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347943

	registered interest
	date	02/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Human Papillomavirus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, to date, how many adverse reactions to (1) Cervarix, (2) Gardasil and (3) generic human papilloma virus vaccines have been reported to the Medicines and Healthcare products Regulatory Agency; for each category, how many of those reports are of serious adverse reactions; and what age-specific rate those figures represent.
	tabling member printed	The Countess of Mar
	uin	HL229
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>A total of 8,243 suspected adverse drug reaction (ADR) reports with human papilloma virus (HPV) vaccines have been reported to the Medicines and Healthcare products Regulatory Agency (MHRA), via the Yellow Card Scheme, up to 3 June 2015.</p><p> </p><p> </p><p> </p><p>To date, more than 8 million doses of HPV vaccine have been given across the United Kingdom as part of the routine immunisation programme. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><p>It is important to note that a Yellow Card report is not proof of a side effect occurring, but a suspicion by the reporter that the vaccine may have been the cause. Yellow Card data cannot be used as a reliable indicator of the frequency of suspected ADRs to vaccines or medicines. The level of ADR reporting may fluctuate between given years due to a variety of reasons such as a medicine being new (reporting rates are generally higher when a product is first introduced), stimulated interest/publicity and variations in exposure to the medicine.</p><p> </p><p> </p><p> </p><p>The possible known side effects, and the frequency, are listed in the product information which is provided with the vaccines. The vast majority of the 8,243 ADRs relate to the known risks of vaccination that are well-described in the available product information. The proportion of suspected ADRs for HPV vaccines that were reported as serious (32%) is less than the proportion reported as serious for other routinely used vaccines (68% overall) during the same time period. The expected benefits in protecting against HPV-related mortality and disease outweigh the known side effects of HPV vaccine.</p><p> </p><p> </p><p> </p><p>The following table provides a breakdown of UK suspected spontaneous ADRs received via the Yellow Card Scheme in association with the HPV vaccine. The MHRA does not hold data on age-specific vaccine usage, and therefore age-specific reporting rates cannot be calculated.</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Vaccine Brand</p></td><td><p>Total number of reports</p></td><td><p>Number of serious reports (% of total)</p></td><td><p>Reporting rate per 1000 doses (serious reporting rates per 1000)</p></td></tr><tr><td><p>Cervarix</p></td><td><p>6,266</p></td><td><p>1,768 (28%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.78 (0.22)</del></p></td></tr><tr><td><p>Gardasil</p></td><td><p>1,471</p></td><td><p>504 (34%)</p></td><td><p><ins class="ministerial">n/a **</ins><del class="ministerial">0.18 (0.06)</del></p></td></tr><tr><td><p>HPV Brand unspecified</p></td><td><p>507</p></td><td><p>326 (64%)</p></td><td><p><ins class="ministerial">n/a ** </ins><del class="ministerial">0.06 (0.04)</del></p></td></tr><tr><td><p>Total for Human Papilloma virus vaccines</p></td><td><p>*8,244</p></td><td><p>2,598 (32%)</p></td><td><p>1.03 (0.32)</p></td></tr></tbody></table><p> </p><p><em>Source:</em> MHRA sentinel database for adverse reactions.</p><p> </p><p>* It should be noted that the total number of reports received will not be equal to the totals in the table above as some reports of suspected adverse reactions may have included more than one vaccine.</p><p><ins class="ministerial">**Updated UK-wide brand-specific usage data are not available to MHRA at the time of writing based on a minimum of 8 million combined doses of Cervarix and Gardasil administered across the UK to date.</ins></p><p> </p><p><ins class="ministerial"> <p> </p><p> </p><p> </p></ins></p><p> </p><p> </p><p> </p><p> </p><p> </p><p>The seriousness criteria for ADR reporting were determined by a working group of the Council for International Organizations of Medical Sciences (CIOMS) and are defined as 6 possible categories which are explained on the Yellow Card. The MHRA asks reporters to select one of the following criteria by ticking the appropriate box on the Yellow Card: (1) patient died due to reaction; (2) life threatening; (3) resulted in hospitalisation or prolonged inpatient hospitalisation; (4) congenital abnormality; and (5) involved persistent or significant disability or incapacity; or (6) if the reaction was deemed medically significant. In addition to this, seriousness of reaction terms has also been defined by the MHRA in its medical dictionary. Therefore an ADR report can be serious because the reporter considers the reaction to be serious or because the reaction term itself is considered serious in the MHRA medical dictionary.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 16/06/2015 14:35:02 question first ministerially corrected 03/07/2015 14:01:13 answering member 127 label Biography information for Lord Prior of Brampton previous answer version 5462 answering member printed Lord Prior of Brampton answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1861 label Biography information for The Countess of Mar

347888

	registered interest
	date	02/06/2015
	answering body	HM Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Fuels: Excise Duties
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government whether they plan to alter fuel duties to change the relative price difference paid by customers for petrol and diesel fuels.
	tabling member printed	Lord Steel of Aikwood
	uin	HL174
	answer	answer is ministerial correction date of answer 12/06/2015 answer text <p>The Government has no current plans to alter fuel duty to change the relative price difference paid by customers for petrol and diesel.</p><p> </p> answering member printed Lord O'Neill of Gatley question first answered 12/06/2015 13:18:46 answering member 4536 label Biography information for Lord O'Neill of Gatley
	tabling member	949 label Biography information for Lord Steel of Aikwood

347889

	registered interest
	date	02/06/2015
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Immigration
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what is their assessment of the report by the British Election Study, <i>Financial Literacy and Attitudes Towards Immigration</i>, that found that few people understand immigrants' role in the economic recovery of the United Kingdom.
	tabling member printed	Lord Taylor of Warwick
	uin	HL175
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>The Government has made no such assessment.</p> answering member printed Lord Bates question first answered 08/06/2015 14:18:41 answering member 1091 label Biography information for Lord Bates
	tabling member	1796 label Biography information for Lord Taylor of Warwick

347890

	registered interest
	date	02/06/2015
	answering body	Department for Education
	answering dept id	60
	answering dept short name	Education
	answering dept sort name	Education
	hansard heading	Education: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to reduce inequality between those who are educated privately and those who are state-educated.
	tabling member printed	Lord Taylor of Warwick
	uin	HL176
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>We are determined to ensure that every child, regardless of background is given an education which allows them to realise their potential. That is why our reforms place high expectations at the heart of our school system, with a rigorous new curriculum, world class exams and a new accountability system which rewards those schools that encourage every child to achieve their best. In addition, with the new Education and Adoption Bill, we will speed up the process for tackling failing schools and extend our powers into coasting schools. With these measures, we want all schools to be good or outstanding, certainly as good as the best in the independent sector.</p><p> </p> answering member printed Lord Nash question first answered 08/06/2015 14:14:22 answering member 4270 label Biography information for Lord Nash
	tabling member	1796 label Biography information for Lord Taylor of Warwick

347891

	registered interest
	date	02/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Mental Illness: Children and Young People
	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 the reported rise in the number of children suffering from mental health issues.
	tabling member printed	Lord Taylor of Warwick
	uin	HL177
	answer	answer is ministerial correction date of answer 15/06/2015 answer text <p>This Government is committed to improving children and young people’s mental health and wellbeing.</p><p>The Department is working with NHS England and other partners to consider how best to drive forward transformation in children and young people’s mental health and wellbeing. The Children and Young People's Improving Access to Psychological Therapies (CYP IAPT) programme is already being expanded to cover additional areas of clinical practice, so that by 2018 children and young people across all of England will have access to evidence based psychotherapies. The Department is also commissioning a new national survey on the prevalence of mental health problems in children and young people, the first since 2004.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 15/06/2015 11:34:24 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1796 label Biography information for Lord Taylor of Warwick

347892

	registered interest
	date	02/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Maternity 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 improve access to healthcare for all mothers, regardless of their wealth or immigration status.
	tabling member printed	Lord Taylor of Warwick
	uin	HL178
	answer	answer is ministerial correction date of answer 15/06/2015 answer text <p>All women regardless of their wealth or immigration status are encouraged to contact their maternity services as soon as they know they are pregnant for a full assessment of their health, risk factors and choices so that a personalised plan of care can be prepared. The latest data shows that over 96% of pregnant women in England received their full health and risk assessment before 12 weeks and 6 days between April and June 2014. Early access to maternity services helps tackle the negative impact of health inequalities from the start of life and supports good health and well-being in mother and baby.</p><p> </p><p>Women with complex social factors do not always access maternity services early, or attend regularly for antenatal care and poorer outcomes are consequently reported for mother and baby. Maternity services need to be proactive in engaging all women. To support National Health Service maternity services engagement with pregnant women with complex social factors, the National Institute for Health and Care Excellence has published clinical guidelines on pregnancy and complex social factors, which describes how access to care can be improved and contact with antenatal care maintained.</p><p> </p><p>Maternity services feature prominently in the key objectives set out in the Mandate between the Government and NHS England. All women, regardless of their wealth or immigration status, should have a named midwife responsible for ensuring she receives personalised care throughout pregnancy, childbirth and during the postnatal period. To help reduce unwarranted variation in service delivery and encourage innovation, NHS England has established Maternity and Children Strategic Clinical Networks.<strong> </strong></p><p> </p><p>Entitlement to free NHS hospital treatment in England is based on being ‘ordinarily resident’ in the United Kingdom. Except in rare circumstances, nationals of countries outside the European Economic Area must also have ‘indefinite leave to remain’ in the UK in order to be ordinarily resident here. Anyone not ordinarily resident here is subject to the NHS (Charges to Overseas Visitors) Regulations 2015, and will be charged for any treatment they receive unless an exemption from charge category applies.</p><p> </p><p>Chargeable treatment which is considered by clinicians to be immediately necessary, must never be withheld from an overseas visitor. Guidance to NHS trusts makes clear that all maternity services – including routine ante-natal treatment - should be regarded as immediately necessary. This means that no woman will be denied maternity services, even if she cannot pay in advance, although she will still be charged for treatment and expected to pay later.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 15/06/2015 11:33:23 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	1796 label Biography information for Lord Taylor of Warwick

347893

	registered interest
	date	02/06/2015
	answering body	Home Office
	answering dept id	1
	answering dept short name	Home Office
	answering dept sort name	Home Office
	hansard heading	Refugees: North Korea
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, further to the Written Answer by the Minister of State for Immigration, James Brokenshire, on 26 March (HC228701), and in the light of the ongoing practice of the United Kingdom of deporting North Korean asylum seekers to South Korea, what assessment they have made of the statement by the government of South Korea in a letter to the Secretary of State in 2010, cited in the judgment of the Upper Tribunal in <i>GP and others (South Korean Citizenship) North Korean CG </i>[2014] UKUT 391(IAC) that North Korean refugees must "desire to live in the Republic of Korea" before they can be considered South Korean nationals or be offered protection and settlement support.
	tabling member printed	Lord Alton of Liverpool
	uin	HL179
	answer	answer is ministerial correction date of answer 08/06/2015 answer text <p>The July 2010 letter written by the South Korean Embassy in London to the Home Office was fully considered by the Upper Tribunal in the case of GP and others.</p><p>In paragraph 104 of its determination the Upper Tribunal noted firstly that the subsequent United Kingdom-South Korea Readmission Agreement entered into between the two countries on 10 December 2011 provides a mechanism for the issue of travel documents which is not dependent on the genuineness of the individual’s wish to live in South Korea; and secondly, the question of refugee status is an objective test which requires the person to demonstrate that they have cooperated by seeking to establish whether they can avail themselves of protection from another State of which they may be a citizen.</p> answering member printed Lord Bates question first answered 08/06/2015 14:22:52 answering member 1091 label Biography information for Lord Bates
	tabling member	738 label Biography information for Lord Alton of Liverpool

347894

	registered interest
	date	02/06/2015
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Syria
	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 circumstances of the more than 230 Assyrian Christian hostages taken by Da'esh in the north of Syria in February; (2) the capture by Da'esh of around 35 predominantly Assyrian villages along the Khabur river in the Hassake Governorate; and (3) how many people remain unaccounted for following those captures.
	tabling member printed	Lord Alton of Liverpool
	uin	HL180
	answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>We understand that the Islamic State of Iraq and the Levant (ISIL) are still holding more than 200 Assyrian Christians who were abducted in February from villages along the Khabour river in Hassakeh Province of North-East Syria. We believe that, in another act of appalling barbarity, ISIL executed at least 15 of the hostages, and that 23 Assyrian Christians have since been released following the payment of ransom money by the families, and another two freed when the area was liberated at the end of May. We remain concerned for the remaining hostages, most of whom are women, children and elderly people. We support the UN Security Council Statement condemning the abductions and demanding the Christians immediate release.</p><p>The UK is committed to defeating ISIL, an organisation that has no place in today’s world. We will continue to work with the Global Coalition of more than sixty countries to ensure that ISIL no longer poses a threat to the people of the region, to international stability or to our own national security.</p> answering member printed Baroness Anelay of St Johns question first answered 09/06/2015 12:46:19 answering member 3474 label Biography information for Baroness Anelay of St Johns
	tabling member	738 label Biography information for Lord Alton of Liverpool

347895

	registered interest
	date	02/06/2015
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Syria
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the light of the successful removal of Da'esh from the 35 villages along the Khabur river that had previously been captured, what steps they are taking to assist the clearing of mines and unexploded ordnance, to consolidate stability, and to create safe havens to enable the return of residents.
	tabling member printed	Lord Alton of Liverpool
	uin	HL181
	answer	answer is ministerial correction date of answer 09/06/2015 answer text <p>While the UK is not carrying out any mine clearance operations in Syria, we fully recognise the widespread and severe civilian suffering caused by the conflict. The UK has given over £800m to the humanitarian response, more than we have given to any previous humanitarian crisis. Some of this has been targeted to provide humanitarian support to the Hasakah Governorate as and where security constraints have allowed.</p><p>Although safe havens can be effective in some situations, they are not currently feasible in Syria. Without all parties agreeing on their establishment there would need to be sufficient military capability to guarantee the safety of individuals. That is not currently present in Syria.</p> answering member printed Baroness Anelay of St Johns question first answered 09/06/2015 12:46:48 answering member 3474 label Biography information for Baroness Anelay of St Johns
	tabling member	738 label Biography information for Lord Alton of Liverpool

347896

	registered interest
	date	02/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	IVF
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what discussions they have had with other governments regarding the decision of the United Kingdom to permit germline modifications for the purposes of preventing the transmission of mitochondrial disease; and what, if any, concerns were raised during those discussions.
	tabling member printed	Lord Alton of Liverpool
	uin	HL182
	answer	answer is ministerial correction date of answer 16/06/2015 answer text <p>The Government has had no discussions with other international governments about Parliament’s decision to pass the Human Fertilisation and Embryology (Mitochondrial Donation) Regulations 2015. Although a matter reserved to the Westminster Parliament, the Government has kept the Devolved Administrations informed about the development of these regulations. Information is not routinely collected by the Department about other countries’ approaches to addressing mitochondrial disease.</p><p> </p><p> </p><p> </p><p>The Government has made no formal assessment of the statement by Mr John Holdren, Director of the White House Office of Science and Technology Policy, however we understand that his comments were not in relation to mitochondrial donation.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 16/06/2015 14:12:57 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	738 label Biography information for Lord Alton of Liverpool