given by the right person. The guidance states that consent should be given at the clinic, where possible, and where this is not possible, that there should be a documented process in place for ensuring consent has been given by the right person. In particular, clinics need to be satisfied about the patients’ legal relationships to each other and, where the partner of a patient has not visited the clinic or does not return for subsequent treatment, the clinic should take reasonable steps to find out if the partner still consents to treatment.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 14:09:32 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

1027153

registered interest
date	17/12/2018
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	Maternity Services: Fathers
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 Centre for Social Justice Testing Times: Supporting fathers during the perinatal period and early parenthood, published on 16 December; and in particular its findings that (1) inspection frameworks related to maternity services, Health Visitors, and Children’s Centres contain few direct references to “fathers”, (2) 69 per cent of new fathers thought that they “were made to feel like a ‘spare part’ during the pregnancy period”, and (3) 55 per cent of low income fathers said they were left to “pick it up themselves” compared to only 29 per cent of higher income fathers.
tabling member printed	Lord Alton of Liverpool
uin	HL12335
answer	answer is ministerial correction date of answer 20/12/2018 answer text <p>The Department is aware of the Centre for Social Justice’s recent report into supporting fathers during the perinatal period and early parenthood, published in December 2018. The Department recognises the vital role fathers can often play during pregnancy and early years, as well as the fact that every family is different.</p><p>We welcome the high levels of engagement fathers currently have with various aspects of the health service, as cited in the report, including the estimated 94% of new fathers that have attended one or more antenatal appointments, and almost all attending both ultrasound scans and the birth itself.</p><p>The Maternity Transformation Programme is working to make maternity care more personalised including responding to the needs of fathers as well as mothers. Postnatal and perinatal mental health care, maternity care and personalised care plans are recognised as important for the whole family, including fathers, and they should therefore be involved where appropriate.</p><p>Furthermore, the Healthy Child Programme states that the father’s contribution should be one of the key topics to be covered during a health and development review by a health visitor. It emphasises the importance of ensuring that contact with the family routinely involves and supports fathers, including non-resident fathers.</p> answering member printed Lord O'Shaughnessy question first answered 20/12/2018 12:27:52 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	738 label Biography information for Lord Alton of Liverpool

1012109

registered interest
date	21/11/2018
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	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to ovarian hyperstimulation syndrome (OHSS) were reported to the Human Fertilisation and Embryology Authority in the last five years for which figures are available; what evidence supports their view that some OHSS-related admissions may have been incorrectly coded in the Hospital Episode Statistics; how many such admissions they estimate have been incorrectly coded in the last five years for which figures are available; and what steps they are taking to ensure that OHSS-related admissions are correctly recorded.
tabling member printed	Lord Alton of Liverpool
uin	HL11636
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11637 question first answered 03/12/2018 15:12:37 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc title OHSS Authority paper
tabling member	738 label Biography information for Lord Alton of Liverpool

1012110

registered interest
date	21/11/2018
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	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to Ovarian Hyperstimulation Syndrome were investigated by the Human Fertilisation and Embryology Authority in the last five years for which figures are available; whether any such investigations resulted in published reports; and if so, where such reports are available.
tabling member printed	Lord Alton of Liverpool
uin	HL11637
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11636 question first answered 03/12/2018 15:12:37 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc title OHSS Authority paper
tabling member	738 label Biography information for Lord Alton of Liverpool