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1715077

registered interest
date	30/04/2024
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	Diabetes: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to prevent children from developing diabetes at an early age.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4218
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>The Government is delivering an ambitious programme of work to help children and families maintain a healthier weight, which can prevent the onset of Type 2 diabetes.</p><p>The Soft Drinks Industry Levy (SDIL) is contributing to reductions in levels of childhood obesity by encouraging soft drinks producers to remove added sugar from products. Levels of sugar in SDIL products have reduced by 46%, removing over 46,000 tonnes of sugar.</p><p>The Department supports three million children through the Healthy Food Schemes, which encourage and contribute to a healthy and balanced diet.</p> answering member printed Lord Markham question first answered 08/05/2024 15:02:58 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715078

registered interest
date	30/04/2024
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	Maternity Services: Training
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether NHS England, integrated care boards, and NHS Trusts have ensured that all maternity and neonatal staff have had the training, supervision, and support as required.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4219
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Regulated healthcare professionals need to meet the education and training standards set by their profession’s regulator. It is the responsibility of individual employers to ensure that their staff are trained and competent to carry out the role for which they are employed, and for making decisions about the ongoing professional training and development requirements of their staff. This includes responsibility for investing in the future of their staff, through providing continuing professional development funding.</p><p>Mandatory training for maternity staff is outlined in Core competency framework Version 2: Minimum standards and stretch targets, which provides both the minimum standards and stretch targets. Compliance with the core competency framework is overseen by integrated care boards and is incentivised through the Maternity Incentive Scheme which is administered by NHS Resolution. A copy of the framework is attached.</p><p>Support for staff working in maternity and neonatal services is provided by Professional Midwifery Advocates and Professional Nurse Advocates. This is a non-statutory model of clinical supervision. There are 1400 Professional Midwifery Advocates and approximately 300 Professional Nurse Advocates working in trusts in England.</p> answering member printed Lord Markham question first answered 08/05/2024 14:53:34 answering member 4948 label Biography information for Lord Markham attachment 1 file name PRN00239ii-ccf-minimum-standards-and-stretch-targets (2).pdf title Core competency framework Version 2
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715079

registered interest
date	30/04/2024
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	Diabetes: Children
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 impact of high rates of childhood obesity on future diabetes rates; and what assessment they have made of the impact that this will have on the NHS's future spend on diabetes.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4220
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>NHS England has data from national diabetes audits showing the increasing numbers of young people being diagnosed with Type 2 diabetes over the past five years. NHS England knows that 93.5% of children with Type 2 diabetes that are under the care of paediatric diabetes units are overweight or obese, with a body mass index above the 85th centile after correction for age and gender.</p><p>Core20PLUS5 – Children and Young People includes diabetes as a key clinical area and has two key areas of clinical focus, namely to increase access to real time continuous glucose monitoring and insulin pumps for children and young people in the most deprived quintiles and from ethnic minority backgrounds, and increase the proportion of children and young people with Type 2 diabetes receiving all the care processes recommended in guidance from the National Institute for Health and Care Excellence.</p><p>Key diabetes health metrics, such as blood glucose levels, are poorest in young adults aged between 19 and 25 years old. To address this age-related health inequality, 15 ‘Transition and Young Adult’ pilots were established by the NHS Diabetes Programme in 2022-2025 to test models of care for young adults with diabetes and those transitioning from paediatric to adult diabetes services. The pilots will be evaluated to inform the evidence base on how to best deliver care and improve outcomes for this group.</p> answering member printed Lord Markham question first answered 08/05/2024 14:52:27 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715080

registered interest
date	30/04/2024
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	Patients: Safety
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether the Patient Safety Incident Response Framework has been fully implemented throughout the NHS to support learning and compassionate responses to families following any incidents.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4221
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>Compliance with the Patient Safety Incident Response Framework (PSIRF) is now a contractual requirement for all services commissioned under the NHS Standard Contract. Implementing the PSIRF is an ongoing process and organisations’ approach to patient safety incident response can and should evolve over time. Work is also underway to explore implementation of the PSIRF in wider services within the National Health Service, such as primary care.</p> answering member printed Lord Markham question first answered 08/05/2024 14:50:39 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715081

registered interest
date	30/04/2024
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
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they expect to publish a health prevention strategy.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4222
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>The Major Conditions Strategy outlines our approach in tackling six groups of major health conditions, by creating a health and care system that is faster, simpler, and fairer, focusing on prevention, proactive care and more person centred care. Since announcing the Major Conditions Strategy in January 2023, we have been working with a range of stakeholders in the health and care system, including those with lived experience, to identify what would make the most difference in tackling the six major conditions groups that account for around 60% of ill-health and early death in England.</p><p>We aim to publish the final strategy in summer of this year.</p> answering member printed Lord Markham question first answered 08/05/2024 14:54:06 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1715082

registered interest
date	30/04/2024
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	Rare Diseases: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they plan to hold discussions with the National Institute for Health and Care Excellence about its appraisal system to ensure it is sufficiently flexible to respond to treatments and medicines for rare diseases.
tabling member printed	Lord Hunt of Kings Heath
uin	HL4223
answer	answer is ministerial correction date of answer 08/05/2024 answer text <p>The Department regularly meets with the National Institute for Health and Care Excellence (NICE) to discuss a range of issues including access to and availability of medicines. NICE’s methods and processes for health technology evaluation have been proven to be suitable for medicines for rare diseases where companies price their products responsibly, and NICE introduced a number of changes to its methods and processes in 2022 that ensure that its processes are appropriate to the evaluation of emerging new technologies.</p><p>NICE also operates a highly specialised technologies programme for the evaluation of a small number of medicines for the treatment of very rare diseases. As of 31 March 2024, NICE has recommended 88% of medicines licensed for the treatment of rare diseases for some or all of the eligible patient population, which is comparable to NICE’s approval rate for all medicines.</p><p>The Innovative Medicines Fund, building on the success of the Cancer Drugs Fund, provides a mechanism for consistent and transparent managed access process for companies offering promising non-cancer medicines at a responsible price. The Fund has already provided early access for National Health Service patients to several innovative new treatments, including for patients with rare diseases such as graft-versus-host disease and Wolman disease.</p> answering member printed Lord Markham grouped question UIN HL4280 question first answered 08/05/2024 15:04:32 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath