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1144882

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to direct the Clinical Commissioning Groups in South East London to withdraw their prohibition on single women receiving fertility treatment on the NHS as laid out in the South East London Treatment Access Policy Document 2019/20.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17716
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial"> <p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p></ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:40 question first ministerially corrected 30/09/2019 11:20:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135703 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144883

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	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 statement contained in page 34 of the South East London Treatment Access Policy Document 2019/20 that "because of the known disadvantage that providing assisted conception to a single woman would cause both the child and the mother, funding of assisted conception for single women is not available".
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17717
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p> </p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:57 question first ministerially corrected 30/09/2019 11:19:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135706 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144884

	registered interest
	date	04/09/2019
	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	Fertility: Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to instruct the Clinical Commissioning Groups in South East London to publish the evidence it relied on in developing its policy of not providing fertility treatment to single women.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17718
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:58:20 question first ministerially corrected 30/09/2019 11:18:50 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135708 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1145226

	registered interest
	date	05/09/2019
	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	Medical Treatments: Greater London
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they took to ensure that board members of the Clinical Commissioning Groups in South East London read the South East London Treatment Access Policy Document 2019/20 in full before agreeing to it.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17753
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The level of provision of local health services, including fertility treatment, available to patients is, and has been since the 1990s, a matter for local healthcare commissioners, who must consider the needs and priorities of all their population. Clinical commissioning groups (CCGs) have the current statutory responsibility to commission high-quality services that meet the needs of their local population. Decisions about treatment should always be based on patients’ clinical needs.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The Secretary of State has no power to direct individual CCGs in relation to their commissioning functions. The Department has no role in the oversight of individual CCG board activities. If there are concerns about provision of care, we expect NHS England to ensure the CCG is not breaching its statutory responsibility to provide services that meet the needs of the local population. Where performance concerns are identified, NHS England has the ability to exercise formal legal powers to either provide an enhanced support to a CCG, or in rare circumstances to intervene where it is believed that a CCG is failing, or is at risk of failing, to discharge its functions.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England has advised that the CCGs in south east London have agreed to undertake a rapid review of the NHS South East London’s Treatment Access Policy Document in relation to access criteria for funding in vitro fertilisation (IVF) by the end of November 2019. </ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The CCGs have made a public apology for any offence caused by the wording in the Treatment Access Policy Document in relation to single women’s access to IVF treatment and the review document it refers to and agree that this wording is unacceptable. The statement on page 34 is based on evidence from a review of literature undertaken in 2011 by commissioners and public health doctors. The review references literature available at the time.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">The rapid review will also specifically consider issues relating to equality and discrimination in relation to single women. The CCGs will publish the review alongside any changes to the revision of the policy.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">NHS England and NHS Improvement are aware that the CCGs are undertaking a review of the policy, as the body responsible for that policy. All CCG governing bodies were asked to review and approve any changes to the NHS South East London Treatment Access Policy made for 2019/20.</ins></p><p><ins class="ministerial"> </ins></p><p><ins class="ministerial">In taking clinical decisions about fertility treatment and taking account of their public sector equality duty, CCGs should make assessments based on clinical infertility and not on relationship status.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:57:08 question first ministerially corrected 30/09/2019 11:14:24 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135699 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144153

	registered interest
	date	03/09/2019
	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	Palliative Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the additional £25 million announced for hospice and palliative services by the Prime Minister on 20 August will be (1) an annually recurring figure, and (2) in addition to current grants from, and contracts with, the NHS.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17641
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:00 question first ministerially corrected 30/09/2019 11:01:02 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135714 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1144154

