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76615

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Assistive Technology: Research
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the impact of producing internally at the Department of Health the report required under section 22 of the Chronically Sick and Disabled Persons Act 1970 on the quality of research into areas of innovative assistive technology and the adoption of such technology; and what measures they intend to take prevent a decrease in both research into and adoption of such technology.
tabling member printed	Lord Hunt of Kings Heath
uin	HL957
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>Section 22 of the Chronically Sick and Disabled Persons Act 1970 sets out the following requirement:</p><p> </p><p><em>The Secretary of State shall as respects each year lay before Parliament a report on the progress made during that year in research and development work carried out by or on behalf of any Minister of the Crown in relation to equipment that might increase the range of activities and independence or well-being of disabled persons, and in particular such equipment that might improve the indoor and outdoor mobility of such persons.</em></p><p> </p><p>In recent years the report has been produced by the Foundation for Assistive Technology, and this contract expired in June 2014. The annual cost was £72,268 (figure for final year). The contract was funded by the Department's Policy Research Programme.</p><p> </p><p>The Department has to deliver change in a climate of continuing fiscal challenge and constraint on public spending, and the approach to reporting on assistive technology research and development is aligned with this. The Department does not therefore plan to invite tenders for production of Section 22 reports from 2014-15 and will produce future reports on a smaller scale and of sufficient quality to meet the statutory requirement. This will be done in-house at no additional cost.</p><p> </p><p>As the Government will continue to meet the statutory requirement, no formal consultation on Section 22 has been undertaken or planned.</p><p> </p><p>Reports produced under Section 22, together with other sources of information about Government-funded assistive technology research (including published outputs, project databases, trial registers, websites and other information published by research funders and organisations carrying out research) will continue to make information available that can be used to support the identification of innovation opportunities and the identification and adoption of technology.</p><p> </p> answering member printed Earl Howe grouped question UIN HL897 HL898 HL899 HL900 HL901 HL902 HL958 HL959 question first answered 17/07/2014 11:49:08 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76616

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Disability Aids
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what measures they intend to take in order to ensure that the potential internal production of the report required under section 22 of the Chronically Sick and Disabled Persons Act 1970 will not lead to a reduction in the quality of the report.
tabling member printed	Lord Hunt of Kings Heath
uin	HL958
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>Section 22 of the Chronically Sick and Disabled Persons Act 1970 sets out the following requirement:</p><p> </p><p><em>The Secretary of State shall as respects each year lay before Parliament a report on the progress made during that year in research and development work carried out by or on behalf of any Minister of the Crown in relation to equipment that might increase the range of activities and independence or well-being of disabled persons, and in particular such equipment that might improve the indoor and outdoor mobility of such persons.</em></p><p> </p><p>In recent years the report has been produced by the Foundation for Assistive Technology, and this contract expired in June 2014. The annual cost was £72,268 (figure for final year). The contract was funded by the Department's Policy Research Programme.</p><p> </p><p>The Department has to deliver change in a climate of continuing fiscal challenge and constraint on public spending, and the approach to reporting on assistive technology research and development is aligned with this. The Department does not therefore plan to invite tenders for production of Section 22 reports from 2014-15 and will produce future reports on a smaller scale and of sufficient quality to meet the statutory requirement. This will be done in-house at no additional cost.</p><p> </p><p>As the Government will continue to meet the statutory requirement, no formal consultation on Section 22 has been undertaken or planned.</p><p> </p><p>Reports produced under Section 22, together with other sources of information about Government-funded assistive technology research (including published outputs, project databases, trial registers, websites and other information published by research funders and organisations carrying out research) will continue to make information available that can be used to support the identification of innovation opportunities and the identification and adoption of technology.</p><p> </p> answering member printed Earl Howe grouped question UIN HL897 HL898 HL899 HL900 HL901 HL902 HL957 HL959 question first answered 17/07/2014 11:49:08 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76617

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Disability Aids
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the impact of the potential internal production of the report required under section 22 of the Chronically Sick and Disabled Persons Act 1970 on the identification of innovation opportunities, particularly for the manufacturing industry and small and medium-sized enterprises.
tabling member printed	Lord Hunt of Kings Heath
uin	HL959
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p>Section 22 of the Chronically Sick and Disabled Persons Act 1970 sets out the following requirement:</p><p> </p><p><em>The Secretary of State shall as respects each year lay before Parliament a report on the progress made during that year in research and development work carried out by or on behalf of any Minister of the Crown in relation to equipment that might increase the range of activities and independence or well-being of disabled persons, and in particular such equipment that might improve the indoor and outdoor mobility of such persons.</em></p><p> </p><p>In recent years the report has been produced by the Foundation for Assistive Technology, and this contract expired in June 2014. The annual cost was £72,268 (figure for final year). The contract was funded by the Department's Policy Research Programme.</p><p> </p><p>The Department has to deliver change in a climate of continuing fiscal challenge and constraint on public spending, and the approach to reporting on assistive technology research and development is aligned with this. The Department does not therefore plan to invite tenders for production of Section 22 reports from 2014-15 and will produce future reports on a smaller scale and of sufficient quality to meet the statutory requirement. This will be done in-house at no additional cost.</p><p> </p><p>As the Government will continue to meet the statutory requirement, no formal consultation on Section 22 has been undertaken or planned.</p><p> </p><p>Reports produced under Section 22, together with other sources of information about Government-funded assistive technology research (including published outputs, project databases, trial registers, websites and other information published by research funders and organisations carrying out research) will continue to make information available that can be used to support the identification of innovation opportunities and the identification and adoption of technology.</p><p> </p> answering member printed Earl Howe grouped question UIN HL897 HL898 HL899 HL900 HL901 HL902 HL957 HL958 question first answered 17/07/2014 11:49:08 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76618

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurofibromatosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what plans they have to develop a national service framework for neurofibromatosis Type 1 sufferers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL960
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The number of people with neurofibromatosis type 1 (NF1) in England is estimated to number 11,267. The condition can be mild in some patients, manifesting itself only in patches of skin discolouration and soft benign bumps under the skin (neurofibromas), but for others NF1 causes more serious complications, including a rare form of cancer, curvature of the spine and nerve problems caused by more invasive neurofibromas.</p><p> </p><p>Since 1 April 2013, NHS England has been responsible for securing high quality care for all patients with complex NF1 as part of its specialised commissioning responsibilities. NHS England's NF1 service specification clearly sets out what needs to be in place for providers to offer evidence-based, safe and effective care, ensuring equity of access to a nationally consistent, high quality service. Specialist care is delivered by two designated centres based in Manchester (Central Manchester University Hospitals NHS Foundation Trust) and London (Guys and St. Thomas' NHS Foundation Trust, London) and these provide outreach support into other cities. The service is available to all patients with a suspected or confirmed diagnosis of NF1.</p><p> </p><p>The service specification can be viewed on the NHS England website at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/b13-comp-neurofib-1.pdf.</p> answering member printed Earl Howe grouped question UIN HL961 HL962 question first answered 14/07/2014 16:18:37 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76619

registered interest
date	09/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Neurofibromatosis
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how they will ensure a co-ordinated response at local level for neurofibromatosis Type 1 sufferers.
tabling member printed	Lord Hunt of Kings Heath
uin	HL961
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p>The number of people with neurofibromatosis type 1 (NF1) in England is estimated to number 11,267. The condition can be mild in some patients, manifesting itself only in patches of skin discolouration and soft benign bumps under the skin (neurofibromas), but for others NF1 causes more serious complications, including a rare form of cancer, curvature of the spine and nerve problems caused by more invasive neurofibromas.</p><p> </p><p>Since 1 April 2013, NHS England has been responsible for securing high quality care for all patients with complex NF1 as part of its specialised commissioning responsibilities. NHS England's NF1 service specification clearly sets out what needs to be in place for providers to offer evidence-based, safe and effective care, ensuring equity of access to a nationally consistent, high quality service. Specialist care is delivered by two designated centres based in Manchester (Central Manchester University Hospitals NHS Foundation Trust) and London (Guys and St. Thomas' NHS Foundation Trust, London) and these provide outreach support into other cities. The service is available to all patients with a suspected or confirmed diagnosis of NF1.</p><p> </p><p>The service specification can be viewed on the NHS England website at the following link:</p><p> </p><p>www.england.nhs.uk/wp-content/uploads/2013/06/b13-comp-neurofib-1.pdf.</p> answering member printed Earl Howe grouped question UIN HL960 HL962 question first answered 14/07/2014 16:18:38 answering member 2000 label Biography information for Earl Howe
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

76543

registered interest
date	08/07/2014
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	Access to Work Programme
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what discussions have taken place between government departments on the promotion of Access to Work, including the Mental Health Support Service, to apprentices and skills providers, and to National Health Service staff.
tabling member printed	Baroness Thomas of Winchester
uin	HL887
answer	answer is ministerial correction date of answer 17/07/2014 answer text <p> </p><p>Access to Work offers Mental Health Support Service from contracted provision delivered by Remploy. Remploy promotes that provision to employers, providers and the National Health Service. Access to Work has been extended to support people on Supported Internships, Traineeships and Work experience under the Youth Contract and has made information about Access to Work available to these providers through Department for Education and Department for Business, Innovation &amp; Skills.</p> answering member printed Lord Freud question first answered 17/07/2014 14:34:55 answering member 3893 label Biography information for Lord Freud
tabling member	3785 label Biography information for Baroness Thomas of Winchester

76544

registered interest
date	08/07/2014
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	Access to Work Programme
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when their forthcoming review of Access to Work will be completed; and what its purpose is.
tabling member printed	Baroness Thomas of Winchester
uin	HL888
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p /> <p>Access to Work is an important part of the employment support we provide for disabled people who need additional help to take up and remain in employment. I want to build on the success of this programme, which is why the Minister of State for Disabled People has said that we will look into Access to Work to focus on how we can support more disabled people within the resources available and further improve the service we offer to customers. We will set out further details shortly, which will include timescales for taking this work forward.</p> answering member printed Lord Freud question first answered 15/07/2014 12:36:28 answering member 3893 label Biography information for Lord Freud
tabling member	3785 label Biography information for Baroness Thomas of Winchester

76545

registered interest
date	08/07/2014
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	Flexible Support Fund
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to monitor uptake of the Flexible Support Fund available to Jobcentre Plus managers.
tabling member printed	Baroness Thomas of Winchester
uin	HL889
answer	answer is ministerial correction date of answer 14/07/2014 answer text <p /> <p /> <p>The Flexible Support Fund (FSF) provides additional support to Jobcentre Plus Districts to address local issues. In monitoring this, FSF spend is broken down nationally by claimant groups and Districts may further break this down if they determine this is a local priority.</p><p> </p><p>All spending decisions are assessed against established criteria including value for money. Payments are encouraged on an outcome basis linked to employment.</p> answering member printed Lord Freud question first answered 14/07/2014 14:51:47 answering member 3893 label Biography information for Lord Freud
tabling member	3785 label Biography information for Baroness Thomas of Winchester

76546

registered interest
date	08/07/2014
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Prisoners: Death
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many prisoners have died in custody in the United Kingdom in each of the last 10 years; and what the percentage change has been year on year for the same period.
tabling member printed	Lord Knight of Weymouth
uin	HL890
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>The government is committed to open and transparent reporting of deaths in custody and publish statistics on deaths in prison custody in England and Wales quarterly in the National Statistics “Safety in Custody” bulletin. This statistical series can be found at <a href="http://www.gov.uk/government/collections/safety-in-custody-statistics" target="_blank">www.gov.uk/government/collections/safety-in-custody-statistics</a>.</p><p> </p><p>The number of (i) deaths in prison custody and year-on-year change is presented in table 1. The number of (ii) self-inflicted deaths in prison custody and year-on-year change is presented in table 2.</p><p>Figures are provided for England and Wales only. Figures are not published by the Ministry of Justice for other areas of the United Kingdom as the judicial systems are a devolved matter for the respective administrations.</p><p> </p><p>In 2013 there were 2.55 deaths per 1,000 prisoners and between 2008 and 2013 less than 1 prisoner in every 1,000 died from a self-inflicted death. The rate of self-inflicted deaths was consistently above 1 death per 1,000 prisoners between 1993 and 2005, peaking at 1.4 self-inflicted deaths per 1,000 prisoners in 1999.</p><p> </p><p>Table 1: Number of deaths and year-on-year percentage change of deaths in prison custody</p><table><tbody><tr><td><p>Year</p></td><td><p>Number</p></td><td><p>Year-on-year change (%)</p></td><td><p>Death rate per 1,000 prisoners</p></td></tr><tr><td><p>2004</p></td><td><p>208</p></td><td><p>-</p></td><td><p>2.79</p></td></tr><tr><td><p>2005</p></td><td><p>175</p></td><td><p>-16%</p></td><td><p>2.30</p></td></tr><tr><td><p>2006</p></td><td><p>153</p></td><td><p>-13%</p></td><td><p>1.96</p></td></tr><tr><td><p>2007</p></td><td><p>185</p></td><td><p>21%</p></td><td><p>2.30</p></td></tr><tr><td><p>2008</p></td><td><p>166</p></td><td><p>-10%</p></td><td><p>2.01</p></td></tr><tr><td><p>2009</p></td><td><p>169</p></td><td><p>2%</p></td><td><p>2.02</p></td></tr><tr><td><p>2010</p></td><td><p>198</p></td><td><p>17%</p></td><td><p>2.34</p></td></tr><tr><td><p>2011</p></td><td><p>192</p></td><td><p>-3%</p></td><td><p>2.24</p></td></tr><tr><td><p>2012</p></td><td><p>192</p></td><td><p>0%</p></td><td><p>2.23</p></td></tr><tr><td><p>2013</p></td><td><p>215</p></td><td><p>12%</p></td><td><p>2.55</p></td></tr></tbody></table><p> </p><p>Table 2: Number of self-inflicted deaths and year-on-year percentage change of self-inflicted deaths in prison custody</p><table><tbody><tr><td><p>Year</p></td><td><p>Number</p></td><td><p>Year-on-year change (%)</p></td><td><p>Self-inflicted deaths per 1,000 prisoners</p></td></tr><tr><td><p>2004</p></td><td><p>96</p></td><td><p>-</p></td><td><p>1.29</p></td></tr><tr><td><p>2005</p></td><td><p>78</p></td><td><p>-19%</p></td><td><p>1.03</p></td></tr><tr><td><p>2006</p></td><td><p>66</p></td><td><p>-15%</p></td><td><p>0.84</p></td></tr><tr><td><p>2007</p></td><td><p>92</p></td><td><p>39%</p></td><td><p>1.14</p></td></tr><tr><td><p>2008</p></td><td><p>61</p></td><td><p>-34%</p></td><td><p>0.74</p></td></tr><tr><td><p>2009</p></td><td><p>61</p></td><td><p>0%</p></td><td><p>0.73</p></td></tr><tr><td><p>2010</p></td><td><p>58</p></td><td><p>-5%</p></td><td><p>0.68</p></td></tr><tr><td><p>2011</p></td><td><p>57</p></td><td><p>-2%</p></td><td><p>0.66</p></td></tr><tr><td><p>2012</p></td><td><p>60</p></td><td><p>5%</p></td><td><p>0.70</p></td></tr><tr><td><p>2013</p></td><td><p>74</p></td><td><p>23%</p></td><td><p>0.88</p></td></tr></tbody></table><p> </p><p>Reducing the number of self-inflicted deaths in custody is a key priority – we are working hard to understand the reasons for the recent rise in self-inflicted deaths. But this is a complex issue and there is no simple explanation for the rise. <br><br>All deaths are subject to investigation by the police and the Prisons and Probation Ombudsman and a Coroner’s inquest, and strenuous efforts are made to learn lessons from these processes.</p><p> </p><p>All prisons have procedures to identify, manage and support people who are at risk of harm to themselves. Prisoners at risk are subject to individual case management and receive support from prison staff, supplemented, where appropriate, by input from mental health services and a range of other sources such as peer supporters and the Samaritans.</p><p> </p><p>There is strong oversight of deaths in custody through the Ministerial Council on Deaths in Custody, which includes an Independent Advisory Panel that has recently been commissioned by the Secretary of State to conduct an independent review of deaths of 18-24 year olds in prison custody since 2007 to report by spring 2015. This will help identify learning points that can be applied across all age groups.</p><p> </p><p>Additional resources and support are being provided for safer custody work in prisons and in particular to improve the consistency of the application of the case management system for prisoners identified as at risk of self harm or suicide.</p><p> </p><p> </p> answering member printed Lord Faulks grouped question UIN HL892 question first answered 28/07/2014 13:19:28 answering member 4183 label Biography information for Lord Faulks
tabling member	4160 label Biography information for Lord Knight of Weymouth

76547

registered interest
date	08/07/2014
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Prisoners: Self-harm
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what has been the change in numbers of prisoners in the United Kingdom committing acts of self-harm in custody for each of the last 10 years; and what the percentage change has been year on year for the same period.
tabling member printed	Lord Knight of Weymouth
uin	HL891
answer	answer is ministerial correction date of answer 28/07/2014 answer text <p>The government is committed to open and transparent reporting of self-harm in custody and publish statistics on self-harm in prison custody in England and Wales quarterly in the National Statistics “Safety in Custody” bulletin. This statistical series can be found at <a href="http://www.gov.uk/government/collections/safety-in-custody-statistics" target="_blank">www.gov.uk/government/collections/safety-in-custody-statistics</a>.</p><p> </p><p>The number of individuals committing at least one self-harm incident in prison custody in each year and year-on-year change is presented in table 1.</p><p>Figures are provided for England and Wales only. Figures are not published by the Ministry of Justice for other areas of the United Kingdom as the judicial systems are a devolved matter for the respective administrations.</p><p> </p><p>Around 80 prisoners in every 1,000 in prison custody self-harm.</p><p> </p><p>Table 1: Year-on-year percentage change of individuals self-harming in prison custody, England and Wales</p><table><tbody><tr><td><p>Year</p></td><td><p>Number</p></td><td><p>Year-on-year change (%)</p></td><td><p>Number of individuals self-harming per 1,000 prisoners</p></td></tr><tr><td><p>2005</p></td><td><p>5,837</p></td><td><p>-</p></td><td><p>77</p></td></tr><tr><td><p>2006</p></td><td><p>6,090</p></td><td><p>4%</p></td><td><p>78</p></td></tr><tr><td><p>2007</p></td><td><p>6,296</p></td><td><p>3%</p></td><td><p>78</p></td></tr><tr><td><p>2008</p></td><td><p>6,586</p></td><td><p>5%</p></td><td><p>80</p></td></tr><tr><td><p>2009</p></td><td><p>7,149</p></td><td><p>9%</p></td><td><p>86</p></td></tr><tr><td><p>2010</p></td><td><p>6,767</p></td><td><p>-5%</p></td><td><p>80</p></td></tr><tr><td><p>2011</p></td><td><p>6,907</p></td><td><p>2%</p></td><td><p>80</p></td></tr><tr><td><p>2012</p></td><td><p>6,821</p></td><td><p>-1%</p></td><td><p>79</p></td></tr><tr><td><p>2013</p></td><td><p>6,823</p></td><td><p>0%</p></td><td><p>81</p></td></tr></tbody></table><p> </p><p>All prisons have procedures to identify, manage and support people who are at risk of harm to themselves. Prisoners at risk are subject to individual case management and receive support from prison staff, supplemented, where appropriate, by input from mental health services and a range of other sources such as peer supporters and the Samaritans.</p><p> </p><p>Additional resources and support are being provided for safer custody work in prisons and in particular to improve the consistency of the application of the case management system for prisoners identified as at risk of self harm or suicide.</p><p> </p> answering member printed Lord Faulks question first answered 28/07/2014 13:20:42 answering member 4183 label Biography information for Lord Faulks
tabling member	4160 label Biography information for Lord Knight of Weymouth