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1712650

registered interest
date	22/04/2024
answering body	Department for Energy Security and Net Zero
answering dept id	215
answering dept short name	Energy Security and Net Zero
answering dept sort name	Energy Security and Net Zero
hansard heading	Boiler Upgrade Scheme: Eligibility
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether they intend to publish the evidence base used to underpin the decision, announced by Department for Energy Security and Net Zero in March in its Boiler Upgrade Scheme Consultation Response, that future grant applicants' compliance with Energy Performance Certificate recommendations will be optional.
tabling member printed	Lord Stunell
uin	HL4011
answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>The Government response to the consultation on amendments to the Boiler Upgrade Scheme sets out the responses received by industry stakeholders, including evidence to support the removal of the legal requirement to have no outstanding recommendations for cavity and loft insulation which was determined a barrier to access the scheme.</p> answering member printed Lord Callanan question first answered 24/04/2024 13:40:56 answering member 4336 label Biography information for Lord Callanan
tabling member	445 label Biography information for Lord Stunell

1702316

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	Magnetic Resonance Imagers: Helium
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 minimal usage of helium in MRI scanners in NHS facilities in the light of the global shortage of helium; and what steps they are taking to ensure all helium in scanners being replaced is reused appropriately.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3927
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>Suppliers of magnetic resonance imaging (MRI) scanners are moving to a sealed helium solution, whereby the helium required to cool the magnet is approximately 0.5% of the current levels. These sealed systems will also ensure MRI scanners do not require further helium to be added during years of operational use.</p><p>Furthermore, suppliers are now replacing MRI scanners without requiring the magnet to be replaced, though this is only available for the first replacement cycle, whereby the scanner is fully replaced, but the existing magnet and helium are retained.</p><p>With regards to the Department, as set out in the recent Medical Technology Strategy: One Year On publication, the Design for Life Programme has been stood up to work with industry, the health and care sector, and academic partners to develop medical technology systems that support reuse, remanufacture, and material recovery becoming the default. This includes developing regulatory, commercial, digital, and policy environments that support this aim. The Department’s intention is to publish a roadmap later this year to articulate our relevant findings and plans moving forward.</p> answering member printed Lord Markham question first answered 25/04/2024 14:24:02 answering member 4948 label Biography information for Lord Markham
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702319

registered interest
date	18/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Food: Waste
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what assessment they have made of reports of high levels of pollutants in food produced near waste incinerators in Europe; and whether they have any plans to conduct similar assessments in the UK.
tabling member printed	Baroness Bennett of Manor Castle
uin	HL3930
answer	answer is ministerial correction date of answer 26/04/2024 answer text <p>The Environment Agency (EA) has not made any assessment of reports on this subject and does not plan to conduct any such assessments in England.</p><p> </p><p>The impact on food produced in proximity to waste incinerators is considered as part of environmental permitting regulations. The EA is responsible for deciding whether new incinerators in England should get a permit to operate. For each permit application it receives, the EA uses the results of air quality modelling and a human health risk assessment (HHRA) to determine the impact of the proposed incinerator.</p><p> </p><p>The HHRA assesses impacts on the food chain. Impact assessments are very conservative and permit decisions are based on worst-case scenario impacts.</p><p> </p><p>The EA also consults the UK Health Security Agency and the Food Standards Agency (FSA) on every permit application it receives and will not issue a permit if the proposed plant could cause significant pollution or harm to human health, including via the food chain.</p><p> </p><p>The FSA is responsible for the management of public health risks in relation to food. In general, the FSA considers that if incinerator facilities are correctly operated and monitored, with the appropriate level of emissions abatement, there should be no impact on the local area in terms of elevated levels of contaminants in soil and locally produced food. Measures are in place to manage the risk from chemical contaminants and keep levels as low as reasonably achievable through good practices and regulatory controls.</p> answering member printed Lord Douglas-Miller question first answered 26/04/2024 11:06:48 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4719 label Biography information for Baroness Bennett of Manor Castle

1702350

registered interest
date	18/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Environmental Land Management Schemes
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government why existing agri-environment schemes such as the Countryside Stewardship scheme are based on the claim deadline of 15 May 2023 while the Rural Payments Agency window runs up until 30 June 2024, resulting in wait times of up to 13 months for farmers and land managers to receive their payments; and whether they have any plans to change this in future.
tabling member printed	The Earl of Sandwich
uin	HL3961
answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>Within the European Union, policies were set for seven years with limited opportunity to change, however, now that we have left the EU, we are rolling out our new environmental land management schemes and are adopting new approaches, including to our payment frequencies. We have already introduced more frequent payments in our new schemes, to make them work better for farm businesses. For example, SFI offers payments on a quarterly schedule, so that farmers start getting paid in the fourth month of their agreement, and every 3 months after that. Where possible, as we expand the offer, we will offer more frequent payments to more participants.</p> answering member printed Lord Douglas-Miller question first answered 24/04/2024 13:46:58 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	2109 label Biography information for The Earl of Sandwich

1702353

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	Health Services and Social Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made on integrating social care and the NHS.
tabling member printed	Lord Swire
uin	HL3964
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The Health and Care Act 2022 established integrated care systems, reforming how health and adult social care work together by putting partnership at the heart of planning. The Government has published guidance for integrated care partnerships (ICPs), on the statutory requirement for each ICP to publish an Integrated Care Strategy to address the health, social care, and public health needs of their system. All ICPs have now published their integrated care strategies.</p><p>The integration of health and social care is often best achieved through collaboration across smaller geographies within integrated care systems called places. Since the Health and Care Act 2022, we have seen good progress in the development of place-based arrangements to integrate health and social care. In October 2023, we published our Shared Outcomes Toolkit designed to help place-based partnerships develop shared outcomes as a powerful means of promoting integrated working and joined up care. We also issued a call for evidence as part of our review of Section 75 of the NHS Act 2006, which permits local authorities and National Health Service bodies to pool budgets, enabling joint commissioning and the commissioning of integrated services. The findings of this review will be shared in due course.</p> answering member printed Lord Markham question first answered 25/04/2024 14:16:30 answering member 4948 label Biography information for Lord Markham
tabling member	1408 label Biography information for Lord Swire

1701967

registered interest
date	17/04/2024
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: Waiting Lists
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they expect updated NHS wait times to be published for 2022 and 2023.
tabling member printed	Baroness Goudie
uin	HL3882
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>NHS England publishes Referral to Treatment Waiting Times data for elective treatment monthly in an online-only format, including for 2022 and 2023. There are no plans to revise waiting times figures for these years.</p> answering member printed Lord Markham question first answered 23/04/2024 11:39:06 answering member 4948 label Biography information for Lord Markham
tabling member	3575 label Biography information for Baroness Goudie

1701968

registered interest
date	17/04/2024
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	Dementia: Diagnosis
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 NHS is prepared for the arrival of new diagnostic innovations for dementia.
tabling member printed	Baroness Goudie
uin	HL3883
answer	answer is ministerial correction date of answer 25/04/2024 answer text <p>The National Health Service is a world leader in rolling out innovative treatments and has established a dedicated national programme team which is working in partnership with other national agencies and with local health systems to prepare for the potential roll out of new treatments for use in the earlier stages of Alzheimer’s disease. These plans assume that, if these new treatments are approved by the regulators, significant additional diagnostic capacity, including amyloid positron emission tomography–computed tomography, lumbar puncture and magnetic resonance imaging, will be needed both to identify patients who are most able to benefit and to provide important safety monitoring.</p><p>The national programme team is conducting preparations across the country, working alongside clinicians and local teams to identify where further funding will be required to roll out the additional tests and services needed to introduce these new and complex treatments.</p><p>NHS England is also working with partner agencies to support and inform further research into other diagnostic modalities, including blood-based biomarker and digital tests, which will help improve identification and management of Alzheimer’s disease.</p> answering member printed Lord Markham question first answered 25/04/2024 14:26:03 answering member 4948 label Biography information for Lord Markham
tabling member	3575 label Biography information for Baroness Goudie

1701969

registered interest
date	17/04/2024
answering body	Department for Environment, Food and Rural Affairs
answering dept id	13
answering dept short name	Environment, Food and Rural Affairs
answering dept sort name	Environment, Food and Rural Affairs
hansard heading	Fishing Vessels: Electric Vehicles
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government when they will publish their response to the consultation on remote electronic fishing vessels, which ran from 17 July to 9 October 2023.
tabling member printed	Baroness Hayman of Ullock
uin	HL3884
answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>We will be publishing responses soon and they will be available on GOV.UK.</p> answering member printed Lord Douglas-Miller question first answered 24/04/2024 13:44:20 answering member 5006 label Biography information for Lord Douglas-Miller
tabling member	4395 label Biography information for Baroness Hayman of Ullock

1701979

registered interest
date	17/04/2024
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: Staff
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 potential impact on the mental health and wellbeing of secondary care staff if their partnership with NHS Practitioner Health is ended after the 12-month review period.
tabling member printed	Baroness Merron
uin	HL3894
answer	answer is ministerial correction date of answer 23/04/2024 answer text <p>We recognise that the NHS Practitioner Health service is valued by many doctors. NHS England is reviewing the service as part of a wider review of its mental health and wellbeing offer to National Health Service staff. It was confirmed on 15 April 2024 that the service will continue to accept new patients from primary and secondary care whilst this review is undertaken over the next 12 months. NHS England will assess the impact and confirm future arrangements once the review has been completed.</p> answering member printed Lord Markham question first answered 23/04/2024 16:06:17 answering member 4948 label Biography information for Lord Markham
tabling member	347 label Biography information for Baroness Merron

1701980

registered interest
date	17/04/2024
answering body	Treasury
answering dept id	14
answering dept short name	Treasury
answering dept sort name	Treasury
hansard heading	Health Insurance: Private Sector
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what steps they are taking to assess and mitigate the impact of private medical insurance fees on the quality and suitability of care provided to patients with private medical insurance.
tabling member printed	Baroness Merron
uin	HL3895
answer	answer is ministerial correction date of answer 24/04/2024 answer text <p>The Government is determined that all insurers, including private medical insurers, treat consumers fairly and firms are required to do so under the Financial Conduct Authority’s rules.</p><p> </p><p>The FCA requires insurers to ensure their products offer fair value, meaning the price a consumer pays for a product or service must be reasonable compared to the overall benefits they can expect to receive. The FCA has been clear that it will be monitoring firms to make sure they comply with this rule and will take action where necessary.</p><p> </p><p>All providers of healthcare are regulated by the Care Quality Commission and follow a set of fundamental standards of safety and quality below which care should never fall, while the General Medical Council is responsible for regulating doctors in the United Kingdom.</p><p> </p> answering member printed Baroness Vere of Norbiton question first answered 24/04/2024 11:43:25 answering member 4580 label Biography information for Baroness Vere of Norbiton
tabling member	347 label Biography information for Baroness Merron