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1713307

	registered interest
	date	23/04/2024
	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	Breastfeeding: Breast Cancer
	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 low rates of breastfeeding on incidences of breast cancer.
	tabling member printed	The Lord Bishop of St Albans
	uin	HL4048
	answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>Improving early diagnosis of cancer, including breast cancer, is a priority for the National Health Service. The public health benefits of breastfeeding for child and maternal health are significant and well established. Evidence suggests a range of potential benefits, for example, research published in the British Medical Journal found breastfeeding gave protection against breast cancer.</p><p>We want to ensure that every parent and carer understands the benefits of breastfeeding and has access to the high-quality infant feeding services they need, in their local area, to achieve their breastfeeding goals. Through the Family Hubs and Start for Life Programme, we are investing £50 million to increase the range of specialist support, which is enabling parents to access face-to-face and virtual support whenever they need it.</p> answering member printed Lord Markham question first answered 15/05/2024 16:49:30 answering member 4948 label Biography information for Lord Markham
	tabling member	4308 label Biography information for The Lord Bishop of St Albans

1714683

	registered interest
	date	29/04/2024
	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, following the the UK Nutrient Profiling Model 2018 review, when they plan to implement an updated version of the Nutrient Profiling Model.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4175
	answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>The Nutrient Profiling Model (NPM) is a tool that can underpin policy and implements dietary recommendations.</p><p>The United Kingdom NPM was first developed by the Food Standards Agency in 2004 to 2005 (UK 2004/5 NPM). The first Childhood Obesity Plan (2016) committed Public Health England to review the UK 2004/5 NPM and align it to the latest dietary recommendations. A robust and transparent process was undertaken to update the model, with an Independent Expert Group to provide oversight and scientific scrutiny. In 2018, as part of the process, a 12-week public consultation on the modifications made to the current UK 2004/5 NPM took place. The final version will be published in due course.</p><p>Any application of the updated NPM in a policy would be subject to normal policy making and consultation processes and would be accompanied by technical guidance to support its use and implementation. Stakeholders and interested parties would have an opportunity to comment on developing work as part of that process.</p> answering member printed Lord Markham question first answered 15/05/2024 16:54:19 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715083

	registered interest
	date	30/04/2024
	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: Telemedicine
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, further to the Written Answer by the Parliamentary Under-Secretary for the Department of Health and Social Care on 14 November 2023 (HC527), whether they intend to publish an updated version of the Department for Health and Social Care guidance on completing the EMA1 abortion form or similar certificate, to reflect the fact that the good faith opinion of the medical practitioner as to the patients’ gestation period can no longer be relied upon if an in-person consultation has not taken place.
	tabling member printed	Lord Jackson of Peterborough
	uin	HL4224
	answer	answer is ministerial correction date of answer 15/05/2024 answer text <p>There are no plans to publish an updated version of the Department’s guidance on completing the EMA1 abortion form, or a similar certificate, before early medical abortion pills are prescribed for use in a pregnant woman’s home.</p><p>In line with the guidance, the EMA1 form, or a similar certificate, must be completed by the registered medical practitioner terminating the pregnancy. This is to certify their opinion, formed in good faith, that if the medicine prescribed for the termination of the pregnancy is self-administered in accordance with their instructions, the pregnancy will not exceed 10 weeks at the time when the first pill, mifepristone, is taken.</p><p>This opinion can be formed either via a teleconsultation, or at an in-person appointment. Most women can determine the duration of their pregnancy with reasonable accuracy from the first day of their last menstrual period alone. However, if there is any uncertainty about the gestation of the pregnancy, the medical practitioner will ask the woman to attend an in-person appointment to enable them to form an opinion, in good faith, that the pregnancy will not have exceeded 10 weeks at the time that the first pill is taken.</p> answering member printed Lord Markham question first answered 15/05/2024 16:35:05 answering member 4948 label Biography information for Lord Markham
	tabling member	1551 label Biography information for Lord Jackson of Peterborough

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

1715969

	registered interest
	date	07/05/2024
	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	Radiotherapy: Waiting Lists
	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 proportion of cancer patients currently waiting more than 31 days for radiotherapy treatment.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4423
	answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4424 HL4425 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715970

	registered interest
	date	07/05/2024
	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: North East
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of findings from the Royal College of Radiologists, published in May, showing a regional disparity in wait times for cancer treatment in 2023, with 11 per cent of patients in England waiting more than 31 days for treatment after the decision to treat had been confirmed, compared to 19 per cent of patients in the North East and Yorkshire.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4424
	answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4423 HL4425 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715971

	registered interest
	date	07/05/2024
	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	Radiotherapy: Staff
	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 that the 15 per cent shortfall in clinical oncologists, as estimated in the Royal College of Radiologists workforce census, does not impact the operational performance of radiotherapy services.
	tabling member printed	Baroness Ritchie of Downpatrick
	uin	HL4425
	answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>According to the latest data, of those 10,328 cancer patients referred for first or subsequent treatment for radiotherapy in March 2024, 89.7% were treated within 31 days. The proportion of patients waiting more than 31 days for radiotherapy treatment in March 2024 was therefore 10.3%. This has decreased by 4.5% since January 2024.</p><p>We are aware of regional disparities in wait times for cancer treatment through NHS England’s data, and are considering the findings made by the Royal College of Radiologists. Tackling inequalities in outcomes, experience, and access of cancer diagnostics, including regional disparities, is a key focus of the Government. NHS England has commissioned six new cancer clinical audits in breast cancer, both primary and metastatic, as well as ovarian, pancreatic, non-Hodgkin lymphoma, and kidney cancer. These will provide timely evidence for cancer service providers of where patterns of care in England may vary, increase the consistency of access to treatments, and help stimulate improvements in cancer treatments and outcomes for patients. The first outcomes of these audits are expected in September 2024.</p><p>The Department is working closely with NHS England to make sure we have the right workforce with the right skills up and down the country. In 2023/24, NHS England invested an additional £50 million to increase the number of cancer and diagnostic specialists.</p><p>The Government is also backing the NHS Long Term Workforce Plan, with over £2.4 billion over the next five years to fund additional education and training places. The plan sets out an aim to double the number of medical school places in England to 15,000 places a year by 2031/32, and to work towards this expansion by increasing places by a third, to 10,000 a year, by 2028/29.</p><p>We are building our cancer workforce. In January 2024 there were over 35,200 full-time equivalent (FTE) staff in the cancer workforce, an increase of over 13,300, or 60.7% since January 2010. Regarding clinical oncology specifically, as of January 2024, there are currently over 1,600 FTE doctors working in the speciality of clinical oncology in National Health Service trusts and other core organisations in England. This is over 30, or 2.2%, more than last year, over 300, or 27.7%, more than 2019, and over 600, 66.5%, more than in 2010. This includes over 900 FTE consultants. This is over 40, or 5.1%, more than last year, over 100, 22.0%, more than in 2019, and over 400, 80.2%, more than in 2010.</p> answering member printed Lord Markham grouped question UIN HL4423 HL4424 question first answered 13/05/2024 11:23:46 answering member 4948 label Biography information for Lord Markham
	tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1715975

	registered interest
	date	07/05/2024
	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: Reform
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government when they will publish their Social Care regulatory reform programme and what new protected professional medical titles they are considering introducing.
	tabling member printed	Baroness Bennett of Manor Castle
	uin	HL4374
	answer	answer is ministerial correction date of answer 13/05/2024 answer text <p>There are no plans to publish a social care regulatory reform programme. However, the Government has consulted on its proposed approach to modernising the legislation of the professional health and care regulators. As part of this work, we will consider whether to make any changes to the medical titles protected in law. Any proposals will be subject to statutory consultation, and the affirmative parliamentary process.</p><p>The Anaesthesia Associates and Physician Associates Order 2024 was made on 13 March 2024, and will bring Aanaesthesia Associates and Physician Associates into regulation by the General Medical Council (GMC), under a reformed regulatory framework. We are currently working on the next phase of reform, which includes introducing a new regulatory framework for medical practitioners. The future GMC order relating to the medical profession will be drafted and published for consultation in due course.</p> answering member printed Lord Markham question first answered 13/05/2024 11:24:26 answering member 4948 label Biography information for Lord Markham
	tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

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

1715426

	registered interest
	date	01/05/2024
	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	Rare Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether they intend to have any discussions with the National Institute for Health and Care Excellence (NICE) about continuing to work with the rare condition community to improve engagement and involvement in decision-making from small organisations.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL4282
	answer	answer is ministerial correction date of answer 09/05/2024 answer text <p>Department officials regularly meet with colleagues in the National Institute for Health and Care Excellence (NICE) to discuss a range of issues. Taking into account the advice and experience of people using services, as well as their carers or advocates, alongside that of health and social care professionals, commissioners, providers, and the public, is a central principle that guides the NICE’s work.</p><p>The NICE is committed to working with people who use health and social care services, their families, carers, and the public, as well as with voluntary and community sector organisations, and all of the NICE’s guidance is developed using a process that takes into account the opinions and views of the people who will be affected by them, to ensure their needs and priorities are reflected. The NICE gathers these perspectives through the membership of its committees, and through public consultations at various stages of guidance development. Stakeholders also have an opportunity to comment on the potential impact of the NICE’s guidance on health inequalities.</p> answering member printed Lord Markham question first answered 09/05/2024 11:30:09 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath