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1724790

registered interest
date	30/07/2024
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	Refugee Convention
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they are discussing with other countries amendments to the 1951 Refugee Convention to take into account the changed world circumstances.
tabling member printed	Lord Empey
uin	HL498
answer	answer is ministerial correction date of answer 09/08/2024 answer text <p>The Government is not discussing amendments to the Refugee Convention with other countries.</p> answering member printed Lord Collins of Highbury question first answered 09/08/2024 11:30:11 answering member 4222 label Biography information for Lord Collins of Highbury
tabling member	4216 label Biography information for Lord Empey

1672481

registered interest
date	22/11/2023
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	Cholera
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of the cholera outbreak reported by the United Nations as affecting 27 localities across seven states with 78 associated deaths, with more than 3 million people estimated to be at risk by the end of the year.
tabling member printed	Lord Alton of Liverpool
uin	HL498
answer	answer is ministerial correction date of answer 06/12/2023 answer text <p>Due to the ongoing conflict, Sudan continues to grapple with mass displacement, disease outbreaks and malnutrition. The health system has been overwhelmed by attacks on health facilities and the scarcity of medical supplies, equipment, health workers and operational funds. The World Health Organization (WHO) is supporting Sudan with cholera treatments (including antibiotics, oral rehydration solution, intravenous fluids and rapid diagnostic tests), in addition to providing direct support to cholera isolation centres. The UK is funding Water, Sanitation and Hygiene (WASH) and health activities in Sudan via the Sudan Humanitarian Fund, UNICEF, and the International Committee of the Red Cross (ICRC). With support from WHO and health partners, the Ministry of Health is coordinating efforts (in areas of the country that are still accessible) to scale up access to clean water and sanitation facilities, as well as ensuring affected and at-risk communities are aware of transmission risks and proper hygiene practices to reduce contamination risks and prevent further spread of the outbreak. We are supporting the Global Outbreak Alert and Response Network (WHO), and will deploy a Senior Epidemiologist to assist with coordination efforts to bolster the national response. We will continue to monitor the situation closely.</p> answering member printed Lord Ahmad of Wimbledon question first answered 06/12/2023 17:36:05 answering member 4210 label Biography information for Lord Ahmad of Wimbledon
tabling member	738 label Biography information for Lord Alton of Liverpool

1465616

registered interest
date	24/05/2022
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: Medical Treatments
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what data outcomes are being collected by the COVID-19 Medicines Delivery Unit following the administration of (1) anti-virals, and (2) Sotrovimab, to COVID-positive patients; and when this data will be published.
tabling member printed	Lord Mendelsohn
uin	HL498
answer	answer is ministerial correction date of answer 23/06/2022 answer text <p>NHS England and NHS Improvement collect information from COVID Medicine Delivery Units (CMDUs) on COVID-19 treatments prescribed and administered. This data includes the number of eligible non-hospitalised patients receiving an antiviral or neutralising monoclonal antibody treatment through a CMDU and the number of eligible hospitalised patients treated with an antiviral, neutralising monoclonal antibody, interleukin-6 inhibitor or JAK inhibitor. This information is published on weekly basis in an online only format and excludes treatments administered as part of clinical trials, such as the PANORAMIC or RECOVERY studies.</p><p>In addition, a number of independent studies are analysing data on outcomes for treated and untreated patients. While NHS England and NHS Improvement continue to work with the research community to understand this observational data and understand the impact of treatments on outcomes, these studies are conducted independently of the NHS and therefore information on potential publication dates is not held.</p><p> </p> answering member printed Lord Kamall question first answered 23/06/2022 12:47:31 answering member 4909 label Biography information for Lord Kamall
tabling member	4286 label Biography information for Lord Mendelsohn

1327209

registered interest
date	24/05/2021
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	Pain
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how they will ensure that those seeking support for managing pain are offered a choice of options through the NHS including mindfulness-based therapies, to reduce the proportion of treatments that rely on medication and the risk of overprescribing.
tabling member printed	Baroness Healy of Primrose Hill
uin	HL498
answer	answer is ministerial correction date of answer 21/06/2021 answer text <p>The National Institute for Health and Care Excellence’s (NICE) guideline, <em>Chronic pain (primary and secondary) in over 16s: assessment of all chronic pain and management of chronic primary pain</em>, published in April 2021, recommends a range of pharmacological and non-pharmacological treatment options for pain management. NICE found there was insufficient evidence on mindfulness to recommend it as an option for pain management within this guideline. However, it made recommendations for research on mindfulness to inform future guidance. A copy of NICE’s guideline is attached.</p><p>The National Health Service is also taking a holistic approach to supporting people’s health and wellbeing by expanding its social prescribing services. This enables general practitioners to refer people to community groups and agencies for practical, emotional and social support, for example when managing pain.</p> answering member printed Lord Bethell question first answered 21/06/2021 11:10:11 answering member 4708 label Biography information for Lord Bethell attachment 1 file name NICE Chronic Pain Guidance (1).pdf title NICE Guideline
tabling member	4179 label Biography information for Baroness Healy of Primrose Hill

1171527

registered interest
date	16/01/2020
answering body	Department for Business, Energy and Industrial Strategy
answering dept id	201
answering dept short name	Business, Energy and Industrial Strategy
answering dept sort name	Business, Energy and Industrial Strategy
hansard heading	Care Workers: Pay
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 Henley on 11 April 2019 (HL15230), how many agencies employing careworkers are paying the costs of such workers for their travel between clients; and what steps they take to ensure that care agencies pay staff appropriate renumeration for any time spent travelling between appointments.
tabling member printed	Baroness Gardner of Parkes
uin	HL498
answer	answer is ministerial correction date of answer 27/01/2020 answer text <p>The law is clear that for care workers, and other workers, time spent travelling between assignments counts as time worked for National Minimum Wage and National Living Wage (NMW) purposes. Furthermore, the Government issued statutory guidance supporting the implementation of the Care Act which specifies; “<em>Remuneration must be at least sufficient to comply with the NMW legislation for hourly pay or equivalent salary. This will include appropriate remuneration for any time spent travelling between appointments.”</em></p><p> </p><p>The Government has more than doubled the NMW compliance and enforcement budget to £27.4 million for 2019/20, up from £13.2 million in 2015/16. HMRC utilise those resources to follow up on every worker complaint received and to undertake proactive investigations. Last year (2018/19), HMRC identified over £6 million in minimum wage arrears within the Human Health and Social Work sector, owed to over 27,000 workers. This includes, but is not limited to, arrears relating to travel time.</p><p> </p><p>Workers can call the ACAS helpline for free, confidential advice about their rights and entitlements. If they want to make a complaint through HMRC, they can do so in complete confidence, either via ACAS or using the online complaints form on GOV.UK. HMRC will protect their anonymity throughout the investigation.</p><p> </p> answering member printed Lord Duncan of Springbank question first answered 27/01/2020 14:41:01 answering member 4686 label Biography information for Lord Duncan of Springbank
tabling member	3596 label Biography information for Baroness Gardner of Parkes

1167230

registered interest
date	29/10/2019
answering body	Department for Business, Energy and Industrial Strategy
answering dept id	201
answering dept short name	Business, Energy and Industrial Strategy
answering dept sort name	Business, Energy and Industrial Strategy
hansard heading	Thomas Cook: Insolvency
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking, if any, to protect Thomas Cook's suppliers from the financial impact of that company's collapse.
tabling member printed	Baroness Doocey
uin	HL498
answer	answer is ministerial correction date of answer 05/11/2019 answer text <p>My rt. hon. Friend the Secretary of State for Business, Energy and Industrial Strategy has convened a special cross-government taskforce alongside local stakeholders to support employees, local stakeholders and supply chains. The taskforce is considering existing support schemes available and will also monitor local business impacts.</p><p> </p><p>Local partners are able to advise on support available to suppliers affected by Thomas Cook going insolvent.</p> answering member printed Lord Duncan of Springbank question first answered 05/11/2019 14:36:54 answering member 4686 label Biography information for Lord Duncan of Springbank
tabling member	4197 label Biography information for Baroness Doocey

748835

registered interest
date	05/07/2017
answering body	Home Office
answering dept id	1
answering dept short name	Home Office
answering dept sort name	Home Office
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government how many incidents of the shooting of cats by airguns were reported to the police in (1) 2015, and (2) 2016; and how many of those incidents related to fatal shootings.
tabling member printed	Lord Black of Brentwood
uin	HL498
answer	answer is ministerial correction date of answer 14/07/2017 answer text <p>The Home Office holds information on the number of offences recorded by the police that involved an air gun. The shooting of cats by an air gun cannot be separately identified within this information.</p> answering member printed Baroness Williams of Trafford question first answered 14/07/2017 13:58:01 answering member 4311 label Biography information for Baroness Williams of Trafford
tabling member	4171 label Biography information for Lord Black of Brentwood

523683

registered interest
date	07/06/2016
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	Airguns
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether they have raised the recent murder of Khurram Zaki, and his campaign work, with the government of Pakistan.
tabling member printed	Lord Alton of Liverpool
uin	HL498
answer	answer is ministerial correction date of answer 16/06/2016 answer text <p>We condemn the murder of Khurram Zaki in Karachi on 7 May. As a journalist and human rights activist, Khurram Zaki campaigned against sectarian violence and religious extremism in Pakistan. His murder is a sad reminder of the hostile climate in which Pakistani campaigners and journalists operate.</p><p> </p><p>Under its National Action Plan, the Government of Pakistan is taking steps to improve security by tackling terrorist and extremist elements. We continue to urge Pakistan to honour in practice all its human rights obligations and uphold the rule of law. During his visit to Pakistan in March, the Foreign Secretary, my Rt Hon. Friend the Member for Runnymede and Weybridge (Mr Hammond), raised the importance we attach to safeguarding the rights of all Pakistan citizens regardless of ethnicity, faith or political views.</p> answering member printed Baroness Anelay of St Johns question first answered 16/06/2016 14:34:12 answering member 3474 label Biography information for Baroness Anelay of St Johns
tabling member	738 label Biography information for Lord Alton of Liverpool

381050

registered interest
date	15/06/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Multiple Births
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the Care Quality Commission’s new maternity inspection framework and NHS England’s new maternity commissioning guidance will explicitly refer to the need to demonstrate how providers are actively working to reduce the much higher risks of still birth, neonatal death and clinical negligence claims among multiple pregnancies.
tabling member printed	Lord Jones of Cheltenham
uin	HL498
answer	answer is ministerial correction date of answer 25/06/2015 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England and has supplied the following information:</p><p> </p><p> </p><p> </p><p>The current version of CQC’s core service framework does not refer explicitly to multiple births. CQC is currently reviewing the framework and they are working with organisations such as the Twins and Multiple Births Association to determine how best to ensure their new framework takes account of the risks associated with multiple births. As part of the existing inspection framework CQC expects maternity services to have due regard to existing advice and guidance, such as NICE Quality Standard 46 which refers specifically to multiple births and risk assessments. Going forward the CQC will expect trusts to provide evidence of their compliance with these recommendations.</p><p> </p><p> </p><p> </p><p>NHS England has informed us that its new maternity commissioning guidance will explicitly refer to the need to demonstrate how providers are actively working to reduce the much higher risks of still birth, neonatal death and clinical negligence claims among multiple pregnancies and how it will achieve this.</p><p> </p><p> </p><p> </p><p>The Department together with the parent’s support and campaigning organisation Stillbirth and Neonatal Death Charity (Sands) and a number of key organisations including NHS England, Public Health England, the Royal College of Midwives and the Royal College of Obstetricians and Gynaecologists are working on an on-going stillbirth prevention work programme. This work identifies key messages which can be used to raise awareness among both pregnant women and health professionals of the risk factors for stillbirths and the actions that can be taken to minimise these risks.</p><p> </p><p> </p><p> </p><p>The new maternity commissioning guidance will make reference to stillbirth prevention work and will focus on identifying the evidence based interventions which impact on reducing stillbirths and early neonatal death.</p><p> </p><p> </p><p> </p><p>NHS England has been working with many stakeholders on collating a package of interventions and best practice models to reduce stillbirths which will result in recommendations for clinical practice and are likely to be included in future commissioning specifications for maternity. The NHS England – led “Saving Babies’ Lives” Care Bundle brings together a number of elements likely to impact on still birth rates including:</p><p> </p><p> </p><p> </p><p>- reducing smoking in pregnancy by carrying out Carbon Monoxide test at antenatal booking appointment to identify smokers (or those exposed to tobacco smoke) and referring to stop smoking service/specialist as appropriate;</p><p> </p><p>- identification and surveillance of pregnancies with fetal growth restriction;</p><p> </p><p>- raising awareness amongst pregnant women of the importance of detecting and reporting reduced fetal movement; and</p><p> </p><p>- effective fetal monitoring during labour.</p><p> </p><p> </p><p> </p><p>The commissioning guidance will refer to sufficient provision of resource to support appropriate levels of these types of surveillance within the clinical practice environment.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 25/06/2015 13:26:22 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	248 label Biography information for Lord Jones of Cheltenham

62818

registered interest
date	19/06/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Human Rights
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when they will make available to Parliament their assessment of the impact of the stronger regulatory powers available to the Care Quality Commission since 2008 on the provision of more human-rights compatible care to all service users, including the evidence on which that assessment is based, as recommended by the Joint Committee on Human Rights in its report Legislative Scrutiny: Care Bill (11th Report, Session 2013–14, HL Paper 121).
tabling member printed	Lord Low of Dalston
uin	HL498
answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>The Care Quality Commission (CQC) is the independent regulator of health and adult social care providers in England. Under the Health and Social Care Act 2008 (2008 Act) all providers of regulated activities have to register with the CQC and meet a set of requirements of safety and quality. As the CQC is a public authority it has a legal obligation in relation to protecting, respecting and fulfilling people's rights under the Human Rights Act 1998 (1998 Act).</p><p>If a provider fails to meet these requirements the CQC has a wide range of enforcement powers that it can use to protect patients and service users from the risk of poor care.</p><p>The CQC has advised that it has taken the following published enforcement action during the financial year 2013-14.</p><p>- The CQC undertook two urgent cancellations of providers' registration;</p><p>- The CQC undertook 53 cancellations of providers' registration;</p><p>- The CQC imposed a condition on a provider on 45 occasions;</p><p>- The CQC varied a provider's condition of registration on 13 occasions;</p><p>- The CQC undertook an urgent variation of a provider's conditions of registration on 13 occasions;</p><p>- The CQC imposed 1,269 warning notices on providers and 18,408 compliance actions on providers; and</p><p>- The CQC issued over 500 fixed penalty notices.</p><p> </p><p>The CQC monitors and inspects health and social care providers under regulations which stipulate that providers must deliver care and treatment to people with due regard to their age, sex, religion, sexual orientation, race, cultural and linguistic background and disability (Regulation 17).</p><p> </p><p>Where services do not meet standards for Regulation 17, the CQC sets compliance actions and monitors whether providers have taken action to meet the standard. If they have not, the CQC may take enforcement action. Between 1 October 2012 and 30 September 2013, the CQC found 48 services did not comply with Regulation 17, leading to enforcement action. This enforcement action is set out in the following table.</p><p> </p><p>Enforcement action around Regulation 17 in 2012-13</p><table><tbody><tr><td><p>Acute hospitals</p></td><td><p>1</p></td></tr><tr><td><p>Mental health hospitals/hospitals for</p><p>people with a learning disability</p></td><td><p>2</p></td></tr><tr><td><p>General practitioners</p></td><td><p>0</p></td></tr><tr><td><p>Dentists</p></td><td><p>2</p></td></tr><tr><td><p>Care homes</p></td><td><p>36</p></td></tr><tr><td><p>Home care agencies</p></td><td><p>3</p></td></tr><tr><td><p>Other social care services</p></td><td><p>4</p></td></tr><tr><td><p>Total</p></td><td><p>48</p></td></tr></tbody></table><p> </p><p>The CQC's consultation <em>‘A New Start'</em>, in June 2013 on how it regulates, inspects and rates services included a section on how Human Rights would be protected by changes to its regulatory model. To accompany the consultation, the CQC produced a draft document entitled, ‘Equality and Human Rights Duties Impact Analysis (decision making and policies)', to give more detail about the impact of the proposed changes on equality and human rights and how they would promote equality and human rights for people who use health and social care services.</p><p> </p><p>The CQC also consulted on its approach to human rights as part of a broader consultation on changes to regulation of care services. The CQC explained its proposed strategy for delivering on its commitment to promote equality, diversity and human rights in its regulatory work; to provide detail about what the strategy will mean in practice; and to receive feedback from important stakeholders.</p><p> </p><p>The CQC held the consultation between 9 April 2014 and 4 June 2014. The CQC will respond to the results of the consultation in September 2014.</p><p> </p><p>The consultation can be found at the following web link:</p><p> </p><p>www.cqc.org.uk/sites/default/files/20140406_our_human_rights_approach_public_consultation_final.pdf</p><p> </p><p>In January 2014 the CQC published ‘Equality Counts', a report providing information about equality in its workforce and for people who are affected by its regulatory policies and practices. The CQC will use the information in this report to drive its work in promoting equality and human rights, both in its regulatory functions and as an employer. The CQC will continue to develop its new approach to ensure equality in different types of health and social care services.</p> answering member printed Earl Howe question first answered 30/06/2014 12:47:35 answering member 2000 label Biography information for Earl Howe
tabling member	3803 label Biography information for Lord Low of Dalston