	registered interest
	date	03/09/2019
	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	Palliative Care: Finance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they intend to have with NHS England to ensure that any contracts between the NHS and the providers of hospice and palliative care services will be for a minimum three year period to provide certainty of funding.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17642
	answer	answer is ministerial correction date of answer 09/09/2019 answer text <p><del class="ministerial">It has not proved possible to respond to this question in the time available before Prorogation. Ministers will correspond directly with the Member.</del></p><p><ins class="ministerial">The £25 million announcement for hospices and National Health Service palliative care services relates to 2019/20 only and is in addition to current grants from, and contracts with, the NHS. NHS England’s expectation is that, as the NHS Long Term Plan progresses and more of the £33.9 billion additional investment becomes available to the front line, a separate funding stream of this nature should not be required. However, NHS England will keep this under review.</ins></p><p><ins class="ministerial">Levels of NHS-funded hospice care provision are determined locally by clinical commissioning groups and they are responsible for ensuring that the services they commission meet the needs of their local population. Commissioners should identify any gaps in local provision and put in place service development plans and any additional funding to address this identified need.</ins></p> answering member printed Baroness Blackwood of North Oxford question first answered 09/09/2019 16:59:04 question first ministerially corrected 30/09/2019 11:00:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford previous answer version 135717 answering member printed Baroness Blackwood of North Oxford answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175496

	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	Vaccination: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to make it easier for parents to access vaccination services for their children.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1268
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>As announced in the June 2019 Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em>, the Government is committed to publishing a Vaccine Strategy, which considers a range of actions to address access to vaccination services as an important factor in improving vaccine uptake.</p><p>In addition, the NHS Long Term Plan committed to a fundamental review of general practitioner (GP) vaccination and immunisation standards, funding and procurement, alongside a review of GP access. Interim findings of this work were published on 25 October and are being fed into the ongoing GP contract negotiations.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 15:03:45 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1175493

	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	Vaccination: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to ensure that the performance standard for the uptake of nearly all routine pre-school vaccinations is met.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL1265
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>As announced in the Prevention Green Paper, <em>Advancing our health: prevention in the 2020s</em> published in July 2019, the Government is committed to publishing a national Vaccine Strategy which will be available shortly. As part of this strategy, we are considering a wide array of options, including rolling out text reminder services to families, to increase our vaccination uptake rates and ensure they reach the 95% standard set for the majority of vaccine programmes.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:57:28 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1148066

	registered interest
	date	02/10/2019
	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	Hearing Impairment: Special Educational Needs
	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 research published by the National Deaf Children’s Society which found that 51 per cent of local authorities subject to an Ofsted and Care Quality Commission special educational needs and disabilities inspection in 2017 had to produce a written statement of action.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL17994
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>As at 3 October 2019, 100 local areas have been inspected and their reports published under the Ofsted and Care Quality Commission Special Educational Needs and Disability (SEND) inspection framework. Of these, 51 local areas have been asked to produce a Written Statements of Action.</p><p>The inspection process (including revisits) is intended to identify in each local area where they are doing well in respect of their SEND responsibilities and where there are areas for development.</p><p>We are confident that the inspections, along with our joint working with partners to provide support and challenge to local areas, including through the new SEND Leadership Board, are helping local areas to improve their services.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 14:40:09 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1169635

	registered interest
	date	08/01/2020
	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	Cancer: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when they expect the NHS to meet its target of referring patients for treatment for cancer within 62 days.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL210
	answer	answer is ministerial correction date of answer 20/01/2020 answer text <p>Cancer is a priority for this Government and survival rates are at a record high. The National Health Service is finding and treating more cancers in line with the ambitions set out in the Long Term Plan. Demand continues to rise and more people are also being diagnosed than ever before. The increasing demand has created a challenge in achieving the standard that 85% of patients commence treatment within 62 days following an urgent referral.</p><p>NHS England and NHS Improvement are working with providers, local systems and Cancer Alliances to improve performance. This includes £200 million investment in diagnostic equipment, the implementation of optimal timed diagnosis pathways and new Rapid Diagnostic Centres and actions to increase staff in key cancer and diagnostic professions.</p><p>Further to this, at the Government’s request, NHS England and NHS Improvement are working with clinical leaders across the system to review our performance standards and will update on this in due course.</p> answering member printed Baroness Blackwood of North Oxford question first answered 20/01/2020 13:20:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath