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1648704

registered interest
date	28/06/2023
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	Zoonoses
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 finding of Min Cui, Bang Shen and others in their article ‘Animal diseases and human future’, published in Animal Diseases in April 2022, that 75 per cent of emerging human infectious diseases originate from animals.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL8865
answer	answer is ministerial correction date of answer 10/07/2023 answer text <p>UK Health Security Agency (UKHSA) is aware of the paper Animal diseases and human future by Min Cui, Bang Shen et al published in Animal Diseases, April 2022. The paper asserts that “approximately 60% of human infectious diseases are zoonotic, and 75% of emerging human infectious diseases originate from animals”. While there is not one internationally agreed figure for the percentages of diseases, emerging or established, that are zoonotic, these figures are broadly in line with that of global public health partners such as World Organisation for Animal Health.</p> answering member printed Lord Markham question first answered 10/07/2023 14:28:26 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1611103

registered interest
date	17/04/2023
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	World Health Organization
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they intend to oppose proposed amendments to Article 3 of the World Health Organization’s International Health Regulations (2005) which would replace the current reference that the regulations should be implemented with “full respect for the dignity, human rights and fundamental freedoms of persons” with text referring to “equity, inclusivity, coherence and solidarity”.
tabling member printed	Baroness Hoey
uin	HL7125
answer	answer is ministerial correction date of answer 19/04/2023 answer text <p>The Government continues to formulate positions ahead of textual negotiations on the proposed amendments and continues to engage with other World Health Organization member states on the matter. The United Kingdom views respect for human rights as an important principle in the International Health Regulations (2005).</p> answering member printed Lord Markham question first answered 19/04/2023 14:29:57 answering member 4948 label Biography information for Lord Markham
tabling member	210 label Biography information for Baroness Hoey

1611104

registered interest
date	17/04/2023
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	World Health Organization
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to proposing amendments to the World Health Organization’s International Health Regulations (2005).
tabling member printed	Baroness Hoey
uin	HL7126
answer	answer is ministerial correction date of answer 19/04/2023 answer text <p>The International Health Regulations (2005) (IHR) are a key part of the global health security system to prevent, protect against, control and provide a public health response to the international spread of disease. The United Kingdom wants to ensure that countries’ obligations under the IHR remain fit for purpose and reflect lessons learned through the COVID-19 pandemic. We want to see stronger global commitment to effective disease surveillance, early reporting of potential health threats and transparency in sharing information. These issues are already on the table and form part of the multilateral discussions on amendments to the IHR. The UK continues to participate in the Working Group on Amendments to the International Health Regulations (2005).</p> answering member printed Lord Markham question first answered 19/04/2023 14:34:19 answering member 4948 label Biography information for Lord Markham
tabling member	210 label Biography information for Baroness Hoey

1612094

registered interest
date	18/04/2023
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	World Health Organization
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what is their assessment of amendments to Article 1 (Definitions) and the proposed new Article 13A (WHO-led International Public Health Response) of the International Health Regulations of the World Health Organisation, designed to give the organisation's recommendations binding effect on member states during a public health emergency of international concern.
tabling member printed	Baroness Hoey
uin	HL7209
answer	answer is ministerial correction date of answer 27/04/2023 answer text <p>The International Health Regulations (2005) (IHR) are a key part of the global health security system to prevent, protect against, control and provide a public health response to the international spread of disease. The Government continues to formulate positions during ongoing textual negotiations on the proposed amendments and continues to engage with other World Health Organization member states on the matter.</p><p>The Government has a strong commitment and duty to implement international law that it is subject to. However, the United Kingdom will not sign up to any measures that compromise the UK’s ability to take decisions on national measures concerning public health.</p> answering member printed Lord Markham question first answered 27/04/2023 11:39:47 answering member 4948 label Biography information for Lord Markham
tabling member	210 label Biography information for Baroness Hoey

