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1171800

registered interest
date	20/01/2020
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
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 6 August 2019 (HL17643), how much new funding they provided in 2019 for new measures to prevent the transmission of carbapenem-resistant Enterobacteriaceae.
tabling member printed	Baroness Gardner of Parkes
uin	HL562
answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>Public Health England has not received any new funding for the prevention of transmission of the carbapenem-resistant Enterobacteriaceae.</p> answering member printed Baroness Blackwood of North Oxford question first answered 29/01/2020 16:28:53 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1171527

registered interest
date	16/01/2020
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	Care Workers: Pay
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 Henley on 11 April 2019 (HL15230), how many agencies employing careworkers are paying the costs of such workers for their travel between clients; and what steps they take to ensure that care agencies pay staff appropriate renumeration for any time spent travelling between appointments.
tabling member printed	Baroness Gardner of Parkes
uin	HL498
answer	answer is ministerial correction date of answer 27/01/2020 answer text <p>The law is clear that for care workers, and other workers, time spent travelling between assignments counts as time worked for National Minimum Wage and National Living Wage (NMW) purposes. Furthermore, the Government issued statutory guidance supporting the implementation of the Care Act which specifies; “<em>Remuneration must be at least sufficient to comply with the NMW legislation for hourly pay or equivalent salary. This will include appropriate remuneration for any time spent travelling between appointments.”</em></p><p> </p><p>The Government has more than doubled the NMW compliance and enforcement budget to £27.4 million for 2019/20, up from £13.2 million in 2015/16. HMRC utilise those resources to follow up on every worker complaint received and to undertake proactive investigations. Last year (2018/19), HMRC identified over £6 million in minimum wage arrears within the Human Health and Social Work sector, owed to over 27,000 workers. This includes, but is not limited to, arrears relating to travel time.</p><p> </p><p>Workers can call the ACAS helpline for free, confidential advice about their rights and entitlements. If they want to make a complaint through HMRC, they can do so in complete confidence, either via ACAS or using the online complaints form on GOV.UK. HMRC will protect their anonymity throughout the investigation.</p><p> </p> answering member printed Lord Duncan of Springbank question first answered 27/01/2020 14:41:01 answering member 4686 label Biography information for Lord Duncan of Springbank
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1169895

registered interest
date	09/01/2020
answering body	Ministry of Housing, Communities and Local Government
answering dept id	7
answering dept short name	Housing, Communities and Local Government
answering dept sort name	Housing, Communities and Local Government
hansard heading	Holiday Accommodation
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of (1) the impact of the Deregulation Act 2015 on short-term lettings, and (2) the proposal by the Mayor of London in April 2019 for the introduction of a registration system for those renting property for less than 90 days in a calendar year in London; and what plans they have, if any, to introduce such a system.
tabling member printed	Baroness Gardner of Parkes
uin	HL251
answer	answer is ministerial correction date of answer 23/01/2020 answer text <p>The Deregulation Act 2015 limits short-term lettings in London to 90 days per property per calendar year. We have not made any specific assessment of its impact on short-term lettings. As to the proposal by the Mayor of London, the Government has no current plans to introduce such a register. However, we are aware of the work by the Short-Term Accommodation Association as well as platforms such as Airbnb, HomeAway and TripAdvisor to put in place their own procedures to avoid breach of the 90-day limit which we note with interest.</p> answering member printed Viscount Younger of Leckie question first answered 23/01/2020 15:52:08 answering member 4169 label Biography information for Viscount Younger of Leckie
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1150750

registered interest
date	19/10/2019
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	Dental Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they intend to take in respone to the shortage of National Health Service dentists.
tabling member printed	Baroness Gardner of Parkes
uin	HL224
answer	answer is ministerial correction date of answer 30/10/2019 answer text <p>The latest headcount data published by NHS Digital show that the total number of dentists actively delivering National Health Service services increased from 24,308 to 24,545 during the period 2017/18 to 2018/19.</p><p> </p><p>Both NHS England and Health Education England (HEE) have initiatives in place to tackle recruitment and retention issues. HEE’s current programme Advancing Dental Care is exploring the opportunities for flexible dental training pathways that can better serve patients as well as improving dental workforce retention. NHS England is introducing ‘flexible commissioning’, which allows local NHS commissioners to commission a wider range of services from dental practices which is expected to make NHS dentistry more attractive to newly qualified dentists.</p><p> </p><p>These initiatives sit alongside the Department’s and NHS England’s work to reform the current NHS dental contract to support dentists to deliver preventatively focussed care. The patient pathway in the new model makes greater use of the whole dental team including nurses and therapists which moves away from needing dentists to complete every course of treatment.</p><p> </p><p>The interim NHS People Plan, published in June 2019, sets out plans for the future dental workforce. This commits to creating a capable and motivated multidisciplinary dental workforce, of a sufficient size, to meet population health needs.</p> answering member printed Baroness Blackwood of North Oxford question first answered 30/10/2019 12:34:49 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1141919

registered interest
date	24/07/2019
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	Bacterial Diseases
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 9 July (HL16592), what is their view of the proportion of each of the resulting illness, deaths and costs that could be prevented by new efforts to prevent transmission; and what are the costs of new measures introduced in 2019 to prevent transmission of carbapenem-resistant Enterobacteriaceae.
tabling member printed	Baroness Gardner of Parkes
uin	HL17463
answer	answer is ministerial correction date of answer 06/08/2019 answer text <p>Public Health England (PHE) has prioritised collecting the necessary data across the National Health Service to enable estimation and monitoring of the proportion of cases, deaths and costs attributable to carbapenemase-resistant Enterobacteriaceae.</p><p>In May 2015 PHE implemented an enhanced surveillance system of all carbapenemase-producing Gram negative bacteria, which was modified in 2019 to maximise efficiency. The health burden of cases, estimated from these data, will be published in the <em>English Surveillance Programme for Antimicrobial Utilisation Report</em> in November 2019.</p><p>The few published reports of outbreaks have estimated costs of at least £1 million, and up to £5 million, all indicating multi-model control measures are required, as outlined in the PHE toolkit for prevention and control of carbapenemase-producing Enterobacteriaceae which is currently being updated.</p><p>Using national surveillance and patient administration data to develop mathematical models, work is ongoing to estimate the reduction in levels of illness and death when specified detection and control measures are applied by 2020. Developed models will enable associated costs incurred to be estimated and the cost-effectiveness of control measures to be established by 2021.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 06/08/2019 15:07:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1135065

registered interest
date	26/06/2019
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	Bacterial Diseases
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 4 June (HL15832), what assessment they have made of (1) the future costs to the NHS as a result of the spread of carbapenem-resistant Enterobacteriaceae, (2) the costs of new measures introduced in 2019 specifically to prevent the transmission of such Enterobacteriaceae, and (3) the views of infection control nurses on investment to prevent the transmission of such Enterobacteriaceae.
tabling member printed	Baroness Gardner of Parkes
uin	HL16692
answer	answer is ministerial correction date of answer 09/07/2019 answer text <p>Public Health England (PHE) has predicted future spread and the health and cost impact to the National Health Service of the Enterobacteriaceae Escherichia coli and a national outbreak of a highly-resistant organism, reflecting carbapenem-resistant Enterobacteriaceae. The models used in this assessment are published in the paper <em>A Risk Assessment of Antibiotic Pan-Drug-Resistance in the UK: Bayesian Analysis of an Expert Elicitation Study</em>. A copy of the paper is attached.</p><p>Such predictions are highly uncertain. There remain unknowns regarding transmission, efficacy of interventions and the additional hospital stay for infected patients (constituting a large part of the cost to the NHS).</p><p>PHE has worked with NHS colleagues, estimating the cost of controlling a carbapenemase-producing Enterobacteriaceae (CPE) outbreak in five London hospitals to be over £1 million. Monitoring costs alongside implementation of PHE’s upcoming update of the CPE toolkit for health and social care is an important component of enabling cost-effectiveness evaluation.</p><p>Staff interviewed about the challenges of implementing the existing CPE toolkit highlighted maintaining awareness and training as key challenges, alongside infection prevention resourcing. An analysis of the responses was published in the paper <em>An evaluation of a toolkit for the early detection, management, and control of carbapenemase-producing Enterobacteriaceae: a survey of acute hospital trusts in England</em>. A copy is attached.</p> answering member printed Baroness Blackwood of North Oxford attachment 1 file name A Risk Assessment of Antibiotic Pan-Drug-Resistance in the UK.pdf title Risk Assessment of Antibiotic Pan Drug Resistance 2 file name An evaluation of a toolkit for the early detection management and control of carbapenemase-producing Enterobacteriaceae. A survey of acute hospital .pdf title An evaluation of a toolkit question first answered 09/07/2019 13:34:21 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	3596 label Biography information for Baroness Gardner of Parkes