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436972

registered interest
date	10/12/2015
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Immigration: Married People
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many overseas wives have joined their families in the UK between January 2014 and December 2015.
tabling member printed	Lord Ahmed
uin	HL4438
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>From January 2014 to September 2015 there were 35,990* spousal visas issued to females. We are not able to provide figures from October to December 2015 as visa figures for this period have not yet been published.</p><p>*Figure rounded to the nearest 5.</p> answering member printed Lord Bates question first answered 21/12/2015 12:46:27 answering member 1091 label Biography information for Lord Bates
tabling member	3470 label Biography information for Lord Ahmed

436973

registered interest
date	10/12/2015
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Domestic Abuse: Asians
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 incidence of domestic violence and rape against wives from Asia, and whether in making that assessment they have identified any trend.
tabling member printed	Lord Ahmed
uin	HL4439
answer	answer is ministerial correction date of answer 22/12/2015 answer text <p>This government is committed to tackling violence against women and girls. We want victims to have the confidence to report these crimes, knowing they will get the support they need and that everything will be done to bring offenders to justice.</p><p>The 2014/15 Crime Survey for England and Wales (CSEW) estimates that 6.1% of adults aged 16 to 59 experienced any form of domestic abuse in the last year, down from 8.9% in the 2004/05 survey. While the latest estimate is not statistically significantly different from recent years, it is the lowest since these questions were first asked in 2004/05.</p><p>The 2014/15 CSEW also estimates that 0.3% of adults aged 16 to 59 had been a victim of rape (including attempts) in the last year. Due to the low number of respondents to the survey that have been a victim of this crime, it is not possible to say whether this estimate differs from surveys conducted in other years. However, prevalence of less serious sexual assault has fallen from 2.3% in the 2004/05 CSEW to 1.5% in the 2014/15 survey.</p><p>Data from the CSEW cannot be disaggregated by ethnicity, nor by the relationship between the perpetrator and the victim.</p> answering member printed Lord Bates grouped question UIN HL4440 question first answered 22/12/2015 15:25:31 answering member 1091 label Biography information for Lord Bates
tabling member	3470 label Biography information for Lord Ahmed

436974

registered interest
date	10/12/2015
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Domestic Abuse and Rape
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 changes in the rates of incidence of domestic violence and rape between 2005 and 2015.
tabling member printed	Lord Ahmed
uin	HL4440
answer	answer is ministerial correction date of answer 22/12/2015 answer text <p>This government is committed to tackling violence against women and girls. We want victims to have the confidence to report these crimes, knowing they will get the support they need and that everything will be done to bring offenders to justice.</p><p>The 2014/15 Crime Survey for England and Wales (CSEW) estimates that 6.1% of adults aged 16 to 59 experienced any form of domestic abuse in the last year, down from 8.9% in the 2004/05 survey. While the latest estimate is not statistically significantly different from recent years, it is the lowest since these questions were first asked in 2004/05.</p><p>The 2014/15 CSEW also estimates that 0.3% of adults aged 16 to 59 had been a victim of rape (including attempts) in the last year. Due to the low number of respondents to the survey that have been a victim of this crime, it is not possible to say whether this estimate differs from surveys conducted in other years. However, prevalence of less serious sexual assault has fallen from 2.3% in the 2004/05 CSEW to 1.5% in the 2014/15 survey.</p><p>Data from the CSEW cannot be disaggregated by ethnicity, nor by the relationship between the perpetrator and the victim.</p> answering member printed Lord Bates grouped question UIN HL4439 question first answered 22/12/2015 15:25:31 answering member 1091 label Biography information for Lord Bates
tabling member	3470 label Biography information for Lord Ahmed

436975

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	East Kent Hospitals University NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what assessment they have made of East Kent Hospitals University NHS Foundation Trust’s decision to list Down’s syndrome as a reason to issue a Do Not Resuscitate order to a patient.
tabling member printed	Lord Alton of Liverpool
uin	HL4441
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Department expects National Health Service trusts and NHS foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions Relating to Cardiopulmonary Resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be tailored to the individual circumstances of the patient and must not be made on the basis of blanket assumptions. A copy of the guidance is attached.</p><p>Where a person lacks capacity to make decisions about their care or treatment, the Mental Capacity Act makes clear that doctors must act in the best interests of patients. Doctors must take account as far as possible of the known wishes of the person and consult with relatives and colleagues as appropriate to help inform their decision.</p><p>Departmental officials have recently contacted the Trust about recent media coverage concerning an incident when Down’s syndrome was listed as a reason to issue a Do Not Resuscitate order. The Trust confirms it accepts that it failed to consult with the family and has apologised unreservedly for this isolated incident by a junior doctor.</p><br /><p>In regards to any disciplinary action taken against the doctor this would be an operational issue for the Foundation Trust. We have written to Ms Nikki Cole, Chair of East Kent Hospitals University NHS Foundation Trust informing her of the Noble Lord’s enquiry. She will reply shortly and a copy of the letter will be placed in the Library.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4444 HL4445 question first answered 21/12/2015 17:11:57 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name DecisionsRelatingToCPR.pdf title Decisions Relating to CPR
tabling member	738 label Biography information for Lord Alton of Liverpool

436976

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Down's Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps will be taken to improve attitudes of hospital staff in NHS trusts towards patients with Down’s syndrome.
tabling member printed	Lord Alton of Liverpool
uin	HL4442
answer	answer is ministerial correction date of answer 22/12/2015 answer text <p>The Government’s response to the recommendations in the report of the Mid Staffordshire NHS Foundation Trust Public Inquiry included a wide range of measures aimed at improving safety and quality as well as ensuring compassionate care for everyone who uses National Health Service services, including people with disabilities.</p><br /><p>NHS organisations should comply with existing legislation, frameworks and guidance aimed at ensuring they identify and meet the needs of people with learning disabilities in commissioning and delivering safe, high quality care to all individuals, groups and communities of their populations.</p><br /><p>From June 2016, the Department will publish independently assured, ratings of the quality of healthcare offered to people with learning disabilities in all clinical commissioning group areas, to highlight variations and to allow rapid action to be taken when improvement is needed.</p><br /><p>NHS England continues to work to improve access to good quality healthcare for people with learning disabilities, including:</p><br /><p>‒ improving identification of people with learning disabilities in health care records to ensure that reasonable adjustments can be made, communication needs addressed and crisis plans developed;</p><br /><p>‒ encouraging the use of health passports when people access services so that professionals and staff are aware of their needs;</p><br /><p>‒ improving identification on cancer screening information systems;</p><br /><p>‒ ensuring that people with learning disabilities are identified as a priority group to receive flu vaccinations;</p><br /><p>‒ improving access to NHS 111, Accident and Emergency and other services; and</p><br /><p>‒ increasing the number of people who are eligible getting an annual learning disability health check from their general practitioner.</p><br /><p>NHS England has also commissioned a learning disabilities Premature Mortality Review programme led by the University of Bristol from June 2015 to review and learn from deaths of people with a learning disability with the aim of improving services, care and support nationally.</p><br /><p>These initiatives will help to raise awareness and to tackle the inequalities experienced by those with learning disability, including where associated with Down’s syndrome.</p><p>In addition, the Care Certificate, which was introduced in April 2015, is helping NHS service providers to ensure that their new healthcare assistants have the right fundamental skills and knowledge, including in communication and awareness of learning disability.</p><p>Health Education England will work with healthcare providers to ensure that the continuing personal and professional development of staff continues beyond the end of formal training to enable staff to deliver safe and high quality healthcare and public health services both now and in the future.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4443 question first answered 22/12/2015 12:55:12 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

436977

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Learning Disability
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps will be taken to ensure that individuals with learning disabilities have access to good quality healthcare, in the light of reports by Mencap that there are 1,200 avoidable deaths of people with a learning disability in the NHS annually.
tabling member printed	Lord Alton of Liverpool
uin	HL4443
answer	answer is ministerial correction date of answer 22/12/2015 answer text <p>The Government’s response to the recommendations in the report of the Mid Staffordshire NHS Foundation Trust Public Inquiry included a wide range of measures aimed at improving safety and quality as well as ensuring compassionate care for everyone who uses National Health Service services, including people with disabilities.</p><br /><p>NHS organisations should comply with existing legislation, frameworks and guidance aimed at ensuring they identify and meet the needs of people with learning disabilities in commissioning and delivering safe, high quality care to all individuals, groups and communities of their populations.</p><br /><p>From June 2016, the Department will publish independently assured, ratings of the quality of healthcare offered to people with learning disabilities in all clinical commissioning group areas, to highlight variations and to allow rapid action to be taken when improvement is needed.</p><br /><p>NHS England continues to work to improve access to good quality healthcare for people with learning disabilities, including:</p><br /><p>‒ improving identification of people with learning disabilities in health care records to ensure that reasonable adjustments can be made, communication needs addressed and crisis plans developed;</p><br /><p>‒ encouraging the use of health passports when people access services so that professionals and staff are aware of their needs;</p><br /><p>‒ improving identification on cancer screening information systems;</p><br /><p>‒ ensuring that people with learning disabilities are identified as a priority group to receive flu vaccinations;</p><br /><p>‒ improving access to NHS 111, Accident and Emergency and other services; and</p><br /><p>‒ increasing the number of people who are eligible getting an annual learning disability health check from their general practitioner.</p><br /><p>NHS England has also commissioned a learning disabilities Premature Mortality Review programme led by the University of Bristol from June 2015 to review and learn from deaths of people with a learning disability with the aim of improving services, care and support nationally.</p><br /><p>These initiatives will help to raise awareness and to tackle the inequalities experienced by those with learning disability, including where associated with Down’s syndrome.</p><p>In addition, the Care Certificate, which was introduced in April 2015, is helping NHS service providers to ensure that their new healthcare assistants have the right fundamental skills and knowledge, including in communication and awareness of learning disability.</p><p>Health Education England will work with healthcare providers to ensure that the continuing personal and professional development of staff continues beyond the end of formal training to enable staff to deliver safe and high quality healthcare and public health services both now and in the future.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4442 question first answered 22/12/2015 12:55:12 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	738 label Biography information for Lord Alton of Liverpool

436978

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Queen Elizabeth the Queen Mother Hospital
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether any disciplinary action is being taken against the doctors at the Queen Elizabeth The Queen Mother Hospital in Margate who listed Down’s syndrome and learning difficulties among the reasons for issuing a Do Not Resuscitate order.
tabling member printed	Lord Alton of Liverpool
uin	HL4444
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Department expects National Health Service trusts and NHS foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions Relating to Cardiopulmonary Resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be tailored to the individual circumstances of the patient and must not be made on the basis of blanket assumptions. A copy of the guidance is attached.</p><p>Where a person lacks capacity to make decisions about their care or treatment, the Mental Capacity Act makes clear that doctors must act in the best interests of patients. Doctors must take account as far as possible of the known wishes of the person and consult with relatives and colleagues as appropriate to help inform their decision.</p><p>Departmental officials have recently contacted the Trust about recent media coverage concerning an incident when Down’s syndrome was listed as a reason to issue a Do Not Resuscitate order. The Trust confirms it accepts that it failed to consult with the family and has apologised unreservedly for this isolated incident by a junior doctor.</p><br /><p>In regards to any disciplinary action taken against the doctor this would be an operational issue for the Foundation Trust. We have written to Ms Nikki Cole, Chair of East Kent Hospitals University NHS Foundation Trust informing her of the Noble Lord’s enquiry. She will reply shortly and a copy of the letter will be placed in the Library.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4441 HL4445 question first answered 21/12/2015 17:11:57 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name DecisionsRelatingToCPR.pdf title Decisions Relating to CPR
tabling member	738 label Biography information for Lord Alton of Liverpool

436979

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	East Kent Hospitals University NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what recent discussions they have had with East Kent Hospitals University NHS Foundation Trust regarding the use of Do Not Resuscitate orders for patients with disabilities.
tabling member printed	Lord Alton of Liverpool
uin	HL4445
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Department expects National Health Service trusts and NHS foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, Decisions Relating to Cardiopulmonary Resuscitation (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be tailored to the individual circumstances of the patient and must not be made on the basis of blanket assumptions. A copy of the guidance is attached.</p><p>Where a person lacks capacity to make decisions about their care or treatment, the Mental Capacity Act makes clear that doctors must act in the best interests of patients. Doctors must take account as far as possible of the known wishes of the person and consult with relatives and colleagues as appropriate to help inform their decision.</p><p>Departmental officials have recently contacted the Trust about recent media coverage concerning an incident when Down’s syndrome was listed as a reason to issue a Do Not Resuscitate order. The Trust confirms it accepts that it failed to consult with the family and has apologised unreservedly for this isolated incident by a junior doctor.</p><br /><p>In regards to any disciplinary action taken against the doctor this would be an operational issue for the Foundation Trust. We have written to Ms Nikki Cole, Chair of East Kent Hospitals University NHS Foundation Trust informing her of the Noble Lord’s enquiry. She will reply shortly and a copy of the letter will be placed in the Library.</p> answering member printed Lord Prior of Brampton grouped question UIN HL4441 HL4444 question first answered 21/12/2015 17:11:57 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name DecisionsRelatingToCPR.pdf title Decisions Relating to CPR
tabling member	738 label Biography information for Lord Alton of Liverpool

436980

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Palliative Care: Learning Disability
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps are being taken to ensure that Do Not Resuscitate orders are not assigned in the future to patients solely because they have Down’s syndrome or any other learning disability.
tabling member printed	Lord Alton of Liverpool
uin	HL4446
answer	answer is ministerial correction date of answer 22/12/2015 answer text <p>The Department expects National Health Service trusts and foundation trusts to have in place local policies on resuscitation that are based on expert professional guidance. We have commended, as a basis for local policies, professional guidance, <em>Decisions relating to cardiopulmonary resuscitation</em> (2014), published jointly by the British Medical Association, the Resuscitation Council (UK) and the Royal College of Nursing. The guidance is clear that any resuscitation decision must be free from any discrimination, tailored to the individual circumstances of the patient and fully documented. The use of a Do Not Attempt Cardiopulmonary Resuscitation decision solely on the basis that a patient has Down’s Syndrome is totally unacceptable.</p><br /><p>A copy of the guidance is attached.</p> answering member printed Lord Prior of Brampton question first answered 22/12/2015 12:56:25 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Decisions Relating to CPR.pdf title Decisions Relating to CPR
tabling member	738 label Biography information for Lord Alton of Liverpool

436981

registered interest
date	10/12/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fertility: Males
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what research has been, or is being, conducted into whether there is a causal link between the use of growth-promoting oestrogens in poultry production and declining levels of male fertility in humans.
tabling member printed	Baroness Corston
uin	HL4447
answer	answer is ministerial correction date of answer 21/12/2015 answer text <p>The Department has not funded, and is not currently funding research on this specific topic.</p> answering member printed Lord Prior of Brampton question first answered 21/12/2015 12:19:33 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	215 label Biography information for Baroness Corston