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1175312

	registered interest
	date	27/01/2020
	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
	hansard heading	NHS: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government whether unlicensed medicines are used to help with any shortages of drug supply in the NHS; and if so, how many.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL797
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The majority of medicines are dispensed in England every day without issue, with over two million prescription items dispensed each day. However, the production of medicines is complex and highly regulated, and materials and processes must meet rigorous safety and quality standards. Supply problems can affect a wide range of drugs and can arise for various reasons, such as manufacturing issues, problems with the raw ingredients and batch failures.</p><p>The Department has well established processes to manage and mitigate supply problems that may arise at any one time and works closely with the Medicines and Healthcare Regulatory Authority (MHRA), the pharmaceutical industry, NHS England and NHS Improvement and others operating in the supply chain, to help prevent shortages and to ensure that the risks to patients are minimised when they do arise.</p><p>Where issues do arise, the Department will use a host of tools which might include working with the MHRA to expedite regulatory procedures, working with manufacturers to manage remaining supplies and expedite the delivery of further stock and commissioning clinical advice on alternative options from specialist clinicians.</p><p>Furthermore, the team routinely works with specialist importer companies to obtain unlicensed products from abroad to help to manage supply issues affecting the National Health Service.</p><p>Occasionally the team will work with wholesalers and suppliers to put demand management processes in place to ensure the equitable distribution of stock throughout the country as this ensures the NHS can continue to access the medicines it requires.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL794 HL795 HL796 question first answered 06/02/2020 17:22:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175331

	registered interest
	date	27/01/2020
	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
	hansard heading	Mental Illness: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 23 January (HL387), in what format the data is held.
	tabling member printed	Lord Bradley
	uin	HL786
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&amp;E) attendances for patients aged under 18 with a primary diagnosis in A&amp;E of ‘35 – Psychiatric Condition’.</p><p>Information can only be provided on the distance between a patient’s postcode and the A&amp;E where they presented and not the hospital where the patient was subsequently admitted from A&amp;E.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL787 HL788 question first answered 06/02/2020 17:23:35 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1175332

	registered interest
	date	27/01/2020
	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
	hansard heading	Mental Illness: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 23 January (HL388), in what format the data is held.
	tabling member printed	Lord Bradley
	uin	HL787
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&amp;E) attendances for patients aged under 18 with a primary diagnosis in A&amp;E of ‘35 – Psychiatric Condition’.</p><p>Information can only be provided on the distance between a patient’s postcode and the A&amp;E where they presented and not the hospital where the patient was subsequently admitted from A&amp;E.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL786 HL788 question first answered 06/02/2020 17:23:35 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1175333

	registered interest
	date	27/01/2020
	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
	hansard heading	Mental Illness: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government, further to the Written Answer by Baroness Blackwood of North Oxford on 23 January (HL451), in what format the data is held.
	tabling member printed	Lord Bradley
	uin	HL788
	answer	answer is ministerial correction date of answer 06/02/2020 answer text <p>The number of individual patients aged under 18 cannot be provided, only the number of unplanned accident and emergency (A&amp;E) attendances for patients aged under 18 with a primary diagnosis in A&amp;E of ‘35 – Psychiatric Condition’.</p><p>Information can only be provided on the distance between a patient’s postcode and the A&amp;E where they presented and not the hospital where the patient was subsequently admitted from A&amp;E.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL786 HL787 question first answered 06/02/2020 17:23:35 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	452 label Biography information for Lord Bradley

1176638

	registered interest
	date	05/02/2020
	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
	hansard heading	Health Services: Weather
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of NHS trusts' ability to manage increased patient risk this winter.
	tabling member printed	Baroness Thornton
	uin	HL1390
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1391 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1176639

	registered interest
	date	05/02/2020
	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
	hansard heading	Hospitals: Weather
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what support they have given to hospitals to help them manage any increases in activity and workforce shortages over the winter period.
	tabling member printed	Baroness Thornton
	uin	HL1391
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1390 HL1392 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1176640

	registered interest
	date	05/02/2020
	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
	hansard heading	Ambulance Services: Weather
	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 demand for ambulance services over the winter period.
	tabling member printed	Baroness Thornton
	uin	HL1392
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>To support performance this winter additional capital and revenue funding was made available to systems and trusts to support staff and bed capacity throughout the winter. This has allowed Trusts to increase bed numbers and facilities to support better flow and, as a result, the National Health Service has reported over 1,000 more hospital beds are open this winter than at the same time last year.</p><p>In addition, a further £240 million has been provided again this year for adult social care to help reduce delays in patients being discharged from hospital by providing social care support.</p><p>This is all additional to winter funding last year that provided £145 million of capital funding to hospitals. £36.3 million was also provided to ambulance services for 256 new state-of-the-art vehicles and ‘make-ready hubs’ which shorten the turnaround times for vehicles and increase their availability. The winter period is usually considered to be from December to March, therefore an assessment of demand for ambulance services can be made after winter has finished.</p><p>Despite a huge increase in demand, the Care Quality Commission’s State of Health and Adult Social Care Report 2018/19 shows that the vast majority of patients continue to receive good, safe care. Overall quality of care in NHS acute hospitals has improved, with 72% of core services rated as good or outstanding, up from 66% in the previous year.</p><p>The quality of care in NHS ambulance trusts has also improved over the last year, with seven out of 10 trusts rated as good and none rated as inadequate. And, as at January 2020, 84% of adult social care settings were rated as good or outstanding. Four out of five adult social care services are rated as good, similar to 2018, and 996 services are providing care that is rated as outstanding.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1390 HL1391 question first answered 12/02/2020 17:21:15 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1782 label Biography information for Baroness Thornton

1176205

	registered interest
	date	04/02/2020
	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
	hansard heading	Kingston Hospital: Parking
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they are satisfied that the Kingston NHS Foundation Trust is able to maintain permanently a minimum number of 797 car parking spaces for patients, visitors and staff, in line with planning obligations, as a result of the sale of a plot of hospital land to residential developers.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1325
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>The appropriateness of parking is the responsibility of the local National Health Service trust.</p><p>NHS organisations have autonomy to make decisions that best suit their local circumstances.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1326 question first answered 12/02/2020 17:21:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1176206

	registered interest
	date	04/02/2020
	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
	hansard heading	Kingston Hospital: Parking
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action the Kingston NHS Foundation Trust is taking to ensure the re-provision of 75 permanent, as opposed to temporary, parking spaces for the benefit of patients, visitors and staff to replace those lost as a result of the sale of a plot of hospital land.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1326
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>The appropriateness of parking is the responsibility of the local National Health Service trust.</p><p>NHS organisations have autonomy to make decisions that best suit their local circumstances.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1325 question first answered 12/02/2020 17:21:40 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175466

	registered interest
	date	03/02/2020
	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
	hansard heading	Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many people who have flown to the UK from Wuhan, China, since the outbreak of the coronavirus was announced have been contacted; how many of those have been tested for coronavirus; what steps they are taking to (1) identify, and (2) locate, those yet to be tested; and what assessment they have made of the statement by the Chief Medical Officer for England on 24 January that there is a “fair chance” that the UK will see cases of that virus.
	tabling member printed	Lord Alton of Liverpool
	uin	HL1238
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>On direct flights from Wuhan into the United Kingdom, 1,466 passengers and 95 staff arrived between 10 and 24 January. Of these, 162 of the passengers have already left the UK, 53 of the crew have already left the UK and all of the remaining passengers (1,304) are now outside of the incubation period.</p><p>As of 5 February, a total of 468 UK tests have concluded, of which 466 were confirmed negative and two positive. Information is published daily online on the <em>Coronavirus: latest information and advice</em> page on the Government website.</p><p>Posters and leaflets with health advice has been made available in all UK international airports, Eurostar terminals and Dover. As of 5 February, the two patients who tested positive are receiving specialist National Health Service care and we are using tried and tested infection control procedures to prevent further spread of the virus.</p><p>The NHS is extremely well-prepared and used to managing infections and we are already working rapidly to identify any contacts the patients had, to prevent further spread. We are continuing to work closely with the World Health Organization and the international community as the outbreak in China develops to ensure we are ready for all eventualities.</p><p> </p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL1239 question first answered 12/02/2020 17:23:56 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	738 label Biography information for Lord Alton of Liverpool