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1702315

registered interest
date	18/04/2024
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	Antibiotics
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 report Antibiotic underdosing and disposal in NHS organisations across Great Britain, published in November 2023; and what discussions they have had with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3926
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Officials are aware of, and have considered, the findings of the report Antibiotic underdosing and disposal in NHS organisations across Great Britain. Officials from the Department have not had any recent discussions with the Care Quality Commission on integrating line flushing policies and practices into the assessment framework for care provided in England.</p><p> </p><p>General guidance on prescribing and the use of medicines is published by the National Institute for Health and Care Excellence in an online-only format. Good clinical practice is to flush an intravenous line with saline after a medicine has been administered, to ensure the full dose is delivered to the patient. This is not unique to antibiotics.</p> answering member printed Lord Markham question first answered 01/05/2024 11:05:34 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702316

registered interest
date	18/04/2024
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	Magnetic Resonance Imagers: Helium
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to ensure minimal usage of helium in MRI scanners in NHS facilities in the light of the global shortage of helium; and what steps they are taking to ensure all helium in scanners being replaced is reused appropriately.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3927
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>Suppliers of magnetic resonance imaging (MRI) scanners are moving to a sealed helium solution, whereby the helium required to cool the magnet is approximately 0.5% of the current levels. These sealed systems will also ensure MRI scanners do not require further helium to be added during years of operational use.</p><p>Furthermore, suppliers are now replacing MRI scanners without requiring the magnet to be replaced, though this is only available for the first replacement cycle, whereby the scanner is fully replaced, but the existing magnet and helium are retained.</p><p>With regards to the Department, as set out in the recent Medical Technology Strategy: One Year On publication, the Design for Life Programme has been stood up to work with industry, the health and care sector, and academic partners to develop medical technology systems that support reuse, remanufacture, and material recovery becoming the default. This includes developing regulatory, commercial, digital, and policy environments that support this aim. The Department’s intention is to publish a roadmap later this year to articulate our relevant findings and plans moving forward.</p> answering member printed Lord Markham question first answered 25/04/2024 14:24:02 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702317

registered interest
date	18/04/2024
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: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how many NHS boards have included sustainability in their assurance framework.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3928
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>It is the legal duty for integrated care boards (ICBs) and their partner National Health Service foundation trusts under section 14Z44 of the NHS Act 2006 to consider sustainability when exercising their functions. ICBs and their partner NHS foundation trusts must consider section 1 of the Climate Change Act 2008, concerning United Kingdom net zero emission targets, and section 5 of the Environment Act 2021, concerning environmental targets. ICBs and their NHS foundation trusts must also adapt to any current or predicted impact of climate change identified in the most recent report under section 56 of the Climate Change Act 2008.</p><p>NHS England does not collect data on how many ICBs have included sustainability in their assurance framework.</p> answering member printed Lord Markham question first answered 01/05/2024 15:00:34 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702348

registered interest
date	18/04/2024
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	Hospital Wards: Gender
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they plan to direct NHS England to withdraw Annex B of its guidance Delivering same-sex accommodation, published in September 2019.
tabling member printed	Baroness Nicholson of Winterbourne
uin	HL3959
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>NHS England is updating their Delivering Same-Sex Accommodation guidance, and a revised version will be published in due course. It is imperative that National Health Service trusts respect the privacy and dignity of patients. The Government has been clear that patients should not have to share sleeping accommodation with others of the opposite sex, and should have access to segregated bathroom and toilet facilities.</p><p>As previously announced, proposals to protect the privacy, dignity, and safety of patients will be brought forward soon as part of the review of the NHS Constitution and its handbook. Any measures consulted on will be in line with the Equality Act 2010, respecting the rights of all patients in hospital settings.</p> answering member printed Lord Markham question first answered 26/04/2024 13:22:14 answering member 4948 label Biography information for Lord Markham
tabling member	1164 label Biography information for Baroness Nicholson of Winterbourne

1702349

registered interest
date	18/04/2024
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	Hospital Wards: Females
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government how they plan to strengthen the privacy and dignity of female patients in NHS hospitals.
tabling member printed	Baroness Nicholson of Winterbourne
uin	HL3960
answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The Government is committed to upholding the rights of women and girls and ensuring they are properly represented in healthcare services, communications, and guidance.</p><p>That is why we are currently consulting on updates to the NHS Constitution for England to shape the principles and values of the National Health Service and ensure the privacy, dignity and safety of all patients, including women, are embedded in how it operates.</p><p>Our proposed changes to the NHS Constitution reinforce the NHS’s commitment to providing single-sex wards and will empower patients to request that intimate care is carried out by someone of the same biological sex, where reasonably possible.</p> answering member printed Lord Markham question first answered 01/05/2024 15:11:57 answering member 4948 label Biography information for Lord Markham
tabling member	1164 label Biography information for Baroness Nicholson of Winterbourne

1702353

registered interest
date	18/04/2024
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 and Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made on integrating social care and the NHS.
tabling member printed	Lord Swire
uin	HL3964
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The Health and Care Act 2022 established integrated care systems, reforming how health and adult social care work together by putting partnership at the heart of planning. The Government has published guidance for integrated care partnerships (ICPs), on the statutory requirement for each ICP to publish an Integrated Care Strategy to address the health, social care, and public health needs of their system. All ICPs have now published their integrated care strategies.</p><p>The integration of health and social care is often best achieved through collaboration across smaller geographies within integrated care systems called places. Since the Health and Care Act 2022, we have seen good progress in the development of place-based arrangements to integrate health and social care. In October 2023, we published our Shared Outcomes Toolkit designed to help place-based partnerships develop shared outcomes as a powerful means of promoting integrated working and joined up care. We also issued a call for evidence as part of our review of Section 75 of the NHS Act 2006, which permits local authorities and National Health Service bodies to pool budgets, enabling joint commissioning and the commissioning of integrated services. The findings of this review will be shared in due course.</p> answering member printed Lord Markham question first answered 25/04/2024 14:16:30 answering member 4948 label Biography information for Lord Markham
tabling member	1408 label Biography information for Lord Swire

1702354

registered interest
date	18/04/2024
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	Social Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what discussions they have had with local authorities about the financing of those in social care.
tabling member printed	Lord Swire
uin	HL3965
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>Ministers and officials in the Department have regular conversations with representatives of local government, including the Local Government Association and the Association for Directors of Adult Social Services, regarding the costs of meeting the needs of adults who draw on care and support. The Department regularly engages with local authorities, who are responsible for assessing eligibility for financial assistance as set out in the Care Act, to understand the impact charging policy has on individuals who draw on care. The Department also regularly engages with individual local authorities to better understand their financial plans for commissioning and delivering adult social care.</p> answering member printed Lord Markham question first answered 26/04/2024 11:10:33 answering member 4948 label Biography information for Lord Markham
tabling member	1408 label Biography information for Lord Swire

1702355

registered interest
date	18/04/2024
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	Social Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have to build on the proposals in the report of Sir Andrew Dilnot’s Commission on Funding of Care and Support, Fairer Care Funding, published in July 2011.
tabling member printed	Lord Swire
uin	HL3966
answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>As announced in the Autumn Statement 2022, we listened to the concerns of local government and made the decision to delay the rollout of charging reforms from October 2023 to October 2025. These reforms include the introduction of a cap on personal care costs, and a more generous adult social care means test. The Government has been considering what form the rollout of charging reform from October 2025 will take.</p> answering member printed Lord Markham question first answered 09/05/2024 11:26:28 answering member 4948 label Biography information for Lord Markham
tabling member	1408 label Biography information for Lord Swire

1701284

registered interest
date	16/04/2024
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	Cancer: Human Papillomavirus
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps she is taking to eliminate (a) cervical and (b) other cancer caused by human papillomavirus.
tabling member constituency	Ealing, Southall
tabling member printed	Mr Virendra Sharma
uin	21956
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>The human papillomavirus (HPV) vaccination, alongside routine screening, is key to protecting people against strains of HPV that can cause some cancers including cervical, anal, head and neck cancer.</p><p>The NHS Cervical Screening Programme (CSP) provides all women and people with a cervix between the ages of 25 and 64 years old with the opportunity to be screened routinely, to detect certain types of HPV infection which cause 99.7% of cervical cancer. An in-service evaluation is being commissioned by the National Institute for Health and Care Research to determine whether HPV self-sampling could be used to improve the NHS CSP.</p><p>The HPV vaccination is offered to all adolescents in Year 8 of school, and catch-up vaccinations are available to those up to 25 years old, those born on or after 1 September 2006, for both females and males who may have missed vaccination under the schools’ programme, providing an additional failsafe. The HPV vaccination is also recommended to gay, bisexual, and other men who have sex with men, up to and including those aged 45 years old.</p><p>NHS England’s vaccination strategy sets out a range of ambitions to improve uptake across the National Health Service’s vaccination programmes. This includes building on existing work and delivery to develop implementation plans for how HPV vaccinations, alongside cervical screening and pre-cancer treatment, can help achieve the NHS ambition to eliminate cervical cancer by 2040.</p> answering member constituency Lewes answering member printed Maria Caulfield question first answered 19/04/2024 07:53:54 answering member 4492 label Biography information for Maria Caulfield
tabling member	1604 label Biography information for Mr Virendra Sharma

1701288

registered interest
date	16/04/2024
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	Lung Cancer: Public Health
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether she has made a recent assessment of the effectiveness of the help us, help you campaign.
tabling member constituency	East Londonderry
tabling member printed	Mr Gregory Campbell
uin	21912
answer	answer is ministerial correction date of answer 19/04/2024 answer text <p>No recent assessment has been made. In 2020 NHS England launched the Help Us, Help You (HUHY) campaigns, a major public information campaign to persuade the public to seek urgent care and treatment when they needed it. The HUHY campaign strategy is designed to address the underlying barriers to cancer diagnosis, including multifaceted fears and a lack of body vigilance, along with the lack of knowledge of cancer symptoms, to encourage people to present earlier.</p><p>On 8 January 2024, NHS England relaunched the HUHY campaign for cancer, designed to increase earlier diagnosis of cancer by reducing barriers to seeking earlier help, as well as increasing body vigilance and knowledge of key red flag symptoms. This campaign addresses barriers to people coming forward with suspected signs of cancer in general, and is not specific to screening or cervical cancer.</p><p>We are seeing continued high levels of urgent cancer referrals, which suggests the HUHY campaigns continue to be effective. Over 12,000 urgent referrals were seen for suspected cancer per working day in February 2024, compared to approximately 9,000 in January 2020.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 19/04/2024 07:32:51 answering member 4044 label Biography information for Andrew Stephenson
tabling member	1409 label Biography information for Mr Gregory Campbell