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1012109

registered interest
date	21/11/2018
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	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to ovarian hyperstimulation syndrome (OHSS) were reported to the Human Fertilisation and Embryology Authority in the last five years for which figures are available; what evidence supports their view that some OHSS-related admissions may have been incorrectly coded in the Hospital Episode Statistics; how many such admissions they estimate have been incorrectly coded in the last five years for which figures are available; and what steps they are taking to ensure that OHSS-related admissions are correctly recorded.
tabling member printed	Lord Alton of Liverpool
uin	HL11636
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11637 question first answered 03/12/2018 15:12:37 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc title OHSS Authority paper
tabling member	738 label Biography information for Lord Alton of Liverpool

1012110

registered interest
date	21/11/2018
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	Ovarian Hyperstimulation Syndrome
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the Written Answers by Lord O'Shaughnessy on 15 November (HL11187 and HL11188), how many emergency and out-of-hours admissions due to Ovarian Hyperstimulation Syndrome were investigated by the Human Fertilisation and Embryology Authority in the last five years for which figures are available; whether any such investigations resulted in published reports; and if so, where such reports are available.
tabling member printed	Lord Alton of Liverpool
uin	HL11637
answer	answer is ministerial correction date of answer 03/12/2018 answer text <p>The Human Fertilisation and Embryology Authority (HFEA) has advised that it is a requirement for all its licensed centres to report cases of ovarian hyperstimulation syndrome (OHSS) that require a hospital admission and have a severity grading of severe or critical. Some centres also report cases of mild or moderate OHSS.</p><p>Between 1 October 2013 and 31 October 2018 there were 792 OHSS cases reported requiring hospital admission (391 of which were classified as severe and 401 classified as mild/moderate). HFEA does not hold data on whether these admissions were out of hours or via emergency admission. Following the reports of cases of severe or critical OHSS, the centres are required to conduct a root cause analysis and submit a report to the HFEA. The HFEA publishes an annual report on incidents, of which OHSS cases form a part.</p><p>From April 2018 the HFEA has required its licensed centres to provide it with more information about treatment provided to patients in cases of severe OHSS. This information will be collected for two years and will then be analysed.</p><p>The HFEA has also advised that following discussions with key stakeholders it has reached a view that the Hospital Episode Statistics data may include a mislabelling of cases of OHSS. A paper presented to Authority members in January 2018 sets out the work undertaken to examine the reporting of severe and critical OHSS. A copy of <em>Ovarian Hyperstimulation Syndrome</em> is attached. HFEA does not hold estimates of the number of hospital admissions that may have been incorrectly coded for OHSS.</p><p>HFEA is continuing to work to better understand the incidence of OHSS, reduce its occurrence and improve reporting.</p><p><strong> </strong></p> answering member printed Lord O'Shaughnessy grouped question UIN HL11636 question first answered 03/12/2018 15:12:37 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 2018-01-24 - Authority paper - item 10 - Ovarian hyperstimulation syndrome - FINAL.doc title OHSS Authority paper
tabling member	738 label Biography information for Lord Alton of Liverpool

1012112

registered interest
date	21/11/2018
answering body	Department for Education
answering dept id	60
answering dept short name	Education
answering dept sort name	Education
hansard heading	Schools: Security
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 Agnew of Oulton on 5 November (HL1078), when they anticipate the public consultation on revised school security guidance to commence; and whether the revised guidance will specifically address the issue of school premises coming under attack.
tabling member printed	Lord Harris of Haringey
uin	HL11639
answer	answer is ministerial correction date of answer 30/11/2018 answer text <p>The department published its draft school security guidance and launched a public consultation on 26 November 2018 which will run until 18 February 2019. Both documents are attached.</p><p>The draft guidance sets out the importance of having policies in place and plans to identify, manage and respond to a range of security incidents, including preparing for an attack on school premises.</p><p> </p> answering member printed Lord Agnew of Oulton attachment 1 file name HL11639_School_security_draft_non-statutory_guidance.pdf title HL11639_School_security_non-statutory_guidance 2 file name HL11639_School_security_government_consultation.pdf title HL11639_School_security_government_consultation question first answered 30/11/2018 14:28:13 answering member 4689 label Biography information for Lord Agnew of Oulton
tabling member	2671 label Biography information for Lord Harris of Haringey

1012114

registered interest
date	21/11/2018
answering body	Cabinet Office
answering dept id	53
answering dept short name	Cabinet Office
answering dept sort name	Cabinet Office
hansard heading	Emergencies: Mobile Phones
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, further to the reply by Lord Young of Cookham on 5 July (HL Deb, cols 766–70), what progress has been made in the introduction of mobile alert technology.
tabling member printed	Lord Harris of Haringey
uin	HL11641
answer	answer is ministerial correction date of answer 04/12/2018 answer text <p><strong><em> </em></strong></p><p>Cabinet Office is working with the Home Office and the police to explore the types of emergency where a national mobile alerting system can add value, beyond the mobile alerting schemes already in place in the UK. In order to inform any technical solution, these emergency scenarios will be explored in depth to establish where and when in the evolution of an incident a mobile alerting scheme offers the best opportunity to reduce harm to citizens.</p><p>Once we have fully assessed the need for an alerting scheme further work would be undertaken including exploring how situational awareness might be obtained, thresholds for activation and how the content of alert messages stands the best chance of eliciting helpful behaviours from the recipients. This is not without complexity since in terrorist-related incidents the protagonists will also receive the same message.</p><p> </p><p>Additionally, a scheme used for major incidents stands the chance of being used infrequently. To ensure effectiveness, there will be a need for a carefully managed media campaigns.</p> answering member printed Lord Young of Cookham question first answered 04/12/2018 14:40:59 answering member 57 label Biography information for Lord Young of Cookham
tabling member	2671 label Biography information for Lord Harris of Haringey

1012115

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many amputee sockets the NHS fitted in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and in each year, what was the cost of casting and fitting these.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11642
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11643 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012116

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what is the average (1) time, and (2) number of appointments between the casting process in the NHS to create an amputee test socket and the final fit of the sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11643
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11644 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012117

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what types of casting processes the NHS currently use to create amputee test sockets.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11644
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11645 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012118

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many sockets did not fit amputees following the NHS casting process and needed to be discarded in (1) 2013, (2) 2014, (3) 2015, (4) 2016, and (5) 2017; and how much this cost the NHS in each of those years.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11645
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11646 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012119

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government when the last review by the NHS of the provision of amputee sockets, including (1) the cost, and (2) methods of fitting, was carried out.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11646
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11647 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger

1012120

registered interest
date	21/11/2018
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	Prosthetics
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many complaints the NHS received about the casting, fitting and provision of amputee sockets in (1) 2013, (2) 2014, (3) 2015, (4) 2016, (5) 2017; and of those, how many were upheld.
tabling member printed	Baroness Hodgson of Abinger
uin	HL11647
answer	answer is ministerial correction date of answer 29/11/2018 answer text <p>This information is not collected centrally.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11642 HL11643 HL11644 HL11645 HL11646 question first answered 29/11/2018 17:13:01 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	4301 label Biography information for Baroness Hodgson of Abinger