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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

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

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

1702579

	registered interest
	date	19/04/2024
	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	Strokes: Rehabilitation
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how they plan to ensure the sustainability of the stroke rehabilitation innovations developed through the Stroke Quality Improvement in Rehabilitation (SQuIRe) projects to ensure that every stroke survivor has the best chance of recovery.
	tabling member printed	Baroness Wheeler
	uin	HL3981
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>NHS England is prioritising implementation of the National Service Model for an Integrated Community Stroke Service (ICSS), which includes delivery of specialist stroke rehabilitation at home and in care homes, improving life after stroke support, and six month follow-up reviews, by working closely with the voluntary sector. The ICSS model is vital to support physical, cognitive, and psychological recovery, return to work, and quality of life.</p><p>The ICSS model includes provision of tailored and patient centred reablement care, through joint work between the National Health Service and social care. Provision of peer support and six months reviews, information, and longer-term support in the community is also achieved through integrated and collaborative working with the voluntary sector.</p><p>The National Stroke Quality Improvement in Rehabilitation (SQuIRe) programme is driving implementation of the ICSS model in England. NHS England funds SQuIRe posts in each NHS region, to work with integrated care boards (ICBs) in improving provision of community-based stroke rehabilitation, promoting stroke recovery, and improving patient outcomes. ICBs also receive a separate funding allocation to support prevention services, which include stroke rehabilitation.</p> answering member printed Lord Markham question first answered 01/05/2024 13:28:56 answering member 4948 label Biography information for Lord Markham
	tabling member	4157 label Biography information for Baroness Wheeler

1712623

	registered interest
	date	22/04/2024
	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	Avian Influenza
	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 transmission of H5N1 bird flu to humans.
	tabling member printed	Lord Bourne of Aberystwyth
	uin	HL3984
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The UK Health Security Agency (UKHSA) works closely with partners to monitor, investigate, and periodically assess the risk to human health of avian influenza (influenza A(H5N1)). This includes monitoring human cases, patterns of transmission of influenza A(H5N1) in animals, surveillance of humans exposed to infected birds, and assessing how well circulating viruses are matched to vaccines.</p><p>Our assessment of the risks of A(H5N1) to the United Kingdom is kept under regular review and is revised when new evidence is identified. Updates to this work are published in the UKHSA’s avian influenza technical briefings. The UKHSA also contributes to the World Health Organization’s global assessments.</p><p>There continues to be sporadic human cases of A(H5N1) detected globally, including both mild and severe infections. The UK does not currently have outbreaks of influenza A(H5N1) in poultry or other captive birds, although sporadic detections continue in wild birds. The UK has self-declared zonal freedom from highly pathogenic avian influenza for Great Britain with effect from 29 March 2024.</p> answering member printed Lord Markham question first answered 01/05/2024 15:11:36 answering member 4948 label Biography information for Lord Markham
	tabling member	4282 label Biography information for Lord Bourne of Aberystwyth

1712642

	registered interest
	date	22/04/2024
	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	Respiratory Syncytial Virus: Vaccination
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government how they will assess (1) wider productivity, and (2) economic benefits, when considering new immunisation programmes for infant respiratory syncytial virus.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4003
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The independent Joint Committee for Vaccination and Immunisation (JCVI) advises the Department on the approach to vaccination and immunisation. The JCVI evaluation of the cost-effectiveness of a respiratory syncytial virus (RSV) programme was based on the health benefits of an infant RSV programme and the potential healthcare cost savings from preventing cases and hospitalisations.</p><p>The Department did not ask the JCVI to complete an assessment of wider productivity and economic benefits of an immunisation programme, and the Department did not assess this separately for RSV.</p> answering member printed Lord Markham question first answered 01/05/2024 14:24:18 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1712651

	registered interest
	date	22/04/2024
	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	Out-patients: Attendance
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what was the cost to the NHS of missed appointments at (1) hospitals, and (2) GP surgeries, in each of the past five years.
	tabling member printed	Lord Swire
	uin	HL4012
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>It is not possible to produce an estimate of the true cost to the National Health Service of these missed appointments, as this will depend on whether NHS staff were still able to use the time productively, for example by seeing other patients instead, or doing other work. NHS England advises local NHS organisations, general practices and trusts to plan for preventing and dealing with missed appointments. These include ensuring patients can cancel appointments in convenient ways, such as by text message or through online cancellation forms and offering telephone consultations if these better suit the patients’ requirements.</p> answering member printed Lord Markham question first answered 01/05/2024 13:15:38 answering member 4948 label Biography information for Lord Markham
	tabling member	1408 label Biography information for Lord Swire

1713740

	registered interest
	date	24/04/2024
	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	Schools: Mental Health Services
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what plans they have to fund the national roll-out of mental health support teams across all schools and colleges in England.
	tabling member printed	Lord Watson of Invergowrie
	uin	HL4090
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>Mental health support teams now cover approximately 44% of pupils in England and we are working to increase this coverage to 50% of pupils by March 2025. The further rollout of mental health support teams will be subject to future spending decisions.</p> answering member printed Lord Markham question first answered 01/05/2024 15:06:02 answering member 4948 label Biography information for Lord Markham
	tabling member	1241 label Biography information for Lord Watson of Invergowrie

1713997

	registered interest
	date	25/04/2024
	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	Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what practical assistance is available for those with a physical or mental condition which prevents them from doing medical tests at home, such as bowel cancer screening, unaided.
	tabling member printed	Baroness Merron
	uin	HL4104
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>We are aware of the issues faced by some people with physical or mental health conditions that can make attending a screening appointment, or carrying out a home test, more difficult. Currently, national screening IT systems do not have the facilities to flag conditions for individuals which could make it more difficult to carry out the bowel cancer screening, fecal immunochemical test (FIT) at home. It is therefore recommended that individuals contact their general practice (GP) in these situations, so that GPs can work with the screening provider to arrange further support. For example, carrying out a FIT test at the GP or at home, with the support of a family member or community nurse.</p><p> </p><p>NHS England has started work to improve its national screening IT systems through the Digital Transformation of Screening programme. This will enable screening providers to flag heath issues that may make carrying out a FIT test at home more difficult, and to offer any appropriate support.</p> answering member printed Lord Markham question first answered 01/05/2024 14:23:21 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron

1713998

	registered interest
	date	25/04/2024
	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	Bowel Cancer: Screening
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government which groups have a lower-than-average rate of participation in home-kit bowel cancer screening; and what plans they have to increase participation.
	tabling member printed	Baroness Merron
	uin	HL4105
	answer	answer is ministerial correction date of answer 01/05/2024 answer text <p>The national IT system for the NHS Bowel Cancer Screening Programme does not routinely collect data that could identify groups that have a lower-than-average uptake rate of the fecal immunochemical bowel cancer screening test.</p><p>Research has found that groups which are less likely to take part in bowel screening include men, people from ethnic minority backgrounds, and people in more deprived areas. Physical or mental health conditions can also make carrying out a home test more difficult.</p><p>NHS England has started work to improve its national screening IT systems through the Digital Transformation of Screening programme. This will enable screening providers to record protected characteristics, to more accurately identify groups with the lowest uptake, and target initiatives to improve uptake.</p> answering member printed Lord Markham question first answered 01/05/2024 14:23:51 answering member 4948 label Biography information for Lord Markham
	tabling member	347 label Biography information for Baroness Merron