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967440

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the number of district nurses in England in community service organisations, such as NHS Community Healthcare Trusts, has reduced since 2010; and, if so, what measures they are taking to address any problems caused by such a reduction.
	tabling member printed	Baroness Cox
	uin	HL9937
	answer	answer is ministerial correction date of answer 18/09/2018 answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9938 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

967441

	registered interest
	date	04/09/2018
	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	Community Nurses
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what measures they are taking to ensure patient safety and wellbeing in the light of the expected reduction in funding for district nurse training in England from September 2019.
	tabling member printed	Baroness Cox
	uin	HL9938
	answer	answer is ministerial correction date of answer 18/09/2018 answer text <p>Community health care services are a crucial part of the health and social care system that allows patients to be cared for at the right time in the right place.</p><p>NHS Digital data shows a reduction in the number of full time equivalent district nurses in England from 7,546 in September 2010 to 4,587 in May 2018. These include staff working in hospital trusts and clinical commissioning groups, but not staff working in primary care or in general practitioner surgeries, local authorities or other providers. The number of district nurses in independent healthcare providers increased by 273, from September 2010 to September 2017. As a result of changes made in 2009 to the ways in which community services are provided – i.e. from a range of different types of provider – this does not represent the full picture and there will be a number of district nurses providing National Health Service services in organisations that do not provide a return to the Electronic Staff Records.</p><p>The training of new district nurses is important in maintaining a workforce that can deliver the needs of the population in the community. Health Education England has commissioned and funded the District Nursing Specialist Practice Qualification at a steady state over the last six years. These are based upon the requirements that local providers have informed Health Education England. However, year on year these commissions are not fully taken up and therefore Health Education England is working to better understand the reasons this may be.</p><p>Health Education England is now exploring the capacity and capability required of our community workforce to best meet the future needs of the population. Health Education England is evaluating the skills and knowledge required within the wider community workforce including district nurses. This has involved extensive engagement across England to understand how best to meet to needs of the local population, as well as develop a role that has a more desirable career pathway for prospective healthcare professionals. The Government is also supporting incentives for postgraduates who go on to work in community nursing roles, including ‘golden hellos’.</p><p>Patient safety remains a key priority for the Department and in 2017 we restated our commitment to the NHS being the “safest healthcare system in the world”. The Care Quality Commission (CQC) assesses all registered providers that deliver regulated activities against the Fundamental Standards, below which the standard of care must not fall. Staffing is one of the Standards, and the CQC inspections check that sufficient numbers of suitably qualified, competent, skilled and experienced staff are deployed within service providers. To this effect we would expect providers to continue to ensure patient safety in the community.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL9937 question first answered 18/09/2018 11:36:58 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3364 label Biography information for Baroness Cox

1609406

	registered interest
	date	30/03/2023
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Prisoners of War
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what representations they plan to make, if any, to the government of Azerbaijan for the immediate release of all Armenian Prisoners of War.
	tabling member printed	Baroness Cox
	uin	HL7060
	answer	answer is ministerial correction date of answer 17/04/2023 answer text <p>The UK Government welcomed the most recent return of prisoners of war in November 2022 and return of remains of the deceased in December 2022. The Minister for Europe, Leo Docherty MP, continues to urge both parties to settle all outstanding matters related to the conflict, noting that diplomacy remains the only way to secure stability and peace in the region. He did so most recently during his visit to Baku on 22 February and during a call on 18 January to Armenian Foreign Minister Mirzoyan. The UK Government continues to urge both parties to use existing channels, including talks facilitated by the EU and US, to settle all outstanding matters including the returns of prisoners of war and remains of the deceased and as such has no plans to request a United Nations fact-finding mission at this time.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL7061 question first answered 17/04/2023 13:21:34 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1609407

	registered interest
	date	30/03/2023
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Prisoners of War
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what plans they have, if any, to request that the UN send a fact-finding mission (1) to determine, and (2) to report on, the detention conditions of Armenian Prisoners of War in Azerbaijan.
	tabling member printed	Baroness Cox
	uin	HL7061
	answer	answer is ministerial correction date of answer 17/04/2023 answer text <p>The UK Government welcomed the most recent return of prisoners of war in November 2022 and return of remains of the deceased in December 2022. The Minister for Europe, Leo Docherty MP, continues to urge both parties to settle all outstanding matters related to the conflict, noting that diplomacy remains the only way to secure stability and peace in the region. He did so most recently during his visit to Baku on 22 February and during a call on 18 January to Armenian Foreign Minister Mirzoyan. The UK Government continues to urge both parties to use existing channels, including talks facilitated by the EU and US, to settle all outstanding matters including the returns of prisoners of war and remains of the deceased and as such has no plans to request a United Nations fact-finding mission at this time.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL7060 question first answered 17/04/2023 13:21:34 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1226083

	registered interest
	date	17/07/2020
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Armenia: Violence
	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 outbreak of violence in Tavush, north-eastern Armenia; what discussions they have had with the government of Azerbaijan about that violence; and what steps they have taken to support the government of Armenia in relation to this violence.
	tabling member printed	Baroness Cox
	uin	HL6967
	answer	answer is ministerial correction date of answer 29/07/2020 answer text <p>The Government is deeply concerned by the recent ceasefire violations on the international border between Armenia and Azerbaijan and regrets the loss of life. We continue to monitor the situation closely. The Government supports the negotiations facilitated by the Co-Chairs of the OSCE Minsk Group aimed at securing a peaceful settlement to the Nagorno-Karabakh conflict. The Foreign and Commonwealth Office statement of 14 July called for both sides to respect the ceasefire, engage in dialogue and refrain from rhetoric that could increase tensions. In our conversations with both governments we will continue to stress the need for a return to substantive talks and the importance of building confidence in the peacebuilding process.</p> answering member printed Baroness Sugg grouped question UIN HL6968 question first answered 29/07/2020 13:24:41 answering member 4584 label Biography information for Baroness Sugg
	tabling member	3364 label Biography information for Baroness Cox

1226084

	registered interest
	date	17/07/2020
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Azerbaijan: Demonstrations
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of recent pro-war demonstrations held in Baku, Azerbaijan; and what steps they have taken to promote de-escalation of tensions.
	tabling member printed	Baroness Cox
	uin	HL6968
	answer	answer is ministerial correction date of answer 29/07/2020 answer text <p>The Government is deeply concerned by the recent ceasefire violations on the international border between Armenia and Azerbaijan and regrets the loss of life. We continue to monitor the situation closely. The Government supports the negotiations facilitated by the Co-Chairs of the OSCE Minsk Group aimed at securing a peaceful settlement to the Nagorno-Karabakh conflict. The Foreign and Commonwealth Office statement of 14 July called for both sides to respect the ceasefire, engage in dialogue and refrain from rhetoric that could increase tensions. In our conversations with both governments we will continue to stress the need for a return to substantive talks and the importance of building confidence in the peacebuilding process.</p> answering member printed Baroness Sugg grouped question UIN HL6967 question first answered 29/07/2020 13:24:41 answering member 4584 label Biography information for Baroness Sugg
	tabling member	3364 label Biography information for Baroness Cox

1440244

	registered interest
	date	11/03/2022
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Azerbaijan
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what representations they have made to the government of Armenia about providing additional (1) security protection, and (2) humanitarian assistance, to Armenian villages at risk of attack of the Armenia-Azerbaijan border.
	tabling member printed	Baroness Cox
	uin	HL6909
	answer	answer is ministerial correction date of answer 25/03/2022 answer text <p>The UK Government is monitoring ongoing tensions in the region. At this time, there are no plans to provide assistance in addition to that which the UK already provides to the region. We continue to encourage the parties to engage in meaningful dialogue to resolve all matters related to the conflict.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL6910 question first answered 25/03/2022 14:31:15 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1440245

	registered interest
	date	11/03/2022
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Nagorno Karabakh
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what discussions they have had with the government of Armenia regarding works to restore the gas pipeline to Nagorno-Karabakh.
	tabling member printed	Baroness Cox
	uin	HL6910
	answer	answer is ministerial correction date of answer 25/03/2022 answer text <p>The UK Government is monitoring ongoing tensions in the region. At this time, there are no plans to provide assistance in addition to that which the UK already provides to the region. We continue to encourage the parties to engage in meaningful dialogue to resolve all matters related to the conflict.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL6909 question first answered 25/03/2022 14:31:15 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1404680

	registered interest
	date	19/01/2022
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Azerbaijan
	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 Goldsmith of Richmond Park on 17 January (HL5229), what further representations they will make to the government of Azerbaijan "to settle all outstanding matters including the peaceful negotiation of their borders" following reports of (1) three Azerbaijani attacks on Armenian civilians in Nagorno Karabakh, the Gegharkunik province and the Stepanakert-Shushi road, and (2) Azerbaijani forces firing on the Armenian position in the eastern part of the line of contact.
	tabling member printed	Baroness Cox
	uin	HL5534
	answer	answer is ministerial correction date of answer 02/02/2022 answer text <p>The UK Government, including through the British Embassies in Baku and Yerevan, and our delegation to the Organization for Security and Co-operation in Europe (OSCE), continues to highlight our concern over the ongoing tensions on the border between Armenia and Azerbaijan. We are monitoring the situation closely and will continue to reiterate the importance of regional stability and security in our contacts with partners in the region. In his future engagements with representatives of the Armenian and Azerbaijani governments, the Minister for Europe will underline UK concerns and urge the parties to engage substantively, without preconditions, with the OSCE Minsk Group Co-Chairs to find a sustainable, peaceful settlement to the conflict.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL5535 question first answered 02/02/2022 17:21:29 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox

1404681

	registered interest
	date	19/01/2022
	answering body	Foreign, Commonwealth and Development Office
	answering dept id	208
	answering dept short name	Foreign, Commonwealth and Development Office
	answering dept sort name	Foreign, Commonwealth and Development Office
	hansard heading	Armenia: Azerbaijan
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what representations they have made to the government of Azerbaijan concerning possible violations of the Nagorno-Karabakh Ceasefire Agreement, including reports of Azerbaijani military attacks on Armenian civilians on 2, 8, 10, and 11 January.
	tabling member printed	Baroness Cox
	uin	HL5535
	answer	answer is ministerial correction date of answer 02/02/2022 answer text <p>The UK Government, including through the British Embassies in Baku and Yerevan, and our delegation to the Organization for Security and Co-operation in Europe (OSCE), continues to highlight our concern over the ongoing tensions on the border between Armenia and Azerbaijan. We are monitoring the situation closely and will continue to reiterate the importance of regional stability and security in our contacts with partners in the region. In his future engagements with representatives of the Armenian and Azerbaijani governments, the Minister for Europe will underline UK concerns and urge the parties to engage substantively, without preconditions, with the OSCE Minsk Group Co-Chairs to find a sustainable, peaceful settlement to the conflict.</p> answering member printed Lord Ahmad of Wimbledon grouped question UIN HL5534 question first answered 02/02/2022 17:21:29 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
	tabling member	3364 label Biography information for Baroness Cox