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1133035

	registered interest
	date	18/06/2019
	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: Crimes of Violence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many individuals are on the NHS's register of violent and abusive actions; and how many such individuals have been added in the past 12 months.
	tabling member printed	Lord Clark of Windermere
	uin	HL16453
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>There is no centrally maintained ‘register of violence and abusive actions’ for the National Health Service. NHS trusts, working with their local police service are likely to maintain such registers as part of their responsibilities to ensure appropriate sanctions can be taken against ‘violent and abusive’ patients while ensuring they get the care they need within an environment where all patients and staff are protected.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:11:16 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	525 label Biography information for Lord Clark of Windermere

1133051

	registered interest
	date	18/06/2019
	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	Radiology
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many radiographers are employed by the NHS.
	tabling member printed	Lord Luce
	uin	HL16469
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In the Cancer Workforce Plan for England which was published in December 2017, Health Education England (HEE) set out the need to target additional training support.</p><p>As part of the development of the NHS People Plan, HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications for further development of cancer services. This will include ensuring sustainable growth beyond 2021 in key professions (including radiography) through continued investment in training places, with a greater focus on attracting and retaining students and improving the numbers of qualified professionals who go on to work in the National Health Service. The number of radiographers required will be addressed in the final NHS People Plan and is dependent on the service model used by each NHS trust.</p><p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>As at February 2019, latest available data, there were over 14,000 full time equivalent diagnostic radiographers and over 2,000 therapeutic radiographers employed by the NHS trusts and CCGs, 2,990 and 726 more, respectively, since 2010.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16468 question first answered 02/07/2019 13:24:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	908 label Biography information for Lord Luce

1133050

	registered interest
	date	18/06/2019
	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	Radiology
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many radiographers are required to fulfil the long-term objectives of the NHS.
	tabling member printed	Lord Luce
	uin	HL16468
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>In the Cancer Workforce Plan for England which was published in December 2017, Health Education England (HEE) set out the need to target additional training support.</p><p>As part of the development of the NHS People Plan, HEE will now work with NHS England and NHS Improvement to understand the longer-term workforce implications for further development of cancer services. This will include ensuring sustainable growth beyond 2021 in key professions (including radiography) through continued investment in training places, with a greater focus on attracting and retaining students and improving the numbers of qualified professionals who go on to work in the National Health Service. The number of radiographers required will be addressed in the final NHS People Plan and is dependent on the service model used by each NHS trust.</p><p>NHS Digital publishes Hospital and Community Health Services (HCHS) workforce statistics. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers.</p><p>As at February 2019, latest available data, there were over 14,000 full time equivalent diagnostic radiographers and over 2,000 therapeutic radiographers employed by the NHS trusts and CCGs, 2,990 and 726 more, respectively, since 2010.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16469 question first answered 02/07/2019 13:24:07 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	908 label Biography information for Lord Luce

1133057

	registered interest
	date	18/06/2019
	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: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to increase funding for the NHS post-Brexit.
	tabling member printed	Lord Taylor of Warwick
	uin	HL16475
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The National Health Service budget will increase by £33.9 billion in cash terms over the next five years, reflecting that the NHS is this Government’s top spending priority. This major investment will support the NHS to continue to deliver world class care.</p><p>This extra funding for the NHS will still apply in all European Union exit scenarios to ensure it is there for the long term.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 13:21:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1133041

	registered interest
	date	18/06/2019
	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	Yellow Card Scheme
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to (1) encourage pharmacists and clinicians to make full use of the Yellow Card Scheme to report adverse drug reaction to the Medicines and Healthcare products Regulatory Agency, and (2) improve direct patient access to the scheme and to seek patients views on it.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL16459
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>The Medicines and Healthcare products Regulatory Agency (MHRA) has a strategy to improve engagement with the Yellow Card Scheme as well as to increase access through a wide variety or reporting mechanisms, for both healthcare professionals as well as for patients.</p><p>The MHRA has expanded the mechanisms through which reports of side effects can be made. Most recently a new mobile reporting application was delivered, which also includes helpful information about medicines. The MHRA is also continuing to integrate with clinical systems within primary and secondary care to make reporting faster and more accessible to healthcare professionals which has already driven reporting rates up and will continue to do so with the inclusion of more clinical systems.</p><p>The MHRA actively promote the Scheme through regular awareness campaigns (both locally and internationally), attendance at conferences and patient groups, satellite Yellow Card centres that promote locally and the MHRA also provides a range of educational materials to support understanding of the Scheme and the work that the MHRA does.</p><p>An important mechanism to maximise use of the Scheme by healthcare professionals and increase its impact is the National Medication Safety Network, which consists of approximately 450 Medication Safety Officers (MSOs), who raise awareness for reporting of side effects due to medication errors. MSOs are mostly pharmacists based within hospital trusts who encourage local and national learning as well as improve reporting.</p><p>The MHRA regularly communicates safety information through a monthly electronic newsletter called Drug Safety Update which informs healthcare professionals about the latest medicines safety issues and is always coupled with messages to report suspected adverse drug reactions to the Yellow Card Scheme.</p><p>To improve accessibility and transparency, the MHRA has publicly available online interactive Drug Analysis Profiles (iDAPs). The iDAPs are provided for all licensed drugs for which the MHRA have received reports of suspected adverse reactions through the Yellow Card Scheme.</p><p>The MHRA encourages online feedback from both healthcare professionals and patients and proactively engages with patients on a regular basis. Feedback from patients is used to make improvements to the Scheme and to the ways in which patients can report suspected side effects.</p> answering member printed Baroness Blackwood of North Oxford question first answered 27/06/2019 13:36:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1133034

	registered interest
	date	18/06/2019
	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	Measles
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to address any increase in the number of people infected with measles; and whether they have any plans to introduce compulsory measles vaccinations for children before they start school.
	tabling member printed	Baroness Brady
	uin	HL16452
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Vaccinations in the United Kingdom are undertaken through informed consent. Although there has been a small decline in coverage in England since 2013, measles, mumps and rubella (MMR) vaccine coverage through the routine programme (first dose given at one year and the second at three years and four months) remains high. Public Health England has said that the majority of recent measles cases are in those not eligible through this routine programme. A new MMR vaccine catch-up programme for 10- and 11-year olds that previously missed the MMR vaccine was introduced in April this year. In addition, the MMR vaccine can also be given on the National Health Service to children who missed routine vaccination and adults who may need it.</p><p>In January 2019, the UK Measles and Rubella elimination strategy was published. A multi-agency group has been established to take forward the actions in the strategy in England. Local teams are expected to work with local stakeholders to develop measles and rubella elimination action plans.</p><p>Public Health England monitors vaccine uptake and works with NHS England to increase uptake. This year, NHS England is undertaking a fundamental review of general practitioner vaccinations and immunisation standards, funding, and procurement. This will support the goal of improving immunisation coverage, using local coordinators to target variation and improve groups and areas with low vaccine uptake.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:50:18 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4339 label Biography information for Baroness Brady

1133058

	registered interest
	date	18/06/2019
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to implement a long-term strategy to improve the timescale of mental health treatment in the NHS.
	tabling member printed	Lord Taylor of Warwick
	uin	HL16476
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>Under the NHS Long Term Plan, there will be a comprehensive expansion of mental health services, with additional funding of at least £2.3 billion a year by 2023/24. This will give greater mental health support to an extra 345,000 children, at least 380,000 more adults and 24,000 more new and expectant mothers.</p><p>The interim NHS People Plan, published on 3 June 2019, sets out that an additional 25,000 staff will be employed in mental health services over the next five years. This includes nearly 6,500 more working in children and young people’s mental health services and mental health support teams in schools and colleges.</p><p> </p><p>The National Health Service will test new waiting times to ensure rapid access to mental health services in the community for those that need it and expand crisis care. More detailed information will be set out in the National Implementation Framework and the full NHS People Plan due to be published later in the year.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:12:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1796 label Biography information for Lord Taylor of Warwick

1133042

	registered interest
	date	18/06/2019
	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	Flour: Folic Acid
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether their consultation on the proposal to add folic acid to flour will include evidence from health economists on the costs to society and the NHS of spina bifida.
	tabling member printed	Baroness Finlay of Llandaff
	uin	HL16460
	answer	answer is ministerial correction date of answer 02/07/2019 answer text <p>The Department is working closely with economists and analysts to estimate costs to society and the National Health Service of spina bifida and other neural tube defects. We are keen to gather further evidence through the consultation and we welcome responses from all interested parties.</p><p>The impact assessment will be revised in light of the consultation and published after the consultation closes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 02/07/2019 14:12:57 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1133055

	registered interest
	date	18/06/2019
	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	Social Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 11 February (HL13173) which stated that the "Social Care Green Paper remains a priority for this Government", how they define priority in this instance; and what are the Department of Health and Social Care's other priorities.
	tabling member printed	Lord Pendry
	uin	HL16473
	answer	answer is ministerial correction date of answer 27/06/2019 answer text <p>Building a sustainable care and support system where people understand their responsibilities and can prepare for the future is a key priority for this Government. It is important that people know that the care they receive will be to a high standard and will help them maintain their independence and well-being.</p><p>The Department continues to work closely on the Green Paper. Minsters meet regularly with officials and ensure that other departments and key stakeholders are consulted regularly.</p><p>In line with the Government’s planning and performance framework process, the Department’s priorities are published online in the Single Departmental Plan.</p><p>The Department’s priorities for 2018/19 are that we will:</p><p>- keep people healthy to support economic productivity and sustainable public services;</p><p>- transform primary care, community, and social care to keep people living more independent, healthier lives for longer in their community;</p><p>- support the National Health Service to deliver high quality, safe and sustainable hospital care and secure the right workforce;</p><p>- support research and innovation to maximise health and economic productivity;</p><p>- ensure accountability of the health and care system to Parliament and the taxpayer, and create an efficient and effective Department;</p><p>- create value (reduced costs and growing income) by promoting better awareness and adoption of good commercial practice across the Department and our arm’s length bodies.</p><p>The Department’s 2019/20 Single Departmental Plan will be published in due course in line with the usual processes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 27/06/2019 13:37:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	457 label Biography information for Lord Pendry

1132921

	registered interest
	date	18/06/2019
	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	Hydrops Fetalis
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many fetuses and newborn babies have been diagnosed with hydrops fetalis in each of the last five years.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	266221
	answer	answer is ministerial correction date of answer 26/06/2019 answer text <p>Information on the number of fetuses and newborn babies diagnosed with hydrops fetalis are available from NHS Digital Hospital Episode Statistics as a count of finished admission episodes (FAEs). A FAE is the first period of inpatient care under one consultant within one healthcare provider. FAEs are counted against the year in which the admission episode finishes. Admissions do not represent the number of inpatients, as a person may have more than one admission within the year.</p><p>The number of FAEs with a primary diagnosis of hydrops fetalis grouped by fetus or newborn, for the years 2013-14 to 2017-18 is provided in the following table.</p><table><tbody><tr><td><p>Financial Year</p></td><td><p>Fetus</p></td><td><p>Newborn</p></td></tr><tr><td><p>2013-14</p></td><td><p>94</p></td><td><p>68</p></td></tr><tr><td><p>2014-15</p></td><td><p>82</p></td><td><p>54</p></td></tr><tr><td><p>2015-16</p></td><td><p>109</p></td><td><p>52</p></td></tr><tr><td><p>2016-17</p></td><td><p>98</p></td><td><p>62</p></td></tr><tr><td><p>2017-18</p></td><td><p>114</p></td><td><p>45</p></td></tr></tbody></table><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 26/06/2019 16:21:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4131 label Biography information for Jim Shannon