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1588979

	registered interest
	date	23/02/2023
	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: Immunosuppression
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to the finding from the National Institute for Health and Care Excellence (NICE) that "Evusheld is not recommended for vulnerable adults who are at high risk of severe COVID-19 because there is not enough evidence of its effectiveness against current variants and those likely to be circulating in the next 6 months", what consideration they have given to using human-derived convalescent plasma for immune compromised individuals; and what trials they have undertaken, if any, to test its effectiveness.
	tabling member printed	Baroness Altmann
	uin	HL5825
	answer	answer is ministerial correction date of answer 02/03/2023 answer text <p>For treatment of patients with COVID-19, the REMAP-CAP and RECOVERY trials both found convalescent plasma did not provide any benefit to the overall patient group. However, detailed analysis within subgroups of the REMAP-CAP data found there was a likelihood that people who are immunosuppressed may benefit from convalescent plasma with very high antibody levels - unfortunately there was insufficient data for a definite result. Consequently, REMAP-CAP has now decided to reopen the convalescent plasma arm to collect more data.</p><p> </p><p>Further research is needed to determine the benefit of using human-derived convalescent plasma, or products derived from it, for immunocompromised individuals before this could be approved and available to patients. The Department commissions research through the National Institute for Health and Care Research (NIHR). NIHR welcomes funding applications for research into any aspect of human health, including immunoglobulins and convalescent plasma.</p> answering member printed Lord Markham grouped question UIN HL5826 question first answered 02/03/2023 13:13:10 answering member 4948 label Biography information for Lord Markham
	tabling member	4533 label Biography information for Baroness Altmann

1644478

	registered interest
	date	13/06/2023
	answering body	Department for Levelling Up, Housing and Communities
	answering dept id	211
	answering dept short name	Levelling Up, Housing and Communities
	answering dept sort name	Levelling Up, Housing and Communities
	hansard heading	Local Government: Workplace Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to the Written Answer by Baroness Scott of Bybrook on 19 May (HL7668), whether the Local Government Pension Scheme should still expect that, in line with the Local Government Pension Scheme (England and Wales): Governance and reporting of climate change risks consultation proposals, which closed on 24 November 2022, Local Government Pension Scheme trustees or managers will be required to produce Taskforce on Climate-related Financial Disclosures reports by December 2024.
	tabling member printed	Baroness Altmann
	uin	HL8427
	answer	answer is ministerial correction date of answer 27/06/2023 answer text <p>We recognise that clarity on the timetable for implementation will be helpful to funds as they make plans and secure appropriate advice. The Government wrote to the Local Government Pension Scheme (LGPS) Advisory Board on 15 June confirming we will not be implementing any requirements related to the governance or disclosure of climate-related financial risks for the financial year 2023/24. The Government is continuing to analyse the responses received to the consultation and will respond in due course.</p> answering member printed Baroness Scott of Bybrook question first answered 27/06/2023 12:33:14 answering member 4553 label Biography information for Baroness Scott of Bybrook
	tabling member	4533 label Biography information for Baroness Altmann

1681305

	registered interest
	date	10/01/2024
	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	Fractures: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to comments by the Parliamentary Under Secretary of State at the Department of Health and Social Care in the Sunday Express on 20 August 2023, when they plan to publish details on ways to establish more fracture liaison services.
	tabling member printed	Baroness Altmann
	uin	HL1383
	answer	answer is ministerial correction date of answer 22/01/2024 answer text <p>Fracture liaison services (FLS) are commissioned by integrated care boards which are well placed to make decisions according to local need. NHS England is supporting requests from health systems to introduce FLS and other secondary fracture prevention services, including through the Falls and Fragility Fracture Audit Programme.</p><p>The Government recognises the value of quality-assured secondary fracture prevention services, including Fracture Liaison Services. In the online-only <em>Major Conditions Strategy: Case for change and our strategic framework</em>, we set out that we will look to, together with NHS England, explore supporting the provision of fracture liaison services. The intention is to publish the Major Conditions Strategy early this year.</p> answering member printed Lord Markham question first answered 22/01/2024 17:03:36 answering member 4948 label Biography information for Lord Markham
	tabling member	4533 label Biography information for Baroness Altmann

1588980

	registered interest
	date	23/02/2023
	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: Immunosuppression
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to (1) the Written Answer by Lord Markham on 20 February (HL5171), and (2) the conclusion from the National Institute for Health and Care Excellence (NICE) that "Evusheld is not recommended for vulnerable adults who are at high risk of severe COVID-19 because there is not enough evidence of its effectiveness against current variants and those likely to be circulating in the next 6 months", what steps they will now take to ensure that immunocompromised individuals have access to passive immunisation via relevant human-derived antibody products from convalescent plasma, instead of through monoclonal antibody treatments.
	tabling member printed	Baroness Altmann
	uin	HL5826
	answer	answer is ministerial correction date of answer 02/03/2023 answer text <p>For treatment of patients with COVID-19, the REMAP-CAP and RECOVERY trials both found convalescent plasma did not provide any benefit to the overall patient group. However, detailed analysis within subgroups of the REMAP-CAP data found there was a likelihood that people who are immunosuppressed may benefit from convalescent plasma with very high antibody levels - unfortunately there was insufficient data for a definite result. Consequently, REMAP-CAP has now decided to reopen the convalescent plasma arm to collect more data.</p><p> </p><p>Further research is needed to determine the benefit of using human-derived convalescent plasma, or products derived from it, for immunocompromised individuals before this could be approved and available to patients. The Department commissions research through the National Institute for Health and Care Research (NIHR). NIHR welcomes funding applications for research into any aspect of human health, including immunoglobulins and convalescent plasma.</p> answering member printed Lord Markham grouped question UIN HL5825 question first answered 02/03/2023 13:13:10 answering member 4948 label Biography information for Lord Markham
	tabling member	4533 label Biography information for Baroness Altmann

