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891845

	registered interest
	date	25/04/2018
	answering body	The Senior Deputy Speaker
	answering dept id	204
	answering dept short name
	answering dept sort name	Senior Deputy Speaker (HoL)
	hansard heading	Parliament: Telephone Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask the Senior Deputy Speaker what, if any, has been the annual saving to the two Houses of the outsourcing of the switchboard service; and how are the costs of that service apportioned between the two Houses.
	tabling member printed	Lord Palmer
	uin	HL7286
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The Senior Deputy Speaker has asked me, as Chairman of the Services Committee, to respond on his behalf.</p><p>The saving projected when the outsourced switchboard provider, 3C Ltd, changed to Capita PLC in May 2012 was £1.53m. The saving was projected over the course of 7 years, meaning that the average forecast annual saving was £218.57k. Saving over the full 7 year term is now forecast to be £1.88m, providing an average annual saving of £269.33k. The actual saving after 6 years has been £1.45m, with an average annual saving of £242.36k.</p><p>Until 31 March 2015, 20% of costs were apportioned to the House of Lords and 80% to the House of Commons. Since 1 April 2015, 30% of costs are apportioned to the House of Lords and 70% to the House of Commons.</p><p> </p> answering member printed Lord Laming question first answered 10/05/2018 11:41:49 answering member 2079 label Biography information for Lord Laming
	tabling member	3192 label Biography information for Lord Palmer

891846

	registered interest
	date	25/04/2018
	answering body	The Senior Deputy Speaker
	answering dept id	204
	answering dept short name
	answering dept sort name	Senior Deputy Speaker (HoL)
	hansard heading	Parliament: Telephone Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask the Senior Deputy Speaker what has been the saving to the two Houses arising from the changes to the opening hours of the switchboard service that were introduced in February.
	tabling member printed	Lord Palmer
	uin	HL7287
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The Senior Deputy Speaker has asked me, as Chairman of the Services Committee, to respond on his behalf.</p><p>The changes made in 2017-18 to the service, including the changes in opening hours introduced in February 2018, have delivered a saving of £23.1k in the financial year 2017-18 and are forecast to deliver a saving of £124.3k in the financial year 2018-19.</p><p>The service changes included a change to the call answering Service Level Agreement from 90% of calls being answered in 10 seconds to 85% of calls being answered in 20 seconds, and a change of opening hours during sitting times and recesses, including closure on Sundays and UK Bank Holidays.  The change to the Service Level Agreement, of 85% of calls being answered in 20 seconds, remains a higher standard than the Service Level Agreements of many top companies renowned for delivering excellent service.</p> answering member printed Lord Laming question first answered 10/05/2018 11:42:54 answering member 2079 label Biography information for Lord Laming
	tabling member	3192 label Biography information for Lord Palmer

891838

	registered interest
	date	25/04/2018
	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	Medical Equipment: Regulation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of issues experienced by patients with mesh, whether they plan to improve the regulatory system for medical devices.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL7280
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>The Medicines and Healthcare products Regulatory Agency has been instrumental in agreeing new European Union legislation strengthening the regulatory system for medical devices. This legislation was agreed in 2017 and will take full effect in 2020.</p><p>Some of the key changes the legislation will introduce are a substantial increase in scrutiny placed on implantable devices before they can be placed on the market, particularly the level of clinical evidence required; greater transparency of information available to clinicians and patients about the safety and performance of medical devices; and greater onus on manufacturers to monitor their devices in the post-market phase.</p> answering member printed Lord O'Shaughnessy question first answered 09/05/2018 11:16:41 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

891863

	registered interest
	date	25/04/2018
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Bahrain: Technical Assistance
	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 Ahmad of Wimbledon on 16 April (HL6836) regarding the technical assistance programme in Bahrain which includes “justice reform”, what assessment they have made of the effectiveness of this programme given the recent death sentences passed in Bahrain and reports of associated violations of due process, enforced disappearance and the use of confessions extracted under torture.
	tabling member printed	Lord Scriven
	uin	HL7302
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The Government works with a number of implementation partners and beneficiaries to support Bahraini-led reform. These programmes aim to support progress on building effective and accountable institutions, strengthening the rule of law, and justice reform. All of our work is in line with international standards, and aims to share the UK's expertise and experience. Any training provided by, or on behalf of, the Government fully complies with our domestic and international human rights obligations. <br> <br>The UK is firmly opposed to the death penalty. It is the Government's longstanding position to oppose capital sentences in all circumstances and countries. We continue to make this clear to the Government of Bahrain. The UK welcomes the decision of His Majesty King Hamad Bin Isa Al Khalifa to commute four death sentences in Bahrain.</p> answering member printed Lord Ahmad of Wimbledon question first answered 10/05/2018 16:51:30 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	4333 label Biography information for Lord Scriven

891848

	registered interest
	date	25/04/2018
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Migrants: Detainees
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, following the closure of the Cedars family immigration centre, what accommodation they now use to house families with children, when deemed necessary for immigration purposes.
	tabling member printed	Lord Roberts of Llandudno
	uin	HL7289
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>On 21 July 2016 the Government announced plans to close Cedars pre-departure accommodation and replace it with new pre-departure accommodation near Gatwick airport, as a discrete unit at Tinsley House immigration removal centre.</p><p>New pre-departure accommodation opened at Tinsley House on 26 June 2017 and is used only as a last resort after all voluntary or other returns options have failed. It operates under the distinct statutory framework established by the Immigration Act 2014, including the requirement for the Independent Family Returns Panel to be consulted in advance where it is proposed that a family is to be held there.</p> answering member printed Baroness Williams of Trafford question first answered 10/05/2018 16:53:11 answering member 4311 label Biography information for Baroness Williams of Trafford
	tabling member	3691 label Biography information for Lord Roberts of Llandudno

891835

	registered interest
	date	25/04/2018
	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	Surgical Mesh Implants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they plan to bring forward the NICE guidelines for mesh in stress-related urinary incontinence from 2019 to 2018.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL7277
	answer	answer is ministerial correction date of answer 10/05/2018 answer text <p>The update of the National Institute for Health and Care Excellence (NICE) clinical guidance on the management of urinary incontinence to also include pelvic organ prolapse is already underway, with draft guidance for consultation expected in late 2018 and final guidance due in early 2019.</p><p>As this guideline update is already in progress, there is little scope for it to be brought forward any sooner. It is also important to recognise the necessary rigour and transparency with which NICE develops clinical guidelines, which means development takes several months.</p> answering member printed Lord O'Shaughnessy question first answered 10/05/2018 15:21:24 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

891834

	registered interest
	date	25/04/2018
	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	Surgical Mesh Implants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether, in the light of the publication on 17 April of the national audit of patients who have undergone urologynaecological procedure for prolapse or stress urinary continence, including those where mesh, tape or equivalents were used, they now plan to suspend the use of pelvic mesh.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL7276
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>The audit <em>Retrospective Review of Surgery for Urogynaecological Prolapse and Stress Urinary Incontinence using Tape or Mesh</em> was published by NHS Digital on 17 April 2018. Due to the importance of the issue, I have asked the Chief Medical Officer to seek the views of relevant National Health Service bodies, surgical societies, and patient groups on the implications of the statistics, and to report back within a month. The Government is open to further analyses where these could provide helpful insights. This will allow us to make an informed decision on the next steps we take.</p><p>The Medicines and Healthcare products Regulatory Agency’s (MHRA’s) current view is that from a regulatory perspective, based on all of the available evidence, the evidence does not support a restriction or ban of the use of these devices, except where stipulated in National Institute for Health and Care Excellence guidelines. However, the MHRA and others have and will continue to keep the evidence under review, and will act as necessary to continue to ensure the safety of patients.</p> answering member printed Lord O'Shaughnessy question first answered 09/05/2018 11:28:10 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

891842

	registered interest
	date	25/04/2018
	answering body	Department for Business, Energy and Industrial Strategy
	answering dept id	201
	answering dept short name	Business, Energy and Industrial Strategy
	answering dept sort name	Business, Energy and Industrial Strategy
	hansard heading	Fracking
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they plan to establish national set back regulations for fracking plants; and what assessment they have made of medical studies indicating that health risks are modified by the geographical distance of residences from active shale gas extraction.
	tabling member printed	Baroness Jones of Moulsecoomb
	uin	HL7284
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>There are no plans to establish national set back regulations for shale gas development. National Planning Policy is clear that when planning permission is granted for shale gas, the cumulative impact of shale sites must be considered. Local Authorities therefore have the power to assess and restrict the cumulative effects of shale sites, including any adverse impacts on the natural or historical environment. Public Health England also work with the regulators to ensure potential health impacts of operations are properly risk assessed as part of the planning and permitting process.</p><p> </p><p>Public Health England assessed the risk to human health of extracting shale gas in their June 2014 report. They evaluated available evidence on issues including air quality, radon gas, naturally occurring radioactive materials, water contamination and waste water. Public Health England’s review concluded that “… the potential risks to public health from exposure to emissions associated with shale gas extraction will be low if operations are properly run and regulated”.</p><p> </p><p>Public Health England continue to review evidence on the potential public health impacts of emissions associated with shale gas extraction and have not currently identified any significant evidence that would make it change its views stated in its Review of the Potential Public Health Impacts of Exposures to Chemical and Radioactive Pollutants as a Result of the Shale Gas Extraction Process (2014).</p><p> </p><p> </p><p> </p> answering member printed Lord Henley question first answered 09/05/2018 16:44:06 answering member 2616 label Biography information for Lord Henley attachment 1 file name Review of the Potential Public Health Impacts of Exposures to Chemical and Radioactive Pollutants as a Result of the Shale Gas Extraction Process.pdf title Review: Pollutants from Shale Gas Extraction
	tabling member	4297 label Biography information for Baroness Jones of Moulsecoomb

891836

	registered interest
	date	25/04/2018
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Personal, Social, Health and Economic Education
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they plan to commission organisations, including the PSHE association and the Sex Education Forum, with knowledge and expertise in statutory sex and relationship education and PSHE to provide teacher training on the new curriculum.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL7278
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>It is important that schools are able to deliver high quality teaching, and we are using evidence to determine what resources, training or other support should be provided.</p><p> </p><p>The department conducted a thorough and wide-ranging engagement process, including a call for evidence, to help shape the new subjects of relationships education in primary schools, relationships and sex education in secondary schools, and on the future status of personal, social, health and economic (PSHE) education. The department received over 23,000 responses to the call for evidence, which closed on 12 February 2018. During the engagement process, the department spoke with a wide range of interested stakeholders, including teaching unions, the Sex Education Forum and the PSHE Association. Discussions included exploration of the support schools will need to deliver quality subjects.</p><p> </p><p>The department is currently considering the responses to the call for evidence, and representations through the engagement process, to help develop draft regulations and guidance, as well as school support options. We plan to publish the results of the call for evidence, alongside a consultation on the draft regulations and accompanying statutory guidance shortly, before laying the regulations in the House for debate.</p> answering member printed Lord Agnew of Oulton grouped question UIN HL7236 HL7237 question first answered 09/05/2018 16:10:35 answering member 4689 label Biography information for Lord Agnew of Oulton
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

891837

	registered interest
	date	25/04/2018
	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	Surgical Mesh Implants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they plan to commission new guidelines from NICE in relation to hernia mesh.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL7279
	answer	answer is ministerial correction date of answer 09/05/2018 answer text <p>The National Institute for Health and Care Excellence (NICE) has not been asked to develop any new guidelines in relation to hernia mesh.</p><p>NICE has developed technology appraisal guidance on <em>Laparoscopic surgery for inguinal hernia repair </em>published on 22 September 2004. A copy of the guidance is attached. The guidance states that laparoscopic surgery is recommended as one of the treatment options for the repair of inguinal hernia, but it should only be performed by appropriately trained surgeons who regularly carry out the procedure. NICE reviewed the evidence in February 2016 and found no new evidence which would lead to a change in the existing recommendations. However, if NICE is notified of a significant change to the evidence base at any stage in the future, this could trigger a formal review proposal.</p> answering member printed Lord O'Shaughnessy question first answered 09/05/2018 11:26:42 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name laparoscopic-surgery-for-inguinal-hernia-repair-pdf-2294817305029.pdf title Laparoscopic surgery hernia NICE guidance
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath