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1700670

registered interest
date	15/04/2024
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	Ticks
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following the publication of the UK Health Security Agency report Health Effects of Climate Change (HECC) in the UK: State of the evidence 2023 in January, what steps they are taking to inform health professionals of the heightened risk to public health of (1) Lyme disease, and (2) emerging tick-borne diseases, including tick-borne encephalitis, from an increase in the UK distribution of tick species as a result of a warming climate; and what advice are they providing to those exposed to this risk through work or leisure.
tabling member printed	The Earl of Caithness
uin	HL3728
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The UK Health Security Agency (UKHSA) has an active programme to promote awareness of tick-borne diseases among local authorities, health professionals and the public by 2025 in line with the Third National Adaptation Programme. This includes Lyme disease and tick-borne encephalitis. UKHSA has worked to develop a toolkit for local authorities and key stakeholders to raise awareness of the potential risks created by ticks and tick-borne disease, a copy of which is attached. UKHSA also publishes Lyme disease data on Fingertips, which is an open access public health data platform which allows the public, health professionals, and local authorities to view trends, compare indicators and understand the incidence of Lyme disease in their area.</p><p>Clinicians are also engaged via teaching sessions for General Practitioners, seminars for infection specialists, and briefing notes to notify clinicians of the possibility of tick-borne diseases, with detail of compatible signs and symptoms. Disease messaging is shared through media, social, and stakeholder channels at a national and regional level, such as the #BeTickAware campaign which aims to raise awareness in the population, including those at risk of exposure through work or leisure.</p> answering member printed Lord Markham question first answered 23/04/2024 11:38:44 answering member 4948 label Biography information for Lord Markham attachment 1 file name Be_tick_aware_toolkit.pdf title Be_tick_aware_toolkit
tabling member	3310 label Biography information for The Earl of Caithness

1700671

registered interest
date	15/04/2024
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	Drugs: Shortages
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to mitigate the current shortage of the psychotropic medication Olanzapine, Risperidone and Haloperidol following the sudden departure of two generic manufacturers from the UK market.
tabling member printed	Lord Carlile of Berriew
uin	HL3729
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>We are aware that there have been supply constraints with olanzapine 210 milligram, 300 milligram, and 405 milligram powder and solvent for prolonged release suspension for injection. We worked with manufacturers to uplift production, and the issues were resolved in February 2024. We worked with NHS England to issue national communications containing advice on how to manage patients whilst there was a disruption to supply. We are not aware of any supply issues affecting oral presentations of olanzapine, or of any supply issues with any risperidone or haloperidol products.</p> answering member printed Lord Markham grouped question UIN HL3730 question first answered 22/04/2024 15:15:21 answering member 4948 label Biography information for Lord Markham
tabling member	1138 label Biography information for Lord Carlile of Berriew

1700672

registered interest
date	15/04/2024
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	Olanzapine: Shortages
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 the shortage of the psychotropic medication Olanzapine, and what steps they are taking to ensure that such shortages do not affect the health and safety of patients, and wider public safety.
tabling member printed	Lord Carlile of Berriew
uin	HL3730
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>We are aware that there have been supply constraints with olanzapine 210 milligram, 300 milligram, and 405 milligram powder and solvent for prolonged release suspension for injection. We worked with manufacturers to uplift production, and the issues were resolved in February 2024. We worked with NHS England to issue national communications containing advice on how to manage patients whilst there was a disruption to supply. We are not aware of any supply issues affecting oral presentations of olanzapine, or of any supply issues with any risperidone or haloperidol products.</p> answering member printed Lord Markham grouped question UIN HL3729 question first answered 22/04/2024 15:15:21 answering member 4948 label Biography information for Lord Markham
tabling member	1138 label Biography information for Lord Carlile of Berriew

1700683

registered interest
date	15/04/2024
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	NHS: Staff
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their assessment of the impact of the NHS long-term workforce plan upon the number of specialists such as Parkinson’s nurses in the NHS.
tabling member printed	Baroness Gale
uin	HL3741
answer	answer is ministerial correction date of answer 22/04/2024 answer text <p>In June 2023, we published the Long Term Workforce Plan which sets out the steps the National Health Service and its partners need to take to deliver an NHS workforce that meets the changing needs of the population over the next 15 years.</p><p>The Plan commits to double the number of medical places, taking the total number of places to 15,000 by 2031/32 and including a commensurate increase in specialty training places that meets the demands of the NHS in the future. It also commits to increasing adult nursing places by 92%, taking the number of total places up to nearly 38,000 by 2031/32.</p><p>There are a record number of nurses working in the NHS and we have reached our target of 50,000 additional nurses, meaning we have delivered on our commitment six months early. In January 2024 there are over 363,000 nurses working across the NHS, representing over 62,000 more than in September 2019.</p> answering member printed Lord Markham question first answered 22/04/2024 15:39:17 answering member 4948 label Biography information for Lord Markham
tabling member	2503 label Biography information for Baroness Gale

1700684

registered interest
date	15/04/2024
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 Services: Women
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether it is their policy for the NHS to refer to "people who have ovaries" rather than "women" and whether this phraseology has been market tested with women, including those for whom English is a second language, to ensure that it is fully understood.
tabling member printed	Baroness Hayter of Kentish Town
uin	HL3742
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>It is not Government policy for the National Health Service to refer to ‘people who have ovaries’ and this phraseology has not been market tested. We have been clear that biological sex matters and it is important to use language that recognises the separate health and biological needs of men and women.</p><p>For all sex-specific conditions, we expect the language used to put biological sex, for example “women”, front and centre, with biologically-relevant information relating to specific organs or hormones secondary.</p> answering member printed Lord Markham question first answered 26/04/2024 11:09:53 answering member 4948 label Biography information for Lord Markham
tabling member	4159 label Biography information for Baroness Hayter of Kentish Town

1700689

registered interest
date	15/04/2024
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	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to the remarks of Lord Markham on 22 March (HL Deb col 441), how they reconcile his assertion that “the Government do not set policy" on foetal sentience with the provisions of the Animal Welfare (Sentience) Act 2022 which included the establishment of an animal sentience committee.
tabling member printed	Lord Jackson of Peterborough
uin	HL3753
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Department for Environment, Food and Rural Affairs formulates policy on animal welfare. The Animal Sentience Committee holds functions relating to the effect of government policy on the welfare of animals.</p><p>By contrast, the determination of foetal sentience and its implications for abortion and neonatal medical practice is reached through professional consensus and clinical guidance, rather than through policy. For example, the Royal College of Obstetricians and Gynaecologists’ most recent Fetal Awareness Evidence Review was published in December 2022, a copy of which is attached.</p> answering member printed Lord Markham question first answered 23/04/2024 16:25:10 answering member 4948 label Biography information for Lord Markham attachment 1 file name rcog-fetal-awareness-evidence-review-dec-2022 (3).pdf title RCOG Fetal Awareness Evidence Review
tabling member	1551 label Biography information for Lord Jackson of Peterborough

1700690

registered interest
date	15/04/2024
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	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they next expect to commission a foetal sentience evidence review and what organisations they will invite to undertake that and future reviews.
tabling member printed	Lord Jackson of Peterborough
uin	HL3754
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>The Government does not formulate policy on foetal sentience. The review and determination of foetal sentience and its implications for abortion and clinical practice is reached through professional medical consensus and clinical guidance.</p><p>A recent and comprehensive review into Fetal Awareness Evidence was recently carried out by the Royal College of Obstetricians and Gynaecologists. Published in December 2022, the review concluded that evidence to date indicates the possibility of pain perception before 28 weeks of gestation is unlikely. A copy of the review is attached.</p><p>As an independent organisation responsible for producing clinical guidelines and setting standards for high quality women’s healthcare, the Government recognises their clinical expertise on this matter.</p> answering member printed Lord Markham question first answered 23/04/2024 16:15:58 answering member 4948 label Biography information for Lord Markham attachment 1 file name rcog-fetal-awareness-evidence-review-dec-2022 (2).pdf title RCOG Fetal Awareness Evidence Review
tabling member	1551 label Biography information for Lord Jackson of Peterborough

1700691

registered interest
date	15/04/2024
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	Abortion
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, further to remarks by Lord Markham on 22 March (HL Deb col 441), what is the legal or evidential basis of his assertion that the Government has a “duty of care not to legislate where other reasonable processes are available” and where this is further enunciated.
tabling member printed	Lord Jackson of Peterborough
uin	HL3755
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>When considering its approach to legislation, in all cases the Government must be guided by whether the aims of that potential bill can already be implemented through other reasonable and established non-legislative means.</p> answering member printed Lord Markham question first answered 23/04/2024 16:23:17 answering member 4948 label Biography information for Lord Markham
tabling member	1551 label Biography information for Lord Jackson of Peterborough

1700692

registered interest
date	15/04/2024
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	Nutrition
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to tackle diet-related ill-health, including type 2 diabetes and heart disease.
tabling member printed	Baroness Jenkin of Kennington
uin	HL3756
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>We remain committed to promoting a healthy diet for adults and children and are delivering an ambitious programme of work to create a healthier environment to help people make healthy food choices to improve health and to tackle diet related ill health. There are a range of measures in place to support improving diets, promoting physical activity and reducing obesity.</p><p>Regulations on out of home calorie labelling for food sold in large businesses, including restaurants, cafes and takeaways, came into force in April 2022. Restrictions on the placement of products high in fat, sugar or salt in key selling locations, came into force on 1 October 2022.  We will be implementing restrictions on the sale of less healthy products by volume price such as ‘3 for 2’ and will introduce restrictions on the advertising of less healthy products before 9pm on TV and paid for less healthy product advertising online from 1 October 2025.</p><p>We are working with the food industry to make further progress on reformulation and ensure it is easier for the public to make healthier choices. The Food Data Transparency Partnership will help enable and encourage food companies to voluntarily demonstrate progress on the healthiness of their sales.</p><p>The Government continues to promote the Eatwell Guide principles through the NHS.UK website and government social marketing campaigns such as Better Health Healthier Families and Start for Life. We are also supporting more than three million children through the Healthy Foods Schemes and helping schools boost physical activity to help children maintain a healthy weight and good overall health through the Primary School PE and Sport Premium and the School Games Organiser Network.</p><p>We are continuing to support local authorities to improve the uptake of the NHS Health Check, England's cardiovascular disease prevention programme. The NHS Health Check helps to prevent a range of conditions including heart disease and type 2 diabetes. Each year the programme engages over 1 million people and prevents around 400 heart attacks or strokes.</p> answering member printed Lord Markham question first answered 25/04/2024 14:19:18 answering member 4948 label Biography information for Lord Markham
tabling member	4229 label Biography information for Baroness Jenkin of Kennington

1700693

registered interest
date	15/04/2024
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	Food Data Transparency Partnership
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, following the Food Data Transparency Partnership’s decision not to make reporting on health data mandatory, what steps they are taking to ensure enforcement of and consistency in the voluntary scheme.
tabling member printed	Baroness Jenkin of Kennington
uin	HL3757
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The Food Data Transparency Partnership’s (FDTP) Health Working Group (HWG) has been testing the effectiveness and quality of potential standardised metrics that food and drink companies can use to report on the healthiness of their sales. This is an important part of government’s strategy to address poor diet and reduce obesity and was restated in the Major Conditions Strategy interim report August 2023.</p><p> </p><p>Once a recommended set of metrics and reporting guidance has been produced and approved by Ministers, the expectation is that businesses who voluntarily report will all follow this standardised approach.</p><p>A key commitment of the HWG is timely and transparent communication so that wider food sector stakeholders can input into each stage of the process in order to ensure recommendations around comparability and enforcement will be as viable and effective as possible. Alongside engagement with industry, the FDTP also regularly engages civil society organisations and investor groups to gather and integrate wider feedback into discussions. Summaries of these HWG discussions are published online on the FDTP GOV.UK page.</p> answering member printed Lord Markham question first answered 25/04/2024 14:20:13 answering member 4948 label Biography information for Lord Markham
tabling member	4229 label Biography information for Baroness Jenkin of Kennington