1612585

	registered interest
	date	19/04/2023
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Social Security Benefits: Taxation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government which (1) social security, and (2) other taxpayer-funded benefits, are (a) taxable, and (b) tax-free.
	tabling member printed	Baroness Altmann
	uin	HL7259
	answer	answer is ministerial correction date of answer 04/05/2023 answer text <p>The long-standing tax treatment of social security benefits is based on how each type of payment would otherwise be treated in income tax legislation.</p><p> </p><p>Whether a benefit is taxable or exempt from income tax is set out in the Income Tax (Earnings and Pensions) Act 2003 (ITEPA).</p><p> </p><p>The position for the most common UK state benefits is summarised online at gov.uk<sup><sup>[1]</sup></sup>.</p><p> </p><p>The most common taxable State benefits include Bereavement Allowance, Carer’s Allowance, contribution- based Employment and Support Allowance (ESA), Incapacity Benefit, Jobseeker’s Allowance (JSA), pensions paid by the Industrial Death Benefit scheme, the State Pensions, and Widowed Parent’s Allowance. For an extensive list of taxable UK benefits please refer to section 660<sup><sup>[2]</sup></sup> ITEPA.</p><p> </p><p>The most common tax-exempt state benefits include Attendance Allowance, Bereavement support payment, Child Benefit, Child Tax Credit, Disability Living Allowance (DLA), Guardian’s Allowance, Housing Benefit, income-related Employment and Support Allowance (ESA), Industrial Injuries Benefit, Maternity Allowance, Pension Credit, Personal Independence Payment (PIP), Severe Disability Allowance, Universal Credit, War Widow’s Pension, Winter Fuel Payments, and Working Tax Credit. An extensive list of UK social security benefits wholly exempt from income tax can be found at section 677<sup><sup>[3]</sup></sup> ITEPA.</p><p> </p><p>[1] <a href="http://www.gov.uk/income-tax/taxfree-and-taxable-state-benefits" target="_blank">www.gov.uk/income-tax/taxfree-and-taxable-state-benefits</a></p><p>[2] <a href="https://www.legislation.gov.uk/ukpga/2003/1/section/660" target="_blank">Income Tax (Earnings and Pensions) Act 2003 (legislation.gov.uk)</a></p><p>[3] <a href="https://www.legislation.gov.uk/ukpga/2003/1/part/10/chapter/5" target="_blank">Income Tax (Earnings and Pensions) Act 2003 (legislation.gov.uk)</a></p> answering member printed Baroness Penn question first answered 04/05/2023 13:05:38 answering member 4726 label Biography information for Baroness Penn
	tabling member	4533 label Biography information for Baroness Altmann

1674981

	registered interest
	date	04/12/2023
	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	Fractures: Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they intend to announce funding for improved fracture liaison services across England to avoid a postcode lottery relating to early detection of osteoporosis.
	tabling member printed	Baroness Altmann
	uin	HL790
	answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>Fracture Liaison Services (FLS) are commissioned by integrated care boards (ICBs) which are well placed to make decisions according to local need. NHS England is also supporting requests from health systems to introduce FLS and other secondary fracture prevention services, including through the Falls and Fragility Fracture Audit Programme.</p><p>On 24 January 2023, we announced our plan to publish the Major Conditions Strategy. This strategy will explore how we can tackle the key drivers of ill-health in England, reduce pressure on the National Health Service and reduce ill-health related labour market inactivity. The Strategy will focus on six major groups of conditions including musculoskeletal conditions, such as osteoporosis, and will be published early next year.</p><p>As stated in the <em>Major Conditions Strategy: Case for change and our strategic framework</em>, the Government will work together with NHS England to explore supporting the provision of fracture liaison services. The framework was published on GOV.UK on 21 August 2023 in an online-only format.</p> answering member printed Lord Markham question first answered 18/12/2023 17:41:34 answering member 4948 label Biography information for Lord Markham
	tabling member	4533 label Biography information for Baroness Altmann

1599662

	registered interest
	date	27/02/2023
	answering body	Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	Treasury
	hansard heading	Pension Funds: Advisory Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they intend to adopt the Competition and Market Authority’s recommendation of December 2018 to make investment consultants advising on pension funds subject to regulation by the Financial Conduct Authority; and if so, when.
	tabling member printed	Baroness Altmann
	uin	HL5877
	answer	answer is ministerial correction date of answer 10/03/2023 answer text <p>The principal finding of the Competition and Markets Authority’s (CMA) 2018 Investment Consultants Market Investigation report was that the investment consultancy and fiduciary management market was insufficiently competitive, leading to adverse impacts for their customers. One of the recommendations of that report was that investment consultants should be brought into Financial Conduct Authority’s (FCA) regulation.</p><p> </p><p>In the March 2019 response to the recommendations of the CMA’s final report, HM Treasury committed to consulting on the CMA’s recommendation that the FCA’s regulatory perimeter be extended to cover the activities of investment consultants. A number of other priorities, including the urgent work required to respond to the Covid-19 pandemic, meant that the work to develop this consultation has been delayed.</p><p> </p><p>However, a number of other recommendations made by the CMA to address competition in this market have been taken forward, such as the Department for Work and Pensions’ legislation requiring pension scheme trustees to carry out a competitive tender for fiduciary management services.</p><p> </p><p>HM Treasury works closely with the FCA and has held regular discussions with them on this matter.</p> answering member printed Baroness Penn grouped question UIN HL5878 question first answered 10/03/2023 11:04:58 answering member 4726 label Biography information for Baroness Penn
	tabling member	4533 label Biography information for Baroness Altmann

1612588

	registered interest
	date	19/04/2023
	answering body	Department for Levelling Up, Housing and Communities
	answering dept id	211
	answering dept short name	Levelling Up, Housing and Communities
	answering dept sort name	Levelling Up, Housing and Communities
	hansard heading	Parking: Fees and Charges
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they have issued any guidance to councils to protect older people in (1) England, (2) Wales, (3) Scotland, and (4) Northern Ireland, who have removed cash or telephone credit card payment options from parking services and have introduced digital or app-only payments that require ownership and Wi-Fi connection of smartphones.
	tabling member printed	Baroness Altmann
	uin	HL7262
	answer	answer is ministerial correction date of answer 02/05/2023 answer text <p>The Secretary of State recently wrote to all local authorities in England setting out his expectations that parking services for which councils are responsible for remain accessible. For example, it would not seem appropriate for parking on a high street to be solely available for those who have access to a mobile phone. Nor would it appear sensible for local authorities to phase out paper-based parking options such as 'scratch cards' if the only available replacement is an entirely digital option.</p><p>All local authorities have statutory duties to ensure that they do not discriminate in their decision making against older people or those with vulnerabilities. Cash remains legal tender and it will continue to be used by people who favour its accessibility and ease. Local authorities should ensure that there are alternative provisions for parking payments available so that no part of society is digitally excluded.</p><p>A copy of the letter is available on gov.uk</p><p>Questions about medical appointments should be directed to the Department of Health and Social Care. Responsibility for local government is devolved in Scotland, Wales and Northern Ireland, but officials in this department will engage counterparts on these matters.</p> answering member printed Baroness Scott of Bybrook grouped question UIN HL7261 HL7315 question first answered 02/05/2023 14:56:53 answering member 4553 label Biography information for Baroness Scott of Bybrook
	tabling member	4533 label Biography information for Baroness Altmann

1626200

	registered interest
	date	09/05/2023
	answering body	Department for Levelling Up, Housing and Communities
	answering dept id	211
	answering dept short name	Levelling Up, Housing and Communities
	answering dept sort name	Levelling Up, Housing and Communities
	hansard heading	Local Government: Workplace Pensions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they will respond to the Local Government Pension Scheme (England and Wales): Governance and reporting of climate change risks consultation, which closed on 24 November 2022, and for which the regulations were expected to be in force by April 2023.
	tabling member printed	Baroness Altmann
	uin	HL7668
	answer	answer is ministerial correction date of answer 19/05/2023 answer text <p>The Government is continuing to analyse the responses received to the consultation and will respond in due course.</p> answering member printed Baroness Scott of Bybrook question first answered 19/05/2023 09:04:21 answering member 4553 label Biography information for Baroness Scott of Bybrook
	tabling member	4533 label Biography information for Baroness Altmann

1537275

	registered interest
	date	31/10/2022
	answering body	Ministry of Justice
	answering dept id	54
	answering dept short name	Justice
	answering dept sort name	Justice
	hansard heading	Mental Capacity: Payments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they plan to publish their response to the Mental Capacity Act: Small Payments Scheme, which closed on 12 January, to help disabled families access Child Trust Funds.
	tabling member printed	Baroness Altmann
	uin	HL3027
	answer	answer is ministerial correction date of answer 14/11/2022 answer text <p>We are preparing the Government's response to the consultation and are aiming to provide an update to the House in the near future. The consultation exposed a number of issues which warranted further consideration, especially in relation to the design, security, simplicity and effectiveness of a scheme when compared to existing processes. In the meantime we have been collaborating with the Court of Protection to improve access to payments under current legislation, and pilot processes and documentation are currently being developed.</p> answering member printed Lord Bellamy question first answered 14/11/2022 12:53:26 answering member 4941 label Biography information for Lord Bellamy
	tabling member	4533 label Biography information for Baroness Altmann