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167200

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Wallace of Saltaire on 1 December (HL3088), what was the overall incidence of stillbirths from in vitro fertilisation pregnancies for the past decade following foetal reduction in either the first trimester or early in the second trimester that affected (1) the remaining twin from the same twin pregnancy, (2) one of the remaining triplets from the same pregnancy, and (3) both of the remaining triplets from the same pregnancy, according to data held by the Human Fertilisation and Embryology Authority.
tabling member printed	Lord Alton of Liverpool
uin	HL3301
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that in the decade preceding 31 December 2012, the HFEA register records one incidence of a still birth following an embryo reduction at week 13 in a twin pregnancy, and one incidence of a still birth following a double embryo reduction at 12 weeks in a triplet pregnancy. Within this time period there are no other records of incidences of still births following foetal reductions in multiple pregnancies taking place within the first 16 weeks of pregnancy.</p><p> </p><p> </p><p> </p><p>The first trimester has been taken as weeks 0-13 and ‘early in the second trimester’ as weeks 14-16.</p><p> </p><p> </p><p> </p><p>The HFEA has also advised that any records held on its register after 31 December 2012 are not yet verified.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:14:38 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167201

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answers by Earl Howe on 17 November (HL2642) and on 2 December (HL2905), whether they consider that mutations affecting DNA Polymerase Gamma might in turn ever be potentially responsible for disease-associated mitochondrial DNA mutations such as those listed in Annex D of the "Mitochondrial Donation" consultation document; and if not, why not.
tabling member printed	Lord Alton of Liverpool
uin	HL3302
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>We have been advised that there is no evidence to suggest that mutations affecting DNA polymerase gamma result in high levels of the mitochondrial DNA mutations responsible for the mitochondrial diseases listed in Annex D of the mitochondrial donation consultation document. As stated in my previous answer of 17 November 2014 (<em>Official Report</em>, col WA59), mitochondrial donation techniques would only be used for patients that have an inherited mitochondrial DNA mutation and could not be used for those diseases in which faulty mitochondria arise from a nuclear gene mutation.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:29:26 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167202

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	IVF
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 2 December (HL2905), what was the empirical evidence upon which the Human Fertilisation and Embryology Authority based its recommendation regarding multi-foetal pregnancy reduction.
tabling member printed	Lord Alton of Liverpool
uin	HL3303
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that as stated in my Written Answer of 17 November 2014 (<em>Official Report</em>, Columns WA 60-61), when developing its policy on multiple births, the HFEA commissioned an Expert Group on Multiple Births after IVF (in vitro fertilisation), which concluded that the prevention of multiple pregnancies through single embryo transfer should be preferred to multifetal pregnancy reduction.</p><p> </p><p> </p><p> </p><p>The evidence this recommendation was based on is outlined in the Expert Group’s report, available on the HFEA’s website at:</p><p> </p><p> </p><p> </p><p><a href="http://www.hfea.gov.uk/docs/MBSET_report.pdf" target="_blank">http://www.hfea.gov.uk/docs/MBSET_report.pdf</a></p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:15:26 answering member 2000 label Biography information for Earl Howe
tabling member	738 label Biography information for Lord Alton of Liverpool

167209

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	NHS: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how much money they have redirected from acute services to community services in England, for example through community provision for people with severe learning difficulties; and how much money is flowing in the opposite direction.
tabling member printed	Lord Mawson
uin	HL3310
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>Local National Health Service clinical commissioning groups (CCGs) are responsible for funding the majority of acute and community services. NHS England sets CCG funding allocations but does not direct CCGs in how those funds should be applied between different services. The in-year reporting of CCG expenditure does not provide the fine detail on movements in expenditure between acute services and community services. However, the NHS does produce programme budgeting data on historical expenditure which provides information on expenditure by major health condition as well as, for last three years, a breakdown by care-setting. The data on expenditure by care-settings is relatively new and is not yet considered robust enough to make comparisons of expenditure by care-setting. The 2013-14 data will be available in 2015, under a revised format.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 16:28:02 answering member 2000 label Biography information for Earl Howe
tabling member	3830 label Biography information for Lord Mawson

167221

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what funding has been provided for child and adolescent mental health services each year since 2010.
tabling member printed	Baroness Jones of Whitchurch
uin	HL3322
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The aggregated primary care trust (PCT) spend on child and adolescent mental health services (CAMHS) in England since 2010 is set out in the following table. The figures outline what PCTs have spent but do not indicate the amount of funding provided by the Department. The figures in the table have been rounded to the nearest £ million:</p><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><table><tbody><tr><td><p>2010-11</p></td><td><p>2011-12</p></td><td><p>2012-13</p></td><td><p>2013-14</p></td></tr><tr><td><p>713</p></td><td><p>713</p></td><td><p>704</p></td><td><p>Not yet available</p></td></tr></tbody></table><p> </p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p><p>However, this does not include:</p><p> </p><p> </p><p> </p><p>- spend by local authorities, including children’s services and schools’ expenditure on early intervention or emotional resilience programmes;</p><p> </p><p> </p><p> </p><p>- £54 million invested by the Department over the four years from 2011-12 to 2014-15 in the Children and Young People’s Improving Access to Psychological Therapies programme; and</p><p> </p><p> </p><p> </p><p>- The £150 million investment over five years for NHS England in CAMHS for the treatment of eating disorders.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:49:36 answering member 2000 label Biography information for Earl Howe
tabling member	3792 label Biography information for Baroness Jones of Whitchurch

167226

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what is their assessment of the Inter99 review of evidence relating to the effectiveness of mass screening and lifestyle coaching on ischaemic heart disease.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3327
answer	answer is ministerial correction date of answer 15/12/2014 answer text <p>The Inter99 randomised controlled trial has been critically appraised by Public Health England’s Expert Scientific and Clinical Advisory Panel (ESCAP). ESCAP’s appraisal has highlighted that although the study did not detect positive health outcomes at a population-level, the trial did report positive lifestyle changes for individual participants.</p><p> </p><p> </p><p> </p><p>ESCAP also recognised that there were important differences between the health check considered in the Inter99 trial and the NHS Health Check, which limits its generalisability to the programme in England. In particular, the NHS Health Check population is both older and less healthy than the Danish population studied in the trial. The interventions also differ as the NHS Health Check has a much stronger focus on clinical management of newly detected disease.</p><p> </p> answering member printed Earl Howe question first answered 15/12/2014 12:28:17 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

167227

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of progress by the National Health Service and other local agencies in implementing the Mental Health Crisis Care Concordat.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3328
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The national Crisis Care Concordat was published in February to improve service responses to people in mental health crisis. There is a specific emphasis on delivering improved outcomes for people in crisis at a local level. Partner organisations are expected to demonstrate their commitments by signing up to a local declaration and agreeing a joint action plan to bring about the improvements needed.</p><p> </p><p> </p><p> </p><p>We are asking every area to develop a shared action plan and commit to review, monitor and track improvements. In particular, we have asked for a commitment from all areas to reduce the use of police stations as places of safety.</p><p> </p><p> </p><p> </p><p>The particular focus on Local Crisis Declarations is designed to enable each partnership to understand the issues in their area and develop solutions.</p><p> </p><p> </p><p> </p><p>All localities are working to have their declarations agreed by all the relevant local agencies by the end of the year. We are working closely with the mental health charity Mind to support the work in localities.</p><p> </p><p> </p><p> </p><p>Declarations have already been made by London, Portsmouth, Wiltshire, Kent, Hertfordshire, Gloucestershire, Leicester, Leicestershire and Rutland, Durham and Darlington, Bedfordshire &amp; Luton, North Yorkshire &amp; York, Cheshire, Oxfordshire, Cambridgeshire, Doncaster, Norfolk, Suffolk, Devon &amp; Cornwall and Nottinghamshire. Plans are in place for all other local areas to agree their local declarations by the end of the year.</p><p> </p><p> </p><p> </p><p>Signed local declarations and the agreed action plans have been made available on a national website to demonstrate coverage across England. This is available at:</p><p> </p><p> </p><p> </p><p>www.crisiscareconcordat.org.uk</p><p> </p><p> </p><p> </p><p>The Concordat does not specify which organisation should lead this work locally. As part of Operational Resilience and Capacity Planning for 2014-15 NHS England is asking for evidence of sign up to local mental health crisis care concordat arrangements as part of local plans.</p><p> </p><p> </p><p> </p><p>Health and wellbeing boards have a pivotal role in delivery by bringing together health and social care commissioners, the local community and wider partners. Through the board, these partners work together to identify the health and wellbeing needs of their local population. Some areas have managed, and are managing, the agreement of their local crisis declaration through their Health and Wellbeing Board.</p><p> </p><p> </p><p> </p><p>The Department has commissioned an evaluation of the impact of the national Concordat.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 17:57:23 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

167228

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many local health and care areas have implemented the Mental Health Crisis Care Concordat.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3329
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The national Crisis Care Concordat was published in February to improve service responses to people in mental health crisis. There is a specific emphasis on delivering improved outcomes for people in crisis at a local level. Partner organisations are expected to demonstrate their commitments by signing up to a local declaration and agreeing a joint action plan to bring about the improvements needed.</p><p> </p><p> </p><p> </p><p>We are asking every area to develop a shared action plan and commit to review, monitor and track improvements. In particular, we have asked for a commitment from all areas to reduce the use of police stations as places of safety.</p><p> </p><p> </p><p> </p><p>The particular focus on Local Crisis Declarations is designed to enable each partnership to understand the issues in their area and develop solutions.</p><p> </p><p> </p><p> </p><p>All localities are working to have their declarations agreed by all the relevant local agencies by the end of the year. We are working closely with the mental health charity Mind to support the work in localities.</p><p> </p><p> </p><p> </p><p>Declarations have already been made by London, Portsmouth, Wiltshire, Kent, Hertfordshire, Gloucestershire, Leicester, Leicestershire and Rutland, Durham and Darlington, Bedfordshire &amp; Luton, North Yorkshire &amp; York, Cheshire, Oxfordshire, Cambridgeshire, Doncaster, Norfolk, Suffolk, Devon &amp; Cornwall and Nottinghamshire. Plans are in place for all other local areas to agree their local declarations by the end of the year.</p><p> </p><p> </p><p> </p><p>Signed local declarations and the agreed action plans have been made available on a national website to demonstrate coverage across England. This is available at:</p><p> </p><p> </p><p> </p><p>www.crisiscareconcordat.org.uk</p><p> </p><p> </p><p> </p><p>The Concordat does not specify which organisation should lead this work locally. As part of Operational Resilience and Capacity Planning for 2014-15 NHS England is asking for evidence of sign up to local mental health crisis care concordat arrangements as part of local plans.</p><p> </p><p> </p><p> </p><p>Health and wellbeing boards have a pivotal role in delivery by bringing together health and social care commissioners, the local community and wider partners. Through the board, these partners work together to identify the health and wellbeing needs of their local population. Some areas have managed, and are managing, the agreement of their local crisis declaration through their Health and Wellbeing Board.</p><p> </p><p> </p><p> </p><p>The Department has commissioned an evaluation of the impact of the national Concordat.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 17:57:11 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

167229

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what role Health and Well-Being Boards will have in overseeing progress on implementing the Mental Health Crisis Care Concordat.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3330
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The national Crisis Care Concordat was published in February to improve service responses to people in mental health crisis. There is a specific emphasis on delivering improved outcomes for people in crisis at a local level. Partner organisations are expected to demonstrate their commitments by signing up to a local declaration and agreeing a joint action plan to bring about the improvements needed.</p><p> </p><p> </p><p> </p><p>We are asking every area to develop a shared action plan and commit to review, monitor and track improvements. In particular, we have asked for a commitment from all areas to reduce the use of police stations as places of safety.</p><p> </p><p> </p><p> </p><p>The particular focus on Local Crisis Declarations is designed to enable each partnership to understand the issues in their area and develop solutions.</p><p> </p><p> </p><p> </p><p>All localities are working to have their declarations agreed by all the relevant local agencies by the end of the year. We are working closely with the mental health charity Mind to support the work in localities.</p><p> </p><p> </p><p> </p><p>Declarations have already been made by London, Portsmouth, Wiltshire, Kent, Hertfordshire, Gloucestershire, Leicester, Leicestershire and Rutland, Durham and Darlington, Bedfordshire &amp; Luton, North Yorkshire &amp; York, Cheshire, Oxfordshire, Cambridgeshire, Doncaster, Norfolk, Suffolk, Devon &amp; Cornwall and Nottinghamshire. Plans are in place for all other local areas to agree their local declarations by the end of the year.</p><p> </p><p> </p><p> </p><p>Signed local declarations and the agreed action plans have been made available on a national website to demonstrate coverage across England. This is available at:</p><p> </p><p> </p><p> </p><p>www.crisiscareconcordat.org.uk</p><p> </p><p> </p><p> </p><p>The Concordat does not specify which organisation should lead this work locally. As part of Operational Resilience and Capacity Planning for 2014-15 NHS England is asking for evidence of sign up to local mental health crisis care concordat arrangements as part of local plans.</p><p> </p><p> </p><p> </p><p>Health and wellbeing boards have a pivotal role in delivery by bringing together health and social care commissioners, the local community and wider partners. Through the board, these partners work together to identify the health and wellbeing needs of their local population. Some areas have managed, and are managing, the agreement of their local crisis declaration through their Health and Wellbeing Board.</p><p> </p><p> </p><p> </p><p>The Department has commissioned an evaluation of the impact of the national Concordat.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 17:56:45 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

167230

registered interest
date	02/12/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government which local body is accountable to NHS England and Ministers for the implementation of the Mental Health Crisis Care Concordat.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3331
answer	answer is ministerial correction date of answer 16/12/2014 answer text <p>The national Crisis Care Concordat was published in February to improve service responses to people in mental health crisis. There is a specific emphasis on delivering improved outcomes for people in crisis at a local level. Partner organisations are expected to demonstrate their commitments by signing up to a local declaration and agreeing a joint action plan to bring about the improvements needed.</p><p> </p><p> </p><p> </p><p>We are asking every area to develop a shared action plan and commit to review, monitor and track improvements. In particular, we have asked for a commitment from all areas to reduce the use of police stations as places of safety.</p><p> </p><p> </p><p> </p><p>The particular focus on Local Crisis Declarations is designed to enable each partnership to understand the issues in their area and develop solutions.</p><p> </p><p> </p><p> </p><p>All localities are working to have their declarations agreed by all the relevant local agencies by the end of the year. We are working closely with the mental health charity Mind to support the work in localities.</p><p> </p><p> </p><p> </p><p>Declarations have already been made by London, Portsmouth, Wiltshire, Kent, Hertfordshire, Gloucestershire, Leicester, Leicestershire and Rutland, Durham and Darlington, Bedfordshire &amp; Luton, North Yorkshire &amp; York, Cheshire, Oxfordshire, Cambridgeshire, Doncaster, Norfolk, Suffolk, Devon &amp; Cornwall and Nottinghamshire. Plans are in place for all other local areas to agree their local declarations by the end of the year.</p><p> </p><p> </p><p> </p><p>Signed local declarations and the agreed action plans have been made available on a national website to demonstrate coverage across England. This is available at:</p><p> </p><p> </p><p> </p><p>www.crisiscareconcordat.org.uk</p><p> </p><p> </p><p> </p><p>The Concordat does not specify which organisation should lead this work locally. As part of Operational Resilience and Capacity Planning for 2014-15 NHS England is asking for evidence of sign up to local mental health crisis care concordat arrangements as part of local plans.</p><p> </p><p> </p><p> </p><p>Health and wellbeing boards have a pivotal role in delivery by bringing together health and social care commissioners, the local community and wider partners. Through the board, these partners work together to identify the health and wellbeing needs of their local population. Some areas have managed, and are managing, the agreement of their local crisis declaration through their Health and Wellbeing Board.</p><p> </p><p> </p><p> </p><p>The Department has commissioned an evaluation of the impact of the national Concordat.</p><p> </p> answering member printed Earl Howe question first answered 16/12/2014 17:56:04 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath