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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

1700720

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	General Practitioners
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to review the convenience and efficacy of the systems used by NHS GP practices for patients to make an appointment to see a doctor.
tabling member printed	Lord Birt
uin	HL3719
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>We published our Delivery plan for recovering access to primary care in May 2023, which sets out how we are moving toward a ‘Modern General Practice’ model. This plan is backed by £240 million of retargeted funding going to provide digital services with the goal of increasing access. A copy of the plan is attached.</p><p>The sole method for general practices (GPs) to procure these digital services is via NHS England procurement frameworks, which list pre-approved suppliers for digital and IT services. This is to ensure consistency in service provisions, as each supplier must meet a set of requirements to be entered into a framework.</p><p>Each practice will run a procurement for these services and will select a supplier based on their differing specifications for how the IT systems will best meet their patients’ needs. Each supplier will offer varied services with varied benefits, including capabilities which allow patients and service users to request and receive support relating to healthcare concerns, at a time and place convenient for them.</p><p>As of March 2024, 93% of general practices now have digital telephony systems, this has enabled GP teams to manage multiple calls and helping to end the ‘8am rush’ for appointments. Trials show that this has increased patients’ ability to get through to their practice by almost a third.</p> answering member printed Lord Markham question first answered 25/04/2024 14:22:53 answering member 4948 label Biography information for Lord Markham attachment 1 file name PRN00283-delivery-plan-for-recovering-access-to-primary-care-may-2023.pdf title Delivery plan for recovering access
tabling member	2533 label Biography information for Lord Birt

1700778

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: Legal Representation
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what was the annual spend by the health service on legal representation at inquests in the previous five years for which information is available.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3750
answer	answer is ministerial correction date of answer 14/05/2024 answer text <p>NHS Resolution manages clinical negligence and other claims against the National Health Service in England. The following table shows the amounts paid in accordance with the rules of the Clinical Negligence Scheme for Trusts (CNST), to support trusts at inquests and for associated costs to investigate entitlement to compensation, in the last five years:</p><table><tbody><tr><td><p>Payment Raised Year</p></td><td><p>Amount</p></td></tr><tr><td><p>2018/19</p></td><td><p>£2,968,153</p></td></tr><tr><td><p>2019/20</p></td><td><p>£2,223,095</p></td></tr><tr><td><p>2020/21</p></td><td><p>£1,614,820</p></td></tr><tr><td><p>2021/22</p></td><td><p>£1,545,135</p></td></tr><tr><td><p>2022/23</p></td><td><p>£1,623,211</p></td></tr><tr><td><p>Total</p></td><td><p>£9,974,414</p></td></tr></tbody></table><p>Source: NHS Resolution</p><p>The CNST handles all clinical negligence claims against member NHS bodies where the incident in question took place on or after 1 April 1995, or when the body joined the scheme if that is later. NHS Resolution is not involved in any arrangements that an individual trust might make outside of the scheme.</p><p>Information on the total spend by NHS trusts regarding coroner’s inquests is not collated or held centrally.</p> answering member printed Lord Markham question first answered 14/05/2024 11:49:03 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700779

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	Suicide: Coastal Areas
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, with reference to research by Christine Camacho and Luke Munford at the University of Manchester showing that deaths from drugs, alcohol and suicide are higher in northern and coastal local authorities, what steps they are taking to address that regional inequality.
tabling member printed	Lord Hunt of Kings Heath
uin	HL3751
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The <em>Levelling Up the United Kingdom</em> white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.</p><p>The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.</p><p>The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.</p><p>We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.</p> answering member printed Lord Markham grouped question UIN HL3752 question first answered 25/04/2024 14:15:17 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1700780

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	Mental Health: Equality
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, with reference to research by Christine Camacho and Luke Munford at the University of Manchester, what steps they are taking to reduce regional inequalities in what those researchers refer to as "Deaths of Despair".
tabling member printed	Lord Hunt of Kings Heath
uin	HL3752
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The <em>Levelling Up the United Kingdom</em> white paper sets out the Government’s ambition to improve living standards and wellbeing across the UK, invest in communities, and improve public services. It sets mutually reinforcing levelling up missions to focus Government action, including a health mission to narrow the gap in healthy life expectancy by 2030, and increase healthy life expectancy by five years by 2035.</p><p>The Government has published a 10-year drug strategy and is investing an extra £532 million between 2022/23 to 2024/25 to improve drug and alcohol treatment and recovery services. This funding is being used by local authorities to create places for an additional 54,500 people in drug and alcohol treatment services and bolster the workforce, seeking to prevent nearly 1,000 deaths. This funding is being targeted to areas of highest need first.</p><p>The Department is increasingly focusing on supporting local areas, including better meeting the needs of vulnerable groups. Current work includes: providing targeted support to local areas; enhancing data tools to better inform local needs assessments; supporting workforce development; implementation of the commissioning quality standard; and sharing good practice. Implementation support will adapt over the course of the 10-year strategy in response to need, to ensure we reach the drug strategy goals.</p><p>We also published our new Suicide Prevention Strategy for England in September 2023, setting out the actions we will take to save lives and reduce suicides within the next few years, and have set out our intention in the strategy to write guidance for local areas to support them in aligning their own strategies with the national strategy. We have also established a £10 million Suicide Prevention Grant Fund to run from 2023 to March 2025, and on 4 March 2024 we announced the 79 organisations across the country that have been allocated funding. We have also launched a new nationwide, near real-time suspected suicide surveillance system, that will improve the early detection of, and timely action to, address changes in suicide rates or trends.</p> answering member printed Lord Markham grouped question UIN HL3751 question first answered 25/04/2024 14:15:17 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath