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748836

	registered interest
	date	05/07/2017
	answering body	Ministry of Defence
	answering dept id	11
	answering dept short name	Defence
	answering dept sort name	Defence
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what plans they have to commemorate the 75th anniversary of D–Day in 2019.
	tabling member printed	Lord Black of Brentwood
	uin	HL499
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>Her Majesty's Government's plans to formally commemorate the 75th Anniversary of D-Day in 2019 have yet to be decided. Elements of Defence routinely support annual local events both in the UK and in France.</p> answering member printed Earl Howe question first answered 13/07/2017 14:21:57 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64120

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anticoagulants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many people in England are treated with (1) warfarin, and (2) novel oral anticoagulants each year.
	tabling member printed	Lord Black of Brentwood
	uin	HL624
	answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>Information is not held centrally on the number of people treated with warfarin or novel oral anticoagulants. The following table provides information on the number of prescription items written in England and dispensed in the community in the United Kingdom, for the latest calendar year, for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium.</p><p> </p><table><tbody><tr><td colspan="2"><p>Prescription items written in England and dispensed in the community in the United Kingdom for 2013 <sup>1</sup></p></td></tr><tr><td><p>Medicine <sup>2</sup></p></td><td><p>Items (000s)</p></td></tr><tr><td><p>Apixaban</p></td><td><p>14.4</p></td></tr><tr><td><p>Dabigatran etexilate</p></td><td><p>174.0</p></td></tr><tr><td><p>Rivaroxaban</p></td><td><p>190.0</p></td></tr><tr><td><p>Warfarin sodium <sup>3</sup></p></td><td><p>11,022.8</p></td></tr><tr><td><p>Total for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium</p></td><td><p>11,401.2</p></td></tr><tr><td><p>Percentage of warfarin sodium compared to the total for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium</p></td><td><p>96.7%</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> ePACT and Hospital ePACT, NHS Prescription Services, part of the NHS Business Services Authority</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>The figures include prescriptions written in a hospital in England but dispensed in the community in the United Kingdom.</p><p><sup>2. </sup>These medicines are also used in secondary care, however no equivalent measure to a prescription item is available for secondary care data.</p><p>Some patients treated with warfarin may receive prescription items for two or three different strengths of warfarin to allow the dose to be altered in response to monitoring of INR. (NB: warfarin is available as 0.5mg, 1mg, 3mg and 5mg tablets).</p> answering member printed Earl Howe grouped question UIN HL625 question first answered 01/07/2014 11:46:45 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64118

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to improve the diagnosis of atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	uin	HL622
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>NHS England is taking a number of actions to improve the care and management of people with atrial fibrillation (AF). It has published <em>Our Ambition to Reduce Premature Mortality: A resource to support commissioners in setting a level of ambition</em>, which identifies improved management of AF as a priority for reducing premature mortality. The resource can be found at:</p><p> </p><p>www.england.nhs.uk/ourwork/sop/red-prem-mort/</p><p> </p><p>National Health Service Improving Quality's <em>Living Longer Lives</em> programme includes promoting the use of a simple but effective audit tool called Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) which simplifies the process of identifying patients with AF who are not receiving the right treatment. NHS Improving Quality is currently collaborating with partner organisations, including charities, to support the nationwide roll-out of GRASP-AF.</p><p> </p><p>This work will be supported by the publication of an economic analysis commissioned by NHS Improving Quality using GRASP data which demonstrates both the current and potential impact of atrial fibrillation management on the number of AF related strokes.</p><p><em> </em></p><p>Discussions are also underway to consider whether opportunistic testing for atrial fibrillation (AF) should be encouraged nationally as part of the NHS Health Check programme.</p><p> </p> answering member printed Earl Howe grouped question UIN HL623 question first answered 08/07/2014 15:27:07 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64122

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anticoagulants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to increase the uptake of novel oral anticoagulants in the management of atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	uin	HL626
	answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>Decisions on the prescribing of medicines are a matter for clinicians in discussion with their patients.</p><p> </p><p>National Health Service commissioners are legally required by regulations to fund those anticoagulant treatments recommended by the National Institute for Health and Care Excellence(NICE) in its technology appraisal guidance.</p><p> </p><p>The NICE Implementation Collaborative published a consensus statement on supporting the use of novel oral anticoagulants in non-valvular atrial fibrillation on 18 June 2014. This is available at:</p><p> </p><p>www.nice.org.uk/resource/CG180/pdf/c/cg180-atrial-fibrillation-nic-consensus-statement-on-the-use-of-noacs?id=gvyb3hjdqrcjtn6ytpwx3ydb64</p><p> </p><p>NICE published its updated clinical guideline on the management of atrial fibrillation on 25 June 2014 which recommends that novel oral anticoagulants should be offered where appropriate.</p><p> </p><p>The latest data from the Innovation Scorecard show that uptake of new anticoagulants across England is increasing. Further information is available at:</p><p> </p><p>www.hscic.gov.uk/catalogue/PUB13669</p><p> </p> answering member printed Earl Howe question first answered 01/07/2014 11:47:28 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64121

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Anticoagulants
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what percentage of the total number of prescriptive items for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium in England were for warfarin sodium in the last year for which figures are available.
	tabling member printed	Lord Black of Brentwood
	uin	HL625
	answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>Information is not held centrally on the number of people treated with warfarin or novel oral anticoagulants. The following table provides information on the number of prescription items written in England and dispensed in the community in the United Kingdom, for the latest calendar year, for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium.</p><p> </p><table><tbody><tr><td colspan="2"><p>Prescription items written in England and dispensed in the community in the United Kingdom for 2013 <sup>1</sup></p></td></tr><tr><td><p>Medicine <sup>2</sup></p></td><td><p>Items (000s)</p></td></tr><tr><td><p>Apixaban</p></td><td><p>14.4</p></td></tr><tr><td><p>Dabigatran etexilate</p></td><td><p>174.0</p></td></tr><tr><td><p>Rivaroxaban</p></td><td><p>190.0</p></td></tr><tr><td><p>Warfarin sodium <sup>3</sup></p></td><td><p>11,022.8</p></td></tr><tr><td><p>Total for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium</p></td><td><p>11,401.2</p></td></tr><tr><td><p>Percentage of warfarin sodium compared to the total for apixaban, dabigatran etexilate, rivaroxaban, and warfarin sodium</p></td><td><p>96.7%</p></td></tr></tbody></table><p><em> </em></p><p><em>Source:</em> ePACT and Hospital ePACT, NHS Prescription Services, part of the NHS Business Services Authority</p><p><em> </em></p><p><em>Notes:</em></p><p><sup>1. </sup>The figures include prescriptions written in a hospital in England but dispensed in the community in the United Kingdom.</p><p><sup>2. </sup>These medicines are also used in secondary care, however no equivalent measure to a prescription item is available for secondary care data.</p><p>Some patients treated with warfarin may receive prescription items for two or three different strengths of warfarin to allow the dose to be altered in response to monitoring of INR. (NB: warfarin is available as 0.5mg, 1mg, 3mg and 5mg tablets).</p> answering member printed Earl Howe grouped question UIN HL624 question first answered 01/07/2014 11:46:44 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

61516

	registered interest
	date	11/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Homosexuality
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Earl Howe on 6 May (WA 358), whether they are considering introducing legislation to prevent the practice of reparative or conversion therapy on homosexual men and women.
	tabling member printed	Lord Black of Brentwood
	uin	HL294
	answer	answer is ministerial correction date of answer 25/06/2014 answer text <p>This Government does not believe that being lesbian, gay or bisexual is an illness to be treated or cured. We have no current plans to ban or restrict conversion therapy via legislation as we do not feel this would be an effective preventive measure.</p><p> </p><p>We do, however, fully recognise the importance of this issue. Therefore, the Minister of State for Care and Support, Norman Lamb, convened a roundtable with professional bodies and charities in February of this year to discuss collaborative measures to help prevent the use of such therapies. The Department continues to work with these organisations.</p><p> </p> answering member printed Earl Howe question first answered 25/06/2014 16:32:04 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

64119

	registered interest
	date	25/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Heart Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, in the light of the publication of the National Institute for Health and Care Excellence clinical guideline 180, what action they are taking to ensure appropriate risk stratification and uptake of anti-thrombotic therapy among patients with atrial fibrillation.
	tabling member printed	Lord Black of Brentwood
	uin	HL623
	answer	answer is ministerial correction date of answer 08/07/2014 answer text <p>NHS England is taking a number of actions to improve the care and management of people with atrial fibrillation (AF). It has published <em>Our Ambition to Reduce Premature Mortality: A resource to support commissioners in setting a level of ambition</em>, which identifies improved management of AF as a priority for reducing premature mortality. The resource can be found at:</p><p> </p><p>www.england.nhs.uk/ourwork/sop/red-prem-mort/</p><p> </p><p>National Health Service Improving Quality's <em>Living Longer Lives</em> programme includes promoting the use of a simple but effective audit tool called Guidance on Risk Assessment and Stroke Prevention for Atrial Fibrillation (GRASP-AF) which simplifies the process of identifying patients with AF who are not receiving the right treatment. NHS Improving Quality is currently collaborating with partner organisations, including charities, to support the nationwide roll-out of GRASP-AF.</p><p> </p><p>This work will be supported by the publication of an economic analysis commissioned by NHS Improving Quality using GRASP data which demonstrates both the current and potential impact of atrial fibrillation management on the number of AF related strokes.</p><p><em> </em></p><p>Discussions are also underway to consider whether opportunistic testing for atrial fibrillation (AF) should be encouraged nationally as part of the NHS Health Check programme.</p><p> </p> answering member printed Earl Howe grouped question UIN HL622 question first answered 08/07/2014 15:27:07 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

179247

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Prisoners: HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many new HIV diagnoses were made among prisoners in 2014 in England and Wales.
	tabling member printed	Lord Black of Brentwood
	uin	HL4984
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>Data for 2014 is not available until October 2015.</p><p> </p><p> </p><p> </p><p>Latest data from the national human immunodeficiency virus (HIV) surveillance system shows that in 2013, of 5,594 adults (aged 15 years old or above) newly diagnosed with HIV in England and Wales, nine were newly diagnosed with HIV at a prison service. An additional 210 patients living with a diagnosed HIV infection (diagnosed before 2013) were resident in prison.</p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>The numbers are likely to be under-reported because prison status is not routinely collected. Prisoners were identified if the residential information provided related to a prison setting. Therefore the completeness and accuracy of the numbers depends on the clinicians’ reports. Furthermore, most prisoners have short custodial sentences and consequently may not be included in the national HIV surveillance system which collects information relating to a patients’ most recent attendance at an HIV service.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:33:56 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

179246

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how many new diagnoses of HIV were made in 2014 among (1) heterosexual men and women, and (2) homosexual men and women; and whether they will categorise the figures by age group.
	tabling member printed	Lord Black of Brentwood
	uin	HL4983
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>Data for 2014 is not available until October 2015.</p><p> </p><p> </p><p> </p><p>New HIV diagnoses in the United Kingdom in 2013, by probable exposure category and sex:</p><p> </p><table><tbody><tr><td><p>Probable exposure category</p></td><td><p>Sex</p></td><td><p>New HIV diagnoses</p></td></tr><tr><td rowspan="3"><p>Heterosexual contact</p></td><td><p>Male</p></td><td><p>968</p></td></tr><tr><td><p>Female</p></td><td><p>1,167</p></td></tr><tr><td><p>Total</p></td><td><p>2,135</p></td></tr><tr><td rowspan="3"><p>Homosexual contact</p></td><td><p>Male</p></td><td><p>2,947</p></td></tr><tr><td><p>Female</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>2,947</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>New HIV diagnoses in the United Kingdom in 2013 among those infected through heterosexual contact, by sex and age group:</p><p> </p><table><tbody><tr><td><p>Sex</p></td><td><p>Age group</p></td><td><p>New HIV diagnoses</p></td></tr><tr><td rowspan="6"><p>Male</p></td><td><p>&lt;15</p></td><td><p>0</p></td></tr><tr><td><p>15-24</p></td><td><p>47</p></td></tr><tr><td><p>24-34</p></td><td><p>203</p></td></tr><tr><td><p>35-49</p></td><td><p>470</p></td></tr><tr><td><p>50+</p></td><td><p>248</p></td></tr><tr><td><p>Total</p></td><td><p>968</p></td></tr><tr><td rowspan="6"><p>Female</p></td><td><p>&lt;15</p></td><td><p>0</p></td></tr><tr><td><p>15-24</p></td><td><p>105</p></td></tr><tr><td><p>24-34</p></td><td><p>390</p></td></tr><tr><td><p>35-49</p></td><td><p>481</p></td></tr><tr><td><p>50+</p></td><td><p>191</p></td></tr><tr><td><p>Total</p></td><td><p>1,167</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p>New HIV diagnoses in the United Kingdom in 2013 among those infected through homosexual contact, by sex and age group:</p><p> </p><table><tbody><tr><td><p>Sex</p></td><td><p>Age group</p></td><td><p>New HIV diagnoses</p></td></tr><tr><td rowspan="6"><p>Male</p></td><td><p>&lt;15</p></td><td><p>0</p></td></tr><tr><td><p>15-24</p></td><td><p>462</p></td></tr><tr><td><p>24-34</p></td><td><p>1,131</p></td></tr><tr><td><p>35-49</p></td><td><p>1,046</p></td></tr><tr><td><p>50+</p></td><td><p>308</p></td></tr><tr><td><p>Total</p></td><td><p>2,947</p></td></tr><tr><td><p>Female</p></td><td><p>Total</p></td><td><p>0</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p> </p><p> </p><p>Further data tables for 2013 are available from the Public Health England webpages:</p><p> </p><p> </p><p> </p><p><a href="https://www.gov.uk/government/collections/hiv-surveillance-data-and-management" target="_blank">https://www.gov.uk/government/collections/hiv-surveillance-data-and-management</a></p><p> </p><p> </p><p> </p><p><em>Notes:</em></p><p> </p><p>1. New HIV diagnoses data includes individuals who have an existing infection as well as those who have a newly acquired infection and therefore the data do not present incidence of infection.</p><p> </p><p> </p><p> </p><p>2. Data will include some records of the same individuals which are unmatchable because of differences in the data supplied.</p><p> </p><p> </p><p> </p><p>3. Numbers will rise as further reports are received.</p><p> </p><p> </p><p> </p><p>4. Per question, ‘homosexual men’ are men who report having had sex with men and ‘homosexual women’ are women who report having had sex with women.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:32:49 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood

179248

	registered interest
	date	11/02/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	HIV Infection
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government how much was spent on HIV-related information campaign advertising in 2014.
	tabling member printed	Lord Black of Brentwood
	uin	HL4985
	answer	answer is ministerial correction date of answer 25/02/2015 answer text <p>The Department holds a contract with the Terrence Higgins Trust to deliver targeted HIV prevention programmes for those groups most at risk of HIV which in the United Kingdom is men who have sex with men (MSM) and black African communities. The current contract delivers the <em>HIV Prevention England</em> programme. In 2014-15 the value of this contract was £2.450 million and of this £550,000 was spent on social marketing activity including advertising.</p><p> </p> answering member printed Earl Howe question first answered 25/02/2015 13:34:13 answering member 2000 label Biography information for Earl Howe
	tabling member	4171 label Biography information for Lord Black of Brentwood