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1176656

	registered interest
	date	21/01/2020
	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: Clinical Trials
	house id	2
	legislature	25277 pref label House of Lords
	question text	Her Majesty's Government what plans they have to offer patients with incurable cancers fast-track access to clinical trials of the T-cell cancer therapy, recently discovered by Cardiff University.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL660
	answer	answer is ministerial correction date of answer 30/01/2020 answer text <p>The discovery by Cardiff University is a potentially exciting scientific advance. However, further research, validation and testing in the laboratory is needed before any treatment based on this discovery can be tested in patients through clinical trials.</p> answering member printed Baroness Blackwood of North Oxford question first answered 30/01/2020 15:45:55 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1136781

	registered interest
	date	03/07/2019
	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	Academic Health Science Networks
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government by what process, during the current development of policy options for Academic Health Science Centres (AHSC), potential new AHSCs can be considered in areas of England currently unrepresented by existing AHSCs.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL16931
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>The Department-designated Academic Health Science Centres (AHSCs) along with the Academic Health Science Networks (AHSNs) and the National Institute for Health Research (NIHR) Applied Research Collaborations (ARCs) are all important components of the country’s health research and innovation ecosystem.</p><p>The six current Department-designated AHSCs were made on the basis of an open competition, which was open to eligible National Health Service and University partnerships across England. The recommendations for designation were made to the Department by an international independent panel.</p><p>The remit of the Accelerated Access Collaborative (AAC) has recently been expanded to become the umbrella body across the United Kingdom health innovation eco-system. The AAC has been asked to consider the role of new AHSCs within the health system and to ensure that they complement the innovation landscape, rather than add further complexity to it.</p><p>It is not possible to provide specific details of the scope and nature of the new designation process at this stage given that the AAC is currently actively considering this. However, it is expected that the future designation process would be open to all NHS and University partnerships across England which meet the published specification to apply, including partnerships in areas of England where there is currently no Departmental-AHSC. As with the previous AHSC designation process, any future process will be run via a full and open competition, assessed by an independent expert panel. Rigorous conflict of interest policies will also be in place throughout the process for all involved to ensure any potential conflicts are dealt with appropriately.</p><p>The existing Departmental-AHSC designation will be extended until the end of March 2020 to enable a new designation process to be undertaken. The Department’s expectation is that AHSCs will play an increasingly important role in the health innovation and research landscape over the coming years.</p><p>As currently, the success of any newly designated AHSCs will require close interplay and cooperation between research infrastructure, including NIHR Biomedical Research Centres (BRCs) and the NIHR ARCs, and with the AHSNs and wider innovation landscape.</p><p>As part of annual monitoring of the existing Department-designated AHSCs, examples of innovations arising from them have been reported to have been made available to patients in the NHS. These include:</p><p>- The King’s Health Partners Heart Failure Service, which brings together clinical, research and educational expertise to deliver world class heart care in south London, helping people with heart failure live longer and with better quality of life;</p><p>- University College London Partners AHSC adoption of a Learning Health System to standardise data entry and allowing the widespread trialling of novel tools to detect atrial fibrillation early;</p><p>- The Manchester AHSC working with partners to align research around core health and social care priorities; and supporting the roll out of a single blood test driven decision-aid for patients presenting with chest pain at local emergency departments; and</p><p>- The roll out of the innovative Sleepio app by the Oxford AHSN to support those suffering from insomnia across Oxfordshire, Berkshire and Buckinghamshire.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16932 HL16934 question first answered 17/07/2019 16:29:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1172438

	registered interest
	date	21/01/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) registered nurses, (2) registered midwives, left the Nursing and Midwifery Council Register in 2018–19.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL662
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives who joined the Nursing and Midwifery Council Register for the first time in 2018-19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p><strong> </strong>28,020</p></td><td><p>489</p></td><td><p>2,114</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses and registered midwives who left the Nursing and Midwifery Council Register in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered midwives</p></td><td><p>Dual qualified nurse/midwives</p></td></tr><tr><td><p>27,194</p></td><td><p>1,587</p></td><td><p>351</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives whose initial registration was in other European Union countries, who joined the Nursing and Midwifery Council register for the first time in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p>915</p></td><td><p>0</p></td><td><p>53</p></td></tr></tbody></table><p> </p><p>All figures are based on the 12 month period 1 April 2018 to 31 March 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL661 HL663 question first answered 29/01/2020 17:12:44 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1175420

	registered interest
	date	30/01/2020
	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	Health Professions
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) registered nurses, (2) registered nursing associates, and (3) registered midwives, are on the Nursing and Midwifery Council Register (a) in total, and (b) whose initial registration was in another European Union country.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL1234
	answer	answer is ministerial correction date of answer 11/02/2020 answer text <p>The following table shows the current number of registered nurses, registered nursing associates, and registered midwives on the Nursing and Midwifery Council (NMC) Register.</p><p><strong> </strong></p><table><tbody><tr><td><p>Midwife</p></td><td><p>36,916</p></td></tr><tr><td><p>Nurse</p></td><td><p>653,544</p></td></tr><tr><td><p>Nurse and midwife (dual registration)</p></td><td><p>7,288</p></td></tr><tr><td><p>Nursing associate</p></td><td><p>489</p></td></tr><tr><td><p>Total</p></td><td><p>698,237</p></td></tr></tbody></table><p><strong> </strong></p><p> </p><p>The following table shows the current number of registered nurses, registered nursing associates, and registered midwives currently on NMC Register whose initial registration was in other European Union countries.</p><p><strong> </strong></p><table><tbody><tr><td><p>Midwife</p></td><td><p>1,217</p></td></tr><tr><td><p>Nurse</p></td><td><p>31,379</p></td></tr><tr><td><p>Nurse and midwife (dual registration)</p></td><td><p>439</p></td></tr><tr><td><p>Nursing associate</p></td><td><p>0</p></td></tr><tr><td><p>Total</p></td><td><p>33,035</p></td></tr></tbody></table><p> </p><p>All figures are as recorded on the NMC register on 4 February 2020.</p> answering member printed Baroness Blackwood of North Oxford question first answered 11/02/2020 14:49:17 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1172439

	registered interest
	date	21/01/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) registered nurses, (2) registered nursing associates, and (3) registered midwives, who were previously residents of other EU countries, joined the Nursing and Midwifery Council register in 2018–19.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL663
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives who joined the Nursing and Midwifery Council Register for the first time in 2018-19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p><strong> </strong>28,020</p></td><td><p>489</p></td><td><p>2,114</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses and registered midwives who left the Nursing and Midwifery Council Register in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered midwives</p></td><td><p>Dual qualified nurse/midwives</p></td></tr><tr><td><p>27,194</p></td><td><p>1,587</p></td><td><p>351</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives whose initial registration was in other European Union countries, who joined the Nursing and Midwifery Council register for the first time in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p>915</p></td><td><p>0</p></td><td><p>53</p></td></tr></tbody></table><p> </p><p>All figures are based on the 12 month period 1 April 2018 to 31 March 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL661 HL662 question first answered 29/01/2020 17:12:44 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1172437

	registered interest
	date	21/01/2020
	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
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) registered nurses, (2) registered nursing associates, and (3) registered midwives, joined the Nursing and Midwifery Council Register in 2018-2019.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL661
	answer	answer is ministerial correction date of answer 29/01/2020 answer text <p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives who joined the Nursing and Midwifery Council Register for the first time in 2018-19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p><strong> </strong>28,020</p></td><td><p>489</p></td><td><p>2,114</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses and registered midwives who left the Nursing and Midwifery Council Register in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered midwives</p></td><td><p>Dual qualified nurse/midwives</p></td></tr><tr><td><p>27,194</p></td><td><p>1,587</p></td><td><p>351</p></td></tr></tbody></table><p> </p><p>The following table shows the number of registered nurses, registered nursing associates, and registered midwives whose initial registration was in other European Union countries, who joined the Nursing and Midwifery Council register for the first time in 2018–19.</p><p> </p><table><tbody><tr><td><p>Registered nurses</p></td><td><p>Registered nursing associates</p></td><td><p>Registered midwives</p></td></tr><tr><td><p>915</p></td><td><p>0</p></td><td><p>53</p></td></tr></tbody></table><p> </p><p>All figures are based on the 12 month period 1 April 2018 to 31 March 2019.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL662 HL663 question first answered 29/01/2020 17:12:44 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1175419

	registered interest
	date	30/01/2020
	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	Health Professions: Migrant Workers
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many (1) registered nurses, and (2) registered midwives, left the Nursing and Midwifery Council Register in 2018–19 to return to other EU or non-EU countries.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL1233
	answer	answer is ministerial correction date of answer 12/02/2020 answer text <p>The Department does not hold information on the number of registrants who have left the Nursing and Midwifery Council (NMC) register and also departed from the United Kingdom.</p> answering member printed Baroness Blackwood of North Oxford question first answered 12/02/2020 17:38:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1141958

	registered interest
	date	24/07/2019
	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	Pertuzumab
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what advice they provide to clinicians for the use of Pertuzumab rather than Herceptin for the treatment of HER2+ breast cancer.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL17502
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for making recommendations for the National Health Service on whether drugs and other treatments represent a clinically and cost effective use of NHS resources.</p><p>NICE has recommended the following drugs for the treatment of HER2-positive breast cancer: trastuzumab emtansine (Kadcyla) for treating HER2-positive advanced breast cancer after trastuzumab (Herceptin) and a taxane; pertuzumab (Perjeta) with trastuzumab (Herceptin) and docetaxel for treating HER2-positive breast cancer; pertuzumab (Perjeta) for the neoadjuvant treatment of HER2-positive breast cancer; and pertuzumab (Perjeta) for adjuvant treatment of HER2-positive early stage breast cancer.</p><p>NHS commissioners are legally required to fund drugs recommended in NICE technology appraisal guidance. It is for clinicians to decide on the most appropriate treatment for an individual patient based on their clinical judgement and in discussion with the patient.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17501 question first answered 25/07/2019 16:45:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1141957

	registered interest
	date	24/07/2019
	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	Breast Cancer: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what are the drugs approved by NICE to treat HER2+ breast cancer; and what assessment they have made of the efficacy of such drugs.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL17501
	answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is the independent body responsible for making recommendations for the National Health Service on whether drugs and other treatments represent a clinically and cost effective use of NHS resources.</p><p>NICE has recommended the following drugs for the treatment of HER2-positive breast cancer: trastuzumab emtansine (Kadcyla) for treating HER2-positive advanced breast cancer after trastuzumab (Herceptin) and a taxane; pertuzumab (Perjeta) with trastuzumab (Herceptin) and docetaxel for treating HER2-positive breast cancer; pertuzumab (Perjeta) for the neoadjuvant treatment of HER2-positive breast cancer; and pertuzumab (Perjeta) for adjuvant treatment of HER2-positive early stage breast cancer.</p><p>NHS commissioners are legally required to fund drugs recommended in NICE technology appraisal guidance. It is for clinicians to decide on the most appropriate treatment for an individual patient based on their clinical judgement and in discussion with the patient.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL17502 question first answered 25/07/2019 16:45:03 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough

1136784

	registered interest
	date	03/07/2019
	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	Academic Health Science Networks
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what assessment they have made of whether the innovations arising from the current phase of Academic Health Science Centres are being made available to patients throughout the NHS.
	tabling member printed	Lord Willis of Knaresborough
	uin	HL16934
	answer	answer is ministerial correction date of answer 17/07/2019 answer text <p>The Department-designated Academic Health Science Centres (AHSCs) along with the Academic Health Science Networks (AHSNs) and the National Institute for Health Research (NIHR) Applied Research Collaborations (ARCs) are all important components of the country’s health research and innovation ecosystem.</p><p>The six current Department-designated AHSCs were made on the basis of an open competition, which was open to eligible National Health Service and University partnerships across England. The recommendations for designation were made to the Department by an international independent panel.</p><p>The remit of the Accelerated Access Collaborative (AAC) has recently been expanded to become the umbrella body across the United Kingdom health innovation eco-system. The AAC has been asked to consider the role of new AHSCs within the health system and to ensure that they complement the innovation landscape, rather than add further complexity to it.</p><p>It is not possible to provide specific details of the scope and nature of the new designation process at this stage given that the AAC is currently actively considering this. However, it is expected that the future designation process would be open to all NHS and University partnerships across England which meet the published specification to apply, including partnerships in areas of England where there is currently no Departmental-AHSC. As with the previous AHSC designation process, any future process will be run via a full and open competition, assessed by an independent expert panel. Rigorous conflict of interest policies will also be in place throughout the process for all involved to ensure any potential conflicts are dealt with appropriately.</p><p>The existing Departmental-AHSC designation will be extended until the end of March 2020 to enable a new designation process to be undertaken. The Department’s expectation is that AHSCs will play an increasingly important role in the health innovation and research landscape over the coming years.</p><p>As currently, the success of any newly designated AHSCs will require close interplay and cooperation between research infrastructure, including NIHR Biomedical Research Centres (BRCs) and the NIHR ARCs, and with the AHSNs and wider innovation landscape.</p><p>As part of annual monitoring of the existing Department-designated AHSCs, examples of innovations arising from them have been reported to have been made available to patients in the NHS. These include:</p><p>- The King’s Health Partners Heart Failure Service, which brings together clinical, research and educational expertise to deliver world class heart care in south London, helping people with heart failure live longer and with better quality of life;</p><p>- University College London Partners AHSC adoption of a Learning Health System to standardise data entry and allowing the widespread trialling of novel tools to detect atrial fibrillation early;</p><p>- The Manchester AHSC working with partners to align research around core health and social care priorities; and supporting the roll out of a single blood test driven decision-aid for patients presenting with chest pain at local emergency departments; and</p><p>- The roll out of the innovative Sleepio app by the Oxford AHSN to support those suffering from insomnia across Oxfordshire, Berkshire and Buckinghamshire.</p> answering member printed Baroness Blackwood of North Oxford grouped question UIN HL16931 HL16932 question first answered 17/07/2019 16:29:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4151 label Biography information for Lord Willis of Knaresborough