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1204164

registered interest
date	16/06/2020
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	Care Homes: Coronavirus
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the remarks made by the Rt Hon Jeremy Hunt MP on 12 June that “whilst the impact of such discharges meant the NHS was never short of beds or ventilators, it seems extraordinary that no one appeared to consider the clinical risk to care homes despite widespread knowledge that the virus could be carried asymptomatically.”
tabling member printed	Lord Alton of Liverpool
uin	HL5739
answer	answer is ministerial correction date of answer 07/07/2020 answer text <p>Throughout our coronavirus response we have kept our policies under continuous review based on the emerging international and domestic evidence and have worked tirelessly with the care sector and public health experts to reduce transmission and save lives.</p><p>On 15 April, we published COVID-19: Our Action Plan for Adult Social Care. This set out that all patients are required to be tested prior to discharge to a care home. A copy is attached.</p><p>Patients are discharged when it is clinically safe and they no longer need acute care. Wherever possible, people who are clinically ready should be supported to return to their place of residence, where assessment of longer-term needs will take place. This approach follows the ‘discharge to assess’ model, to support timely and appropriate discharge from hospital.</p><p>As our understanding of the virus has changes throughout the course of the pandemic, we have continued to develop our policy. Our current policy is that due to evidence of asymptomatic spread, during periods of sustained transmission we recommend that all residents being discharged from hospital or interim care facilities to the care home and new residents admitted from the community should be isolated for 14 days within their own room. For care home residents, around 70% of people living in care homes for the over 65s have dementia. It is important they return to their familiar environments when they are clinically ready, with the personalised support and daily activities in place that help them to live well with dementia. This can be better achieved in their care home, rather than the hospital.</p><p>We have made £1.3 billion funding available via the National Health Service to help patients who no longer need urgent treatment to get home from hospital safely and quickly. We have also made £3.2 billion available to local authorities so they can address pressures on local services caused by the pandemic, including in adult social care. On 13 May we announced an additional £600 million to support care home providers through a new Adult Social Care Infection Control Fund.</p> answering member printed Lord Bethell question first answered 07/07/2020 17:15:53 answering member 4708 label Biography information for Lord Bethell attachment 1 file name covid-19-adult-social-care-action-plan.pdf title Adult Social Care Action Plan
tabling member	738 label Biography information for Lord Alton of Liverpool

1204176

registered interest
date	16/06/2020
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	Hospitals: Coronavirus
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, following the COVID-19 pandemic, (1) what measures are in place to restart outpatient clinics while ensuring that those who visit do not contract the virus, and (2) how these measures are being communicated to patients.
tabling member printed	Baroness Gale
uin	HL5759
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>Whilst routine treatments were suspended to provide capacity to treat COVID-19 patients, we are now working closely with the National Health Service and other partners to restart these in a safe way, with excellence in infection prevention and control as a key principle. Guidance has already been issued on this, and approaches are being tailored at local level according to local capacity and local demand, with the most urgent services being restarted first.</p><p>The NHS ‘Help us to help you’ media campaign encourages all patients in need of urgent or emergency medical care to seek appropriate treatment.</p> answering member printed Lord Bethell question first answered 30/06/2020 14:08:33 answering member 4708 label Biography information for Lord Bethell
tabling member	2503 label Biography information for Baroness Gale

1204177

registered interest
date	16/06/2020
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: Coronavirus
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what percentage of Improving Access to Psychological Therapies (IAPT) services have provided telephone and video appointments in place of face-to-face appointments between the start of the COVID-19 lockdown on 23 March and 15 June.
tabling member printed	Baroness Gale
uin	HL5760
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>We are unable to provide the data as requested.</p><p>The information on whether appointments take place face-to-face or by phone or video is only available in the Improving Access to Psychological Therapies annual publications. This information covering the period 1 April 2019 - 31 March 2020 is due to be published on 30 July 2020.</p> answering member printed Lord Bethell question first answered 30/06/2020 14:15:53 answering member 4708 label Biography information for Lord Bethell
tabling member	2503 label Biography information for Baroness Gale

1204178

registered interest
date	16/06/2020
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	Parkinson's Disease: Mental Health Services
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what steps they will take to ensure that people with Parkinson's disease will have continued access to psychological therapies until the end of the COVID-19 pandemic.
tabling member printed	Baroness Gale
uin	HL5761
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>National Health Service mental health services have remained open for business throughout the COVID-19 outbreak, including delivering support digitally and over the phone where possible. In doing so, the NHS has been clear on the importance of maintaining face to face care for those patients who need it, and of patient choice in determining suitability for digital appointments.</p><p>When delivering face to face appointments, mental health services are expected to follow the latest guidance on the use of personal protective equipment in healthcare settings to support infection prevention and control. Services will be further enabled by the roll out of the NHS Test and Trace service to reduce transmission risk and deliver face to face services in as safe a way as possible.</p> answering member printed Lord Bethell question first answered 30/06/2020 14:16:08 answering member 4708 label Biography information for Lord Bethell
tabling member	2503 label Biography information for Baroness Gale

1204195

registered interest
date	16/06/2020
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	Coronavirus: Ethnic Groups
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what steps they are taking to ensure that BAME people are adequately represented in COVID-19 clinical trials.
tabling member printed	Lord Kennedy of Southwark
uin	HL5784
answer	answer is ministerial correction date of answer 24/06/2020 answer text <p>The Department, through the National Institute for Health Research (NIHR), is working in partnership with the Centre for Black and Minority Ethnic Health in Leicester to ensure that black, Asian and minority ethnic communities have the information they need to take part and stay informed about COVID-19 research. The NIHR also requires a limited amount of demographic data on participants in all prioritized urgent COVID-19 studies to be collected to ensure recruitment is representative of the population. It is also actively supporting researchers to tackle the barriers that might stop some communities participating.</p> answering member printed Lord Bethell question first answered 24/06/2020 10:34:39 answering member 4708 label Biography information for Lord Bethell
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1204196

registered interest
date	16/06/2020
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	Coronavirus: Research
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government, following reports that hydroxychloroquine is ineffective in treating COVID-19, what plans they have to review their methods for assessing scientific evidence.
tabling member printed	Lord Kennedy of Southwark
uin	HL5785
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>There are no plans to review the methods for assessing scientific evidence following the outcome of the hydroxychloroquine arm of the RECOVERY trial.</p><p>Results from trials, even if the treatment proves ineffective, are still very useful in understanding COVID-19 and which other treatments could be more effective. This includes dexamethasone, which was also identified by the RECOVERY trial as having a significant benefit for hospitalised patients with COVID-19 who require oxygen or ventilation.</p> answering member printed Lord Bethell question first answered 30/06/2020 13:26:12 answering member 4708 label Biography information for Lord Bethell
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1204197

registered interest
date	16/06/2020
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	Coronavirus: Screening
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what plans they have to respond to concerns raised by the UK Statistics Authority about how the Department for Health and Social Care reports COVID-19 testing data.
tabling member printed	Lord Kennedy of Southwark
uin	HL5786
answer	answer is ministerial correction date of answer 29/07/2020 answer text <p>To provide a more comprehensive response to a number of outstanding Written Questions, this has been answered by an information factsheet <em>Testing – note for House of Lords</em> which is attached, due to the size of the data. A copy has also been placed in the Library</p><p> </p> answering member printed Lord Bethell question first answered 29/07/2020 16:54:26 answering member 4708 label Biography information for Lord Bethell attachment 1 file name Testing - note for House of Lords.pdf title Testing information factsheet
tabling member	4153 label Biography information for Lord Kennedy of Southwark

1204216

registered interest
date	16/06/2020
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	Coronavirus: Quarantine
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the findings of the ZOE ‘COVID-19 Symptom Study’ which suggests that one in 10 people experience COVID-19 symptoms lasting longer than three weeks.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL5746
answer	answer is ministerial correction date of answer 30/06/2020 answer text <p>The Government continues to monitor and assess data from a wide variety of sources on COVID-19 as it emerges. The Government is aware of the ZOE ‘COVID-19 Symptom Study’ and has included the data on symptom duration as part of its considerations.</p><p>The Scientific Advisory Group for Emergencies recently re-evaluated length of self-isolation for symptomatic individuals and did not recommend a change to current advice.</p> answering member printed Lord Bethell question first answered 30/06/2020 14:15:12 answering member 4708 label Biography information for Lord Bethell
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1204217

registered interest
date	16/06/2020
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	Coronavirus: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what plans they have to raise public awareness about the long-term effects of COVID-19 experienced by some people who had only mild symptoms of the disease.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL5747
answer	answer is ministerial correction date of answer 20/08/2020 answer text <p>COVID-19 is a new disease and therefore it is not yet clear what the medical, psychological and rehabilitation needs will be for those experiencing long-term effects, to enable them to make as full a recovery as possible.</p><p>The UK Research and Innovation-National Institute for Health Research Rapid Response Rolling Call has funded a large post-hospitalisation study. The study, announced in July, will establish a national consortium and a research platform embedded within clinical care to better understand and improve long-term outcomes for survivors following hospitalisation with COVID-19. It will also help to ensure future treatment can be tailored as much as possible to the person.</p><p>The new ‘Your COVID Recovery’ service, forms part of National Health Service plans to expand access to COVID-19 rehabilitation treatments for those who have survived the virus but still have problems with breathing, mental health problems or other complications.</p><p> </p> answering member printed Lord Bethell question first answered 20/08/2020 11:31:07 answering member 4708 label Biography information for Lord Bethell
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1204218

registered interest
date	16/06/2020
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	Coronavirus: Disease Control
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what plans they have to support those suffering long-term effects from COVID-19.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL5748
answer	answer is ministerial correction date of answer 20/08/2020 answer text <p>The National Health Service and the wider scientific community are currently working to better understand the disease course of the COVID-19 virus, including the severity and duration of symptoms. The UK Research and Innovation-National Institute for Health Research Rapid Response Rolling Call has funded a large post-hospitalisation study. The study, announced in July, will establish a national consortium and a research platform embedded within clinical care to understand and improve long-term outcomes for survivors following hospitalisation with COVID-19.</p><p> </p><p>NHS England and NHS Improvement have worked with the University Hospitals of Leicester NHS Trust to develop a digital, interactive, personalised recovery programme for people recovering from COVID-19. The new ‘Your COVID Recovery’ service, which was announced on 5 July, forms part of NHS plans to expand access to COVID-19 rehabilitation treatments for those who have survived the virus but still have problems with breathing, mental health problems or other complications.</p><p> </p> answering member printed Lord Bethell question first answered 20/08/2020 11:31:31 answering member 4708 label Biography information for Lord Bethell
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle