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1697652

registered interest
date	20/03/2024
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	Veterans: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what initiatives are currently in place to ensure that military veterans receive timely access to (1) physical rehabilitation services, and (2) mental health services, specifically those suffering from post-traumatic stress disorder.
tabling member printed	Lord Browne of Belmont
uin	HL3444
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Op RESTORE is a bespoke physical health and wellbeing service, commissioned by NHS England, which supports individuals who have served in, or are leaving, the British Armed Forces and have physical health injuries and related medical problems attributed to their time in the armed forces.</p><p>NHS England also commissioned Op COURAGE, which is the comprehensive veterans’ mental health and wellbeing service. Access to Op COURAGE is via referral or by direct contact from veterans. A campaign to raise awareness of Op COURAGE launched on 9 January 2024.</p><p>In addition, The National Rehabilitation Centre (NRC), which is part of the Government’s New Hospital Programme, is a new 70-bed facility which will benefit all patients, including veterans. Construction started in 2023.</p> answering member printed Lord Markham question first answered 26/03/2024 17:36:16 answering member 4948 label Biography information for Lord Markham
tabling member	3801 label Biography information for Lord Browne of Belmont

1697657

registered interest
date	20/03/2024
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: Vacancies
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to address the shortage of NHS staff in rural and understaffed areas.
tabling member printed	Lord Hay of Ballyore
uin	HL3449
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Government recognises the importance of expanding the National Health Service workforce, particularly in parts of the country which are understaffed, including rural areas. The NHS Long Term Workforce Plan (LTWP) commits to doubling the number of medical school places, with new medical schools and additional places in geographical areas with the greatest staff shortfalls. Further medical expansion will build on the impact of five new medical schools that have already opened in historically hard-to-recruit rural and coastal locations in Tyne and Wear, West Lancashire, Essex, Lincolnshire, and Kent.</p><p>The LTWP also sets out an aim to further adjust the distribution of postgraduate specialty training places, so that more medical students carry out their postgraduate training in parts of the country with the greatest shortages. Doctors are more likely to settle and practice in the areas they train. Therefore, expansion of places will help to address the need for more staff in these areas.</p> answering member printed Lord Markham question first answered 26/03/2024 17:37:00 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697658

registered interest
date	20/03/2024
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: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to improve mental health services and reduce waiting times for those seeking treatment.
tabling member printed	Lord Hay of Ballyore
uin	HL3450
answer	answer is ministerial correction date of answer 25/03/2024 answer text <p>We are providing record levels of investment and increasing the mental health workforce to expand and transform National Health Service mental health services, to expand access and reduce waiting times. Between 2018/19 and 2023/24, NHS spending on mental health has increased by £4.6 billion in cash terms, as compared to the target of £3.4 billion in cash terms set out at the time of the NHS Long Term Plan. The plan committed to grow the mental health workforce by an additional 27,000 staff between 2019/20 and 2023/24. We are making positive progress, delivering two-thirds of this, approximately 17,000, by September 2023, with further significant growth expected by the end of this financial year.</p><p>The NHS is also working towards implementing five new waiting time measures for people requiring mental healthcare in both accident and emergency and in the community, for both adults, and children and young people. This includes working towards improving the quality of data that we have on waiting times for people requiring mental healthcare in both accident and emergency and in the community. NHS England began publishing this new data in 2023 to improve transparency and drive local accountability.</p> answering member printed Lord Markham question first answered 25/03/2024 16:06:26 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697668

registered interest
date	20/03/2024
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	Chronic Fatigue Syndrome: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to provide funding for biomedical research into (1) the causes of, and (2) potential cures for, myalgic encephalomyelitis.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3460
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>The Department provides funding for research through the National Institute for Health and Care Research (NIHR). The NIHR welcomes funding applications for research into any aspect of human health, including on the causes of, and potential cures for, myalgic encephalomyelitis (ME). These applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money and scientific quality. In all disease areas, the amount of NIHR funding depends on the volume and quality of scientific activity.</p><p>In the last five years, the NIHR has allocated approximately £3.44 million to support nine research projects on ME and chronic fatigue syndrome. The NIHR is also co-funding, with the Medical Research Council, a £3.2 million study (‘DecodeME’) which is the world’s largest genetic study of the disease.</p> answering member printed Lord Markham question first answered 27/03/2024 15:51:24 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1697264

registered interest
date	19/03/2024
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	Autism: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to improve early diagnosis and intervention for children with autism spectrum disorders.
tabling member printed	Lord Hay of Ballyore
uin	HL3386
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>We recognise timely identification of autism can play an important role in enabling children and young people to get appropriate support, which is crucial in preventing escalation of needs. We expect integrated care boards (ICBs) to have due regard to National Institute for Health and Care Excellence (NICE) guidelines on autism when commissioning services. It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population in line with these NICE guidelines, including in relation to autism assessment. While we want every area to meet NICE guidance, we recognise that this is not happening everywhere.</p><p>On 5 April 2023, NHS England published a national framework and operational guidance for autism assessment services in an online-only format. This guidance will help the National Health Service improve autism assessment services and improve the experience for people referred to an autism assessment service. This includes guidance to local areas on how to manage referrals and the support that should be available whilst people are waiting for an assessment and after.</p><p>In 2023/2024, £4.2 million of funding is available across England to improve services for autistic children and young people, including autism assessment services. We are also working in partnership with the Department for Education and NHS England on ‘Partnerships for Inclusion of Neurodiversity in School’ (PINS), with £13 million of funding to test ideas that will improve access to specialist support for neurodiverse children in mainstream primary schools.</p><p>Each ICB in England is expected to have an Executive Lead for learning disability and autism, supporting the Board in planning to meet the needs of its local population of people with a learning disability and autistic people, including in relation to appropriate autism assessment pathways. NHS England has published guidance on these roles.</p> answering member printed Lord Markham question first answered 26/03/2024 17:29:28 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697265

registered interest
date	19/03/2024
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	Autism: Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what measures are in place to train healthcare professionals in understanding and supporting the specific medical needs of individuals with autism.
tabling member printed	Lord Hay of Ballyore
uin	HL3387
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>There are several measures being put in place to train healthcare professionals in understanding and supporting the needs of autistic people.</p><p>From 1 July 2022, the Health and Care Act 2022 requires providers registered with the Care Quality Commission to ensure their staff receive specific training on learning disability and autism appropriate to their role. We are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to support this. This training will help to ensure that staff have the right skills and knowledge to provide safe and compassionate care, including how to provide reasonable adjustments, for autistic people. Over 1.4 million people have completed the first part of Oliver’s Training, an e-learning package.</p><p>NHS England has commissioned the Royal College of Psychiatrists to deliver the National Autism Training Programme for Psychiatrists in response to the need and demand for better autism training from within the profession. The training is co-produced and co-delivered with autistic people and offers a short foundation training course for psychiatrists working across a variety of settings, and a longer, more enhanced development course, aimed at psychiatrists and higher trainees who are seeking to increase their specialist knowledge and skills in autism. The provision of this training will help reduce diagnostic overshadowing, play a significant role in preventing unnecessary admissions to mental health hospitals for autistic people and improve autism appropriate care. The ambition is that this may contribute to reducing the number of inappropriate admissions, interventions such as seclusion and segregation along with the length of stay for those who need hospital care.</p> answering member printed Lord Markham question first answered 26/03/2024 17:35:05 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697275

registered interest
date	19/03/2024
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	Brain: Tumours
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how much funding they have allocated for research into the (1) cause, and (2) treatment, of astrocytoma brain tumours in each of the past ten years; and to which organisations and projects and those funds were allocated.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3404
answer	answer is ministerial correction date of answer 27/03/2024 answer text <p>Research is crucial in tackling cancer, which is why the Department invests over £1 billion per year in health research through the National Institute for Health and Care Research (NIHR). NIHR research expenditure for all cancers was £121.8 million in 2022/23. The NIHR spends more on cancer than any other disease group.</p><p>The NIHR funds and supports health, public health and social care research that leads to improved outcomes for patients and the public and makes the health and social care system more efficient, effective, and safe. Research evidence is vital for improving treatments and outcomes for people, including those with astrocytoma brain tumours.</p><p>The following table shows NIHR-funded research into astrocytoma brain tumours since 2013/14:</p><table><tbody><tr><td><p>Award Title</p></td><td><p>Contractor</p></td><td><p>Start Date</p></td><td><p>End Date</p></td><td><p>Status</p></td><td><p>Total Award Budget</p></td></tr><tr><td><p>Dabrafenib with trametinib for treating BRAF V600E mutation-positive glioma in children and young people aged 1 to 17 [ID5104]</p></td><td><p>The University of Sheffield</p></td><td><p>12/10/2023</p></td><td><p>12/03/2024</p></td><td><p>Active</p></td><td><p>£70,000</p></td></tr><tr><td><p>A randomized, double-blind, parallel group, placebo-controlled trial of metformin in tuberous sclerosis complex.</p></td><td><p>University Hospitals Bristol and Weston NHS Foundation Trust</p></td><td><p>1/8/2012</p></td><td><p>28/2/2017</p></td><td><p>Closed</p></td><td><p>£239,665</p></td></tr><tr><td><p>Grand total</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>-</p></td><td><p>£309,665</p></td></tr></tbody></table><p> </p><p>The NIHR funds research in response to proposals received from scientists rather than allocating funding to specific disease areas. The NIHR welcomes funding applications for research into any aspect of human health, including astrocytoma brain tumours. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards being made based on the importance of the topic to patients and health and care services, value for money and scientific quality.</p><p> </p><p>It is worth noting that all applications that were fundable in open competition have been funded. The Department works closely with research funding partners such as Cancer Research UK and the Medical Research Council, who fund research into new scientific discoveries.</p> answering member printed Lord Markham question first answered 27/03/2024 15:52:37 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1697276

registered interest
date	19/03/2024
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	Brain: Tumours
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following research from Cancer Research UK which found that brain, other central nervous system and intracranial tumours incidence rates have increased by almost two-fifths in the UK since the early 1990s, what steps they are taking to ensure that the funding spent on brain tumour research keeps pace with the increased incidence.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3405
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>Research is crucial in tackling cancer, which is why the Department invests over £1 billion per year in health research, through the National Institute for Health Research (NIHR). NIHR research expenditure for all cancers was £121.8 million in 2022/23, and the NIHR spends more on cancer than any other disease group.</p><p>The NIHR funds research in response to proposals received from scientists rather than allocating funding to specific disease areas. It is not usual practice to ring-fence funds for particular topics or conditions. Applications are subject to peer review and judged in open competition, with awards made on the basis of the importance of the topic to patients and health and care services, value for money, and scientific quality.</p><p> </p><p>In May 2018 the Government announced £40 million for brain tumour research as part of the Tessa Jowell Brain Cancer Mission (TJBCM) through the NIHR. Since the 2018 announcement, the NIHR has committed £11.3 million across 17 projects. It is worth noting that all applications that were fundable in open competition, have been funded.</p><p> </p><p>There is still funding available from the original £40 million announced in 2018. We are committed to funding high-quality brain cancer research, and we expect to spend more as new research progresses.</p><p> </p><p>Brain tumours are a difficult research area with a relatively small research community. To increase the quality, diversity, and number of brain cancer research proposals, the NIHR is working with the TJBCM and the research community to develop research capacity in the brain cancer community. The NIHR continues to encourage and welcome more funding applications for research into brain tumours.</p> answering member printed Lord Markham question first answered 26/03/2024 14:34:22 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1697299

registered interest
date	19/03/2024
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	Dental Services: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether the proposed EU ban on mercury-based dental amalgam will apply in Northern Ireland.
tabling member printed	Lord Weir of Ballyholme
uin	HL3432
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Government published an explanatory memorandum for the European Union’s (EU) mercury products legislation COM(23)395 and C(23)4683, on 1 November 2023. The final regulation has not yet been published by the EU, and we continue to assess the potential impacts. The Windsor Framework provides important mechanisms for robust engagement on matters of regulatory policy between the EU and the United Kingdom, as well as a guarantee of democratic oversight for the Northern Ireland Assembly. The Government has regular conversations with the EU about Windsor Framework-related matters.</p> answering member printed Lord Markham question first answered 26/03/2024 17:56:07 answering member 4948 label Biography information for Lord Markham
tabling member	4970 label Biography information for Lord Weir of Ballyholme

1697300

registered interest
date	19/03/2024
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	Dental Services: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what discussions they have had with the EU about the possibility of seeking an exemption for Northern Ireland on any ban on mercury-based dental amalgam.
tabling member printed	Lord Weir of Ballyholme
uin	HL3433
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>The Government published an explanatory memorandum for the European Union’s (EU) mercury products legislation COM(23)395 and C(23)4683, on 1 November 2023. The final regulation has not yet been published by the EU, and we continue to assess the potential impacts. The Windsor Framework provides important mechanisms for robust engagement on matters of regulatory policy between the EU and the United Kingdom, as well as a guarantee of democratic oversight for the Northern Ireland Assembly. The Government has regular conversations with the EU about Windsor Framework-related matters.</p> answering member printed Lord Markham question first answered 26/03/2024 17:44:16 answering member 4948 label Biography information for Lord Markham
tabling member	4970 label Biography information for Lord Weir of Ballyholme