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1697264

registered interest
date	19/03/2024
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	Autism: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to improve early diagnosis and intervention for children with autism spectrum disorders.
tabling member printed	Lord Hay of Ballyore
uin	HL3386
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>We recognise timely identification of autism can play an important role in enabling children and young people to get appropriate support, which is crucial in preventing escalation of needs. We expect integrated care boards (ICBs) to have due regard to National Institute for Health and Care Excellence (NICE) guidelines on autism when commissioning services. It is the responsibility of ICBs to make available appropriate provision to meet the health and care needs of their local population in line with these NICE guidelines, including in relation to autism assessment. While we want every area to meet NICE guidance, we recognise that this is not happening everywhere.</p><p>On 5 April 2023, NHS England published a national framework and operational guidance for autism assessment services in an online-only format. This guidance will help the National Health Service improve autism assessment services and improve the experience for people referred to an autism assessment service. This includes guidance to local areas on how to manage referrals and the support that should be available whilst people are waiting for an assessment and after.</p><p>In 2023/2024, £4.2 million of funding is available across England to improve services for autistic children and young people, including autism assessment services. We are also working in partnership with the Department for Education and NHS England on ‘Partnerships for Inclusion of Neurodiversity in School’ (PINS), with £13 million of funding to test ideas that will improve access to specialist support for neurodiverse children in mainstream primary schools.</p><p>Each ICB in England is expected to have an Executive Lead for learning disability and autism, supporting the Board in planning to meet the needs of its local population of people with a learning disability and autistic people, including in relation to appropriate autism assessment pathways. NHS England has published guidance on these roles.</p> answering member printed Lord Markham question first answered 26/03/2024 17:29:28 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697265

registered interest
date	19/03/2024
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	Autism: Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what measures are in place to train healthcare professionals in understanding and supporting the specific medical needs of individuals with autism.
tabling member printed	Lord Hay of Ballyore
uin	HL3387
answer	answer is ministerial correction date of answer 26/03/2024 answer text <p>There are several measures being put in place to train healthcare professionals in understanding and supporting the needs of autistic people.</p><p>From 1 July 2022, the Health and Care Act 2022 requires providers registered with the Care Quality Commission to ensure their staff receive specific training on learning disability and autism appropriate to their role. We are rolling out the Oliver McGowan Mandatory Training on Learning Disability and Autism to support this. This training will help to ensure that staff have the right skills and knowledge to provide safe and compassionate care, including how to provide reasonable adjustments, for autistic people. Over 1.4 million people have completed the first part of Oliver’s Training, an e-learning package.</p><p>NHS England has commissioned the Royal College of Psychiatrists to deliver the National Autism Training Programme for Psychiatrists in response to the need and demand for better autism training from within the profession. The training is co-produced and co-delivered with autistic people and offers a short foundation training course for psychiatrists working across a variety of settings, and a longer, more enhanced development course, aimed at psychiatrists and higher trainees who are seeking to increase their specialist knowledge and skills in autism. The provision of this training will help reduce diagnostic overshadowing, play a significant role in preventing unnecessary admissions to mental health hospitals for autistic people and improve autism appropriate care. The ambition is that this may contribute to reducing the number of inappropriate admissions, interventions such as seclusion and segregation along with the length of stay for those who need hospital care.</p> answering member printed Lord Markham question first answered 26/03/2024 17:35:05 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1697266

registered interest
date	19/03/2024
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Undocumented Migrants
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of efforts to reduce the numbers of illegal border crossings into the UK.
tabling member printed	Lord Hay of Ballyore
uin	HL3388
answer	answer is ministerial correction date of answer 04/04/2024 answer text <p>The Home Office’s priority is to deliver a safe and secure border and we will never compromise on this. We are relentless in our pursuit of those who seek to enter the UK illegally. Border Force have robust measures in place to detect clandestine entrants into the UK and stand ready to respond to any methods deployed.</p><p> </p><p>Border Force, Immigration Enforcement and other law enforcement agencies work tirelessly, deploying to risk using tested, but continually assessed, intelligence and targeting techniques.</p><p> </p><p>The Home Office publish irregular migration to the UK statistics on the GOV.UK website: <a href="https://www.gov.uk/government/statistics/irregular-migration-to-the-uk-year-ending-december-2023" target="_blank">https://www.gov.uk/government/statistics/irregular-migration-to-the-uk-year-ending-december-2023</a>. In 2023, there were 36,704 irregular arrivals, one-third (33%) fewer than in 2022, and 80% of these arrived on small boats.</p> answering member printed Lord Sharpe of Epsom question first answered 04/04/2024 12:54:03 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682664

registered interest
date	16/01/2024
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	Alzheimer's Disease: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to improve treatment and care for patients with Alzheimer's.
tabling member printed	Lord Hay of Ballyore
uin	HL1634
answer	answer is ministerial correction date of answer 24/01/2024 answer text <p>We want a society where every person with dementia, their families and carers, receive high quality, compassionate care, from diagnosis through to end of life. To improve care for patients with dementia, including those with Alzheimer’s disease, NHS England's RightCare team is refreshing the RightCare Dementia Scenario. The scenario works through the dementia well pathway journey from diagnosing well through to dying well, detailing optimal and sub optimal approaches, with associated costings for each. The RightCare team is developing a dementia model pathway based on data for each component of the dementia well pathway to provide a high-level view of what dementia care activity looks like for local areas and will support targeted support where appropriate.</p><p> </p><p>There are also several potential new disease modifying treatments for Alzheimer’s disease in development. The Medicines and Healthcare products Regulatory Agency, the National Institute for Health and Care Excellence (NICE), NHS England and the Department are working closely to ensure that arrangements are in place to support the adoption of any new licensed and NICE recommended treatment for dementia as soon as possible.</p> answering member printed Lord Markham question first answered 24/01/2024 12:50:08 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682665

registered interest
date	16/01/2024
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Prisoners' Transfers
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many offenders were transferred from prisons in (1) England, and (2) Wales, to prisons in Northern Ireland in (a) 2021, and (b) 2022.
tabling member printed	Lord Hay of Ballyore
uin	HL1635
answer	answer is ministerial correction date of answer 29/01/2024 answer text <p>There were no transfers from prisons in England or Wales to Northern Ireland in 2021. In 2022, three prisoners were transferred from prisons in England and four from prisons in Wales.</p> answering member printed Lord Bellamy question first answered 29/01/2024 18:01:23 answering member 4941 label Biography information for Lord Bellamy
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682666

registered interest
date	16/01/2024
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	Fisheries
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure that the UK is actively enforcing its fishing rights.
tabling member printed	Lord Hay of Ballyore
uin	HL1636
answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>As an independent coastal state, the UK has full responsibility over how it ensures compliance in its fisheries. All fishing vessels in UK waters are required to fish in accordance with UK laws and the conditions of their licences. As control and enforcement is a devolved matter, Defra, the Scottish Government, the Welsh Government and the Northern Ireland Executive work together to share information and ensure a coordinated approach to monitoring, compliance and enforcement across UK waters.</p> answering member printed Lord Douglas-Miller question first answered 22/01/2024 18:00:00 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682667

registered interest
date	16/01/2024
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	Cancer: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure equitable access to cancer treatment and care across different regions of the UK; and what steps they are taking to improve cancer survival rates.
tabling member printed	Lord Hay of Ballyore
uin	HL1637
answer	answer is ministerial correction date of answer 24/01/2024 answer text <p>Reducing inequalities and variation in cancer treatment is a priority for this Government as is increasing early cancer diagnosis, as this is a key contributor to reducing cancer health inequalities. People in deprived areas are at greater risk of contracting cancer, more likely to have a cancer diagnosed at a later stage and suffer from higher cancer death rates and poorer survival. Survival rates have been improving for almost all cancers and across all demographics, with 74.6% people surviving a year after diagnosis, up from 65.6% in 2005, and 55.7% surviving five years, up from 47.9% in 2005.</p><p>The National Health Service has rolled out Targeted Lung Health Checks, prioritising more deprived areas, so that people in the most deprived quintile are now more likely to be diagnosed with lung cancer at an early stage, namely stage one or two, than those in the least deprived quintile, giving them a much greater chance of survival.</p><p>On 14 August 2023, the Government published a strategic framework for the Major Conditions Strategy to consider the six conditions, including cancer, that contribute most to morbidity and mortality across the population in England, including cancer. The Major Conditions Strategy will apply a geographical lens to each condition to address regional disparities in health outcomes, supporting the levelling up mission to narrow the gap in healthy life expectancy by 2030.</p> answering member printed Lord Markham question first answered 24/01/2024 12:47:56 answering member 4948 label Biography information for Lord Markham
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682668

registered interest
date	16/01/2024
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Immigration Controls
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to enhance UK border security and immigration enforcement.
tabling member printed	Lord Hay of Ballyore
uin	HL1638
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>The Home Office’s priority is to deliver a safe and secure border and we will never compromise on this. Border Force maintain 100% checks for all scheduled arriving passengers into the UK and this will be continued during any period.</p><p>Border Force deploys to risk using tested, but continually assessed, intelligence and targeting techniques. Border Force does not publish information on operational activities. Doing so would publicise operational practices which would be used to assist in the evasion of customs controls and compromise border security.</p><p>Immigration Enforcement is taking robust action to tackle illegal migration through:</p><ul><li>returning more than 24,000 people in 2023 who have no right to be in the UK, including more than 5,500 Albanians;</li><li>increasing enforcement visits, with 10,509 in the first 9 months of 2023 compared to 6,865 in the same period in 2022 and 5,576 people arrested linked to these compared to 2,175 in the previous year; and</li><li>disrupting organised crime groups, resulting in 246 arrests of people smugglers in 2023.</li></ul> answering member printed Lord Sharpe of Epsom question first answered 30/01/2024 17:09:05 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	4352 label Biography information for Lord Hay of Ballyore

1682669

registered interest
date	16/01/2024
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
hansard heading	Asylum: Torture
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many asylum seekers who have claimed to be victims of torture have been detained at immigration centres.
tabling member printed	Lord Hay of Ballyore
uin	HL1639
answer	answer is ministerial correction date of answer 30/01/2024 answer text <p>We are unable to provide the information requested, as it can only be obtained at disproportionate cost.</p> answering member printed Lord Sharpe of Epsom question first answered 30/01/2024 17:02:25 answering member 4888 label Biography information for Lord Sharpe of Epsom
tabling member	4352 label Biography information for Lord Hay of Ballyore

1675708

registered interest
date	05/12/2023
answering body	Department for Culture, Media and Sport
answering dept id	217
answering dept short name	Culture, Media and Sport
answering dept sort name	Culture, Media and Sport
hansard heading	Gambling: Addictions
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 services available to address gambling addiction in the UK; and how they plan to further support those affected.
tabling member printed	Lord Hay of Ballyore
uin	HL875
answer	answer is ministerial correction date of answer 12/12/2023 answer text <p>His Majesty’s Government recognises that, while millions of people gamble without experiencing problems, for some it becomes an addiction with serious consequences. The Gambling White Paper, published in April this year, outlines a balanced and proportionate package of measures in response.</p><p>The White Paper committed to introducing a statutory levy charged to gambling operators to raise trusted, ring-fenced funding for research into, and the prevention and treatment of, gambling-related harms. The Department for Culture, Media and Sport has since launched a public consultation on the structure, distribution, and governance of the levy, which closes on 14 December.</p><p>We propose that the levy provides sustainable funding for HM Government to develop a co-ordinated approach to prevention at local, regional, and national levels. It will provide investment for organisations, including in the third sector, for harm-prevention activities across Great Britain. This will facilitate more upstream interventions in the prevention of gambling-related harms, and will raise awareness of harms and support pathways.</p><p>In England, the NHS Long-term Plan committed to expanding the geographical coverage of NHS services in England for people with serious gambling problems through the creation of 15 specialist gambling clinics by 2023/24, with £15 million of funding over this same period. Twelve of the 15 planned clinics are now open, with representation across every part of England. The three remaining clinics – in Liverpool, Blackpool, and Sheffield – will open by the end of the year.</p> answering member printed Lord Parkinson of Whitley Bay question first answered 12/12/2023 11:54:34 answering member 4728 label Biography information for Lord Parkinson of Whitley Bay
tabling member	4352 label Biography information for Lord Hay of Ballyore