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1247977

	registered interest
	date	02/11/2020
	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	Care Homes: Visits
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to introduce a national system to enable care home residents to have meaningful visits from relatives by treating named family members in the same way as key workers who are tested weekly.
	tabling member printed	Baroness Altmann
	uin	HL9805
	answer	answer is ministerial correction date of answer 07/12/2020 answer text <p>We understand how vital it is to allow care home residents to meet their loved ones safely. We appreciate the particular challenges visiting restrictions pose for people with dementia, people with learning disabilities and autistic adults, amongst others, as well as for their friends and family.</p><p> </p><p>On 16 November, we began a trial of testing visitors to care homes. The aim is to support care home providers and families to work together to find the right balance between the benefits of visiting on wellbeing and quality of life, and the risk of transmission of COVID-19 to social care staff and vulnerable residents. This trial is currently taking place in around 21 care homes across three local authorities - Devon, Cornwall and Hampshire - with a view to rolling out nationally in December.</p><p> </p><p>Visitors will still be expected to follow infection prevention and control procedures. Holding hands and hugs can be allowed with a negative test and personal protective equipment, but visitors should minimise contact as much as possible to reduce the risk of transmission.</p> answering member printed Lord Bethell question first answered 07/12/2020 16:28:20 answering member 4708 label Biography information for Lord Bethell
	tabling member	4533 label Biography information for Baroness Altmann

1247976

	registered interest
	date	02/11/2020
	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	Care Homes: Coronavirus
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what criteria they have established to assess independently the capacity of care homes to accept safely COVID-19 positive patients from hospital; and who is responsible for that assessment.
	tabling member printed	Baroness Altmann
	uin	HL9804
	answer	answer is ministerial correction date of answer 03/12/2020 answer text <p>We are working with the Care Quality Commission (CQC) and the National Health Service to ensure everyone discharged from hospital has an updated COVID-19 test result and anyone testing positive is discharged to a setting that is assured to be able to provide safe care.</p><p>The CQC has worked with experts to develop an online infection prevention and control (IPC) inspection tool. If settings meet the expectations set out in the CQC’s IPC tool, they will be assured as having the practices and processes in place, at the time of the inspection, to provide appropriate post-discharge care for people who have tested COVID-19 positive.</p> answering member printed Lord Bethell question first answered 03/12/2020 12:51:15 answering member 4708 label Biography information for Lord Bethell
	tabling member	4533 label Biography information for Baroness Altmann

1247975

	registered interest
	date	02/11/2020
	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	DNACPR Decisions: Care Homes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to instruct all care homes to ensure any Do Not Attempt CPR orders imposed since 1 March on any of their residents’ files are reviewed immediately, in consultation with residents or their representatives.
	tabling member printed	Baroness Altmann
	uin	HL9803
	answer	answer is ministerial correction date of answer 19/11/2020 answer text <p>The Department has asked the Care Quality Commission (CQC) to review how Do not attempt cardiopulmonary resuscitation (DNACPR) decisions were used during the COVID-19 pandemic, building on concerns that the CQC reported earlier in the year. Interim findings are expected to be reported later this year with a final report in early 2021.</p><p>Until the review reports its findings in early 2021, we will continue to work across the health and care system to address the issue. The Adult Social Care Winter Plan reiterates that DNACPR decisions should only ever be made on an individual basis and should be led by the clinical team. All health professionals nationally are expected to follow the clear statements on the use of individual DNACPR orders.</p> answering member printed Lord Bethell question first answered 19/11/2020 12:35:47 answering member 4708 label Biography information for Lord Bethell
	tabling member	4533 label Biography information for Baroness Altmann

1246823

	registered interest
	date	27/10/2020
	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	Care Homes: Fees and Charges
	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 fees paid by privately funded residents in care homes, relative to the fees paid by local authority funded residents in the same homes in the past three years.
	tabling member printed	Baroness Altmann
	uin	HL9610
	answer	answer is ministerial correction date of answer 19/11/2020 answer text <p>Where individuals are not eligible for financial support, they make their own arrangements for care services and pay the fees. The fees are set out in a contract between the individual and the care provider.</p><p>We are committed to bringing forward a plan for social care to ensure that everyone is treated with dignity and respect and to find long term solutions for one of the biggest challenges we face as a society.</p> answering member printed Lord Bethell question first answered 19/11/2020 12:30:55 answering member 4708 label Biography information for Lord Bethell
	tabling member	4533 label Biography information for Baroness Altmann

1246775

	registered interest
	date	27/10/2020
	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	Care Homes: Fees and Charges
	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 fees paid by local authority commissioners to private care home providers in each area of the country; and whether the fees paid are sufficient to cover the costs of care provision.
	tabling member printed	Baroness Altmann
	uin	HL9609
	answer	answer is ministerial correction date of answer 19/11/2020 answer text <p>Local authorities have the autonomy and flexibility to determine the fee rates they pay care providers. Their decision on appropriate rates of care is based on local market conditions. The Department continues to support local authorities with their Care Act 2014 duties to ensure that their local market remains effective and able to meet people’s care needs.</p><p>We are committed to bringing forward a plan for social care to ensure that everyone is treated with dignity and respect and to find long term solutions for one of the biggest challenges we face as a society.</p> answering member printed Lord Bethell question first answered 19/11/2020 12:31:46 answering member 4708 label Biography information for Lord Bethell
	tabling member	4533 label Biography information for Baroness Altmann

1246774

	registered interest
	date	27/10/2020
	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	Care Homes: Coronavirus
	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 financial stability of care home providers in England and Wales in the light of any additional pressures arising as a result of the COVID-19 pandemic.
	tabling member printed	Baroness Altmann
	uin	HL9608
	answer	answer is ministerial correction date of answer 19/11/2020 answer text <p>We draw on a range of information to assess the financial position of the care sector in England. The <em>Adult Social Care – our COVID-19 Winter Plan 2020/21</em>, published on 18 September, underlines the Government’s commitment to support local authorities in England and the wider care sector, including care homes, to ensure that high quality, safe and timely care is provided to everyone who needs it. A copy of the Plan is attached.</p><p> </p><p>We recognise that COVID-19 is imposing significant pressures on the social care sector. We have now made £4.6 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care. The responsibility for adult social care in Wales is a devolved matter.</p> answering member printed Lord Bethell question first answered 19/11/2020 12:30:25 answering member 4708 label Biography information for Lord Bethell attachment 1 file name adult-social-care-winter-plan.pdf title Adult social care winter plan
	tabling member	4533 label Biography information for Baroness Altmann

1676097

	registered interest
	date	06/12/2023
	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	Osteoporosis: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they have taken to prioritise early detection of osteoporosis in older adults, especially women, and to enhance the timely diagnosis and treatment of people with osteoporosis, following ministerial commitments to do so.
	tabling member printed	Baroness Altmann
	uin	HL902
	answer	answer is ministerial correction date of answer 13/12/2023 answer text <p>On 24 January 2023, we announced our plan to publish the Major Conditions Strategy. The Strategy will focus on six major groups of conditions, including musculoskeletal (MSK) disorders such as osteoporosis.</p><p>We have now published our initial report ‘Major conditions strategy: case for change and our strategic framework’, which is available on GOV.UK in an online-only format. It sets out what we have learned so far, and shares what we plan to focus on next to develop the final strategy.</p><p>For MSK conditions, it sets out that we will look to aim to improve services where medical treatment is necessary. Together with NHS England, we will explore supporting the further provision of fracture liaison services. This could include identifying people at risk of further osteoporotic fragility fracture and implementing strategies to reduce the risk of future fracture, including falls, and mortality.</p> answering member printed Lord Markham question first answered 13/12/2023 12:35:34 answering member 4948 label Biography information for Lord Markham
	tabling member	4533 label Biography information for Baroness Altmann

1674983

	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: Death and Sick Leave
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what estimates they have made of the number of (1) deaths and (2) working days lost, each year that result from bone fractures among (a) women, and (b) men.
	tabling member printed	Baroness Altmann
	uin	HL792
	answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>We have made no estimate of the potential cost savings to the National Health Service, and to employers, in the next 20 years as a result of early detection and treatment of osteoporosis.</p><p>Information on the number of working days lost each year that result from bone fractures is not available. The Office for National Statistics (ONS) Sickness absence in the United Kingdom labour market publication is produced from data collected from the Labour Force Survey; however, this survey does not specifically ask the question of sick days taken due to fractures.</p><p>A document is attached with tables showing, firstly, the number of deaths where bone fractures were the secondary cause of death, by broad age group and sex, registered between 2014 and 2023 in England and Wales; and secondly, the number of deaths involving bone fractures, by broad age group and sex, registered between 2014 and 2023 in England and Wales.</p><p>Government will continue to consider options for further work to support those with osteoporosis and at risk of fractures, including working together with NHS England to explore supporting the provision of fracture liaison service.</p> answering member printed Lord Markham grouped question UIN HL791 question first answered 18/12/2023 17:39:04 answering member 4948 label Biography information for Lord Markham attachment 1 file name FORMATTED TABLES FOR MINISTERIAL CLEARANCE HL792 (3).xlsx title Attachment
	tabling member	4533 label Biography information for Baroness Altmann

1674982

	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	Osteoporosis: Diagnosis and Medical Treatments
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what estimate they have made of the potential cost savings to (1) the NHS, and (2) employers, in the next 20 years as a result of early detection and treatment of osteoporosis.
	tabling member printed	Baroness Altmann
	uin	HL791
	answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>We have made no estimate of the potential cost savings to the National Health Service, and to employers, in the next 20 years as a result of early detection and treatment of osteoporosis.</p><p>Information on the number of working days lost each year that result from bone fractures is not available. The Office for National Statistics (ONS) Sickness absence in the United Kingdom labour market publication is produced from data collected from the Labour Force Survey; however, this survey does not specifically ask the question of sick days taken due to fractures.</p><p>A document is attached with tables showing, firstly, the number of deaths where bone fractures were the secondary cause of death, by broad age group and sex, registered between 2014 and 2023 in England and Wales; and secondly, the number of deaths involving bone fractures, by broad age group and sex, registered between 2014 and 2023 in England and Wales.</p><p>Government will continue to consider options for further work to support those with osteoporosis and at risk of fractures, including working together with NHS England to explore supporting the provision of fracture liaison service.</p> answering member printed Lord Markham grouped question UIN HL792 question first answered 18/12/2023 17:39:04 answering member 4948 label Biography information for Lord Markham attachment 1 file name FORMATTED TABLES FOR MINISTERIAL CLEARANCE HL792 (3).xlsx title Attachment
	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