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1700670

registered interest
date	15/04/2024
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	Ticks
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following the publication of the UK Health Security Agency report Health Effects of Climate Change (HECC) in the UK: State of the evidence 2023 in January, what steps they are taking to inform health professionals of the heightened risk to public health of (1) Lyme disease, and (2) emerging tick-borne diseases, including tick-borne encephalitis, from an increase in the UK distribution of tick species as a result of a warming climate; and what advice are they providing to those exposed to this risk through work or leisure.
tabling member printed	The Earl of Caithness
uin	HL3728
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The UK Health Security Agency (UKHSA) has an active programme to promote awareness of tick-borne diseases among local authorities, health professionals and the public by 2025 in line with the Third National Adaptation Programme. This includes Lyme disease and tick-borne encephalitis. UKHSA has worked to develop a toolkit for local authorities and key stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease, a copy of which is attached. UKHSA also publishes Lyme disease data on Fingertips, which is an open access public health data platform which allows the public, health professionals, and local authorities to view trends, compare indicators and understand the incidence of Lyme disease in their area.</p><p>Clinicians are also engaged via teaching sessions for General Practitioners, seminars for infection specialists, and briefing notes to notify clinicians of the possibility of tick-borne diseases, with detail of compatible signs and symptoms. Disease messaging is shared through media, social, and stakeholder channels at a national and regional level, such as the #BeTickAware campaign which aims to raise awareness in the population, including those at risk of exposure through work or leisure.</p> answering member printed Lord Markham question first answered 23/04/2024 11:38:44 answering member 4948 label Biography information for Lord Markham attachment 1 file name Be_tick_aware_toolkit.pdf title Be_tick_aware_toolkit
tabling member	3310 label Biography information for The Earl of Caithness

1700671

registered interest
date	15/04/2024
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	Drugs: Shortages
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to mitigate the current shortage of the psychotropic medication Olanzapine, Risperidone and Haloperidol following the sudden departure of two generic manufacturers from the UK market.
tabling member printed	Lord Carlile of Berriew
uin	HL3729
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>We are aware that there have been supply constraints with olanzapine 210 milligram, 300 milligram, and 405 milligram powder and solvent for prolonged release suspension for injection. We worked with manufacturers to uplift production, and the issues were resolved in February 2024. We worked with NHS England to issue national communications containing advice on how to manage patients whilst there was a disruption to supply. We are not aware of any supply issues affecting oral presentations of olanzapine, or of any supply issues with any risperidone or haloperidol products.</p> answering member printed Lord Markham grouped question UIN HL3730 question first answered 22/04/2024 15:15:21 answering member 4948 label Biography information for Lord Markham
tabling member	1138 label Biography information for Lord Carlile of Berriew

1700672

registered interest
date	15/04/2024
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	Olanzapine: Shortages
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the impact of the shortage of the psychotropic medication Olanzapine, and what steps they are taking to ensure that such shortages do not affect the health and safety of patients, and wider public safety.
tabling member printed	Lord Carlile of Berriew
uin	HL3730
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>We are aware that there have been supply constraints with olanzapine 210 milligram, 300 milligram, and 405 milligram powder and solvent for prolonged release suspension for injection. We worked with manufacturers to uplift production, and the issues were resolved in February 2024. We worked with NHS England to issue national communications containing advice on how to manage patients whilst there was a disruption to supply. We are not aware of any supply issues affecting oral presentations of olanzapine, or of any supply issues with any risperidone or haloperidol products.</p> answering member printed Lord Markham grouped question UIN HL3729 question first answered 22/04/2024 15:15:21 answering member 4948 label Biography information for Lord Markham
tabling member	1138 label Biography information for Lord Carlile of Berriew

1700674

registered interest
date	15/04/2024
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	Tofersen: Licensing
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the negative impact on pharmaceutical research investment in the UK of the refusal by National Institute for Health and Care Excellence to approve tofersen for SOD-1 MND patients in the UK.
tabling member printed	Baroness Finlay of Llandaff
uin	HL3732
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The National Institute for Health and Care Excellence (NICE) has not yet started its evaluation of tofersen for treating amyotrophic lateral sclerosis caused by SOD1 gene mutations, and has therefore not published any guidance or recommendations on whether tofersen should be available for National Health Service patients. In developing its recommendations, the NICE will follow its published methods for health technology evaluation, which will include a thorough assessment of the available evidence. This takes into account all health-related costs and benefits, including health benefits not only to patients but, where relevant, to other people such as carers. The NICE’s aim is to publish its guidance on tofersen as close as possible to the date it receives its marketing authorisation.</p> answering member printed Lord Markham grouped question UIN HL3733 question first answered 22/04/2024 15:05:49 answering member 4948 label Biography information for Lord Markham
tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1700675

registered interest
date	15/04/2024
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	Tofersen
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration was given to the costs of complicated grief in families of patients dying from SOD-1 MND during the evaluation process that led to the decision to decline access to tofersen for NHS patients.
tabling member printed	Baroness Finlay of Llandaff
uin	HL3733
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>The National Institute for Health and Care Excellence (NICE) has not yet started its evaluation of tofersen for treating amyotrophic lateral sclerosis caused by SOD1 gene mutations, and has therefore not published any guidance or recommendations on whether tofersen should be available for National Health Service patients. In developing its recommendations, the NICE will follow its published methods for health technology evaluation, which will include a thorough assessment of the available evidence. This takes into account all health-related costs and benefits, including health benefits not only to patients but, where relevant, to other people such as carers. The NICE’s aim is to publish its guidance on tofersen as close as possible to the date it receives its marketing authorisation.</p> answering member printed Lord Markham grouped question UIN HL3732 question first answered 22/04/2024 15:05:49 answering member 4948 label Biography information for Lord Markham
tabling member	3609 label Biography information for Baroness Finlay of Llandaff

1700683

registered interest
date	15/04/2024
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: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their assessment of the impact of the NHS long-term workforce plan upon the number of specialists such as Parkinson’s nurses in the NHS.
tabling member printed	Baroness Gale
uin	HL3741
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>In June 2023, we published the Long Term Workforce Plan which sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years.</p><p>The Plan commits to double the number of medical places, taking the total number of places to 15,000 by 2031/32 and including a commensurate increase in specialty training places that meets the demands of the NHS in the future. It also commits to increasing adult nursing places by 92%, taking the number of total places up to nearly 38,000 by 2031/32.</p><p>There are a record number of nurses working in the NHS and we have reached our target of 50,000 additional nurses, meaning we have delivered on our commitment six months early. In January 2024 there are over 363,000 nurses working across the NHS, representing over 62,000 more than in September 2019.</p> answering member printed Lord Markham question first answered 22/04/2024 15:39:17 answering member 4948 label Biography information for Lord Markham
tabling member	2503 label Biography information for Baroness Gale

1700742

registered interest
date	15/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Hornets
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the spread of reported Asian hornet nesting sites in England since 2019.
tabling member printed	Lord Patten
uin	HL3781
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>A risk assessment for Asian hornet was completed in 2011. The <a href="https://www.nonnativespecies.org/assets/Uploads/RA_Vespa_velutina_Asian_Hornet.pdf" target="_blank">risk assessment</a> concluded that there were multiple pathways through which Asian hornet could arrive in England and therefore that entry was very likely. Several areas were identified where Asian hornet incursions were thought to be most likely and this included Southern English counties, coastal regions, open areas near fresh water and areas close to ports and airports.</p><p> </p><p>Since 2019 there have been 80 Asian hornet nests located and destroyed in Great Britain with 77 of these nests located in the South of England.</p><p> </p><p>In 2023 there was a large increase in the number of nests when compared to all previous years, with 72 nests located and destroyed. The majority of the nests were located in the South-East (62), while 8 were located in the South and South-West and 2 were located in the North of England.</p><p> </p><p>We ask all members of the public to be vigilant for sightings of Asian hornet during the peak season (June-October) as Asian hornets are known to be an effective hitch hiker and may be spotted anywhere across the country.</p> answering member printed Lord Benyon question first answered 19/04/2024 13:40:59 answering member 1547 label Biography information for Lord Benyon attachment 1 file name HL3781 attachment.pdf title Risk Assessment
tabling member	1137 label Biography information for Lord Patten

1700743

registered interest
date	15/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Hornets
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the effect of the spread of Asian hornets on the welfare of (1) honey bees, and (2) other insect populations, in England; and what action they are taking to prevent the further spread of this invasive species.
tabling member printed	Lord Patten
uin	HL3782
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>The Government recognises the essential role played by honey bees and wild pollinators in our environment, acknowledging their contribution to crop pollination. Additionally, pollinators play a vital role in supporting the natural ecosystem.</p><p> </p><p>Asian hornets prey on honey bees and other pollinators so pose a significant threat to these insects. To date rapid action has been taken in the UK to find and destroy Asian hornet nests.</p><p> </p><p>In 2023 a total of 72 nests were located and destroyed, the majority of these were located in the South-East (62). The National Bee Unit (NBU), part of the Animal and Plant Health Agency, rapidly located and destroyed the nests so we would expect any impacts on honey bee colonies and other pollinators to be small and localised.</p><p> </p><p>From the analysis of nests found in 2023, a number of areas were identified where there is a low risk that Asian hornet queens may have overwintered. To address this, the NBU is carrying out spring trapping and working collaboratively with stakeholders to monitor traps at locations across Kent, East Sussex, Devon and North Yorkshire.</p><p> </p><p>The Government remains committed to taking swift and effective contingency action against Asian hornet in 2024 thereby continuing to minimise the impacts on honey bees and other pollinators.</p> answering member printed Lord Benyon question first answered 19/04/2024 13:40:12 answering member 1547 label Biography information for Lord Benyon
tabling member	1137 label Biography information for Lord Patten

1700745

registered interest
date	15/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Biodiversity
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made in reforming incentives, including subsidies for ecologically harmful activities, as required under Target 18 of the Global Biodiversity Framework.
tabling member printed	Lord Randall of Uxbridge
uin	HL3785
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>In May 2024, the UK plans to publish its National Biodiversity Strategy and Action Plan (NBSAP), which will set out national targets and policies for implementing targets in the Global Biodiversity Framework, including Target 18. This will include a target to identify any incentives and subsidies that are harmful to biodiversity. The UK already has a positive story to tell on reforming incentives through our work to deliver the Agricultural Transition. Our Environmental Land Management schemes will incentivise farmers to improve biodiversity, soil health and air and water quality, reduce agricultural emissions, restore peatland, and establish and restore woodlands and forests.</p> answering member printed Lord Benyon question first answered 19/04/2024 13:39:37 answering member 1547 label Biography information for Lord Benyon
tabling member	209 label Biography information for Lord Randall of Uxbridge

1700749

registered interest
date	15/04/2024
answering body	Department for Work and Pensions
answering dept id	29
answering dept short name	Work and Pensions
answering dept sort name	Work and Pensions
hansard heading	State Retirement Pensions: Women
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they will respond to the report from the Parliamentary and Health Service Ombudsman Women’s State Pension age: our findings on injustice and associated issues laid before Parliament on 21 March.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL3789
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>In laying the report before Parliament at the end of March, the Ombudsman has brought matters to the attention of this House, and a further update to the House will be provided once the report's findings have been fully considered.</p> answering member printed Viscount Younger of Leckie question first answered 22/04/2024 14:05:38 answering member 4169 label Biography information for Viscount Younger of Leckie
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick