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750578

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Small Businesses: Loans
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government how many ectopic pregnancies have been treated in each of the last 10 years, broken down by NHS regions in England.
	tabling member printed	Baroness Taylor of Bolton
	uin	HL710
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The data requested cannot be provided by National Health Service region as regional boundaries have changed during this period. A table showing finished admissions episodes with a primary diagnosis of ectopic pregnancy by Government Office Region has been attached due to the size of the data.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 13:49:59 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL710 formatted table.docx title Finished admissions episodes ectopic pregnancy
	tabling member	407 label Biography information for Baroness Taylor of Bolton

750552

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the chronic fatigue syndrome myalgic encephalomyelitis (ME/CFS) clinical services which were set up between 2004 and 2006; what proportion of patients accessing services recover from ME/CFS or show signs of improvement; and what assessment they have made of the value for money of these services.
	tabling member printed	The Countess of Mar
	uin	HL684
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>No central assessment has been made of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) clinical services established between 2004 and 2006. The commissioning of services for people with CFS/ME is a local matter, and the management of patients within such services is the responsibility of the commissioners, providers and clinicians responsible for their care. Clinical commissioning groups have a duty to exercise their functions effectively, efficiently and economically</p><p> </p><p>Since its publication in 2007, the National Institute for Health and Care Excellence (NICE) clinical guideline on the management of CFS/ME in adults and children, which set outs best practice on the care, treatment and support of people with the condition, has supported the local National Health Service in delivering services for people with the condition. The guidance recognises the challenges in managing a condition for which there is no definitive diagnostic test, no clear understanding of the causes and process of disease and no cure. The guidance is also clear that there is no one form of treatment to suit every patient and that treatment and care should take into account the personal needs and preferences of the patient. NICE is currently reviewing the guidance to ensure it reflects the latest available evidence and a decision regarding this matter is expected shortly.</p><p><br></p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 11:03:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1861 label Biography information for The Countess of Mar

750534

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Democratic Republic of Congo: Mining
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what assessment they have made of the level of suicide among teenagers in the UK.
	tabling member printed	Lord Eames
	uin	HL666
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The Office for National Statistics publishes annual statistics on suicide registrations for the United Kingdom, including age-specific suicide rates by five-year age groups. A table attached provides statistics for suicides in people aged 10-14 and 15-19 in the UK between 1981 and 2015, the latest data available, is attached due to the size of the data.</p><p> </p><p>The Department leads delivery of the Cross-Government Suicide Prevention Strategy for England. Suicide prevention is a devolved matter in other UK countries.</p><p> </p><p>The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, which is commissioned by NHS England and supported by the Department, published a thematic review in 2016, Suicide by Children and Young People in England. The report identified ten common themes relating to suicides by people under 20 years of age:</p><p> </p><p>- family factors such as mental illness;</p><p>- abuse and neglect;</p><p>- bereavement and experience of suicide;</p><p>- bullying;</p><p>- suicide-related internet use;</p><p>- academic pressures, especially related to exams;</p><p>- social isolation or withdrawal;</p><p>- physical health conditions that may have social impact;</p><p>- alcohol and illicit drugs; and</p><p>- mental ill health, self-harm and suicidal ideas.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:11:50 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name HL666 formatted table.docx title Suicides in UK 1981-2015 10-19 year olds
	tabling member	2793 label Biography information for Lord Eames

750553

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether they have any plans to set up an independent review of ME/CFS services which includes an epidemiological study to establish the true incidence of ME/CFS in the population and the impact of the shortage of doctors trained in this specialism; and, if not, why not.
	tabling member printed	The Countess of Mar
	uin	HL685
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>There are no plans to set up an independent review of chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) services. Services for patients with CFS/ME are supported by independent, evidence-based guidance produced by the National Institute for Health and Care Excellence on the diagnosis, treatment and support of patients with the condition. Commissioners should deliver services that meet the needs of local popuations. Assessments of service need for CFS/ME may be supported by the available population prevalence estimates as required.</p> answering member printed Lord O'Shaughnessy question first answered 19/07/2017 15:08:32 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1861 label Biography information for The Countess of Mar

750528

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surrogacy: Lone Parents
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, further to the Written Answers by Nicola Blackwood MP on 8 March (HC66737) and by Philip Dunne MP on 27 June (HC510), whether a remedial order to allow single parents to apply for a parental order following surrogacy will be laid before Parliament after the summer recess; and if so, whether that order will operate retrospectively once approved.
	tabling member printed	Baroness Barker
	uin	HL660
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>It is the Government’s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.</p><p> </p><p>The Government supports the inclusion of a review of surrogacy legislation in the Law Commission’s 13<sup>th</sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL661 question first answered 19/07/2017 13:51:00 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2501 label Biography information for Baroness Barker

750529

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Surrogacy
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, in the light of the conclusion of the report by the Surrogacy UK Working Group on Surrogacy Law, Surrogacy in the UK: Myth bashing and reform, published in November 2015, whether they continue to support the inclusion of a review of the law on surrogacy in the Law Commission's 13th programme of law reform; and whether they will commit to their own review of the law on surrogacy if the Law Commission does not take this forward.
	tabling member printed	Baroness Barker
	uin	HL661
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>It is the Government’s intention to lay the remedial order, which will allow single people to apply for a parental order in a surrogacy arrangement, after the summer recess. The order will include a provision to allow for retrospective application for a parental order by single people.</p><p> </p><p>The Government supports the inclusion of a review of surrogacy legislation in the Law Commission’s 13<sup>th</sup> programme of law reform. The Department has not made any alternative plans for a review of surrogacy but would consider options carefully, if, for any reason, the Law Commission decides not to proceed.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL660 question first answered 19/07/2017 13:51:01 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2501 label Biography information for Baroness Barker

750687

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	NHS Walk-in Centres: Closures
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many hospital walk-in centres have closed between 2010 and 2017.
	tabling member constituency	Hyndburn
	tabling member printed	Graham P Jones
	uin	4176
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>This information is not held centrally.</p><p> </p><p>NHS Improvement published a review of walk-in centres in 2014. This can be found at the following link:</p><p><a href="https://www.gov.uk/government/publications/nhs-walk-in-centre-services-in-england-review" target="_blank">https://www.gov.uk/government/publications/nhs-walk-in-centre-services-in-england-review</a></p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 17/07/2017 14:39:28 answering member 1542 label Biography information for Philip Dunne
	tabling member	3999 label Biography information for Graham P Jones

750686

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patients: Fines
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many patients were issued with fines by the NHS Business Authority because those patients (a) were not entitled to free prescriptions and (b) did not renew their exemption certificate; and how many such patients had a long-term medical condition.
	tabling member constituency	Burnley
	tabling member printed	Julie Cooper
	uin	4268
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>Between September 2014 and April 2017 (latest figures), a total of 1,785,895 penalty charge notices (PCNs) were issued to patients declaring they were entitled to free National Health Service prescriptions but their exemption could not be validated.</p><p> </p><p>A patient is issued a penalty charge notices when the NHS Business Services Authority exemption checker does not find a valid exemption entitling that patient to free prescriptions. This includes patients that did hold a valid exemption but failed to renew.</p><p> </p><p>During the same period, a total of 90,525 PCNs were issued for unconfirmed medical exemption certificates. A new process was introduced in spring 2015 whereby someone can submit a valid application for a medical or maternity exemption certificate within 60 days from date of the penalty charge notice, the outstanding penalty charge is cancelled but the prescription charge is still recovered.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/07/2017 10:36:37 answering member 4067 label Biography information for Steve Brine
	tabling member	4405 label Biography information for Julie Cooper

750853

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Batten Disease
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many people in the UK are undergoing care and treatment for (a) all Neuronal Ceroid Lipofuscinosis diseases, (b) the CLN2 and (c) the CLN5 variants of that disease.
	tabling member constituency	Nottingham North
	tabling member printed	Alex Norris
	uin	4141
	answer	answer is ministerial correction date of answer 18/07/2017 answer text <p>The support and care given to this group of people includes a range of treatments and supportive measures, including: anti-epileptic medication; physiotherapy; treatment for spasticity; and treatment for dystonia (including bracing and wheelchairs). Progressive feeding problems require speech and language management and gastrostomy insertion. Pain management is required for end of life care.</p><p> </p><p>Given the wide range of treatments and supportive measures, it is not possible to estimate the average annual cost of treating an individual with a Neuronal Ceroid Lipofuscinosis disease, especially since some of these costs will fall to NHS England and some to clinical commissioning groups.</p><p> </p><p>It is estimated that there are between 45 and 90 people undergoing care and treatment for all Neuronal Ceroid Lipofuscinosis diseases of whom between 19 and 38 have CLN2 and fewer than 10 have CLN5.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4139 4140 question first answered 18/07/2017 09:59:34 answering member 4067 label Biography information for Steve Brine
	tabling member	4641 label Biography information for Alex Norris

750929

	registered interest
	date	11/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Department of Health: Media
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many public engagements for which a media calling notice was issued were attended by a departmental Minister in each of the last 12 months.
	tabling member constituency	Edinburgh North and Leith
	tabling member printed	Deidre Brock
	uin	4301
	answer	answer is ministerial correction date of answer 19/07/2017 answer text <p>The information requested could only be obtained at disproportionate cost.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 19/07/2017 10:51:29 answering member 1542 label Biography information for Philip Dunne
	tabling member	4417 label Biography information for Deidre Brock