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1002209

	registered interest
	date	05/11/2018
	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	Homelessness: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what (1) guidance, (2) instructions, and (3) resources they provide to local authorities for Safeguarding Adult Reviews in relation to the deaths of homeless people; how many homeless people they estimate died in the last year for which figures are available; in how many of those cases Safeguarding Adult Reviews were carried out; and what steps they are taking to ensure that such reviews are carried out more often.
	tabling member printed	Lord Bird
	type	WrittenParliamentaryQuestion
	uin	HL11230
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11231 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4564 label Biography information for Lord Bird

1002210

	registered interest
	date	05/11/2018
	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	Homelessness: Death
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have, if any, to (1) collate Safeguarding Adult Reviews in relation to the deaths of homeless people, and (2) conduct a review to identify patterns and amend policy accordingly.
	tabling member printed	Lord Bird
	type	WrittenParliamentaryQuestion
	uin	HL11231
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>We have not provided guidance, instructions or resources to local authorities for Safeguarding Adult Reviews related to the death of homeless people.</p><p> </p><p>At present we do not hold data on how many homeless people died in the last year. Our statistics on Adult Safeguarding Reviews does not include information on place of residence, however, the Office for National Statistics is preparing to publish official estimates in December as experimental statistics.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL11230 question first answered 15/11/2018 16:21:27 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	4564 label Biography information for Lord Bird

1002213

	registered interest
	date	05/11/2018
	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	Nutrition
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they intend to publish recommended dietary advice, similar to that for fruit and vegetables, for meat and fish.
	tabling member printed	Baroness Byford
	type	WrittenParliamentaryQuestion
	uin	HL11234
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Government recommends eating some meat, fish, eggs, beans and other non-dairy sources of protein as part of a healthy balanced diet. Government advice is that we should eat on average no more than 70 grams of red meat a day due to the increased risk of bowel cancer. It also recommends eating two portions of fish a week, one of which should be oily, as oily fish provide long chain omega-3 fatty acids, which may help to prevent heart disease.</p><p>Dietary recommendations for meat and fish consumption are published in the national food model, the <em>Eatwell Guide</em> and its supporting messages. The <em>Eatwell Guide</em> provides visual representation on national guidance of how a balanced diet looks. A copy of the <em>Eatwell Guide</em> is attached.</p><p>Supporting documentation includes the <em>Government Dietary Recommendations: Government recommendations for energy and nutrients for males and females aged 1-18 years and 19+ years</em>, which outlines the breakdown of calorie, vitamin and mineral intake for different age groups. A copy of the <em>Government Dietary Recommendations</em> is attached.</p> answering member printed Lord O'Shaughnessy attachment 1 file name Eatwell_guide_colour.pdf title Eatwell Guide 2 file name government_dietary_recommendations.pdf title Government Dietary Recommendations question first answered 15/11/2018 16:25:57 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	3343 label Biography information for Baroness Byford

1002241

	registered interest
	date	05/11/2018
	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	Disability: Children
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to analyse (1) those elements of health and social care which need to be strengthened, and (2) those aspects of entitlements for disabled children and their families and carers which need to be clarified; and what consequent action they are taking.
	tabling member printed	Lord Judd
	type	WrittenParliamentaryQuestion
	uin	HL11262
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The commissioning of health and social care services for children with disabilities is the responsibility of clinical commissioning groups and local authorities respectively. Local commissioners are best placed to assess the needs of the local population and which areas may need strengthening. Clinical commissioning groups must ensure that they secure health services to meet the needs of disabled children to a reasonable extent.</p><p>Children’s social care is the responsibility of the Department for Education. All disabled children are regarded as children ‘in need’ under the Children Act 1989 and may receive social care from the local authority. The Children and Families Act 2014 placed a duty on local authorities to assess whether a parent carer in their area has needs for support.</p> answering member printed Lord O'Shaughnessy question first answered 15/11/2018 16:20:38 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	1660 label Biography information for Lord Judd

1002243

	registered interest
	date	05/11/2018
	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	Mental Health Services: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what action they are taking to ensure mental health services provided by companies and charities are delivered to at least an adequate and safe standard.
	tabling member printed	Lord Kennedy of Southwark
	type	WrittenParliamentaryQuestion
	uin	HL11264
	answer	answer is ministerial correction date of answer 15/11/2018 answer text <p>The Care Quality Commission (CQC) registers, inspects, and rates providers of independent mental health services, following an expansion of the scope of performance assessments of providers regulated by the CQC. This includes private ‘companies’ and charities that provide regulated activities.</p><p>As part of the CQC’s strategy, one of its priorities is to encourage improvement where it finds care that is not good. A copy of the strategy, <em>Shaping the future: CQC’s strategy for 2016 to 2021,</em> is attached.</p><p>Using its independent voice, the CQC publishes examples of good practice and innovative care to encourage improvement. Additionally, where necessary, it can take enforcement action against registered providers who breach conditions of registration or relevant sections of the Health and Social Care Act 2008, the Care Quality Commission (Registration) Regulations 2009, the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and other legislation that is relevant to achieving registration requirements.</p> answering member printed Lord O'Shaughnessy question first answered 15/11/2018 16:23:19 answering member 4545 label Biography information for Lord O'Shaughnessy attachment 1 file name 20160523_strategy_16-21_strategy_final_web_01.pdf title Shaping the future
	tabling member	4153 label Biography information for Lord Kennedy of Southwark

1006134

	registered interest
	date	13/11/2018
	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	Self-harm: South Yorkshire
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many people under the age of 18 were admitted to A&E for deliberate self harm in (a) the Sheffield City Region combined authority area and (b) Barnsley in the last two years.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	type	WrittenParliamentaryQuestion
	uin	190894
	answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>The following table shows the number of attendances at accident and emergency departments by patients aged under 18 with a recorded patient group of 'deliberate self harm', for 2016/17 and 2017/18, where the clinical commissioning group (CCG) of residence covers the Sheffield City Region combined authority area and Barnsley.</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>2016/17</p></td><td><p>2017/18</p></td></tr><tr><td><p>Sheffield City Region Combined Authority area</p></td><td><p>170</p></td><td><p>130</p></td></tr><tr><td><p>NHS Barnsley CCG</p></td><td><p>25</p></td><td><p>35</p></td></tr><tr><td><p>NHS Doncaster CCG</p></td><td><p>55</p></td><td><p>60</p></td></tr><tr><td><p>NHS Rotherham CCG</p></td><td><p>25</p></td><td><p>10</p></td></tr><tr><td><p>NHS Sheffield CCG</p></td><td><p>60</p></td><td><p>30</p></td></tr></tbody></table><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p><em> </em></p><p>Notes:</p><p>- Attendances do not represent the number of patients, as a person may attend a National Health Service hospital on more than one occasion within the period.</p><p>- Data for the CCGs containing the patient’s normal home address has been provided. This does not necessarily reflect where the patient was treated as they may have travelled to another area for treatment.</p><p>- The following four CCGs make up the Sheffield City Region Combined Authority Area – data has been provided for each individual CCG as well as the combined total for the Sheffield City area:</p><p>- NHS Barnsley CCG;</p><p>- NHS Doncaster CCG;</p><p>- NHS Rotherham CCG; and</p><p>- NHS Sheffield CCG.</p><p>- Due to disclosure control rules, NHS Digital must round sub-national HES data to the nearest five, which explains why the sum of the individual CCG breakdown does not match with the total figure for the Sheffield City Region Combined Authority Area.</p><p>- HES figures are available from 2007-08 onwards. Changes to the figures over time should be interpreted in the context of improvements in data quality and coverage and changes in NHS practice. For example, changes in activity may be due to changes in the provision of care.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:33:20 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4243 label Biography information for Dan Jarvis

1006135

	registered interest
	date	13/11/2018
	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	Suicide: Accident and Emergency Departments
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the proportion of people admitted to A&E for attempted suicide who have later attempted it again in the last three years.
	tabling member constituency	Barnsley Central
	tabling member printed	Dan Jarvis
	type	WrittenParliamentaryQuestion
	uin	190895
	answer	answer is ministerial correction date of answer 19/11/2018 answer text <p>Information on numbers of attempted suicides is not collected centrally.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/11/2018 17:25:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	4243 label Biography information for Dan Jarvis

1006964

	registered interest
	date	14/11/2018
	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	Ocrelizumab
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent assessment he has made of the affordability to the NHS of ocrelizumab for the treatment of progressive multiple sclerosis.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	type	WrittenParliamentaryQuestion
	uin	191304
	answer	answer is ministerial correction date of answer 22/11/2018 answer text <p>The Department has made no assessment. The National Institute for Health and Care Excellence is currently developing technology appraisal guidance on the use of ocrelizumab for treating primary progressive multiple sclerosis.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 22/11/2018 11:48:19 answering member 4067 label Biography information for Steve Brine
	tabling member	478 label Biography information for Lord Field of Birkenhead

1006994

	registered interest
	date	14/11/2018
	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	AAT Deficiency
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, if he take steps to make available intravenous alpha-1 augmentation therapy through the NHS to treat alpha-1.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	type	WrittenParliamentaryQuestion
	uin	191306
	answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>NHS England is engaging with the National Institute for Health and Care Excellence (NICE) on the Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe alpha1 antitrypsin deficiency. NICE has not yet published final guidance and recently consulted on its draft guidance.</p><p> </p><p>NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee. Once NICE guidance is received, NHS England will then consider the commissioning implications in consultation with the Specialised Respiratory Clinical Reference Group.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:37:29 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead

1006995

	registered interest
	date	14/11/2018
	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	AAT Deficiency
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, when he plans a NHS service for alpha-1 to improve patients' access to coordinated multi-disciplinary clinical expertise, which was approved by the Department's Prescribed Specialised Services Advisory Group in March 2016, to commence.
	tabling member constituency	Birkenhead
	tabling member printed	Frank Field
	type	WrittenParliamentaryQuestion
	uin	191307
	answer	answer is ministerial correction date of answer 21/11/2018 answer text <p>The Specialised Respiratory Clinical Reference Group (CRG) is maintaining an oversight of the need to develop a service specification and selection of providers to offer specialised expertise and management advice for patients diagnosed with alpha1 antitrypsin deficiency (AATD).</p><p> </p><p>The CRG has recommended that NHS England wait until it is clear on the outcome of the National Institute for Health and Care Excellence (NICE) Highly Specialised Technologies evaluation of human alpha1-proteinase inhibitor for treating emphysema in adults with documented severe AATD [ID856] until this development is taken forward.</p><p> </p><p>NICE has not yet published final guidance and recently consulted on its draft guidance. NICE’s evaluation committee is due to meet again to consider its recommendations in spring next year. This is to enable the company that makes the alpha1-proteinase inhibitor to prepare and submit additional information for consideration by the committee.</p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 21/11/2018 14:39:19 answering member 4008 label Biography information for Dame Caroline Dinenage
	tabling member	478 label Biography information for Lord Field of Birkenhead