1672994

registered interest
date	27/11/2023
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	World Health Assembly
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 amendment to Article 59 of the World Health Organisation's International Health Regulations, adopted on 22 May 2022 by the World Health Assembly, and for which the opt-out period, available to each country separately, expires on 1 December.
tabling member printed	Lord Hannan of Kingsclere
uin	HL605
answer	answer is ministerial correction date of answer 06/12/2023 answer text <p>The International Health Regulations (2005) are an existing international legal instrument to which the United Kingdom and 195 other World Health Organization (WHO) Member States are party. The regulations are a key part of the global health security system to prevent, protect against, control, and provide a public health response to the international spread of disease.</p><p>At the WHO World Health Assembly (WHA) in May 2022, Member States including the UK agreed a process to negotiate and agree targeted amendments to the regulations and adopted five process-related amendments.</p><p>These amendments shorten the timeframes for future amendments to the regulations to come into force, namely 12 months with the possibility to extend up to 24 months, rather than 24 months, and for Member States to reject or reserve on them for 10 months rather than 18 months.</p><p>These amendments apply only to future Member State-agreed amendments to the regulations. The UK supports the amendments as they aim to improve the timeliness of Member States’ implementation of and compliance with the regulations, which helps to better protect the UK from future public health events including pandemics.</p><p>The 75th WHA also agreed the process for negotiating further targeted amendments to the regulations. Member States could submit proposed amendments for consideration and a Working Group (WGIHR), consisting of all Regulation State Parties, including the UK, through which the proposed amendments would be negotiated and agreed.</p><p>The Government continues to engage in the Member State-led WGIHR negotiation process, working to secure the best outcomes for the UK, as a means of strengthening preparedness for and response to future global health emergencies. Our priorities for the more than 300 proposed amendments continue to include increasing compliance with the regulations, improving transparency, and speeding up timeliness of reporting. No further amendments have been agreed yet. Member States agreed to submit a package of agreed amendments to the WHA in May 2024.</p><p>Amendments to the regulations must be adopted by Member States at the WHA for them to come into force as a matter of international law. A 10-month opt-out period for the more than 300 amendments will commence only if and when the amendments have been adopted by the WHA.</p><p>The Government has a strong commitment and duty to implement its international obligations. In addition, throughout negotiations, the UK has been and will continue to be clear that we would not agree any amendments that would cede sovereignty to the WHO, including in relation to making domestic decisions on national measures concerning public health, such as, domestic immunisation programme rollouts and other similar measures.</p><p>A Westminster Hall debate on the regulation amendments will be held on 18 December 2023. Any new or amended domestic legislation necessary to reflect new international obligations under the regulations would be made through the applicable parliamentary process. In all circumstances, the sovereignty of the UK Parliament would remain unchanged.</p> answering member printed Lord Markham grouped question UIN HL606 HL607 question first answered 06/12/2023 16:52:51 answering member 4948 label Biography information for Lord Markham
tabling member	4905 label Biography information for Lord Hannan of Kingsclere

1672995

registered interest
date	27/11/2023
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	World Health Assembly
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what consideration they have given to the 307 amendments to the World Health Organisation’s International Health Regulations (2005), proposed in May 2023, given the deadline for opting out of the regulations and that extended consideration period has now passed and that ten months remain for the UK to opt-out of the amendments.
tabling member printed	Lord Hannan of Kingsclere
uin	HL606
answer	answer is ministerial correction date of answer 06/12/2023 answer text <p>The International Health Regulations (2005) are an existing international legal instrument to which the United Kingdom and 195 other World Health Organization (WHO) Member States are party. The regulations are a key part of the global health security system to prevent, protect against, control, and provide a public health response to the international spread of disease.</p><p>At the WHO World Health Assembly (WHA) in May 2022, Member States including the UK agreed a process to negotiate and agree targeted amendments to the regulations and adopted five process-related amendments.</p><p>These amendments shorten the timeframes for future amendments to the regulations to come into force, namely 12 months with the possibility to extend up to 24 months, rather than 24 months, and for Member States to reject or reserve on them for 10 months rather than 18 months.</p><p>These amendments apply only to future Member State-agreed amendments to the regulations. The UK supports the amendments as they aim to improve the timeliness of Member States’ implementation of and compliance with the regulations, which helps to better protect the UK from future public health events including pandemics.</p><p>The 75th WHA also agreed the process for negotiating further targeted amendments to the regulations. Member States could submit proposed amendments for consideration and a Working Group (WGIHR), consisting of all Regulation State Parties, including the UK, through which the proposed amendments would be negotiated and agreed.</p><p>The Government continues to engage in the Member State-led WGIHR negotiation process, working to secure the best outcomes for the UK, as a means of strengthening preparedness for and response to future global health emergencies. Our priorities for the more than 300 proposed amendments continue to include increasing compliance with the regulations, improving transparency, and speeding up timeliness of reporting. No further amendments have been agreed yet. Member States agreed to submit a package of agreed amendments to the WHA in May 2024.</p><p>Amendments to the regulations must be adopted by Member States at the WHA for them to come into force as a matter of international law. A 10-month opt-out period for the more than 300 amendments will commence only if and when the amendments have been adopted by the WHA.</p><p>The Government has a strong commitment and duty to implement its international obligations. In addition, throughout negotiations, the UK has been and will continue to be clear that we would not agree any amendments that would cede sovereignty to the WHO, including in relation to making domestic decisions on national measures concerning public health, such as, domestic immunisation programme rollouts and other similar measures.</p><p>A Westminster Hall debate on the regulation amendments will be held on 18 December 2023. Any new or amended domestic legislation necessary to reflect new international obligations under the regulations would be made through the applicable parliamentary process. In all circumstances, the sovereignty of the UK Parliament would remain unchanged.</p> answering member printed Lord Markham grouped question UIN HL605 HL607 question first answered 06/12/2023 16:52:51 answering member 4948 label Biography information for Lord Markham
tabling member	4905 label Biography information for Lord Hannan of Kingsclere

1672996

registered interest
date	27/11/2023
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	World Health Assembly
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they consider that parliamentary ratification is needed for the World Health Organisation’s International Health Regulations (2005) as amended.
tabling member printed	Lord Hannan of Kingsclere
uin	HL607
answer	answer is ministerial correction date of answer 06/12/2023 answer text <p>The International Health Regulations (2005) are an existing international legal instrument to which the United Kingdom and 195 other World Health Organization (WHO) Member States are party. The regulations are a key part of the global health security system to prevent, protect against, control, and provide a public health response to the international spread of disease.</p><p>At the WHO World Health Assembly (WHA) in May 2022, Member States including the UK agreed a process to negotiate and agree targeted amendments to the regulations and adopted five process-related amendments.</p><p>These amendments shorten the timeframes for future amendments to the regulations to come into force, namely 12 months with the possibility to extend up to 24 months, rather than 24 months, and for Member States to reject or reserve on them for 10 months rather than 18 months.</p><p>These amendments apply only to future Member State-agreed amendments to the regulations. The UK supports the amendments as they aim to improve the timeliness of Member States’ implementation of and compliance with the regulations, which helps to better protect the UK from future public health events including pandemics.</p><p>The 75th WHA also agreed the process for negotiating further targeted amendments to the regulations. Member States could submit proposed amendments for consideration and a Working Group (WGIHR), consisting of all Regulation State Parties, including the UK, through which the proposed amendments would be negotiated and agreed.</p><p>The Government continues to engage in the Member State-led WGIHR negotiation process, working to secure the best outcomes for the UK, as a means of strengthening preparedness for and response to future global health emergencies. Our priorities for the more than 300 proposed amendments continue to include increasing compliance with the regulations, improving transparency, and speeding up timeliness of reporting. No further amendments have been agreed yet. Member States agreed to submit a package of agreed amendments to the WHA in May 2024.</p><p>Amendments to the regulations must be adopted by Member States at the WHA for them to come into force as a matter of international law. A 10-month opt-out period for the more than 300 amendments will commence only if and when the amendments have been adopted by the WHA.</p><p>The Government has a strong commitment and duty to implement its international obligations. In addition, throughout negotiations, the UK has been and will continue to be clear that we would not agree any amendments that would cede sovereignty to the WHO, including in relation to making domestic decisions on national measures concerning public health, such as, domestic immunisation programme rollouts and other similar measures.</p><p>A Westminster Hall debate on the regulation amendments will be held on 18 December 2023. Any new or amended domestic legislation necessary to reflect new international obligations under the regulations would be made through the applicable parliamentary process. In all circumstances, the sovereignty of the UK Parliament would remain unchanged.</p> answering member printed Lord Markham grouped question UIN HL605 HL606 question first answered 06/12/2023 16:52:51 answering member 4948 label Biography information for Lord Markham
tabling member	4905 label Biography information for Lord Hannan of Kingsclere

1643943

registered interest
date	12/06/2023
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	Whooping Cough: Vaccination
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what data are collected on rates of uptake of the pertussis vaccine among healthcare workers.
tabling member printed	Baroness Ritchie of Downpatrick
uin	HL8409
answer	answer is ministerial correction date of answer 15/06/2023 answer text <p>The United Kingdom Health Security Agency does not collect data on rates of uptake of the pertussis vaccine among healthcare workers.</p> answering member printed Lord Markham question first answered 15/06/2023 14:24:28 answering member 4948 label Biography information for Lord Markham
tabling member	4130 label Biography information for Baroness Ritchie of Downpatrick

1580459

registered interest
date	24/01/2023
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	Wheelchairs
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 Integrated Care Boards adopt the Wheelchair Charter, as supported by NHS England.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5018
answer	answer is ministerial correction date of answer 08/02/2023 answer text <p>Integrated care boards (ICBs) are responsible for the development, provision and commissioning of local wheelchair services. NHS England has committed to develop a framework for ICBs to support them in commissioning effective, efficient and personalised wheelchair services. The framework will include the updated Wheelchair Charter.</p><p>Regarding the processes established within individual ICBs to audit Wheelchair Service standards of service, the Government does not hold this information centrally.</p> answering member printed Lord Markham grouped question UIN HL5019 question first answered 08/02/2023 12:44:47 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1580460

registered interest
date	24/01/2023
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	Wheelchairs
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what processes have been established within Integrated Care Boards to audit Wheelchair Service standards of service.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5019
answer	answer is ministerial correction date of answer 08/02/2023 answer text <p>Integrated care boards (ICBs) are responsible for the development, provision and commissioning of local wheelchair services. NHS England has committed to develop a framework for ICBs to support them in commissioning effective, efficient and personalised wheelchair services. The framework will include the updated Wheelchair Charter.</p><p>Regarding the processes established within individual ICBs to audit Wheelchair Service standards of service, the Government does not hold this information centrally.</p> answering member printed Lord Markham grouped question UIN HL5018 question first answered 08/02/2023 12:44:47 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath