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1110670

	registered interest
	date	09/04/2019
	answering body	Foreign and Commonwealth Office
	answering dept id	16
	answering dept short name	Foreign and Commonwealth Office
	answering dept sort name	Foreign and Commonwealth Office
	hansard heading	Brunei: Legal Systems
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Written Answer by Lord Ahmad of Wimbledon on 8 April (HL14929), whether they have discussed the changes to Brunei’s laws with the Secretary-General of the Commonwealth; and whether, while such laws remain in place, they will call for Brunei’s suspension from the Commonwealth due to those laws' incompatibility with Commonwealth values.
	tabling member printed	Lord Alton of Liverpool
	type	WrittenParliamentaryQuestion
	uin	HL15134
	answer	answer is ministerial correction date of answer 25/04/2019 answer text <p><del class="ministerial">I</del> <ins class="ministerial">Lord Ahmad of Wimbledon </ins>spoke to the Secretary General of the Commonwealth about the situation in Brunei on 4 April. The Secretary General is in contact with the Government of Brunei and is working through Commonwealth channels.</p><p>​The UK encourages all Commonwealth partners to protect and promote the values in the Commonwealth Charter, including its opposition to all forms of discrimination. We have made clear that nobody should face persecution or discrimination because of who they are or whom they love.</p><p>Brunei is one of several Commonwealth countries that imposes corporal and capital punishments. It has now introduced new potential penalties under the Sharia Penal Code.</p><p>We have raised our concerns with the Government of Brunei. We will continue to encourage Brunei to remove corporal and capital punishment from its statutes, to pass laws that decriminalise same-sex relations and protect LGBT people from all forms of discrimination.</p> answering member printed Baroness Barran question first answered 25/04/2019 16:16:20 question first ministerially corrected 25/04/2019 16:35:00 answering member 4703 label Biography information for Baroness Barran previous answer version 115069 answering member printed Baroness Goldie answering member 4306
	tabling member	738 label Biography information for Lord Alton of Liverpool

1046308

	registered interest
	date	22/01/2019
	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 Her Majesty's Government what plans they have to reduce the variation across Clinical Commissioning Groups in England in the ratio between GPs and their patients.
	tabling member printed	Lord Birt
	type	WrittenParliamentaryQuestion
	uin	HL13017
	answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>Each general practice is required to provide services to meet the reasonable needs of their registered population. There is no recommendation for how many patients a general practitioner (GP) should have, as the demand each patient places on their GP is different and can be affected by various factors, including rurality and patient demographics. The workforce required for each practice to meet patient needs also includes a range of health professionals in addition to GPs themselves, and the best skill mix is for practices to determine.</p><p>NHS England and Health Education England (HEE) are working together with the profession to increase the GP workforce in England. This includes measures to boost recruitment, address the reasons why GPs are leaving the profession, and encourage GPs to return to practice.</p><p>Last year, Health Education England recruited the highest number of GP trainees ever and the Targeted Enhanced Recruitment Scheme (TERs) is attracting GP trainees to parts of the country where there have been consistent shortages of GP trainees. Over 500 trainees entered the TERs scheme in 2016-2018 and a further 276 are available in 2019.</p><p>NHS England has committed to further expanding community based multi-disciplinary teams and will provide funding for around 20,000 other staff in primary care networks by 2023/24. This builds on the extra 3,700 non-GP clinical staff already working in general practice, compared to 2015 and will mean bigger teams of staff, providing a wider range of care options for patients and freeing up more time for GPs to focus on those with more complex needs.</p><p>The recently published NHS Long Term Plan made a clear commitment to the future of general practice, with primary and community care set to receive at least £4.5 billion more in real terms a year by 2023/24 – meaning their funding will grow faster than the rising National Health Service budget. Since the launch of the Long Term Plan, NHS England and the British Medical Association’s General Practitioners Committee have agreed a five-year GP (General Medical Services) contract framework from 2019/20. The new contract framework will be essential to deliver the ambitions set out in the NHS Long Term Plan through strong general practice services.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2019 12:46:01 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	2533 label Biography information for Lord Birt

1046317

	registered interest
	date	22/01/2019
	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	Tobacco: Packaging
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they have commissioned advice from any company, organisation or individual about the proposed changes to tobacco product packaging in the event of a no-deal Brexit; if so, which company, organisation or individual they commissioned such advice from; what was the cost of any such advice; and whether they will place a copy of any such advice in the Library of the House.
	tabling member printed	Lord Palmer
	type	WrittenParliamentaryQuestion
	uin	HL13025
	answer	answer is ministerial correction date of answer 05/02/2019 answer text <p>Over the last year, and at no cost, the Department has consulted with a range of experts in tobacco control, none of whom have any connections with the tobacco industry. The Department has also consulted with the Health Ministries of other countries that have world leading tobacco control programmes.</p><p>The external advice provided to the Department has been part of the formulation of Government policy and therefore, we have no plans to publish the advice at this current time.</p> answering member printed Baroness Blackwood of North Oxford question first answered 05/02/2019 12:42:51 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	3192 label Biography information for Lord Palmer

1047590

	registered interest
	date	23/01/2019
	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	Postnatal Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether the NHS provides post-natal examinations of mothers and babies.
	tabling member printed	Baroness Tonge
	type	WrittenParliamentaryQuestion
	uin	HL13083
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks). National Institute for Health and Care Excellence guidelines on postnatal care stipulate that a documented, individualised postnatal care plan should be developed with the woman ideally in the antenatal period or as soon as possible after birth.</p><p>All parents are also offered a thorough physical examination for their baby within 72 hours of giving birth. This examination includes screening tests to find out if a baby has any problems with their eyes, heart, hips and, in boys, the testicles (testes). Parents are offered another physical examination for their baby at the end of the postnatal period, as some of the conditions the NHS screens for can take time to develop. This second examination is usually done at a general practitioner’s (GP) surgery.</p><p>GPs may combine the two checks, for parent and baby, at the same appointment.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:32 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1047591

	registered interest
	date	23/01/2019
	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	Postnatal Care
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government who is responsible for enabling that women have post-natal examinations to detect any birth injury which may have gone unnoticed at delivery.
	tabling member printed	Baroness Tonge
	type	WrittenParliamentaryQuestion
	uin	HL13084
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Commissioners and providers should ensure that services offer a review of a woman’s physical, emotional and social wellbeing by a healthcare professional at the end of the postnatal period (six-eight weeks).</p><p>Relevant National Institute for Health and Care Excellence guidelines stipulate that postnatal care for women needs to address any deviation from expected recovery after birth and any symptoms reported by the woman or identified through clinical observations should be assessed. Women should be advised of the signs and symptoms of potentially life-threatening conditions, including those that may arise as a result of birth injury, and to contact their healthcare professional immediately or call for emergency help if any signs and symptoms occur. Signs and symptoms of infection, inadequate repair, wound breakdown or non-healing should be evaluated and urgent action taken. Additionally, women may be offered an examination to see if their stitches have healed if they had an episiotomy or caesarean section.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:32:11 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	200 label Biography information for Baroness Tonge

1047595

	registered interest
	date	23/01/2019
	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	Inflammatory Bowel Disease
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what plans they have to (1) review, and (2) update, the NICE guidelines for the management of (a) Crohn’s disease, and (b) ulcerative colitis.
	tabling member printed	Baroness Young of Old Scone
	type	WrittenParliamentaryQuestion
	uin	HL13088
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>The National Institute for Health and Care Excellence (NICE) is an independent body and is responsible for reviewing and updating its guidelines as new evidence becomes available.</p><p>NICE’s clinical guidelines for the management of Crohn’s disease and ulcerative colitis were both reviewed in 2017 and are both in the process of being updated.</p><p>The Crohn’s disease guideline update focuses on postsurgical maintenance of remission, whilst the ulcerative colitis guideline update focuses on medicines used to induce remission in people with mild-to-moderate ulcerative colitis and treating acute severe ulcerative colitis.</p><p>NICE expects to publish its updated guidelines for both conditions in May 2019.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 15:51:08 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1755 label Biography information for Baroness Young of Old Scone

1047597

	registered interest
	date	23/01/2019
	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	Gastrointestinal System: Diseases
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government when initial findings are anticipated from the gastroenterology Getting It Right First Time workstream; and whether that workstream will make recommendations about inflammatory bowel disease services.
	tabling member printed	Baroness Young of Old Scone
	type	WrittenParliamentaryQuestion
	uin	HL13090
	answer	answer is ministerial correction date of answer 06/02/2019 answer text <p>Getting It Right First Time (GIRFT) gastroenterology pilot visits will begin in April 2019, to test the data packs. Once cleared, these data packs will be sent to all English trusts and visits to these trusts will commence in June 2019. While initial findings will start to become clear in autumn 2019, GIRFT does not release its recommendations until the publication of the National report, which, after feedback from key stakeholders including the British Society of Gastroenterology, is scheduled to be released in summer 2020.</p><p>GIRFT will be looking at all areas of gastroenterology, including areas relevant to patients with inflammatory bowel disease. However, it is too early to say what specific recommendations will be made in each area.</p> answering member printed Baroness Blackwood of North Oxford question first answered 06/02/2019 16:33:33 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	1755 label Biography information for Baroness Young of Old Scone

1047813

	registered interest
	date	24/01/2019
	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: Crimes of Violence
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government how many assaults by mental health patients on NHS staff were reported in each of the last five years for which records are available.
	tabling member printed	Lord Alton of Liverpool
	type	WrittenParliamentaryQuestion
	uin	HL13091
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>The number of assaults by mental health patients on National Health Service staff reported in each of the last five years is not available in the format requested. However, the following table shows the number of physical assaults where the perpetrator did not know what they were doing, or did not know what they were doing was wrong due to medical illness, mental ill health, severe learning disabilities or treatment administration from 2011/12 to 2015/16.</p><p> </p><table><tbody><tr><td><p>2015/16</p></td><td><p>52,704</p></td></tr><tr><td><p>2014/15</p></td><td><p>51,372</p></td></tr><tr><td><p>2013/14</p></td><td><p>53,484</p></td></tr><tr><td><p>2012/13</p></td><td><p>48,469</p></td></tr><tr><td><p>2011/12</p></td><td><p>46,265</p></td></tr></tbody></table><p> </p><p>Physical assaults data has not been collected centrally since 2015/16. On 31 October 2018, the Secretary of State for Health and Social Care announced a new NHS National Violence Reduction strategy which will include a new central physical assaults data collection. These data will help NHS organisations benchmark their progress in protecting their staff against physical assaults and support the spread of good practice.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 17:36:12 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	738 label Biography information for Lord Alton of Liverpool

1047826

	registered interest
	date	24/01/2019
	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: Drugs
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what advice they are providing to (1) UK residents, and (2) medical organisations about how to access medicines from the EU in the UK.
	tabling member printed	Lord Hunt of Chesterton
	type	WrittenParliamentaryQuestion
	uin	HL13104
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>It is a priority of the Department to ensure patients continue to have access to medicines as we leave the European Union, in all exit scenarios.</p><p>While a Withdrawal Agreement has been agreed between Government and the European Commission, as a responsible Government, we continue to prepare proportionately for all scenarios, including the outcome that we leave the European Union without a deal in March 2019.</p><p>The Department has issued guidance on 7 December 2018 to all National Health Service trusts, pharmacies and general practices informing them of our plans for ensuring continuity of supply of medicines and advising them that they can expect to be able to continue accessing medicines through their existing supply routes in the event of a ‘no deal’ EU exit on 29 March 2019. This guidance explained how hospitals, general practitioners and community pharmacies throughout the UK do not need to take any steps to stockpile additional medicines, beyond their business as usual stock levels. There is also no need for clinicians to write longer NHS prescriptions. A copy of the Department’s letter of 7 December to the NHS in England is attached.</p><p>NHS England and the devolved administrations have also communicated similar messages to the front line and patients have also been advised not to stockpile medicines. Unnecessary local stockpiling would increase pressure on the medicines supply chain and could lead to avoidable shortages and subsequent risks to patients.</p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:44:39 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name government_preparations_update_for_march_2019.pdf title 7 December letter to the NHS
	tabling member	2543 label Biography information for Lord Hunt of Chesterton

1047847

	registered interest
	date	24/01/2019
	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	Obesity
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether they are considering taking steps to reduce differences in levels of obesity between more and less deprived areas; and if so, what steps.
	tabling member printed	Baroness Redfern
	type	WrittenParliamentaryQuestion
	uin	HL13125
	answer	answer is ministerial correction date of answer 07/02/2019 answer text <p>In <em>Childhood obesity: a plan for action, chapter 2</em>, published in June 2018, we have set a bold ambition to halve childhood obesity by 2030 and significantly reduce the gap in obesity between children from the most and least deprived areas by 2030. We want to achieve this by ensuring that we are supporting parents, particularly in the most deprived families, to help their children have the best start in life. We have reiterated this ambition in our vision document <em>Prevention is better than cure</em>, published on 5 November 2018, and in the <em>NHS Long Term Plan</em> published on 8 January 2019.</p><p> </p><p>The childhood obesity plan delivers school based interventions including revenue from the soft drinks industry levy being invested in programmes targeted at disadvantaged children including up to £26 million to fund a breakfast club programme between 2017-18 and 2019-20 and £22 million in an Essential Life Skills programme in 12 Opportunity Areas to enable disadvantaged children aged 5-18 to participate in regular extra-curricular activities, including sporting activities, to develop essential life skills.</p><p> </p><p>Through the Healthy Food Schemes, the Government provides a nutritional safety net to those who need it the most. The three schemes that make up this programme, Healthy Start, Nursery Milk and School Fruit and Vegetables, help to support children, babies and women through pregnancy, when they are at home, in childcare and in early years at school.</p><p><strong> </strong></p><p><strong> </strong></p> answering member printed Baroness Blackwood of North Oxford question first answered 07/02/2019 14:47:48 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4551 label Biography information for Baroness Redfern