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1123746

	registered interest
	date	29/04/2019
	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	Antibiotics: Drug Resistance
	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 effectiveness of their 2013–18 antimicrobial resistance strategy at addressing the problem of multi-resistant E. coli-like bacteria; what assessment they have made of recent trends in the number of multi-resistant E. coli-like bacteria in the UK; and what factors inform their view of the balance between efforts to reduce transmission and efforts to reduce the use of antibiotics.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL15384
	answer	answer is ministerial correction date of answer 14/05/2019 answer text <p>While we can count many successes from our 2013-18 Antimicrobial Resistance (AMR) Strategy, resistance has continued to increase. In the United Kingdom we have seen a 35% increase in resistant blood stream infections in humans from 2013-17.</p><p>The number of bloodstream infections (BSIs) is increasing each year. Although the proportion of antibiotic resistant BSIs remain stable year to year, the burden on resistance increases. This is mostly due to increasing prevalence of E.coli bloodstream infections.</p><p>Estimates of the multi-resistant cases can be made, however not all the bacteria are tested against the same antibiotics, so a definitive number of cases cannot be given. The Public Health England Fingertips tool also has an indicator showing the rolling quarterly average proportion of E. coli blood specimens non-susceptible to at least three of the key antimicrobials (gentamicin, ciprofloxacin, piperacillin/tazobactam, 3rd-generation cephalosporins or carbapenems). For England this is 5.5% with little fluctuation over time.</p><p>This is exactly why the UK’s five-year national action plan for AMR, published alongside the UK 20-year vision for AMR on 24 January 2019, includes a strengthened focus on infection prevention and control, renewing our commitment to halve levels of healthcare associated Gram-negative blood stream infections (mostly E.coli) by 2023-24. The plan also sets a world-first target to reduce the actual numbers of resistant infections, with the aim to reduce them by 10% by 2025.</p><p>We are working with the devolved health administrations to develop consistent methodologies for reporting the incidence and mortality of key antibiotic resistant infections and antimicrobial use to allow us to report progress on the ambitions of the AMR national action plan.</p><p>As reductions in inappropriate prescribing also reduces the risk of promoting the growth of antibiotic-resistant bacteria, interventions to reduce antibiotic prescribing or transmission of the bacteria are complementary.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 14/05/2019 16:29:42 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

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

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

1228233

	registered interest
	date	29/07/2020
	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	Dental 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 increase the availability of National Health Service dental treatment for patients of all ages.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL7517
	answer	answer is ministerial correction date of answer 06/08/2020 answer text <p>National Health Service dental practices were able to restart face-to-face care from 8 June, with the aim of increasing levels of service for all patients, as fast as is safely possible, taking into account Public Health England guidance and continued infection risks.</p><p>Urgent dental care centres remain open to support the provision of urgent and emergency face-to-face care for dental patients and patients will be referred to urgent dental care centres, where needed locally.</p> answering member printed Lord Bethell question first answered 06/08/2020 11:19:21 answering member 4708 label Biography information for Lord Bethell
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1252045

	registered interest
	date	16/11/2020
	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: Students
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to pre-book COVID-19 tests for all university students to take before they return to university after the Christmas break.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL10333
	answer	answer is ministerial correction date of answer 11/12/2020 answer text <p>The Government has established a large number of asymptomatic test sites across higher education institutions. We are working to make the return to higher education as safe as possible. All students will have the opportunity to be tested on their return to university at the start of the spring term. The Government has provided guidance for universities to implement a staggered return of students over five weeks to minimise the transmission risk from the mass movement of students. Further guidance will be provided in due course, considering future developments and the relevant scientific advice.</p> answering member printed Lord Bethell question first answered 11/12/2020 14:04:13 answering member 4708 label Biography information for Lord Bethell
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

1275975

	registered interest
	date	12/01/2021
	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: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to ensure that the amount of time between the administration of the first and the second dose of the Pfizer/BioNTech COVID-19 vaccine does not exceed six weeks.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL12051
	answer	answer is ministerial correction date of answer 26/04/2021 answer text <p>Since December 2020, the Government’s policy has been to offer people their second vaccine dose up to 12 weeks after their first dose. The decision to update the dosing interval will give as many people at the highest risk their first dose as soon as possible and it is in line with the conditions of authorisation from Medicines and Healthcare and Regulatory Authority for the vaccine.</p><p>This approach is based on advice from the Joint Committee on Vaccination and Immunisation and four UK Chief Medical Officers and is designed to save lives. Analysis carried out by Public Health England suggests that the COVID-19 vaccination programme prevented 6,100 deaths in England up to the end of February 2021.</p><p>The Government is in constant contact with the vaccine manufacturers and remains confident that the supply of vaccine to the UK will not be disrupted, and will enable everyone to receive their second dose within 12 weeks of their first.</p> answering member printed Lord Bethell question first answered 26/04/2021 11:47:06 answering member 4708 label Biography information for Lord Bethell
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

386488

	registered interest
	date	30/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Innovative Medicines and Medical Technology Review
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what opportunities will be available to participate in the Accelerated Access Review announced in November 2014 as "The Innovative Medicines and Medical Technology Review" for (1) the public and patient groups, (2) medical charities, (3) academics, (4) researchers, and (5) other interested parties; and when they expect it to report.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL983
	answer	answer is ministerial correction date of answer 09/07/2015 answer text <p>In order to inform his recommendations, the independent chair of the Accelerated Access Review, Sir Hugh Taylor, will be seeking views from a variety of stakeholder groups, including patients and their carers, medical charities, academics and researchers, as well as industry, the National Health Service and key arm’s length bodies such as the National Institute for Health and Care Excellence and NHS England. We have agreed a systematic engagement approach for these groups to ensure they all have the opportunity to input. A workshop involving representation from all these stakeholder groups was held on 2 July, and the review team is asking umbrella organisations and trade bodies to support it in continuing to reach a wide audience by holding a series of engagement events throughout the summer; these events are currently being planned. The review’s website is also being developed to include a crowdsourcing platform to allow these groups, and the wider public, to participate.</p><p> </p><p> </p><p> </p><p>We expect the report of the Accelerated Access review to be submitted by the end of the year.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 09/07/2015 13:00:31 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

390588

	registered interest
	date	16/07/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Eastman Dental Hospital
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government, in the light of the proposed relocation of the Eastman Dental Hospital, what steps are being taken to ensure the continuation of the specialised dental postgraduate training and research facilities currently offered.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL1528
	answer	answer is ministerial correction date of answer 23/07/2015 answer text <p>We understand there are no plans to reduce the specialised dental postgraduate training and research currently offered as a consequence of the proposed move from the current site.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 23/07/2015 11:13:13 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3596 label Biography information for Baroness Gardner of Parkes

418383

	registered interest
	date	11/09/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Dental Services: Children
	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 Prior of Brampton on 27 July (HL1635), whether they have plans to introduce day surgery appointments for the clearance or extraction of deciduous teeth under general anaesthetic.
	tabling member printed	Baroness Gardner of Parkes
	uin	HL2177
	answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Many extractions are already carried out on a day case basis; whether the extraction is carried out as a day case or requires an overnight admission is a matter for the clinicians involved.</p><p> </p><p> </p><p> </p><p>NHS England has advised that NHS Lancashire and Greater Manchester have for a number of years commissioned day case surgery as well as overnight admission for children who require a full clearance of deciduous teeth under general anaesthetic.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 17/09/2015 16:27:15 answering member 127 label Biography information for Lord Prior of Brampton
	tabling member	3596 label Biography information for Baroness Gardner of Parkes